Nursing Exam Past Paper PDF

41.) The client has been taking omeprazole (Prilosec) for 4 weeks. The ambulatory care nurse evaluates that the client is receiving optimal intended effect of the medication if the client reports the absence of which symptom? 1\. Diarrhea 2\. Heartburn 3\. Flatulence 4\. Constipation - ANSWER\...

41.) The client has been taking omeprazole (Prilosec) for 4 weeks. The ambulatory care nurse evaluates that the client is receiving optimal intended effect of the medication if the client reports the absence of which symptom? 1\. Diarrhea 2\. Heartburn 3\. Flatulence 4\. Constipation - ANSWER\--2. Heartburn 42.) A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is reinforcing teaching for the client about the medications prescribed, including clarithromycin (Biaxin), esomeprazole (Nexium), and amoxicillin (Amoxil). Which statement by the client indicates the best understanding of the medication regimen? 1\. \"My ulcer will heal because these medications will kill the bacteria.\" 2\. \"These medications are only taken when I have pain from my ulcer.\" 3\. \"The medications will kill the bacteria and stop the acid production.\" Downloaded at Knoowy - Upload your own study documents and earn money 4\. \"These medications will coat the ulcer and decrease the acid production in my stomach.\" - ANSWER\-- 3\. \"The medications will kill the bacteria and stop the acid production.\" 43.) A histamine (H2)-receptor antagonist will be prescribed for a client. The nurse understands that which medications are H2-receptor antagonists? Select all that apply. 1\. Nizatidine (Axid) 2\. Ranitidine (Zantac) 3\. Famotidine (Pepcid) 4\. Cimetidine (Tagamet) 5\. Esomeprazole (Nexium) 6\. Lansoprazole (Prevacid) - ANSWER\--1. Nizatidine (Axid) 2\. Ranitidine (Zantac) 3\. Famotidine (Pepcid) 4\. Cimetidine (Tagamet) 44.) A client is receiving acetylcysteine (Mucomyst), 20% solution diluted in 0.9% normal saline by nebulizer. The nurse should have which item available for possible use after giving this medication? 1\. Ambu bag Downloaded at Knoowy - Upload your own study documents and earn money 2\. Intubation tray 3\. Nasogastric tube 4\. Suction equipment - ANSWER\--4. Suction equipment 45.) A client has a prescription to take guaifenesin (Humibid) every 4 hours, as needed. The nurse determines that the client understands the most effective use of this medication if the client states that he or she will: 1\. Watch for irritability as a side effect. 2\. Take the tablet with a full glass of water. 3\. Take an extra dose if the cough is accompanied by fever. 4\. Crush the sustained-release tablet if immediate relief is needed. - ANSWER\--2. Take the tablet with a full glass of water. 46.) A postoperative client has received a dose of naloxone hydrochloride for respiratory depression shortly after transfer to the nursing unit from the postanesthesia care unit. After administration of the medication, the nurse checks the client for: 1\. Pupillary changes 2\. Scattered lung wheezes 3\. Sudden increase in pain Downloaded at Knoowy - Upload your own study documents and earn money 4\. Sudden episodes of diarrhea - ANSWER\--3. Sudden increase in pain 47.) A client has been taking isoniazid (INH) for 2 months. The client complains to a nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing: 1\. Hypercalcemia 2\. Peripheral neuritis 3\. Small blood vessel spasm 4\. Impaired peripheral circulation - ANSWER\--2. Peripheral neuritis 48.) A client is to begin a 6-month course of therapy with isoniazid (INH). A nurse plans to teach the client to: 1\. Drink alcohol in small amounts only. 2\. Report yellow eyes or skin immediately. 3\. Increase intake of Swiss or aged cheeses. 4\. Avoid vitamin supplements during therapy. - ANSWER\--2. Report yellow eyes or skin immediately. 49.) A client has been started on long-term therapy with rifampin (Rifadin). A nurse teaches the client that the medication: 1\. Should always be taken with food or antacids 2\. Should be double-dosed if one dose is forgotten 3\. Causes orange discoloration of sweat, tears, urine, and feces 4\. May be discontinued independently if symptoms are gone in 3 months - ANSWER\--3. Causes orange discoloration of sweat, tears, urine, and feces 50.) A nurse has given a client taking ethambutol (Myambutol) information about the medication. The nurse determines that the client understands the instructions if the client states that he or she will immediately report: 1\. Impaired sense of hearing 2\. Problems with visual acuity 3\. Gastrointestinal (GI) side effects 4\. Orange-red discoloration of body secretions - ANSWER\--2. Problems with visual acuity 51.) Cycloserine (Seromycin) is added to the medication regimen for a client with tuberculosis. Which of the following would the nurse include in the client-teaching plan regarding this medication? 1\. To take the medication before meals 2\. To return to the clinic weekly for serum drug-level testing 3\. It is not necessary to call the health care provider (HCP) if a skin rash occurs. 4\. It is not necessary to restrict alcohol intake with this medication. - ANSWER\--2. To return to the clinic weekly for serum drug-level testing **52.)**\ **Question:** A client with tuberculosis is being started on antituberculosis therapy with isoniazid (INH). Before giving the client the first dose, a nurse ensures that which of the following baseline studies has been completed?\ **Answer Choices:** 1. Electrolyte levels 2. Coagulation times 3. Liver enzyme levels 4. Serum creatinine level\ **Answer:** 3. Liver enzyme levels **53.)**\ **Question:** Rifabutin (Mycobutin) is prescribed for a client with active Mycobacterium avium complex (MAC) disease and tuberculosis. The nurse monitors for which side effects of the medication? Select all that apply.\ **Answer Choices:** 1. Signs of hepatitis 2. Flu-like syndrome 3. Low neutrophil count 4. Vitamin B6 deficiency 5. Ocular pain or blurred vision 6. Tingling and numbness of the fingers\ **Answer:** 1. Signs of hepatitis 7. Flu-like syndrome 8. Low neutrophil count 9. Ocular pain or blurred vision **54.)**\ **Question:** A nurse reinforces discharge instructions to a postoperative client who is taking warfarin sodium (Coumadin). Which statement, if made by the client, reflects the need for further teaching?\ **Answer Choices:** 1. \"I will take my pills every day at the same time.\" 2. \"I will be certain to avoid alcohol consumption.\" 3. \"I have already called my family to pick up a Medic-Alert bracelet.\" 4. \"I will take Ecotrin (enteric-coated aspirin) for my headaches because it is coated.\"\ **Answer:** 4. \"I will take Ecotrin (enteric-coated aspirin) for my headaches because it is coated.\" **55.)**\ **Question:** A client who is receiving digoxin (Lanoxin) daily has a serum potassium level of 3.0 mEq/L and is complaining of anorexia. A health care provider prescribes a digoxin level to rule out digoxin toxicity. A nurse checks the results, knowing that which of the following is the therapeutic serum level (range) for digoxin?\ **Answer Choices:** 1. 3 to 5 ng/mL 2. 0.5 to 2 ng/mL 3. 1.2 to 2.8 ng/mL 4. 3.5 to 5.5 ng/mL\ **Answer:** 2. 0.5 to 2 ng/mL **56.)**\ **Question:** Heparin sodium is prescribed for the client. The nurse expects that the health care provider will prescribe which of the following to monitor for a therapeutic effect of the medication?\ **Answer Choices:** 1. Hematocrit level 2. Hemoglobin level 3. Prothrombin time (PT) 4. Activated partial thromboplastin time (aPTT)\ **Answer:** 4. Activated partial thromboplastin time (aPTT) **57.)**\ **Question:** A nurse is monitoring a client who is taking propranolol (Inderal LA). Which data collection finding would indicate a potential serious complication associated with propranolol?\ **Answer Choices:** 1. The development of complaints of insomnia 2. The development of audible expiratory wheezes 3. A baseline blood pressure of 150/80 mm Hg followed by a blood pressure of 138/72 mm Hg after two doses of the medication 4. A baseline resting heart rate of 88 beats/min followed by a resting heart rate of 72 beats/min after two doses of the medication\ **Answer:** 2. The development of audible expiratory wheezes **58.)**\ **Question:** Isosorbide mononitrate (Imdur) is prescribed for a client with angina pectoris. The client tells the nurse that the medication is causing a chronic headache. The nurse appropriately suggests that the client:\ **Answer Choices:** 1. Cut the dose in half. 2. Discontinue the medication. 3. Take the medication with food. 4. Contact the health care provider (HCP).\ **Answer:** 3. Take the medication with food. **59.)**\ **Question:** A client is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen activator, alteplase (Activase, tPA). Which action is a priority nursing intervention?\ **Answer Choices:** 1. Monitor for renal failure. 2. Monitor psychosocial status. 3. Monitor for signs of bleeding. 4. Have heparin sodium available.\ **Answer:** 3. Monitor for signs of bleeding