PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

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

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

Correct Answer: B

Rationale: Ketorolac risks GI bleeding, requiring monitoring (e.g., melena). It's given over 15-30 seconds, diluted in saline, and BP isn't primary.

Question 2 of 5

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

A. Encourage the client to remain in a supine position for 24 hr. B. Monitor the client for signs of vaginal bleeding. C. Instruct the client to avoid coughing. D. Apply a cold compress to the surgical site every 4 hr.

Correct Answer: B

Rationale: Vaginal bleeding post-hysterectomy signals hemorrhage, requiring monitoring. Ambulation is encouraged, coughing is supported, and cold compresses are as needed.

Question 3 of 5

A nurse is reinforcing teaching with a client who has a new prescription for ranitidine. 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 drowsiness. D. You should report any new abdominal pain to your provider.

Correct Answer: C

Rationale: Ranitidine can cause drowsiness, a side effect to note. It's taken with or without food, doesn't increase stools, and abdominal pain isn't a new concern unless severe.

Question 4 of 5

A nurse is caring for a client who has a new prescription for clonazepam. 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 drowsiness. C. Administer the medication with a high-fat meal. D. Check the client's respiratory rate prior to administration.

Correct Answer: B

Rationale: Clonazepam causes drowsiness, requiring monitoring. It's as prescribed (not always daily), taken without regard to meals, and respiratory checks aren't primary.

Question 5 of 5

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

A. Monitor the client's deep tendon reflexes 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: Magnesium sulfate toxicity depresses reflexes, requiring monitoring (e.g., every 1-4 hr). Site changes are less frequent, rate depends on orders, and heparin isn't routine.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN