PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

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

A. Instruct the client to take the medication daily regardless of need. B. Monitor the client for signs of priapism. C. Administer the medication with a high-fat meal. D. Check the client's respiratory rate prior to administration.

Correct Answer: B

Rationale: Sildenafil risks priapism (prolonged erection), requiring monitoring and reporting if over 4 hours. It's PRN, high-fat meals delay absorption, and respiratory rate isn't primary.

Question 2 of 5

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

A. Monitor the client's respiratory rate 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: Propofol, a sedative, risks respiratory depression, requiring hourly monitoring. Site changes are less frequent, rate depends on orders, and heparin isn't routine.

Question 3 of 5

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

A. You should take this medication with a full glass of milk. 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: Buprenorphine, an opioid, can cause drowsiness, a key side effect. Milk isn't required, energy may decrease, and stopping depends on the treatment plan.

Question 4 of 5

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

A. Instruct the client to take the medication with a high-fat meal. B. Monitor the client for signs of mood changes. C. Administer the medication via rapid IV push. D. Check the client's blood glucose level prior to administration.

Correct Answer: B

Rationale: Varenicline, for smoking cessation, can cause mood changes (e.g., depression), requiring monitoring. It's taken with food, oral only, and glucose isn't affected.

Question 5 of 5

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

A. Keep the head of the bed flat. B. Monitor the client for signs of increased intracranial pressure. C. Instruct the client to cough forcefully every 2 hr. D. Apply a warm compress to the surgical site.

Correct Answer: B

Rationale: Increased intracranial pressure (e.g., pupil changes) is a risk post-craniotomy, requiring monitoring. Elevation, gentle coughing, and no heat are standard.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN