HESI Dosage Calculations Practice Exam

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• When taking Humulin NPH insulin, the time frame during which a client is most likely to experience hypoglycemia is?
• Which approach is encouraged for clients taking diuretics to prevent dehydration?
• When reviewing a client's record before administering nalidixic acid for a urinary tract infection, what should the nurse anticipate regarding warfarin sodium?
• A client with type 2 diabetes is on metformin 1 gram PO twice daily, available in 500 mg tablets. How many tablets should the nurse administer?
• A male client receiving Brevibloc at 48 ml/hour has a concentration of 10 mg/ml. How many mcg/kg/minute is he receiving?
• What is the primary action of sodium polystyrene sulfonate (Kayexalate) before administration?
• Which action shows the client understands how to effectively use guaifenesin (Humibid)?
• What dietary consideration should be discussed with clients taking ticlopidine hydrochloride?
• What should a client taking ethambutol (Myambutol) report immediately?
• A nurse teaches a client about the use of a new medication. What indicates the client understands its purpose?
• The nurse is preparing to administer 0.25 mg of bumetanide. It is available at 1 mg/4 ml. How many ml should be administered?
• What is the best time for a patient to take prednisone?
• What is the maximum safe dose of dantrolene sodium for a client weighing 48.5 kg, if the maximum is 8 mg/kg/day?
• Oxybutynin chloride is prescribed for a client with a neurogenic bladder. What sign indicates a possible toxic effect?
• For chronic management of Zollinger-Ellison syndrome, which product is recommended for headache relief?
• Which of the following should be monitored in a client taking rifabutin for Mycobacterium avium complex?
• What is the primary method for determining the effectiveness of a prescribed medication?
• When taking cyclophosphamide, which dietary adjustment is typically recommended?
• What is the total volume of dextrose 5% and 0.45% sodium chloride with KCl to be infused over 8 hours if prescribed at 125 ml/hour?
• A client post-kidney transplant says they need to obtain a yearly influenza vaccine. What does this indicate?
• What side effect should the nurse expect when caring for a client receiving etoposide (VePesid)?
• For which condition is lamivudine (Epivir) commonly prescribed?
• What symptom requires a client on amikacin to contact their health care provider immediately?
• What laboratory result would indicate an adverse effect from the use of cyclosporine (Sand immune) after kidney transplantation?
• Which of the following indicates an adverse reaction to carbidopa-levodopa (Sinemet) for Parkinson's disease?
• Which indication would show that buspirone (BuSpar) is effective for a client?
• What important laboratory test should be monitored in clients taking ticlopidine hydrochloride?
• Dantrolene sodium (Dantrium) is prescribed for a client experiencing flexor spasms. What is the therapeutic action of this medication?
• What is a common side effect to monitor for with cyclosporine administration?
• A client is receiving amikacin at a dose of 0.572 grams per 100 ml. How many ml should the nurse administer if the vial is labeled 250 mg/ml?
• Before administering a second sublingual nitroglycerin tablet for chest pain, which vital sign must the nurse check first?
• What is a common reason for clients to be prescribed ticlopidine hydrochloride?
• What information should the nurse provide to a client taking phenytoin (Dilantin) who is also on birth control pills?
• After administering trimethobenzamide (Tigan), which symptom should the nurse monitor for relief?
• A client needs an infusion of 1 liter over 12 hours. What should be the flow rate in ml/hour?
• What side effect should a nurse check for in a client taking cetirizine hydrochloride (Zyrtec)?
• A client taking repaglinide should know to do what if a meal is skipped?
• How should the client take ibuprofen (Advil) as advised by the nurse?
• Which adverse effects associated with furosemide should the nurse be aware of?
• What is the appropriate intervention for administering exenatide (Byetta) to a client with type 1 diabetes mellitus who takes insulin?
• Which medication is given to help with hypertension and preventing angina?
• Which statement indicates a need for further instruction regarding azathioprine (Imuran) for a post-kidney transplant client?
• Why should aspirin be avoided while taking ticlopidine hydrochloride?
• A client weighing 220 lb is receiving dopamine at a rate of 3 mcg/kg/minute. How many ml/hour should the nurse set the infusion pump to deliver?
• What should clients receiving chemotherapy expect regarding their hair?
• Which of the following is NOT typically advised for patients taking ticlopidine hydrochloride?
• What symptom indicates the optimal intended effect of omeprazole (Prilosec)?
• Which complication should the nurse explain to a client receiving anthracycline antibiotics?
• Which findings would the nurse interpret as a nonacceptable response to DMARDs therapy?
• Which medication added to a client's regimen may contribute to increased hyperglycemia in a patient with diabetes mellitus?
• If a client has a history of pancreatitis, what action should the nurse take regarding asparaginase (Elspar) administration?
• Metoclopramide can be safely administered to a patient with which condition?
• A client with a severe burn is prescribed collagenase (Santyl). Which statement indicates the client understands how to use the medication?
• What nursing action should be included in the care plan for a client receiving morphine sulfate subcutaneously?
• Which central nervous system side effect is most commonly associated with cimetidine (Tagamet)?
• What is the first action a nurse should take if a client complains of pain at the IV site during an infusion?
• A nurse is tasked with calculating how many ml are left in a 245 ml bag after 2 hours of infusing at 120 ml/hour. How many ml should be reported as remaining?
• Which of the following indicates an adverse effect of desmopressin acetate?
• When should sucralfate (Carafate) be administered to a client with a gastric ulcer?
• Which laboratory value should a nurse monitor for a client receiving busulfan (Myleran)?
• What is the primary purpose of calcium gluconate prescribed after a thyroidectomy?
• If a medication is ordered as 0.5 grams and supplied as 250 mg tablets, how many tablets should the nurse administer?
• For a client prescribed amikacin (Amikin), which baseline function should be monitored?
• Which instruction should a patient receiving both antiretrovirals and immunosuppressives be careful to follow regarding infections?
• What indicates that pancrelipase (Pancrease MT) is having its optimal effect?
• What factor is most critical to assess prior to the administration of a potassium-sparing diuretic?
• What should the nurse educate the client regarding signs of bleeding while on ticlopidine hydrochloride?
• In assessing a client taking fluoxetine (Prozac), what gastrointestinal symptom might indicate an issue?
• If a client taking lithium carbonate (Lithobid) has a level of 3.0 mEq/L, what does this indicate?
• For a child aged 6 with iron deficiency anemia, which food item is best to administer with oral iron supplements?
• Before administering isoniazid (INH) therapy for tuberculosis, which baseline study is crucial for nurses to check?
• What is a crucial education point for a client taking warfarin sodium (Coumadin) regarding diet?
• Prior to initiating streptokinase therapy for a client with pulmonary embolism, which crucial finding should be reported?
• Sodium hypochlorite (Dakin's solution) is prescribed for a client with a leg wound. What should the nurse include in the plan of care?
• A client with diabetes mellitus asks about repaglinide and metformin. Which statement about these medications is true?
• Before administering amlodipine, which vital signs are crucial for monitoring?
• In cases of acute coronary syndrome, which medication should be administered first for chest pain?
• A client with septic shock is to receive dextrose 5% in water with dopamine 0.6 grams/250 ml at a rate of 5 mcg/kg/minute. If the client weighs 148 lbs, how many ml/hour should the nurse set?
• Which medication should be monitored for signs of toxicity, especially lung congestion?
• A healthcare provider prescribes an IV solution of 5% dextrose in water with magnesium sulfate 4 gram/50 ml to be infused over 30 minutes. What should the nurse set as the ml/hour rate?
• For a client needing octreotide (Sandostatin) 1,200 mcg daily by subcutaneous injection, how many ml should the nurse administer if the medication is available in 1 mg/ml vials?
• A client has an order for furosemide 60 mg and the available concentration is 10 mg/mL. What volume should be administered?
• When administering an IV infusion over a period of hours, what critical piece of information must a nurse continuously monitor?
• Which laboratory test result is most important for a nurse to check before administering furosemide (Lasix) to a client with heart failure?
• In treating a client with HIV, which of the following medications is appropriate?
• Which herbal therapies would be prescribed for their antispasmodic properties?
• Baclofen (Lioresal) is prescribed for the client with multiple sclerosis. The primary therapeutic effect of this medication is which of the following?
• What should a nurse instruct a client taking allopurinol (Zyloprim)?
• What question should a nurse ask to assess the effectiveness of leflunomide (Arava) treatment for a client?
• A child weighing 55 pounds requires atovaquone with proguanil 125 mg/50 mg daily. How many pediatric tablets should be administered?
• In which case should a nurse closely monitor for nephrotoxicity in a patient receiving medication?
• While taking glimepiride (Amaryl), which of the following should a client avoid?
• A client is receiving an IV solution of sodium chloride 0.9% with amiodarone at 17 ml/hour. How many mg/minute of amiodarone is infusing?
• Which potential issue should a nurse be concerned about when administering hydrochlorothiazide?
• What is the priority assessment for a client treated with intravenously administered bumetanide for acute congestive heart failure?
• Which statement indicates a client understands their hydrocodone prescription?
• How many mcg/kg/minute is a client receiving if they are on a nitroprusside infusion of 50 mg in 250 ml at 75 ml/hour?
• How many drops per minute should a nurse set an IV pump to deliver 300 ml over 4 hours using a 15 gtts/ml set?
• A nurse is administering an IV infusion of 0.9% sodium chloride to a client with hypokalemia. If the prescription is for 40 mEq KCl in 500 ml over 3 hours, how many ml/hr should the nurse set the pump?
• Ondansetron (Zofran) is prescribed for which condition in a postoperative client?
• When providing education for a client receiving antineoplastic medication, which statement should the nurse make?
• For a postoperative client requesting relief from gas pains, which medication should the nurse administer?
• A nurse providing dietary instructions for a client taking warfarin sodium (Coumadin) advises the client to avoid which food item?
• What indicates that an adolescent understands the instructions regarding anticonvulsants?
• What is a common side effect of pancrelipase that the nurse should monitor?
• Before administering disulfiram (Antabuse), which information is most important for the nurse to gather?
• Which symptom should prompt a patient taking levothyroxine to contact their healthcare provider?
• Which statement by a client taking phenytoin (Dilantin) indicates an understanding of the medication instructions?
• What dietary instruction applies to a client taking cyclosporine?
• A provider orders 300 mg of a medication that comes in a concentration of 150 mg/3 mL. What volume should be measured for administration?
• A client with myasthenia gravis states they can change their medication time based on how they feel. What does this indicate?
• An acetazolamide dose is prescribed based on BSA of 0.7 m2. If the total daily dose is 600 mg/m2, what is the mg per dose?
• How many ml should the nurse give for acetaminophen elixir (Tylenol) prescribed at 600 mg if the elixir is labeled 500 mg/15 ml?
• Which statement best demonstrates understanding of a medication regimen including clarithromycin, esomeprazole, and amoxicillin for a Helicobacter pylori infection?
• What should clients report to their healthcare provider when taking ticlopidine hydrochloride?
• What is the most concerning side effect for a client taking bupropion hydrochloride (Wellbutrin) after a dosage increase?
• For a client weighing 80 kg, how many ml of inamrinone should be administered if prescribed at 0.75 mg/kg and available as 100 mg/20 ml?
• What is an adverse effect associated with cisplatin that a nurse must monitor for?
• During an infusion of an antineoplastic medication, what symptom at the IV site warrants immediate attention?
• A child is brought to the emergency department for treatment of an acute asthma attack. Which medication should the nurse administer first?
• Why are both hydrochlorothiazide and triamterene prescribed for a client?
• What should the nurse monitor for in a client taking anticoagulants?
• Which medication should a client avoid while taking ticlopidine hydrochloride?
• A client with trigeminal neuralgia is being treated with carbamazepine (Tegretol). Which laboratory result would indicate that the client is experiencing an adverse reaction to the medication?
• A nurse reinforces education to a client about phenazopyridine hydrochloride. Which statement by the client is correct?
• Which statement made by a client taking prednisone indicates a need for further teaching?
• How many ml/hour should the nurse set the infusion pump for a client receiving oxytocin (Pitocin) 0.5 milliunits/minute with a 1,000 ml solution containing 10 units?
• What is a common side effect of intranasal desmopressin acetate?
• The clinic nurse admits a client taking azelaic acid (Azelex). What condition is this medication typically used to treat?
• Which effect indicates that metformin is functioning correctly in a client with diabetes?
• A client is receiving meperidine hydrochloride (Demerol) for pain. Which of the following are side effects of this medication? Select all that apply.
• Which medication should the nurse question for a client who is to be nothing per mouth (NPO) after midnight?
• Which laboratory result indicates an adverse effect in a client taking tacrolimus (Prograf)?
• What should the nurse have available after administering acetylcysteine (Mucomyst) by nebulizer?
• Why is Prostaglandin E1 prescribed for a child with transposition of the great arteries?
• What should a client taking fexofenadine (Allegra) do prior to allergy skin testing?
• Which medication is a common treatment for chronic obstructive pulmonary disease (COPD)?
• An IV of dextrose 5% in normal saline with oxytocin 20 units in 1,000 ml is prescribed at a rate of 2 mu/minute. How many ml/hour should the nurse program the pump?
