People don't remember what you try to tell them. They remember what you are.

Which of these findings indicate that a pump to deliver a basal rate of 10 ml per hour plus PRN for pain
breakthrough for morphine drip is not working? *

1 point

A. The client complains of discomfort at the IV insertion site

B. The client states “I just can’t get relief from my pain.”

C. The level of the drug is 100 ml at 8 AM and is 80 ml at noon

D. The level of the drug is 100 ml at 8 AM and is 50 ml at noon

A 6-year-old child is scheduled to have measles, mumps, and rubella (MMR) vaccine. Which of the
following routes will you expect the nurse to administer the vaccine? *

1 point

A. Intramuscularly in the vastus lateralis muscle.

B. Intramuscularly in the deltoid muscle.

C. Subcutaneously in the gluteal area.

D. Subcutaneously in the outer aspect of the upper arm.

A physician prescribes an IV solution of 500 ml 0.45% Saline with an incorporation of 20mEq potassium
chloride for a child with dehydration. The nurse should check which of the following before
administering this IV prescription? *

1 point

A. Blood pressure.

B. Height.

C. Weight.

D. Urine output.

A patient tells you that her urine is starting to look discolored. If you believe this change is due to
medication, which of the following of the patient’s medication does not cause urine discoloration? *

1 point

A. Sulfasalazine
B. Levodopa

C. Phenolphthalein

D. Aspirin

A patient has taken an overdose of aspirin. Which of the following should a nurse must closely monitor
for during acute management of this patient? *

1 point

A. Onset of pulmonary edema

B. Metabolic alkalosis

C. Respiratory alkalosis

D. Parkinson’s disease type symptoms

A client with myocardial infarction is receiving tissue plasminogen activator, alteplase (Activase, tPA).
While on the therapy, the nurse plans to prioritize which of the following? *

1 point

A. Observe for neurological changes

B. Monitor for any signs of renal failure

C. Check the food diary

D. Observe for signs of bleeding

An infant with a patent ductus arteriosus is admitted to the pediatric unit ward. The nurse anticipates
which of the following medications will be given to the infant? *

1 point

A. Prednisone.

B. Ibuprofen.

C. Penicillin.

D. Albuterol.

A client is receiving digoxin (Lanoxin) 0.25 mg daily. The health care provider has written a new order to
give metoprolol (Lopressor) 25 mg B.I.D. In assessing the client prior to administering the medications,
which of the following should the nurse report immediately to the health care provider? *
1 point

A. Blood pressure 94/60 mm Hg

B. Heart rate 76 bpm

C. Urine output 50 ml/hour

D. Respiratory rate 16 bpm

A nurse provides medication instructions to a first-time mother. Which statement made by the mother
indicates a need for further instructions? *

1 point

A. "I should mix the medication in the baby food and give it when I feed the child".

B. "I should administer the oral medication sitting in an upright position and with the head elevated".

C. "I will give my child a toy after giving the medication".

D. "I will offer my child a juice drink after swallowing the medication".

A child with thalassemia was given deferoxamine (Desferal); which of the following should alert the
nurse to notify the physician? *

1 point

A. Decreased hearing

B. Hypertension

C. Red urine

D. Vomiting

Mr. and Mrs. Robertson’s son was diagnosed with idiopathic thrombocytopenic purpura. They should be
aware that the drug to be avoided is: *

1 point

A. Acetaminophen

B. Aspirin

C. Codeine

D. Morphine
A client has been taking flunisolide (Aerobid), two inhalations a day, for treatment of asthma. He tells
the nurse that he has painful, white patches in his mouth. Which response by the nurse would be the
most appropriate? *

1 point

A. “This is an anticipated side-effect of your medication. It should go away in a couple of weeks.”

B. “You are using your inhaler too much and it has irritated your mouth.”

C. “You have developed a fungal infection from your medication. It will need to be treated with an
antibiotic.”

D. “Be sure to brush your teeth and floss daily. Good oral hygiene will treat this problem.”

Which of the following conditions would a nurse not administer erythromycin? *

1 point

A. Campylobacteriosis infection

B. Legionnaires disease

C. Pneumonia

D. Multiple Sclerosis

The nurse is caring for a client with a serum potassium level of 3.5 mEq/L. The client is placed on a
cardiac monitor and receives 40 mEq potassium chloride in 1000 ml of 5% dextrose in water IV. Which of
the following EKG patterns indicates to the nurse that the infusions should be discontinued? *

1 point

A. Narrowed QRS complex

B. Shortened “PR” interval

C. Tall peaked "T" waves

D. Prominent “U” waves

You are responsible for reviewing the nursing unit’s refrigerator. Which of the following drugs, if found
inside the fridge, should be removed? *

1 point

A. Nadolol (Corgard)

B. Opened (in-use) Humulin N injection

C. Urokinase (Kinlytic)

D. Epoetin alfa IV (Epogen)

When you are taking a patient’s history, she tells you she has been depressed and is dealing with an
anxiety disorder. Which of the following medications would the patient most likely be taking? *

1 point

A. Amitriptyline (Elavil)

B. Calcitonin

C. Pergolide mesylate (Permax)

D. Verapamil (Calan)

A 33-year-old male client with heart failure has been taking furosemide for the past week. Which of the
following assessment cues below may indicate the client is experiencing a negative side effect from the
medication? *

1 point

A. Weight gain of 5 pounds

B. Edema of the ankles

C. Gastric irritability

D. Decreased appetite

Which of the following symptoms would you expect to a client with a phenytoin level of 35 mg/dL? A.
Ataxia *

1 point

A. Ataxia

B. Potassium deficit

C. Neglect syndrome

D. Tetraplegia

A 25-year-old male client has been newly diagnosed with hypothyroidism and will take levothyroxine
(Synthroid) 50 mcg/day by mouth. As part of the teaching plan, the nurse emphasizes that this
medication: *

1 point
A. Should be taken in the morning

B. May decrease the client’s energy level

C. Must be stored in a dark container

D. Will decrease the client’s heart rate

A client is prescribed metaproterenol (Alupent) via a metered-dose inhaler (MDI), two puffs every 4
hours. The nurse instructs the client to report side effects. Which of the following are potential side
effects of metaproterenol? *

1 point

A. Irregular heartbeat

B. Constipation

C. Pedal edema

D. Decreased heart rate.