1. A nurse is providing teaching to a client who is to receive a series of allergy tests. The nurse should

instruct the client to avoid which of the following medications for up to 4 weeks before the

procedure?

a. Acetaminophen

b. Albuterol

c. Pseudoepedrine hydrochloride

d. Diphenhydramine

2. A nurse is reviewing the medication administration record of a client who is to receive phenytoin

300 mg PO daily. The medication sent by the pharmacy is a vial of phenytoin 50 mg/ml for

injection. Which of the following actions should the nurse take?

a. Ask the client what route he usually takes the medication

b. Refer to the original medication order

c. Administer 6 ml of the medication intravenously

d. Check medication calculations with a second nurse

3. A nurse is teaching a client who has stable angina and a new prescription for nitroglycerin

transdermal patches 0.8 mg/hr daily. Which of the following statements by the cline indicated an

understanding of the teaching?

a. I can put a second patch on if I have chest pain

b. I can cut the patches in half to save money

c. I will apply a new patch to the same site whenever I replace it

d. I will take the patch off after dinner every night

4. A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of

atropine, which of the following findings should indicate to the nurse that the treatment has been

effective?

a. Increase salivation

b. Blood pressure 90/50mmHg

c. Heart rate 90/min

d. Hyperactive bowel sounds

5. A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following

findings should the nurse identify as an early indication of medication toxicity?

a. Sudden weight gain

b. Visual disturbances

c. Insomnia

d. Potassium 4.4 mEq/L

6. A nurse is reviewing medication prescriptions for a client. For which of the following entries on the

client medication administration record should the nurse request clarification?

a. Levothyroxine 100 mcg PO every morning

b. Acetaminophen 500 mg every 4 hr PRN for fever

c. Morphine 4 mg IV every 4 hr PRN for pain

d. Simvastatin 40 mg PO at bedtime

7. A nurse is assessing a client who is receiving oxytocin via continuous IV infusion for labor

augmentation. The nurse notes six contractions in a 10 min. period w/ a non-reassuring FHR.

Which of the following actions should the nurse take first?

a. Turn the clinet to her lef t side