Medical-Surgical Nursing Test Preparation
Course Introduction
Medical-Surgical Nursing is a foundational course designed to equip nursing students with the knowledge and skills necessary for the care of adult patients experiencing a wide range of acute and chronic health conditions. The course emphasizes the nursing process, clinical reasoning, and evidence-based practice in the management of patients undergoing surgical procedures and those with complex medical issues. Students learn to assess, intervene, and evaluate outcomes for individuals across various care settings, with a focus on patient safety, interdisciplinary collaboration, and holistic care. Through lectures, simulations, and clinical experience, learners develop competence in disease pathophysiology, pharmacology, patient education, and the application of therapeutic nursing interventions.
Recommended Textbook
Pharmacology A Patient Centered Nursing Process Approach 9th Edition by McCuistion
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55 Chapters
927 Verified Questions
927 Flashcards
Source URL: https://quizplus.com/study-set/1185 Page 2
Chapter 1: Drug Development and Ethical Considerations
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/23475
Sample Questions
Q1) The nurse is assisting with a clinical drug trial in which the side effects of two effective drugs are being compared.A patient who would benefit from either drug has elected to withdraw from the study,and the nurse assists with the paperwork to facilitate this.This is an example of
A) autonomy.
B) beneficence.
C) justice.
D) veracity.
Answer: A
Q2) A clinical drug trial is concluding a study of pharmacokinetics and safety of a drug in healthy individuals.The nurse will assist enrollment of participants into the next phase of the study and will include which subjects?
A) Healthy subjects
B) Healthy and ill subjects
C) Subjects with the disease the drug will treat
D) Subjects with other diseases
Answer: C
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3
Chapter 2: Pharmacokinetics, Pharmacodynamics, and Pharmacogenetics
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/23476
Sample Questions
Q1) The nurse is preparing to administer a drug that is eliminated through the kidneys.The nurse reviews the patient's chart and notes that the patient has increased serum creatinine and blood urea nitrogen (BUN).The nurse will perform which action?
A) Administer the drug as ordered.
B) Anticipate a shorter than usual half-life of the drug.
C) Expect decreased drug effects when the drug is given.
D) Notify the provider and discuss giving a lower dose.
Answer: D
Q2) A patient who is newly diagnosed with type 1 diabetes mellitus asks why insulin must be given by subcutaneous injection instead of by mouth.The nurse will explain that this is because
A) absorption is diminished by the first-pass effects in the liver.
B) absorption is faster when insulin is given subcutaneously.
C) digestive enzymes in the GI tract prevent absorption.
D) the oral form is less predictable with more adverse effects.
Answer: C
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Chapter 3: Cultural Considerations
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/23477
Sample Questions
Q1) The nurse is caring for a patient who is a member of the local Native American community.The patient is refusing medications and treatments in spite of repeated attempts to explain the importance of these interventions.Which is an appropriate nursing action?
A) Ask a family member about traditional healing practices that might be better accepted.
B) Enlist the help of a family member to explain the need for the medications and treatments.
C) Find a hospital staff member who is a Native American to help provide teaching for this patient.
D) Suggest a Social Worker consult to the patient's provider.
Answer: A
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
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Page 5
Chapter 4: Complementary and Alternative Therapies
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/23478
Sample Questions
Q1) A patient reports taking St.John's wort to treat symptoms of depression and asks the nurse how to use this product safely and effectively.Which response by the nurse is correct?
A) "Apply sunscreen while taking St. John's wort."
B) "It is safe to take St. John's wort with prescription antidepressants."
C) "St. John's wort does not affect nutrition."
D) "You should take St. John's wort as needed when symptoms occur."
Q2) The nurse provides counseling to a patient who reports taking licorice root to treat a stomach ulcer.Which statement by the patient indicates understanding of the teaching?
A) "I may take licorice root with prednisone."
B) "I may develop hypotension while taking licorice root."
C) "I should avoid licorice root when pregnant."
D) "I should try licorice instead of coming back to see the provider."
Q3) A pregnant woman tells the nurse that she is taking ginger to reduce morning sickness.What will the nurse tell this patient?
A) "Ginger can cause fetal birth defects."
B) "Ginger is not safe during pregnancy."
C) "Ginger can cause abortion in low doses."
D) "Ginger may be taken in low doses for up to 4 days."
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Page 6
Chapter 5: Pediatric Considerations
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/23479
Sample Questions
Q1) The nurse assumes care for an infant who is showing signs of drug toxicity to a drug given several hours prior.The nurse checks the dose and confirms that the dose is consistent with standard dosing guidelines.Which characteristic of the drug will likely explain this response in this patient?
A) It is acidic.
B) It is highly protein-bound.
C) It is not fat-soluble.
D) It is water-soluble.
Q2) A preschool-age child has moderate dehydration and needs a rapid bolus of fluids.To provide atraumatic care and administer fluids most effectively,what action will the nurse take?
A) Wait until the child is sleeping to insert the IV.
B) Ask the child's parents to restrain the child during venipuncture so fluids may be administered.
C) Request an order for nasogastric (NG) fluids to avoid the trauma of venipuncture.
D) Use a lidocaine preparation prior to insertion of the IV needle.
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Chapter 6: Geriatric Considerations
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/23480
Sample Questions
Q1) An older patient who reports a 2- to 3-year history of upper gastrointestinal (GI)symptoms will begin taking ranitidine (Zantac)to treat this disorder.The patient has completed a health history form.The nurse notes that the patient answered "no" when asked if any medications were being taken.Which action will the nurse take next?
A) Ask whether the patient uses over-the-counter (OTC) medications.
B) Obtain a careful dietary history for the past two weeks.
C) Recommend that the patient take antacid tablets.
D) Suggest that the patient add high-potassium foods to the diet.
Q2) The nurse is performing an admission assessment on an 80-year-old patient who has frequent hospital admissions.The patient appears more disoriented and confused than usual.Which action by the nurse is correct?
A) Asking about medication doses
B) Asking for a neurologist consult
C) Requesting orders for LFTs
D) Suspecting impaired renal function
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8
Chapter 7: Drugs of Abuse
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/23481
Sample Questions
Q1) The nurse is teaching a patient who has completed detoxification for alcohol abuse who will be discharged home with a prescription for disulfiram (Antabuse).Which statement by the patient indicates understanding of the teaching?
A) "Even topical products containing alcohol can have serious adverse effects while I am taking this drug."
B) "If I experience drowsiness or skin rash, I should discontinue this drug immediately."
C) "It is safe to take a product containing alcohol one week after the last dose of disulfiram."
D) "This drug acts by blocking the pleasurable effects of alcohol."
Q2) A patient with asthma has been using a nicotine transdermal 24-hour patch for 3 weeks to quit smoking.The patient reports having difficulty sleeping.What action will the nurse take?
A) Ask the provider for a prescription for Nicotrol NS.
B) Recommend removing the patch at bedtime.
C) Suggest using an 18-hour patch instead.
D) Tell the patient to stop the patch and join a support group.
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9
Chapter 8: The Nursing Process and Patient-Centered Care
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/23482
Sample Questions
Q1) A high-school student regularly forgets to use a twice-daily inhaled corticosteroid to prevent asthma flares and is repeatedly admitted to the hospital.The child's parent tells the nurse that the child has been told that forgetting to take the medication causes frequent hospitalizations.The nurse will
A) encourage the child to take responsibility for taking the medication.
B) reinforce the need to take prescribed medications to avoid hospitalizations.
C) suggest putting the inhaler with the child's toothbrush to use before brushing teeth. D) suggest that the child's parents administer the medication to increase compliance.
Q2) The nurse provides teaching about the sedative side effects of a medication ordered to be given at 8:00 PM daily.The patient works a 7:00 PM to 7:00 AM shift.The nurse explores options including taking the medication at 8:00 AM instead of in the evening.Which Quality and Safety Education for Nurses (QSEN)competency do the nurse's actions best demonstrate?
A) Collaboration and teamwork
B) Evidence-based practice
C) Patient-centered care
D) Patient safety
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Chapter 9: Safety and Quality
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/23483
Sample Questions
Q1) A patient who is diagnosed with atrial fibrillation is to begin taking warfarin (Coumadin).The patient refuses to take the medication because "it is rat poison." After the nurse provides teaching,the patient still refuses.What action will the nurse take?
A) Hold the dose and document the patient's refusal.
B) Hold the dose, notify the provider of the situation, and document these actions.
C) Put the medication in the patient's food.
D) Tell the patient that the drug is necessary for treatment.
Q2) The nurse is caring for a 20-kg child who is ordered to receive amoxicillin 400 mg per os (PO)TID for 10 days.The nurse reviews the drug information and notes that the correct dose of amoxicillin is 40 to 50 mg/kg/day in two to three divided doses.Which action by the nurse is correct?
A) Adjust the drug dose based on drug manufacturer dosing information.
B) Administer the medication as ordered.
C) Ask the pharmacist to double check that the dose is correct.
D) Contact the provider and ask whether the drug should be given twice daily (BID) instead of TID.
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11
Chapter 10: Drug Administration
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/23484
Sample Questions
Q1) The nurse is preparing to start an IV line in a preschool-age child.After applying a eutectic mixture of local anesthetics,what will the nurse do to prepare the child?
A) Describe what the IV line will feel like and how long it will be in place.
B) Explain the purpose of the procedure.
C) Give the child equipment to handle and practice on a doll.
D) Reassure the child that the pain will only last a few minutes.
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) The nurse is performing tuberculin testing on a patient.Which action by the nurse is correct?
A) Insert the needle, bevel up, at a 30-degree angle.
B) Massage the area gently after the injection.
C) Measure the diameter of the area of erythema when reading the result.
D) Use a 25-gauge, 3/8" needle.
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Page 12
Chapter 11: Drug Calculations
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/23485
Sample Questions
Q1) trimethoprim-sulfamethoxazole (Bactrim) 160/800 mg, PO, b.i.d.
Available: Bactrim 80/400-mg tablets
How many tablets will be given per dose?
Q2) amoxicillin (Amoxil)250 mg,PO,q8h
Available: 250 mg per 5 mL
A) How many mL will the patient receive per dose?
B) How many mg will the patient receive per day?
C) How many mL will the patient receive per day?
Q3) cefuroxime axetil (Ceftin) 200 mg, PO, b.i.d.
Available: Ceftin 250 mg/5 mL
How many mL will the patient receive per dose?
Q4) allopurinol (Zyloprim)150 mg,PO,q.i.d.
Available: allopurinol (Zyloprim)100 mg tablet,scored
A) How many tablet(s) will be given per dose?
B) How many mg will the patient receive per day?
Q5) cefadroxil (Duricef)0.4 g,PO,q12h
Available: cefadroxil (Duricef)250 mg/5 mL
How many mL will be given per dose?
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Chapter 12: Fluid Volume and Electrolytes
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/23486
Sample Questions
Q1) The nurse is caring for a patient who is ordered to take nothing by mouth.The patient weighs 65 kg.What volume of intravenous fluid should this patient receive in 24 hours?
A) 2225 mL
B) 2400 mL
C) 2520 mL
D) 2640 mL
Q2) The nurse is caring for a patient who will receive 10% calcium gluconate to treat a serum potassium level of 5.9 mEq/L.The nurse performs a drug history prior to beginning the infusion.Which drug taken by the patient would cause concern?
A) Digitalis
B) Hydrochlorothiazide
C) Hydrocortisone
D) Vitamin D
Q3) A patient with cirrhosis is noted to have low serum albumin levels.The patient is to receive 200 mL of albumin in 30 minutes.The drop factor for the IV set is 15 gtt/mL.The nurse correctly adjusts the IV rate to what rate?
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Chapter 13: Vitamin and Mineral Replacement
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/23487
Sample Questions
Q1) A patient is diagnosed with anemia and asks the nurse why the provider has ordered vitamin B<sub>12</sub> instead of iron.Which answer by the nurse is correct?
A) "Vitamin B<sub>12</sub> is given to improve your overall energy level."
B) "Vitamin B<sub>12</sub> is necessary for the development of red blood cells."
C) "Vitamin B<sub>12</sub> prevents excess iron loss to reduce demand."
D) "Vitamin B<sub>12</sub> will help you absorb iron more efficiently."
Q2) A child is brought to the emergency department after ingesting a grandparent's warfarin (Coumadin)tablets.The nurse will anticipate administering which form of vitamin K?
A) K1 (phytonadione)
B) K2 (menaquinone)
C) K3 (menadione)
D) K4 (menadiol)
Q3) A parent calls the nurse to report that a 5-year-old child has taken five children's vitamins.Which action will the nurse take first?
A) Ask whether the vitamins contain iron.
B) Reassure the parent that over-the-counter vitamins are not toxic.
C) Recommend that the parent take the child to the emergency department (ED).
D) Tell the parent to watch for tarry stools and report them immediately.
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Page 15
Chapter 14: Nutritional Support
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/23488
Sample Questions
Q1) The nurse is caring for a patient who is being treated with total parenteral nutrition (TPN).The patient is experiencing chest pain,and the nurse observes shortness of breath and coughing along with cyanosis.The nurse understands that this patient is most likely experiencing which condition?
A) Air embolism
B) Pneumonia
C) Pneumothorax
D) Pulmonary edema
Q2) Patients with which conditions would benefit from enteral feedings?
A) Burns of face, chest, and neck
B) Cerebral palsy with severe dysphagia
C) Crohn disease
D) Facial fractures
E) Gluten enteropathy
F) Stroke
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16
Chapter 15: Adrenergic Agonists and Antagonists
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/23489
Sample Questions
Q1) The patient has been started on a treatment regimen that includes atenolol (Tenormin)and complains to the nurse of feeling weak.Which is the best response from the nurse?
A) "I will hold your next dose of the medication."
B) "You may need an increase in your next dose of the medication."
C) "This is an adverse reaction to the medication. I will stop the drug."
D) "This is a side effect of the medication. I will notify your physician."
Q2) A patient who has Raynaud's disease will begin taking an alpha-adrenergic blocker.The patient asks the nurse how the drug works to treat symptoms.The nurse explains that alpha-adrenergic blockers treat Raynaud's disease by causing A) decreased peripheral vascular resistance.
B) orthostatic hypotension.
C) reflex tachycardia.
D) vasodilation.
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Chapter 16: Cholinergic Agonists and Antagonists
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/23490
Sample Questions
Q1) A nursing student asks why a direct-acting cholinergic agonist drug that is selective to muscarinic receptors is described as being non-specific.The nurse will explain that this is because
A) muscarinic receptors are present in many different tissues.
B) the action of cholinesterase alters the bioavailability at different sites.
C) these drugs can also affect nicotinic receptors.
D) they vary in their reversible and irreversible effects.
Q2) Cholinergic drugs have specific effects on the body.What are the actions of cholinergic medications?
A) Dilate pupils
B) Decrease heart rate
C) Stimulate gastric muscle
D) Dilate blood vessels
E) Dilate bronchioles
F) Increase salivation
G) Constrict pupils
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18
Chapter 17: Stimulants
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/23491
Sample Questions
Q1) The parent of an adolescent who has taken methylphenidate 20 mg/day for 6 months for attention-deficit/hyperactivity disorder (ADHD)brings the child to clinic for evaluation of a recent onset of nausea,vomiting,and headaches.The parent expresses concern that the child seems less focused and more hyperactive than before.What will the nurse do next?
A) Ask the child whether the drug is being taken as prescribed.
B) Contact the provider to discuss increasing the dose to 30 mg/day.
C) Recommend taking the drug with meals to reduce gastrointestinal side effects.
D) Report signs of drug toxicity to the patient's provider.
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."
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Chapter 18: Depressants
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/23492
Sample Questions
Q1) The nurse performs a preoperative assessment on a patient and asks about alcohol use.The patient asks why this information is important.The nurse will explain that patients who consume increased amounts of alcohol
A) may have a prolonged postoperative recovery time.
B) may not be eligible for surgery.
C) may not receive inhaled gases for anesthesia.
D) may require changes in anesthesia drug doses.
Q2) An older adult has difficulty falling asleep.The nurse understands that which sedative hypnotic is appropriate for this patient?
A) Butabarbital (Butisol)
B) Flurazepam (Dalmane)
C) Secobarbital (Seconal)
D) Temazepam (Restoril)
Q3) A patient describes having vivid dreams to the nurse.The nurse understands that these occur during which stage of sleep?
A) Rapid eye movement (REM) sleep
B) Stage 2 non rapid eye movement sleep
C) Stage 3 non rapid eye movement sleep
D) Stage 4 non rapid eye movement sleep
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Page 20
Chapter 19: Antiseizure Drugs
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/23493
Sample Questions
Q1) The nurse provides teaching for a patient who will begin taking phenytoin.Which statement by the patient indicates understanding of the teaching?
A) "If I develop a rash, I should take diphenhydramine to control the itching."
B) "If I experience bleeding gums, I should stop taking the medication immediately."
C) "I may develop diabetes while I am taking this medication."
D) "I should not be alarmed if my urine turns reddish-brown."
Q2) The nurse is preparing to administer phenytoin to an 80-year-old patient and notes the following order: IVP phenytoin 50 mg.The nurse will perform which action?
A) Administer the undiluted drug through a Y-tube over 2 minutes.
B) Contact the provider to question the route and the dose.
C) Dilute the drug in dextrose solution and infuse over 15 to 20 minutes.
D) Request an order to administer the drug intramuscularly.
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21
Chapter 20: Drugs for Parkinson Disease and Alzheimer Disease
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/23494
Sample Questions
Q1) The nurse is teaching a patient who has Parkinson disease about the side effects of carbidopa-levodopa.Which statement by the patient indicates a need for further teaching?
A) "I may experience urinary retention, dry mouth, and constipation."
B) "I may feel dizzy at first, but this side effect will go away with time."
C) "I should report nightmares and mental disturbances to my provider."
D) "I should take the drug with food to increase absorption."
Q2) A nursing student asks the nurse to differentiate the pathology of Alzheimer disease from that of Parkinson disease.Which description is correct?
A) Alzheimer disease involves a possible excess of acetylcholine and neuritic plaques.
B) Alzheimer disease is caused by decreased amounts of dopamine and degeneration of cholinergic neurons.
C) Parkinson disease is characterized by an imbalance of dopamine and acetylcholine.
D) Parkinson disease involves increased dopamine production and decreased acetylcholine.
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Chapter 21: Drugs for Neuromuscular Disorders and Muscle Spasms
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/23495
Sample Questions
Q1) 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
Q2) A patient reports weakness of the extremities and diplopia.The nurse knows that these symptoms are characteristic of which condition?
A) Cerebral palsy (CP)
B) Multiple sclerosis (MS)
C) Myasthenia gravis (MG)
D) Parkinson disease (PD)
Q3) The nurse is preparing to care for a patient who has multiple sclerosis (MS).The nurse learns that the patient receives mitoxantrone.The nurse knows that this patient is in which stage of MS?
A) Acute attack phase
B) Chronic, progressive phase
C) End-stage phase
D) Remission-exacerbation phase
Page 23
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Chapter 22: Antipsychotics and Anxiolytics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/23496
Sample Questions
Q1) The nurse is assessing a young adult patient with schizophrenia who recently began taking fluphenazine (Prolixin).The patient is exhibiting spasms of facial muscles along with grimacing,and the nurse notes upward eye movements.The nurse suspects which side effect?
A) Acute dystonia
B) Akathisia
C) Pseudoparkinsonism
D) Tardive dyskinesia
Q2) The parent of a young adult who has schizophrenia is concerned that the patient spits out pills that are given.The nurse will suggest contacting the patient's provider to discuss which intervention?
A) Changing to a liquid form of the mediation
B) Providing a home health nurse to supervise medication administration
C) Teaching the patient the importance of taking the medication
D) Weekly intramuscular injections of the medication
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Chapter 23: Antidepressants and Mood Stabilizers
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/23497
Sample Questions
Q1) A patient who has had a loss of interest in most activities,weight loss,and insomnia is diagnosed with a major depressive disorder and will begin taking fluoxetine (Prozac)daily.The patient asks about the weekly dosing that a family member follows.What will the nurse tell the patient about a weekly dosing regimen?
A) It can be used after daily maintenance dosing proves effective and safe.
B) It is used after a trial of tricyclic antidepressant medication fails.
C) It is not effective for this type of depression and its symptoms.
D) It will cause more adverse effects than daily dosing regimens.
Q2) A nurse performs a medication history on a newly admitted patient.The patient reports taking amitriptyline (Elavil)75 mg at bedtime for 6 weeks to treat depression.The patient reports having continued fatigue,lack of energy,and depressed mood.The nurse will contact the provider to discuss which intervention?
A) Beginning to taper the amitriptyline
B) Changing to a morning dose schedule
C) Giving the amitriptyline twice daily
D) Increasing the dose of amitriptyline
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Chapter 24: Antiinflammatories
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/23498
Sample Questions
Q1) A patient is taking aspirin to help prevent myocardial infarction and is experiencing moderate gastrointestinal upset.The nurse will contact the patient's provider to discuss changing from aspirin to which drug?
A) A COX-2 inhibitor
B) Celecoxib (Celebrex)
C) Enteric-coated aspirin
D) Nabumetone (Relafen)
Q2) Which antigout medication is used to treat chronic tophaceous gout?
A) Allopurinol (Zyloprim)
B) Colchicine
C) Probenecid (Benemid)
D) Sulfinpyrazone (Anturane)
Q3) A patient is taking ibuprofen 400 mg every 4 hours to treat moderate arthritis pain and reports that it is less effective than before.What action will the nurse take?
A) Counsel the patient to discuss a prescription NSAID with the provider.
B) Recommend adding aspirin to increase the antiinflammatory effect.
C) Suggest asking the provider about a short course of corticosteroids.
D) Tell the patient to increase the dose to 800 mg every 4 hours.
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Chapter 25: Analgesics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/23499
Sample Questions
Q1) The nurse assesses an older patient 60 minutes after administering 4 mg of intravenous morphine sulfate (MS)for postoperative pain.The patient's analgesia order is for 2 to 5 mg of MS IV every 2 hours.The nurse notes that the patient is lying very still.The patient's heart rate is 96 beats per minute,respiratory rate is 14 breaths per minute,and blood pressure is 140/90 mm Hg.When asked to rate the level of pain,the patient replies "just a 5." The nurse will perform which action?
A) Give 3 mg of MS at the next dose.
B) Give 5 mg of MS at the next dose.
C) Request an order for an oral opioid to give now.
D) Request an order for acetaminophen to give now.
Q2) The nurse checks on a patient who has received sumatriptan (Imitrex)for treatment of a migraine headache.The patient reports moderate improvement in headache pain and reports feeling dizzy.The nurse notes a blood pressure of 160/85 mm Hg.Which action by the nurse is correct?
A) Notify the provider of the dizziness.
B) Notify the provider of the increased blood pressure.
C) Plan to administer a second dose in 1 hour.
D) Request an order for intranasal sumatriptan.
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Page 27
Chapter 26: Antibacterials
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/23500
Sample Questions
Q1) Which is a characteristic that distinguishes sulfonamides from other drugs used to treat bacterial infection?
A) Sulfonamides are bactericidal.
B) Sulfonamides are not derived from biologic substances.
C) Sulfonamides have antifungal and antiviral properties.
D) Sulfonamides increase bacterial synthesis of folic acid.
Q2) A patient who is taking trimethoprim-sulfamethoxazole (TMP-SMX)calls to report developing an all-over rash.The nurse will instruct the patient to perform which action?
A) Increase fluid intake.
B) Take diphenhydramine.
C) Stop taking TMP-SMX immediately.
D) Continue taking the medication.
Q3) The nurse is caring for several patients who are receiving antibiotics.Which order will the nurse question?
A) Azithromycin (Zithromax) 500 mg IV in 500 mL fluid
B) Azithromycin (Zithromax) 500 mg PO once daily
C) Erythromycin 300 mg IM QID
D) Erythromycin 300 mg PO QID
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28
Chapter 27: Antituberculars, Antifungals, and Antivirals
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/23501
Sample Questions
Q1) A patient who takes an oral sulfonylurea medication will begin taking fluconazole (Diflucan).The nurse will expect to monitor which lab values in this patient?
A) Blood urea nitrogen (BUN) and creatinine
B) Electrolytes
C) Fluconazole levels
D) Glucose
Q2) A patient will begin taking streptomycin as part of the medication regimen to treat tuberculosis.Before administering this medication,the nurse will review which laboratory values in the patient's medical record?
A) Complete blood count (CBC) with differential white cell count
B) Blood urea nitrogen (BUN) and creatinine
C) Potassium and magnesium levels
D) Serum fasting glucose
Q3) Which diseases are caused by herpes viruses?
A) Chicken pox
B) Hepatitis
C) Influenza
D) Mononucleosis
E) Shingles
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Page 29
Chapter 28: Peptides, Antimalarials, and Anthelmintics
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/23502
Sample Questions
Q1) A patient who is taking metronidazole (Flagyl)reports metallic taste in the mouth.Which action will the nurse take?
A) Obtain an order for BUN and creatinine levels.
B) Reassure the patient that this is a harmless effect.
C) Request an order for a urinalysis.
D) Test her urine for occult blood.
Q2) A young adult female who is taking metronidazole (Flagyl)to treat trichomoniasis calls the nurse to report severe headache,flushing,palpitations,cramping,and nausea.What will the nurse do next?
A) Ask about alcohol consumption.
B) Reassure her that these are harmless side effects.
C) Tell her that this signals a worsening of her infection.
D) Tell her to go to the emergency department immediately.
Q3) Which topical antifungal medication is used to treat vaginal candidiasis?
A) Haloprogin (Halotex)
B) Miconazole (Monistat)
C) Oxiconazole (Oxistat)
D) Terbinafine HCl (Lamisil)
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Chapter 29: HIV- and AIDS-Related Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/23503
Sample Questions
Q1) A patient who has recently begun antiretroviral therapy with a combination drug develops immune reconstitution inflammatory syndrome (IRIS)with mild symptoms.What does the nurse expect that the provider will order?
A) Administration of a high dose of corticosteroids
B) Changing the regimen to a single antiretroviral drug
C) Temporarily discontinuing the antiretroviral therapy
D) Treating an underlying opportunistic infection
Q2) A patient who is HIV-positive begins therapy with the fixed-dose combination nucleoside reverse transcriptase inhibitor (NRTI)Combivir (lamivudine/zidovudine)twice daily.The patient is in the clinic for follow-up 1 week after initiation of therapy and reports having nausea.The patient's creatinine clearance is 40 mL/minute.Based on these findings,the nurse will perform which action?
A) Instruct the patient to take the medication 60 minutes prior to meals.
B) Notify the provider to discuss dose adjustments.
C) Request an order for once-daily dosing of this medication.
D) Suggest that the patient increase fluid intake.
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Chapter 30: Transplant Drugs
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6 Verified Questions
6 Flashcards
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Sample Questions
Q1) The patient on immunosuppressant medications is speaking to the nurse about appropriate activities.Which statement requires intervention?
A) "I am going to the state fair with my friends."
B) "I enjoy working in my garden to relax."
C) "I will brush my teeth after meals."
D) "It's OK to eat fresh fruits and vegetables."
E) "I should get a new glass, if the one I am drinking from has been sitting out."
F) "I should bath daily, using an antimicrobial soap."
Q2) A patient who has had an organ transplant is prescribed cyclosporine for maintenance therapy.Which statement by the patient indicates further teaching is needed?
A) "The provider may change the dose of the medication after getting the lab results."
B) "I can mix this medication with juice."
C) "I have to avoid getting the nasal spray FluMist."
D) "I will take the medication each morning at 8 A.M."
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Chapter 31: Vaccines
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/23505
Sample Questions
Q1) A patient is preparing to travel with a 4-year-old child to India in 10 days and is in the clinic to receive typhoid vaccines.Which vaccines will be given to the parent and the child?
A) Four capsules of live, oral vaccine to both patients
B) Four capsules of live, oral vaccine for the parent and the intramuscular (IM) polysaccharide vaccine for the child
C) Four capsules of live, oral vaccine for the child and the IM polysaccharide vaccine for the parent
D) IM polysaccharide for both patients
Q2) A 48-month-old child is scheduled to receive the following vaccines: MMR,Varivax,IPV,and DTaP.The child's parents want the child to receive two vaccines today and the other two in 1 week.To accommodate the parents' wishes,the nurse will administer
A) the DTaP and Varivax today and the MMR and IPV in 1 week.
B) the IPV and MMR today and the Varivax and DTaP in 1 week.
C) the MMR and DTaP today and the Varivax and IPV in 1 week.
D) the MMR and Varivax today and the DTaP and IPV in 1 week.
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Chapter 32: Anticancer Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/23506
Sample Questions
Q1) A patient is receiving bleomycin (Blenoxane)as part of a chemotherapeutic regimen to treat leukemia.During IV administration of this drug,what will the nurse observe the patient closely for?
A) Hypotension and visual disturbances
B) Pain and blistering at the IV site
C) Pink to red urine
D) Shortness of breath and wheezing
Q2) The nurse is caring for a patient who is receiving vincristine (Oncovin),a plant alkaloid chemotherapeutic agent,to treat non-Hodgkin 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.
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Chapter 33: Targeted Therapies to Treat Cancer
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/23507
Sample Questions
Q1) What action is most important for the nurse to teach the patient taking imatinib?
A) "The medication will cause the stool to be black; do not worry about that."
B) "Acetaminophen can be used for headaches."
C) "Limit your fluid intake to 1 liter each day."
D) "Be diligent about using birth control while you are on this medication."
Q2) 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
Q3) The nurse is teaching a patient who will begin receiving targeted therapy for cancer.The patient asks how targeted therapy differs from other types of chemotherapies.The nurse will explain that targeted therapy
A) damages cancer cell DNA to prevent cell replication.
B) directly kills or damages cancerous cells.
C) interferes with specific molecules in cancer cells.
D) prevents metastasis of cancer cells.
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Page 35
Chapter 34: Biologic Response Modifiers
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/23508
Sample Questions
Q1) A patient is receiving the erythropoietin-stimulating agent (ESA)epoetin alfa (Procrit).Which assessment finding would cause the nurse to notify the patient's provider?
A) Blood pressure of 90/65 mm Hg
B) Headache and nausea
C) Hemoglobin >11 g/dL
D) Infiltration of the IV
Q2) The nurse is preparing to administer interleukin-2 to a patient who has cancer.The patient reports shortness of breath.The nurse assesses clear breath sounds,a respiratory rate of 22 breaths per minute,a heart rate of 80 beats per minute,an oxygen saturation of 93% on room air,and a blood pressure of 92/68 mm Hg.The nurse will perform which action?
A) Administer the dose as ordered.
B) Administer oxygen while giving the dose.
C) Discuss permanently discontinuing this treatment with the provider.
D) Hold the dose and notify the provider.
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Chapter 35: Upper Respiratory Disorders
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/23509
Sample Questions
Q1) The parents of a 3-year-old child tell the nurse that they are planning to give their child diphenhydramine (Benadryl)on a flight to visit the child's grandparents to help the child sleep during the flight.What will the nurse tell the parents about giving this drug?
A) Administer 25 mg of diphenhydramine when using to induce sleep.
B) Diphenhydramine may have the opposite effect and could cause agitation.
C) Give the diphenhydramine about 5 minutes prior to takeoff.
D) Loratadine should be used instead of diphenhydramine to minimize side effects.
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.
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Chapter 36: Lower Respiratory Disorders
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/23510
Sample Questions
Q1) The nurse is caring for a patient who is receiving intravenous theophylline.The patient complains of headache and nausea.The nurse will contact the provider to A) change the medication to an oral theophylline. B) obtain an order for a serum theophylline level. C) request an order for an analgesic medication. D) suggest an alternative methylxanthine medication.
Q2) A patient will begin using an albuterol metered-dose inhaler to treat asthma symptoms.The patient asks the nurse about the difference between using an oral form of albuterol and the inhaled form.The nurse will explain that the inhaled form of albuterol A) has a more immediate onset than the oral form.
B) may cause more side effects than the oral preparation. C) requires an increased dose in order to have therapeutic effects.
D) will not lead to tolerance with increased doses.
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Chapter 37: Cardiac Glycosides, Antianginals, and Antidysrhythmics
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/23511
Sample Questions
Q1) A patient who has atrial fibrillation is taking digoxin.The nurse expects which medication to be given concurrently to treat this condition?
A) Hydrochlorothiazide (HydroDIURIL)
B) Inamrinone (Inocor)
C) Milrinone (Primacor)
D) Warfarin (Coumadin)
Q2) A patient who has HF receives digoxin (Lanoxin)and an angiotensin-converting enzyme (ACE)inhibitor.The patient will begin taking spironolactone (Aldactone).The patient asks why the new drug is necessary.The nurse will tell the patient that spironolactone will be given for which reason?
A) To enhance potassium excretion
B) To increase cardiac contractility
C) To minimize fluid losses
D) To provide cardioprotective effects
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Chapter 38: Diuretics
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/23512
Sample Questions
Q1) A patient has been taking spironolactone (Aldactone)to treat heart failure.The nurse will monitor for
A) hyperkalemia.
B) hypermagnesemia.
C) hypocalcemia.
D) hypoglycemia.
Q2) The nurse is preparing to administer the first dose of hydrochlorothiazide (HydroDIURIL)50 mg to a patient who has a blood pressure of 160/95 mm Hg.The nurse notes that the patient had a urine output of 200 mL in the past 12 hours.The nurse will perform which action?
A) Administer the medication as ordered.
B) Encourage the patient to drink more fluids.
C) Hold the medication and request an order for serum BUN (blood urea nitrogen) and creatinine.
D) Request an order for serum electrolytes and administer the medication.
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Chapter 39: Antihypertensives
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/23513
Sample Questions
Q1) The nurse is preparing to administer an ACE inhibitor to a patient who has hypertension.The nurse notes peripheral edema and swelling of the patient's lips.The patient has a blood pressure of 160/80 mm Hg and a heart rate of 76 beats per minute.What is the nurse's next action?
A) Administer the dose and observe carefully for hypotension.
B) Hold the dose and notify the provider of a hypersensitivity reaction.
C) Notify the provider and request an order for a diuretic medication.
D) Request an order for serum electrolytes and renal function tests.
Q2) The nurse is performing an assessment on a patient who will begin taking propranolol (Inderal)to treat hypertension.The nurse learns that the patient has a history of asthma and diabetes.The nurse will take which action?
A) Administer the medication and monitor the patient's serum glucose.
B) Contact the provider to discuss another type antihypertensive medication.
C) Request an order for renal function tests prior to administering this drug.
D) Teach the patient about the risks of combining herbal medications with this drug.
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A patient is receiving a thrombolytic medication.The patient calls the nurse to report having bloody diarrhea.The nurse will anticipate administering which medication?
A) Aminocaproic acid (Amicar)
B) Enoxaparin sodium (Lovenox)
C) Protamine sulfate
D) Vitamin K
Q2) The nurse is caring for a postoperative patient who is receiving alteplase tPA (Activase)after developing a blood clot.The nurse notes a heart rate of 110 beats per minute and a blood pressure of 90/60 mm Hg.The nurse will perform which action?
A) Ask the patient about itching or shortness of breath.
B) Assess the surgical dressing for bleeding.
C) Evaluate the patient's urine output and fluid intake.
D) Recheck the patient's vital signs in 15 minutes.
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Chapter 41: Antihyperlipidemics and Peripheral
Vasodilators
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/23515
Sample Questions
Q1) A patient with high cholesterol is ordered to take atorvastatin (Lipitor).What information will be included in the patient teaching?
A) Dietary management is not a priority with this medication.
B) The medication should be taken on an empty stomach.
C) The medicine should be taken with a full glass of water.
D) The patient should watch for body aches or gastrointestinal upset as side effects.
E) The patient should have renal function tests frequently.
F) The patient should have liver function tests frequently.
Q2) A patient,who has intermittent claudication,has been taking 400 mg of pentoxifylline (Trental)three times daily with meals for 2 weeks.The patient calls the clinic and reports mild flushing,occasional gastrointestinal upset,and continued pain in both legs.How will the nurse advise the patient?
A) "Expect side effects to diminish as drug effects increase in several weeks."
B) "Notify the provider of the continued pain and request increasing the dose."
C) "Take a daily aspirin tablet to enhance the effects of pentoxifylline."
D) "Take the medication 1 hour before or 2 hours after a meal."
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Chapter 42: Gastrointestinal Tract Disorders
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/23516
Sample Questions
Q1) A patient who is taking diphenoxylate with atropine (Lomotil)to treat diarrhea asks the nurse why it contains atropine.The nurse will explain that atropine is added to A) decrease abdominal cramping. B) increase intestinal motility.
C) minimize nausea and vomiting.
D) provide analgesia.
Q2) The parent of a child who is receiving chemotherapy asks the nurse why metoclopramide (Reglan)is not being used to suppress vomiting.The nurse will explain that,in children,this drug is more likely to cause which effect?
A) Excess sedation
B) Extrapyramidal symptoms
C) Paralytic ileus
D) Vertigo
Q3) An appropriate goal when teaching a patient who has diarrhea is that the patient A) will have less frequent, more formed stools.
B) will not have a stool for 1 to 2 days.
C) will receive adequate intravenous fluids.
D) will receive appropriate antibiotic therapy.
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44
Chapter 43: Antiulcer Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/23517
Sample Questions
Q1) A patient is taking esomeprazole (Nexium)15 mg per day to treat a duodenal ulcer.After 10 days of treatment,the patient reports that the pain has subsided.The nurse will counsel the patient to A) continue the medication for 4 more weeks.
B) reduce the medication dose by half.
C) stop taking the medication.
D) take the medication every other day.
Q2) A patient reports experiencing flatulence and abdominal distension to the nurse.Which over-the-counter medication will the nurse recommend?
A) Alka-Seltzer
B) Maalox
C) Mylicon
D) Tums
Q3) Which antacid is likely to cause acid rebound?
A) Aluminum hydroxide
B) Calcium carbonate
C) Magnesium hydroxide
D) Magnesium trisilicate
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Chapter 44: Eye and Ear Disorders
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/23518
Sample Questions
Q1) The nurse is preparing to administer atropine sulfate drops as a mydriatic agent.Which assessment would cause the nurse to withhold the drug and notify the provider?
A) Blood pressure of 140/90 mm Hg
B) Heart rate of 60 beats per minute
C) Respiratory rate of 12 breaths per minute
D) Temperature of 37.9° C
Q2) 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
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Chapter 45: Dermatologic Disorders
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/23519
Sample Questions
Q1) An adolescent patient is preparing to take a summer job as a landscaper and asks the nurse about insect repellents and sunscreens.Which statement by the nurse is correct?
A) Apply sunscreen prior to applying insect repellents 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 who has psoriasis will begin taking etanercept (Enbrel).The nurse will ensure that which laboratory test is performed prior to initiating treatment with this drug?
A) Complete blood count (CBC) with differential
B) CD4 and T-cell count
C) Serum pregnancy test
D) Tuberculin test
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Chapter 46: Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/23520
Sample Questions
Q1) A patient who has hyperthyroidism will begin treatment with an antithyroid medication.The patient asks the nurse about dietary requirements.The nurse will counsel the patient to avoid which food(s)?
A) Fava beans
B) Foods high in purine
C) Grapefruit
D) Shellfish
Q2) A patient who takes the oral antidiabetic agent metformin (Glucophage)will begin taking levothyroxine (Synthroid).The nurse will teach this patient to monitor for A) hyperglycemia.
B) hypoglycemia.
C) hyperkalemia.
D) hypokalemia.
Q3) The nurse is caring for a patient who is receiving growth hormone.Which assessment will the nurse monitor daily?
A) Complete blood count
B) Height and weight
C) Renal function
D) Serum glucose
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Chapter 47: Antidiabetics
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/23521
Sample Questions
Q1) A patient has administered regular insulin 30 min 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.
Q2) The nurse receives the following order for insulin: IV NPH (Humulin NPH)10 units.The nurse will perform which action?
A) Administer the dose as ordered.
B) Clarify the insulin type and route.
C) Give the drug subcutaneously.
D) Question the insulin dose.
Q3) 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
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Chapter 48: Urinary Disorders
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/23522
Sample Questions
Q1) The nurse is caring for a patient who is diagnosed with a urinary tract infection.The patient reports always having difficulty remembering to take medications.Which drug will the nurse expect the provider to select when treating this patient?
A) Fosfomycin tromethamine (Monurol)
B) Ciprofloxacin (Cipro)
C) Nitrofurantoin (Macrodantin)
D) Trimethoprim-sulfamethoxazole (Bactrim)
Q2) The nurse assumes care for a patient who is experiencing urinary tract spasms and is ordered to receive flavoxate HCl (Urispas).When reviewing this patient's history,which condition would cause the nurse to notify the provider?
A) Chronic obstructive pulmonary disorder
B) Diabetes
C) Glaucoma
D) Hypotension
Q3) Which side effects are common to most urinary antiseptics?
A) Dyspnea and chest pain
B) Nausea and vomiting
C) Peripheral neuritis
D) Visual disturbances
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Page 50
Chapter 49: Pregnancy and Preterm Labor
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/23523
Sample Questions
Q1) The nurse is caring for a woman who is in her third trimester of pregnancy.The patient has a blood pressure of 165/95 mm Hg with proteinuria of 350 mg/24 h and has been diagnosed with preeclampsia.The nurse recognizes which conditions as risk factors for this condition?
A) African American, multigravida, and 40 years of age
B) Caucasian, multifetal gestation, and preexisting hypertension
C) Maternal infection, age 19, and preexisting renal disease
D) History of preeclampsia, obesity, and surrogacy
Q2) Which statement by the nurse is accurate regarding iron supplementation during pregnancy?
A) "All women should take iron supplements throughout their pregnancy."
B) "Iron supplements are given to supply the fetus."
C) "Iron supplements usually are not necessary until the second trimester."
D) "The greatest iron demand is in the first trimester of pregnancy."
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Chapter 50: Labor, Delivery, and Postpartum
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16 Flashcards
Source URL: https://quizplus.com/quiz/23524
Sample Questions
Q1) The nurse is caring for an infant who is 2 days postpartum and notes that the infant has a poor sucking response.The nurse reviews the delivery record and will likely note that which drug was given to the mother during labor?
A) Butorphanol tartrate (Stadol)
B) Fentanyl (Sublimaze)
C) Nalbuphine (Nubain)
D) Secobarbital (Seconal)
Q2) The nurse is caring for a woman who is in labor.The woman is anxious and reports increasing nausea after receiving an opioid analgesic medication.The nurse will contact the provider and request an order for which intravenous medication?
A) Hydroxyzine HCl (Vistaril)
B) Pentobarbital sodium (Nembutal)
C) Promethazine (Phenergan)
D) Secobarbital sodium (Seconal)
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Chapter 51: Neonatal and Newborn
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5 Verified Questions
5 Flashcards
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Sample Questions
Q1) The nurse is caring for a newborn infant whose mother is HBsAg-negative.The nurse expects to give the infant
A) hepatitis B immune globulin.
B) hepatitis B immune globulin and hepatitis B vaccine 12 h later.
C) no vaccines.
D) recombinant hepatitis B vaccine.
Q2) The nurse is instructing a nursing student who will administer erythromycin ophthalmic ointment and phytonadione (vitamin K)injection to a newborn infant.The nurse will instruct the student to perform which action?
A) Administer the ointment after giving the injection.
B) Apply a 1-cm ribbon of ointment to the infant's eyes.
C) Apply the ointment along the lower border of the upper eyelids.
D) Warm the ointment in a warmer before applying.
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Chapter 52: Womens Reproductive Health
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/23526
Sample Questions
Q1) A woman will begin taking a combination oral contraceptive (COC)that has a higher estrogenic activity than her previous COC.When teaching this woman about the new product,the nurse will explain that she may experience which effect(s)?
A) Cyclic breast changes and chloasma
B) Decreased dysmenorrhea and menorrhagia
C) Decreased libido
D) Weight gain and fatigue
Q2) A woman who is using a NuvaRing transvaginal contraceptive product calls to report that the ring has slipped out while sleeping.The nurse will instruct the patient to rinse the ring with lukewarm water,reinsert the ring,and
A) abstain from sexual intercourse for 24 h.
B) replace it with a new ring as soon as possible.
C) take an oral contraceptive product for 2 weeks.
D) use a back-up method of contraception for 7 days.
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Chapter 53: Mens Reproductive Health
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/23527
Sample Questions
Q1) The oral antiandrogen drug flutamide (Eulexin)is used to treat which condition?
A) Benign prostatic hypertrophy (BPH)
B) Breast cancer
C) Male-pattern baldness
D) Metastatic prostate cancer
Q2) The nurse is teaching an adult male patient about the use of testosterone gel.Which statement by the patient indicates understanding of the teaching?
A) "A decreased urinary stream is an expected side effect."
B) "I should apply the gel to my forearms every day."
C) "I will have hand and wrist x-rays every 6 months."
D) "I will need regular evaluation of serum lipid levels."
Q3) A patient will begin using sildenafil citrate (Viagra)to treat erectile dysfunction.The nurse will instruct the patient to take the medication
A) daily in the morning.
B) just prior to sexual activity.
C) 30 min-4 h before sexual activity.
D) twice daily.
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Chapter 54: Sexually Transmitted Infections
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) A woman is diagnosed with bacterial vaginosis and will begin taking metronidazole (Flagyl).What will the nurse teach the patient about this medication?
A) "Abstain from sexual intercourse while taking this medication."
B) "Do not consume alcohol while taking this drug and for 48 hours after finishing the prescription."
C) "Take this medication on an empty stomach to increase absorption."
D) "Topical preparations are ineffective for treating bacterial vaginosis."
Q2) A woman with complaints of abnormal vaginal discharge,vaginal soreness,pruritus,and dysuria is diagnosed with vulvovaginal candidiasis (VVC).Which statement will the nurse include in teaching?
A) "Treatment with prescription medication is lifelong."
B) "Alcohol should be avoided during treatment."
C) "Candida albicans can be readily passed between sex partners."
D) "Over the counter cream is used to treat the condition."
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Chapter 55: Adult and Pediatric Emergency Drugs
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Sample Questions
Q1) An unconscious patient is brought to the emergency department and intubated after respiratory arrest.The patient has a regular pulse.The patient's spouse suspects an overdose of drugs but does not know which drug may have been taken.The nurse will anticipate giving which medication or performing which treatment?
A) Activated charcoal
B) Flumazenil
C) Gastric lavage
D) Naloxone
Q2) An 18-month-old toddler is in the emergency department with poor feeding and lethargy.The nurse assesses a rapid,thready pulse,which is too fast to count.The nurse will expect the provider to order which medication to treat this condition?
A) Adenosine
B) Albuterol
C) Atropine
D) Theophylline
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