INTERNATIONAL NURSES ACADEMY OF THE PHILIPPINES

INTERNATIONAL NURSES ACADEMY OF THE PHILIPPINES

PREBOARD 10a (10/30/21)

1.) The triage nurse at a health clinic receives a call from a client. The client states that they have been experiencing flu-like symptoms for the past 24 hours. The client asks for a prescription for zanamivir. How should the triage nurse respond?

• “Do you have trouble swallowing big pills?”
• “We will call your pharmacy for an antibiotic prescription for you.”
• “Come in right away so we can start treating you.”
• “Call back tomorrow when you are sure you have the flu.”

2.) A client recovering from hip replacement surgery is taking acetaminophen with codeine every three hours for pain. For which side effect should the nurse monitor thee client?

• Diffuse rash
• Hyperglycemia
• Wheezing
• Constipation

3.) The nurse is providing care for a client after surgery. The client has an order for acetaminophen with codeine. The client asks the nurse what to expect after taking this medication. Which is the best response by the nurse?

• “This medication will minimize any side effects from the codeine.”
• “This combination medication will better help to manage your pain.”
• “This medication combination will allow healing to occur faster.”
• “The combination medication will reduce the chance of addiction.”

4.) The nurse is administering an osmotic diuretic to a client with a traumatic brain injury. Which finding best indicates that the medication was effective?

• Intracranial pressure reading of 14 mmHg
• Bilateral ovoid pupils that are slow to constrict
• Clear bilateral lung sounds to posterior auscultation
• 250 mL clear, yellow urine output over four hours

5.) A client with bipolar disorder is taking lithium. The nurse should notify the health care provider when the client is prescribed which additional medication?

• Insulin
• Amlodipine
• Finasteride
• Furosemide

6.) The nurse is caring for a client who is experiencing excessive bleeding after receiving unfractionated heparin sodium. Which orders should the nurse anticipate from the health care provider? Select all that apply.

• Change prescription to enoxaparin.
• Administer protamine sulfate.
• Administer vitamin K.
• Obtain prothrombin time (PT)/international normalized ratio (INR).
• Obtain activated partial thromboplastin time (aPTT).

7.) The daughter of a client with Alzheimer’s disease asks the nurse, “Will the medication my mother is taking cure her dementia?” What is the best response by the nurse?

• “It will not improve dementia but can help control emotional responses.”
• “It is used to halt the progression of Alzheimer’s disease.”
• “It will provide a steady improvement in memory.”
• “It will help your mother live independently again.”

8.) A 48-year-old male client who is being admitted to the emergency department with an acute myocardial infarction (MI) gives the following list of medications to the nurse. Which medication would the nurse recognize as having the most immediate implications for the client’s care?

• Sildenafil
• Losartan
• Furosemide
• Captopril

9.) A client with major depression is prescribed the extended release form of venlafaxine. Which statement by the client indicates a need for additional teaching?

• “I will call my doctor if I experience impotence.”
• “I may feel nauseated and anorexic.”
• “I can stop taking the drug when I start feeling better.”
• “I should swallow the pill whole.”

10.) The nurse is evaluating the plan of care for a client with benign prostatic hyperplasia (BPH). For which prescribed medication should the nurse notify the health care provider (HCP)?

• Finasteride
• Metoprolol
• Diphenhydramine
• Terazosin

11.) A client has been admitted for the second time to treat tuberculosis (TB). Which referral does the nurse initiate as a priority?

• Infection control nurse to arrange testing for drug resistance
• Psychiatric nurse liaison to assess reasons for noncompliance
• Social worker to see if the client can afford the medications
• Visiting nurses to arrange for directly observed therapy (DOT)

12.) Propranolol is prescribed for a client with coronary artery disease (CAD). The nurse should consult with the health care provider (HCP) before giving this medication when the client reports a history of which condition?

• Peptic ulcer disease
• Myocardial infarction
• Asthma
• Deep vein thrombosis

13.) The nurse is evaluating the effectiveness of therapy for a client who received albuterol via nebulizer during an acute episode of shortness of breath due to asthma. Which finding is the best indicator that the therapy was effective?

• Accessory muscle use has decreased.
• Oxygen saturation is greater than 90%.
• No wheezes are audible.
• Respiratory rate is 16 breaths/minute.

14.) The nurse is preparing a client with rheumatoid arthritis (RA) for discharge to an assisted living facility.Which statement about the prescribed oral glucocorticoid is correct?

• “It is normal to experience some memory loss or hallucinations.”
• “You will be taking the medication for several years.”
• “The medication will reverse the joint deterioration of RA.”
• “The medication will be gradually tapered off over 5 to 7 days.”

15.) The nurse is observing a new graduate nurse preparing to administer bumetanide 4 mg orally to a client with heart failure. Which client finding requires the nurse to intervene immediately?

• The client’s most recent serum potassium level is 2.9 mg/dL.
• The client’s most recent blood pressure is 96/60 mm/Hg.
• The client has 4+ pitting edema in both lower legs.
• Thee client has crackles in both lung bases.

16.) The nurse is reviewing the medical history of a client who is receiving weekly erythropoietin injections.Which medical condition requires the use of this medication?

• End-stage kidney disease (EKSD)
• Iron-deficiency anemia
• Hemorrhagic fever (Ebola)
• Sickle-cell disease

17.) The nurse is evaluating a client post kidney transplant about the client’s understanding of mycophenolate mofetil. Which statement by the client indicates a need for further teaching?

• “I will notify my doctor when I develop a sore throat and chills.”
• “I will take the medication on an empty stomach.”
• “I will take Tylenol for minor aches and pains.”

4, “I will take milk of magnesia with it to prevent heartburn.”

18.) The nurse is speaking at a senior citizen community center on how to prevent constipation. What information should the nurse include? Select all that apply.

• Take a daily laxative.
• Drink 2 to 3 liters of fluids per day.
• Exercise regularly such as walking for 30 minutes 3 to 5 times a week.
• Increase your intake of dairy products.
• Take iron supplements regularly.
• Eat foods high in fiber, such as fresh fruit and whole grains.

19.) A client has been diagnosed with hyperthyroidism. Which medication should the nurse administer to treat the client’s bradycardia?

• Adenosine
• Levothyroxine
• Atropine
• Epinephrine

20.) A client is prescribed furosemide and digoxin for heart failure. The nurse should monitor the client for which potential adverse drug effect?

• Acute arterial occlusion
• Cardiac dysrhythmias
• Pulmonary hypertension
• Acute kidney injury

21.) The nurse is preparing to administer an antibiotic intramuscularly (IM) to a 2-year-old child. The total volume of the injection is 2 mL. Which is the best approach for the nurse to take when administering this medication?

• Call the provider and request a smaller dose.
• Substitute an oral form of the medication.
• Inject the medication in the deltoid muscle.
• Split the medication into two separate injections.

22.) The nurse administers cimetidine to a 75-year-old client diagnosed with a gastric ulcer. The nurse should monitor the client for which adverse reaction?

• Mental status change
• Increased liver enzymes
• Hearing loss
• Constipation

23.) The nurse is reinforcing teaching about levothyroxine for a client newly-diagnosed with hypothyroidism. Which information should the nurse make sure to reinforce about this medication?

• The medication will decrease the client’s heart rate.
• The medication should be taken in the morning.
• The medication must be stored in a dark container.
• The medication may decrease the client’s energy level.

24.) The nurse is reinforcing the correct use of a metered-dose inhaler (MDI) for a client newly-diagnosed with asthma. The client asks, “how will I know the canister is empty?” What is the best response by the nurse?

• “Contact your pharmacy to find out when to obtain a refill.”
• “Count the number of doses as the inhaler is used.”
• “Shake the canister and listen for any fluid movement.”
• “Drop the canister in water to observe if it floats.”

25.) The nurse is reinforcing medication interactions with a client who is taking warfarin. Which over-the- counter (OTC) medication should the nurse remind the client to avoid?

• Naproxen
• Acetaminophen
• Diphenhydramine
• Pantoprazole

26.) A client at risk for a stroke has been prescribed clopidogrel. Which information is most important for the nurse to reinforce with the client?

• “If you miss a dose, take a double dose the next day.”
• “You must take the medication on an empty stomach.”
• “You must stop the medication a week before your surgery.”
• “You must have your lab tests checked weekly.”

27.) The nurse in an ambulatory clinic is speaking with the parents of a 2-year-old child diagnosed with acute otitis media. Which information is most important for the nurse to include in the instructions to the parents?

• The child may be given a decongestant to relieve pressure on the tympanic membrane.
• The child must complete the entire course of the prescribed antibiotic.
• The child may be given acetaminophen or ibuprofen drops for pain.
• The child should return to the clinic to evaluate effectiveness of the treatment.