PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

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

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

Correct Answer: B

Rationale: Zolpidem can cause confusion, especially in older adults, requiring monitoring. It's PRN, taken without food, and respiratory checks aren't primary.

Question 2 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 is a risk post-craniotomy, requiring monitoring (e.g., pupil changes). Elevation, not flat positioning, gentle coughing, and no heat are standard.

Question 3 of 5

A nurse is reinforcing teaching with a client who has a new prescription for pantoprazole. 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 bowel movements. C. This medication might cause your skin to turn blue. D. You should report any new abdominal pain to your provider.

Correct Answer: D

Rationale: Abdominal pain could indicate a complication (e.g., ulcer worsening) with pantoprazole, requiring reporting. It's taken before meals, doesn't increase stools, and skin color isn't affected.

Question 4 of 5

A nurse is caring for a client who has a prescription for oxycodone 5 mg PO every 4 hr PRN for pain. Which of the following actions should the nurse take?

A. Administer the medication with a glass of grapefruit juice. B. Monitor the client for signs of respiratory depression. C. Instruct the client to take the medication daily at bedtime. D. Check the client's blood glucose level prior to administration.

Correct Answer: B

Rationale: Oxycodone risks respiratory depression, requiring monitoring. Grapefruit isn't relevant, it's PRN not daily, and glucose isn't affected.

Question 5 of 5

A nurse is assisting with the care of a client who is receiving enteral feedings via a nasogastric tube. Which of the following actions should the nurse take?

A. Flush the tube with 10 mL of water every 8 hr. B. Monitor the client for signs of aspiration. C. Keep the head of the bed flat during feedings. D. Administer feedings at a rate of 100 mL/hr.

Correct Answer: B

Rationale: Aspiration is a risk with NG feedings, requiring monitoring (e.g., lung sounds). Flushing is more frequent, elevation is needed, and rate depends on orders.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN