PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

A nurse is assisting with the care of a client who is receiving a continuous IV infusion of dobutamine. Which of the following actions should the nurse take?

A. Monitor the client's blood pressure hourly. B. Change the IV site every 24 hr. C. Administer the infusion at a rate of 100 mL/hr. D. Flush the IV line with heparin every 4 hr.

Correct Answer: A

Rationale: Dobutamine, a vasopressor, affects blood pressure, requiring hourly monitoring for titration. Site changes are less frequent, rate depends on orders, and heparin isn't routine.

Question 2 of 5

A nurse is reinforcing teaching with a client who has a new prescription for rivaroxaban. Which of the following statements should the nurse include?

A. You should take this medication with a high-fat meal. B. You might notice an increase in your bruising. C. This medication might cause your stools to turn green. D. You should avoid drinking grapefruit juice while taking this medication.

Correct Answer: B

Rationale: Rivaroxaban, an anticoagulant, increases bleeding risk, leading to bruising. It's taken with food (not high-fat specifically), stools may darken with bleeding, and grapefruit isn't a major concern.

Question 3 of 5

A nurse is caring for a client who has a new prescription for spironolactone. Which of the following actions should the nurse take?

A. Instruct the client to increase potassium-rich foods. B. Monitor the client for signs of hyperkalemia. C. Administer the medication via rapid IV push. D. Check the client's blood glucose level prior to administration.

Correct Answer: B

Rationale: Spironolactone, a potassium-sparing diuretic, risks hyperkalemia, requiring monitoring (e.g., potassium levels). Potassium intake should be limited, it's oral, and glucose isn't affected.

Question 4 of 5

A nurse is assisting with the care of a client who is postoperative following a pancreaticoduodenectomy (Whipple procedure). Which of the following actions should the nurse take?

A. Monitor the client for signs of hyperglycemia. B. Keep the client in a supine position for 24 hr. C. Administer a high-fat diet immediately. D. Instruct the client to avoid coughing.

Correct Answer: A

Rationale: Post-Whipple, pancreatic function may decrease, risking hyperglycemia, requiring monitoring. Ambulation, low-fat diet, and supported coughing are standard.

Question 5 of 5

A nurse is reinforcing teaching with a client who has a new prescription for tamsulosin. Which of the following statements should the nurse include?

A. You should take this medication at bedtime. B. You might notice an increase in your blood pressure. C. This medication might cause you to feel dizzy. D. You should report any weight gain to your provider.

Correct Answer: C

Rationale: Tamsulosin can cause orthostatic hypotension, leading to dizziness, especially after the first dose. It's often taken at night, lowers BP, and weight gain isn't typical.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN