PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

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

A. You should take this medication with a full glass of milk. B. You might notice an increase in your energy levels. C. This medication might cause mouth sores. D. You should avoid drinking alcohol while taking this medication.

Correct Answer: C

Rationale: Methotrexate can cause mucositis, leading to mouth sores, a common side effect to monitor. Milk isn't required, energy may decrease due to fatigue, and while alcohol avoidance is advised, mouth sores are a more immediate concern.

Question 2 of 5

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

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

Correct Answer: B

Rationale: Captopril, an ACE inhibitor, commonly causes a persistent dry cough, requiring monitoring and reporting if severe. It's an oral medication, not IV, and taken daily or as prescribed, not weekly.

Question 3 of 5

A nurse is reinforcing teaching with a client who has a new prescription for levofloxacin. 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 blue. D. You should stop taking this medication if you feel better.

Correct Answer: B

Rationale: Levofloxacin increases photosensitivity, risking sunburn, so clients should use sun protection. Dairy reduces absorption, urine color isn't affected, and stopping early risks resistance.

Question 4 of 5

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

A. Instruct the client to take the medication with a high-fat meal. B. Monitor the client for signs of bradycardia. C. Administer the medication via rapid IV push. D. Check the client's blood glucose level prior to administration.

Correct Answer: B

Rationale: Metoprolol, a beta-blocker, can cause bradycardia, requiring pulse monitoring. It's taken without regard to meals, given slowly IV if applicable, and glucose isn't directly affected.

Question 5 of 5

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

A. Monitor the client for signs of urinary output. B. Keep the client in a supine position for 24 hr. C. Administer a high-protein diet immediately. D. Instruct the client to avoid deep breathing exercises.

Correct Answer: A

Rationale: Post-nephrectomy, monitoring urinary output from the remaining kidney ensures function. Supine isn't required, diet adjusts gradually, and deep breathing prevents complications.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN