PN Comprehensive Predictor 2020

Extract:

Question 1 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 2 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 3 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.

Question 4 of 5

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

A. Administer the medication via rapid IV push. B. Monitor the client for signs of drowsiness. C. Dilute the medication in dextrose 5% in water. D. Instruct the client to take the medication once per week.

Correct Answer: B

Rationale: Clonidine often causes drowsiness, requiring monitoring. It's oral or slow IV, diluted in saline if IV, and dosed daily or as prescribed, not weekly.

Question 5 of 5

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

A. Monitor the client's electrolyte levels daily. 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: Furosemide causes electrolyte loss (e.g., potassium), requiring daily monitoring. Site changes are less frequent, rate depends on orders, and heparin isn't routine.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN