Download Nursing 212 Final EXAM 2025 SPRING SUMMER EXAM REAL/AUTHENTIC EXAM 100% GUARANTEED PASS and more Exams Nursing in PDF only on Docsity!
Nursing 212 Final EXAM 2025 SPRING SUMMER
EXAM REAL/AUTHENTIC EXAM 100%
GUARANTEED PASS
A client has been taking lorazepam (Ativan) for several weeks for treatment of anxiety. The nurse should plan to assess the client for potential development of what side effect? Ataxia The client asks the nurse how antidepressants work. The best response by the nurse would be that they work by: Increasing serotonin availability. The nurse providing discharge teaching for a client recently started on a tricyclic antidepressant (TCA) must include the importance of: Avoiding driving and operating dangerous equipment
Which of the following would be a priority component of the teaching plan for a client prescribed phenelzine (Nardil), MAOI for treatment of depression? Read labels of food and over-the-counter (OTC) drugs for tyramine containing content The physician orders penicillin for a female client who has a sinus infection. What is a priority question to ask the client prior to administering the medication? "Are you taking birth control pills?" The physician has ordered intravenous (IV) diazepam (Valium) for the patient in status epilepticus. During administration, which assessment by the nurse is most important? Assessing respiration every 5 to 15 minutes The physician has ordered intravenous (IV) phenytoin (Dilantin). The nurse does not read the drug label and administers the medication intramuscularly (IM). What is the most likely response in the patient? Local tissue damage following extravasation will most likely occur
The patient receives levodopa and carbidopa (Sinemet) for Parkinson's disease. What will the best teaching by the nurse include as relates to this medication? Take the medication on an empty stomach The patient receives imipramine (Tofranil), TCA as treatment for depression. He is admitted to the emergency department following an intentional overdose fo this medication. What will the best assessment by the nurse include? The patient's cardiac status Which of the following food items should the nurse advise a patient taking a monoamine oxidase inhibitor (MAOI) to avoid? Chocolate, wine, and fava bean The physician has prescribed sertraline (Zoloft), SSRI for the patient who is anxious and depressed. The patient calls the nurse to report that he has experienced delayed ejaculated since being on this medication. What is the best response by the nurse? "let your doctor know and discuss with him the and benefits of this medication for you"
The patient has generalized anxiety disorder. He asks the nurse, "Will I need medication for this? My neighbor is very nervous and he takes medication." What is the best response by the nurse? "Medication is necessary when anxiety interferes with your quality of life." The patient has been taking lorazepam (Ativan) for 2 years. The patient stopped this medication after a neighbor said the drug manufacturer's plant was contaminated with rat droppings. What best describes the nurse's assessment of the patient when seen 3 days after stopping his medication? Monitor for increased heart rate, fever, and muscle cramps The nurse works with a physician who frequently prescribes benzodiazepines. The nurse of benzodiazepines in which patient would cause the nurse to most concern? An 87-year-old patient who uses a cane for ambulation The patient has epilepsy and receives phenytoin (Dilantin). The patient has been seizure-free and asks the nurse why he still needs blood tests when he is not having seizures. What is the best response by the nurse? "Because phenytoin (Dilantin) has a very narrow range between a therapeutic dose and toxic dose."
Levodopa (Laradopa) is prescribed for a client with Parkinson's disease. The nurse's discharge teaching should include: (Select two that apply). Avoid taking the medication with high-protein meals.* Report the lab for a follow-up of liver and renal function tests. The nurse provides nutritional counseling for a client should be encouraged to: Avoid foods such as ham, sweet potatoes, oatmeal. A client has been started on benztropine (Cogentin) for relief of parkinsonian symptoms. Which of the following statements made by the client best indicates that the drug is producing a therapeutic effect? "My Hands aren't as shaky as they used to be" The patient has been depressed and the physician plans to begin treatment with an antidepressant medication. In performing the initial assessment, what is the most important question for the nurse to ask? "Have you had any thoughts about killing yourself?"
The patient has been receiving amitriptyline (Elavil), a TCA, for 2 weeks. He tells the nurse he doesn't think this medicine is working, as he is still depressed. What is the best response by the nurse? "You may not notice it's working because it can take several weeks to have a noticeable effect." Vitamin D deficiency would most likely be seen in a patient with seizures who is being treated with which drug type? Barbiturates A low-income patient without insurance has been prescribed several different medications over several months for seizure control without any improvement. The patient indicates she has not experienced any adverse effects. At this point the nurse should assess for medication compliance The nurse is planning educations sessions for a patient regarding use of a newly prescribed antiepileptic drug (AED). Which topic should be included in this session? The patient should the medication at the same time every day.
weight gain The client has MRSA and receives vancomycin (Vancocin) intravenously (IV). The nurse assesses an upper body rash and decreased urine output. What is the nurse's priority action? Hold the next dose of vancomycin (Vancocin), and notify the physician The client receives multiple drugs for treatment of tuberculosis. The nurse teaches the client the rationale for multiple drug treatment, and evaluates learning as effective when the client makes which statement? "Multiple drugs are necessary because the bacteria are likely to develop resistance to just one drug." The physician orders Cephalosporin for a client. What is a priority question for the nurse to ask the client prior to administration of this drug? "Are you allergic to penicillin?" Discharge planning for the client prescribed tetracycline will include which of the following? Do not take the medication with milk.
The nurse is caring for a client receiving gentamicin IV. The nurse would observe for adverse effects of ototoxicity The patient tells the nurse that she has been taking phenytoin (Dilantin) for 2 years now and is still having too many side effects. She wants to stop taking it. What is the best response by the nurse? "Please do not stop the medication abruptly, as you will have withdrawal seizure." Which actions can contribute to bacterial resistance to antibiotics? (Select all that apply.) Giving large doses of antibiotics Taking a full course of antibiotic Treating viral infections with antibiotics
A patient who takes benztropine (Cogentin) has developed constipation. What treatment should the nurse recommend? Select all that apply. "Stop taking your medication until your bowel function normalizes." "Take docusate (Colace) every evening." "Try drinking a glass of wine each evening." "Taking a walk each day may help." "Increase your fluid intake." "Taking a walk each day may help." "Increase your fluid intake." Which of the following adverse effects would most likely be associated with the use of phenytoin (Dilantin)? Bleeding
The client receives multiple antibiotics to treat a serious infection. What will the priority assessment of the client by the nurse include? Assessing change in stool, white patches in the mouth, and urogenital itching or rash The nurse is caring for a patient who is receiving warfarin (Coumadin) and notes bruising and petechiae on the patient's extremities. The nurse will request an order for which laboratory Test? Platelet level Partial thromboplastin time (PTT) and activated partial thromboplastin time (aPTT) International normalized ratio (INR) Vitamin K level International normalized ratio (INR) The patient has been diagnosed with hypertension. Assessment data include: Wt: 200 pounds
The nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client asks the nurse why he is receiving that the medication, the nurse should explain that it has which of the following actions? Prevents dysrhythmias The physician has ordered aminodarone (Cordarone), Potassium Channel Blocker. Prior to starting this medication, the nurse would alert the physician to which laboratory result? Potassium 3.1 mEq/L The patient is receiving niacin. Although this drug is effective in lowering lipid levels, the patient complains uncomfortable flushing. What is the best education by the nurse? "Take one aspirin 30 minutes before you take your niacin." A nurse is caring for an older adult client who has a new prescription for digoxin and takes multiple other medications. The nurse should recognize that concurrent use of which of the following medications places the client at risk for digoxin toxicity? Verapamil
The client comes to the emergency department with a blood pressure of 200/120 mm/hg. The physician orders doxazosin (Cardura) intravenous. What will the nurse's priority assessment after giving doxazosin? Hypotension and dizziness The nurse plans to include which of the following information in the teaching plan of a client who is being started on bile acid resin? Take vitamin supplement of folic acid and fat soluble vitamins Which drug would be indicated for treating ventricular dysrhythmias? Lidocaine (Xylocaine) The physician has ordered bethanechol (Urecholine), a cholinergic drug, for the patient with urinary retention. The patient also has an enlarged prostate gland. What is the priority action by the nurse? Hold the drug and contact the physician.
A nurse is reviewing the medical record of a client who reports taking pseudoephedrine for sinus congestion as needed. The nurse should identify that pseudoephedrine is contraindicated for which of the following client conditions? Hypertension The patient receives warfarin (Coumadin) and becomes pregnant. The physician changes her anticoagulant to enoxaparin (Lovenox). She asks the nurse, "why did the doctor do that?" What is the best rationale by the nurse? "Because enoxaparin (Lovenox) cannot get into your baby." The nurse is preparing to administer medications to a group of patients. One of the medication is atropine, an anticholinergic drug. The drug is contraindicated in which patient? The patient with glaucoma A hypertensive female patient being treatment with which of the following would be of primary concern of she became pregnant? Enalapril (Vasotec)
The patient is receiving gemfibrozil (Lopid), a valeric acid. The nurse has completed discharge instructions about this medication. The nurse recognizes that teaching has been effective when the patient makes which statement? "I must take this medication with food or a I can have heartburn." The nurse has completed nutritional teaching with the patient who has a high low density lipoprotein (LDL) level. The nurse recognizes that teaching has been effective when the patient makes which menu choice? Grilled chicken with rice and broccoli, tossed salad with walnuts and sliced apples, slice of whole-wheat bread, and low-fat chocolate pudding Doxazosin (Cardura), alpha blocker is prescribed for a client diagnosed with hypertension. which of the following should the nurse include in the teaching plan? Change from a lying a sitting position slowly.
