PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

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

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

Correct Answer: B

Rationale: Fluconazole can cause liver damage (hepatotoxicity), requiring monitoring (e.g., LFTs). It's oral or slow IV, diluted in saline, and dosing varies by condition.

Question 2 of 5

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

A. Change the IV site every 24 hr. B. Monitor the client for signs of phlebitis. C. Flush the IV line with heparin every 4 hr. D. Administer the infusion at a rate of 100 mL/hr.

Correct Answer: B

Rationale: Phlebitis (e.g., redness, pain) is a risk with IV infusions, requiring monitoring. 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 duloxetine. Which of the following statements should the nurse include?

A. You should take this medication at bedtime if it causes drowsiness. B. You might notice an increase in your appetite immediately. C. This medication might cause your urine to turn red. D. You should stop taking this medication if you feel better.

Correct Answer: A

Rationale: Duloxetine can cause drowsiness, so bedtime dosing is an option. Appetite changes take time, urine color isn't affected, and stopping abruptly risks withdrawal.

Question 4 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 5 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.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN