NR 293 Final Exam 3 (2023/2024) Verified Questions and Answers (FULL EXAM)

NR 293 Final Exam 3 1. A nurse is teaching a client about the adverse effect of zolpidem. Which of the following adverse effect? a. daytime sleepiness b. double vision c. nighttime sweating d. change in taste 2. The nurse is caring for a client prescribed insulin regular 5 units subcutaneously (SQ) at dinner and insulin NPH 10 unit subcutaneously dinner. Which action is most appropriate for the nurse to take? a. withdraws the insulin NPH first; then withdraw the insulin regular, both in the same syringe b. withdraws the insulin the insulin regular first; then withdraw the insulin NPH, both in the same syringe c. it does not matter which order the insulins are drawn up, but they can mixed in the syringe d. withdraws then insulin regular intone syringe; then withdraw the insulin NPH into a second syringe 3. Which statements should the nurse include in a teaching session for a female client who is prescribed levothyroxine for a diagnosis of hypothyroidism? Select all that apply a. it is important to take levothyroxine on an empty stomach b. levothyroxine should be taken with a meal to ensure absorption c. immediately reports any tremors, nervousness, or insomnia to your healthcare provider d. a higher dose of levothyroxine is prescribed for clients who become pregnant e. levothyroxine may take up to 1 week for full therapeutic effect 4. to get pregnant if I am taking antiepileptic medication? What is the best to do for client? a. you should take a daily multivitamin with folic acid if you are planning to become pregnant b. please discuss this with your healthcare provider, as not all medication is safe to take during pregnancy c. your healthcare provider will have to taper you off the antiepileptic medication prior to your pregnancy d. clients who have chronic epilepsy are discouraged from ever becoming pregnant 5. The nurse administers lactulose to a client diagnosed with hepatic encephalopathy. Which assessment finding represents a therapeutic effect for this treatment? a. resolution of diarrhea and stomach cramps b. one regular soft, formed stool within 24 hours c. no longer experiencing vomiting d. mental status improvement 6. The nurse is teaching the client on clozapine to watch carefully for longer term effects associated with the drug. Select all that apply a. cardiac arrest? b. bruises and bleeding c. weight gain d. agranulocytosis e. increased appetite 7. A nurse is teaching a client who has multiple sclerosis about a new prescription for baciofen. Which of the following instruction include in the teaching? a. expects to develop diarrhea initially b. stop taking the medication immediately for a headache c. do not take antihistamines with this medication d. takes the medication on an empty stomach 8. The nurse is caring for client diagnosed with major depression who is prescribe phenelzine, a monoamine oxidase inhibitor (MAOl). What should the nurse teach the client safe to consume? a. aged cheddar cheese b. red wine c. baked potato d. sausage omelet 9. The nurse is caring for a client with major depressive disorder and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. The client reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take? a. recommends a sleep study be done on the client b. speaks to the health care provider about adding an MAOL to the current medication regime c. explain that antidepressants often take several weeks to be full effective d. tells the client that the health care provider will need to change citalopram to different medication 10. The emergency department nurse is caring for a client diagnosed with diabetes and hypothyroidism. The client states I took Levothyroxine prescription. Which priority action should the nurse take? a. inserts a nasogastric (NG) tube b. administers activated charcoal c. check blood glucose level d. assesses the cardiovascular system 11. Client has been prescribed senna (senokot) to relieve constipation caused by pain medications prescribed after a surgical procedure. Two weeks later at the follow- up appointment. The client tells the nurse that the bowel movement are regular with everyday use of the senna. Which teaching principle is appropriate for this patient? a. daily bowel movements promote bowel health b. makes sure you take plenty of fluids with this medication c. longer term use may result in decrease bowel tone and dependency d. the provider needs to switch you to glycerin suppositories for safer use long term 12. A nurse is caring for an older adult client taking bisacodyl tablets daily. Which of the following responses should the nurse? a. excessive laxative use may cause an electrolyte imbalance b. irregular bowel movements are an indicate of poor intestinal health c. decreases your intake of food high in fiber d. chronic use of laxatives can lead to a tear in the rectal mucosa 13. A nurse is caring a client with nausea and a prescription for metoclopramide intermittent iv bolus every 4 hr as needed. The client tells the nurse how metoclopramide will relieve nausea. Which of the explanation should the nurse provide? a. the medication relieves nausea by promoting gastric emptying b. the medication relieves nausea by slowing peristalsis c. the medication works by decreasing gastric acid secretions d. the medication works by relaxing gastric muscle 14. A nurse is preparing to administer bisacodyl suppository to a client. Which of the following actions should the nurse take? Select all that apply a. uses a rectal applicator for insertion b. lubricates index finger c. position client supine with knees bent d. don sterile gloves e. insert suppository just beyond internal sphincter 15. A nurse is teachings a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if her blood glucose level is above 2 mg/dl. Which of the following information should the nurse include? a. freeze unopened insulin vitals b. expects NPH insulin to peak in 4-8 hours c. discards the NPH solution if it appears cloudy d. shake the insulin vigorously before loading the syringe 16. A nurse is caring for a client who has just begun therapy with alprazolam to treat anxiety. The nurse should monitor the client which of the following adverse effects of this medication. a. hearing loss b. insomnia c. cognitive impairment and lethargy d. hypertension 17. The nurse is caring for client who has been admitted to the emergency department with a suspected overdose of amitriptyline. A tricyclic antidepressant which actions the nurse implement first? a. inserts an indwelling Foley catheter b. call for a psychiatric consult c. advises the client about community psychiatric resources d. assesses the neurologic system 18. The nurse teaching a client diagnosed with type 2 diabetes about self- administration of glimepiride. A sulfonylurea. Which statement is client demonstrates understanding of the nurse teaching? a. I will take the medication 30 minutes after I eat breakfast b. it is unlikely I will experience hypoglycemia while prescribed this medication c. I will inject the medication one hour before my morning meal d. there is a possibility for an allergic reaction if I am also allergic to sulfa antibiotics ? 19. A client diagnose with diabetes is allergic to sulfa medications. Which medication should the nurse hold and contact the healthcare provider? a. metformin b. glipizide c. intravenous contrast dye d. pioglitazone 20. Which statement by the nurse should be include with teaching about self-administration of a spart insulin? a. you must eat a meal within 15 minutes of administration aspart insulin b. you must eat a meal within 45 minutes of administering aspart insulin c. you must eat a meal with 30 minutes of administering aspart insulin d. you must eat a meal within 60 minutes of administering aspart insulin 21. A nurse is reviewing the medication history of four client. Which of the following client many develop? a. a client who has schizophrenia and is taking antipsychotic medication b. an adult client who has type 2 diabetes mellitus and is taking insulin c. an older adult client who has pancreatitis and is taking enzymes d. a client who is in the third trimester of pregnancy and taking iron supplement 22. A nurse is proving teaching a client who has schizophrenia and is receiving chlorpromazine. Which of the following client statement indicate an understanding of the teaching? a. I am less likely to get an infection while taking this medication b. I will contact my provider if I have difficulty urinating c. weight loss is a sign that my medication does is too high d. I may need to take this medication with an antacid due to stomach upset 23. A client is prescribed oral antidiabetic medications and insulin injection for type 2 diabetes but is prescribed nothing by mouth (NPO) after midnight for surgery. Which intervention is most appropriate if the client states I am worried about developing high blood glucose from not receiving my diabetic medication? a. advises the client that all their oral medications will be administered with a sip of water in the morning b. reassures the client that if they are not eating, they will not need any antidiabetic medication c. clarify with the healthcare provider if any of the oral antidiabetic medications or insulin should be administered d. monitors the client’s blood glucose in the morning and call the healthcare provider only if the blood glucose is elevated 24. The serum lithium level for a client a client prescribed lithium carbonate is 1.0 mEq/L. How should the nurse correctly interpret the lab result? a. the lithium is at a height level b the serum lithium is at a toxic level c. the serum lithium is at a therapeutic level d. the serum lithium is at a low level 25. A nurse is reviewing the medication histories of four clients. Which of the following clients may develop extrapyramidal symptoms( EPS) from medication therapy? a. a client who has schizophrenia and is taking antipsychotic medication b. an adult client who has type 2 diabetes mellitus and is taking insulin c. an older adult client who has pancreatitis and taking enzymes d. a client who is in the third trimester of pregnancy and taking iron supplement 26. Which common adverse effect should the nurse assess for when administering anticholinergic medications to the elderly? select all that apply a. vomiting b. dizziness c. urinary frequency d. constipation e. blurred vision 27. The nurse reviewed lab result for a client diagnosed with Addison’s disease and congestive heart failure (CHF) who is prescribed fludrocortisone a mineralocorticoid, and furosemide, a loop diuretic. Which lab result demonstrates effect from administration of these two medications? a. sodium 145meq/l b. potassium 5.5 meq/l c. potassium 3.0 meq/l d. sodium 150 meq/l 28. A change nurse is mentoring a new nurse who has a prescribed to administer promethazine to a client with vomiting which statement by the new nurse indicates understanding for safe administration of the drug? a. I should administer this medication only as a subcutaneous injection. b. I need to dilute the medication before administering it intravenously c. I would administer this medication rapidly, if administering it as intravenous push d. I will assess for nervousness and insomnia, which are common adverse effects 29. Which statement by a client prescribed propylthiouracil (PTU) for hyperthyroidism indicates to the nurse that client understand administration of their mediation? a. I must take my medication in the morning on an empty stomach b. I should report weight gain or yellow skin to my healthcare provider c. I must avoid eating foods high in iodine, such as seafood and soy sauce d. I may get pregnant on this medication without any effect to the baby 30. A nurse is reviewing the medication list for client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medication can cause glucose intolerance? a. prednisone b. ranitidine c. atorvastatin d. guaifenesin 31 which information is the highest priority for the nurse to include in the assessment of client prescribed fluoxetine, a selective serotonin reuptake inhibitor (SSRL)? a. Family support b. Medication side effect c. Suicidal thought d. Cognitive function 32 A nurse is a caring for a client who has a prescription for olanzapine. The nurse should monitor the client for which of the following manifestation as an expected response to this medication? a. Decrease auditory hallucinations b. A decrease in resting blood pressure c. Control of seizure activity d. Increase energy level and involvement in activities 33. The patient with rapid cycling bipolar disorder who is about to receive the 5 pm dose of carbamazepine complains of a sore throat and chills. which of the following would the nurse do next? a. administers the dose of carbamazepine b. calls the physician to report the symptom c. reports the symptoms to the physician in the morning d. give the client acetaminophen ordered as PRN