NURS 325 FINAL PRACTICE QUESTIONS WITH
COMPLETE SOLUTIONS
4. A patient with angina pectoris is prescribed sublingual
nitroglycerin. Which statement made by the patient indicates
understanding of the medication teaching?
A. "I may experience a headache as a side effect."
B. "The chest pain should be relieved within 20 minutes."
C. "I should swallow the tablet and drink a glass of water."
D. "I should take this medication in the morning before
breakfast." Correct Answers A
A 42-year-old patient is recovering from anesthesia in the
PACU. On admission to the PACU, the blood pressure (BP) is
124/70. Thirty minutes later, the blood pressure is 112/60, pulse
is 72, and skin is warm and dry. The most appropriate action by
the nurse at this time is to
a. Increase the rate of the IV fluids.
b. Continue to take vital signs every 15 minutes.
c. Administer oxygen via 100% nonrebreather mask.
d. Notify the anesthesia care provider. Correct Answers B
A nurse is about to administer the first dose of Lisinopril
(Prinivil) to a patient with hypertension. Which is the priority
nursing intervention?
A. Take the patient's apical pulse for 1 full minute before drug
administration.
B. Place the patient in the Trendelenburg position to facilitate
blood flow to the heart.
,C. Explain to the patient to call for assistance before getting out
of bed.
D. Instruct the patient to drink 3 L of fluid daily when taking
this medication. Correct Answers C
A nurse is caring for a patient with a history of epilepsy who
suddenly begins to experience a tonic-clonic seizure and loses
consciousness. Which is the nurse's priority action?
A. Restraining the patient's extremities
B. Turning the patient's head to the side
C. Taking the patient's blood pressure
D. Placing an airway into the patient's mouth Correct Answers
B
A nurse is caring for a patient with lung cancer. The patient's
laboratory reports reveal a platelet level of 9,000/μL. What
nursing actions will help prevent bleeding complications
associated with this lab finding? Select all that apply.
A. Avoid invasive procedures.
B. Ensure proper hand washing.
C. Include iron-rich food in the diet.
D. Obtain a prescription for a platelet transfusion.
E. Instruct the patient to avoid activities that increase the risk of
injury. Correct Answers ADE
A nurse is preparing to administer digoxin (Lanoxin) to a
patient. The patient's apical pulse is 68 beats per minute, and the
blood pressure is 120/60 mm Hg. The last serum electrolyte
value showed a potassium level of 5.0 mEq/L. What will the
nurse do?
, A. Contact the provider to request an increased dose of digoxin.
B. Give the dose of digoxin and notify the provider of the
potassium level.
C. Request an order for a diuretic.
D. Withhold the dose and notify the provider of the heart rate.
Correct Answers B
A nurse is reviewing orders for patients newly diagnosed with
type 2 DM and a hemoglobin A1c of 8.0. What initial
medication orders should be anticipated?
A. Metformin PO twice a day
B. Nutritional insulin subcutaneously prior to meals
C. Basal insulin subcutaneously before bed
D. Correctional insulin subcutaneously after meals Correct
Answers A
A nurse provides teaching for a patient with a newly diagnosed
partial complex seizure disorder who is about to begin therapy
with antiepileptic drugs (AEDs). Which statement by the patient
indicates understanding of the teaching?
A. "Even with an accurate diagnosis of my seizures, it may be
difficult to find an effective drug."
B. "I will soon know that the drugs are effective by being
seizure free for several months."
C. "Serious side effects may occur, and if they do, I should stop
taking the medication."
D. "When drug levels are maintained at therapeutic levels, I can
expect to be seizure free." Correct Answers A
A patient has 2+ pitting edema of the lower extremities
bilaterally. Auscultation of the lungs reveals crackles bilaterally,
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