Nursing Fundamentals
Exam Questions
Course Introduction
Nursing Fundamentals provides a comprehensive introduction to the essential concepts, skills, and responsibilities required for professional nursing practice. This course covers the history and evolution of nursing, the nursing process, ethical and legal considerations, patient safety, communication techniques, and basic patient care procedures including hygiene, mobility, nutrition, and vital sign assessment. Students will explore the role of the nurse within the healthcare team and learn foundational clinical skills through theoretical instruction and hands-on laboratory experiences, preparing them for subsequent clinical placements and advanced study in the nursing field.
Recommended Textbook
Evolve Resources for Pharmacology and the Nursing Process 7th Edition by Linda Lane Lilley
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58 Chapters
825 Verified Questions
825 Flashcards
Source URL: https://quizplus.com/study-set/1613 Page 2
Chapter 1: The Nursing Process and Drug Therapy
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/31978
Sample Questions
Q1) The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing diagnosis?
A) Anxiety
B) Anxiety related to new drug therapy
C) Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as "I'm upset about having to test my blood sugars."
D) Anxiety related to new drug therapy, as evidenced by statements such as "I'm upset about having to test my blood sugars."
Answer: D
Q2) The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy and gave the medication 2 hours after the scheduled dose was due. What type of problem does this represent?
A) "Right time" problem
B) "Right dose" problem
C) "Right route" problem
D) "Right medication" problem
Answer: A
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Chapter 2: Pharmacologic Principles
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/31979
Sample Questions
Q1) A patient who has advanced cancer is receiving opioid medications around the clock to keep him comfortable as he nears the end of his life. Which term best describes this type of therapy?
A) Palliative therapy
B) Maintenance therapy
C) Empiric therapy
D) Supplemental therapy
Answer: A
Q2) The patient is experiencing chest pain and needs to take a sublingual form of nitroglycerin. Where does the nurse instruct the patient to place the tablet?
A) Under the tongue
B) On top of the tongue
C) At the back of the throat
D) In the space between the cheek and the gum
Answer: A
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Chapter 3: Lifespan Considerations
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31980
Sample Questions
Q1) The nurse recognizes that it is not uncommon for an elderly patient to experience a reduction in the stomach's ability to produce hydrochloric acid. This change may result in which effect?
A) Delayed gastric emptying
B) Increased gastric acidity
C) Decreased intestinal absorption of medications
D) Altered absorption of weakly acidic drugs
Answer: D
Q2) 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
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Chapter 4: Cultural, Legal, and Ethical Considerations
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31981
Sample Questions
Q1) The nurse is reviewing the concept of drug polymorphism. Which factors contribute to drug polymorphism? (Select all that apply.)
A) The number of drugs ordered by the physician
B) Inherited factors
C) The patient's diet and nutritional status
D) Different dosage forms of the same drug
E) The patient's health beliefs and practices
F) The patient's drug history
G) The various available forms of a drug
Q2) For which cultural group must the health care provider respect the value placed on preserving harmony with nature and the belief that disease is a result of ill spirits?
A) Hispanics
B) Asian Americans
C) Native Americans
D) African Americans
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6
Chapter 5: Medication Errors: Preventing and Responding
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/31982
Sample Questions
Q1) The prescriber has written admission orders, and the nurse is transcribing them. The nurse is having difficulty transcribing one order because of the prescriber's handwriting. Which is the best action for the nurse to take at this time?
A) Ask a colleague what the order says.
B) Contact the prescriber to clarify the order.
C) Wait until the prescriber makes rounds again to clarify the order.
D) Ask the patient what medications he takes at home.
Q2) When taking a telephone order for a medication, which action by the nurse is most appropriate?
A) Verify the order with the charge nurse.
B) Call back the prescriber to review the order.
C) Repeat the order to the prescriber before hanging up the telephone.
D) Ask the pharmacist to double-check the order.
Q3) Digoxin is available in 0.25-mg tablet form. Convert this dose to microgram strength. Do not round.
Q4) Levothyroxine is available in 88-mcg tablet form. Convert this dose to milligram strength. Do not round.
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Chapter 6: Patient Education and Drug Therapy
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/31983
Sample Questions
Q1) A patient is to receive prednisone 7.5 mg PO daily. The tablets are available in a 2.5-mg strength. How many tablets will the patient receive?
Q2) The nurse is developing a care plan for a patient who will be self-administering insulin injections. Which statement reflects a measurable goal?
A) The patient will know about self-administration of insulin injections.
B) The patient will understand the principles of self-administration of insulin injections.
C) The patient will demonstrate the proper technique of self-administering insulin injections.
D) The patient will comprehend the proper technique of self-administering insulin injections.
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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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/31984
Sample Questions
Q1) The patient wants to take the herb valerian to help him rest at night. The nurse would be concerned about potential interactions if he is taking a medication from which class of drugs?
A) Digitalis
B) Anticoagulants
C) Sedatives
D) Immunosuppressants
Q2) A 25-year-old woman is visiting the prenatal clinic and shares with the nurse her desire to go "natural" with her pregnancy. She shows the nurse a list of herbal remedies that she wants to buy so that she can "avoid taking any drugs." Which statement by the nurse is correct?
A) "Most herbal remedies are not harmful and are safe for use during pregnancy."
B) "Please read each label carefully before use to check for cautionary warnings."
C) "Keep in mind that products from different manufacturers are required to contain consistent amounts of the herbal products."
D) "It's important to remember that herbal remedies do not have proven safety ratings for pregnant women."
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Chapter 8: Gene Therapy and Pharmacogenomics
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/31985
Sample Questions
Q1) The nurse is explaining the Human Genome Project to colleagues. The main purpose of the Human Genome Project is to
A) study genetic diseases.
B) study genetic traits in humans.
C) discover new genetic diseases.
D) describe the entire genome of a human being.
Q2) Which is the most important compound that transfers genes from parents to offspring?
A) Chromatin
B) DNA
C) Alleles
D) RNA
Q3) 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
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Chapter 9: Photo Atlas of Drug Administration
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/31986
Sample Questions
Q1) 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.
Q2) A patient is to receive hydromorphone (Dilaudid) 1.5 mg IV push now. The medication comes in a prefilled syringe, 2 mg/mL. How many milliliters will the nurse administer for this dose?
Q3) After administering an intradermal ( ID ) injection for a skin test, the nurse notices a small bleb at the injection site. The best action for the nurse to take at this time is to A) apply heat.
B) massage the area.
C) do nothing.
D) report the bleb to the physician.
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11
Chapter 10: Analgesic Drugs
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/31987
Sample Questions
Q1) A 78-year-old patient is in the recovery room after having a lengthy surgery on his hip. As he is gradually awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate, he is very lethargic and his respirations are shallow, with a rate of 7 per minute. The nurse prepares for which priority action at this time?
A) Assessment of the patient's pain level
B) Immediate intubation and artificial ventilation
C) Administration of naloxone (Narcan)
D) Close observation of signs of opioid tolerance
Q2) Vicodin ( acetaminophen/hydrocodone ) is prescribed for a patient who has had surgery. The nurse informs the patient that which common adverse effects can occur with this medication? (Select all that apply.)
A) Diarrhea
B) Constipation
C) Lightheadedness
D) Nervousness
E) Urinary retention
F) Itching
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Chapter 11: General and Local Anesthetics
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/31988
Sample Questions
Q1) When a neuromuscular blocking drug is given, the effects occur in a certain order.
Put the drug effects in the correct order, using the choices A through C listed below.
A) Cessation of respirations due to paralysis of diaphragm and intercostal muscles
B) Total flaccid paralysis
C) Weakness
Q2) When a neuromuscular blocking drug is given, the effects occur in a certain order.
