Clinical Nursing Pharmacology Final Exam - 927 Verified Questions

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Clinical Nursing Pharmacology

Final Exam

Course Introduction

Clinical Nursing Pharmacology provides nursing students with an in-depth understanding of pharmacological principles and their application in clinical practice. The course covers the mechanisms of drug action, pharmacokinetics, and pharmacodynamics, while emphasizing the safe administration of medications across diverse patient populations. Students learn to assess, monitor, and educate patients regarding medication therapies, recognize adverse reactions, and integrate evidence-based practices into medication management. Special attention is given to legal, ethical, and cultural considerations in pharmacological care, preparing students to make informed, patient-centered decisions in various healthcare settings.

Recommended Textbook

Study Guide for Pharmacology A Patient Centered Nursing Process Approach 9th Edition by McCuistion

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55 Chapters

927 Verified Questions

927 Flashcards

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Chapter 1: Drug Development and Ethical Considerations

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Sample Questions

Q1) A patient receives a prescription on which the provider has noted that a generic medication may be given.The patient asks the nurse what this means.What will the nurse tell the patient about generic drugs?

A) They contain the same inert ingredients as brand-name drugs.

B) They have chemical structures that are identical to proprietary drugs.

C) They tend to be less expensive than brand-name drugs.

D) They undergo extensive testing before they are marketed.

Answer: C

Q2) A clinical drug trial is concluding a study of pharmacokinetics and safety of a drug in healthy individuals.The nurse will assist enrollment of participants into the next phase of the study and will include which subjects?

A) Healthy subjects

B) Healthy and ill subjects

C) Subjects with the disease the drug will treat

D) Subjects with other diseases

Answer: C

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3

Chapter 2: Pharmacokinetics,Pharmacodynamics,and Pharmacogenetics

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Sample Questions

Q1) The nurse is preparing to administer a drug that is eliminated through the kidneys.The nurse reviews the patient's chart and notes that the patient has increased serum creatinine and blood urea nitrogen (BUN).The nurse will perform which action?

A) Administer the drug as ordered.

B) Anticipate a shorter than usual half-life of the drug.

C) Expect decreased drug effects when the drug is given.

D) Notify the provider and discuss giving a lower dose.

Answer: D

Q2) The nurse is preparing to administer two IV medications that should not be given using the same IV tubing.The nurse understands that this is because of drug

A) adverse reactions.

B) incompatibility.

C) interactions.

D) potentiation.

Answer: B

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Chapter 3: Cultural Considerations

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Sample Questions

Q1) The nurse is caring for an African-American patient who is taking warfarin (Coumadin)to prevent blood clots.The nurse will monitor this patient carefully for which effect?

A) Decreased therapeutic effects

B) Heightened risk for hemorrhage

C) Increased risk of hypersensitivity

D) Potential risk of paradoxical effects

Answer: A

Q2) The nurse is performing a pain assessment on a patient of Asian descent.The patient does not describe the pain when asked to do so and looks away from the nurse.What will the nurse do next?

A) Ask the patient's family member to evaluate the patient's pain.

B) Conclude that the patient's pain is minimal.

C) Evaluate the patient's nonverbal pain cues.

D) Suspect that the patient is experiencing severe pain.

Answer: C

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Chapter 4: Complementary and Alternative Therapies

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Sample Questions

Q1) The nurse is counseling a female patient who reports taking ginger to treat postoperative nausea.Which statement by the patient indicates understanding of the teaching?

A) "I should experience immediate effects with this herb."

B) "The benefits of taking ginger for postoperative nausea have not been proven."

C) "I should take ginger with nonsteroidal antiinflammatory drugs (NSAIDs) to enhance its effects."

D) "If I develop gastrointestinal (GI) upset, I should stop taking ginger immediately."

Q2) The nurse is providing preoperative education to a patient who will have surgery in several weeks.The patient denies taking anticoagulant medications but reports using herbal supplements.Which herb would cause the nurse to be concerned?

A) Echinacea

B) Ginkgo biloba

C) Kava

D) Sage

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6

Chapter 5: Pediatric Considerations

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Q1) A 2-year-old child will receive several doses of an intramuscular medication.The nurse caring for this child will use which intervention to help the child cope with this regimen?

A) Allowing the child to give "pretend" shots to a doll with an empty syringe

B) Allowing the child to select a Band-Aid to wear after each medication is given

C) Ensuring privacy while giving the medication

D) Explaining that the medicine will help the child to feel better

Q2) The nurse assumes care for an infant who is showing signs of drug toxicity to a drug given several hours prior.The nurse checks the dose and confirms that the dose is consistent with standard dosing guidelines.Which characteristic of the drug will likely explain this response in this patient?

A) It is acidic.

B) It is highly protein-bound.

C) It is not fat-soluble.

D) It is water-soluble.

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Chapter 6: Geriatric Considerations

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Sample Questions

Q1) The nurse is caring for an older patient who is taking 25 mg per day of hydrochlorothiazide.The nurse will closely monitor which lab value in this patient?

A) Coagulation studies

B) White blood count

C) LFTs

D) Serum potassium

Q2) An older patient takes ibuprofen for arthritis pain.The patient tells the nurse that the ibuprofen causes GI upset.Which action will the nurse take with this patient?

A) Ask the provider about having the patient take a different medication.

B) Instruct the patient to cut the ibuprofen dose in half to avoid GI upset.

C) Explain that all drugs have adverse effects.

D) Explore options to help decrease the drug side effects.

Q3) To assist an older,confused patient to adhere to a multidrug regimen,the nurse will provide which recommendation?

A) Avoid the use of OTC medications.

B) Bring all medications to each clinic visit.

C) Review the manufacturer's information insert about each medication.

D) Save money by getting each drug at the pharmacy with the lowest price.

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Chapter 7: Drugs of Abuse

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Sample Questions

Q1) A patient is brought to the emergency department by a family member.The patient reports seeing colored lights and describes feeling bugs crawling under the skin.The nurse suspects that this patient is abusing which drug?

A) Alcohol

B) Cocaine

C) Lysergic acid diethylamide (LSD)

D) Oxycodone

Q2) A patient who has a long history of alcohol abuse is admitted to the hospital for detoxification.In addition to medications needed to treat withdrawal symptoms,the nurse will anticipate giving intravenous

A) dopamine to restore blood pressure.

B) fluid boluses to treat dehydration.

C) glucose to prevent hypoglycemia.

D) thiamine to treat nutritional deficiency.

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Chapter 8: The Nursing Process and Patient-Centered Care

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Sample Questions

Q1) The nurse is preparing to administer a medication and reviews the patient's chart for drug allergies,serum creatinine,and blood urea nitrogen (BUN)levels.The nurse's actions are reflective of which phase of the nursing process?

A) Assessment

B) Evaluation

C) Implementation

D) Planning

Q2) The nurse reviews a patient's database and learns that the patient lives alone,is forgetful,and does not have an established routine.The patient will be sent home with three new medications to be taken at different times of the day.The nurse develops a daily medication chart and enlists a family member to put the patient's pills in a pill organizer.This is an example of which phase of the nursing process?

A) Assessment

B) Evaluation

C) Implementation

D) Planning

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Chapter 9: Safety and Quality

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Sample Questions

Q1) The school nurse happens to observe a child pulling a pill out of a backpack and preparing to take it.What action will the nurse take?

A) Ask the child to describe the medication, dose, and reason for taking it.

B) Ask the child to keep all the pills in the nurse's office.

C) Call the child's provider for a telephone order to give the medication.

D) Contact the child's parent to request a properly labeled prescription.

Q2) The nurse is caring for a 20-kg child who is ordered to receive amoxicillin 400 mg per os (PO)TID for 10 days.The nurse reviews the drug information and notes that the correct dose of amoxicillin is 40 to 50 mg/kg/day in two to three divided doses.Which action by the nurse is correct?

A) Adjust the drug dose based on drug manufacturer dosing information.

B) Administer the medication as ordered.

C) Ask the pharmacist to double check that the dose is correct.

D) Contact the provider and ask whether the drug should be given twice daily (BID) instead of TID.

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Chapter 10: Drug Administration

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Sample Questions

Q1) The nurse is teaching a patient about using sublingual nitroglycerin at home.Which statement by the patient indicates understanding of the teaching?

A) "I may put the tablet in food if I don't like the taste."

B) "I may take a sip of water after placing the tablet in my mouth."

C) "I will place the tablet between my cheek and gum."

D) "I will place the tablet under my tongue and let it absorb."

Q2) A patient asks the nurse why the provider has ordered a transdermal form of a medication.How will the nurse respond?

A) "The patch can always be cut when dosage adjustments are needed."

B) "Drug levels fluctuate less with the patch."

C) "There are fewer systemic side effects with transdermal patches."

D) "There is less risk of toxicity when using a patch."

Q3) The nurse is demonstrating the Z-track injection technique to a nursing student on a patient who is receiving iron dextran.Which statement by the student indicates understanding of the teaching?

A) "This is necessary to prevent staining of the patient's skin."

B) "This technique allows slower, more sustained absorption."

C) "You may use the deltoid site when using this method."

D) "I should use a 27-gauge needle to minimize discomfort with this method."

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Page 12

Chapter 11: Drug Calculations

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Sample Questions

Q1) Order: trihexyphenidyl hydrochloride (Artane)6 mg,PO,twice daily

Available: trihexyphenidyl hydrochloride (Artane)2 mg tablets

How many tablet(s)will the patient receive on a daily basis?

Q2) Order: digoxin (Lanoxin),PO,62.5 mcg,daily

Available: Lanoxin 0.125-mg tablets

How many mg will the patient receive per day?

Q3) Order: cefuroxime axetil (Ceftin)200 mg,PO,b.i.d.

Available: Ceftin 250 mg/5 mL

How many mL will the patient receive per dose?

Q4) Order: midazolam (Versed)3 mg,IM,STAT

Available: Versed 5 mg/1 mL

How many mL will be given?

Q5) Order: chlorpromazine (Thorazine)12.5 mg,IM (deep),STAT

Available: chlorpromazine (Thorazine)25 mg/1 mL

How many mL will be given?

Q6) Order: Augmentin 500 mg,PO,q8h

Available: amoxicillin-pot clavulanate 250-125 mg tablet

How many tablet(s)will be given per dose?

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Chapter 12: Fluid Volume and Electrolytes

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Sample Questions

Q1) The nurse is caring for a patient who will receive intravenous calcium gluconate.Which nursing actions are appropriate when giving this solution?

A) Administering through a central line

B) Assessing for Trousseau and Chvostek signs

C) Giving as a rapid intravenous bolus

D) Mixing in a solution containing sodium bicarbonate

E) Monitoring the patient's electrocardiogram (ECG)

F) Reporting a serum calcium level of >2.5 mEq/L

Q2) The nurse is performing an assessment on a patient brought to the emergency department for treatment for dehydration.The nurse assesses a respiratory rate of 26 breaths/minute,a heart rate of 110 beats/minute,a blood pressure of 86/50 mm Hg,and a temperature of 39.5° C.The patient becomes dizzy when transferred from the wheelchair to a bed.The nurse notes cool,clammy skin.Which diagnosis does the nurse suspect?

A) Fluid volume deficit (FVD)

B) Fluid volume excess (FVE)

C) Mild extracellular fluid (ECF) deficit

D) Renal failure

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14

Chapter 13: Vitamin and Mineral Replacement

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Sample Questions

Q1) The nurse is teaching a patient about water-soluble vitamins.Which statement by the patient indicates understanding of the teaching?

A) "Water-soluble vitamins are excreted in the urine."

B) "Water-soluble vitamins are generally toxic."

C) "Water-soluble vitamins are highly protein bound."

D) "Water-soluble vitamins are usually metabolized in the liver."

Q2) The nurse is caring for a patient who has a history of chronic alcohol abuse.The patient is confused and exhibits nystagmus and blurred vision.Which vitamin will the nurse expect to administer to this patient?

A) Nicotinic acid

B) Pyridoxine

C) Riboflavin

D) Thiamine

Q3) Supplementation with which fat-soluble vitamin should a patient discuss with a provider before having surgery?

A) Vitamin A

B) Vitamin D

C) Vitamin E

D) Vitamin K

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Page 15

Chapter 14: Nutritional Support

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Sample Questions

Q1) The nurse is caring for an adult with severe burns who weighs 60 kg.Prior to initiating total parenteral nutrition (TPN)therapy,the nurse reviews the orders.Which TPN order is correct for this patient?

A) 3000 kcal, 120 g amino acids per day

B) 2400 kcal, 50 g amino acids per day

C) 1500 kcal, 100 g amino acids per day

D) 3600 kcal, 150 g amino acids per day

Q2) The nurse assumes care for a patient who is being treated with enteral feeding.When performing the initial assessment,the nurse finds the patient supine and asleep.The nurse will perform which action?

A) Elevate the head of the bed 30 degrees.

B) Flush the tubing with water.

C) Position the patient to the left side.

D) Temporarily discontinue the infusion.

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16

Chapter 15: Adrenergic Agonists and Antagonists

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Sample Questions

Q1) The nurse administers subcutaneous epinephrine to a patient who is experiencing an anaphylactic reaction.The nurse should expect to monitor the patient for which symptom?

A) Bradycardia

B) Decreased urine output

C) Hypotension

D) Nausea and vomiting

Q2) The patient has been ordered to receive Sudafed to treat nasal congestion.The nurse performing an admission assessment learns that the patient has diabetes mellitus.What action is appropriate for the nurse to take?

A) Administer the medication as ordered.

B) Contact the provider to discuss a lower dose.

C) Give the medication and monitor serum glucose closely.

D) Hold the medication and contact the provider.

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Chapter 16: Cholinergic Agonists and Antagonists

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Sample Questions

Q1) The nurse is teaching a patient who is going on a cruise about the use of transdermal scopolamine.What information will the nurse include when teaching this patient?

A) "Apply the patch as needed for nausea and vomiting."

B) "Apply the patch to your upper arm."

C) "Change the patch every 3 days."

D) "Restrict fluids while using this patch."

Q2) A patient who has Parkinson disease will begin treatment with benztropine (Cogentin).Which symptom of Parkinson disease would be a contraindication for this drug?

A) Drooling

B) Muscle rigidity

C) Muscle weakness

D) Tardive dyskinesia

Q3) A patient who has irritable bowel syndrome would most likely receive which type of drug to treat this condition?

A) An anticholinergic

B) A cholinergic esterase inhibitor

C) A muscarinic agent

D) A nicotinic agent

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Chapter 17: Stimulants

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Sample Questions

Q1) A patient reports difficulty staying awake during the daytime in spite of getting adequate sleep every night.Which medication will the nurse expect the provider to order for this patient?

A) Caffeine (NoDoz)

B) Dexmethylphenidate HCl

C) Modafinil (Provigil)

D) Theophylline

Q2) A patient has been using an amphetamine drug as an anorexiant for several weeks and asks the nurse about long-term adverse effects of this type of medication.The nurse will explain to the patient that these drugs

A) can cause cardiac dysrhythmias with continued use.

B) contribute to the development of narcolepsy.

C) do not have severe effects when used properly.

D) will cause orthostatic hypotension.

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Chapter 18: Depressants

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Sample Questions

Q1) Children who experience nightmares have these during which stage of sleep?

A) Early morning sleep

B) Non rapid eye movement (NREM) sleep

C) Rapid eye movement (REM) sleep

D) Sleep induction

Q2) The nurse is teaching a patient who will begin taking butabarbital (Butisol).What information will the nurse include when teaching this patient?

A) "Avoid alcohol while taking this drug."

B) "This drug may be used long term."

C) "This medication will take effect immediately."

D) "You will not experience a hangover effect."

Q3) A patient describes having vivid dreams to the nurse.The nurse understands that these occur during which stage of sleep?

A) Rapid eye movement (REM) sleep

B) Stage 2 non rapid eye movement sleep

C) Stage 3 non rapid eye movement sleep

D) Stage 4 non rapid eye movement sleep

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Chapter 19: Antiseizure Drugs

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Sample Questions

Q1) A patient has recently begun taking phenytoin (Dilantin)for a seizure disorder.The nurse notes a reddish-brown color to the patient's urine.Which action will the nurse take?

A) Ask the provider to order a serum drug level.

B) Reassure the patient that this is a harmless side effect.

C) Report possible thrombocytopenia to the provider.

D) Request an order for a urinalysis and creatinine clearance.

Q2) A woman who is pregnant is taking an anticonvulsant medication to treat a seizure disorder.The nurse will ensure that the patient takes which dietary supplement toward the end of her pregnancy?

A) Vitamin D

B) Iron

C) Vitamin C

D) Vitamin K

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21

Chapter 20: Drugs for Parkinson Disease and Alzheimer Disease

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Sample Questions

Q1) A nursing student asks the nurse to differentiate the pathology of Alzheimer disease from that of Parkinson disease.Which description is correct?

A) Alzheimer disease involves a possible excess of acetylcholine and neuritic plaques.

B) Alzheimer disease is caused by decreased amounts of dopamine and degeneration of cholinergic neurons.

C) Parkinson disease is characterized by an imbalance of dopamine and acetylcholine.

D) Parkinson disease involves increased dopamine production and decreased acetylcholine.

Q2) The nurse is teaching a family member about an elderly parent's new prescription for tacrine (Cognex)to treat Alzheimer disease (AD).The family member asks what to expect from this drug.The nurse will respond that the patient will A) demonstrate improved ambulation.

B) have reversal of all symptoms.

C) have decreased deterioration of cognition.

D) show improved communication ability.

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22

Chapter 21: Drugs for Neuromuscular Disorders and Muscle Spasms

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Sample Questions

Q1) A patient reports weakness of the extremities and diplopia.The nurse knows that these symptoms are characteristic of which condition?

A) Cerebral palsy (CP)

B) Multiple sclerosis (MS)

C) Myasthenia gravis (MG)

D) Parkinson disease (PD)

Q2) The nurse is caring for a patient who has recurrent muscle spasms.The provider has ordered metaxalone (Skelaxin)to treat the spasms.The nurse learns that the patient has a history of drug and alcohol abuse.The nurse will contact the provider to discuss switching this patient to which medication?

A) Carisoprodol (Soma)

B) Chlorzoxazone (Parafon forte DSC)

C) Cyclobenzaprine (Flexeril)

D) Methocarbamol (Robaxin)

Q3) Which muscle relaxant is used in surgery as a skeletal muscle relaxant?

