PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

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

A. You should take this medication at bedtime. B. You might notice an increase in your blood pressure. C. This medication might cause you to feel dizzy. D. You should report any weight gain to your provider.

Correct Answer: C

Rationale: Tamsulosin can cause orthostatic hypotension, leading to dizziness, especially after the first dose. It's often taken at night, lowers BP, and weight gain isn't typical.

Question 2 of 5

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

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

Correct Answer: B

Rationale: Lidocaine IV, used for arrhythmias, can cause seizures if toxic, requiring monitoring. It's given per protocol (not 5 min), diluted in saline, and respiratory rate isn't primary.

Question 3 of 5

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

A. Monitor the client's blood glucose level every 4 hr. B. Change the IV site every 24 hr. C. Administer the infusion at a rate of 50 mL/hr. D. Flush the IV line with heparin every 4 hr.

Correct Answer: A

Rationale: IV insulin requires frequent glucose monitoring (e.g., every 1-4 hr) to titrate and prevent hypo/hyperglycemia. Site changes are less frequent, rate depends on orders, and heparin isn't routine.

Question 4 of 5

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

A. You should take this medication with a high-fat meal. B. You might notice an increase in your energy levels. C. This medication might cause you to feel drowsy. D. You should stop taking this medication if your pain resolves.

Correct Answer: C

Rationale: Pregabalin often causes drowsiness, a key side effect. It's taken without regard to meals, may reduce energy, and stopping abruptly risks withdrawal.

Question 5 of 5

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

A. Instruct the client to take the medication with a glass of grapefruit juice. B. Monitor the client for signs of hypotension. C. Administer the medication via rapid IV push. D. Check the client's blood glucose level prior to administration.

Correct Answer: B

Rationale: Carvedilol, a beta-blocker, can cause hypotension, requiring monitoring (e.g., BP checks). Grapefruit isn't advised, it's oral or slow IV, and glucose isn't affected.

PN Comprehensive Predictor 2020 | Nurselytic

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ATI LPN

ATI LPN