Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is collecting data from a client who has hypertension and a prescription for propranolol.
A history of which of the following conditions should be reported to the provider?
A. Migraine
A rationale: Migraine is not a contraindication for propranolol. In fact, propranolol is often used to reduce the severity and frequency of migraine headaches.
B. Depression.
B rationale: Depression is not a contraindication for propranolol.
C. Glaucoma.
C rationale: Glaucoma is not a contraindication for propranolol.
D. Heart failure.
D rationale: Heart failure is a contraindication for propranolol. Propranolol is a non-selective beta blocker that can exacerbate heart failure.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Custom Cohert 6 Pharmacology Quiz 2 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Migraine is not a contraindication for propranolol. In fact, propranolol is often used to reduce the severity and frequency of migraine headaches.
Choice B rationale:
Depression is not a contraindication for propranolol.
Choice C rationale:
Glaucoma is not a contraindication for propranolol.
Choice D rationale:
Heart failure is a contraindication for propranolol. Propranolol is a non-selective beta blocker that can exacerbate heart failure.
Similar Questions
A nurse is reinforcing teaching with a client who has hypertension and is taking propranolol.
Which of the following statements by the client indicates an understanding of the teaching?.
A. "I should expect to develop a slight cough while taking this medication.”.
A rationale: Propranolol is a beta-blocker and does not typically cause a cough. This is more common with ACE inhibitors.
B. "I will sit on the side of the bed before I stand up.”.
B rationale: Propranolol can cause dizziness or lightheadedness, especially when getting up suddenly from a lying or sitting position. So, it’s important to sit on the side of the bed before standing up.
C. "I will not take my medicine if my heart rate is greater than 70/min.”.
C rationale: Propranolol can lower heart rate, but a heart rate greater than 70/min is normal and not a reason to stop taking the medication.
D. "I should weigh myself on the same day once a week.”.
D rationale: While regular weight monitoring is important for patients taking medications that can cause fluid retention, propranolol is not typically associated with this side effect.
Full Explanation
Choice A rationale:
Propranolol is a beta-blocker and does not typically cause a cough. This is more common with ACE inhibitors.
Choice B rationale:
Propranolol can cause dizziness or lightheadedness, especially when getting up suddenly from a lying or sitting position. So, it’s important to sit on the side of the bed before standing up.
Choice C rationale:
Propranolol can lower heart rate, but a heart rate greater than 70/min is normal and not a reason to stop taking the medication.
Choice D rationale:
While regular weight monitoring is important for patients taking medications that can cause fluid retention, propranolol is not typically associated with this side effect.
A nurse is collecting data from a client prior to administering nifedipine.
For which of the following findings should the nurse contact the provider?.
A. BP of 148/94 mm Hg
A blood pressure of 148/94 mm Hg is elevated, but it is not an immediate contraindication for administering nifedipine. Nifedipine is often used to treat hypertension.
B. Peripheral edema of the ankles.
Peripheral edema is a common side effect of nifedipine and can indicate worsening fluid retention. The nurse should contact the provider to assess the need for adjusting the medication or implementing additional interventions.
C. Heart rate of 66/min.
A heart rate of 66/min is within the normal range (60-100/min) and does not require immediate action before administering nifedipine.
D. Increased alkaline phosphatase level.
An increased alkaline phosphatase level can indicate liver or bone disease, but it is not directly related to the administration of nifedipine. However, it should be monitored and discussed with the provider.
Full Explanation
The correct answer is choice B. Peripheral edema of the ankles.
Choice A rationale:
A blood pressure of 148/94 mm Hg is elevated, but it is not an immediate contraindication for administering nifedipine. Nifedipine is often used to treat hypertension.
Choice B rationale:
Peripheral edema is a common side effect of nifedipine and can indicate worsening fluid retention. The nurse should contact the provider to assess the need for adjusting the medication or implementing additional interventions.
Choice C rationale:
A heart rate of 66/min is within the normal range (60-100/min) and does not require immediate action before administering nifedipine.
Choice D rationale:
An increased alkaline phosphatase level can indicate liver or bone disease, but it is not directly related to the administration of nifedipine. However, it should be monitored and discussed with the provider.
A nurse is reviewing the components of medication reconciliation with a newly licensed nurse.
Which of the following information should the nurse include in the teaching?.
A. "The list obtained from the client does not need to list medications that are not prescribed by the client's provider.”
A rationale: The list obtained from the client should include all medications the client is taking, regardless of who prescribed them.
B. "Complete the reconciliation process one time when the client is first admitted to the hospital.”.
B rationale: The reconciliation process should be completed at each transition of care, not just at admission.
C. "A comprehensive list of medications is provided for the client at the time of discharge.”.
C rationale: Providing a comprehensive list of medications at discharge is a key component of medication reconciliation.
D. "A nurse should write a verbal order in the medical record for medications the client was taking at home.”. .
D rationale: Nurses should not write verbal orders for medications. This is the responsibility of the provider.
Full Explanation
Choice A rationale:
The list obtained from the client should include all medications the client is taking, regardless of who prescribed them.
Choice B rationale:
The reconciliation process should be completed at each transition of care, not just at admission.
Choice C rationale:
Providing a comprehensive list of medications at discharge is a key component of medication reconciliation.
Choice D rationale:
Nurses should not write verbal orders for medications. This is the responsibility of the provider.