A) Baclofen (Lioresal)

B) Chlorzoxazone (Parafon forte)

C) Pancuronium bromide (Pavulon)

D) Methocarbamol (Robaxin)

Page 23

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Chapter 22: Antipsychotics and Anxiolytics

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Sample Questions

Q1) The nurse is teaching a patient about taking an anxiolytic agent to treat grief-related anxiety.Which statement by the patient indicates understanding of the teaching?

A) "I may have wine with dinner to help with relaxation."

B) "I may need to take this medication for up to a year."

C) "I may stop taking the medication when my symptoms go away."

D) "I should try psychotherapy or a support group in addition to the medication."

Q2) The nurse is caring for a patient who has begun taking chlorpromazine HCl (Thorazine)75 mg BID to treat schizophrenia.A family member tells the nurse that the patient's agitation,hallucinations,and delusional symptoms have improved,but the patient continues to withdraw from social interaction and won't bathe unless reminded to do so.The nurse will tell the family member that

A) all symptoms will eventually resolve over time with this medication.

B) the patient may need an increased dose of the antipsychotic medication.

C) these results may indicate that the patient does not have schizophrenia.

D) they should consider discussing adding another medication.

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Chapter 23: Antidepressants and Mood Stabilizers

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Q1) A patient who has a major depressive disorder has been taking fluoxetine (Prozac)20 mg daily for 3 months and reports improved mood,less fatigue,and an increased ability to concentrate.The patient's side effects have diminished.What will the nurse counsel this patient to discuss with the provider?

A) Changing to once-weekly dosing

B) Decreasing the dose to 10 mg daily

C) Discontinuing the medication

D) Increasing the dose to 30 mg daily

Q2) The nurse is teaching a patient who will begin taking doxepin (Sinequan)to treat depression.Which statement by the patient indicates a need for further teaching?

A) "I should expect results within 2 to 4 weeks."

B) "I should increase fluids and fiber while taking this medication."

C) "I should take care when rising from a sitting to standing position."

D) "I will take the medication in the morning before breakfast."

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Chapter 24: Antiinflammatories

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Q1) The nurse provides teaching for a patient who will begin taking indomethacin (Inderal)to treat rheumatoid arthritis.Which statement by the patient indicates a need for further teaching?

A) "I should limit sodium intake while taking this drug."

B) "I should take indomethacin on an empty stomach."

C) "I will need to check my blood pressure frequently."

D) "I will take the medication twice daily."

Q2) The nurse is performing a health history on a patient who has arthritis.The patient reports tinnitus.Suspecting a drug adverse effect,the nurse will ask the patient about which medication?

A) Aspirin (Bayer)

B) Acetaminophen (Tylenol)

C) Anakinra (Kineret)

D) Prednisone (Deltasone)

Q3) Which antigout medication is used to treat chronic tophaceous gout?

A) Allopurinol (Zyloprim)

B) Colchicine

C) Probenecid (Benemid)

D) Sulfinpyrazone (Anturane)

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Page 26

Chapter 25: Analgesics

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Sample Questions

Q1) The nurse is performing an admission assessment on an adolescent who reports taking extra-strength acetaminophen (Tylenol)regularly to treat daily headaches.The nurse will notify the patient's provider and discuss an order for A) a selective serotonin receptor agonist (SSRA).

B) hydrocodone with acetaminophen for headache pain.

C) liver enzyme tests.

D) serum glucose testing.

Q2) The nurse is caring for a patient who was admitted with a fractured leg and for observation of a closed head injury after a motor vehicle accident.The patient reports having pain at a level of 3 on a 1 to 10 pain scale.The nurse will expect the provider to order which analgesic medication for this patient?

A) Acetaminophen (Tylenol) PO

B) Hydromorphone HCl (Dilaudid) IM

C) Morphine sulfate PCA

D) Transdermal fentanyl (Duragesic)

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Chapter 26: Antibacterials

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Q1) The nurse is providing discharge teaching for a patient who will receive oral levofloxacin (Levaquin)to treat pneumonia.The patient takes an oral hypoglycemic medication and uses over-the-counter (OTC)antacids to treat occasional heartburn.The patient reports frequent arthritis pain and takes acetaminophen when needed.Which statement by the nurse is correct when teaching this patient?

A) "You may take antacids with levofloxacin to decrease gastrointestinal upset."

B) "You may take nonsteroidal anti-inflammatory medications (NSAIDs) for arthritis pain."

C) "You should monitor your serum glucose more closely while taking levofloxacin."

D) "You should take levofloxacin on an empty stomach to improve absorption."

Q2) The nurse is caring for a patient who is taking trimethoprim-sulfamethoxazole (TMP-SMX).The nurse learns that the patient takes an angiotensin-converting enzyme (ACE)inhibitor.To monitor for drug interactions,the nurse will request an order for which laboratory test(s)?

A) A complete blood count

B) BUN and creatinine

C) Electrolytes

D) Glucose

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Chapter 27: Antituberculars,Antifungals,and Antivirals

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Sample Questions

Q1) The nurse is teaching a patient about rifampin.Which statement by the patient indicates understanding of the teaching?

A) "I should not wear soft contact lenses while taking rifampin."

B) "I will need regular eye examinations while taking this drug."

C) "I will report orange urine to my provider immediately."

D) "I understand that renal toxicity is a common adverse effect."

Q2) A patient who has oral candidiasis will begin using nystatin suspension to treat the infection.What information will the nurse include when teaching this patient?

A) "Coat the buccal mucosa with the drug and then rinse your mouth."

B) "Put the pill under the tongue and let it dissolve."

C) "Mix the suspension with 4 ounces of water and then drink it."

D) "Swish the liquid in your mouth and then swallow after a few minutes."

Q3) A patient who takes an oral sulfonylurea medication will begin taking fluconazole (Diflucan).The nurse will expect to monitor which lab values in this patient?

A) Blood urea nitrogen (BUN) and creatinine

B) Electrolytes

C) Fluconazole levels

D) Glucose

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29

Chapter 28: Peptides,antimalarials,and Anthelmintics

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) A patient who has traveled to an area with prevalent malaria has chills,fever,and diaphoresis.The nurse recognizes this as which phase of malarial infection?

A) An erythrocytic phase

B) An incubation phase

C) A prodromal phase

D) A tissue phase

Q2) The nurse is teaching a patient who is receiving chloroquine (Aralen)for malaria prophylaxis.Which statement by the patient indicates a need for further teaching?

A) "I may experience hair discoloration while taking this drug."

B) "I should not take this drug with lemon juice."

C) "I should use sunscreen while taking this drug."

D) "If I have gastrointestinal upset, I should take an antacid."

Q3) A patient who is taking metronidazole (Flagyl)reports metallic taste in the mouth.Which action will the nurse take?

A) Obtain an order for BUN and creatinine levels.

B) Reassure the patient that this is a harmless effect.

C) Request an order for a urinalysis.

D) Test her urine for occult blood.

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Chapter 29: HIV- and Aids-Related Drugs

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) A patient who is newly diagnosed with HIV infection after a recent exposure calls to report fever,sore throat,myalgia,and night sweats.The nurse will notify the provider that this patient is most likely experiencing

A) acute retroviral syndrome.

B) AIDS.

C) an increased viral load.

D) an opportunistic infection.

Q2) A patient who will begin antiretroviral therapy reports having trouble sticking with drug regimens in the past.Which action will the nurse take?

A) Ask the patient's family members to administer the medications.

B) Avoid discussing adverse effects to prevent focus on negative aspects of ART.

C) Give a detailed list of medications and stress the need to adhere to the schedule.

D) Offer written and verbal information about each drug's purpose.

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Chapter 30: Transplant Drugs

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6 Verified Questions

6 Flashcards

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Sample Questions

Q1) The patient tells the nurse that he understands that transplant rejection may happen and asks what can be done to minimize that risk.What will the nurse include in the teaching?

A) "An anti-T-cell antibody is used in conjunction with corticosteroid therapy."

B) "ATG rabbit is used regardless of WBC count."

C) "Transplant rejection drugs have unwanted side effects, but none are deadly."

D) "Caution needs to be taken when other immunosuppressant drugs are administered."

Q2) The patient on immunosuppressant medications is speaking to the nurse about appropriate activities.Which statement requires intervention?

A) "I am going to the state fair with my friends."

B) "I enjoy working in my garden to relax."

C) "I will brush my teeth after meals."

D) "It's OK to eat fresh fruits and vegetables."

E) "I should get a new glass, if the one I am drinking from has been sitting out."

F) "I should bath daily, using an antimicrobial soap."

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Chapter 31: Vaccines

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) A young adult patient is in the clinic to receive a tetanus vaccine after sustaining a laceration injury.The nurse learns that the patient,who works in a day care center,has not had any vaccines for more than 10 years.Which vaccine will the nurse expect to administer?

A) DT

B) DTaP

C) Td

D) Tdap

Q2) A 4-year-old child is receiving amoxicillin (Amoxil)to treat otitis media and is in the clinic for a well-child checkup on the last day of antibiotic therapy.The provider orders varicella (Varivax); measles-mumps-rubella (MMR); inactivated polio (IPV); and diphtheria,tetanus,and acellular pertussis (DTaP)vaccines to be given.Which action by the nurse is correct?

A) Administer the vaccines as ordered.

B) Discuss giving the MMR vaccine in 4 weeks.

C) Hold all vaccines until 2 weeks after antibiotic therapy.

D) Recommend aspirin for fever and discomfort.

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Page 33

Chapter 32: Anticancer Drugs

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12 Flashcards

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Sample Questions

Q1) The nurse is caring for a patient who is receiving intravenous (IV)mechlorethamine (Mustargen).The patient reports pain at the IV site,and the nurse assesses swelling and pallor at the site.What action will the nurse take?

A) Administer an analgesic medication.

B) Apply a warm compress to the site.

C) Slow the infusion and notify the provider.

D) Stop the infusion immediately.

Q2) An oncology home care nurse is preparing to administer a chemotherapeutic agent to a patient at the patient's home.What precautions will the nurse take while administering the IV chemotherapeutic agent?

A) Clear a counter space for preparation of the solution.

B) Don a surgical mask while administering the drug.

C) Take surgical scrubs to wear during the infusion.

D) Wear an impermeable, disposable gown when hanging the drug.

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Chapter 33: Targeted Therapies to Treat Cancer

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9 Flashcards

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Sample Questions

Q1) The nurse is preparing to administer intravenous temsirolimus (Torisel).To prevent a common adverse drug effect,the nurse will expect to administer which type of drug?

A) An antibiotic

B) An anticoagulant

C) An antiemetic

D) An antihistamine

Q2) A patient who has metastatic colorectal cancer tells the nurse that a cousin who had colorectal cancer received bevacizumab (Avastin)and wonders why this drug is not given to her.The nurse will explain that her cancer cells do not have

A) significant HER2 receptors.

B) epidermal growth factor receptor-tyrosine kinase.

C) the BRCA1 suppressor gene.

D) vascular endothelial growth factor (VEGF) proteins.

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Chapter 34: Biologic Response Modifiers

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Sample Questions

Q1) Prior to administration of interferon alpha,the nurse will administer which medications?

A) Acetaminophen and diphenhydramine

B) Heparin and meperidine

C) Lorazepam and furosemide

D) Narcotic analgesics and loratadine

Q2) A patient is receiving interferon alpha (Roferon-A)subcutaneously.The patient experiences chills,fatigue,and malaise,and the nurse assesses a temperature of 102° F.The nurse will notify the provider of the temperature and will anticipate which order?

A) Administer acetaminophen (Tylenol).

B) Change to intravenous (IV) interferon alpha.

C) Give diphenhydramine (Benadryl).

D) Obtain a serum blood urea nitrogen (BUN) and creatinine level.

Q3) A patient receiving interferon experiences confusion,somnolence,and aphasia.The nurse will perform which action?

A) Discontinue the medication immediately.

B) Inform the family that these symptoms may persist for years.

C) Reassure the patient that these side effects are reversible.

D) Request an order for lorazepam.

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Page 36

Chapter 35: Upper Respiratory Disorders

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) A patient with COPD who has a persistent nonproductive cough asks about a medication that will not cause sedation.The nurse will encourage the patient to discuss which medication with the provider?

