Nursing Concepts and Health Assessment Exam Practice Tests
Course Introduction
This course introduces foundational concepts in nursing practice and the systematic process of health assessment. Students will explore the theoretical underpinnings of holistic care, patient-centered approaches, and professional standards within the nursing discipline. Through both didactic instruction and practical laboratory experiences, learners will develop skills in gathering comprehensive health histories and conducting physical examinations across the lifespan. Emphasis is placed on critical thinking, communication, and cultural sensitivity to ensure safe and effective patient care. The course also covers the documentation and interpretation of assessment findings, serving as a basis for planning and delivering evidence-based nursing interventions.
Recommended Textbook
Pharmacology and the Nursing Process 9th Edition by Lilley
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58 Chapters
791 Verified Questions
791 Flashcards
Source URL: https://quizplus.com/study-set/2416
Page 2
Chapter 1: The Nursing Process and Drug Therapy
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/47982
Sample Questions
Q1) The medication order reads, "Give ondansetron (Zofran) 4 mg, 30 minutes before beginning chemotherapy to prevent nausea." The nurse notes that the route is missing from the order. What is the nurse's best action?
A) Give the medication intravenously because the patient might vomit.
B) Give the medication orally because the tablets are available in 4-mg doses.
C) Contact the prescriber to clarify the route of the medication ordered.
D) Hold the medication until the prescriber returns to make rounds.
Answer: C
Q2) The nurse has been monitoring the patient's progress on a new drug regimen since the first dose and documenting the patient's therapeutic response to the medication. Which phase of the nursing process do these actions illustrate?
A) Human needs statement
B) Planning
C) Implementation
D) Evaluation
Answer: D
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Chapter 2: Pharmacologic Principles
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) When monitoring the patient receiving an intravenous infusion to reduce blood pressure, the nurse notes that the patient's blood pressure is extremely low, and the patient is lethargic and difficult to awaken. This would be classified as which type of adverse drug reaction?
A) Adverse effect
B) Allergic reaction
C) Idiosyncratic reaction
D) Pharmacologic reaction
Answer: D
Q2) The patient is receiving two different drugs. At current dosages and dosage forms, both drugs have the same concentration of the active ingredient. Which term is used to identify this principle?
A) Bioequivalent
B) Synergistic
C) Prodrugs
D) Steady state
Answer: A
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Chapter 3: Lifespan Considerations
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse is aware that confusion, forgetfulness, and increased risk for falls are common responses in an elderly patient who is taking which type of drug?
A) Laxatives
B) Anticoagulants
C) Sedatives
D) Antidepressants
Answer: C
Q2) For accurate medication administration to pediatric patients, the nurse must take into account which criteria?
A) Organ maturity
B) Renal output
C) Body temperature
D) Height
Answer: A
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Page 5
Chapter 4: Cultural, Legal, and Ethical Considerations
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) When reviewing the various schedules of controlled drugs, the nurse knows that which description correctly describes Schedule II drugs?
A) Drugs with high potential for abuse that have accepted medical use
B) Drugs with high potential for abuse that do not have accepted medical use
C) Medically accepted drugs that may cause moderate physical or psychologic dependence
D) Medically accepted drugs with limited potential for causing physical or psychologic dependence
Q2) The nurse is reviewing a list of scheduled drugs and notes that Schedule C-I drugs are not on the list. Which is a characteristic of Schedule C-I drugs?
A) No refills are permitted.
B) They may be obtained over-the-counter with a signature.
C) They are available only by written prescription.
D) They are used only with approved protocols.
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6
Chapter 5: Medication Errors: Preventing and Responding
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) During morning medication administration, the nurse discovered an error on the electronic MAR before the medication was given. Which action by the nurse is appropriate for this "near-miss?"
A) Correct the MAR error but say nothing because nothing happened.
B) Notify the pharmacy about the error they almost caused.
C) Report the near-miss using the facility's recommended protocol, and correct the error on the MAR.
D) Report the near-miss to the next shift before the next dose is due.
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) Digoxin is available in 0.125-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
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Sample Questions
Q1) 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.
Q2) A patient is to receive prednisone 7.5 mg PO daily. The tablets are available in a 2.5-mg strength. Identify how many tablets will the patient receive. _______
Q3) A patient with a new prescription for a diuretic has just reviewed with the nurse how to include more potassium in her diet. This reflects learning in which domain?
A) Cognitive
B) Affective
C) Physical
D) Psychomotor
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Chapter 7: Over-The-Counter Drugs and Herbal and Dietary Supplements
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) The nurse is giving a lecture about current U.S. laws and regulations of herbal products. According to the Dietary Supplement and Health Education Act of 1994, which statement is true?
A) Medicinal herbs are viewed as dietary supplements.
B) Herbal remedies are held to the same standards as drugs.
C) Producers of herbal products must prove therapeutic efficacy.
D) Herbal remedies are protected by patent laws.
Q2) A patient with a PEG tube is to receive ferrous sulfate, 65 mg per the tube, daily. The medication is available as an elixir, 220 mg/5 mL. How many milliliters will the patient receive per dose? Record your answer using one decimal place.
Q3) A patient calls the clinic to ask about taking cranberry dietary supplement capsules because a friend recommended them. The nurse will discuss which possible concern when a patient is taking cranberry supplements?
A) It may increase the risk for bleeding if the patient is taking anticoagulants.
B) It may increase the risk of toxicity of some psychotherapeutic drugs.
C) It may reduce elimination of drugs that are excreted by the kidneys.
D) Cranberry may increase the intensity and duration of effects of caffeine.
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Page 9
Chapter 8: Gene Therapy and Pharmacogenomics
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/47989
Sample Questions
Q1) The nurse is explaining the Human Genome Project to colleagues. Which of these is the main purpose of the Human Genome Project?
A) The study of genetic diseases.
B) The study of genetic traits in humans.
C) The discovery new genetic diseases.
D) To describe the entire genome of a human being.
Q2) The nurse is reviewing the applications of gene therapy. Which drug is manufactured as a result of indirect gene therapy?
A) Vitamin K
B) Warfarin
C) Human insulin
D) Heparin
Q3) The nurse is asking a patient about his family history as part of an assessment. Which component is included in an effective family history?
A) Asking the patient about the current and past health status of the patient's children
B) Covering at least three generations of family history
C) Obtaining a family history of the patient's spouse
D) Asking about the family history for the patient's siblings and parents only
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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/47990
Sample Questions
Q1) The nurse is measuring 4 mL of a liquid cough elixir for a child. Which method is most appropriate?
A) Using a teaspoon to measure and administer
B) Holding the medication cup at eye level and filling it to the desired level
C) Withdrawing the elixir from the container using a syringe without a needle attached
D) Withdrawing the elixir from the container using a calibrated oral syringe
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) When giving a buccal medication to a patient, which action by the nurse is appropriate?
A) Encouraging the patient to swallow, if necessary
B) Administering water after the medication has been given
C) Placing the medication between the upper or lower molar teeth and the cheek
D) Placing the tablet under the patient's tongue and allowing it to dissolve completely
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11
Chapter 10: Analgesic Drugs
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/47991
Sample Questions
Q1) The nurse is reviewing herbal therapies. Which is a common use of the herb feverfew?
A) Muscle aches
B) Menstrual cramps
C) Joint pain
D) Incision pain after surgery
Q2) A patient was diagnosed with pancreatic cancer last month, and has complained of a dull ache in the abdomen for the past 4 months. This pain has been gradually increasing, and the pain relievers taken at home are no longer effective. What type of pain is the patient experiencing?
A) Acute pain
B) Chronic pain
C) Somatic pain
D) Neuropathic pain
Q3) A patient is to receive methadone (Dolophine) 2.5 mg intramuscularly (IM) now. The medication is available in a concentration of 10 mg/mL. Identify how many milliliters of methadone will be drawn up for this dose. ______
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12
Chapter 11: General and Local Anesthetics
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/47992
Sample Questions
Q1) 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
Q2) The nurse is reviewing the effects of inhaled and intravenous general anesthesia, which includes which of these?
A) Increased intracranial pressure
B) Increased glomerular filtration
C) CNS depression
D) Hypotension
E) Decreased hepatic clearance
Q3) 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 1 mg/mL. Identify how many milliliters of medication will the nurse draw up into the syringe for this dose.
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Page 13
Chapter 12: Central Nervous System Depressants and Muscle Relaxants
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/47993
Sample Questions
Q1) Ramelteon (Rozerem) is prescribed for a patient with insomnia. The nurse checks the patient's medical history, knowing that this medication is contraindicated in which disorder?
A) Coronary artery disease
B) Renal insufficiency
C) Liver disease
D) Anemia
Q2) A 50-year-old man who has been taking phenobarbital for 1 week is found very lethargic and unable to walk after eating out for dinner. His wife states that he has no other prescriptions and that he did not take an overdose-the correct number of pills is in the bottle. The nurse suspects that which of these may have happened?
A) He took a multivitamin.
B) He drank a glass of wine.
C) He took a dose of aspirin.
D) He developed an allergy to the drug.
Q3) A patient is about to receive pentobarbital (Nembutal) 100 mg IV as preoperative sedation. The medication is available in a concentration of 50 mg/mL. How many milliliters will the patient receive for this dose?
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Chapter 13: Central Nervous System Stimulants and Related Drugs
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/47994
Sample Questions
Q1) A patient is receiving instructions regarding the use of caffeine. The nurse shares that caffeine should be used with caution if which of these conditions is present?
A) A history of peptic ulcers
B) Migraine headaches
C) Asthma
D) A history of kidney stones
Q2) A 6-year-old boy has been started on an extended-release form of methylphenidate hydrochloride (Ritalin) for the treatment of attention deficit hyperactivity disorder (ADHD). During a follow-up visit, his mother tells the nurse that she has been giving the medication at bedtime so that it will be "in his system" when he goes to school the next morning. What is the nurse's appropriate evaluation of the mother's actions?
A) She is giving him the medication dosage appropriately.
B) The medication should not be taken until he is at school.
C) The medication should be taken with meals for optimal absorption.
D) The medication should be given 4 to 6 hours before bedtime to diminish insomnia.
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Chapter 14: Antiepileptic Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/47995
Sample Questions
Q1) A patient has been taking an AED for several years as part of his treatment for focal seizures. His wife has called because he ran out of medication this morning and wonders if he can go without it for a few days 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) The nurse is reviewing antiepileptic drug (AED) therapy. Which statements about
AED therapy are accurate?
A) AED therapy can be stopped when seizures are stopped.
B) AED therapy is usually lifelong.
C) Consistent dosing is the key to controlling seizures.
D) A dose may be skipped if the patient is experiencing adverse effects.
E) Abruptly stopping AEDs may cause rebound seizure activity.
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Chapter 15: Antiparkinson Drugs
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) While a patient is receiving drug therapy for Parkinson's disease, the nurse monitors for dyskinesia, which is manifested by which finding?
A) Rigid, tense muscles
B) Difficulty in performing voluntary movements
C) Limp extremities with weak muscle tone
D) Confusion and altered mental status
Q2) When treating patients with medications for Parkinson's disease, the nurse knows that the wearing-off phenomenon occurs for which reason?
A) There are rapid swings in the patient's response to levodopa.
B) The patient cannot tolerate the medications at times.
C) The medications begin to lose effectiveness against Parkinson's disease.
D) The patient's liver is no longer able to metabolize the drug.
Q3) The nurse is assessing the medication history of a patient with a new diagnosis of Parkinson's disease. Which condition is a contraindication for the patient, who will be taking entacapone (Comtan)?
A) Glaucoma
B) Seizure disorder
C) Liver failure
D) Benign prostatic hyperplasia
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Page 17
Chapter 16: Psychotherapeutic Drugs
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/47997
Sample Questions
Q1) While monitoring a depressed patient who has just started SSRI antidepressant therapy, the nurse will observe for which problem during the early time frame of this therapy?
A) Hypertensive crisis
B) Self-injury or suicidal tendencies
C) Extrapyramidal symptoms
D) Loss of appetite
Q2) The nurse is reviewing the food choices of a patient who is taking a monoamine oxidase inhibitor (MAOI). Which food choice would indicate the need for additional teaching?
A) Grapefruit juice
B) Fried eggs over-easy
C) Pepperoni pizza
D) Pancakes and maple syrup
Q3) A patient is to receive an intravenous dose of lorazepam (Ativan). The order reads, "Give lorazepam, 1 mg, IV push, now." Identify how many milliliters the nurse will administer for this dose. The medication vial contains 2 mg/mL. _______
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18
Chapter 17: Substance Use Disorder
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) A patient has been taking naltrexone (ReVia) as part of the treatment for addiction to heroin. The nurse expects that the naltrexone will have which therapeutic effect for this patient?
A) Naltrexone prevents the cravings for opioid drugs.
B) Naltrexone works as a safer substitute for the heroin until the patient completes withdrawal.
C) The patient will experience flushing, sweating, and severe nausea if he takes heroin while on naltrexone.
D) If opioid drugs are used while taking naltrexone, euphoria is not produced; thus, the opioid's desired effects are lost.
Q2) When admitting a patient with a suspected diagnosis of chronic alcohol use, the nurse will keep in mind that chronic use of alcohol might result in which condition?
A) Renal failure
B) Cerebrovascular accident
C) Korsakoff's psychosis
D) Alzheimer's disease
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Chapter 18: Adrenergic Drugs
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The nurse is preparing to administer dopamine. Which is the correct technique for administering dopamine?
A) Orally
B) Intravenous (IV) push injection
C) Intermittent IV infusions (IV piggyback)
D) Continuous IV infusion with an infusion pump
Q2) When an adrenergic drug stimulates beta<sub>1</sub>-adrenergic receptors, the result is an increased force of contraction, which is known as what type of effect?
A) Positive inotropic
B) Antiadrenergic
C) Negative chronotropic
D) Positive dromotropic
Q3) When a patient is taking an adrenergic agonist drug, the nurse expects to observe which effect?
A) Increased heart rate
B) Bronchial constriction
C) Constricted pupils
D) Increased intestinal peristalsis
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20
Chapter 19: Adrenergic-Blocking Drugs
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) 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 these 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.
Q2) The nurse is screening a patient who will be taking a nonspecific/nonselective beta blocker. Which condition, if present, may cause serious problems if the patient takes this medication?
A) Angina
B) Hypertension
C) Glaucoma
D) Asthma
Q3) A patient has an order for carvedilol (Coreg) 9.375 mg twice a day PO. The tablets are 3.125 mg each. Identify how many tablets will the nurse administer per dose.
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Chapter 20: Cholinergic Drugs
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A patient who has had abdominal surgery has been discharged on a cholinergic drug to assist in increasing gastrointestinal peristalsis. The nurse will teach this patient to look for which therapeutic effect?
A) Decreased pulse rate
B) Abdominal cramping
C) Passage of flatus
D) Decreased urge to void
Q2) A cholinergic drug is prescribed for a patient with a new diagnosis of myasthenia gravis, and the nurse provides instructions to the patient about the medication. What is important to include in the teaching?
A) Give daytime doses close together for maximal therapeutic effect.
B) Take the medication with meals to avoid gastrointestinal distress.
C) Take the medication 30 minutes before eating to improve swallowing and chewing.
D) Take the medication only if difficulty swallowing occurs during a meal.
Q3) A patient is receiving memantine (Namenda) 10 mg PO daily. The patient is unable to swallow pills, so an oral solution that contains 2 mg/mL is ordered. Identify how much will the patient receive per dose. _______
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Chapter 21: Cholinergic-Blocking Drugs
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) The nurse is reviewing the use of anticholinergic drugs. Anticholinergic drugs block the effects of which nervous system?
A) Central nervous system
B) Somatic nervous system
C) Sympathetic nervous system
D) Parasympathetic nervous system
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 loss 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.
Q3) A patient is to receive glycopyrrolate (Robinul) 4 mcg/kg IM 30 minutes before a procedure. The patient weighs 110 pounds; the medication is available in a strength of 0.2 mg/mL. Identify how many milliliters of medication the nurse will draw up into the syringe. _______
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Page 23
Chapter 22: Antihypertensive Drugs
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The nurse is reviewing drug therapy for hypertension. According to the JNC-8 guidelines, antihypertensive drug therapy for a newly diagnosed hypertensive African-American patient would most likely include which drug or drug classes?
A) Vasodilators alone
B) ACE inhibitors alone
C) Calcium channel blockers with thiazide diuretics
D) Beta blockers with thiazide diuretics
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 anti-inflammatory 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. Identify 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
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Sample Questions
Q1) While assessing a patient who is taking a beta blocker for angina, the nurse knows to monitor for which adverse effect?
A) Nervousness
B) Hypertension
C) Bradycardia
D) Dry cough
Q2) A patient with a history of angina will be started on ranolazine (Ranexa). The nurse is reviewing the patient's history and will note potential contraindications to this drug therapy if which condition is present?
A) Type 2 diabetes mellitus
B) Prolonged QT interval on the electrocardiogram
C) Heart failure
D) Closed-angle glaucoma
E) Decreased liver function
Q3) A patient will be receiving metoprolol (Lopressor) 5 mg IV push. The medication is available in a strength of 1 mg/mL. Identify how much medication will the nurse draw up for each dose. _______
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Chapter 24: Heart Failure Drugs
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15 Flashcards
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Sample Questions
Q1) Which drug classes are considered first-line treatment for heart failure?
A) Angiotensin-converting enzyme (ACE) inhibitors
B) Angiotensin II receptor blockers (ARBs)
C) Digoxin (cardiac glycoside)
D) Beta blockers
E) Nesiritide (Natrecor), the B-type natriuretic peptide
Q2) 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
Q3) The medication order for a 5-year-old child reads, "Give digoxin elixir, 15 mcg/kg, PO now." Convert the 15 micrograms to milligrams. _______
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Chapter 25: Antidysrhythmic Drugs
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14 Verified Questions
14 Flashcards
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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 within 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) A patient has been started on therapy of a continuous infusion of lidocaine after receiving a loading dose of the drug. The nurse will monitor the patient for which adverse effect?
A) Drowsiness
B) Nystagmus
C) Dry mouth
D) Convulsions
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Chapter 26: Coagulation Modifier Drugs
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A patient who has been anticoagulated with warfarin (Coumadin) has been admitted for gastrointestinal bleeding. The history and physical examination indicates that the patient may have taken too much warfarin. The nurse anticipates that the patient will receive which antidote?
A) Vitamin E
B) Vitamin K
C) Protamine sulfate
D) Potassium chloride
Q2) A patient will be receiving a thrombolytic drug as part of the treatment for acute myocardial infarction. The nurse explains to the patient that this drug is used for which purpose?
A) To relieve chest pain
B) To prevent further clot formation
C) To dissolve the clot in the coronary artery
D) To control bleeding in the coronary vessels
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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28
Chapter 27: Antilipemic Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/48008
Sample Questions
Q1) A patient with coronary artery disease asks the nurse about the "good cholesterol" laboratory values. The nurse knows that "good cholesterol" refers to which lipids?
A) Triglycerides
B) Low-density lipoproteins (LDLs)
C) Very-low-density lipoproteins (VLDLs)
D) High-density lipoproteins (HDLs)
Q2) A patient tells the nurse that he likes to eat large amounts of garlic "to help lower his cholesterol levels naturally." The nurse reviews his medication history and notes that which drug has a potential interaction with the garlic?
A) Acetaminophen (Tylenol)
B) Warfarin (Coumadin)
C) Digoxin (Lanoxin)
D) Phenytoin (Dilantin)
Q3) The medication order reads, "Give simvastatin (Zocor) 30 mg daily at bedtime, PO." The medication is available in 20-mg tablets. Identify how many tablets the nurse will administer to the patient. _______
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Page 29
Chapter 28: Diuretic Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/48009
Sample Questions
Q1) Furosemide (Lasix) is prescribed for a patient who is about to be discharged, and the nurse provides instructions to the patient about the medication. Which statement by the nurse is correct?
A) "Take this medication in the evening."
B) "Avoid foods high in potassium, such as bananas, oranges, fresh vegetables, and dates."
C) "If you experience weight gain, such as 5 pounds or more per week, be sure to tell your physician during your next routine visit."
D) "Be sure to change positions slowly and rise slowly after sitting or lying so as to prevent dizziness and possible fainting because of blood pressure changes."
Q2) When a patient is receiving diuretic therapy, which of these assessment measures would best reflect the patient's fluid volume status?
A) Blood pressure and pulse
B) Serum potassium and sodium levels
C) Intake, output, and daily weight
D) Measurements of abdominal girth and calf circumference
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Chapter 29: Fluids and Electrolytes
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/48010
Sample Questions
Q1) During a blood transfusion, the patient begins to have chills and back pain. What is the nurse's priority action?
A) Observe for other symptoms.
B) Slow the infusion rate of the blood.
C) Discontinue the infusion immediately, and notify the prescriber.
D) Tell the patient that these symptoms are a normal reaction to the blood product.
Q2) After a severe auto accident, a patient has been taken to the trauma unit and has an estimated blood loss of more than 30% of his blood volume. The nurse prepares to administer which product?
A) Albumin
B) Whole blood
C) Packed red blood cells
D) Fresh frozen plasma
Q3) An intravenous piggyback (IVPB) antibiotic needs to infuse over 90 minutes. The IVPB bag contains 150 mL. Calculate the setting for the infusion pump. _______
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Chapter 30: Pituitary Drugs
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/48011
Sample Questions
Q1) A patient who has been on somatropin (Humatrope) has been hospitalized for an acute asthma exacerbation, and is receiving intravenous doses of glucocorticoids. The nurse recognizes that which effect may occur if these drugs are given together?
A) Reduction of growth effects
B) Hyperkalemia
C) Increased urine output
D) Diarrhea
Q2) When a patient is receiving vasopressin (Pitressin), the nurse will monitor for which therapeutic response?
A) Improved appetite
B) Increased serum albumin levels
C) Increased serum potassium levels
D) Decreased urinary output
Q3) A patient is to receive vasopressin (Pitressin) 5 units subQ twice a day. The medication is available in a vial that contains 20 units/mL. Identify how many milliliters the nurse will draw up for this dose. (record answer using two decimal places) _______
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Chapter 31: Thyroid and Antithyroid Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/48012
Sample Questions
Q1) During a teaching session for a patient on antithyroid drugs, the nurse will discuss which dietary instructions?
A) Using iodized salt when cooking
B) Avoiding foods containing iodine
C) Restricting fluid intake to 2500 mL/day
D) Increasing intake of sodium- and potassium-containing foods
Q2) The nurse is giving morning medications. The Medication Administration Record has an order for levothyroxine, 25 mcg PO. The drug-dispensing cabinet contains levothyroxine tablets in milligram strengths instead of micrograms. Calculate the milligram equivalent dose of 25 mcg. _______
Q3) A patient, newly diagnosed with hypothyroidism, has received a prescription for thyroid replacement therapy. The nurse will instruct the patient to take this medication at which time of day?
A) In the morning
B) With the noon meal
C) With the evening meal
D) At bedtime
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Chapter 32: Antidiabetic Drugs
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/48013
Sample Questions
Q1) When teaching about hypoglycemia, the nurse will make sure that the patient is aware of the early signs of hypoglycemia, including which of these?
A) Hypothermia and seizures.
B) Nausea and diarrhea.
C) Confusion and sweating.
D) Fruity, acetone odor to the breath.
Q2) 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
Q3) The nurse is administering insulin lispro (Humalog) and will keep in mind that this insulin will start to have an effect within which time frame?
A) 15 minutes
B) 1 to 2 hours
C) 80 minutes
D) 3 to 5 hours
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Chapter 33: Adrenal Drugs
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/48014
Sample Questions
Q1) A patient is taking fludrocortisone (Florinef) for Addison's disease, and his wife is concerned about all of the problems that may occur with this therapy. When teaching them about therapy with this drug, the nurse will include which information?
A) It may cause severe postural hypotension.
B) It needs to be taken with food or milk to minimize gastrointestinal upset.
C) The medication needs to be stopped immediately if nausea or vomiting occurs.
D) Weight gain of 5 pounds or more in 1 week is an expected adverse effect.
Q2) A patient will be starting therapy with a corticosteroid. The nurse reviews the prescriber's orders and notes that an interaction may occur if the corticosteroid is taken with which of these drug classes?
A) Nonsteroidal anti-inflammatory drugs
B) Antibiotics
C) Opioid analgesics
D) Antidepressants
Q3) 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. Identify how many milliliters will the nurse draw up for this dose. _______
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Chapter 34: Womens Health Drugs
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/48015
Sample Questions
Q1) A patient who is taking the bisphosphonate alendronate (Fosamax) has been instructed to lie flat in bed for 2 days after having ophthalmic surgery. Which intervention is appropriate at this time?
A) She will continue to take the alendronate with water.
B) She cannot take the alendronate until she can sit up for 30 minutes.
C) She can take the medication with breakfast.
D) She will stop taking the medication 72 hours before her surgery.
Q2) A 51-year-old woman will be taking selective estrogen receptor modulators (SERMs) as part of treatment for postmenopausal osteoporosis. The nurse reviews potential contraindications, including which condition?
A) Hypocalcemia
B) Breast cancer
C) Stress fractures
D) Venous thromboembolism
Q3) A patient is to receive medroxyprogesterone (Depo-Provera) 700 mg weekly, intramuscularly, as part of palliative therapy for endometrial cancer. The medication is available in vials of 400 mg/mL. Identify how many milliliters will the nurse draw up and administer with each injection. (record answer using one decimal place) _______
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36
Chapter 35: Mens Health Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/48016
Sample Questions
Q1) The nurse notes in a female patient's history that she has an order for the androgen testosterone (Android). Based on this finding, the nurse interprets that the patient has which disorder?
A) Fibrocystic breast disease
B) Hereditary angioedema
C) Hypertension
D) Inoperable breast cancer
Q2) 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. Identify how many milliliters will the nurse draw up for each injection. _______
Q3) A patient is to receive testosterone therapy via a transdermal patch. He asks the nurse, "Why am I getting a patch? Can't I just take a pill?" Which response by the nurse is correct?
A) "The patch reduces the incidence of side effects."
B) "If you don't take the patch, you will have to have injections instead."
C) "The patch allows for better absorption of the medication."
D) "You will only have to change the patch weekly."
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Source URL: https://quizplus.com/quiz/48017
Sample Questions
Q1) A child will be receiving diphenhydramine (Benadryl), 5 mg/kg/day, in divided doses, every 6 hours. The child weighs 80 pounds. Identify how many milligrams of medication will the child receive with each dose. (record answer using one decimal place)
Q2) The nurse will instruct patients about a possible systemic effect that may occur if excessive amounts of topically applied adrenergic nasal decongestants are used. Which systemic effect may occur?
A) Heartburn
B) Bradycardia
C) Drowsiness
D) Palpitations
Q3) 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."
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Page 38
Chapter 37: Respiratory Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/48018
Sample Questions
Q1) When evaluating a patient's use of a metered-dose inhaler (MDI), the nurse notes that the patient is unable to coordinate the activation of the inhaler with her breathing. What intervention is most appropriate at this time?
A) Notify the prescriber that the patient is unable to use the MDI.
B) Obtain an order for a peak flow meter.
C) Obtain an order for a spacer device.
D) Ask the prescriber if the medication can be given orally.
Q2) The nurse is monitoring drug levels for a patient who is receiving theophylline. The most recent theophylline level was 22 mcg/mL, and the nurse evaluates this level to be:
A) below the therapeutic level.
B) at a therapeutic level.
C) above the therapeutic level.
D) at a toxic level.
Q3) A patient has a metered-dose inhaler that contains 200 actuations ('puffs'), and it does not have a dose counter. He is to take two puffs two times a day. If he does not take any extra doses, identify how many days will this inhaler last at the prescribed 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/48019
Sample Questions
Q1) The nurse is providing teaching to a patient taking an oral tetracycline antibiotic. Which statement by the nurse is correct?
A) "Avoid direct sunlight and tanning beds while on this medication."
B) "Milk and cheese products result in increased levels of tetracycline."
C) "Antacids taken with the medication help to reduce gastrointestinal distress."
D) "Take the medication until you are feeling better."
Q2) The nurse is reviewing the medication history of a patient who will be taking a sulfonamide antibiotic. During sulfonamide therapy, a significant drug interaction may occur with which of these drugs or drug classes?
A) Opioids
B) Oral contraceptives
C) Sulfonylureas
D) Antihistamines
E) Phenytoin (Dilantin)
F) Warfarin (Coumadin)
Q3) A patient will be receiving penicillin G potassium, 12 million units daily in divided doses every 4 hours IVPB. Identify how many units the patient will receive for each dose each day. _______
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Chapter 39: Antibiotics Part 2
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/48020
Sample Questions
Q1) A patient with a Pseudomonas species urinary infection will be receiving amikacin (Amikin) 5 mg/kg once daily via intravenous infusion. The patient weighs 198 pounds, and the medication is available in an injection solution strength of 250 mg/mL. Identify how many milliliters of medication will be drawn up for this injection. (record answer using one decimal place) _______
Q2) Which problem may occur in a patient who has started aminoglycoside therapy?
A) Constipation
B) Renal damage
C) Gynecomastia
D) Leukocytosis
Q3) A 79-year-old patient is receiving a quinolone as treatment for a complicated incision infection. The nurse will monitor for which adverse effect that is associated with these drugs?
A) Neuralgia
B) Double vision
C) Hypotension
D) Tendonitis and tendon rupture
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Chapter 40: Antiviral Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/48021
Sample Questions
Q1) The nurse is providing counseling to a woman who is HIV positive and has just discovered that she is pregnant. Which anti-HIV drug is given to HIV-infected pregnant women to prevent transmission of the virus to the infant?
A) Acyclovir (Zovirax)
B) Zidovudine (Retrovir)
C) Ribavirin (Virazole)
D) Foscarnet (Foscavir)
Q2) A patient with a viral infection is to receive ganciclovir (Cytovene) 5 mg/kg/day IVPB every morning. The patient weighs 110 pounds. Identify how many milligrams this patient will receive for this dose. _______
Q3) A patient who has undergone a lung transplant has contracted cytomegalovirus (CMV) retinitis. The nurse expects which drug to be ordered for this patient?
A) Acyclovir (Zovirax)
B) Ganciclovir (Cytovene)
C) Ribavirin (Virazole)
D) Amantadine (Symmetrel)
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Chapter 41: Antitubercular Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/48022
Sample Questions
Q1) The nurse will assess the patient for which potential contraindication to antitubercular therapy?
A) Glaucoma
B) Anemia
C) Heart failure
D) Hepatic impairment
Q2) The nurse is preparing to administer morning medications to a patient who has been newly diagnosed with tuberculosis. The patient asks, "Why do I have to take so many different drugs?" Which response by the nurse is correct?
A) "Your prescriber hopes that at least one of these drugs will work to fight the tuberculosis."
B) "Taking multiple drugs is recommended because of the increasing presence of resistance to TB drug therapy.
C) "Using more than one drug can help to reduce side effects."
D) "Using multiple drugs enhances the effect of each drug."
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Chapter 42: Antifungal Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/48023
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) A patient has received a prescription for a 2-week course of antifungal suppositories for a vaginal yeast infection. She asks the nurse if there is an alternative to this medication, saying, "I don't want to do this for 2 weeks!" Which is a possibility in this situation?
A) A single dose of a vaginal antifungal cream.
B) A one-time infusion of amphotericin B.
C) A single dose of a fluconazole (Diflucan) oral tablet.
D) There is no better alternative to the suppositories.
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Chapter 43: Antimalarial, Antiprotozoal, and Anthelmintic Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/48024
Sample Questions
Q1) 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.
Q2) A patient is receiving hydroxychloroquine therapy but tells the nurse that she has never traveled out of her city. The nurse knows that a possible reason for this drug therapy is which condition?
A) Lyme disease
B) Toxoplasmosis
C) Systemic lupus erythematosus
D) Intestinal tapeworms
Q3) A patient with Pneumocystis jirovecii pneumonia will be receiving pentamidine as an intravenous piggyback (IVPB) dose. The medication has been added to a 100-mL bag of D 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? _______
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Page 45
Chapter 44: Anti-Inflammatory and Antigout Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/48025
Sample Questions
Q1) A patient has used enteric aspirin for several years as treatment for osteoarthritis. However, the symptoms are now worse and she is given a prescription for a nonsteroidal anti-inflammatory drug and misoprostol (Cytotec). The patient asks the nurse, "Why am I now taking two pills for arthritis?" What is the nurse's best response?
A) "Cytotec will also reduce the symptoms of your arthritis."
B) "Cytotec helps the action of the NSAID so that it will work better."
C) "Cytotec reduces the mucous secretions in the stomach, which reduces gastric irritation."
D) "Cytotec may help to prevent gastric ulcers that may occur in patients taking NSAIDs."
Q2) The nurse is teaching a patient who is taking colchicine for the treatment of gout. Which instruction will the nurse include during the teaching session?
A) "Fluids should be restricted while on colchicine therapy."
B) "Take colchicine with meals."
C) "The drug will be discontinued when symptoms are reduced."
D) "Call your doctor if you have increased joint pain or blood in the urine."
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Chapter 45: Antineoplastic Drugs Part 1: Cancer Overview and
Cell Cycle-Specific Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/48026
Sample Questions
Q1) A patient, diagnosed with lymphoma, has an allergy to one of the proposed chemotherapy drugs. The tumor has not responded to other types of treatment. The nurse expects the oncologist to follow which course of treatment?
A) The physician will choose another drug to use.
B) The chemotherapy will be given along with supportive measures to treat a possible allergic reaction.
C) The patient will receive reduced doses of chemotherapy for a longer period of time.
D) The chemotherapy cannot be given because of the patient's allergy.
Q2) The nurse is evaluating the laboratory results of a patient who has received chemotherapy. The loss of which blood cell leads to lack of energy, fatigue, intolerance of activity and hypoxemia?
A) White blood cells
B) Red blood cells
C) Platelets
D) Albumin
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Chapter 46: Antineoplastic Drugs Part 2: Cell
Cyclenonspecific Drugs and Miscellaneous Drugs
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Source URL: https://quizplus.com/quiz/48027
Sample Questions
Q1) The nurse is hanging a new infusion bag of a chemotherapy drug, but the tubing becomes disconnected and a small amount of the solution drips onto the floor. Which action by the nurse is appropriate?
A) Let it dry, and then mop the floor.
B) Wipe the area with a disposable paper towel.
C) Use a spill kit to clean the area.
D) Ask the housekeeping department to clean the floor.
Q2) 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
Q3) A patient will be receiving mitoxantrone (Novantrone), 12 mg/m²/day every 3 weeks, as part of treatment for prostate cancer. Each dose is mixed into a 50-mL bag of D W and needs to infuse over 15 minutes. The infusion pump delivers the dose at milliliters per hour. Identify the nurse will set the pump to infuse at what rate. _______
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Chapter 47: Biologic Responsemodifying and Antirheumatic Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/48028
Sample Questions
Q1) A patient will be receiving aldesleukin [IL-2] (Proleukin), 600,000 IU/kg every 8 hours for 14 doses. The patient weighs 220 pounds. Identify how many IU of medication this patient will receive per dose. _______
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 injection sites
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)
Q4) A patient is to receive filgrastim (Neupogen) 5 mcg/kg/day. The patient weighs 198 pounds. Identify how many micrograms of medication this patient will receive each day.
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Chapter 48: Immunosuppressant Drugs
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13 Flashcards
Source URL: https://quizplus.com/quiz/48029
Sample Questions
Q1) Cyclosporine is prescribed for a patient who had an organ transplant. The nurse will monitor the patient for which common adverse effect?
A) Nausea and vomiting
B) Fever and tremors
C) Agitation
D) Hypertension
Q2) A patient is about to undergo a kidney transplant. She will be given an immunosuppressant drug before, during, and after surgery to minimize organ rejection. During the preoperative teaching session, which information will the nurse include about the medication therapy?
A) Several days before the surgery, the medication will be administered orally.
B) The oral doses need to be taken 1 hour before meals to maximize absorption.
C) Mix the oral liquid with juice in a disposable Styrofoam cup just before administration.
D) Intramuscular injections of the medication will be needed for several days preceding surgery.
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Chapter 49: Immunizing Drugs
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Source URL: https://quizplus.com/quiz/48030
Sample Questions
Q1) A 30-year-old woman is in the clinic for her yearly gynecologic exam and asks the nurse about the "new vaccine that prevents HPV." She wants to receive the papillomavirus vaccine (Gardasil). Which response by the nurse is most appropriate?
A) "For women, the recommended age for this vaccine is 13 to 26 years of age."
B) "We will need to make sure you are not pregnant first."
C) "There will be a total of three injections."
D) "I will check with your health care provider and then get the first dose of the vaccine ready."
Q2) A sanitation worker has experienced a needle stick by a contaminated needle that was placed in a trash can. The employee health nurse expects that which drug will be used to provide passive immunity to hepatitis B infection?
A) Haemophilus influenzae type b (Hib)
B) Varicella virus vaccine (Varivax)
C) Hepatitis B immunoglobulin (BayHep B)
D) Hepatitis B virus vaccine (inactivated) (Recombivax HB)
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Chapter 50: Acid-Controlling Drugs
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16 Flashcards
Source URL: https://quizplus.com/quiz/48031
Sample Questions
Q1) At 0900, the nurse is about to give morning medications, and the patient has asked for a dose of antacid for severe heartburn. Which schedule for the antacid and medications is correct?
A) Give both the antacid and medications at 0900.
B) Give the antacid at 0900, and then the medications at 0930.
C) Give the medications at 0900, and then the antacid at 1000.
D) Give the medications at 0900, and then the antacid at 0915.
Q2) 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."
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. Identify how many milliliters the nurse will draw up for this dose. _______
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Chapter 51: Bowel Disorder Drugs
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20 Flashcards
Source URL: https://quizplus.com/quiz/48032
Sample Questions
Q1) A patient is taking linaclotide (Linzess) to treat irritable bowel syndrome (IBS). The nurse will monitor this patient for which adverse effect?
A) Chest pain
B) Chronic constipation
C) Abdominal pain
D) Elevated blood glucose levels
Q2) A laxative has been ordered for a patient. The nurse checks the patient's medical history and would be concerned if which condition is present?
A) High ammonia levels due to liver failure
B) Diverticulosis
C) Abdominal pain of unknown origin
D) Chronic constipation
Q3) When administering mineral oil, the nurse recognizes that it can interfere with the absorption of which substance?
A) Fat-soluble vitamins
B) Water-soluble vitamins
C) Minerals
D) Electrolytes
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Chapter 52: Antiemetic and Antinausea Drugs
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12 Flashcards
Source URL: https://quizplus.com/quiz/48033
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 patient who has been newly diagnosed with vertigo will be taking an antihistamine antiemetic drug. The nurse will include which information when teaching the patient about this drug?
A) The patient may skip doses if the patient is feeling well.
B) The patient will need to avoid driving because of possible drowsiness.
C) The patient may experience occasional problems with taste.
D) It is safe to take the medication with a glass of wine in the evening to help settle the stomach.
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54
Chapter 53: Vitamins and Minerals
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Source URL: https://quizplus.com/quiz/48034
Sample Questions
Q1) 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. Identify how many milliliters the nurse will draw up into the syringe. (record answer using one decimal place) _______
Q2) The nurse is preparing a plan of care for a patient undergoing therapy with vitamin A. Which of these are possible effects of vitamin A deficiency?
A) Impaired wound healing
B) Night blindness
C) Muscle twitching
D) Confusion
Q3) The nurse will prepare to give which preparation to a newborn upon arrival in the nursery after delivery?
A) Vitamin B1 (thiamine)
B) Vitamin D (calciferol)
C) Folic acid
D) Vitamin K (AquaMEPHYTON)
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Chapter 54: Anemia Drugs
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Sample Questions
Q1) An oral iron supplement is prescribed for a patient. The nurse would question this order if the patient's medical history includes which condition?
A) Decreased hemoglobin
B) Hemolytic anemia
C) Weakness
D) Concurrent therapy with erythropoietics
Q2) A cancer patient is receiving drug therapy with epoetin alfa (Epogen). The nurse knows that the medication must be stopped if which laboratory result is noted?
A) White blood cell count of 550 cells/mm<sup>3</sup>
B) Hemoglobin level of 12 g/dL
C) Potassium level of 4.2 mEq/L
D) Glucose level of 78 mg/dL
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
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Chapter 55: Nutritional Supplements
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Sample Questions
Q1) An older adult patient needs to receive an enteral supplement to improve her overall nutritional status. When considering enteral supplements, the nurse notes that which formulation provides complex nutrients?
A) Ensure Plus
B) Moducal
C) Propac
D) Microlipid
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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15 Flashcards
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Sample Questions
Q1) A teenage boy is taking tretinoin (Retin-A) for acne. Which statement will the nurse include in the teaching plan?
A) "Avoid foods that are heavy in salt and oils."
B) "This drug may cause increased redness of your skin."
C) "Try using an abrasive cleanser to remove old skin layers."
D) "Being out in the sunlight will help your skin heal."
Q2) A patient is considering taking oral aloe supplements and asks the nurse about potential problems with this therapy. Which statement by the nurse is correct?
A) "Aloe is not taken orally; it is only used topically to aid in wound healing."
B) "Aloe is used by some to treat constipation; it may cause diarrhea."
C) "This is a safe herbal supplement, with no known drug interactions."
D) "This is a safe herbal supplement, with no known adverse effects."
Q3) A patient asks about using minoxidil (Rogaine) for hair thinning. Which statement about minoxidil is accurate?
A) The product is applied once daily in the morning.
B) Systemic absorption of topically applied minoxidil is rare.
C) Results may be seen as soon as 2 weeks after beginning therapy.
D) Systemic absorption may cause tachycardia, fluid retention, and weight gain.
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Chapter 57: Ophthalmic Drugs
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Sample Questions
Q1) A patient is receiving ocular cyclosporine (Restasis) and also has an order for an artificial tears product. The nurse includes which instructions in the teaching plan for these medications?
A) "These two eye drugs cannot be given together. Let's check with your prescriber."
B) "You may take these two drugs together at the same time."
C) "First take the artificial tears, and then take the Restasis after 5 minutes."
D) "Take the Restasis first, and then wait 15 minutes before taking the artificial tears."
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)
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Chapter 58: Otic Drugs
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Sample Questions
Q1) The nurse is preparing to give an earwax emulsifier to a patient and will assess the patient for which contraindication before administering the drops?
A) Allergy to penicillin
B) Drainage from the ear canal
C) Partial deafness in the affected ear
D) Excessive earwax in the outer ear canal
Q2) 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.
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