TRANSITION FINAL QUESTIONS AND ANSWERS A+ 2022
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A client with asthma receives a prescription for high blood pressure during a clinic
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visit. Which prescription should the nurse anticipate the client to receive that is least
likely to exacerbate asthma?
a. pindolol
b. cartelol
c. metoprolol
d. propranolol - ANS-c
A male client who has been taking propranolol for 18 months tells the nurse that the
health care provider discontinued the medication because his blood pressure has
been normal for the past three months. Which instruction should the nurse provide?
a. report any uncomfortable symptoms after stopping the medication
b. stop the medication and keep an accurate record of blood pressure
c. ask the health care provider about tapering the drug dose over the next week
d. obtain another antihypertensive prescription to avoid withdrawal symptoms - ANSc
A client who is taking clonidine reports drowsiness. Which additional assessment
should the nurse make?
a. how long has the client been taking the medication?
b. does the client use any tobacco products?
c. has the client experienced constipation recently?
d. did the client miss any doses of the medication? - ANS-a
The nurse is preparing to administer atropine to a client who is scheduled for a
cholecystectomy. The client asks the nurse to explain the reason for the prescribed
medication. What response is best for the nurse to provide?
a. provide a more rapid induction of anesthesia
b. decrease the risk of bradycardia during surgery
c. induce relaxation before induction of anesthesia
d. minimize the amount of analgesia needed postoperatively - ANS-b
An 80-year-old client is given morphine sulfate for postoperative pain. Which
concomitant medication should the nurse question that poses a potential
development of urinary retention in this geriatric client?
a. insulin
b. antacids
c. tricyclic antidepressants
d. nonsteroidal antiinflammatory agents - ANS-c
A client with osteoarthritis is given a new prescription for a nonsteroidal
antiinflammatory drug (NSAID). The client asks the nurse, "How is this medication
different from the acetaminophen I have been taking?" Which information about the
therapeutic action of NSAIDs should the nurse provide?
a. are less expensive
b. provide antiinflammatory response
c. cause gastrointestinal bleeding
d. increase hepatotoxic side effects - ANS-b
A client with cancer has a history of alcohol abuse and is taking acetaminophen for
pain. Which organ function is most important for the nurse to monitor?
a. liver
b. kidney
c. sensory
d. cardiorespiratory - ANS-a
The nurse obtains a heart rate of 92 and a blood pressure of 110/76 prior to
administering a scheduled dose of verapamil for a client with atrial flutter. Which
action should the nurse implement?
a. administer the dose as prescribed
b. withhold the drug and notify the health care provider
c. give intravenous calcium gluconate
d. recheck the vital signs in 30 minutes and then administer the dose - ANS-a
A client is admitted to the hospital with a diagnosis of type 2 diabetes mellitus and
influenza. Which categories of illness should the nurse develop goals for the client's
plan of care?
a. two acute illnesses
b. two chronic illnesses
c. one chronic and one acute illness
d. one acute and one infectious illness - ANS-c
Following an emergency cesarean delivery, the nurse encourages the new mother to
breastfeed her newborn. The client asks why she should breastfeed now. Which
information should the nurse provide?
a. initiate the lactation process
b. prevent neonatal hypoglycemia
c. stimulate contraction of the uterus
d. facilitate maternal-infant bonding - ANS-c
Which intervention should the nurse include in the plan of care for a female client
with severe postpartum depression who is admitted to the inpatient psychiatric unit?
a. full rooming-in for the infant and mother
b. restrict visitors who irritate the client
c. supervised and guided visits with the infant
d. daily visits with her significant other - ANS-c
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