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Question 1 of 5

A client with chronic pain is being treated with opioid administration via epidural route. Which medication would it be most important to have available due to a possible complication of this pain relief procedure?

Correct Answer: B

Rationale: Epidural opioids can cause respiratory depression, a life-threatening complication. Naloxone (Narcan) is an opioid antagonist that reverses this effect, making it critical to have available. The other medications address pain, allergies, or nausea, not opioid-related complications.

Question 2 of 5

The physician has ordered an IV bolus of Solu-Medrol (methylprednisolone sodium succinate) in normal saline for a client admitted with a spinal cord injury. Solu-Medrol has been shown to be effective in:

Correct Answer: C

Rationale: Solu-Medrol is used in acute spinal cord injuries to reduce inflammation and swelling, which can improve motor and sensory outcomes if given promptly.

Question 3 of 5

A client is admitted to the emergency room with complaints of substernal chest pain radiating to the left jaw. Which ECG finding is suggestive of acute myocardial infarction?

Correct Answer: B

Rationale: ST segment changes, such as elevation or depression, are characteristic ECG findings in acute myocardial infarction.

Question 4 of 5

A 56-year-old male with a long history of alcohol abuse is brought to the detox center per terms of his probation. He had his last drink 6 hours ago and seems confused and agitated. The nurse expects the physician to order

Correct Answer: B

Rationale: Chlordiazepoxide (Librium), a benzodiazepine, is used to manage alcohol withdrawal symptoms like confusion and agitation, preventing seizures.

Question 5 of 5

The nurse is assessing a client with suspected appendicitis. Which of the following findings would the nurse expect to observe?

Correct Answer: B

Rationale: rebound tenderness at McBurney’s point is a classic sign of appendicitis

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