PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

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

A. Administer the medication over 10 minutes. B. Monitor the client for signs of ototoxicity. C. Dilute the medication in dextrose 5% in water. D. Check the client's temperature prior to administration.

Correct Answer: B

Rationale: Vancomycin can cause ototoxicity (hearing loss), requiring monitoring. It's given over 60+ minutes, diluted in saline, and temp checks aren't specific to it.

Question 2 of 5

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

A. Place the client in a prone position. B. Monitor the client for signs of dislocation. C. Instruct the client to keep the affected leg in a dependent position. D. Apply a cold compress to the surgical site every 4 hr.

Correct Answer: B

Rationale: Dislocation is a risk post-hip arthroplasty, requiring monitoring (e.g., leg positioning). Prone isn't standard, dependent positioning risks swelling, and cold compresses are as needed.

Question 3 of 5

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

A. You should take this medication at bedtime if it makes you feel drowsy. B. You might notice an increase in your appetite immediately. C. This medication might cause your skin to turn yellow. D. You should stop taking this medication if you feel better.

Correct Answer: A

Rationale: Citalopram can cause drowsiness, so bedtime dosing is an option if needed. Appetite changes take time, jaundice isn't a side effect, and stopping abruptly risks relapse.

Question 4 of 5

A nurse is caring for a client who has a new prescription for ipratropium via metered-dose inhaler. Which of the following actions should the nurse take?

A. Instruct the client to hold their breath for 5 seconds after inhaling. B. Monitor the client for signs of tachycardia. C. Administer the medication every 2 hr. D. Check the client's oxygen saturation prior to administration.

Correct Answer: B

Rationale: Ipratropium can cause tachycardia, a side effect to monitor. Breath-holding is 10 seconds, dosing is typically 4-6 hr, and O2 sat isn't directly related.

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, not dependent positioning, frequent infection checks, and sling use are standard.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN