Practice Exam II Student

Practice Exam II
1. A nurse is caring for a client with congestive heart failure who is taking digoxin daily. The client refuses
breakfast and is complaining of nausea and weakness. Which action should the nurse take first?
a. Check the client's vital signs.
b. Request a dietitian consult.
c. Suggest that the client rest before eating the meal.
d. Request an order for an antiemetic.
2. A nurse is caring for a client who was prescribed lisinopril. Which finding indicates a therapeutic effect
of the medication?
a. Decrease in blood pressure
b. Increase of HDL cholesterol
c. Prevention of bipolar manic episodes
d. Improved sexual function
3. A nurse is instructing a client with angina about nitroglycerin sublingual tablets. Which statement
should the nurse include in the education?
a. "Place one tablet under your tongue every 5 minutes for 30 minutes to relieve chest pain."
b. "Nitroglycerin decreases chest pain by dissolving blood clots that are occluding the arteries."
c. "You can store the bottle of tablets in your bathroom medicine cabinet."
d. "Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart."
4. A nurse is caring for a client receiving a continuous intravenous (IV) infusion of heparin. Which action
should the nurse take?
a. Administer 50,000 units of heparin by IV bolus every 12 hours.
b. Check the activated partial thromboplastin time (aPTT) every 6 hours.
c. Have vitamin K available on the nursing unit.
d. Use IV tubing specific for heparin sodium when administering the infusion.
5. A client has been advised to add an adrenergic decongestant nasal spray to treat a cold. Which
instruction should a nurse include for this client?
a. "You won't see effects for at least 1 week."
b. "Limit the use to 3 days."
c. "Continue the spray until nasal stuffiness has resolved."
d. "Avoid the use of this spray if a fever develops."
6. A nurse is obtaining a medical history from a client that is to start warfarin therapy and currently uses
herbal supplements at home. The nurse should inform the client which of the following herbal
supplements can interact adversely with warfarin.
a. Gingko
b. Black cohosh
c. Echinacea
d. Flaxseed
7. A nurse is evaluating a client's understanding of instructions regarding a new prescription for

montelukast to treat asthma. Which of the following statements by the client indicates an understanding
of the instructions?
a. "I'll rinse my mouth after taking this medication."
b. "I'll take this medication when I get an asthma attack."
c. "I'll take this medication once a day in the evening."
d. "I'll use a spacer device when I inhale this medication."
8. A nurse is providing discharge information to a client with asthma that has been given a new
prescription for fluticasone/salmeterol. Which priority adverse effect should the nurse instruct the client
to report to the client's health care provider?
a. Sedation
b. Increased appetite
c. White coating in the mouth
d. Dry oral mucous membranes
9. A nurse is providing information to a client with hypertension with a new verapamil prescription. Which
of the following beverages should the nurse tell the client to avoid while taking this medication?
a. Milk
b. Orange juice
c. Coffee
d. Grapefruit juice
10. Match the medication on the left with the corresponding adverse effect on the right side.
a. Enoxaparin Dysrhythmias
b. Verapamil Headache
c. Nitroglycerin Nervousness
d. Hydralazine Bruising
e. Albuterol Constipation
f. Milrinone Tachycardia
11. A nurse is providing discharge instructions to a client with a new prescription for verapamil for angina.
Which of the following instructions should the nurse include?
a. "Limit your fluid intake to mealtimes."
b. "Do not take this medication on an empty stomach."
c. "Increase your daily intake of dietary fiber."
d. "You can expect swelling of the ankles while taking this medication.”
12. A nurse is caring for a client taking montelukast. Which outcome indicates a therapeutic effect of the
medication?
a. The client experiences less muscle pain.
b. The client's seizure threshold is reduced.
c. The client experiences ease of breathing.
d. The client's platelet count has increased.
13. A nurse is caring for a client that just developed a pulmonary embolism. Which of the following
medications should the nurse anticipate administering?
a. Furosemide
b. Dexamethasone
c. Heparin
d. Atropine
14. A nurse is caring for a client with a deep vein thrombosis who has had a continuous intravenous heparin
infusion for 5 days. The primary health care provider prescribes warfarin by mouth (PO) without
discontinuing the heparin. Why are both anticoagulants necessary?
a. Intravenous heparin is needed until the warfarin reaches a therapeutic level.
b. Intravenous heparin should be discontinued when warfarin treatment begins.
c. Intravenous heparin and oral warfarin work together to dissolve clots.
d. Intravenous heparin increases the effects of warfarin.
15. A nurse is giving discharge information to a client with asthma about to take theophylline. The nurse
should tell the client that this medication might cause which of the following adverse effects?
a. Drowsiness
b. Constipation
c. Oliguria
d. Tachycardia
16. A nurse is educating a client who was prescribed aspirin 81 mg. Which of the following client
statements indicate teaching was effective?
a. "I understand that I will bruise a lot when taking this medication."
b. "This medication should be taken every day to prevent a stroke."
c. "I will need to have lab levels checked weekly when taking this drug."
d. "There is no need to stop this medication before my scheduled surgery."
17. Identify the adverse effects associated with atorvastatin. Select all that apply
a. Increased total cholesterol levels
b. Myopathy
c. Itching
d. Flushing
e. Elevated liver enzymes
18. The nurse has received report on four clients who received lisinopril. Which client should the nurse
assess first?
a. A client with swelling of the lips
b. A client with hypotension
c. A client experiencing anxiety
d. A client who is lightheaded
19. Clients prescribed atenolol should be educated about which adverse effect of the drug?
a. Hypertension
b. Constipation
c. Impotence
d. Dry cough
20. The nurse is providing education to a client taking an antihistamine. Which of the following are side
effects of antihistamines? Select all that apply
a. Dry mouth
b. Sweating
c. Drowsiness
d. Diarrhea
e. Blurry vision

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Practice Exam II

7. A nurse is evaluating a client's understanding of instructions regarding a new prescription for

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