PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

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

A. Administer the medication into the client's deltoid muscle. B. Monitor the client for signs of bleeding. C. Massage the injection site after administration. D. Administer the medication orally with food.

Correct Answer: B

Rationale: Dalteparin, an anticoagulant, increases bleeding risk, requiring monitoring (e.g., bruising). It's subcutaneous (not IM), massaging increases bleeding, and it's not oral.

Question 2 of 5

A nurse is assisting with the care of a client who is receiving a continuous IV infusion of midazolam. 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: Midazolam, 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 risedronate. Which of the following statements should the nurse include?

A. You should take this medication at bedtime. B. You should remain upright for 30 minutes after taking this medication. C. This medication might cause you to develop a rash. D. You can take this medication with a glass of milk.

Correct Answer: B

Rationale: Remaining upright for 30 minutes prevents esophageal irritation from risedronate. It's taken in the morning, rash isn't common, and milk interferes with absorption.

Question 4 of 5

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

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

Correct Answer: B

Rationale: Ertapenem risks allergic reactions (e.g., rash), requiring monitoring. It's given over 30 minutes, diluted in saline, and dosed daily, not weekly.

Question 5 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, frequent infection checks, and sling use are standard.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN