Course Introduction
Clinical Nursing Practice
Study Guide Questions
Clinical Nursing Practice is designed to provide students with hands-on experience in the application of nursing theories, skills, and procedures in real healthcare settings. Through supervised clinical rotations in hospitals, clinics, or community health environments, students learn to deliver patient-centered care, perform comprehensive assessments, develop care plans, and collaborate with healthcare teams. Emphasis is placed on critical thinking, ethical decision-making, effective communication, and the safe administration of treatments and medications. This course bridges classroom learning with practical experience, preparing students to meet the demands of professional nursing practice and to support the holistic well-being of their patients.
Recommended Textbook
Introduction to Clinical Pharmacology 7th Edition by Marilyn Edmunds
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24 Chapters
575 Verified Questions
575 Flashcards
Source URL: https://quizplus.com/study-set/1131 Page 2
Chapter 1: Pharmacology and the Nursing Process in LPN Practice
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/22201
Sample Questions
Q1) Which of the following are never administered if prepared by another nurse?
A) Written orders
B) Daily reports
C) Diet selections
D) Medications
Answer: D
Q2) Which of the following nursing actions is an example of the evaluation step in medication administration?
A) Obtaining the clotting time results of a patient on an anticoagulant
B) Asking the patient if he or she has any allergies to medications
C) Checking a drug reference to verify the action of the drug
D) Explaining to the patient the possible side effects of the drug
Answer: A
Q3) Which of the following nursing actions should ensure that a medication is given to the right patient?
A) Checking the patient's identification bracelet
B) Verifying the medication record with the chart
C) Verifying the room number with the chart
D) Asking the patient to state his or her birth date and Social Security number
Answer: A
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Chapter 2: Patient Teaching and Health Literacy
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/22202
Sample Questions
Q1) Basic reasons a treatment plan may be ineffective include which of the following? (Select all that apply. )
A) Goal content focuses on medical facts.
B) Goal content is not in a handout.
C) Goal content has four objectives.
D) Goal content focuses on behavior.
Answer: A,B,C
Q2) A teaching plan is scheduled to deliver specific content during a session.Which of the following is the appropriate response to unrelated but important questions interrupting the planned content of the session?
A) A quick response is acceptable during the session.
B) The plan must be closely followed with no interruptions.
C) Interruptions are only allowed at break time.
D) Unrelated content questions can only be answered at the end of the session. Answer: A
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Chapter 3: Legal Aspects Affecting the Administration of Medications
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/22203
Sample Questions
Q1) When a nurse realizes that a medication error has occurred,the nurse should take which of the following steps? (Select all that apply. )
A) Immediately check the patient and determine if the error poses a risk to the patient's condition.If so,notify the physician immediately.
B) Try to find someone to blame for the error.
C) Notify the nursing supervisor,record in the patient's chart exactly what happened,and fill out any other required (incident/medication error)reports.
D) Analyze how and why the error occurred,and how it might be avoided in the future.
E) All of the above are correct steps.
Answer: A,C,D
Q2) The order reads,"Theochron 200 mg PO qid." The nurse understands that this is which type of medication order?
A) Priority
B) Standing
C) Flexible
D) Indefinite
Answer: B
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Page 5
Chapter 4: Foundations and Principles of Pharmacology
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/22204
Sample Questions
Q1) Which of the following can affect the half-life of a drug?
A) Patient age
B) Liver dysfunction
C) Cardiac disease
D) Smoking
Q2) Chemical names are different from trade or brand names because chemical names describe which of the following?
A) Atomic or molecular structure
B) Metabolic and chemical structure
C) Generic or chemical structure
D) Receptor and agonist structure
Q3) The patient tells the nurse that he gets a headache after taking an antihypertensive medication.The nurse explains that this is which of the following?
A) Uncommon symptom
B) Side effect
C) Drug interaction
D) Desired effect
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Chapter 5: Lifespan and Cultural Modifications
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/22205
Sample Questions
Q1) Nurses working with older adult patients must remember which of the following factors about their kidney function and administration of their medications? (Select all that apply. )
A) Older adult patients are all alike with regard to kidney function and medications.
B) Drugs excreted by the kidney must be assessed individually in older adults.
C) Longer dosage intervals and lower doses are generally appropriate for older adults with kidney damage.
D) With older adults,creatinine clearance values help measure kidney function.
Q2) Which of the following nursing interventions would be most helpful in improving a patient's ability to follow the drug treatment plan?
A) Obtaining a unit-dose dispensing system for home use
B) Providing instruction three times before discharge
C) Discussing the medications with a family member
D) Establishing a good nurse-patient relationship
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/22206
Sample Questions
Q1) Iron supplements are used in the treatment of which of the following conditions?
A) Anemia
B) Osteoporosis
C) Esophageal reflux
D) Constipation
Q2) The Dietary Supplement Health and Education Act passed by Congress in 1994 addresses which of the following issues with OTC dietary supplements? (Select all that apply. )
A) Disease claims
B) Functional cure
C) Preventions
D) Toxicities
Q3) A patient asks the nurse if synthetic vitamins are better than natural vitamins.Which of the following is the best response?
A) Synthetic vitamins cost more than natural vitamins.
B) Synthetic vitamins are better dissolved.
C) Synthetic vitamins have questionable safety records.
D) Synthetic vitamins must be taken in larger amounts.
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Chapter 7: Review of Mathematical Principles
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/22207
Sample Questions
Q1) Which of the following represents x in the proportion "10 : 100 :: 5 : x"?
A) 50
B) 25
C) 20
D) 40
Q2) Which of the following is the solution to this problem? 3/5 ÷ 1/2 = ___.
A) 6/5
B) 3/7
C) 3/10
D) 1 1/5
Q3) Which of the following is/are equivalent expressions for the ratio 1:5?
A) 20%
B) 15%
C) 0.20
D) 1/20
E) 1/5
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Chapter 8: Mathematical Calculations Used in Pharmacology
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/22208
Sample Questions
Q1) A patient weighs 100 kg.In pounds,this equals which of the following?
A) 220 lb
B) 45.5 lb
C) 200 lb
D) 50 lb
Q2) The nurse is recording intake and output for a patient at the end of the shift.The output was 1500 mL.Which of the following represents the metric equivalent in liters (L)?
A) 15 L
B) 150 L
C) 1.5 L
D) 0.15 L
Q3) Which of the following is equal to 2 tablespoonfuls?
A) 30 mL
B) 15 mL
C) 10 mL
D) 5 mL
Q4) Calculate the following: 1 kg = _____g.
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Chapter 9: Calculating Drug Dosages
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/22209
Sample Questions
Q1) Ordered is codeine 1 gr PO;it is available in 30-mg tablets.Which of the following represents the number of tablets the patient should get?
A) 1.5 tablets
B) 1.2 tablets
C) 3 tablets
D) 2 tablets
Q2) If Phenergan is available in 100 mg/2 mL ampules,which of the following represents the amount needed in milliliters to give a dose of 12.5 mg IM?
A) 0.20 mL
B) 0.25 mL
C) 0.50 mL
D) 0.75 mL
Q3) The order reads: Lanoxin 0.125 mg PO now.The medication is available in 0.25 mg tablets.Which of the following represents the number of tablets the nurse will give?
A) 2 tablets
B) 1/2 tablet
C) 1 1/2 tablets
D) 1/4 tablet
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Chapter 10: Preparing and Administering Medications
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22210
Sample Questions
Q1) List the following nursing actions in the correct sequence for a patient with an infiltrated IV.
A)Contact the physician.
B)Inspect for signs of injury.
C)Apply warm,moist compresses.
D)Discontinue the infusion.
Q2) Standard precautions to prevent transmission of HIV and other blood-borne pathogens should be used when the nurse is likely to come into contact with blood,semen,vaginal secretions,and possibly breast milk.Only these four fluids have been shown to transmit HIV.Although the risk is unknown,universal precautions for prevention of HIV have also been suggested for which of the following bodily fluids?
A) Tears
B) Sweat
C) Pleural fluid
D) Nasal secretions
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Chapter 11: Allergy and Respiratory Medications
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22211
Sample Questions
Q1) A patient has recently recovered from pneumonia.She is on an expectorant for a cough she developed with her pneumonia.She discovers that she now wheezes after jogging in the morning.The physician might suggest which of the following?
A) Taking an oral bronchodilator before running
B) Using an intranasal steroid nebulizer before running
C) Taking a spray decongestant before running
D) Drinking 2 quarts of water daily
Q2) A patient is experiencing severe headaches and pressure over her eyes.She feels congested but has no temperature elevation.There is a past history of sinus infection with this patient.The physician might order which of the following?
A) Expectorant
B) Antibiotic
C) Antitussive
D) Decongestant
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13
Chapter 12: Antiinfective Medications
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/22212
Sample Questions
Q1) Aminoglycosides are used for broad-spectrum antibiotic therapy and have a narrow therapeutic range.The highest therapeutic blood range is determined at the _____ of the blood level.
A) Peak
B) Trough
C) Weight
D) Dilution
Q2) A 72-year-old patient is being treated for an infected right great toe.In reviewing this patient's history,the nurse has discovered the patient has decreased renal function.Which of the following is correct concerning whether this patient should be started on aminoglycosides?
A) An aminoglycoside should be started,because this antibiotic can be taken with many other drugs.
B) An aminoglycoside should not be started,because this antibiotic is not broad spectrum.
C) An aminoglycoside should be started,because there is less sensitivity with this drug.
D) An aminoglycoside should not be started,because a specific tissue reaction has been identified.
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14
Chapter
Medications
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22213
Sample Questions
Q1) Nystatin is a polyene antifungal medication used primarily for the treatment of which of the following conditions?
A) Nasal congestion
B) Common colds
C) Vaginal yeast
D) Ear wax
Q2) Zovirax (acyclovir)is indicated in the treatment of which of the following?
A) Influenza A
B) Herpes simplex
C) Candida albicans
D) Vaginitis
Q3) Nystatin is used to treat which of the following?
A) Oral Candida infections
B) Fungal infections involving the nail
C) Herpes zoster
D) Respiratory syncytial virus (RSV)infections in children
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Chapter 14: Antineoplastic Medications
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22214
Sample Questions
Q1) A patient is being treated for ovarian carcinoma with carboplatin,an alkylating agent.Which of the following are actions of this medication? (Select all that apply. )
A) It interferes with normal cell division.
B) Malignant cells convert to normal.
C) Its effects occur in both normal and malignant cells.
D) Cell division is totally controlled with this medication.
Q2) With which of the following conditions should the nurse take special care in an older patient?
A) Anorexia and diarrhea
B) Dry eyes when taking chemotherapy
C) Edema in the joints
D) Pain at injection site
Q3) Which of the following terms refers to a medication that interferes with metabolic functions in cells?
A) Antibiotic
B) Alkylating agent
C) Antimetabolite
D) Mitotic inhibitor
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16
Chapter 15: Cardiovascular and Renal Medications
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/22215
Sample Questions
Q1) A patient comes to the physician's office complaining of constipation after starting his antihyperlipidemic medication.The nurse tells the patient to take the laxative the physician has prescribed and to eat a diet high in bulk.Which of the following is a high-bulk food?
A) Potatoes
B) Corn
C) Bran
D) Bread
Q2) Which of the following is primarily used as an antidysrhythmic drug?
A) Digitalis
B) Verapamil
C) Reserpine
D) Clonidine
Q3) Which of the following symptoms exhibited by a patient taking quinidine indicate toxicity? (Select all that apply. )
A) Headache and lightheadedness
B) Fever and vertigo
C) Tinnitus,nausea,and vomiting
D) Hypoglycemia and arthralgia
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Page 17
Chapter 16: Central and Peripheral Nervous System
Medications
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/22216
Sample Questions
Q1) Clonazepam (Klonopin),a benzodiazepine,is used on certain patients with which of the following disorders of the central nervous system?
A) Motion sickness
B) Parkinsonism
C) Myoclonic seizures
D) Chronic vertigo
Q2) Lithium is an antimanic drug that is used in the treatment of which of the following conditions?
A) Clinical chronic depression
B) Acute depression
C) Prolonged sleep psychosis
D) Manic-depressive psychosis
Q3) CNS depression,decreased respiratory rate,constricted pupils,tachycardia,and areflexia are symptoms of overdose with which of the following drugs?
A) Barbiturates
B) Serotonin (5HT)receptor agonists
C) Dopaminergic agents
D) Anticholinergic drugs
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Chapter 17: Medications for Pain Management and Anesthesia
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/22217
Sample Questions
Q1) A patient has been on hydrocodone for 6 months and asks if this medication is addictive.Which of the following would be the nurse's best response?
A) "Dependence may develop."
B) "This is not an addictive narcotic."
C) "All medications are addictive."
D) "Taking food with this medication will help."
Q2) The nruse would expect to see which of the following symptoms in a patient who is an abuser of narcotics?
A) An outward show of happiness
B) A complete downward spiral in behavior
C) "Hyper" behavior
D) Constipation
Q3) Narcotic agonist analgesics have several side effects,including which of the following? (Select all that apply. )
A) Hyperalertness with euphoria
B) Nausea
C) Dizziness
D) Flushing
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Chapter 18: Anti-inflammatory, Musculoskeletal, and Anti-arthritis Medications
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/22218
Sample Questions
Q1) An overweight 53-year-old patient complains of severe pain in his right big toe.He has never had any problem like this before.Aspiration of the joint reveals uric acid crystals.The doctor will probably order which of the following medications?
A) Salicylates
B) NSAIDs
C) Allopurinol
D) Colchicine
Q2) A patient is diagnosed with osteoarthritis.The nurse would expect the patient to be started on which of the following medications?
A) NSAIDs
B) Salicylates
C) Acetaminophen
D) Mucomyst
Q3) Allopurinol is not used in the treatment of an acute attack of gout for which of the following reasons?
A) It has no analgesic properties.
B) It cannot work alone.
C) It will not reduce uric acid levels.
D) It causes edema in the feet.
Page 20
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Chapter 19: Gastrointestinal Medications
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/22219
Sample Questions
Q1) Laxatives are classified into five major categories that include which of the following? (Select all that apply. )
A) Bulk-forming agents
B) Lubricants
C) Saline solutions
D) Antispasmodics
Q2) A patient who has had gallbladder surgery finds that in the postoperative period she is bothered by an excess of intestinal gas,producing flatus and bloating.Which of the following would be an appropriate medication for this symptom?
A) Syrup of ipecac
B) Chenodiol
C) Simethicone
D) Disulfiram
Q3) A patient is diagnosed as having a duodenal ulcer.Which of the following is likely to be the physician's drug of choice?
A) Maalox
B) Gelusil
C) Milk of magnesia
D) Protonix
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Page 21
Chapter 20: Hematologic Products
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/22220
Sample Questions
Q1) In checking the chart of an elderly female outpatient on anticoagulant therapy,the LPN/LVN notes that the patient's lab values are off.The patient says she takes her medication as prescribed,so the nurse asks about her dietary intake.Which of the following foods might have an effect on anticoagulant therapy?
A) Broccoli
B) Eggplant
C) Oranges
D) Grapes
Q2) A patient comes into the emergency department with complaints of chest pains.An ECG reveals an acute myocardial infarction taking place.You would expect the physician to take which of the following actions?
A) Send the patient directly to the cardiac unit for follow-up care.
B) Give the patient one aspirin and repeat the ECG.
C) Administer a thrombolytic agent for lysis of thrombi.
D) Administer heparin only to prevent potential bleeding of coronary arteries.
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Chapter 21: Hormones and Steroids
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/22221
Sample Questions
Q1) Which of the following are two of the major glucocorticoids produced by the adrenal glands?
A) Vasopressin and aldosterone
B) Hydrocortisone and cortisone
C) Prednisone and hydrocortisone
D) Deltasone and Solu-Cortef
Q2) A patient came to the clinic for follow-up care after his last visit.His laboratory tests for serum T and TSH confirm hypothyroidism.The nurse expects that this patient will be started on which of the following medications?
A) Prednisone
B) Hydrocortisone
C) Levothyroxine
D) Danazol
Q3) Which of the following is true about vasopressin?
A) It is an anterior pituitary hormone.
B) It is an antidiuretic hormone.
C) It is used in adrenal insufficiency.
D) It is used to increase smooth-muscle contraction in the digestive tract and vascular bed.
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Page 23
Chapter 22: Immunologic Medications
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/22222
Sample Questions
Q1) Which of the following is an appropriate intervention to relieve local discomfort from an immunization?
A) Application of emollients
B) Application of ice
C) Application of lidocaine ointment
D) Acetaminophen
Q2) Which of the following patients should take the varicella vaccine?
A) A child who stepped on a rusty nail
B) An adult who has never been immunized
C) A health care worker
D) Any child under 1 year of age
Q3) Patients receiving immune serums should be evaluated for which of the following effects of the serums?
A) Headaches
B) Skin rash
C) Disease suppression
D) Numbness in the fingers
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Chapter 23: Topical Medications
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/22223
Sample Questions
Q1) Sometimes medications can cause mouth dryness.The nurse would expect the health care provider to order which of the following medications for relief of dry mouth?
A) Salivart
B) Cçpacol
C) Orajel
D) Proxigel
Q2) The integumentary system has several important functions in the body that include which of the following? (Select all that apply. )
A) Preventing water loss
B) Producing chemicals to develop into vitamin D
C) Enhancing bacterial invasion
D) Regulating temperature
Q3) Acyclovir ointment is prescribed for the treatment of which of the following conditions?
A) Chickenpox
B) Eczema
C) Psoriasis
D) Herpes simplex
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25
Chapter 24: Vitamins and Minerals
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/22224
Sample Questions
Q1) An older adult patient comes to the doctor's office with complaints of malaise,nervousness,and difficulty walking.Her blood work reveals a deficiency in pyridoxine.The nurse would know that the patient has a deficiency in which of the following vitamins?
A) Vitamin C
B) Vitamin D
C) Vitamin B
D) Vitamin B
Q2) Patients on long-term diuretic therapy should take which of the following minerals?
A) Potassium
B) Sodium
C) Calcium
D) Zinc
Q3) Vitamin A is used to do which of the following?
A) Treat blood deficiency when doing a blood transfusion
B) Stop bleeding
C) Make stool softer
D) Treat eye diseases and night blindness
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