A) Benzonatate HCl (Tessalon Perles)

B) Dextromethorphan hydrobromide (Benylin DM)

C) Guaifenesin and codeine

D) Promethazine with dextromethorphan

Q2) A patient is admitted to the hospital after developing pneumonia.During the admission assessment,the patient reports having used a nasal decongestant spray for the past few weeks but thinks the nasal congestion is getting worse.The nurse will

A) request an order for a systemic decongestant medication.

B) request an order so the patient can continue to use the decongestant spray.

C) tell the patient the congestion will clear up after stopping the spray.

D) tell the patient to increase oral fluid intake.

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Chapter 36: Lower Respiratory Disorders

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15 Flashcards

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Sample Questions

Q1) The nurse is caring for a patient who will begin taking theophylline at home.During the assessment,the nurse learns that the patient smokes.The nurse reports this to the provider and will expect the provider to

A) decrease the dose of theophylline.

B) increase the dose of theophylline.

C) keep the theophylline dose as ordered.

D) discontinue the theophylline.

Q2) A patient who uses an inhaled glucocorticoid medication reports having a sore tongue.The nurse notes white spots on the patient's tongue and oral mucous membranes.After notifying the provider,the nurse will remind the patient to perform which action?

A) Avoid using a spacer with the inhaled glucocorticoid medication.

B) Clean the inhaler with hot, soapy water after each use.

C) Consume yogurt daily while using this medication.

D) Rinse the mouth thoroughly with water after each use.

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Chapter 37: Cardiac Glycosides, Antianginals, and Antidysrhythmics

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) A patient who has atrial fibrillation is taking digoxin.The nurse expects which medication to be given concurrently to treat this condition?

A) Hydrochlorothiazide (HydroDIURIL)

B) Inamrinone (Inocor)

C) Milrinone (Primacor)

D) Warfarin (Coumadin)

Q2) The nurse administers a dose of digoxin (Lanoxin)to a patient who has HF and returns to the room later to reassess the patient.Which finding indicates that the medication is effective?

A) Decreased dyspnea

B) Decreased urine output

C) Increased blood pressure

D) Increased heart rate

Q3) A patient is ordered to receive a nitrate to relieve stable angina.What side effect(s)will the nurse anticipate in a patient receiving this medication?

A) Nausea and vomiting

B) Increased blood pressure

C) Pruritus and skin rash

D) Pounding headache

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Chapter 38: Diuretics

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Sample Questions

Q1) The nurse is preparing to administer doses of hydrochlorothiazide (HydroDIURIL)and digoxin (Lanoxin)to a patient who has heart failure.The patient reports having blurred vision.The nurse notes a heart rate of 60 beats per minute and a blood pressure of 140/78 mm Hg.Which action will the nurse take?

A) Administer the medications and request an order for serum electrolytes.

B) Give both medications and evaluate serum blood glucose frequently.

C) Hold the digoxin and notify the provider.

D) Hold the hydrochlorothiazide and notify the provider.

Q2) A patient has begun taking spironolactone (Aldactone)in addition to a thiazide diuretic.With the addition of the spironolactone,the nurse will counsel this patient to A) continue taking a potassium supplement daily.

B) recognize that abdominal cramping is a transient side effect.

C) report decreased urine output to the provider.

D) take these medications at bedtime.

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Chapter 39: Antihypertensives

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16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/56385

Sample Questions

Q1) The nurse is teaching a patient who has hypertension about long-term management of the disease and a beta blocker.The patient reports typically consuming 1 to 2 glasses of wine each evening with meals.How will the nurse respond?

A) "Beta blockers and wine cause a reflex hypertension."

B) "Four to 6 ounces of wine is considered safe with these medications."

C) "Wine in moderation helps you relax and get better blood pressure control."

D) "Wine increases the hypotensive effects of the beta blocker."

Q2) The nurse is performing an assessment on a patient who will begin taking propranolol (Inderal)to treat hypertension.The nurse learns that the patient has a history of asthma and diabetes.The nurse will take which action?

A) Administer the medication and monitor the patient's serum glucose.

B) Contact the provider to discuss another type antihypertensive medication.

C) Request an order for renal function tests prior to administering this drug.

D) Teach the patient about the risks of combining herbal medications with this drug.

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Chapter

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Sample Questions

Q1) The nurse is caring for a patient who is receiving clopidogrel (Plavix).The patient calls the nurse to report flulike symptoms.The nurse notes a heart rate of 76 beats per minute,a blood pressure of 110/76 mm Hg,and a respiratory rate of 20 breaths per minute.The nurse suspects that the patient is experiencing which condition?

A) Anaphylaxis

B) An expected drug side effect

C) Hemorrhage

D) Possible MI

Q2) A patient has been receiving intravenous heparin.When laboratory tests are drawn,the nurse has difficulty stopping bleeding at the puncture site.The patient has bloody stools and is reporting abdominal pain.The nurse notes elevated partial thromboplastin time (PTT)and activated PPT (aPTT).Which action will the nurse perform?

A) Ask for an order for oral warfarin (Coumadin).

B) Obtain an order for protamine sulfate.

C) Request an order for vitamin K.

D) Suggest that the patient receive subcutaneous heparin.

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Chapter 41: Antihyperlipidemics and Peripheral

Vasodilators

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Sample Questions

Q1) A patient,who has intermittent claudication,has been taking 400 mg of pentoxifylline (Trental)three times daily with meals for 2 weeks.The patient calls the clinic and reports mild flushing,occasional gastrointestinal upset,and continued pain in both legs.How will the nurse advise the patient?

A) "Expect side effects to diminish as drug effects increase in several weeks."

B) "Notify the provider of the continued pain and request increasing the dose."

C) "Take a daily aspirin tablet to enhance the effects of pentoxifylline."

D) "Take the medication 1 hour before or 2 hours after a meal."

Q2) A patient will begin taking simvastatin (Zocor)to decrease serum cholesterol.When teaching the patient about this medication,the nurse will counsel the patient to take which action?

A) Return to the clinic annually for laboratory testing.

B) Take care when rising from a sitting to standing position.

C) Take the medication in the evening for best effect.

D) Use ibuprofen as needed for muscle aches and pain.

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Page 43

Chapter 42: Gastrointestinal Tract Disorders

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19 Flashcards

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Sample Questions

Q1) The nurse is caring for a patient who has postoperative nausea and vomiting.The surgeon has ordered promethazine HCl (Phenergan).Which aspect of this patient's health history would be of concern?

A) Asthma

B) Diabetes

C) GERD

D) Glaucoma

Q2) A woman who is 2 months pregnant reports having morning sickness every day and asks if she can take any medications to treat this problem.The nurse will recommend that the patient take which action first?

A) Contact the provider to discuss a possible need for intravenous fluids.

B) Contact the provider to discuss a prescription antiemetic.

C) Use nonpharmacologic measures such as saltines.

D) Take over-the-counter antiemetics such as diphenhydramine.

Q3) An appropriate goal when teaching a patient who has diarrhea is that the patient

A) will have less frequent, more formed stools.

B) will not have a stool for 1 to 2 days.

C) will receive adequate intravenous fluids.

D) will receive appropriate antibiotic therapy.

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Page 44

Chapter 43: Antiulcer Drugs

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15 Flashcards

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Sample Questions

Q1) A patient who is diagnosed with peptic ulcer disease has been started on a regimen that includes ranitidine (Zantac)300 mg daily at bedtime.The patient calls the clinic 1 week later to report no relief from discomfort.What action will the nurse take?

A) Contact the provider to discuss changing to cimetidine (Tagamet).

B) Notify the provider to discuss increasing the dose.

C) Reassure the patient that the drug may take 1 to 2 weeks to be effective.

D) Suggest that the patient split the medication into twice daily dosing.

Q2) A patient reports experiencing flatulence and abdominal distension to the nurse.Which over-the-counter medication will the nurse recommend?

A) Alka-Seltzer

B) Maalox

C) Mylicon

D) Tums

Q3) Which antacid is likely to cause acid rebound?

A) Aluminum hydroxide

B) Calcium carbonate

C) Magnesium hydroxide

D) Magnesium trisilicate

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45

Chapter 44: Eye and Ear Disorders

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10 Flashcards

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Sample Questions

Q1) The nurse is administering timolol (Timoptic)eye drops to a patient who has glaucoma.To prevent bradycardia,the nurse will perform which action?

A) Apply pressure to the lacrimal ducts.

B) Have the patient sit up after instilling the drops.

C) Prepare to administer an alpha-adrenergic agonist.

D) Wait 5 minutes between drops.

Q2) The parent of a toddler asks the nurse what can be done to prevent otitis media.What will the nurse recommend?

A) Administer diphenhydramine when the child has a runny nose.

B) Give phenylephrine (Neo-Synephrine Ophthalmic) to prevent congestion.

C) Keep the child's immunizations up to date.

D) Remove cerumen with carbamide peroxide (Auro Ear Drops).

Q3) The nurse administers proparacaine HCl (Ophthaine)drops to a patient prior to an eye examination.What sign will the nurse look for to determine when the examination can begin?

A) Absence of the blink reflex

B) Blurred vision

C) Drying of the corneal epithelium

D) Photophobia

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Page 46

Chapter 45: Dermatologic Disorders

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Sample Questions

Q1) A patient who works outdoors has frequent contact dermatitis flares secondary to exposure to plant irritants.The patient asks the nurse how to minimize these episodes.The nurse will counsel this patient to perform which action?

A) Apply topical glucocorticoid medication prior to exposure.

B) Cleanse the skin immediately after any contact with plants.

C) Take systemic diphenhydramine (Benadryl) after being outdoors.

D) Use calamine lotion prior to working outdoors.

Q2) A female patient has begun using 2% minoxidil (Rogaine)to treat thinning of her hair.After several weeks of treatment,she reports minimal effectiveness but has noticed some improvement.The nurse will counsel her to perform which action?

A) Continue to use the 2% minoxidil.

B) Change to finasteride (Propecia).

C) Discontinue the minoxidil.

D) Increase to 5% minoxidil.

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Chapter 46: Pituitary, thyroid, parathyroid, and Adrenal Disorders

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) A patient is receiving a glucocorticoid medication to treat an inflammatory condition,and the provider has ordered a slow taper in order to discontinue this medication.The nurse explains to the patient that this is done to prevent which condition?

A) Acromegaly

B) Adrenocortical insufficiency

C) Hypertensive crisis

D) Thyroid storm

Q2) The nurse is caring for a patient who is receiving growth hormone.Which assessment will the nurse monitor daily?

A) Complete blood count

B) Height and weight

C) Renal function

D) Serum glucose

Q3) Which would be a contraindication for hormone therapy with somatropin (Genotropin)in a school-age child?

A) Asthma

B) Dwarfism

C) Enuresis

D) Prader-Willi syndrome

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Chapter 47: Antidiabetics

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) Which statement by a patient who will begin using an external insulin pump indicates understanding of this device?

A) "I will have an increased risk for hypoglycemia."

B) "I will leave this on when bathing or swimming."

C) "I will not need to count carbohydrates anymore."

D) "I will still need to monitor serum glucose."

Q2) A patient who has been taking a sulfonylurea antidiabetic medication will begin taking metformin (Glucophage).The nurse understands that this patient is at increased risk for which condition?

A) Hypoglycemia

B) Hyperglycemia

C) Renal failure

D) Respiratory distress

Q3) The nurse is teaching a group of nursing students about diabetes.The nurse explains that which type of diabetes is the most common?

A) Type 1 diabetes mellitus

B) Type 2 diabetes mellitus

C) Diabetes insipidus

D) Secondary diabetes

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Page 49

Chapter 48: Urinary Disorders

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Sample Questions

Q1) The nurse is teaching a parent about administering nitrofurantoin suspension to a 5-year-old child.Which instruction will the nurse include in the patient teaching?

A) "Give the medication on an empty stomach."

B) "Have the child rinse the mouth after taking the drug."

C) "Limit the child's fluid intake to concentrate the urine."

D) "Report brownish-colored urine to the child's provider."

Q2) The nurse is caring for a patient who is diagnosed with a urinary tract infection.The patient reports always having difficulty remembering to take medications.Which drug will the nurse expect the provider to select when treating this patient?

A) Fosfomycin tromethamine (Monurol)

B) Ciprofloxacin (Cipro)

C) Nitrofurantoin (Macrodantin)

D) Trimethoprim-sulfamethoxazole (Bactrim)

Q3) Which side effects are common to most urinary antiseptics?

A) Dyspnea and chest pain

B) Nausea and vomiting

C) Peripheral neuritis

D) Visual disturbances

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Chapter 49: Pregnancy and Preterm Labor

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Sample Questions

Q1) A young woman who is contemplating pregnancy asks the nurse what she can do to get healthy in preparation for pregnancy.The nurse will recommend which dietary supplement?

A) 60 mg of elemental iron per day

B) 400 mcg of folic acid per day

C) 400 IU of vitamin D per day

D) 1200 mg of calcium per day

Q2) A woman who is experiencing premature labor is being given betamethasone (Celestone).She asks the nurse why this drug is being given.The nurse will explain that betamethasone is given for which reason?

A) It lowers her blood pressure and prevents seizures.

B) It prevents closure of the ductus arteriosus.

C) It prevents respiratory distress in her infant.

D) It stops her contractions.

Q3) Which statement by the nurse is accurate regarding iron supplementation during pregnancy?

A) "All women should take iron supplements throughout their pregnancy."

B) "Iron supplements are given to supply the fetus."

C) "Iron supplements usually are not necessary until the second trimester."

D) "The greatest iron demand is in the first trimester of pregnancy."

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Chapter 50: Labor, delivery, and Postpartum

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Sample Questions

Q1) The nurse examines a primipara woman who has received an epidural block.The woman's cervix has been dilated at 5 cm for an hour after having shown steady progression earlier.The nurse will notify the provider and anticipate a need for A) caesarean section.

B) forceps delivery.

C) intravenous oxytocin.

D) vacuum extraction.

Q2) The nurse is caring for an infant who is 2 days postpartum and notes that the infant has a poor sucking response.The nurse reviews the delivery record and will likely note that which drug was given to the mother during labor?

A) Butorphanol tartrate (Stadol)

B) Fentanyl (Sublimaze)

C) Nalbuphine (Nubain)

D) Secobarbital (Seconal)

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Chapter 51: Neonatal and Newborn

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Sample Questions

Q1) The nurse tells a postpartal woman that her baby will need hepatitis B vaccine.The mother says she does not want her baby to have a shot and refuses to sign the consent.The nurse will

A) administer the vaccine without consent.

B) note the refusal in the mother's and baby's chart.

C) tell her she will harm her baby if she does not consent.

D) tell the mother that it is required by law.

Q2) The nurse is caring for a newborn infant whose mother is HBsAg-negative.The nurse expects to give the infant

A) hepatitis B immune globulin.

B) hepatitis B immune globulin and hepatitis B vaccine 12 h later.

C) no vaccines.

D) recombinant hepatitis B vaccine.

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Chapter 52: Womens Reproductive Health

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Sample Questions

Q1) A woman is taking a combination oral contraceptive and asks the nurse why progestin is necessary.The nurse will explain that progestin helps prevent pregnancy by which method?

A) Altering the quantity and viscosity of cervical mucus

B) Inhibiting proliferative and secretory changes in the endometrium

C) Increasing motility of muscles and cilia in the fallopian tubes

D) Stimulating a surge in luteinizing hormone (LH)

Q2) A woman who is taking a combined oral contraceptive (COC)that contains 21 days of active pills and 7 days of inert pills reports having headaches accompanying withdrawal bleeding every month.The nurse will

A) counsel her to take ibuprofen to counter these side effects.

B) notify her provider to discuss these adverse effects.

C) recommend a Loestrin Fe product.

D) suggest she ask her provider about Mircette.

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Chapter 53: Mens Reproductive Health

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Sample Questions

Q1) A male patient wants to begin taking tadalafil (Cialis)to treat erectile dysfunction.Which aspect of this patient's history would be of concern?

A) Angina pectoris

B) Asthma

C) Benign prostatic hypertrophy

D) Color blindness

Q2) A 50-year-old male patient reports having decreased libido and testicular atrophy.The nurse will anticipate that the provider may order which medication to treat these symptoms?

A) Testosterone (Androderm)

B) Finasteride (Proscar)

C) Gonadotropin-releasing hormone (Gn-RH)

D) Sildenafil (Viagra)

Q3) A 14-year-old male is being evaluated for delayed puberty.Which finding indicates delayed puberty in this child?

A) Androgen deficiency

B) Growth hormone deficiency

C) Height of 2.5 standard deviations below the mean

D) Lack of epiphyseal closure

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Page 55

Chapter 54: Sexually Transmitted Infections

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7 Verified Questions

7 Flashcards

Source URL: https://quizplus.com/quiz/56400

Sample Questions

Q1) A woman is diagnosed with bacterial vaginosis and will begin taking metronidazole (Flagyl).What will the nurse teach the patient about this medication?

A) "Abstain from sexual intercourse while taking this medication."

B) "Do not consume alcohol while taking this drug and for 48 hours after finishing the prescription."

C) "Take this medication on an empty stomach to increase absorption."

D) "Topical preparations are ineffective for treating bacterial vaginosis."

Q2) A woman is diagnosed with gonorrhea and asks the nurse about treatment.Which statement will the nurse include in teaching?

A) "Ceftriaxone IM is prescribed."

B) "Erythromycin ointment is prescribed."

C) "IM ceftriaxone and oral azithromycin are prescribed."

D) "Oral doxycycline is prescribed."

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Chapter 55: Adult and Pediatric Emergency Drugs

Available Study Resources on Quizplus for this Chatper

11 Verified Questions

11 Flashcards

Source URL: https://quizplus.com/quiz/56401

Sample Questions

Q1) During resuscitation of a 5-year-old child,the provider requests an intravenous dose of 1 mL of epinephrine to be given STAT.The nurse will perform which action?

A) Ask the provider to clarify the dose and the concentration.

B) Draw up the dose and give it as a rapid intravenous bolus.

C) Give the dose as a slow intravenous bolus and monitor vital signs.

D) Request an order to give the dose via endotracheal tube.

Q2) A patient is brought to the emergency department after coming in contact with organophosphate insecticides while at work.The nurse will expect to administer which medication to reverse the toxic effects of this substance?

A) Atropine sulfate

B) Diazepam

C) Epinephrine

D) Flumazenil

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