Course Introduction
Clinical Nursing Practice Exam
Practice Tests
Clinical Nursing Practice provides students with hands-on experience in patient care within various healthcare settings. This course emphasizes the application of theoretical knowledge to real-world clinical scenarios, allowing students to develop essential nursing skills such as assessment, diagnosis, planning, intervention, and evaluation. Through supervised clinical placements, students learn effective communication, critical thinking, and decision-making while adhering to ethical and legal standards. The course prepares nursing students to deliver safe, compassionate, and evidence-based care to diverse patient populations.
Recommended Textbook
Pharmacology A Patient Centered Nursing Process Approach 8th Edition by Linda E. McCuistion
Available Study Resources on Quizplus
59 Chapters
928 Verified Questions
928 Flashcards
Source URL: https://quizplus.com/study-set/1831
Page 2
Chapter 1: Drug Action: Pharmaceutic, pharmacokinetic, and Pharmacodynamic Phases
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/36408
Sample Questions
Q1) The nurse is teaching a patient who will be discharged home with a prescription for an enteric-coated tablet.Which statement by the patient indicates understanding of the teaching?
A)"I may crush the tablet and put it in applesauce to improve absorption."
B)"I should consume acidic foods to enhance absorption of this medication."
C)"I should expect a delay in onset of the drug's effects after taking the tablet."
D)"I should take this medication with high-fat foods to improve its action."
Answer: C
Q2) The nurse is administering two drugs to a patient and learns that both drugs are highly protein-bound.The nurse may expect
A)decreased bioavailability of both drugs.
B)decreased drug effects.
C)decreased drug interactions.
D)increased risk of adverse effects.
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 2: The Drug Approval Process
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36409
Sample Questions
Q1) Which are responsibilities of the U.S.Food and Drug Administration (FDA)? (Select all that apply. )
A)To ensure a drug has accurate labeling
B)To ensure a drug is affordable
C)To ensure a drug is effective
D)To ensure a drug is free from adverse reactions
E)To ensure a drug is tested for harmful effects
Answer: A,C,E
Q2) 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
To view all questions and flashcards with answers, click on the resource link above.
Chapter 3: Cultural and Pharmacogenetic Considerations
Available Study Resources on Quizplus for this Chatper
9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/36410
Sample Questions
Q1) The nurse is caring for a postoperative patient who is of Asian descent.The patient reports little relief from pain even while taking an opioid analgesic containing codeine and acetaminophen.What does the nurse suspect that this patient is exhibiting?
A)Drug-seeking behavior
B)Heightened pain perception
C)Poor understanding of expected drug effects
D)Rapid metabolism of one of the drug's components
Answer: D
Q2) 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
To view all questions and flashcards with answers, click on the resource link above.
5
Chapter 4: Drug Interactions and Over-The-Counter Drugs
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36411
Sample Questions
Q1) The nurse is educating the parent of a 20-month-old toddler about over-the-counter (OTC)products to treat cold symptoms.Which statement by the parent indicates understanding of the teaching?
A)"I should check with the provider for proper dosing instructions."
B)"OTC medications are less potent and have minimal side effects."
C)"OTC medications can be given to children younger than 2 years old."
D)"Using OTC medications may prevent accurate diagnosis of respiratory illness."
Q2) The nurse assesses a patient who is receiving morphine sulfate intravenously using a patient-controlled analgesia pump.The nurse notes somnolence and respiratory depression,which are signs of morphine toxicity.The nurse will prepare to administer naloxone (Narcan)because it
A)has synergistic effects with morphine.
B)is a narcotic agonist.
C)is a narcotic antagonist.
D)potentiates narcotic effects.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Drugs of Abuse
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36412
Sample Questions
Q1) The nurse is counseling a patient who wants to stop smoking.Which statement by the nurse is correct?
A)"Bupropion (Zyban)is effective and does not have serious adverse effects."
B)"Nicotine replacement therapies are effective and eliminate the need for behavioral therapy."
C)"Varenicline (Chantix)may be used short-term for 1 to 2 months."
D)"You may experience headaches and increased appetite for several months after stopping smoking.
Q2) The nurse is teaching a patient who will be discharged home with naltrexone (ReVia)after treatment for opioid addiction.What information will the nurse include in the teaching for this patient?
A)"This drug will help control cravings."
B)"You may take this drug once weekly."
C)"ReVia blocks the pleasurable effects of opioids."
D)"If you discontinue this drug abruptly,you will have withdrawal symptoms."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Herbal Therapies
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36413
Sample Questions
Q1) 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
Q2) The nurse is counseling a female patient who reports taking feverfew to treat premenstrual syndrome and migraines.Which statement by the patient indicates understanding of the teaching?
A)"I should experience immediate effects with this herb."
B)"I should not take feverfew if I get pregnant."
C)"I should take feverfew with nonsteroidal anti-inflammatory drugs (NSAIDs)to enhance its effects."
D)"If I develop gastrointestinal (GI)upset,I should stop taking feverfew immediately."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 7: Pediatric Pharmacology
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36414
Sample Questions
Q1) The parent is concerned about giving a child medication because of the lack of knowledge about the effects of drugs on children.The nurse discusses legislation passed in 2002 and 2003 about pediatric pharmacology.Which is true about these laws?
A)They forbid providers from prescribing medications unless they have been FDAapproved for use in children.
B)They mandate consistent,evidence-based dosing guidelines for use in children.
C)They provide federal grants to fund pediatric pharmaceutical research.
D)They require drug manufacturers to study pediatric medication use.
Q2) The nurse is preparing to administer a medication to a 6-month-old infant.The nurse will monitor closely for signs of drug toxicity based on the knowledge that,compared to adults,infants have
A)an increased percentage of total body fat.
B)immature hepatic and renal function.
C)more protein receptor sites.
D)more rapid gastrointestinal transit time.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 8: Geriatric Pharmacology
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/36415
Sample Questions
Q1) Which drug properties are problematic for older patients? (Select all that apply. )
A)Drugs with anticholinergic effects
B)Drugs that are highly protein-bound
C)Drugs with a short half-life
D)Drugs that undergo hepatic conjugation
E)Drugs with a narrow therapeutic range
Q2) 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)Liver function tests
D)Serum potassium
Q3) An 80-year-old patient is being treated for an infection.An order for which type of antibiotic would cause concern for the nurse caring for this patient?
A)Aminoglycoside
B)Cephalosporin
C)Penicillin
D)Sulfonamide
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: Collaboration in Community Settings
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36416
Sample Questions
Q1) During a home visit,the nurse learns that a patient has not been taking the prescribed medications.The patient reports having no insurance and tells the nurse that the drug is too expensive.After learning that there is no substitute medication,the nurse will perform which action next?
A)Assist the patient to apply for a patient-assist program.
B)Contact the pharmacy to request a reduction in the cost of the drug.
C)Determine the patient's annual income.
D)Give the patient the number of a charitable organization that may be able to help.
Q2) The parent of a school-age child tells the nurse that the child often misses the midday dose of a medication because the child forgets to take it to school.What will the nurse suggest?
A)Asking the pharmacist to divide the prescription into two labeled packages
B)Discussing a different medication with the child's provider
C)Putting the bottle of pills in the child's lunchbox
D)Requesting permission for the child to come home from school during the day
To view all questions and flashcards with answers, click on the resource link above.
11
Chapter 10: The Role of the Nurse in Drug Research
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36417
Sample Questions
Q1) The nurse is assisting with a clinical drug trial to test the safe dose of an analgesic medication and learns that subjects have been told that the study is about measuring the analgesic effects.Which ethical principle has been violated?
A)Beneficence
B)Justice
C)Respect for persons
D)Veracity
Q2) The nurse is enrolling subjects for a clinical drug trial in which subjects will be randomly assigned to either a treatment or a placebo group.The pills in both groups will be in identical packaging with identical appearance.This is an example of which type of study?
A)Crossover
B)Double-blind
C)Open-label
D)Single-blind
To view all questions and flashcards with answers, click on the resource link above.
12
Chapter 11: The Nursing Process in Patient-Centered
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/36418
Sample Questions
Q1) An older patient must learn to administer a medication using a device that requires manual dexterity.The patient becomes frustrated and expresses lack of self-confidence in performing this task.Which action will the nurse perform next?
A)Ask the patient to keep trying until the skill is learned.
B)Provide written instructions with illustrations showing each step of the skill.
C)Schedule multiple sessions and practice each step separately.
D)Teach the procedure to family members who can administer the medication for the patient.
Q2) The nurse learns that a patient cannot afford a prescribed medication and enlists the assistance of the social worker and an outside agency to provide medications at a lower cost.Which QSEN competency do the nurse's actions best demonstrate?
A)Collaboration and teamwork
B)Evidence-based practice
C)Patient-centered care
D)Quality improvement
To view all questions and flashcards with answers, click on the resource link above.
13
Chapter 12: Safety and Quality in Pharmacotherapy
Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/36419
Sample Questions
Q1) The nurse is caring for a patient who will begin taking a thiazide diuretic to treat hypertension.The patient says,"I know this will lower my blood pressure,but how does it work?" How will the nurse respond?
A)"It can cause orthostatic hypotension,so be careful."
B)"It reduces the volume of fluid in your blood stream to lower blood pressure."
C)"The actions are complicated,but it's an effective drug."
D)"Your provider should explain this medication to you."
Q2) The nurse is caring for a patient who has asthma.The provider has ordered an albuterol metered-dose inhaler (MDI),2 puffs q4 to 6h PRN wheezing.The patient's last dose was 4 hours ago.What is the nurse's next action?
A)Administer 2 puffs of albuterol with the MDI.
B)Auscultate the patient's lung sounds.
C)Give the albuterol if the patient reports wheezing.
D)Give the medication and evaluate its effectiveness.
To view all questions and flashcards with answers, click on the resource link above.
Page 14
Chapter 13: Medication Administration
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36420
Sample Questions
Q1) The nurse is preparing to administer a rectal suppository antipyretic medication.Which action by the nurse is correct?
A)Allowing the suppository to soften at room temperature before inserting
B)Asking the patient to lie on the right side during insertion of the medication
C)Having the patient remain in a side-lying position for 20 minutes after insertion
D)Using a lubricant such as petrolatum gel (Vaseline)to lubricate the medication
Q2) A patient who has asthma will begin taking an inhaled corticosteroid medication to be used with a spacer.The patient asks why the spacer is necessary.The nurse will explain that the spacer
A)allows a larger dose to be given safely.
B)distributes medication to target tissues.
C)minimizes adverse effects of the steroid.
D)prevents contamination of the metered-dose inhaler.
Q3) When administering topical medications,which is an important nursing action?
A)Applying the medication liberally
B)Cleaning skin with alcohol before applying
C)Using sterile technique
D)Wearing gloves
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Medications and Calculations
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/36421
Sample Questions
Q1) Order: erythromycin 350 mg,PO,q8h.
Available: erythromycin estolate 250 mg/5 mL
How many mL will be given per dose?
Q2) Order: 1000 mL of lactated Ringer's (LR)solution to be administered in 6 hours
Available: 1 L LR Macrodrip set labeled 10 gtt/mL
a.How many mL of LR will be infused in 1 hour?
b.How many drops per minute (gtt/min)will the patient receive?
Q3) Order: midazolam (Versed)3 mg,IM,STAT
Available: Versed 10 mg/2 mL
How many mL will be given?
Q4) Order: levetiracetam (Keppra),PO,20 mg/kg/day,divided
b.i.d.
Available: Keppra 100 mg/mL
Patient weight: 20 kg
How many mL will the patient receive per dose?
Q5) 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?
To view all questions and flashcards with answers, click on the resource link above. Page 16
Chapter 15: Vitamin and Mineral Replacement
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36422
Sample Questions
Q1) A patient who will begin taking an antibiotic reports taking several vitamin supplements every day.Which vitamin or mineral will the nurse counsel the patient about during antibiotic therapy?
A)Selenium
B)Vitamin A
C)Vitamin C
D)Zinc
Q2) The nurse is caring for an elderly patient who has poor nutrition.The nurse notes cracked skin at the corners of the patient's mouth along with generalized scaly dermatitis.The nurse will contact the provider to discuss a possible deficiency of which vitamin?
A)Nicotinic acid
B)Pyridoxine
C)Riboflavin
D)Thiamine
To view all questions and flashcards with answers, click on the resource link above. Page 17
Chapter 16: Fluid and Electrolyte Replacement
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/36423
Sample Questions
Q1) A patient who is being treated for dehydration is receiving 5% dextrose and 0.45% normal saline with 20 mEq/L potassium chloride at a rate of 125 mL/hour.The nurse assuming care for the patient reviews the patient's serum electrolytes and notes a serum sodium level of 140 mEq/L and a serum potassium level of 3.6 mEq/L.The patient had a urine output of 250 mL during the last 12-hour shift.Which action will the nurse take?
A)Contact the patient's provider to discuss increasing the potassium chloride to 40 mEq/L.
B)Continue the intravenous fluids as ordered and reassess the patient frequently.
C)Notify the provider and discuss increasing the rate of fluids to 200 mL/hour.
D)Stop the intravenous fluids and notify the provider of the assessment findings.
Q2) A patient asks the nurse about taking calcium supplements to avoid hypocalcemia.The nurse will suggest that the patient follow which instruction?
A)Take a calcium and vitamin D combination supplement.
B)Take calcium along with phosphorus to improve absorption.
C)Take calcium with antacids to reduce stomach upset.
D)Use aspirin instead of acetaminophen when taking calcium.
To view all questions and flashcards with answers, click on the resource link above. Page 18
Chapter 17: Nutritional Support
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36424
Sample Questions
Q1) Patients with which conditions would benefit from enteral feedings? (Select all that apply. )
A)Burns of face,chest,and neck
B)Cerebral palsy with severe dysphagia
C)Crohn's disease
D)Facial fractures
E)Gluten enteropathy
F)Stroke
Q2) The nurse is caring for a patient who is receiving total parenteral nutrition (TPN).The patient reports nausea,headache,and thirst.The nurse will contact the provider to discuss
A)giving acetaminophen for headache pain.
B)obtaining a serum glucose level.
C)ordering an antiemetic to prevent vomiting.
D)starting intravenous isotonic dextrose.
To view all questions and flashcards with answers, click on the resource link above.
19
Chapter 18: Adrenergic Agonists and Adrenergic Blockers
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36425
Sample Questions
Q1) A patient is taking doxazosin mesylate (Cardura)1 mg per day to treat hypertension.The nurse notes a blood pressure of 110/72 mm Hg and a heart rate of 92 beats per minute.The nurse will contact the provider to discuss which change to the drug regimen?
A)Changing to a beta-adrenergic blocker
B)Decreasing the drug dose
C)Increasing the drug dose
D)Adding a diuretic
Q2) A nurse is teaching a patient how to use phenylephrine (Neo-Synephrine)nasal spray.To avoid systemic absorption,the nurse teaches the patient to perform which action?
A)Apply pressure to the nose after spraying.
B)Administer the spray while in the supine position.
C)Insert the spray while sitting up.
D)Exhale deeply while injecting the nasal spray.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 19: Cholinergic Agonists and Anticholinergics
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36426
Sample Questions
Q1) The nurse is caring for a male patient with myasthenia gravis who will begin taking ambenonium chloride (Mytelase).When performing a health history,the nurse will be concerned about a history of which condition in this patient?
A)Benign prostatic hypertrophy
B)Chronic constipation
C)Erectile dysfunction
D)Upper respiratory infection
Q2) A patient who is intubated develops bradycardia because of vagal stimulation.Which medication will the nurse anticipate administering to treat this symptom?
A)Atropine sulfate (Atropine)
B)Benztropine (Cogentin)
C)Bethanechol chloride (Urecholine)
D)Metoclopramide (Reglan)
Q3) Which cholinesterase inhibitor would be prescribed for a patient who has Alzheimer's disease?
A)Ambenonium chloride (Myletase)
B)Benztropine (Cogentin)
C)Donepezil HCl (Aricept)
D)Neostigmine methylsulfate (Prostigmin)
To view all questions and flashcards with answers, click on the resource link above. Page 21
Chapter 20: Central Nervous System Stimulants
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36427
Sample Questions
Q1) The nurse is teaching a parent about methylphenidate (Ritalin)to treat attention deficit/hyperactivity disorder (ADHD).Which statement by the parent indicates understanding of the teaching?
A)"I should consult a pharmacist when giving my child OTC medications."
B)"I will only give my child diet soft drinks while administering this medication."
C)"Medication therapy means that behavioral therapy will not be necessary."
D)"Weight gain is a common side effect of this medication."
Q2) The parent of a child who is taking amphetamine (Adderall)to treat attention deficit/hyperactivity disorder (ADHD)asks the provider to recommend an over-the-counter medication to treat a cold.What will the nurse tell the parent?
A)"Avoid any products containing pseudoephedrine or caffeine."
B)"Never give over-the-counter medications with Adderall."
C)"Sudafed is a safe and effective decongestant."
D)"Use any over-the-counter medication from the local pharmacy."
To view all questions and flashcards with answers, click on the resource link above. Page 22
Chapter 21: Central Nervous System Depressants
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/36428
Sample Questions
Q1) A patient who has been taking a benzodiazepine as a sleep aid for several months wishes to stop taking the medication.The nurse will suggest that the patient taper the dose gradually to avoid which effect?
A)Depression
B)Hangover
C)Hypnotic rebound
D)Withdrawal
Q2) During balanced anesthesia,which type of medication is given while the surgery is performed?
A)Anticholinergics
B)Benzodiazepines
C)Hypnotics
D)Inhaled anesthetic
Q3) The nurse is caring for a patient in the post-anesthesia care unit who has received a spinal anesthetic.Which action will the nurse perform?
A)Ambulate the patient as soon as consciousness returns.
B)Elevate the head of the bed to a semi-Fowler's position.
C)Have the patient lay flat for 6 to 8 hours after the surgery.
D)Turn the patient from side to side every 15 minutes.
To view all questions and flashcards with answers, click on the resource link above.
Page 23
Chapter 22: Anticonvulsants
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36429
Sample Questions
Q1) A patient who takes phenytoin reports regular alcohol consumption.The nurse might expect a serum phenytoin level in this patient to be in which range?
A)5 to 10 mcg/mL
B)10 to 20 mcg/mL
C)20 to 30 mcg/mL
D)30 to 50 mcg/mL
Q2) A 25 year-old female patient will begin taking phenytoin for epilepsy.The patient tells the nurse she is taking oral contraceptives (OCPs).Which response will the nurse give?
A)"Continue taking OCPs because phenytoin is not safe during pregnancy."
B)"You should use a backup method of contraception along with OCPs."
C)"You should stop taking OCPs because of drug-drug interactions with phenytoin."
D)"You should take low-dose aspirin while taking these medications to reduce your risk of stroke."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 23: Drugs for Neurological Disorders: Parkinsonism and Alzheimers
Disease
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/36430
Sample Questions
Q1) A patient who has parkinsonism has been taking carbidopa-levodopa and has shown improvement in symptoms but develops dystonic movements,nausea,and vomiting.Which medication will the nurse expect the provider to order for this patient to replace carbidopa-levodopa?
A)Amantadine HCl (Symmetrel)
B)Benztropine (Cogentin)
C)Bromocriptine mesylate (Parlodel)
D)Tacrine (Cognex)
Q2) A patient is taking entacapone (Comtan)along with carbidopa-levodopa to treat parkinsonism.The nurse notes that the patient's urine is orange in color.The nurse will
A)notify the provider of possible drug toxicity.
B)reassure the patent that this is a harmless side effect.
C)request an order for liver function tests.
D)request an order for a urinalysis.
To view all questions and flashcards with answers, click on the resource link above.
25
Chapter 24: Drugs for Neuromuscular Disorders:
Myasthenia Gravis, multiple Sclerosis, and Muscle Spasms
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36431
Sample Questions
Q1) 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)
Q2) The nurse is preparing to care for a patient who has myasthenia gravis.The nurse will be alert to symptoms affecting which body system in this patient?
A)Cardiovascular system and postural muscles
B)Central nervous system (CNS),memory,and cognition
C)Gastrointestinal system (GI)and lower extremity muscles
D)Respiratory system and facial muscles
Q3) A patient has symptoms that are characteristic of multiple sclerosis (MS).Which diagnostic tests are likely to be ordered to aid in the diagnosis of this patient?
A)Cerebrospinal fluid (CSF)immunoglobulin G and magnetic resonance imaging (MRI)
B)CSF proteins and an angiography
C)Serum albumin and a computed tomography (CT)scan
D)Serum anti-acetylcholine antibodies and x-rays
To view all questions and flashcards with answers, click on the resource link above.
Page 26
Chapter 25: Antiinflammatory Drugs
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36432
Sample Questions
Q1) The nurse is teaching a patient about using high-dose aspirin to treat arthritis.What information will the nurse include when teaching this patient?
A)"A normal serum aspirin level is between 30 and 40 mg/dL."
B)"You may need to stop taking this drug a week prior to surgery."
C)"You will need to monitor aspirin levels if you are also taking warfarin."
D)"Your stools may become dark,but this is a harmless side effect."
Q2) The nurse provides teaching for a patient who will begin taking allopurinol.Which statement by the patient indicates understanding of the teaching?
A)"I should increase my vitamin C intake."
B)"I will get yearly eye exams."
C)"I will increase my protein intake."
D)"I will limit fluids to prevent edema."
Q3) A patient who is taking aspirin for arthritis pain asks the nurse why it also causes gastrointestinal upset.The nurse understands that this is because aspirin
A)increases gastrointestinal secretions.
B)increases hypersensitivity reactions.
C)inhibits both COX-1 and COX-2.
D)is an acidic compound.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 26: Nonopioid and Opioid Analgesics
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36433
Sample Questions
Q1) The nurse is evaluating a patient 2 hours after giving a dose of 30 mg of codeine with acetaminophen for postoperative pain after abdominal surgery.The patient reports a pain level of 7 on a scale of 1 to 10.The nurse notes a heart rate of 110 beats per minute,a respiratory rate of 28 breaths per minute,and a blood pressure of 180/90 mm Hg.Which action will the nurse take?
A)Administer the next dose of codeine one hour early.
B)Ask the provider if the codeine dose can be increased.
C)Contact the provider to ask if a dose of ibuprofen may be given now.
D)Request an order for oxycodone with acetaminophen (Percocet).
Q2) The nurse is performing an admission assessment on a stable patient admitted after a motor vehicle accident.The patient reports having "bad pain." What will the nurse do first?
A)Administer acetaminophen (Tylenol).
B)Ask the patient to rate the pain on a 1 to 10 scale.
C)Attempt to determine what type of pain the patient has.
D)Request an order for an intravenous opioid analgesic.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 27: Antipsychotics and Anxiolytics
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36434
Sample Questions
Q1) The nurse is teaching a patient who will be discharged home on a typical antipsychotic medication to treat schizophrenia.Which statement by the patient indicates a need for further teaching?
A)"I should not drink alcohol while taking this medication."
B)"I should use a heating pad to treat muscle spasms while taking this medication."
C)"I should use sunscreen while taking this medication."
D)"I will need frequent blood tests while taking this medication."
Q2) A patient who is taking fluphenazine (Prolixin)to treat psychosis is experiencing symptoms of acute dystonia.While performing a medication history,the nurse learns that the patient takes herbal medications.Which herbal supplement would be of concern?
A)Ginkgo
B)Ginseng
C)Kava kava
D)St.John's wort
To view all questions and flashcards with answers, click on the resource link above.
Chapter 28: Antidepressants and Mood Stabilizers
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36435
Sample Questions
Q1) The nurse provides teaching for a patient who will begin taking lithium (Lithibid).Which statement by the patient indicates understanding of the teaching?
A)"I may drink tea or cola but not coffee."
B)"I may stop taking the drug when mania symptoms subside."
C)"I should consume a sodium-restricted diet."
D)"I should drink 2 to 3 liters of fluid each day."
Q2) The nurse is preparing to administer a dose of lithium (Lithibid)to a patient who has been taking the drug as maintenance therapy to treat bipolar disorder.The nurse assesses the patient and notes tremors and confusion.The patient's latest serum lithium level was 2 mEq/L.Which action will the nurse take?
A)Administer the dose.
B)Hold the dose and notify the provider.
C)Request an order for a higher dose.
D)Request an order for a lower dose.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: Penicillins and Cephalosporins
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/36436
Sample Questions
Q1) The nurse is preparing to give a dose of a cephalosporin medication to a patient who has been receiving the antibiotic for 2 weeks.The nurse notes ulcers on the patient's tongue and buccal mucosa.Which action will the nurse take?
A)Hold the drug and notify the provider.
B)Obtain an order to culture the oral lesions.
C)Gather emergency equipment to prepare for anaphylaxis.
D)Report a possible superinfection side effect of the cephalosporin.
Q2) A patient is admitted to the hospital for treatment of pneumonia after complaining of high fever and shortness of breath.The patient was not able to produce sputum for a culture.The nurse will expect the patient's provider to order
A)a broad-spectrum antibiotic.
B)a narrow-spectrum antibiotic.
C)multiple antibiotics.
D)the pneumococcal vaccine.
To view all questions and flashcards with answers, click on the resource link above.
Fluoroquinolones
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36437
Sample Questions
Q1) The nurse is preparing to give a dose of oral clindamycin (Cleocin)to a patient who is being treated for a skin infection caused by Staphylococcus aureus.The patient has had several doses of the medication and reports having nausea.Which action will the nurse take next?
A)Administer the next dose when the patient has an empty stomach.
B)Hold the next dose and contact the patient's provider.
C)Instruct the patient to take the next dose with a full glass of water.
D)Request an order for an antacid to give along with the next dose.
Q2) A female patient who is allergic to penicillin will begin taking an antibiotic to treat a lower respiratory tract infection.The patient tells the nurse that she almost always develops a vaginal yeast infection when she takes antibiotics and that she will take fluconazole (Diflucan)with the antibiotic being prescribed.Which macrolide order would the nurse question for this patient?
A)Azithromycin (Zithromax)
B)Clarithromycin (Biaxin)
C)Erythromycin (E-Mycin)
D)Fidaxomicin (Dificid)
To view all questions and flashcards with answers, click on the resource link above. Page 32
Chapter 31: Sulfonamides
Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/36438
Sample Questions
Q1) A patient taking trimethoprim-sulfamethoxazole (TMP-SMX)to treat a urinary tract infection complains of a sore throat.The nurse will contact the provider to request an order for which laboratory test(s)?
A)Complete blood count with differential
B)Throat culture
C)Urinalysis
D)Coagulation studies
Q2) Which is a characteristic that distinguishes sulfonamides from other drugs used to treat bacterial infection?
A)Sulfonamides are bactericidal.
B)Sulfonamides are derived from biologic substances.
C)Sulfonamides have antifungal and antiviral properties.
D)Sulfonamides increase bacterial synthesis of folic acid.
Q3) The nurse is counseling a patient who will begin taking a sulfonamide drug to treat a urinary tract infection.What information will the nurse include in teaching?
A)"Drink several quarts of water daily."
B)"If stomach upset occurs,take an antacid."
C)"Limit sun exposure to no more than 1 hour each day."
D)"Sore throat is a common,harmless side effect."
To view all questions and flashcards with answers, click on the resource link above.
Page 33
Metronidazole
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36439
Sample Questions
Q1) A patient is diagnosed with tinea capitis.The provider will order which systemic antifungal medication for this patient?
A)Anidulafungin (Eraxis)
B)Fluconazole (Diflucan)
C)Griseofulvin (Fulvicin)
D)Ketoconazole (Nizoral)
Q2) A patient who is taking isoniazid (INH)as part of a two-drug tuberculosis treatment regimen reports tingling of the fingers and toes.The nurse will recommend discussing which treatment with the provider?
A)Adding pyrazinamide
B)Changing to ethambutol
C)Increasing oral fluid intake
D)Taking pyridoxine (B<sub>6</sub>)
Q3) 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."
Page 34
To view all questions and flashcards with answers, click on the resource link above.
Chapter 33: Antivirals, antimalarials, and Anthelmintics
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/36440
Sample Questions
Q1) The patient has been ordered treatment with rimantadine (Flumadine).The patient has renal impairment.The nurse anticipates what change to the dose of medication?
A)Increased
B)Decreased
C)Unchanged
D)Held
Q2) The nurse is caring for an infant who has respiratory syncytial virus (RSV)and who will receive ribavirin.The nurse expects to administer this drug by which route?
A)Inhalation
B)Intramuscular
C)Intravenous
D)Oral
Q3) Which diseases are caused by herpes viruses? (Select all that apply. )
A)Chicken pox
B)Hepatitis
C)Influenza
D)Mononucleosis
E)Shingles
To view all questions and flashcards with answers, click on the resource link above.
Chapter 34: Drugs for Urinary Tract Disorders
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36441
Sample Questions
Q1) A 25-year-old female patient reports urinary frequency with pain on urination,flank pain,fever,and chills.The nurse recognizes these symptoms as characteristic of which condition?
A)Cystitis
B)Dysuria
C)Pyelonephritis
D)Urethritis
Q2) An older woman has urgent urinary incontinence related to an overactive bladder.Which medication does the nurse expect the provider to order?
A)Dimethylsulfoxide (DMSO)
B)Flavoxate (Urispas)
C)Phenazopyridine HCl (Pyridium)
D)Tolterodine tartrate (Detrol)
Q3) The nurse is preparing to administer methenamine (Hiprex)to a patient who has pyelonephritis.Which action will the nurse perform?
A)Increase fluid intake to 2000 mL per day.
B)Monitor the patient's urine for dark brown color.
C)Order alkaline foods 3 times daily.
D)Request an order for a sulfonamide antibiotic.
To view all questions and flashcards with answers, click on the resource link above.
Page 36
Chapter 35: Hiv- and Aids-Related Drugs
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36442
Sample Questions
Q1) The nurse is caring for a 55-year-old patient who has been HIV-infected for 15 years.The nurse understands that this patient
A)has an increased risk of transmitting the HIV infection.
B)is less likely to develop AIDS than younger persons with HIV infection.
C)is less likely to respond to antiretroviral agents.
D)may have comorbid illnesses that can complicate HIV.
Q2) A patient who is HIV-infected takes 800 mg of indinavir (Crixivan),a protease inhibitor medication.The provider has ordered adding ritonavir (Norvir)to the regimen.The nurse will teach the patient that the addition of ritonavir
A)allows decreasing the dosing from 3 times daily to twice daily.
B)can lead to increased cholesterol and triglycerides.
C)may worsen insulin resistance.
D)will require increased dietary restrictions.
Q3) A pregnant patient is HIV-positive.Which antiretroviral agent will the nurse expect the patient's provider to order?
A)Abacavir/lamivudine/zidovudine (Trizivir)
B)Efavirenz/emtricitabine/tenofovir (Atripla)
C)Lamivudine/zidovudine (Combivir)
D)Rilpivirine/emtricitabine/tenofovir (Complera)
To view all questions and flashcards with answers, click on the resource link above.
Page 37
Chapter 36: Vaccines
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36443
Sample Questions
Q1) Which is an example of acquired passive immunity?
A)Administration of IgG to an unimmunized person exposed to a disease
B)Administration of an antigen via an immunization
C)Inherent resistance to a disease antigen
D)Immune response to an attenuated virus
Q2) A woman who is pregnant tells the nurse she has not had any vaccines but wants to begin so she can protect her unborn child.Which vaccine(s)may be administered to this patient?
A)Gardasil vaccine
B)Trivalent influenza vaccine
C)MMR vaccine
D)Varivax vaccine
Q3) A provider has ordered Gardasil to be given to a prepubertal 9-year-old female.The parent asks the nurse if this vaccine can be postponed until the child is in high school.The nurse will tell the parent that Gardasil
A)is less effective in older adolescents.
B)is more effective if given before sexual activity begins.
C)is more effective if given prior to the hormonal changes of puberty.
D)is not effective if given after the onset of menses.
To view all questions and flashcards with answers, click on the resource link above.
Page 38
Chapter 37: Anticancer Drugs
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36444
Sample Questions
Q1) The nurse is caring for a patient who is receiving vincristine (Oncovin),a plant alkaloid chemotherapeutic agent,to treat non-Hodgkin's lymphoma.The nurse observes that the patient has difficulty walking.What action will the nurse take?
A)Ask about numbness or tingling in the fingers and toes.
B)Assess heart rate and blood pressure to evaluate for orthostatic hypotension.
C)Assess the temperature to evaluate for infection.
D)Request an order for a complete blood count and electrolytes.
Q2) The nurse is caring for a patient who is receiving fluorouracil (5-FU)to treat pancreatic cancer.Which interventions are included in the nurse's plan of care for this patient? (Select all that apply. )
A)Apply ice to the IV site if the patient reports pain.
B)Administer antiemetics when the patient reports nausea.
C)Counsel the patient to use waxed dental floss.
D)Discourage visits with people who have respiratory infections.
E)Offer ice chips frequently.
F)Restrict to nothing by mouth during intravenous drug administration.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 38: Targeted Therapies to Treat Cancer
Available Study Resources on Quizplus for this Chatper
9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/36445
Sample Questions
Q1) The nurse is performing a history on a patient who will begin taking bevacizumab (Avastin).Which aspect of the patient's history should be reported to the oncologist treating this patient?
A)History of hepatitis
B)Hypertension
C)Recent surgical history
D)Weight loss
Q2) The nurse is preparing to administer intravenous monoclonal antibodies to a patient who has cancer.What is an important nursing action for this patient?
A)Having resuscitation equipment readily available
B)Monitoring the patient's renal function during the infusion
C)Observing the patient closely for development of a rash
D)Performing careful intake and output
Q3) The patient asks the nurse what apoptosis means.The nurse will explain that apoptosis refers to
A)alteration of cellular functions.
B)inhibition of cell division.
C)prevention of cell phase progression.
D)slow,planned cellular death.
To view all questions and flashcards with answers, click on the resource link above.
Page 40
Chapter 39: Biologic Response Modifiers
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36446
Sample Questions
Q1) 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 interferon alpha.
C)Give diphenhydramine (Benadryl).
D)Obtain a serum BUN and creatinine level.
Q2) A patient is receiving bone marrow transplantation for cancer and receives filgrastim (Neupogen).The patient reports abdominal pain in the left upper quadrant.The nurse will perform which action?
A)Administer acetaminophen 650 mg.
B)Administer an antiemetic medication.
C)Report a potentially life-threatening event.
D)Request an order for cardiac enzyme levels.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 40: Drugs for Upper Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36447
Sample Questions
Q1) The patient who has nasal congestion asks the nurse to recommend a decongestant medication.The nurse performs a medication history and learns that the patient takes a beta blocker to treat hypertension.Which over-the-counter product will the nurse recommend?
A)Diphenhydramine (Benadryl)
B)Ephedrine HCl (Pretz-D)
C)Phenylephrine nasal (NeoSynephrine Nasal)
D)Loratadine (Claritin)
Q2) A patient arrives in the emergency department after developing a rash,runny nose,and sneezing after eating strawberries.What action will the nurse expect to take first?
A)Administer diphenhydramine.
B)Administer epinephrine.
C)Assess for urinary retention.
D)Assess heart rate,respiratory rate,and lung sounds.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 41: Drugs for Lower Respiratory Disorders
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36448
Sample Questions
Q1) A provider has prescribed ipratropium bromide/albuterol sulfate (Combivent)for a patient who has chronic obstructive pulmonary disease (COPD).The nurse explains that this combination product is prescribed primarily for which reason?
A)To be more convenient for patients who require both medications
B)To improve compliance in patients who may forget to take both drugs
C)To increase forced expiratory volume,an indicator of symptom improvement
D)To minimize the side effects that would occur if the drugs are given separately
Q2) 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.
To view all questions and flashcards with answers, click on the resource link above.
43
Chapter 42: Cardiac Glycosides, Antianginals, and Antidysrhythmics
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36449
Sample Questions
Q1) The nurse performs a medication history and learns that the patient takes a thiazide diuretic and digoxin (Lanoxin).The nurse will question the patient to ensure that the patient is also taking which medication?
A)Cortisone
B)Lidocaine
C)Nitroglycerin
D)Potassium
Q2) The nurse is preparing to administer digoxin to a patient who has a serum digoxin level of 2.5 ng/mL.The patient takes 0.25 mg of digoxin per day.What action will the nurse take?
A)Administer the next dose as ordered.
B)Notify the provider of digoxin toxicity.
C)Request an order to decrease the digoxin dose.
D)Suggest that the patient may need an increased digoxin dose.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 43: Diuretics
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36450
Sample Questions
Q1) The nurse is caring for a patient who is receiving furosemide (Lasix)and an aminoglycoside antibiotic.The nurse will be most concerned if the patient reports which symptom?
A)Dizziness
B)Dysuria
C)Nausea
D)Tinnitus
Q2) A patient has been taking spironolactone (Aldactone)to treat heart failure.The nurse will monitor for A)hyperkalemia.
B)hypermagnesemia.
C)hypocalcemia.
D)hypoglycemia.
