PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

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

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

Correct Answer: B

Rationale: Gentamicin can cause kidney damage (nephrotoxicity), requiring monitoring (e.g., creatinine). It's given over 30-60 minutes, diluted in saline, and BP isn't directly related.

Question 2 of 5

A nurse is assisting with the care of a client who is receiving a continuous IV infusion of 0.9% sodium chloride. Which of the following actions should the nurse take?

A. Change the IV site every 24 hr. B. Monitor the IV site hourly for signs of phlebitis. C. Flush the IV line with heparin every 4 hr. D. Administer the infusion at a rate of 50 mL/hr.

Correct Answer: B

Rationale: Hourly monitoring detects phlebitis early, preventing complications. Site changes are every 72-96 hr, heparin isn't routine, and rate depends on orders.

Question 3 of 5

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

A. You should take this medication with a glass of milk. B. You might notice an increase in your sun sensitivity. C. This medication might cause your urine to turn red. D. You should stop taking this medication if you feel better.

Correct Answer: B

Rationale: Doxycycline increases photosensitivity, risking sunburn. Milk reduces absorption, urine color isn't affected, and full course completion prevents resistance.

Question 4 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 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 is a risk post-craniotomy, requiring monitoring (e.g., pupil changes). Elevation, not flat positioning, gentle coughing, and no heat are standard.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN