1. A client is prescribed a liquid iron preparation that has the potential to stain the teeth.
The nurse should instruct the client to take which action to prevent staining of the
teeth?
1. Brush the teeth before drinking the iron.
2. Drink the iron undiluted for maximal effect.
3. Dilute more than the amount prescribed to obtain the correct dosage.
4. Dilute the iron in juice, drink it through a straw, and rinse the mouth afterward.
4. Dilute the iron in juice, drink it through a straw, and rinse the mouth afterward.
2. Ticlopidine (Ticlid) is prescribed for a client. The nurse plans to take which action
before implementing this medication therapy?
1. Taking the client's blood pressure
2. Obtaining a prothrombin time (PT)
3. Taking the client's apical heart rate
4. Reviewing the results of the complete blood cell (CBC) count
4. Reviewing the results of the complete blood cell (CBC) count
3. Ticlopidine (Ticlid) has been prescribed for a client with a diagnosis of thrombotic
stroke. The nurse provides instructions to the client and spouse regarding the
medication. Which statement, if made by the client, indicates that the client
understands the use of this medication?
1. "I'll take the medicine with meals."
2. "If I do not feel well, I should skip the medication."
3. "I won't have another stroke if I take this medicine faithfully."
4. "If I have any gastrointestinal side effects, I should call the health care provider
(HCP)."
1. "I'll take the medicine with meals."
4. The home care nurse is making a monthly visit to a client with a diagnosis of
pernicious anemia who has been receiving a monthly injection of cyanocobalamin
(vitamin B12). Before administering the injection, the nurse evaluates the effects of
the medication and determines that a therapeutic effect is occurring if the client
makes which statement?
1. "I feel really lightheaded."
2. "I no longer have any nausea."
3. "I have not had any pain in a month."
4. "I feel stronger and have a much better appetite."
4. "I feel stronger and have a much better appetite."
,5. The nurse is providing dietary instructions to the client with anemia. The client tells
the nurse that the iron pills are very expensive and it will be difficult to pay for the
pills and buy the proper food. What is the most appropriate nursing response?
1. "You will have to find a way to afford both."
2. "You will be fine as long as you take the iron pills."
3. "Why don't you ask your family to help you out financially?"
4. "Would you like for me to check into some other options for you?"
4. "Would you like for me to check into some other options for you?"
6. The nurse provides instructions to a client who has a prescription for ticlopidine
(Ticlid). Which statement, if made by the client, indicates a need for further
teaching?
1. "I'll take my medicine with meals."
2. "Blood work will be done every 2 weeks for the first 3 months."
3. "I should not stop the medication without talking to my health care provider (HCP)
first."
4. "Food will affect the medication, so I need to take the medication on an empty
stomach."
4. "Food will affect the medication, so I need to take the medication on an empty stomach."
7. The nurse is reviewing the health care provider's (HCP) prescriptions for a client
recently admitted to the hospital and notes that the HCP has prescribed ticlopidine
(Ticlid) therapy. Which finding, if noted on the client's record, would indicate a need
to contact the HCP before initiating the medication prescription?
1. Neutropenia
2. Client history of stroke
3. Client history of hypertension
4. Complaints of gastrointestinal disturbances
1. Neutropenia
8. The nurse is monitoring a client who is receiving epoetin alfa (Epogen, Procrit) for
adverse effects of the medication. Which finding indicates an adverse effect?
1. Diarrhea
2. Depression
3. Bradycardia
4. Hypertension
4. Hypertension
9. The nurse is evaluating the results of laboratory studies for a client receiving epoetin
alfa (Epogen, Procrit). When should the nurse expect to note a therapeutic effect of
this medication?
, 1. Immediately
2. 3 days after therapy
3. 2 weeks after therapy
4. After 1 week of therapy
3. 2 weeks after therapy
10. A client with chronic kidney disease is receiving ferrous sulfate (Feosol). The nurse
instructs the client that which finding is a common side effect associated with this
medication?
1. Fatigue
2. Headache
3. Weakness
4. Constipation
4. Constipation
11. A client who is due for a dose of warfarin (Coumadin) has a prothrombin time (PT) of
28 seconds. After analyzing this test result, what should the nurse do?
1. Give double the dose.
2. Administer the next dose.
3. Give half of the next dose.
4. Call the health care provider (HCP).
4. Call the health care provider (HCP).
12. The nurse has a prescription to give heparin sodium 5000 units subcutaneously. The
nurse should plan to take which action to administer this medication?
1. Inject via an infusion device.
2. Inject ½ inch from the umbilicus.
3. Massage the injection site after administration.
4. Change the needle after withdrawing the medication from the vial.
4. Change the needle after withdrawing the medication from the vial.
13. A decision has just been made to give tissue plasminogen activator (tPA) (Activase)
to a client. The nurse should obtain which supply for standard use as part of safe
nursing care related to this medication?
1. Flashlight
2. Pulse oximeter
3. Suction equipment
4. Occult blood test strips
4. Occult blood test strips
, 14. A client is receiving heparin sodium by continuous intravenous (IV) infusion. The
nurse should notify the health care provider if ongoing nursing assessment reveals
which finding?
1. Tinnitus
2. Ecchymoses
3. Increased pulse rate
4. Increased blood pressure
2. Ecchymoses
15. A client is being discharged to home with enoxaparin (Lovenox) for shortterm
therapy. What should the nurse explain to the family about the medication action?
1. Relieves joint pain
2. Dissolves urinary calculi
3. Stops progression of multiple sclerosis
4. Reduces the risk of deep vein thrombosis
4. Reduces the risk of deep vein thrombosis
16. The nurse is monitoring the laboratory test results for a client who is taking warfarin
sodium (Coumadin). The nurse should expect the prothrombin time (PT) for this
client to be at what value?
1. 8 seconds
2. 12 seconds
3. 15 seconds
4. 20 seconds
4. 20 seconds
17. The nurse is reviewing the laboratory results for a client who arrives at the health
care clinic for followup assessment after insertion of a mechanical prosthetic heart
valve. The international normalized ratio (INR) is analyzed because the client has
been taking warfarin sodium (Coumadin) since discharge from the hospital. The
nurse determines that the INR range is at an appropriate level if what value is noted
on the laboratory report?
1. 2.0
2. 2.3
3. 3.0
4. 5.0
3. 3.0
18. The nurse is preparing to administer filgrastim (Neupogen) to a client with a
diagnosis of agranulocytosis. The client asks the nurse about the purpose of the
medication. The nurse explains that this medication will have which action?
The nurse should instruct the client to take which action to prevent staining of the
teeth?
1. Brush the teeth before drinking the iron.
2. Drink the iron undiluted for maximal effect.
3. Dilute more than the amount prescribed to obtain the correct dosage.
4. Dilute the iron in juice, drink it through a straw, and rinse the mouth afterward.
4. Dilute the iron in juice, drink it through a straw, and rinse the mouth afterward.
2. Ticlopidine (Ticlid) is prescribed for a client. The nurse plans to take which action
before implementing this medication therapy?
1. Taking the client's blood pressure
2. Obtaining a prothrombin time (PT)
3. Taking the client's apical heart rate
4. Reviewing the results of the complete blood cell (CBC) count
4. Reviewing the results of the complete blood cell (CBC) count
3. Ticlopidine (Ticlid) has been prescribed for a client with a diagnosis of thrombotic
stroke. The nurse provides instructions to the client and spouse regarding the
medication. Which statement, if made by the client, indicates that the client
understands the use of this medication?
1. "I'll take the medicine with meals."
2. "If I do not feel well, I should skip the medication."
3. "I won't have another stroke if I take this medicine faithfully."
4. "If I have any gastrointestinal side effects, I should call the health care provider
(HCP)."
1. "I'll take the medicine with meals."
4. The home care nurse is making a monthly visit to a client with a diagnosis of
pernicious anemia who has been receiving a monthly injection of cyanocobalamin
(vitamin B12). Before administering the injection, the nurse evaluates the effects of
the medication and determines that a therapeutic effect is occurring if the client
makes which statement?
1. "I feel really lightheaded."
2. "I no longer have any nausea."
3. "I have not had any pain in a month."
4. "I feel stronger and have a much better appetite."
4. "I feel stronger and have a much better appetite."
,5. The nurse is providing dietary instructions to the client with anemia. The client tells
the nurse that the iron pills are very expensive and it will be difficult to pay for the
pills and buy the proper food. What is the most appropriate nursing response?
1. "You will have to find a way to afford both."
2. "You will be fine as long as you take the iron pills."
3. "Why don't you ask your family to help you out financially?"
