PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a client who has a new prescription for omeprazole. 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 bowel movements. C. This medication might cause your urine to turn dark yellow. D. You should report any abdominal pain to your provider.

Correct Answer: D

Rationale: Abdominal pain could signal a serious side effect (e.g., ulcer perforation) with omeprazole, requiring reporting. It's taken before meals, doesn't increase stools, and urine color isn't affected.

Question 2 of 5

A nurse is caring for a client who has a new prescription for nitroglycerin sublingual tablets. Which of the following statements should the nurse include in the teaching?

A. You should store the tablets in the refrigerator. B. You should take one tablet every 10 minutes until the pain stops. C. You might notice a tingling sensation under your tongue. D. You should swallow the tablet with a full glass of water.

Correct Answer: C

Rationale: Nitroglycerin causes a tingling sensation sublingually, indicating absorption. It's stored at room temp, taken every 5 minutes up to 3 doses, and not swallowed.

Question 3 of 5

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

A. Monitor the client's incision site every 8 hr. B. Encourage the client to remain in a supine position. C. Instruct the client to splint the incision when coughing. D. Administer a PRN laxative 12 hr postoperative.

Correct Answer: C

Rationale: Splinting the incision reduces pain and strain during coughing post-cesarean. Monitoring should be more frequent, supine isn't ideal, and laxatives depend on need.

Question 4 of 5

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

A. You should take this medication on an empty stomach. B. You might notice a metallic taste in your mouth. C. This medication might cause your skin to turn yellow. D. You should avoid eating carbohydrates while taking this medication.

Correct Answer: B

Rationale: Metformin can cause a metallic taste, a common side effect. It's taken with meals, doesn't cause jaundice, and carbs aren't restricted.

Question 5 of 5

A nurse is caring for a client who has a prescription for morphine sulfate 2 mg IV every 4 hr PRN for pain. Which of the following actions should the nurse take?

A. Administer the morphine via rapid IV push. B. Monitor the client's respiratory rate prior to administration. C. Dilute the morphine in 50 mL of 0.9% sodium chloride. D. Store the morphine in the client's room for easy access.

Correct Answer: B

Rationale: Monitoring respiratory rate prevents overdose risks (e.g., respiratory depression) with morphine. It's given slowly, diluted in less volume, and stored securely.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN