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 insulin. Which of the following actions should the nurse take?

A. Monitor the client's blood glucose level every 4 hr. B. Change the IV site every 24 hr. C. Administer the infusion at a rate of 50 mL/hr. D. Flush the IV line with heparin every 4 hr.

Correct Answer: A

Rationale: IV insulin requires frequent glucose monitoring (e.g., every 1-4 hr) to titrate and prevent hypo/hyperglycemia. 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 pregabalin. 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 energy levels. C. This medication might cause you to feel drowsy. D. You should stop taking this medication if your pain resolves.

Correct Answer: C

Rationale: Pregabalin often causes drowsiness, a key side effect. It's taken without regard to meals, may reduce energy, and stopping abruptly risks withdrawal.

Question 3 of 5

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

A. Instruct the client to take the medication with a glass of grapefruit juice. B. Monitor the client for signs of hypotension. C. Administer the medication via rapid IV push. D. Check the client's blood glucose level prior to administration.

Correct Answer: B

Rationale: Carvedilol, a beta-blocker, can cause hypotension, requiring monitoring (e.g., BP checks). Grapefruit isn't advised, it's oral or slow IV, and glucose isn't affected.

Question 4 of 5

A nurse is assisting with the care of a client who is postoperative following a TURP. Which of the following actions should the nurse take?

A. Monitor the client's urine output hourly. B. Keep the client in a supine position for 24 hr. C. Administer a high-fiber diet immediately. D. Instruct the client to avoid deep breathing exercises.

Correct Answer: A

Rationale: Post-TURP, hourly urine output monitoring ensures patency and detects bleeding. Ambulation, gradual diet, and breathing exercises are standard.

Question 5 of 5

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

A. You should take this medication on an empty stomach. B. You might notice an increase in your bruising. C. This medication might cause your urine to turn orange. D. You should avoid drinking alcohol while taking this medication.

Correct Answer: B

Rationale: Apixaban, an anticoagulant, increases bleeding risk, leading to bruising. It's taken with or without food, urine color isn't affected, and alcohol isn't contraindicated but should be limited.

PN Comprehensive Predictor 2020 | Nurselytic

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ATI LPN

ATI LPN