PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

A nurse is caring for a client who has a prescription for oxycodone 5 mg PO every 4 hr PRN for pain. Which of the following actions should the nurse take?

A. Administer the medication with a glass of grapefruit juice. B. Monitor the client for signs of respiratory depression. C. Instruct the client to take the medication daily at bedtime. D. Check the client's blood glucose level prior to administration.

Correct Answer: B

Rationale: Oxycodone risks respiratory depression, requiring monitoring. Grapefruit isn't relevant, it's PRN not daily, and glucose isn't affected.

Question 2 of 5

A nurse is assisting with the care of a client who is receiving enteral feedings via a nasogastric tube. Which of the following actions should the nurse take?

A. Flush the tube with 10 mL of water every 8 hr. B. Monitor the client for signs of aspiration. C. Keep the head of the bed flat during feedings. D. Administer feedings at a rate of 100 mL/hr.

Correct Answer: B

Rationale: Aspiration is a risk with NG feedings, requiring monitoring (e.g., lung sounds). Flushing is more frequent, elevation is needed, and rate depends on orders.

Question 3 of 5

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

A. You should take this medication with a high-fat meal. B. You might notice a decrease in your cholesterol levels within 2 days. C. This medication might cause muscle pain. D. You should avoid eating potassium-rich foods while taking this medication.

Correct Answer: C

Rationale: Atorvastatin can cause muscle pain (myopathy), a key side effect to report. It's taken regardless of meals, cholesterol drops take weeks, and potassium isn't restricted.

Question 4 of 5

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

A. Instruct the client to take the medication at bedtime if it causes drowsiness. B. Monitor the client for signs of seizures. C. Administer the medication with a glass of milk. D. Check the client's blood pressure prior to administration.

Correct Answer: B

Rationale: Bupropion lowers seizure threshold, requiring monitoring. Drowsiness isn't typical (it's stimulating), milk isn't needed, and BP isn't primary.

Question 5 of 5

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

A. Monitor the client for signs of paralytic ileus. B. Keep the client in a supine position for 24 hr. C. Administer a high-fiber diet immediately. D. Instruct the client to avoid coughing.

Correct Answer: A

Rationale: Paralytic ileus (absent bowel sounds) is a risk post-bowel resection, requiring monitoring. Supine isn't needed, diet starts low-fiber, and coughing is encouraged with support.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN