Maternal and Child Health Nursing Question
Bank
Course Introduction
Maternal and Child Health Nursing focuses on the specialized care of women during pregnancy, childbirth, and the postpartum period, as well as the health and development of infants, children, and adolescents. The course covers essential topics such as prenatal care, labor and delivery management, newborn assessment, common childhood illnesses, growth and development milestones, and family-centered approaches to care. Emphasis is placed on health promotion, disease prevention, and early intervention to ensure optimal outcomes for mothers and children. Students will also explore the influence of cultural, social, and environmental factors on maternal and child health, and develop critical nursing skills needed to provide safe, evidence-based, and compassionate care across diverse settings.
Recommended Textbook
Evolve Resources for Pharmacology and the Nursing Process 7th Edition by Linda Lane Lilley
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58 Chapters
825 Verified Questions
825 Flashcards
Source URL: https://quizplus.com/study-set/1613
Page 2
Chapter 1: The Nursing Process and Drug Therapy
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/31978
Sample Questions
Q1) When the nurse considers the timing of a drug dose, which factor is appropriate to consider when deciding when to give a drug?
A) The patient's ability to swallow
B) The patient's height
C) The patient's last meal
D) The patient's allergies
Answer: C
Q2) The patient is to receive \( 1 / 2 \) ounce of liquid cough medicine. Calculate the number of milliliters the patient will receive.
Answer: 15 mL
1 ounce : 30 mL :: ounce : x mL
(1 × x) = (30 × ); 1x = 15; x = 15; therefore 15 mL = ounce
Q3) The nurse is performing an assessment of a newly admitted patient. Which is an example of subjective data?
A) Blood pressure 158/96 mm Hg
B) Weight 255 pounds
C) The patient reports that he uses the herbal product ginkgo.
D) The patient's laboratory work includes a complete blood count and urinalysis.
Answer: C
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Page 3
Chapter 2: Pharmacologic Principles
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/31979
Sample Questions
Q1) A drug dose that delivers 750 mg has a half-life of 4 hours. How much drug will remain in the body after one half-life?
Answer: 375 mg
A drug's half-life is the time required for one half of an administered dose of a drug to be eliminated by the body, or the time it takes for the blood level of a drug to be reduced by 50%. Therefore, one half of 750 mg equals 375 mg.
Q2) The patient is complaining of a headache and asks the nurse which over-the-counter medication form would work the fastest to help reduce the pain. Which medication form will the nurse suggest?
A) A capsule
B) A tablet
C) An enteric-coated tablet
D) A powder
Answer: D
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4
Chapter 3: Lifespan Considerations
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31980
Sample Questions
Q1) The nurse is assessing a newly admitted 83-year-old patient and determines that the patient is experiencing polypharmacy. Which statement most accurately illustrates polypharmacy?
A) The patient is experiencing multiple illnesses.
B) The patient uses one medication for an illness several times per day.
C) The patient uses over-the-counter drugs for an illness.
D) The patient uses multiple medications simultaneously.
Answer: D
Q2) Which statements are true regarding pediatric patients and pharmacokinetics?
(Select all that apply.)
A) The levels of microsomal enzymes are decreased.
B) Perfusion to the kidneys may be decreased and may result in reduced renal function.
C) First-pass elimination is increased because of higher portal circulation.
D) First-pass elimination is reduced because of the immaturity of the liver.
E) Total body water content is much less than in adults.
F) Gastric emptying is slowed because of slow or irregular peristalsis.
G) Gastric emptying is more rapid because of increased peristaltic activity.
Answer: A, B, D, F
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Chapter 4: Cultural, Legal, and Ethical Considerations
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31981
Sample Questions
Q1) A member of an investigational drug study team is working with healthy volunteers whose participation will help to determine the optimal dosage range and pharmacokinetics of the drug. The team member is participating in what type of study?
A) Phase I
B) Phase II
C) Phase III
D) Phase IV
Q2) A patient has been selected as a potential recipient of an experimental drug for heart failure. The nurse knows that when informed consent has been obtained, it indicates that the patient
A) has been informed of the possible benefits of the new therapy.
B) will be informed of the details of the study as the research continues.
C) will receive the actual drug during the experiment.
D) has had the study's purpose, procedures, and the risks involved explained to him.
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6
Chapter 5: Medication Errors: Preventing and Responding
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/31982
Sample Questions
Q1) When taking a telephone order for a medication, which action by the nurse is most appropriate?
A) Verify the order with the charge nurse.
B) Call back the prescriber to review the order.
C) Repeat the order to the prescriber before hanging up the telephone.
D) Ask the pharmacist to double-check the order.
Q2) The nurse is reviewing medication errors. Which situation is an example of a medication error?
A) A patient refuses her morning medications.
B) A patient receives a double dose of a medication because the nurse did not cut the pill in half.
C) A patient develops hives after having started an IV antibiotic 24 hours earlier.
D) A patient complains of severe pain still present 60 minutes after a pain medication was given.
Q3) Levothyroxine is available in 88-mcg tablet form. Convert this dose to milligram strength. Do not round.
Q4) Digoxin is available in 0.25-mg tablet form. Convert this dose to microgram strength. Do not round.
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Chapter 6: Patient Education and Drug Therapy
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/31983
Sample Questions
Q1) The nurse is teaching a 16-year-old patient who has a new diagnosis of type 1 diabetes about blood glucose monitoring and the importance of regulating glucose intake. When developing a teaching plan for this teenager, which of Erikson's stages of development should the nurse consider?
A) Trust versus mistrust
B) Intimacy versus isolation
C) Industry versus inferiority
D) Identity versus role confusion
Q2) When the nurse teaches a skill such as self-injection of insulin to the patient, what is the best way to set up the teaching/learning session?
A) Provide written pamphlets for instruction.
B) Show a video, and allow the patient to practice as needed on his own.
C) Verbally explain the procedure, and provide written handouts for reinforcement.
D) After demonstrating the procedure, allow the patient to do several return demonstrations.
Q3) A patient is to receive prednisone 7.5 mg PO daily. The tablets are available in a 2.5-mg strength. How many tablets will the patient receive?
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Chapter 7: Over-The-Counter Drugs and Herbal and Dietary Supplements
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/31984
Sample Questions
Q1) The patient has been taking an over-the-counter ( OTC ) acid-reducing drug because he has had "stomach problems" for several months. He tells the nurse that the medicine helps as long as he takes it, but once he stops it, the symptoms return. Which statement by the nurse is the best advice for this patient?
A) "The over-the-counter drug has helped you, so you should continue to take it."
B) "The over-the-counter dosage may not be strong enough. You should be taking prescription-strength for best effects."
C) "For best results, you need to watch what you eat in addition to taking this drug."
D) "Using this drug may relieve your symptoms, but it does not address the cause. You should be seen by your health care provider."
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9
Chapter 8: Gene Therapy and Pharmacogenomics
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/31985
Sample Questions
Q1) The nurse is discussing gene therapy in a continuing education class. Which is the best definition of eugenics?
A) The use of gene therapy to prevent disease
B) The development of new drugs based on gene therapy
C) Intentional selection, before birth, of genotypes that are considered more desirable than others
D) The determination of genetic factors that influence a person's response to medications
Q2) The nurse is explaining the Human Genome Project to colleagues. The main purpose of the Human Genome Project is to
A) study genetic diseases.
B) study genetic traits in humans.
C) discover new genetic diseases.
D) describe the entire genome of a human being.
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Chapter 9: Photo Atlas of Drug Administration
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31986
Sample Questions
Q1) When administering medication by IV bolus (push), the nurse will occlude the IV line by which method?
A) Not pinching the IV tubing at all
B) Pinching the tubing just above the injection port
C) Pinching the tubing just below the injection port
D) Pinching the tubing just above the drip chamber of the infusion set
Q2) The nurse will plan to use the Z-track method of intramuscular (IM) injections for which situation?
A) The medication is known to be irritating to tissues.
B) The patient is emaciated and has very little muscle mass.
C) The medication must be absorbed quickly into the tissues.
D) The patient is obese and has a deep fat layer below the muscle mass.
Q3) The nurse is giving medications through a percutaneous endoscopic gastrostomy (PEG) tube. Which technique is correct?
A) Administering the medications using a 3-mL medication syringe
B) Applying firm pressure on the syringe's piston to infuse the medication
C) Flushing the tubing with 30 mL of saline after the medication has been given
D) Using the barrel of the syringe, allowing the medication to flow via gravity into the tube
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Page 11
Chapter 10: Analgesic Drugs
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/31987
Sample Questions
Q1) A patient has been treated for lung cancer for 3 years. Over the past few months, the patient has noticed that the opioid analgesic is not helping as much as it had previously and more medication is needed for the same pain relief. The nurse is aware that this patient is experiencing opioid
A) addiction.
B) tolerance.
C) toxicity.
D) abstinence syndrome.
Q2) The nurse is assessing a patient who has been admitted to the emergency department for a possible opioid overdose. Which assessment finding is characteristic of an opioid drug overdose?
A) Dilated pupils
B) Restlessness
C) Respiration rate of 6 breaths/minute
D) Heart rate of 55 beats/minute
Q3) A patient is to receive codeine, 40 mg subcutaneously, every 6 hours as needed for pain. The solution is available in a concentration of 30 mg/mL. How many milliliters of codeine will be drawn up for this dose? Record solve to one decimal place.
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Chapter 11: General and Local Anesthetics
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31988
Sample Questions
Q1) During a fishing trip, a patient pierced his finger with a large fishhook. He is now in the emergency department to have it removed. The nurse anticipates that which type of anesthesia will be used for this procedure?
A) No anesthesia
B) Topical benzocaine spray on the area
C) Topical prilocaine ( EMLA ) cream around the site
D) Infiltration of the puncture wound with lidocaine
Q2) A patient is to receive midazolam (Versed) 2 mg IV push over 2 minutes just before an endoscopy procedure. The medication is available in a strength of 5 mg/mL. How many milliliters of medication will the nurse draw up into the syringe for this dose?
Q3) During the immediate postoperative period, the Post Anesthesia Care Unit nurse is assessing a patient who had hip surgery. The patient is experiencing tachycardia, tachypnea, and muscle rigidity, and his temperature is 103° F ( 39.4° C ). The nurse will prepare for what immediate treatment?
A) naltrexone hydrochloride ( Narcan ) injection, an opioid reversal drug
B) dantrolene ( Dantrium ) injection, a skeletal muscle relaxant
C) An anticholinesterase drug, such as neostigmine
D) Cardiopulmonary resuscitation ( CPR ) and intubation
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13
Chapter 12: Central Nervous System Depressants and Muscle Relaxants
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31989
Sample Questions
Q1) A patient has been admitted to the emergency department for an overdose of oral benzodiazepines. He is very drowsy but still responsive, with a respiration rate of 12 breaths per minute. The nurse will prepare for which immediate intervention?
A) Hemodialysis to remove the medication
B) Administration of flumazenil (Romazicon)
C) Administration of naloxone (Narcan)
D) Intubation and mechanical ventilation
Q2) A patient tells the nurse that he likes to drink kava herbal tea to help him relax. Which statement by the patient indicates that additional teaching about this herbal product is needed?
A) "I will not drink wine with the kava tea."
B) "If I notice my skin turning yellow, I will stop taking the tea."
C) "I will not take sleeping pills if I have this tea in the evening."
D) "I will be able to drive my car after drinking this tea."
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14
Chapter 13: Central Nervous System Stimulants and Related Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31990
Sample Questions
Q1) Before a patient receives triptans for the treatment of migraines, the nurse will assess for the presence of which condition, which is a contraindication if present?
A) Hypotension
B) Renal disease
C) Liver damage
D) Cardiovascular disease
Q2) A 22-year-old nursing student has been taking NoDoz (caffeine) tablets for the past few weeks to "make it through" the end of the semester and exam week. She is in the university clinic today because she is "exhausted." What nursing diagnosis may be appropriate for her?
A) Noncompliance
B) Impaired physical mobility
C) Sleep deprivation
D) Imbalanced nutrition: less than body requirements
Q3) The order reads, "Give atomoxetine (Strattera) 0.5 mg/kg/day once daily in the morning before school." The child weighs 88 pounds. How many milligrams will be administered per dose?
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Page 15
Chapter 14: Antiepileptic Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31991
Sample Questions
Q1) A patient has been taking an AED for several years as part of his treatment for partial seizures. His wife has called because he ran out of medication this morning and wonders if he can go without it for a week until she has a chance to go to the drugstore. What is the nurse's best response?
A) "He is taking another antiepileptic drug, so he can go without the medication for a week."
B) "Stopping this medication abruptly may cause withdrawal seizures. A refill is needed right away."
C) "He can temporarily increase the dosage of his other antiseizure medications until you get the refill."
D) "He can stop all medications because he has been treated for several years now."
Q2) A 9-year-old child will be receiving carbamazepine (Tegretol) suspension, 200 mL daily. The medication is available in a strength of 100 mg/5 mL. How many milliliters will the nurse give to the patient for each dose?
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Chapter 15: Antiparkinson Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31992
Sample Questions
Q1) The prescriber writes this order, "Give amantadine (Symmetrel) 100 mg per PEG tube twice a day." The medication is available in a liquid form with a concentration 50 mg/5 mL. How many milliliters will the nurse give with each dose?
Q2) When assessing the medication history of a patient with a new diagnosis of Parkinson's disease, which conditions are contraindications for the patient who will be taking carbidopa-levodopa? (Select all that apply.)
A) Angle-closure glaucoma
B) History of malignant melanoma
C) Hypertension
D) Benign prostatic hyperplasia
E) Concurrent use of monoamine oxidase inhibitors (MAOIs)
Q3) The nurse is developing a care plan for a patient who is taking an anticholinergic drug. Which nursing diagnosis would be appropriate for this patient?
A) Diarrhea
B) Urinary retention
C) Risk for infection
D) Sleep deprivation
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Chapter 16: Psychotherapeutic Drugs
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/31993
Sample Questions
Q1) A 22-year-old patient has been taking lithium for 1 year, and the most recent lithium level is 0.9 mEq/L. Which statement about the laboratory result is correct?
A) The lithium level is therapeutic.
B) The lithium level is too low.
C) This lithium level is too high.
D) Lithium is not usually monitored with blood levels.
Q2) Which statements are true regarding the selective serotonin reuptake inhibitors (SSRIs)? (Select all that apply.)
A) Avoid foods and beverages that contain tyramine.
B) Monitor the patient for extrapyramidal symptoms.
C) Therapeutic effects may not be seen for about 4 to 6 weeks after the medication is started.
D) If the patient has been on an MAOI, a 2- to 5-week or longer time span is required before beginning an SSRI medication.
E) These drugs have anticholinergic effects, including constipation, urinary retention, dry mouth, and blurred vision.
F) Cogentin is often also prescribed to reduce the adverse effects that may occur.
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Page 18
Chapter 17: Substance Abuse
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/31994
Sample Questions
Q1) A nurse is providing teaching for a patient who will be taking varenicline (Chantix) as part of a smoking-cessation program. Which teaching points are appropriate for a patient taking this medication? (Select all that apply.)
A) This drug is available as a chewing gum that can be taken to reduce cravings.
B) Use caution when driving because drowsiness may be a problem.
C) There have been very few adverse effects reported for this drug.
D) Notify the prescriber immediately if feelings of sadness or thoughts of suicide occur.
E) Avoid caffeine while on this drug.
Q2) A 29-year-old male patient is admitted to the intensive care unit with the following symptoms: restlessness, hyperactive reflexes, talkativeness, confusion and periods of panic and euphoria, tachycardia, and fever. The nurse suspects that he may be experiencing the effects of taking which substance?
A) Opioids
B) Alcohol
C) Stimulants
D) Depressants
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Chapter 18: Adrenergic Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31995
Sample Questions
Q1) When an adrenergic drug stimulates beta?-adrenergic receptors, the result is an increased force of contraction, which is known as what type of effect?
A) Positive inotropic
B) Anti-adrenergic
C) Negative dromotropic
D) Positive chronotropic
Q2) A hospitalized patient is experiencing a severe anaphylactic reaction to a dose of intravenous penicillin. Which drug will the nurse expect to use to treat this condition?
A) Ephedra
B) Epinephrine
C) Phenylephrine
D) Pseudoephedrine
Q3) The nurse recognizes that adrenergic drugs cause relaxation of the bronchi and bronchodilation by stimulating which type of receptors?
A) Dopaminergic
B) Beta1-adrenergic
C) Beta2-adrenergic
D) Alpha1-adrenergic
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Chapter 19: Adrenergic-Blocking Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31996
Sample Questions
Q1) The teaching for a patient who is taking tamsulosin (Flomax) to reduce urinary obstruction due to benign prostatic hyperplasia will include which of these?
A) Fluids need to be restricted while on this medication.
B) Take the medication with breakfast to promote the maximum effects of the drug.
C) Get up slowly from a sitting or lying position.
D) Blood pressure must be monitored because the medication may cause hypertension.
Q2) During therapy with a beta blocker, the patient notices that she has swollen feet, has gained 3 pounds within 2 days, feels short of breath even when walking around the house, and has been dizzy. The nurse suspects that which of the following is occurring?
A) The patient is experiencing an allergic reaction.
B) The patient may be developing heart failure.
C) More time is needed for the patient to see a therapeutic response to the drug.
D) The patient is experiencing expected adverse effects of the drug.
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Chapter 20: Cholinergic Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31997
Sample Questions
Q1) When monitoring a patient who is taking a cholinergic drug, the nurse will watch for which cardiovascular effect?
A) Bradycardia
B) Tachycardia
C) Vasoconstriction
D) Palpitations
Q2) The nurse is reviewing the mechanism of action of cholinergic drugs. The undesired effects of cholinergic drugs come from the stimulation of which receptors?
A) Muscarinic
B) Nicotinic
C) Cholinergic
D) Ganglionic
Q3) A factory worker has been admitted to the emergency department after an industrial accident involving organophosphate insecticides. The nurse will prepare to administer which drug?
A) pilocarpine (Salagen)
B) bethanechol (Urecholine)
C) pyridostigmine (Mestinon)
D) tacrine (Cognex)
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Page 22
Chapter 21: Cholinergic-Blocking Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31998
Sample Questions
Q1) The nurse working in a preoperative admitting unit administers an anticholinergic medication to a patient before surgery. What is the purpose of this drug in the preoperative setting?
A) Control the heart rate
B) Relax the patient
C) Reduce urinary frequency
D) Reduce oral and gastrointestinal secretions
Q2) A 72-year-old man has a new prescription for an anticholinergic drug. He is an active man and enjoys outdoor activities, such as golfing and doing his own yard work. What will the nurse emphasize to him during the teaching session about his drug therapy?
A) Drowsiness may interfere with his outdoor activities.
B) Increased salivation may occur during exercise and outside activities.
C) Fluid volume deficits may occur as a result of an increased incidence of diarrhea.
D) He will need to take measures to reduce the occurrence of heat stroke during his activities.
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Chapter 22: Antihypertensive Drugs
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/31999
Sample Questions
Q1) The nurse is preparing for a community education program on hypertension. Which of these parameters determine the regulation of arterial blood pressure?
A) Cardiac output and systemic vascular resistance
B) Heart rate and peripheral resistance
C) Blood volume and renal blood flow
D) Myocardial contractility and arteriolar constriction
Q2) The nurse is reviewing the orders for a patient and notes a new order for an angiotensin-converting enzyme (ACE) inhibitor. The nurse checks the current medication orders, knowing that this drug class may have a serious interaction with what other drug class?
A) Calcium channel blockers
B) Diuretics
C) Nonsteroidal antiinflammatory drugs
D) Nitrates
Q3) A patient is to receive enalapril (Vasotec) 5 mg IV every 6 hours. Each dose is given over 5 minutes. The medication is available in an injectable form, 1.25 mg/mL. How many milliliters of medication will the nurse draw up for each dose?
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Chapter 23: Antianginal Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/32000
Sample Questions
Q1) When applying transdermal nitroglycerin patches, which instruction by the nurse is correct?
A) "Rotate application sites with each dose."
B) "Use only the chest area for application sites."
C) "Temporarily remove the patch if you go swimming."
D) "Apply the patch to the same site each time."
Q2) A patient has been taking a beta blocker for 4 weeks as part of his antianginal therapy. He also has type II diabetes and hyperthyroidism. When discussing possible adverse effects, the nurse will include which information?
A) "Watch for unusual weight loss."
B) "Monitor your pulse for increased heart rate."
C) "Use the hot tub and sauna at the gym as long as time is limited to 15 minutes."
D) "Monitor your blood glucose levels for possible hypoglycemia or hyperglycemia."
Q3) A patient will be receiving metoprolol (Lopressor) 5 mg IV push ´ 3 doses for angina. The medication is available in a strength of 1 mg/mL. How much medication will the nurse draw up for each dose?
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Page 25
Chapter 24: Heart Failure Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32001
Sample Questions
Q1) A patient has a digoxin level of 1.4 ng/mL. The nurse interprets that this level is
A) below the therapeutic level.
B) within the therapeutic range.
C) above the therapeutic level.
D) at a toxic level.
Q2) A patient has been placed on a milrinone (Primacor) infusion as part of the therapy for end-stage heart failure. What adverse effect of this drug will the nurse watch for when assessing this patient during the infusion?
A) Hypertension
B) Hyperkalemia
C) Nausea and vomiting
D) Cardiac dysrhythmias
Q3) The nurse administering the phosphodiesterase inhibitor milrinone (Primacor) recognizes that this drug will have a positive inotropic effect. Which result reflects this effect?
A) Increased heart rate
B) Increased blood vessel dilation
C) Increased force of cardiac contractions
D) Increased conduction of electrical impulses across the heart
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Page 26
Chapter 25: Antidysrhythmic Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/32002
Sample Questions
Q1) The nurse is preparing to administer adenosine ( Adenocard ) to a patient who is experiencing an acute episode of paroxysmal supraventricular tachycardia. When giving this medication, which is important to remember?
A) The onset of action occurs in 5 minutes.
B) The medication must be given as a slow intravenous ( IV ) push.
C) Asystole may occur for a few seconds after administration.
D) The medication has a long half-life, and therefore duration of action is very long.
Q2) The nurse notes in the patient's medication orders that the patient will be taking ibutilide (Corvert). Based on this finding, the nurse interprets that the patient has which disorder?
A) Ventricular ectopy
B) Atrial fibrillation
C) Supraventricular tachycardia
D) Bradycardia
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Chapter 26: Coagulation Modifier Drugs
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/32003
Sample Questions
Q1) The nurse is preparing to administer dipyridamole (Persantine). Which statement about this drug is true?
A) It has antiinflammatory and antipyretic properties.
B) It has analgesic properties as well as antithrombotic effects.
C) It is useful in reducing the risk for fatal and nonfatal thrombotic stroke.
D) It is used with warfarin to prevent postoperative thromboembolic complications.
Q2) When administering heparin subcutaneously, the nurse will follow which procedure?
A) Aspirating the syringe before injecting the medication
B) Massaging the site after injection
C) Applying heat to the injection site
D) Using a \( 1 / 2 \) - to -inch 25- to \( 5 / 8 \) 28-gauge needle
Q3) An elderly patient has had hip surgery and will be receiving heparin, 4000 units subcutaneously every 12 hours. The heparin is available in vials of 5000 units/mL. Calculate how much heparin the nurse will administer for this dose.
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Chapter 27: Antilipemic Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32004
Sample Questions
Q1) A patient who has recently started therapy on a statin drug asks the nurse how long it will take until he sees an effect on his serum cholesterol. Which statement would be the nurse's best response?
A) "Blood levels return to normal within a week of beginning therapy."
B) "It takes 6 to 8 weeks to see a change in cholesterol levels."
C) "It takes at least 6 months to see a change in cholesterol levels."
D) "You will need to take this medication for almost a year to see significant results."
Q2) A patient calls the clinic office saying that the cholestyramine (Questran) powder he started yesterday clumps and sticks to the glass when he tries to mix it. The nurse will suggest what method for mixing this medication for administration?
A) Mix the powder in a carbonated soda drink to dissolve it faster.
B) Add the powder to any liquid, and stir vigorously to dissolve it quickly.
C) Mix the powder with food or fruit, or at least 4 to 6 ounces of fluid.
D) Sprinkle the powder into a spoon and take it dry, followed by a glass of water.
Q3) The medication order reads, "Give simvastatin (Zocor) 10 mg daily at bedtime, PO." The medication is available in 20-mg tablets. How many tablets will the nurse administer to the patient?
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Chapter 28: Diuretic Drugs
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32005
Sample Questions
Q1) When monitoring a patient who is taking hydrochlorothiazide (HydroDIURIL), the nurse notes that which drug is most likely to cause a severe interaction with the diuretic?
A) Digitalis
B) Penicillin
C) Potassium supplements
D) Aspirin
Q2) A patient in the neurologic intensive care unit is being treated for cerebral edema. Which class of diuretic is used to reduce intracranial pressure?
A) Loop diuretics
B) Osmotic diuretics
C) Thiazide diuretics
D) Vasodilators
Q3) A patient is started on a diuretic for antihypertensive therapy. The nurse expects that a drug in which class is likely to be used initially?
A) Loop diuretics
B) Osmotic diuretics
C) Thiazide diuretics
D) Potassium-sparing diuretics
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Chapter 29: Fluids and Electrolytes
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/32006
Sample Questions
Q1) The nurse is preparing to give a potassium supplement. Which laboratory test should be checked before the patient receives a dose of potassium?
A) Complete blood count
B) Serum potassium level
C) Serum sodium level
D) Liver function studies
Q2) A patient has a deficiency in clotting factors. The nurse will prepare to administer which blood product?
A) Albumin
B) Cryoprecipitate
C) Fresh frozen plasma
D) Packed red blood cells (PRBCs)
Q3) The nurse is preparing to transfuse a patient with a unit of packed red blood cells (PRBCs). Which intravenous solution is correct for use with the PRBC transfusion?
A) 5% dextrose in water (D<sub>5</sub>W)
B) 0.9% sodium chloride (NS)
C) 5% dextrose in 0.45% sodium chloride (D<sub>5</sub>NS)
D) 5% dextrose in lactated Ringer's solution (D<sub>5</sub>LR)
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Chapter 30: Pituitary Drugs
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/32007
Sample Questions
Q1) When reviewing the medication profile of a patient with a new order for desmopressin (DDAVP), the nurse notes that a drug interaction will occur if which drug is taken with desmopressin?
A) aspirin
B) digoxin
C) lithium
D) penicillin
Q2) A pituitary drug is prescribed for a patient with a hormone deficiency, and the nurse provides instructions about the medication. Which statement by the patient indicates a need for further instruction?
A) "I will not stop the drug unless my doctor tells me to stop it."
B) "I will call my doctor if I have a fever or sore throat."
C) "I will have to stop drinking my nightly glass of wine."
D) "I am looking forward to a cure for my condition with this hormone replacement."
Q3) A patient is to receive vasopressin (Pitressin) 5 units subcut BID. The medication is available in a vial that contains 20 units/mL. How many milliliters will the nurse draw up for this dose? (Record solve using two decimal places.)
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Page 32
Chapter 31: Thyroid and Antithyroid Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32008
Sample Questions
Q1) The order reads, "Give levothyroxine ( Synthroid ), 200 mg, PO once every morning." Which action by the nurse is correct?
A) Give the medication as ordered.
B) Change the dose to 200 mcg, because that is what the prescriber meant.
C) Hold the drug until the prescriber returns to see the patient.
D) Question the order because the dose is higher than 200 mcg.
Q2) A patient, newly diagnosed with hypothyroidism, receives a prescription for a thyroid hormone replacement drug. The nurse assesses for which potential contraindication to this drug?
A) Infection
B) Diabetes mellitus
C) Liver disease
D) Recent myocardial infarction
Q3) When monitoring a patient who is taking a thyroid replacement hormone, which adverse effect needs to be reported to the prescriber?
A) Weakness
B) Palpitations
C) Constipation
D) Drowsiness
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Page 33
Chapter 32: Antidiabetic Drugs
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/32009
Sample Questions
Q1) The nurse is reviewing a patient's medication list and notes that sitagliptin ( Januvia ) is ordered. The nurse will question an additional order for which drug or drug class?
A) glitazone
B) insulin
C) metformin ( Glucophage )
D) sulfonylurea
Q2) The nurse is teaching patients about self-injection of insulin. Which statement is true regarding injection sites?
A) Avoid the abdomen because absorption there is irregular.
B) Choose a different site at random for each injection.
C) Give the injection in the same area each time.
D) Rotate sites within the same location for about 1 week before rotating to a new location.
Q3) The nurse knows to administer acarbose (Precose), an alpha-glucosidase inhibitor, at which time?
A) 30 minutes before breakfast
B) With the first bite of each main meal
C) 30 minutes after breakfast
D) Once daily at bedtime
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Page 34
Chapter 33: Adrenal Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/32010
Sample Questions
Q1) A patient has been admitted for an exacerbation of chronic obstructive pulmonary disease and will be receiving methylprednisolone (Solu-Medrol) 30 mg intravenously every 6 hours. The medication is available in 40-mg/mL vials. How many milliliters will the nurse draw up for this dose?
Q2) A glucocorticoid is prescribed for a patient. The nurse checks the patient's medical history knowing that glucocorticoid therapy is contraindicated in which disorder?
A) Cerebral edema
B) Peptic ulcer disease
C) Tuberculous meningitis
D) Chronic obstructive pulmonary disease
Q3) A patient is concerned about the body changes that have resulted from long-term prednisone therapy for the treatment of asthma. Which effect of this drug therapy would be present to support the nursing diagnosis of disturbed body image?
A) Weight loss
B) Weight gain
C) Pale skin color
D) Hair loss
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Chapter 34: Womens Health Drugs
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/32011
Sample Questions
Q1) The nurse recognizes that the risk of osteoporosis is higher in an individual with which risk factor?
A) White or Asian race
B) African-American race
C) History of participation in active sports
D) Obesity
Q2) A patient wants to try an oral soy product to relieve perimenopausal symptoms. The nurse will assess the patient's medication history for which potential drug interaction?
A) Thyroid replacement therapy
B) Oral anticoagulant therapy
C) Nonsteroidal antiinflammatory drugs
D) Beta blockers
Q3) The nurse is providing teaching for a patient who is to receive estrogen replacement therapy. Which statement is correct to include in the teaching session?
A) "If you miss a dose, double-up on the next dose."
B) "There's no need to be concerned about breast lumps or bumps that occur."
C) "Be sure to report any weight gain of 5 pounds or more per week."
D) "Take the medication on an empty stomach to enhance absorption."
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Chapter 35: Mens Health Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/32012
Sample Questions
Q1) During the administration of finasteride (Proscar), the nurse must remember which important precaution?
A) It must be taken on an empty stomach.
B) It must not be handled by pregnant women.
C) It is given by deep intramuscular injection to avoid tissue irritation.
D) The patient needs to be warned that alopecia is a common adverse effect.
Q2) The nurse notes in a patient's medication history that the patient is taking the synthetic androgen danazol ( Danocrine ). Indications for danazol include which conditions? (Select all that apply.)
A) Endometriosis
B) Decreased sexual libido
C) Postpartum breast engorgement
D) Fibrocystic breast disease in women
E) Hereditary angioedema
F) Metastatic breast cancer
Q3) A patient will be receiving testosterone cypionate (Depo-Testosterone) 400 mg intramuscularly every 4 weeks. The medication is available in a 200-mg/mL strength. How many milliliters will the nurse draw up for each injection?
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Available Study Resources on Quizplus for this Chatper
13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32013
Sample Questions
Q1) A gardener needs a decongestant because of seasonal allergy problems and asks the nurse whether he should take an oral form or a nasal spray. The nurse's answer considers that one benefit of orally administered decongestants is A) immediate onset.
B) a more potent effect.
C) lack of rebound congestion.
D) shorter duration.
Q2) A patient has been advised to add a nasal spray (an adrenergic decongestant) to treat a cold. The nurse will include which instruction?
A) "You won't see effects for at least 1 week."
B) "Limit use of this spray to 3 to 5 days."
C) "Continue the spray until nasal stuffiness has resolved."
D) "Avoid use of this spray if a fever develops."
Q3) A patient will be receiving diphenhydramine (Benadryl) via a PEG tube, 25 mg, every 8 hours for an allergic rash. The medication is available as a 12.5 mg/5 mL syrup. How many milliliters will the nurse administer with each dose?
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Chapter 37: Respiratory Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32014
Sample Questions
Q1) The nurse is providing instructions about the Advair inhaler (fluticasone propionate and salmeterol). Which statement about this inhaler is accurate?
A) It is indicated for the treatment of acute bronchospasms.
B) It needs to be used with a spacer for best results.
C) Patients need to avoid drinking water for 1 hour after taking this drug.
D) It is used for prevention of bronchospasms.
Q2) The prescriber has changed the patient's medication regimen to include the leukotriene receptor antagonist montelukast (Singulair) to treat asthma. The nurse will emphasize which point about this medication?
A) The proper technique for inhalation must be followed.
B) The patient needs to keep it close by at all times to treat acute asthma attacks.
C) It needs to be taken every day on a continuous schedule, even if symptoms improve.
