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Question 1 of 5

The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:

Correct Answer: D

Rationale: Quinidine can prolong the QT interval, increasing the risk of torsades de pointes.

Question 2 of 5

A client with Alzheimer's disease has been prescribed donepezil (Aricept). Which information should the nurse include in the teaching plan for a client on Aricept?

Correct Answer: B

Rationale: Donepezil can cause dizziness due to its cholinergic effects, so clients should rise slowly to prevent falls. It's taken at bedtime, not with meals, and doses shouldn't be doubled.

Question 3 of 5

After several hospitalizations for respiratory ailments, a 6-month-old has been diagnosed as having HIV. The infant's respiratory ailments were most likely due to:

Correct Answer: A

Rationale: Pneumocystis carinii (now Pneumocystis jirovecii) is a common cause of pneumonia in HIV-infected infants.

Question 4 of 5

The nurse is performing fluid resuscitation on a burn client. Which piece of assessment data is the best indicator that it is effective?

Correct Answer: B

Rationale: Urine output of 30-50 mL/hr is the best indicator of adequate fluid resuscitation in burn clients, reflecting sufficient renal perfusion and fluid balance.

Question 5 of 5

The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

Correct Answer: C

Rationale: Novolog insulin peaks around 1-3 hours after administration, so a snack around 3 PM aligns with the peak to prevent hypoglycemia.

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