Put the drug effects in the correct order, using the choices
A) Cessation of respirations due to paralysis of diaphragm and intercostal muscles
B) Total flaccid paralysis
C) Weakness
Q3) When assessing patients in the preoperative area, the nurse knows that which patient is at a higher risk for an altered response to anesthesia?
A) The 30-year-old patient who has never had surgery before
B) The 45-year-old patient who stopped smoking 10 years ago
C) The 21-year-old patient who is to have a kidney stone removed
D) The 78-year-old patient who is to have gallbladder removal
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13
Chapter 12: Central Nervous System Depressants and Muscle Relaxants
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31989
Sample Questions
Q1) A 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 the following 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.
Q2) A patient has been admitted to the emergency department for an overdose of oral benzodiazepines. He is very drowsy but still responsive, with a respiration rate of 12 breaths per minute. The nurse will prepare for which immediate intervention?
A) Hemodialysis to remove the medication
B) Administration of flumazenil (Romazicon)
C) Administration of naloxone (Narcan)
D) Intubation and mechanical ventilation
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Page 14
Chapter 13: Central Nervous System Stimulants and Related Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/31990
Sample Questions
Q1) The order reads, "Give atomoxetine (Strattera) 0.5 mg/kg/day once daily in the morning before school." The child weighs 88 pounds. How many milligrams will be administered per dose?
Q2) A 22-year-old nursing student has been taking NoDoz (caffeine) tablets for the past few weeks to "make it through" the end of the semester and exam week. She is in the university clinic today because she is "exhausted." What nursing diagnosis may be appropriate for her?
A) Noncompliance
B) Impaired physical mobility
C) Sleep deprivation
D) Imbalanced nutrition: less than body requirements
Q3) Before a patient receives triptans for the treatment of migraines, the nurse will assess for the presence of which condition, which is a contraindication if present?
A) Hypotension
B) Renal disease
C) Liver damage
D) Cardiovascular disease
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Page 15
Chapter 14: Antiepileptic Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31991
Sample Questions
Q1) Which statements about antiepileptic drug ( AED ) therapy are accurate? (Select all that apply.)
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) Do not abruptly discontinue AEDs because doing so may cause rebound seizure activity.
Q2) Phenytoin (Dilantin) has a narrow therapeutic index. The nurse recognizes that this characteristic means that
A) the safe and the toxic plasma levels of the drug are very close to each other.
B) phenytoin has a low chance of being effective.
C) there is no difference between safe and toxic plasma levels.
D) a very small dosage can result in the desired therapeutic effect.
Q3) A 9-year-old child will be receiving carbamazepine (Tegretol) suspension, 200 mL daily. The medication is available in a strength of 100 mg/5 mL. How many milliliters will the nurse give to the patient for each dose?
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Page 16
Chapter 15: Antiparkinson Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31992
Sample Questions
Q1) Amantadine (Symmetrel) is prescribed for a patient with Parkinson's disease. The nurse informs the patient that which common adverse effects can occur with this medication?
A) Dyskinesias, drowsiness
B) Dizziness, insomnia, nausea
C) Peripheral edema, fatigue, syncope
D) Heart palpitations, hypotension, urinary retention
Q2) The prescriber writes this order, "Give amantadine (Symmetrel) 100 mg per PEG tube twice a day." The medication is available in a liquid form with a concentration 50 mg/5 mL. How many milliliters will the nurse give with each dose?
Q3) When assessing the medication history of a patient with a new diagnosis of Parkinson's disease, which conditions are contraindications for the patient who will be taking carbidopa-levodopa? (Select all that apply.)
A) Angle-closure glaucoma
B) History of malignant melanoma
C) Hypertension
D) Benign prostatic hyperplasia
E) Concurrent use of monoamine oxidase inhibitors (MAOIs)
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Chapter 16: Psychotherapeutic Drugs
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/31993
Sample Questions
Q1) Chlorpromazine (Thorazine) is prescribed for a patient, and the nurse provides instructions to the patient about the medication. The nurse includes which information?
A) The patient needs to avoid caffeine while on this drug.
B) The patient needs to wear sunscreen while outside because of photosensitivity.
C) Long-term therapy may result in nervousness and excitability.
D) The medication may be taken with an antacid to reduce gastrointestinal upset.
Q2) An agitated patient is to receive an intravenous dose of diazepam (Valium). The order reads, "Give diazepam, 2 mg, IV push, now. Repeat in 15 minutes if needed." How many milliliters will the nurse administer for this dose? The medication vial contains 5 mg/mL.
Q3) A patient wants to take a ginseng dietary supplement. The nurse instructs the patient to look for which potential adverse effect?
A) Drowsiness
B) Palpitations and anxiety
C) Dry mouth
D) Constipation
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18
Chapter 17: Substance Abuse
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/31994
Sample Questions
Q1) The nurse is presenting a substance-abuse lecture for teenage girls and is asked about "roofies." The nurse recognizes that this is the slang term for which substance?
A) cocaine
B) flunitrazepam
C) secobarbital
D) methamphetamine
Q2) A 38-year-old male patient stopped smoking 6 months ago. He tells the nurse that he still feels strong cigarette cravings and wonders if he is ever going to feel "normal" again. Which statement by the nurse is correct?
A) "It's possible that these cravings will never stop."
B) "These cravings may persist for several months."
C) "The cravings tell us that you are still using nicotine."
D) "The cravings show that you are about to experience nicotine withdrawal."
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19
Chapter 18: Adrenergic Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31995
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?-adrenergic receptors, the result is an increased force of contraction, which is known as what type of effect?
A) Positive inotropic
B) Anti-adrenergic
C) Negative dromotropic
D) Positive chronotropic
Q3) When a patient is taking an adrenergic 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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Chapter 19: Adrenergic-Blocking Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/31996
Sample Questions
Q1) During a teaching session about self-monitoring while taking a beta blocker at home, the nurse has taught the patient to take his apical pulse daily for 1 minute. If the pulse rate decreases to less than 60 beats per minute, the nurse will instruct the patient to:
A) notify his prescriber.
B) reduce the dose of his beta blocker by half.
C) continue the medication because this is an expected effect.
D) skip the medication dose that day, and check his pulse again the next day.
Q2) A patient is experiencing diastolic heart failure. The nurse expects which beta blocker to be ordered for this patient?
A) atenolol ( Tenormin )
B) carvedilol ( Coreg )
C) acebutolol ( Sectral )
D) esmolol ( Brevibloc )
Q3) A patient has an order for carvedilol (Coreg) 6.25 mg twice a day PO. The tablets are 3.125 mg. 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
Source URL: https://quizplus.com/quiz/31997
Sample Questions
Q1) 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. How much will the patient receive per dose?
Q2) A patient who has been diagnosed with Sjögren's syndrome will be given cevimeline for the treatment of xerostomia. The nurse will monitor for what therapeutic effect?
A) Reduction of salivation
B) Stimulation of salivation
C) Reduction of gastrointestinal peristalsis
D) Improvement of fine-motor control
Q3) A patient is receiving a dose of edrophonium (Tensilon). The nurse recognizes that this drug is given to determine the diagnosis of which disease?
A) Parkinson's disease
B) Multiple sclerosis
C) Myasthenia gravis
D) Alzheimer's disease
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Chapter 21: Cholinergic-Blocking Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/31998
Sample Questions
Q1) A patient has been taking tolterodine (Detrol), but today her prescriber changed her to a newer drug, darifenacin (Enablex). What advantage does darifenacin have over the tolterodine?
A) The newer cholinergic-blocker drugs are more effective.
B) It helps reduce urinary retention.
C) It can be used in patients with narrow-angle glaucoma.
D) The incidence of dry mouth is much lower with darifenacin.
Q2) The nurse is about to administer a stat dose of intravenous atropine sulfate to a patient who is experiencing a symptomatic cardiac dysrhythmia. During administration of this drug, the nurse will monitor the patient closely for which adverse effect?
A) Tachycardia
B) Bradycardia
C) Ectopic beats
D) Cardiac standstill
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. How many milliliters of medication will the nurse draw up into the syringe?
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Chapter 22: Antihypertensive Drugs
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/31999
Sample Questions
Q1) A patient has a new order for the adrenergic drug doxazosin ( Cardura ). When providing education about this drug, the nurse will include which instructions?
A) "Weigh yourself daily, and report any weight loss to your prescriber."
B) "Increase your potassium intake by eating more bananas and apricots."
C) "The impaired taste associated with this medication usually goes away in 2 to 3 weeks."
D) "Be sure to lie down after taking the first dose, because first-dose hypotension may make you dizzy."
Q2) A patient with type 2 diabetes mellitus has been found to have trace proteinuria. The prescriber writes an order for an angiotensin-converting enzyme (ACE) inhibitor. What is the main reason for prescribing this class of drug for this patient?
A) Cardioprotective effects
B) Renal protective effects
C) Reduces blood pressure
D) Promotes fluid output
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Chapter 23: Antianginal Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/32000
Sample Questions
Q1) 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? (Select all that apply.)
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 ´ 3 doses for angina. The medication is available in a strength of 1 mg/mL. How much medication will the nurse draw up for each dose?
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Chapter 24: Heart Failure Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32001
Sample Questions
Q1) A patient is taking digoxin (Lanoxin) and a loop diuretic daily. When the nurse enters the room with the morning medications, the patient states, "I am seeing a funny yellow color around the lights." What is the nurse's next action?
A) Assess the patient for symptoms of digoxin toxicity.
B) Withhold the next dose of the diuretic.
C) Administer the digoxin and diuretic together as ordered.
D) Document this finding, and reassess in 1 hour.
Q2) When administering digoxin immune Fab ( Digibind ) to a patient with severe digoxin toxicity, the nurse knows that each vial can bind with how much digoxin?
A) 0.5 mg
B) 5 mg
C) 5.5 mg
D) 15 mg
Q3) The medication order for a 4-year-old child reads, "Give digoxin elixir, 15 mcg/kg, PO now." Convert the micrograms to milligrams.
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Chapter 25: Antidysrhythmic Drugs
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/32002
Sample Questions
Q1) A patient is taking procainamide (Pronestyl) for a cardiac dysrhythmia. The nurse will monitor the patient for which possible adverse effect?
A) Bradycardia
B) Shortened QT interval
C) Dyspnea
D) Diarrhea
Q2) A patient will be discharged on quinidine sulfate (Quinidex) extended-release tablets for the treatment of ventricular ectopy. The nurse will include which information in the teaching plan?
A) The medication should be stopped once the cardiac symptoms subside.
B) Signs of cinchonism, such as tinnitus, loss of hearing, or slight blurring of vision, may occur.
C) It is important to use sunscreen products when outside because of increased photosensitivity.
D) If any tablet or capsule is visible in the stool, contact the prescriber immediately.
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Chapter 26: Coagulation Modifier Drugs
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/32003
Sample Questions
Q1) A patient has been prescribed warfarin (Coumadin) in addition to a heparin infusion. The patient asks the nurse why he has to be on two medications. The nurse's response is based on which rationale?
A) The oral and injection forms work synergistically.
B) The combination of heparin and an oral anticoagulant results in fewer adverse effects than heparin used alone.
C) Oral anticoagulants are used to reach an adequate level of anticoagulation when heparin alone is unable to do so.
D) Heparin is used to start anticoagulation so as to allow time for the blood levels of warfarin to reach adequate levels.
Q2) A patient has received an overdose of intravenous heparin, and is showing signs of excessive bleeding. Which substance is the antidote for heparin overdose?