• How often should a client returning from tuberculosis treatment have serum drug-level testing when on cycloserine?
• What is a main effect of nicotinic acid on cholesterol levels?
• A prescription for azithromycin requires 500 mg for 3 days. If available as 250 mg scored tablets, how many tablets per dose should be given?
• A client is prescribed docusate sodium (Colace) 0.3 grams. How many capsules containing 100 mg each should the nurse administer?
• What should the nurse teach a client starting a 6-month course of isoniazid (INH)?
• Which group of patients may benefit the most from ticlopidine hydrochloride therapy?
• Which of the following statements is true regarding the use of ticlopidine hydrochloride?
• A nurse is caring for a client with severe back pain who has been prescribed codeine sulfate. What should the nurse include in the plan of care while the client is on this medication?
• What notable effect does long-term therapy with rifampin (Rifadin) cause?
• How many drops per minute (gtts/min) should be administered for a continuous infusion of 5% dextrose in 0.45% sodium chloride at 85 ml/hr through an IV set delivering 10 gtt/ml?
• What instruction should a nurse reinforce regarding the administration of mycophenolate mofetil (CellCept)?
• Which symptom requires immediate reporting by a client taking ethambutol (Myambutol)?
• If a client taking didanosine has which elevated result, the healthcare provider may consider discontinuing the medication?
• A client receiving continuous gastrostomy tube feeding at 75 ml/hour for 11 hours records what total fluid balance for a 12-hour shift?
• For patients receiving chemotherapy who develop vomiting, which medication should be given?
• The nurse needs to report how many ml remain to be infused for a secondary infusion of 265 ml started 2 hours ago at 85 ml/hour. How many ml are left?
• When should a nurse counsel a client receiving immunotherapy about possible vaccine interactions?
• What should a client taking warfarin sodium indicate as a need for further teaching?
• What is the best time for a client to take fluoxetine (Prozac) to ensure effectiveness?
• What disorder would indicate a need to contact the health care provider before administering cyclobenzaprine?
• What is the main purpose of administering acetylsalicylic acid (aspirin) to a client?
• If a client taking theophylline (Theo-24) states they will take the dose at bedtime, what does this indicate?
• What is a common reason for patients on thyroid medication to report tremors?
• A client with trigeminal neuralgia reports frequent use of acetaminophen (Tylenol). What lab result would indicate potential toxicity?
• A client has a prescription for an intravenous infusion of 0.45% sodium chloride 500 ml to be infused over 6 hours. What is the correct ml/hour setting for the pump?
• A nurse is caring for a client with hyperparathyroidism who has a serum calcium level of 13 mg/dL. Which medication should the nurse prepare to administer?
• A client is prescribed alprazolam at 0.75 mg PO. If this is available as 0.5 mg scored tablets, how many tablets should the nurse administer?
• Which food item should be avoided by a client on phenelzine sulfate (Nardil)?
• Which monitoring action is critical after administering desmopressin for diabetes insipidus?
• Salicylic acid is prescribed for psoriasis. Which symptom indicates systemic toxicity from this medication?
• What is the therapeutic serum drug range for phenytoin (Dilantin)?
• Which of the following adverse effects should a nurse monitor for in a client receiving cisplatin?
• For an IV solution prescribed for a slam infusion, what factor is most critical for ensuring proper administration?
• A nurse is administering a 250 ml intravenous solution to be infused over 2 hours. How many ml/hour should the nurse program the infusion pump?
• Which medication is known to affect urine color significantly?
• What should the nurse set the infusion pump to for a continuous infusion of Pancuronium at 25 mg/250 ml for a client weighing 78 kg at 0.1 mg/kg/hr?
• What is an expected therapeutic effect of misoprostol (Cytotec) in a client who chronically uses NSAIDs?
• What should be done with NPH insulin in preparation for mixing?
• Which symptom could be a sign of excessive absorption of a topical corticosteroid?
• A diabetic client taking atenolol (Tenormin) needs to identify the most reliable indicator of hypoglycemia. What is it?
• A client receives a prescription for ondansetron 4 mg IV. The medication available is 2 mg/ml. How many ml should the nurse administer?
• A client weighing 70 kg is receiving dopamine at 5 ml/hour from a solution of 800 mg in 500 ml. What is the rate in mcg/kg/minute?
• What change in insulin therapy might be anticipated when a patient starts taking prednisone?
• After administering naloxone hydrochloride for respiratory depression, the nurse checks for which possible outcome?
• When assessing a client taking oral lactulose (Chronulac), which value indicates medication effectiveness?
• Which medications are classified as H2-receptor antagonists? Select all that apply.
• Which of the following medications should be administered over a longer period to evaluate its effectiveness?
• For a client with urinary retention prescribed bethanechol chloride, which disorder is a contraindication for this medication?
• To determine the effectiveness of lansoprazole (Prevacid), what should the nurse ask the client?
• Which client history would prompt a nurse to contact a registered nurse when megestrol acetate is prescribed?
• A client receives a prescription for 7.5 mg of carteolol daily, and it is available in 2.5 mg tablets. How many tablets should the nurse administer?
• When should levothyroxine be taken for optimal absorption?
• In a client receiving alteplase for an acute myocardial infarction, which intervention is a priority?
• What symptoms would support a diagnosis of digoxin toxicity in a client with heart disease?
• A nurse is reviewing the laboratory studies on a client receiving dantrolene sodium (Dantrium). Which laboratory test would identify an adverse effect associated with this medication?
• What is an important dietary consideration while taking isoniazid?
• What should a nurse monitor to determine the therapeutic effect of docusate sodium (Colace)?
• A nurse learns that a client is taking garlic as an herbal supplement. This client is most likely treating which condition?
• What should the nurse inform a client about the impaired taste experienced with fosinopril?
• What should a nurse instruct a patient to monitor for when taking nitrofurantoin?
• Which statement made by a client indicates a lack of understanding about silver sulfadiazine treatment for burns?
• Before isotretinoin administration, which medication should prompt the nurse to contact the healthcare provider?
• What specific side effect should the nurse monitor in a client treated with vincristine (Oncovin)?
• A nurse is calculating infusion rates. If an IV bag contains 1 liter and is to be administered over a period of 12 hours, what would the infusion rate in ml/hour be?
• What should a nurse recommend to a client experiencing a chronic headache from isosorbide mononitrate?
• How is the MMR (measles, mumps, rubella) vaccine best administered to a child?
• Which statement by a client receiving tretinoin (Retin-A) indicates a need for further instruction?
• What adverse effect should the nurse specifically gather information about regarding fluoxetine (Prozac)?
• A client in cardiogenic shock is prescribed 0.9% normal saline with milrinone 10 mg in 100 ml at a rate of 46 mcg/minute. How many ml/hour should the nurse program the infusion pump?
• What disorder might a nurse suspect in a client taking donepezil hydrochloride (Aricept)?
• The client has been on treatment for rheumatoid arthritis for 3 weeks. During the administration of etanercept (Enbrel), it is most important for the nurse to check:
• A client diagnosed with psoriasis is prescribed coal tar. Which statement indicates the client needs further instruction?
• After administering desmopressin acetate, the nurse should monitor for which therapeutic response?
• For a client being treated with bumetanide, which vital sign is crucial to monitor after the initial dose?
• What is a common side effect of cholestyramine that clients should be aware of?
• Which advice is essential for a client taking diuretics?
• A client with scabies is prescribed lindane. What instructions should the nurse provide?
• In a postrenal transplant client taking cyclosporine, which vital sign is likely to be elevated if the client complains of a headache?
• What symptom should a nurse instruct a client on trimethoprim-sulfamethoxazole to report?
• With a prescription of meperidine hydrochloride (Demerol) for pain, which side effect should the nurse monitor for?
• When caring for a client receiving bleomycin intravenously, which diagnostic study should the nurse anticipate?
• While administering bethanechol chloride, which sign of toxicity should the nurse monitor for?
• Which vital sign is most critical to check before administering digoxin?
• When caring for a client receiving foscarnet, which laboratory study should be checked regularly?
• What side effect should a nurse inform a client to expect after administering scopolamine (Transderm-Scop)?
• How many ml of water should a nurse dilute the full-strength formula with to prepare a solution for a client receiving a gastrostomy tube at 80 ml/hour for 4 hours?
• Isotretinoin is prescribed for severe acne. What laboratory test is anticipated before administration?
• How many tablets should the nurse administer for amoxicillin/clavulanate potassium (Augmentin) 500 mg if each tablet contains 250 mg?
• What should the nurse advise a postoperative client with gas pains to take?
• While monitoring a client taking stavudine, which bodily function should be monitored closely?
• Which condition is important to monitor due to potential hepatotoxicity from nevirapine (Viramune)?
• What is a significant interaction when a patient is taking both warfarin and an antibiotic?
• Before administering methylergonovine (Methergine) for postpartum hemorrhage, which parameter should the nurse check?