Q3) The nurse is caring for a patient who develops marked edema and a low urine output as a result of heart failure.Which medication will the nurse expect the provider to order for this patient?
A)Digoxin (Lanoxin)
B)Furosemide (Lasix)
C)Hydrochlorothiazide (HydroDIURIL)
D)Spironolactone (Aldactone)
To view all questions and flashcards with answers, click on the resource link above. Page 45
Chapter 44: Antihypertensives
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36451
Sample Questions
Q1) A patient has a blood pressure of 135/85 mm Hg on three separate occasions.The nurse understands that this patient should be treated with A)a beta blocker.
B)a diuretic and a beta blocker.
C)a diuretic.
D)lifestyle changes.
Q2) The nurse is caring for a 70-year-old patient who has recently begun taking amlodipine (Norvasc)5 mg/day to control hypertension.The nurse notes mild edema of the patient's ankles,a blood pressure of 130/70 mm Hg,and a heart rate of 80 beats per minute.The patient reports flushing and dizziness.The nurse will notify the provider and A)ask to decrease the dose to 2.5 mg/day.
B)discuss twice daily dosing.
C)request an order for a diuretic.
D)suggest adding propranolol to the regimen.
To view all questions and flashcards with answers, click on the resource link above.
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36452
Sample Questions
Q1) The nurse is assessing a patient who takes warfarin (Coumadin).The nurse notes a heart rate of 92 beats per minute and a blood pressure of 88/78 mm Hg.To evaluate the reason for these vital signs,the nurse will assess the patient's
A)gums,nose,and skin.
B)lung sounds and respiratory effort.
C)skin turgor and oral mucous membranes.
D)urine output and level of consciousness.
Q2) A patient who is taking clopidogrel (Plavix)and aspirin is preparing for orthopedic surgery.The nurse will consult with the surgeon and provide which instruction to the patient?
A)Continue taking aspirin and stop taking clopidogrel 2 weeks prior to surgery.
B)Continue taking clopidogrel and stop taking aspirin 5 days prior to surgery.
C)Continue both medications to prevent thromboembolic events during surgery.
D)Stop taking both medications 7 days prior to surgery.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 46: Antihyperlipidemics and Peripheral
Vasodilators
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36453
Sample Questions
Q1) A patient has been taking atorvastatin (Lipitor)for several months to treat hyperlipidemia.The patient reports muscle weakness and tenderness.The nurse will counsel the patient to A)ask the provider about switching to simvastatin. B)contact the provider to report these symptoms.
C)start taking ibuprofen to combat these effects. D)stop taking the medication immediately.
Q2) A patient has been taking cholestyramine (Questran)to treat hyperlipidemia type II.The patient reports abdominal cramping and constipation.The patient's serum lowdensity lipoprotein (LDL)has decreased from 170 mg/dL to 110 mg/dL,and triglycerides have not changed from 150 mg/dL since beginning the medication.The provider changes the medication to colesevelam HCl (Welchol).The patient asks the nurse why the medication was changed,and the nurse will explain that colesevelam HCl is ordered for which reason?
A)It has fewer side effects.
B)It has more convenient dosing.
C)It provides greater LDL reduction.
D)It provides greater triglyceride reduction.
To view all questions and flashcards with answers, click on the resource link above. Page 48
Chapter 47: Drugs for Gastrointestinal Tract Disorders
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/36454
Sample Questions
Q1) 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.
Q2) A patient reports having three to four stools,which are sometimes hard,per week.The nurse will perform which action?
A)Recommend increased fluids and dietary fiber.
B)Request an order for a laxative as needed.
C)Request an order for a stool softener.
D)Suggest discussing chronic constipation with the provider.
Q3) The nurse is instructing a patient who will take psyllium (Metamucil)to treat constipation.What information will the nurse include when teaching this patient?
A)The importance of consuming adequate amounts of water
B)The need to monitor for systemic side effects
C)The onset of action of 30 to 60 minutes after administration
D)The need to use the dry form of Metamucil to prevent cramping
To view all questions and flashcards with answers, click on the resource link above.
Page 49
Chapter 48: Antiulcer Drugs
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36455
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) Which antacid is likely to cause acid rebound?
A)Aluminum hydroxide
B)Calcium carbonate
C)Magnesium hydroxide
D)Magnesium trisilicate
Q3) The nurse is caring for a patient who has Zollinger-Ellison syndrome.Which medication order would the nurse question for this patient?
A)Cimetadine (Tagamet)
B)Pantoprazole (Protonix)
C)Rabeprazole (Aciphex)
D)Ranitidine (Zantac)
To view all questions and flashcards with answers, click on the resource link above. Page 50
Chapter 49: Drugs for Eye and Ear Disorders
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36456
Sample Questions
Q1) The nurse is performing a medication history on a patient who has glaucoma.The patient cannot remember the name of the drug prescribed but tells the nurse that the drug causes light sensitivity.The nurse knows that the drug is among which class of medications?
A)Alpha-adrenergic agonists
B)Beta-adrenergic blockers
C)Cholinergic agonists
D)Cholinesterase inhibitors
Q2) The nurse is caring for an African-American patient who has been diagnosed with glaucoma.The nurse anticipates that which medication will be most effective for this client?
A)Bimatoprost (Lumigan)
B)Latanoprost (Xalatan)
C)Travoprost (Travatan Z)
D)Unoprostone (Rescula)
To view all questions and flashcards with answers, click on the resource link above.
Chapter 50: Drugs for Dermatologic Disorders
Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/36457
Sample Questions
Q1) An adolescent patient is preparing to take a summer job as a landscaper and asks the nurse about insect repellants and sunscreens.Which statement by the nurse is correct?
A)Apply sunscreen prior to applying insect repellants containing DEET.
B)Apply sunscreen containing PABA 30 minutes prior to sun exposure.
C)Most sunscreens block both UVB and UVA radiation.
D)Reapply sunscreen every 2 hours if sweating occurs.
Q2) A patient has second- and third-degree burns,and the nurse is applying silver sulfadiazine (Silvadene)to the burns with each dressing change.The patient reports a burning sensation.The nurse understands that this is
A)a hypersensitivity reaction to the medication.
B)an expected adverse reaction to the medication.
C)a sign of localized tissue infection.
D)a sign of skin necrosis.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 51: Endocrine Drugs: Pituitary, Thyroid, Parathyroid, and
Adrenal Disorders
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/36458
Sample Questions
Q1) 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
Q2) A patient with Graves disease exhibits tachycardia,heat intolerance,and exophthalmos.Prior to surgery,which drug is used to alter thyroid hormone levels?
A)Liotrix (Thyrolar)
B)Propranolol (Inderal)
C)Propylthiouracil (PTU)
D)Thyroid (Thyrotab)
Q3) A patient who takes warfarin (Coumadin)and digoxin (Lanoxin)develops hypothyroidism and will begin taking levothyroxine (Synthroid).The nurse anticipates which potential adjustments in dosing for this patient?
A)Decreased digoxin and decreased warfarin
B)Decreased digoxin and increased warfarin
C)Increased digoxin and decreased warfarin
D)Increased digoxin and increased warfarin
Page 53
To view all questions and flashcards with answers, click on the resource link above.
Chapter
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/36459
Sample Questions
Q1) The nurse will administer parenteral insulin to a patient who will receive a mixture of NPH (Humulin NPH)and regular (Humulin R).The nurse will give this medication via which route?
A)Intradermal
B)Intramuscular
C)Intravenous
D)Subcutaneous
Q2) A patient has administered regular insulin 30 minutes prior but has not received a breakfast tray.The patient is experiencing nervousness and tremors.What is the nurse's first action?
A)Administer glucagon.
B)Give the patient orange juice.
C)Notify the kitchen to deliver the tray.
D)Perform bedside glucose testing.
Q3) A patient develops type 2 diabetes mellitus.The nurse will explain that this type of diabetes
A)is generally triggered by medications.
B)is not as common as type 1 diabetes.
C)is often related to heredity and obesity.
D)will not require insulin therapy.
Page 54
To view all questions and flashcards with answers, click on the resource link above.
Chapter 53: Female Reproductive Cycle I: Pregnancy and Preterm Labor Drugs
Available Study Resources on Quizplus for this Chatper
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36460
Sample Questions
Q1) Which are physiologic changes during pregnancy that affect drug absorption,metabolism,distribution,and excretion? (Select all that apply. )
A)Circulating steroid hormones
B)Decreased gastrointestinal motility
C)Decreased renal perfusion
D)Increased maternal circulatory blood volume
E)Poor sleep and fatigue
F)Rapid respiratory rate
Q2) A pregnant woman who has morning sickness asks the nurse what she can do to decrease her symptoms.The nurse will counsel her to take which action?
A)Avoid fatty foods.
B)Drink fluids with meals.
C)Eat a large lunch and dinner.
D)Take an iron supplement in the morning.
To view all questions and flashcards with answers, click on the resource link above.
55
Chapter 54: Female Reproductive Cycle II: Labor, delivery, and Preterm Neonatal Drugs
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36461
Sample Questions
Q1) The nurse is caring for a woman who is in early labor.The woman wants to avoid pain medications as long as possible.What will the nurse tell her?
A)"I can give you a sedative-hypnotic now to help you relax."
B)"I can teach you some simple breathing exercises to help lessen discomfort."
C)"If you take fentanyl (Sublimaze)now,it will be more effective than if you wait."
D)"You may take ibuprofen,which won't cause drowsiness."
Q2) The nurse is caring for a patient after the third stage of labor,and the provider orders 20 mg of oxytocin to be given intramuscularly.The nurse will explain to the patient that this drug for which purpose?
A)To allow the cervix to close
B)To enhance milk letdown
C)To prevent uterine atony
D)To suppress lactation
To view all questions and flashcards with answers, click on the resource link above.
Chapter 55: Postpartum and Newborn Drugs
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36462
Sample Questions
Q1) The nurse is caring for a postpartal woman and reviews the following lab results in her medical record: HBsAg-negative,rubella titer less than 1:8/1:10,Rh-negative with Rh-positive infant.Which injections will the nurse expect to be ordered?
A)Hepatitis B immune globulin and MMR today
B)MMR and Rho(D)immune globulin (RhoGAM)today
C)Rho(D)immune globulin (RhoGAM)and hepatitis B immune globulin today
D)Rho(D)immune globulin (RhoGAM)today and MMR in 3 months
Q2) 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.
To view all questions and flashcards with answers, click on the resource link above. Page 57
Chapter 56: Drugs for Womens Reproductive Health and Menopause
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36463
Sample Questions
Q1) A 35-year-old woman asks the nurse about oral contraceptives.The nurse learns that the patient smokes and has a family history of venous thromboembolism (VTE).The nurse will suggest that the patient
A)discuss a progestin-only oral contraceptive with her provider.
B)may want to consider having a tubal ligation.
C)use a transdermal contraceptive product.
D)will not be a candidate for oral contraceptive products.
Q2) 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
To view all questions and flashcards with answers, click on the resource link above.
Chapter 57: Drugs for Mens Health and Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36464
Sample Questions
Q1) The nurse is instructing a patient about the buccal muco-adhesive testosterone system (Striant)to treat low testosterone.What information will the nurse include when teaching this patient about this drug?
A)"If the product slides out of position more than 4 hours before the next dose,replace it with a new system."
B)"Place the flattened surface against the gum and hold it firmly in place for 30 seconds."
C)"The product may be swallowed after it has been in place for at least 4 hours."
D)"To remove the product,slide it upwards away from the tooth until it releases."
Q2) A male patient wants to begin taking tadalifil (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
To view all questions and flashcards with answers, click on the resource link above.
Chapter 58: Drugs for Disorders in Womens Health,
and Sexually Transmitted Infections
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36465
Sample Questions
Q1) A woman who has menorrhagia is prescribed ibuprofen,and she asks the nurse how a pain medication can decrease uterine bleeding.The nurse will explain that this is most likely explained by ibuprofen's effects on
A)estrogen levels.
B)platelet aggregation.
C)prostaglandin production.
D)uterine endometrium.
Q2) The nurse is teaching the parent of an 11-year-old girl about the Gardasil vaccine.What will the nurse include in teaching?
A)"Gardasil is given to females and not to males."
B)"Gardasil protects against cervical dysplasia."
C)"Gardasil reduces the need for routine Pap smears."
D)"Gardasil will be given as a single injection."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 59: Adult and Pediatric Emergency Drugs
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36466
Sample Questions
Q1) 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
Q2) 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.
To view all questions and flashcards with answers, click on the resource link above.