PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

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

A. You should take this medication with a glass of grapefruit juice. B. You might notice an increase in your respiratory rate. C. This medication might cause constipation. D. You should avoid driving until you know how this medication affects you.

Correct Answer: C

Rationale: Oxycodone commonly causes constipation, requiring monitoring or prophylaxis. Grapefruit isn't relevant, respiration decreases, and driving caution is true but not the focus here.

Question 2 of 5

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

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

Correct Answer: B

Rationale: Linezolid risks serotonin syndrome (e.g., agitation), especially with other serotonergic drugs, requiring monitoring. It's given slowly IV, diluted in saline, and dosed daily.

Question 3 of 5

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

A. Monitor the client's blood pressure hourly. 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: Nitroprusside, a vasodilator, requires hourly BP monitoring to prevent hypotension. 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 celecoxib. Which of the following statements should the nurse include?

A. You should take this medication on an empty stomach. B. You might notice an increase in your bleeding time. C. This medication might cause your urine to turn green. D. You should stop taking this medication if you feel better.

Correct Answer: B

Rationale: Celecoxib, an NSAID, increases bleeding risk, requiring monitoring (e.g., bruising). It's taken with food, urine color isn't affected, and stopping depends on the condition.

Question 5 of 5

A nurse is caring for a client who has a new prescription for topiramate. 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 confusion. C. Administer the medication via rapid IV push. D. Check the client's blood glucose level prior to administration.

Correct Answer: B

Rationale:
Topiramate can cause confusion or cognitive slowing, requiring monitoring. It's taken without regard to meals, oral only, and glucose isn't primary.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN