1 :

Hint : Convert lb to kg → calculate mg → convert to mL.

Correct Answers:

  • 7.5


Rationale :
132 lb ÷ 2.2 = 60 kg 60 kg × 50 mg = 3000 mg/day ÷ 4 doses = 750 mg/dose 750 mg ÷ 100 mg/mL = 7.5 mL

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2 :

Hint : Weight → dose → convert to mL.

Correct Answers:

  • 1.5


Rationale :
198 lb ÷ 2.2 = 90 kg 90 kg × 5 mcg = 450 mcg ÷ 300 mcg/mL = 1.5 mL

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3 :

Hint : Urticaria = itchy allergy alert.

Correct Answers:

  • Urticarial


Rationale :

🕹Urticaria(hives) is a classic early sign of an allergic reaction to penicillin G. It is characterized by raised, red, itchy wheals on the skin.

♦When giving Penicillin G, the nurse must stay alert for skin changes that might signal the onset of hypersensitivity reaction.

📌Pallor may accompany circulatory changes but isn't a primary allergic sign. Dyspepsia relates to digestion, not allergy


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4 :

Hint : Lithium + low Na+ = toxicity risk.

Correct Answers:

  • Hyponatremia


Rationale :
Lithium and sweating from exercise can cause sodium loss → hyponatremia.

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5 :

Hint : Metro = anaerobic killer.

Correct Answers:

  • Endocarditis


Rationale :
Metronidazole is used for infections like endocarditis caused by anaerobic bacteria.

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6 :

Hint : Gum issue = soft diet.

Correct Answers:

  • "l will consume foods that are soft or semisolid."


Rationale :
Soft foods reduce irritation in clients with gingivitis.

Distractor Analysis :

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7 :

Hint : DI treatment = pee less.

Correct Answers:

  • Decrease in urine output


Rationale :
Desmopressin reduces urine volume in diabetes insipidus—therapeutic response.

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8 :

Hint : Dizziness? Think BP & rhythm.

Correct Answers:

  • Advise the client to change positions slowly.
  • Check the client for orthostatic hypotension.
  • Monitor the client for dysrhythmias


Rationale :
These assess and manage the effects of potential hypotension.

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9 :

Hint : Epidural = watch BP closely.

Correct Answers:

  • Hypotension


Rationale :
Hypotension is a common and serious adverse effect of epidural anesthesia.

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10 :

Hint : Parkinson’s meds = nausea, dyskinesia, orthostatic hypotension, food effect.

Correct Answers:

  • "Consumption of a high protein meal can reduce the effectiveness of the medication."
  • you may initially notice an increase in involuntary movements."
  • "You can experience vivid nightmares."
  • "The medication can cause nausea, so take with a meal"
  • "This medication can make you light-headed if you stand up too quickly trom a seated or lying position."


Rationale :
Levodopa/carbidopa (common for Parkinson's) has these known effects.

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Total Questions: 10

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