• If a healthcare provider prescribes metoclopramide liquid as 10 mg per 6 hours and it is available as 5 mg/5 ml, how many teaspoons should the nurse administer?
• What is the expected therapeutic effect of calcitonin (Miacalcin) in a patient with hyperparathyroidism?
• Which action indicates a need for further teaching when mixing regular insulin and NPH insulin?
• A client taking ethambutol (Myambutol) should report which of these symptoms to indicate understanding of the medication?
• What condition is a client likely experiencing if they report numbness and tingling in the extremities after taking isoniazid (INH) for 2 months?
• For a client with diabetes mellitus prescribed insulin glargine (Lantus), when is the best time to take the insulin?
• A 180-pound man with burns needs fluid resuscitation using the Parkland formula. What is the total fluid requirement for the first 24 hours?
• If a nurse is applying a topical glucocorticoid to a client with eczema, where should they monitor for systemic absorption?
• In a case of intravenous heparin therapy, which medication should be readily available on the nursing unit?
• A child hospitalized with lead poisoning will require which medication?
• When a nurse reviews laboratory results for a client on tacrolimus, what level indicates a potential adverse effect?
• When monitoring a burn client receiving topical mafenide acetate (Sulfamylon), which symptom indicates a systemic effect?
• Which of the following is a side effect that a nurse should monitor for when a client is on rifabutin?
• A nurse is monitoring a client receiving baclofen (Lioresal) for side effects related to the medication. Which of the following would indicate that the client is experiencing a side effect?
• When should a nurse schedule a daily dose of ranitidine (Zantac) for a client?
• A nurse is reinforcing discharge instructions to a client receiving baclofen (Lioresal). Which of the following would the nurse include in the instructions?
• A home health care nurse is visiting a client with elevated triglyceride levels. Which statement indicates the need for further education?
• What is the recommended daily fluid intake for a patient taking cyclophosphamide?
• What adverse effect should the nurse monitor for in a client taking nevirapine (Viramune)?
• What food item should a client prescribed cyclosporine (Sandimmune) avoid?
• When applying a topical corticosteroid for eczema, where should the nurse monitor for increased systemic absorption?
• In a patient taking zidovudine, what other medication might require monitoring due to interactions?
• When administering atenolol hydrochloride (Tenormin), what should the nurse do as a priority action?
• What should the nurse instruct regarding the administration of clozapine (Clozaril) related to blood counts?
• A client returns from surgery with a prescription for Lactated Ringer's solution 1,000 ml to be infused over 10 hours. What is the correct gtts/minute setting for an IV administration set that delivers 60 gtts/ml?
• A nurse should assess which parameter to monitor the effectiveness of cyclosporine (Sandimmune) therapy?
• Which condition is loperamide hydrochloride (Imodium) used to treat?
• What is the primary purpose of prescribing ondansetron (Zofran) to a postoperative patient?
• Which is the priority nursing intervention for a patient experiencing a severe allergic reaction?
• A client receives a prescription for 0.9% normal saline with inamrinone 0.1 grams/100 ml at a rate of 400 mcg/minute. What is the correct ml/hour setting for the infusion pump?
• When monitoring a client taking pyridostigmine (Mestinon), which medication should the nurse ensure is available for potential cholinergic crisis?
• A client received 20 units of NPH insulin at 8:00 AM. When should the nurse check for hypoglycemia?
• When reinforcing instructions for methocarbamol (Robaxin), which statement indicates a need for further teaching?
• Which observation indicates that a client is following the medication plan for a tricyclic antidepressant?
• What should a nurse be cautious of when administering medications to older adults?
• A client undergoing treatment for rheumatoid arthritis is administered etanercept (Enbrel). What should the nurse prioritize assessing?
• A client with coronary artery disease receives nitroglycerin for chest pain. If the pain persists after 5 minutes, what should the nurse do next?
• What does the absence of deep tendon reflexes in a pregnant client receiving magnesium sulfate indicate?
• What symptom would indicate a toxic effect of daunorubicin in a patient?
• A loading dose of acetylcysteine is 8 grams. How many ml of diluent is needed to achieve a 1:4 concentration?
• A healthcare provider prescribes a continuous intravenous infusion of dextrose 5% and 0.45% sodium chloride with KCl 20 mEq/1000 ml to be delivered over 8 hours. How many ml/hour should the nurse program the infusion pump to deliver?
• What is the mechanism of action for ticlopidine hydrochloride?
• How many milliunits per minute is a client receiving when the oxytocin infusion is set at 30 ml/hour from a 1,000 ml solution with 20 units of Pitocin?
• In a child receiving iron supplements, which juice enhances absorption the most?
• A patient is prescribed a medication at 2 mg/kg for a patient weighing 50 kg. What is the total dose that should be given?
• A child requires Cephalexin (Keflex) 100 mg suspension qid. If the label states 125 mg in 5 ml, how many ml should the nurse administer per dose?
• If a healthcare provider orders an infusion at 5 mcg/kg/min for a 60 kg client, how many mcg/min will the client receive?
• A client’s aripiprazole prescription is increased from 15 mg to 30 mg. How many additional tablets should the nurse administer if one tablet has already been given?
• How long does it typically take for ticlopidine hydrochloride to reach its full effect?
• How many ml/hour should a nurse administer for Heparin Sodium 25,000 Units in 500 ml IV at 1,000 unit/hour after a decrease of 100 units/hour?
• What is the infusion rate in ml/hour for a client prescribed oxytocin (Pitocin) at 0.5 milliunits/minute from a 1,000 ml bag with 10 units?
• Which of the following is a common side effect of naloxone?
• What is a primary indication for the use of calcium gluconate?
• What common side effect should a nurse monitor for in a client prescribed ferrous sulfate?
• What dietary advice should the nurse provide to a client beginning treatment with disulfiram (Antabuse)?
• An IV infusion is to be administered over 4 hours. If the total volume is 400 ml, how many ml/hr should be delivered?
• Which laboratory value should the nurse note for a client with leukemia receiving chemotherapy?
• A client on a dopamine drip has a prescribed rate of 5 mcg/kg/min. If their weight is 80 kg, how many mcg should they receive per minute?
• When should the nurse suspect a need for further teaching regarding lisinopril?
• A nurse is advising a client on the side effects of scopolamine (Transderm-Scop). Which side effect should they emphasize?
• What should a client know about digoxin (Lanoxin) regarding pulse checks?
• Which medication is used to treat angina pectoris?
• A nurse is preparing to give an injection of 1.5 mg of a drug available in a concentration of 0.5 mg/ml. How many ml will the nurse need to administer?
• How should unopened vials of Humulin NPH insulin be stored according to nursing instructions?
• Which medication is indicated for the management of preeclampsia in pregnant clients?
• What is an important side effect to monitor for when a patient is taking antibiotics?
• A nurse monitors a client for potential side effects of which medication class often used for hypertension?
• A client weighing 72.4 kg is receiving an infusion of nitroprusside at 75 ml/hour. What is the dosage in mcg/kg/minute?
• Which laboratory result should be closely monitored in a client receiving zidovudine?
• Which factor is most critical when monitoring side effects of chemotherapy in a client?
• When prescribed cinoxacin (Cinobac), which documented finding should the nurse verify with the healthcare provider?
• Which instruction should a nurse provide to a client receiving sulfisoxazole?
• A client receiving nitrofurantoin (Macrodantin) reports side effects. Which side effect indicates the treatment should be stopped?
• What is the primary action of Tamoxifen in treating metastatic breast carcinoma?
• A dose of medication is prescribed as 1.5 grams, but it is available at 500 mg tablets. How many tablets should the nurse give?
• Which statement by a client prescribed cholestyramine indicates a need for further instructions?
• Which laboratory study is crucial for monitoring a client on clozapine (Clozaril)?
• The nurse is administering a Hepatitis B Vaccine labeled as 10 mcg/ml. How many ml should the nurse give for a 5 mcg dose?
• If a client is to receive 10 mg of prochlorperazine over 30 minutes in a 50 ml infusion, what rate should the infusion pump be programmed to?
• Which of the following is an acceptable response when monitoring a client's response to DMARDs?
• How should a nurse address pain management for a client receiving morphine sulfate?
• Which laboratory value should a nurse specifically monitor for a client receiving tamoxifen?
• A client taking phenelzine sulfate (Nardil) is advised to avoid which of the following foods?
• What is a primary nursing instruction for a client prescribed ticlopidine hydrochloride?
• A client with multiple sclerosis is prescribed Dantrolene at 0.1 grams. If Dantrolene is available in 100 mg capsules, how many capsules should the nurse administer?
• A client is prescribed basiliximab 20 mg IV before surgery, available in a 20 mg vial reconstituted with 5 ml. How many ml/hour should the infusion pump be set to?
• What effect does acetylcysteine have on the respiratory system?
• A client taking ticlopidine hydrochloride (Ticlid) should avoid which of the following medications?
• What instruction should be reinforced for a client prescribed saquinavir?
• What infusion rate should the nurse program for 0.5 grams of dobutamine in a 250 ml infusion at 5 mcg/kg/min for a client weighing 75 kg?
• Carbamazepine (Tegretol) is contraindicated in clients with which following health disorder?
• What finding would indicate a serious complication in a patient taking propranolol?
• What should the nurse monitor to assess the effectiveness of infliximab treatment in a client with Crohn's disease?
• A client with a gastrostomy feeding tube is to receive 3/4 strength Ensure 240 ml every 6 hours. How many ml of Ensure should be used to prepare the feeding?
• What is the therapeutic serum level range for digoxin that nurses should monitor?
• What does the nurse educate a client receiving hydrochlorothiazide about its potassium effect?
• When adjusting the heparin infusion due to a PTT of 76 seconds, what should the nurse program the pump to deliver in ml/hour?
• What symptom indicates a cholinergic crisis in a client with myasthenia gravis?
• For maximal effectiveness, when should chemical sunscreens be applied?
• What important aspect should be assessed prior to administering digoxin?
• What condition might indicate a serious side effect for a patient on stavudine?
• What is a possible side effect of taking ticlopidine hydrochloride?
• A nurse is monitoring a client taking metoprolol (Lopressor). If the client's BP is 122/78 mm/Hg and the AP is 58 beats/min, what should the nurse's action be?
• What should a nurse teach a newly diagnosed diabetes mellitus client regarding insulin injections?
• Which medication is most likely prescribed prophylactically for a child with spina bifida who has a neurogenic bladder?
• A client on nicotinic acid for hyperlipidemia makes a statement indicating understanding of the medication. Which statement is correct?
• What safety precaution should a nurse consider when administering isotretinoin to a female patient?
• When informing a client about salicylic acid for psoriasis treatment, which potential side effect should the nurse emphasize?
• Which intervention should the nurse include when administering ketoconazole for a client with candidiasis?
• When a client is on warfarin, which statement indicates the need for further teaching?
• A nurse suspects a patient taking propylthiouracil may have which condition?
• An order is for trimethoprim-sulfamethoxazole 120 mg BID, and the label shows 200 mg/5 ml. How many ml should the nurse administer per dose?
• What condition would prompt a nurse to question a prescription for sildenafil (Viagra)?
• When administering albuterol and beclomethasone dipropionate, which is the correct order for inhalation?
• What instruction should a nurse include for a client receiving sulfisoxazole?
• Which medication should a patient on ticlopidine hydrochloride inform their doctor about before taking?
• A client with acute muscle spasms has been taking baclofen (Lioresal). The client calls the clinic nurse about continuous feelings of weakness and fatigue and asks about discontinuing the medication. The nurse should respond with which appropriate response?
• While taking theophylline (Theo-24), the client should limit the intake of which substances?
• What laboratory test is necessary to monitor the therapeutic effect of heparin sodium?
• For a client receiving amoxicillin/clavulanate potassium (Augmentin) 500 mg every 8 hours, how many tablets should the nurse administer if each tablet contains 250 mg of amoxicillin?
• A nurse is reviewing the record of a client who has been prescribed baclofen (Lioresal). Which of the following disorders, if noted in the client's history, would alert the nurse to contact the health care provider?
• For a client with chronic renal failure receiving epoetin alfa (Epogen, Procrit), which laboratory result indicates a therapeutic effect?
• For a client with osteoporosis prescribed alendronate (Fosamax), which instruction is most appropriate?
• A client reports doubling their daily dosage of bupropion hydrochloride (Wellbutrin). What is the primary risk this client faces?
• When given docusate sodium (Colace) 0.3 grams, how many capsules are necessary if each capsule contains 100 mg?
• What indicates that a client is experiencing a cholinergic crisis after an edrophonium (Enlon) injection?
• What is vital for preventing complications in clients taking insulin?
• What is the infusion rate in mg/minute if a client is receiving 1 gram of amiodarone in 250 ml at a rate of 17 ml/hour?
• A client with Pneumocystis jiroveci infection receiving pentamidine develops a fever. What does this likely indicate?
• When applying mafenide acetate (Sulfamylon) for a burn injury, the client reports discomfort. What is the most appropriate nursing action?
• When should a client taking insulin check their blood sugar levels?
• A client receiving dopamine at 5 ml/hour has a concentration of 800 mg/500 ml. How many mcg/kg/minute is the client receiving?