PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

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

A. You should increase your intake of potassium-rich foods. B. You might notice swelling of your lips or face. C. This medication might cause your urine to turn green. D. You should take this medication at bedtime.

Correct Answer: B

Rationale: Lisinopril can cause angioedema (swelling of lips/face), requiring immediate reporting. Potassium increase isn't needed, urine color doesn't change, and timing is flexible.

Question 2 of 5

A nurse is caring for a client who has a new prescription for amitriptyline. Which of the following findings should the nurse identify as an adverse effect of the medication?

A. Increased energy B. Dry mouth C. Improved mood D. Weight loss

Correct Answer: B

Rationale: Amitriptyline, a tricyclic antidepressant, commonly causes dry mouth due to anticholinergic effects. Energy may decrease, mood improves over time, and weight gain is more likely.

Question 3 of 5

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

A. Encourage the client to lie flat on their back for 24 hr. B. Monitor the client for urinary retention. C. Instruct the client to perform leg exercises every 4 hr. D. Apply a heating pad to the surgical site.

Correct Answer: B

Rationale: Urinary retention is a risk post-laminectomy due to spinal anesthesia or pain, requiring monitoring. Flat positioning varies, leg exercises are more frequent, and heat isn't standard.

Question 4 of 5

A nurse is reinforcing teaching with a client who has a new prescription for clopidogrel. 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 bruising. C. This medication might cause your stools to turn black. D. You should avoid drinking grapefruit juice while taking this medication.

Correct Answer: B

Rationale: Clopidogrel increases bleeding risk, leading to more bruising. It's taken regardless of meals, black stools signal GI bleeding (not typical), and grapefruit isn't a concern.

Question 5 of 5

A nurse is caring for a client who has a prescription for lorazepam 0.5 mg PO PRN for anxiety. 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 drowsiness. C. Instruct the client to take the medication daily at bedtime. D. Check the client's blood pressure prior to administration.

Correct Answer: B

Rationale: Lorazepam causes drowsiness, a key side effect to monitor. Grapefruit isn't relevant, it's PRN not daily, and BP isn't directly affected.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN