PN Comprehensive Predictor 2020

Extract:

Question 1 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 2 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.

Question 3 of 5

A nurse is assisting with the care of a client who is postoperative following a cholecystectomy. 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-cholecystectomy. Monitoring should be more frequent, ambulation is encouraged, and laxatives depend on need.

Question 4 of 5

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

A. You should shake the vial vigorously before drawing up the medication. B. You should administer this medication at the same time each day. C. This medication might cause you to feel shaky and sweaty during the night. D. You can mix this medication with rapid-acting insulin in the same syringe.

Correct Answer: B

Rationale: Insulin detemir requires consistent timing for stable glucose control. Shaking clouds it, hypoglycemia isn't typical at night, and it shouldn't be mixed.

Question 5 of 5

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

A. Instruct the client to take the medication daily regardless of need. B. Monitor the client for signs of priapism. C. Administer the medication with a high-fat meal. D. Check the client's respiratory rate prior to administration.

Correct Answer: B

Rationale: Sildenafil risks priapism (prolonged erection), requiring monitoring and reporting if over 4 hours. It's PRN, high-fat meals delay absorption, and respiratory rate isn't primary.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN