PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

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

A. You should rinse your mouth after each use. B. You might notice an increase in your energy levels. C. This medication might cause your urine to turn red. D. You should take this medication once per week.

Correct Answer: A

Rationale: Rinsing the mouth after fluticasone prevents oral thrush, a common side effect. Energy and urine color aren't affected, and it's dosed daily or as prescribed.

Question 2 of 5

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

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

Correct Answer: B

Rationale: Hydralazine can cause hypotension, requiring BP monitoring. It's given slowly IV or oral, diluted in saline if IV, and dosed as prescribed, not weekly.

Question 3 of 5

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

A. Monitor the client's aPTT every 12 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 dextrose 5% in water every 4 hr.

Correct Answer: A

Rationale: Heparin requires aPTT monitoring (e.g., every 6-12 hr) to ensure therapeutic levels. Site changes are less frequent, rate depends on orders, and saline is used, not dextrose.

Question 4 of 5

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

A. You should take this medication on an empty stomach. B. You might notice an improvement in your anxiety within 2 days. C. This medication might cause you to feel drowsy. D. You should avoid drinking grapefruit juice while taking this medication.

Correct Answer: C

Rationale: Buspirone can cause drowsiness, a side effect to monitor. It's taken with or without food, anxiety relief takes weeks, and grapefruit enhances levels, but drowsiness is key.

Question 5 of 5

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

A. Instruct the client to stop the medication if they develop a headache. B. Monitor the client for signs of hyperglycemia. C. Administer the medication via rapid IV push. D. Check the client's blood pressure prior to administration.

Correct Answer: B

Rationale: Prednisone, a corticosteroid, can cause hyperglycemia, requiring monitoring (e.g., glucose levels). Headaches don't warrant stopping, it's oral or slow IV, and BP is checked as needed.

PN Comprehensive Predictor 2020 | Nurselytic

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ATI LPN

ATI LPN