PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for an ACE inhibitor to treat hypertension. Which of the following statements should the nurse include?

A. You might notice that you have an increase in your appetite. B. You should notify your provider if you develop a cough. C. This medication might cause your skin to turn yellow. D. You might notice an increase in your energy level while taking this medication.

Correct Answer: B

Rationale: ACE inhibitors commonly cause a dry cough, which should be reported. Appetite increase, jaundice, and energy boosts aren't typical effects.

Question 2 of 5

A nurse is reinforcing teaching with a client who has a new prescription for a metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?

A. I should wait 10 seconds between puffs. B. I should rinse my mouth with water after each use. C. I should depress the canister twice with each use. D. I should exhale quickly after inhaling the medication.

Correct Answer: B

Rationale: Rinsing the mouth prevents irritation or infection from residual medication. Waiting time is typically 30-60 seconds, one depression per puff, and breath-holding aids absorption.

Question 3 of 5

A nurse is assisting with the care of a client who is receiving a continuous IV infusion of dextrose 5% in 0.9% sodium chloride. Which of the following actions should the nurse take?

A. Flush the IV site with heparin every 8 hr. B. Change the IV site every 48 hr. C. Monitor the IV site hourly for signs of infiltration. D. Check the IV site once per shift for signs of infection.

Correct Answer: C

Rationale: Hourly monitoring detects infiltration early, preventing complications. Heparin isn't routine, site changes are typically every 72-96 hours, and once-per-shift checks are insufficient.

Question 4 of 5

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and a new prescription for glipizide. Which of the following statements by the client indicates an understanding of the teaching?

A. I should take this medication at night before I go to bed. B. I should avoid drinking alcohol while taking this medication. C. I should expect this medication to increase my urinary output. D. I should monitor my blood pressure daily while taking this medication.

Correct Answer: B

Rationale: Alcohol can enhance glipizide's hypoglycemic effect, risking low blood sugar. It's taken before meals, doesn't increase urine output, and BP monitoring isn't specific to it.

Question 5 of 5

A nurse is assisting with the care of a client who is receiving a blood transfusion. Which of the following actions should the nurse take?

A. Prime the administration set with dextrose 5% in water. B. Monitor the client's temperature every hour during the transfusion. C. Administer the transfusion over 6 hr. D. Check the client's blood type on the medical record only.

Correct Answer: B

Rationale: Monitoring temperature hourly detects transfusion reactions early. Dextrose damages blood cells, 2-4 hours is standard, and dual verification of blood type is required.

PN Comprehensive Predictor 2020 | Nurselytic

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ATI LPN

ATI LPN