D) When the asthma symptoms improve, the dosage schedule can be tapered and eventually discontinued.
Q3) A patient will be receiving oral theophylline (Theo-Dur), 600 mg/day, in three divided doses. How many milligrams will the patient receive per dose?
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Chapter 38: Antibiotics Part 1
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/32015
Sample Questions
Q1) During drug therapy for pneumonia, a female patient develops a vaginal superinfection. The nurse explains that this infection is caused by
A) large doses of antibiotics that kill normal flora.
B) the infection spreading from her lungs to the new site of infection.
C) resistance of the pneumonia-causing bacteria to the drugs.
D) an allergic reaction to the antibiotics.
Q2) A patient will be receiving amoxicillin suspension 300 mg via a gastrostomy tube every 8 hours. The medication comes in a bottle that contains 400 mg/5 mL. How many milliliters will the nurse administer with each dose? (Record answer using one decimal place.)
Q3) The nurse is monitoring for therapeutic results of antibiotic therapy in a patient with an infection. Which laboratory value would indicate therapeutic effectiveness of this therapy?
A) Increased red blood cell count
B) Increased hemoglobin level
C) Decreased white blood cell count
D) Decreased platelet count
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Chapter 39: Antibiotics Part 2
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32016
Sample Questions
Q1) Which nursing diagnosis is appropriate for a patient who has started aminoglycoside therapy?
A) Constipation
B) Risk for injury (renal damage)
C) Disturbed body image related to gynecomastia
D) Imbalanced nutrition, less than body requirements, related to nausea
Q2) A patient has been diagnosed with Klebsiella pneumoniae carbapenemases ( KPC ). The nurse expects to see orders for which drug?
A) dapsone ( Cubicin ), a miscellaneous antibiotic
B) ciprofloxacin ( Cipro ), a quinolone
C) linezolid ( Zyvox ), an oxazolidinone
D) colistimethate sodium ( Coly-Mycin ), a polypeptide antibiotic
Q3) When a patient is on aminoglycoside therapy, the nurse will monitor the patient for which indicators of potential toxicity?
A) Fever
B) White blood cell count of 8000 cells/mm<sup>3</sup>
C) Tinnitus and dizziness
D) Decreased blood urea nitrogen (BUN) levels
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Chapter 40: Antiviral Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/32017
Sample Questions
Q1) A patient is receiving cidofovir (Vistide) as part of treatment for a viral infection, and the nurse is preparing to administer probenecid, which is also ordered. Which is the rationale for administering probenecid along with the cidofovir treatment?
A) Probenecid has a synergistic effect when given with cidofovir, thus making the antiviral medication more effective.
B) The probenecid also prevents replication of the virus.
C) Concurrent drug therapy with probenecid reduces the nephrotoxicity of the cidofovir.
D) The probenecid reduces the adverse gastrointestinal effects of the cidofovir.
Q2) An infant has been hospitalized with a severe lung infection caused by the respiratory syncytial virus (RSV) and will be receiving medication via the inhalation route. The nurse expects which drug to be used?
A) acyclovir (Zovirax)
B) ganciclovir (Cytovene)
C) amantadine (Symmetrel)
D) ribavirin (Virazole)
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42
Chapter 41: Antitubercular Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/32018
Sample Questions
Q1) When monitoring patients on antitubercular drug therapy, the nurse knows that which drug may cause a decrease in visual acuity?
A) rifampin (Rifadin)
B) isoniazid (INH)
C) ethambutol (Myambutol)
D) streptomycin
Q2) The nurse is counseling a woman who will be starting rifampin (Rifadin) as part of antitubercular therapy. The patient is currently taking oral contraceptives. Which statement is true regarding rifampin therapy for this patient?
A) Women have a high risk for thrombophlebitis while on this drug.
B) A higher dose of rifampin will be necessary because of the contraceptive.
C) Oral contraceptives are less effective while the patient is taking rifampin.
D) The incidence of adverse effects is greater if the two drugs are taken together.
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Chapter 42: Antifungal Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32019
Sample Questions
Q1) A patient is taking nystatin (Mycostatin) oral lozenges to treat an oral candidiasis infection resulting from inhaled corticosteroid therapy for asthma. Which instruction by the nurse is appropriate?
A) "Chew the lozenges until they are completely dissolved."
B) "Let the lozenge dissolve slowly and completely in your mouth without chewing it."
C) "Rinse your mouth with water before taking the inhaler."
D) "Rinse your mouth with mouthwash after taking the inhaler."
Q2) The nurse is assessing a patient who is about to receive antifungal drug therapy. Which condition, if found in the patient, would be of most concern?
A) Diabetes mellitus
B) Liver disease
C) Pulmonary disease
D) Bleeding disorders
Q3) A patient will be taking fluconazole (Diflucan) 100 mg/day PO for 2 weeks. The patient is unable to swallow tablets, so an oral suspension that contains 10 mg/mL is available. How many milliliters will the nurse administer with each dose?
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Page 44
Chapter 43: Antimalarial, Antiprotozoal, and Anthelmintic Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/32020
Sample Questions
Q1) A patient with Pneumocystis jirovecii pneumonia will be receiving pentamidine (Pentam 300) as an intravenous piggyback (IVPB) dose. The medication has been added to a 100-mL bag of D<sub>5</sub>W for the infusion, and it needs to infuse over 120 minutes. The nurse will set the infusion pump to infuse at what rate for this IVPB medication?
Q2) A patient is being evaluated for a possible helminthic infection. The nurse knows that which statement about anthelmintic therapy is true?
A) The drugs may cause severe drowsiness.
B) Anthelmintics are very specific in their actions.
C) Anthelmintics are effective against broad classes of infestations.
D) The drugs are used to treat protozoal infections such as intestinal amebiasis.
Q3) A patient with late-stage HIV infection also has Pneumocystis jirovecii pneumonia. The nurse anticipates treatment with which medication for this pneumonia?
A) ivermectin (Stromectol)
B) atovaquone (Mepron)
C) praziquantel (Biltricide)
D) metronidazole (Flagyl)
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Page 45
Chapter 44: Antiinflammatory and Antigout Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32021
Sample Questions
Q1) A patient calls the clinic to ask about taking a glucosamine-chondroitin supplement for arthritis. The nurse reviews the medication history and notes that there will be a concern for drug interactions if the patient is also taking medications for which disorder?
A) Type 2 diabetes mellitus
B) Hypothyroidism
C) Hypertension
D) Angina
Q2) A patient who has a history of coronary artery disease has been instructed to take one 81-mg aspirin tablet a day. The nurse is aware that the purpose of this dose of aspirin is to
A) reduce anxiety.
B) reduce inflammation.
C) relieve pain.
D) prevent thrombus formation.
Q3) Naproxen (Naprosyn) 250 mg PO every 6 hours is ordered. The drug is available as an oral suspension that contains 125 mg/5 mL. How many milliliters will the nurse administer for one dose of this medication?
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Chapter 45: Antineoplastic Drugs Part 1: Cancer Overview
Cell Cyclespecific Drugs
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/32022
Sample Questions
Q1) When giving chemotherapy as cancer treatment, the nurse recognizes that toxicity to rapidly growing normal cells also occurs. Which rapidly growing normal cells are also harmed by chemotherapy? (Select all that apply.)
A) Bone marrow cells
B) Retinal cells
C) Hair follicle cells
D) Nerve myelin cells
E) Gastrointestinal (GI) mucous membrane cells
Q2) Methotrexate is ordered for a patient with a malignant tumor, and the nurse is providing education about self-care after the chemotherapy is given. Which statements by the nurse are appropriate for the patient receiving methotrexate? (Select all that apply.)
A) Report unusual bleeding or bruising.
B) Hair loss is not expected with this drug.
C) Prepare for hair loss.
D) Avoid straight-edged razors.
E) Avoid foods that are too hot or too cold or rough in texture. e. Gastrointestinal (GI) mucous membrane cells
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Chapter 46: Antineoplastic Drugs Part 2: Cell
Cyclenonspecific Drugs and Miscellaneous Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32023
Sample Questions
Q1) A female patient is receiving palliative therapy with androgen hormones as part of treatment for inoperable breast cancer. The nurse will discuss with the patient which potential body image changes that may occur as adverse effects?
A) Hirsutism and acne
B) Weight gain
C) Flushing and hot flashes
D) Alopecia and body odor
Q2) The nurse is teaching a class about the various chemotherapy drugs and explains that alkylating drugs are also called "cell cycle-nonspecific drugs" because they are
A) cytotoxic during a specific cell cycle.
B) cytotoxic in any phase of the cell cycle.
C) effective against several types of neoplasms.
D) more highly differentiated than cell cycle-specific drugs.
Q3) A patient will be receiving mitoxantrone (Novantrone), 12 mg/m² every 3 weeks, as part of treatment for prostate cancer. Each dose is mixed into a 50-mL bag of D<sub>5</sub>W and needs to infuse over 15 minutes. The infusion pump delivers the dose at mL/hour. The nurse will set the pump to infuse at what rate?
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Page 48
Chapter 47: Biologic Responsemodifying and Antirheumatic Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32024
Sample Questions
Q1) A patient has an order for the monoclonal antibody adalimumab ( Humira ). The nurse notes that the patient does not have a history of cancer. What is another possible reason for administering this drug?
A) Severe anemia
B) Rheumatoid arthritis
C) Thrombocytopenia
D) Osteoporosis
Q2) The nurse is administering an interferon and will implement which intervention?
A) Giving the medication with meals
B) Monitoring daily weights
C) Limiting fluids while the patient is taking this medication
D) Rotating sites if administered subcutaneously
Q3) A patient who has received chemotherapy has a critically low platelet count. The nurse expects which drug or drug class to be used to stimulate platelet cell production?
A) filgrastim ( Neupogen )
B) Interferons
C) oprelvekin ( Neumega )
D) epoetin alfa ( Epogen )
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Chapter 48: Immunosuppressant Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/32025
Sample Questions
Q1) A patient has an order for cyclosporine (Sandimmune). The nurse finds that cyclosporine-modified (Neoral) is available in the automated medication cabinet. Which action by the nurse is correct?
A) Hold the dose until the prescriber makes rounds.
B) Give the cyclosporine-modified drug.
C) Double-check the order, and then give the cyclosporine-modified drug.
D) Notify the pharmacy to obtain the Sandimmune form of the drug.
Q2) When administering cyclosporine, the nurse notes that allopurinol is also ordered for the patient. What is a potential result of this drug interaction?
A) Reduced adverse effects of the cyclosporine
B) Increased levels of cyclosporine and toxicity
C) Reduced uric acid levels
D) Reduced nephrotoxic effects of cyclosporine
Q3) A patient will be on a tacrolimus (Prograf) infusion after receiving a liver transplant. The order reads, "Give 0.03 mg/kg/day as a continuous IV infusion." The patient weighs 159 pounds, and the medication injection solution is available in a 5-mg/mL strength. How many milliliters will the nurse draw up for this infusion? (Record answer using two decimal places.)
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Chapter 49: Immunizing Drugs and Biochemical Terrorism
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/32026
Sample Questions
Q1) A 45-year-old man has received a series of immunizing drugs in preparation for a trip to a developing country. Within hours, his wife brings him to the emergency department because he has developed edema of the face, tongue, and throat and is having trouble breathing. The nurse suspects that, based on the patient's history and symptoms, he is experiencing which condition?
A) Serum sickness
B) Cross-sensitivity
C) Thrombocytopenic purpura
D) Adenopathy
Q2) The nurse is reviewing the health history of a new patient who may need immunizations. Active immunizations are usually contraindicated in which patients? (Select all that apply.)
A) Patients with a febrile illness
B) Children younger than 1 year of age
C) Elderly patients
D) Patients who are immunosuppressed
E) Those receiving cancer chemotherapy
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Chapter 50: Acid-Controlling Drugs
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/32027
Sample Questions
Q1) A patient is taking omeprazole ( Prilosec ) for the treatment of gastroesophageal reflux disease ( GERD ). The nurse will include which statement in the teaching plan about this medication?
A) "Take this medication once a day after breakfast."
B) "You will be on this medication for only 2 weeks for treatment of the reflux disease."
C) "The medication may be dissolved in a liquid for better absorption."
D) "The entire capsule must be taken whole, not crushed, chewed, or opened."
Q2) A patient will be taking a 2-week course of combination therapy with omeprazole ( Prilosec ) and another drug for a peptic ulcer caused by Helicobacter pylori. The nurse expects a drug from which class to be ordered with the omeprazole?
A) An antibiotic
B) A nonsteroidal antiinflammatory drug
C) An antacid
D) An antiemetic
Q3) A patient will be receiving pantoprazole (Protonix), 20 mg IV daily every morning. The medication, once reconstituted, has a strength of 40 mg/10 mL. How many milliliters will the nurse draw up for this dose?
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Chapter 51: Bowel Disorder Drugs
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/32028
Sample Questions
Q1) A 10-year-old child will be receiving docusate sodium (Colace), 120 mg/day PO, divided into 3 doses. How many milligrams will the child receive per dose?
Q2) A patient is about to undergo a diagnostic bowel procedure. The nurse expects which drug to be used to induce total cleansing of the bowel?
A) docusate sodium ( Colace )
B) magnesium hydroxide ( milk of magnesia )
C) mineral oil
D) polyethylene glycol ( GoLYTELY )
Q3) The nurse is discussing the use of adsorbents such as bismuth subsalicylate (Pepto-Bismol) with a patient who has diarrhea. The nurse will warn the patient about which possible adverse effects?
A) Dark stools and blue gums
B) Urinary hesitancy
C) Drowsiness and dizziness
D) Blurred vision and headache
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Chapter 52: Antiemetic and Antinausea Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/32029
Sample Questions
Q1) A patient on chemotherapy is using ondansetron (Zofran) for treatment of nausea. The nurse will instruct the patient to watch for which adverse effect of this drug?
A) Dizziness
B) Diarrhea
C) Dry mouth
D) Blurred vision
Q2) A mother calls the pediatrician's office to report that her 18-month-old child has eaten half of a bottle of baby aspirin. She says, "I have a bottle of syrup of ipecac. Should I give it to him? He seems fine right now. What do I do?" What is the nurse's best response?
A) "Go ahead and give him the ipecac, and then call 911."
B) "Don't give him the ipecac. Call the Poison Control number immediately for instructions."
C) "Please come to the office right away so that we can check him."
D) "Go ahead and take him to the emergency room right now."
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54
Chapter 53: Vitamins and Minerals
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32030
Sample Questions
Q1) During an intravenous infusion of calcium, the nurse carefully monitors the patient for symptoms of hypercalcemia. Which are symptoms of hypercalcemia? (Select all that apply.)
A) Anorexia
B) Nausea and vomiting
C) Diarrhea
D) Constipation
E) Cardiac irregularities
F) Drowsiness
Q2) A newly admitted patient has orders for both vitamin C and zinc supplements. The nurse reviews the patient's medical history and concludes that these supplements are ordered for which reason?
A) To treat pellagra
B) To aid in wound healing
C) To treat osteomalacia
D) As an antidote for anticoagulant overdose
Q3) A patient will be receiving monthly injections of cyanocobalamin (Nascobal). The dose is 100 mcg/month IM. The medication is available in a strength of 1000 mcg/mL. How many milliliters will the nurse draw up into the syringe? (Record answer using one decimal place.)
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Chapter 54: Anemia Drugs
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/32031
Sample Questions
Q1) A patient will be receiving epoetin alfa (Epogen) 8,000 units IV three times a week. The medication is available in a vial that contains 10,000 units/mL. How many milliliters will the nurse draw up for this dose?
Q2) The nurse is administering liquid oral iron supplements. Which intervention is appropriate when administering this medication?
A) Have the patient take the liquid iron with milk.
B) Instruct the patient to take the medication through a plastic straw.
C) Have the patient sip the medication slowly.
D) Have the patient drink the medication, undiluted, from the unit-dose cup.
Q3) A patient is to receive iron dextran injections. Which technique is appropriate when the nurse is administering this medication?
A) Intravenous administration mixed with 5% dextrose
B) Intramuscular injection in the upper arm
C) Intramuscular injection using the Z-track method
D) Subcutaneous injection into the abdomen
Q4) A 2-year-old child will be receiving ferrous sulfate oral drops (Fer-Iron) 5 mg/kg/day in three divided doses. The child weighs 26 pounds. How many milligrams will the nurse administer per dose? (Record answer using one decimal place.)
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Page 56
Chapter 55: Nutritional Supplements
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Source URL: https://quizplus.com/quiz/32032
Sample Questions
Q1) A patient has been receiving total parenteral nutrition. Upon assessment, the nurse notes these assessment findings: blood pressure 150/92 mm Hg (elevated from previous readings); pulse rate 110 beats/minute and weak; pitting edema on both ankles; and new-onset confusion. The nurse suspects that the patient is experiencing which condition?
A) Infection
B) Hypoglycemia
C) Hyperglycemia
D) Fluid overload
Q2) The peripheral parenteral nutrition bag that has been infusing into the patient is empty, and the nurse realizes that the next bag is not ready. The nurse should immediately hang which of these intravenous solutions until the new bag arrives?
A) 10% dextrose in water
B) 20% dextrose in water
C) 0.9% sodium chloride
D) Lactated Ringer's solution
Q3) The total parenteral nutrition (TPN) order reads, "Infuse TPN #2 over 24 hours." Bag #2 of TPN contains 1800 mL. At what rate will the nurse set the infusion pump?
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Chapter 56: Dermatologic Drugs
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/32033
Sample Questions
Q1) A patient is admitted to the hospital for possible septicemia. He has a large pressure ulcer on his heel that is open and includes necrotic tissue. However, his PT/INR values are too high to permit surgical débridement at this time. The nurse expects that which wound-care product will be used to treat the wound?
A) cadexomer iodine ( Iodosorb )
B) Biafine topical emulsion
C) povidone-iodine ( Betadine )
D) collagenase ( Santyl )
Q2) A female patient has been taking isotretinoin (Amnesteem) for 3 months. During a follow-up appointment, which statement by the patient would be of highest concern to the nurse?
A) "I am using two forms of contraception while on this drug."
B) "I have been feeling rather down and lonely lately."
C) "I wish I didn't have to be on this medication."
D) "It's scary to know that this drug can cause birth defects."
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Chapter 57: Ophthalmic Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32034
Sample Questions
Q1) The nurse will be giving ophthalmic drugs to a patient with glaucoma. Which drug is used to reduce intraocular pressure?
A) tobramycin (Tobrex)
B) bacitracin (AK-Tracin)
C) mannitol (Osmitrol)
D) ketorolac (Acular)
Q2) A patient with an eye injury requires an ocular examination to detect the presence of a foreign body. The nurse anticipates that which drug will be used for this examination?
A) phenylephrine (Neo-Synephrine)
B) fluorescein sodium (AK-Fluor)
C) atropine sulfate (Isopto Atropine)
D) olopatadine (Patanol)
Q3) A patient will be receiving mannitol (Osmitrol), 1.5 g/kg IV 1 hour before ocular surgery. The patient weighs 110 pounds. The medication is available as a 25% solution. Based on this patient's dose, calculate how many milliliters of mannitol this patient will receive, using the 25% solution.
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Page 59
Chapter 58: Otic Drugs
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Sample Questions
Q1) The nurse is administering eardrops that contain a combination of an antibiotic and a corticosteroid. What is the rationale for combining these two drugs in eardrops?
A) The combination works to help soften and eliminate cerumen.
B) The corticosteroid reduces pain associated with ear infections.
C) The drops help to eliminate fungal infections.
D) The corticosteroid reduces the inflammation and itching associated with ear infections.
Q2) The nurse is teaching a patient about proper administration of eardrops. Which statements are correct? (Select all that apply.)
A) Remove cerumen with a cotton-tipped swab before instilling the drops.
B) Instill the drops while still cool from refrigeration.
C) Warm the eardrops to room temperature before instillation.
D) The adult patient should pull the pinna of the ear up and back.
E) Insert a dry cotton ball firmly into the ear canal after instillation.
F) Massage the earlobe after instillation.
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