PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

A nurse is caring for a client who has a new prescription for ipratropium via metered-dose inhaler. Which of the following actions should the nurse take?

A. Instruct the client to hold their breath for 5 seconds after inhaling. B. Monitor the client for signs of tachycardia. C. Administer the medication every 2 hr. D. Check the client's oxygen saturation prior to administration.

Correct Answer: B

Rationale: Ipratropium can cause tachycardia, a side effect to monitor. Breath-holding is 10 seconds, dosing is typically 4-6 hr, and O2 sat isn't directly related.

Question 2 of 5

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

A. Encourage the client to perform arm exercises on the affected side. B. Keep the client's affected arm in a dependent position. C. Monitor the client for signs of infection every 8 hr. D. Instruct the client to avoid using a sling on the affected arm.

Correct Answer: A

Rationale: Arm exercises prevent lymphedema and stiffness post-mastectomy. Elevation, not dependent positioning, frequent infection checks, and sling use are standard.

Question 3 of 5

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

A. You should take this medication in the morning. B. You might notice an increase in your energy levels. C. This medication might cause muscle pain. D. You should avoid eating grapefruit while taking this medication.

Correct Answer: C

Rationale: Simvastatin can cause muscle pain (myopathy), a key side effect to report. It's taken at night, energy isn't affected, and grapefruit is a concern with some statins, not all.

Question 4 of 5

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

A. Administer the medication over 5 minutes. B. Monitor the client for signs of nephrotoxicity. C. Dilute the medication in dextrose 5% in water. D. Check the client's blood pressure prior to administration.

Correct Answer: B

Rationale: Gentamicin can cause kidney damage (nephrotoxicity), requiring monitoring (e.g., creatinine). It's given over 30-60 minutes, diluted in saline, and BP isn't directly related.

Question 5 of 5

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

A. Change the IV site every 24 hr. B. Monitor the IV site hourly for signs of phlebitis. C. Flush the IV line with heparin every 4 hr. D. Administer the infusion at a rate of 50 mL/hr.

Correct Answer: B

Rationale: Hourly monitoring detects phlebitis early, preventing complications. Site changes are every 72-96 hr, heparin isn't routine, and rate depends on orders.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN