Nursing Questions and Answers PDF

**60.)**\ **Question:** A nurse is planning to administer hydrochlorothiazide (HydroDIURIL) to a client. The nurse understands that which of the following are concerns related to the administration of this medication?\ **Answer Choices:** 1. Hypouricemia, hyperkalemia 2. Increased risk of osteop...

**60.)**\ **Question:** A nurse is planning to administer hydrochlorothiazide (HydroDIURIL) to a client. The nurse understands that which of the following are concerns related to the administration of this medication?\ **Answer Choices:** 1. Hypouricemia, hyperkalemia 2. Increased risk of osteoporosis 3. Hypokalemia, hyperglycemia, sulfa allergy 4. Hyperkalemia, hypoglycemia, penicillin allergy\ **Answer:** 3. Hypokalemia, hyperglycemia, sulfa allergy **61.)**\ **Question:** A home health care nurse is visiting a client with elevated triglyceride levels and a serum cholesterol level of 398 mg/dL. The client is taking cholestyramine (Questran). Which of the following statements, if made by the client, indicates the need for further education?\ **Answer Choices:** 1. \"Constipation and bloating might be a problem.\" 2. \"I\'ll continue to watch my diet and reduce my fats.\" 3. \"Walking a mile each day will help the whole process.\" 4. \"I\'ll continue my nicotinic acid from the health food store.\"\ **Answer:** 4. \"I\'ll continue my nicotinic acid from the health food store.\" **62.)**\ **Question:** A client is on nicotinic acid (niacin) for hyperlipidemia and the nurse provides instructions to the client about the medication. Which statement by the client would indicate an understanding of the instructions?\ **Answer Choices:** 1. \"It is not necessary to avoid the use of alcohol.\" 2. \"The medication should be taken with meals to decrease flushing.\" 3. \"Clay-colored stools are a common side effect and should not be of concern.\" 4. \"Ibuprofen (Motrin) taken 30 minutes before the nicotinic acid should decrease the flushing.\"\ **Answer:** 4. \"Ibuprofen (Motrin) taken 30 minutes before the nicotinic acid should decrease the flushing.\" **63.)**\ **Question:** A client with coronary artery disease complains of substernal chest pain. After checking the client\'s heart rate and blood pressure, a nurse administers nitroglycerin, 0.4 mg, sublingually. After 5 minutes, the client states, \"My chest still hurts.\" Select the appropriate actions that the nurse should take. Select all that apply.\ **Answer Choices:** 1. Call a code blue. 2. Contact the registered nurse. 3. Contact the client\'s family. 4. Assess the client\'s pain level. 5. Check the client\'s blood pressure. 6. Administer a second nitroglycerin, 0.4 mg, sublingually.\ **Answer:** 2. Contact the registered nurse. 7. Assess the client\'s pain level. 8. Check the client\'s blood pressure. 9. Administer a second nitroglycerin, 0.4 mg, sublingually. **64.)**\ **Question:** Nalidixic acid (NegGram) is prescribed for a client with a urinary tract infection. On review of the client\'s record, the nurse notes that the client is taking warfarin sodium (Coumadin) daily. Which prescription should the nurse anticipate for this client?\ **Answer Choices:** 1. Discontinuation of warfarin sodium (Coumadin) 2. A decrease in the warfarin sodium (Coumadin) dosage 3. An increase in the warfarin sodium (Coumadin) dosage 4. A decrease in the usual dose of nalidixic acid (NegGram)\ **Answer:** 2. A decrease in the warfarin sodium (Coumadin) dosage **65.)**\ **Question:** A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which of the following should be included in the list of instructions?\ **Answer Choices:** 1. Restrict fluid intake. 2. Maintain a high fluid intake. 3. If the urine turns dark brown, call the health care provider (HCP) immediately. 4. Decrease the dosage when symptoms are improving to prevent an allergic response.\ **Answer:** 2. Maintain a high fluid intake. **66.)**\ **Question:** Trimethoprim-sulfamethoxazole (TMP-SMZ) is prescribed for a client. A nurse should instruct the client to report which symptom if it developed during the course of this medication therapy?\ **Answer Choices:** 1. Nausea 2. Diarrhea 3. Headache 4. Sore throat\ **Answer:** 4. Sore throat 67.) Phenazopyridine hydrochloride (Pyridium) is prescribed for a client for symptomatic relief of pain resulting from a lower urinary tract infection. The nurse reinforces to the client: 1\. To take the medication at bedtime 2\. To take the medication before meals 3\. To discontinue the medication if a headache occurs 4\. That a reddish orange discoloration of the urine may occur - ANSWER\--4. That a reddish orange discoloration of the urine may occur 68.) Bethanechol chloride (Urecholine) is prescribed for a client with urinary retention. Which disorder would be a contraindication to the administration of this medication? 1\. Gastric atony 2\. Urinary strictures 3\. Neurogenic atony 4\. Gastroesophageal reflux - ANSWER\--2. Urinary strictures 69.) A nurse who is administering bethanechol chloride (Urecholine) is monitoring for acute toxicity associated with the medication. The nurse checks the client for which sign of toxicity? 1\. Dry skin 2\. Dry mouth 3\. Bradycardia 4\. Signs of dehydration - ANSWER\--3. Bradycardia 70.) Oxybutynin chloride (Ditropan XL) is prescribed for a client with neurogenic bladder. Which sign would indicate a possible toxic effect related to this medication? 1\. Pallor 2\. Drowsiness Downloaded at Knoowy - Upload your own study documents and earn money 3\. Bradycardia 4\. Restlessness - ANSWER\--4. Restlessness 71.) After kidney transplantation, cyclosporine (Sand immune) is prescribed for a client. Which laboratory result would indicate an adverse effect from the use of this medication? 1\. Decreased creatinine level 2\. Decreased hemoglobin level 3\. Elevated blood urea nitrogen level 4\. Decreased white blood cell count - ANSWER\--3. Elevated blood urea nitrogen level 72.) Cinoxacin (Cinobac), a urinary antiseptic, is prescribed for the client. The nurse reviews the client\'s medical record and should contact the health care provider (HCP) regarding which documented finding to verify the prescription? Refer to chart. 1\. Renal insufficiency 2\. Chest x-ray: normal 3\. Blood glucose, 102 mg/dL 4\. Folic acid (vitamin B6) 0.5 mg, orally daily - ANSWER\--1. Renal insufficiency 73.) A client with myasthenia gravis is suspected of having cholinergic crisis. Which of the following indicate that this crisis exists? 1\. Ataxia 2\. Mouth sores 3\. Hypotension 4\. Hypertension - ANSWER\--4. Hypertension 74.) A client with myasthenia gravis is receiving pyridostigmine (Mestinon). The nurse monitors for signs and symptoms of cholinergic crisis caused by overdose of the medication. The nurse checks the medication supply to ensure that which medication is available for administration if a cholinergic crisis occurs? 1\. Vitamin K 2\. Atropine sulfate 3\. Protamine sulfate 4\. Acetylcysteine (Mucomyst) - ANSWER\--2. Atropine sulfate 75.) A client with myasthenia gravis becomes increasingly weak. The health care provider prepares to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or increasing Downloaded at Knoowy - Upload your own study documents and earn money severity of the disease (myasthenic crisis). An injection of edrophonium (Enlon) is administered. Which of the following indicates that the client is in cholinergic crisis? 1\. No change in the condition 2\. Complaints of muscle spasms 3\. An improvement of the weakness 4\. A temporary worsening of the condition - ANSWER\--4. A temporary worsening of the condition 76.) Carbidopa-levodopa (Sinemet) is prescribed for a client with Parkinson\'s disease, and the nurse monitors the client for adverse reactions to the medication. Which of the following indicates that the client is experiencing an adverse reaction? 1\. Pruritus 2\. Tachycardia 3\. Hypertension 4\. Impaired voluntary movements - ANSWER\--4. Impaired voluntary movements 77.) Phenytoin (Dilantin), 100 mg orally three times daily, has been prescribed for a client for seizure control. The nurse reinforces instructions regarding the medication to the client. Which statement by the client indicates an understanding of the instructions? 1\. \"I will use a soft toothbrush to brush my teeth.\" 2\. \"It\'s all right to break the capsules to make it easier for me to swallow them.\" Downloaded at Knoowy - Upload your own study documents and earn money 3\. \"If I forget to take my medication, I can wait until the next dose and eliminate that dose.\" 4\. \"If my throat becomes sore, it\'s a normal effect of the medication and it\'s nothing to be concerned about.\" - ANSWER\--1. \"I will use a soft toothbrush to brush my teeth.\" 78.) A client is taking phenytoin (Dilantin) for seizure control and a sample for a serum drug level is drawn. Which of the following indicates a therapeutic serum drug range? 1\. 5 to 10 mcg/mL 2\. 10 to 20 mcg/mL 3\. 20 to 30 mcg/mL 4\. 30 to 40 mcg/mL - ANSWER\--2. 10 to 20 mcg/mL 79.) Ibuprofen (Advil) is prescribed for a client. The nurse tells the client to take the medication: 1\. With 8 oz of milk 2\. In the morning after arising 3\. 60 minutes before breakfast 4\. At bedtime on an empty stomach - ANSWER\--1. With 8 oz of milk