4. "Would you like for me to check into some other options for you?"
4. "Would you like for me to check into some other options for you?"
6. The nurse provides instructions to a client who has a prescription for ticlopidine
(Ticlid). Which statement, if made by the client, indicates a need for further
teaching?
1. "I'll take my medicine with meals."
2. "Blood work will be done every 2 weeks for the first 3 months."
3. "I should not stop the medication without talking to my health care provider (HCP)
first."
4. "Food will affect the medication, so I need to take the medication on an empty
stomach."
4. "Food will affect the medication, so I need to take the medication on an empty stomach."
7. The nurse is reviewing the health care provider's (HCP) prescriptions for a client
recently admitted to the hospital and notes that the HCP has prescribed ticlopidine
(Ticlid) therapy. Which finding, if noted on the client's record, would indicate a need
to contact the HCP before initiating the medication prescription?
1. Neutropenia
2. Client history of stroke
3. Client history of hypertension
4. Complaints of gastrointestinal disturbances
1. Neutropenia
8. The nurse is monitoring a client who is receiving epoetin alfa (Epogen, Procrit) for
adverse effects of the medication. Which finding indicates an adverse effect?
1. Diarrhea
2. Depression
3. Bradycardia
4. Hypertension
4. Hypertension
9. The nurse is evaluating the results of laboratory studies for a client receiving epoetin
alfa (Epogen, Procrit). When should the nurse expect to note a therapeutic effect of
this medication?
, 1. Immediately
2. 3 days after therapy
3. 2 weeks after therapy
4. After 1 week of therapy
3. 2 weeks after therapy
10. A client with chronic kidney disease is receiving ferrous sulfate (Feosol). The nurse
instructs the client that which finding is a common side effect associated with this
medication?
1. Fatigue
2. Headache
3. Weakness
4. Constipation
4. Constipation
11. A client who is due for a dose of warfarin (Coumadin) has a prothrombin time (PT) of
28 seconds. After analyzing this test result, what should the nurse do?
1. Give double the dose.
2. Administer the next dose.
3. Give half of the next dose.
4. Call the health care provider (HCP).
4. Call the health care provider (HCP).
12. The nurse has a prescription to give heparin sodium 5000 units subcutaneously. The
nurse should plan to take which action to administer this medication?
1. Inject via an infusion device.
2. Inject ½ inch from the umbilicus.
3. Massage the injection site after administration.
4. Change the needle after withdrawing the medication from the vial.
4. Change the needle after withdrawing the medication from the vial.
13. A decision has just been made to give tissue plasminogen activator (tPA) (Activase)
to a client. The nurse should obtain which supply for standard use as part of safe
nursing care related to this medication?
1. Flashlight
2. Pulse oximeter
3. Suction equipment
4. Occult blood test strips
4. Occult blood test strips
, 14. A client is receiving heparin sodium by continuous intravenous (IV) infusion. The
nurse should notify the health care provider if ongoing nursing assessment reveals
which finding?
1. Tinnitus
2. Ecchymoses
3. Increased pulse rate
4. Increased blood pressure
2. Ecchymoses
15. A client is being discharged to home with enoxaparin (Lovenox) for shortterm
therapy. What should the nurse explain to the family about the medication action?
1. Relieves joint pain
2. Dissolves urinary calculi
3. Stops progression of multiple sclerosis
4. Reduces the risk of deep vein thrombosis
4. Reduces the risk of deep vein thrombosis
16. The nurse is monitoring the laboratory test results for a client who is taking warfarin
sodium (Coumadin). The nurse should expect the prothrombin time (PT) for this
client to be at what value?
1. 8 seconds
2. 12 seconds
3. 15 seconds
4. 20 seconds
4. 20 seconds
17. The nurse is reviewing the laboratory results for a client who arrives at the health
care clinic for followup assessment after insertion of a mechanical prosthetic heart
valve. The international normalized ratio (INR) is analyzed because the client has
been taking warfarin sodium (Coumadin) since discharge from the hospital. The
nurse determines that the INR range is at an appropriate level if what value is noted
on the laboratory report?
1. 2.0
2. 2.3
3. 3.0
4. 5.0
3. 3.0
18. The nurse is preparing to administer filgrastim (Neupogen) to a client with a
diagnosis of agranulocytosis. The client asks the nurse about the purpose of the
medication. The nurse explains that this medication will have which action?