A) vitamin E
B) vitamin K
C) protamine sulfate
D) potassium chloride
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Chapter 27: Antilipemic Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32004
Sample Questions
Q1) The medication order reads, "Give simvastatin (Zocor) 10 mg daily at bedtime, PO." The medication is available in 20-mg tablets. How many tablets will the nurse administer to the patient?
Q2) A patient is concerned about the adverse effects of the fibric acid derivative she is taking to lower her cholesterol level. Which is an adverse effect of this class of medication?
A) Constipation
B) Diarrhea
C) Joint pain
D) Dry mouth
Q3) A patient calls the clinic office saying that the cholestyramine (Questran) powder he started yesterday clumps and sticks to the glass when he tries to mix it. The nurse will suggest what method for mixing this medication for administration?
A) Mix the powder in a carbonated soda drink to dissolve it faster.
B) Add the powder to any liquid, and stir vigorously to dissolve it quickly.
C) Mix the powder with food or fruit, or at least 4 to 6 ounces of fluid.
D) Sprinkle the powder into a spoon and take it dry, followed by a glass of water.
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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/32005
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) The order for a child reads, "Give furosemide (Lasix) 2 mg/kg IV STAT." The child weighs 33 pounds. How many milligrams will the child receive for this dose?
Q3) A patient is to receive hydrochlorothiazide (HydroDIURIL) via a percutaneous endoscopic gastrostomy (PEG) tube. The order reads, "Give hydrochlorothiazide, 25 mg, per PEG tube once daily." The medication is available in a liquid form, 50 mg/5 mL. How many milliliters will the nurse administer for each dose?
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Chapter 29: Fluids and Electrolytes
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/32006
Sample Questions
Q1) A patient is receiving an infusion of fresh frozen plasma. Based on this order, the nurse interprets that this patient has which condition?
A) Hypovolemic shock
B) Anemia
C) Coagulation disorder
D) Previous transfusion reaction
Q2) The nurse is preparing to give a potassium supplement. Which laboratory test should be checked before the patient receives a dose of potassium?
A) Complete blood count
B) Serum potassium level
C) Serum sodium level
D) Liver function studies
Q3) A patient has a deficiency in clotting factors. The nurse will prepare to administer which blood product?
A) Albumin
B) Cryoprecipitate
C) Fresh frozen plasma
D) Packed red blood cells (PRBCs)
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Chapter 30: Pituitary Drugs
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/32007
Sample Questions
Q1) A patient is to receive vasopressin (Pitressin) 5 units subcut BID. The medication is available in a vial that contains 20 units/mL. How many milliliters will the nurse draw up for this dose? (Record solve using two decimal places.)
Q2) The nurse notes in a patient's medication history that the patient has been taking desmopressin (DDAVP). Based on this finding, the nurse interprets that the patient has which disorder?
A) Diabetes mellitus
B) Diabetes insipidus
C) Adrenocortical insufficiency
D) Carcinoid tumor
Q3) A patient is about to receive a dose of octreotide (Sandostatin). The nurse will assess for which contraindications or cautions? (Select all that apply.)
A) Carcinoid crisis
B) Diarrhea
C) Type 1 diabetes mellitus
D) Gallbladder disease
E) Chronic renal failure
F) Esophageal varices
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Chapter 31: Thyroid and Antithyroid Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32008
Sample Questions
Q1) A patient has a diagnosis of primary hypothyroidism. Which statement accurately describes this problem?
A) The hypothalamus is not secreting thyrotropin-releasing hormone (TRH), therefore thyroid-stimulating hormone (TSH) is not released from the pituitary gland.
B) The pituitary gland is dysfunctional and is not secreting TSH.
C) The abnormality is in the thyroid gland itself.
D) The abnormality is caused by an insufficient intake of iodine.
Q2) A 19-year-old student was diagnosed with hypothyroidism and has started thyroid replacement therapy with levothyroxine ( Synthroid ). After 1 week, she called the clinic to report that she does not feel better. Which response from the nurse is correct?
A) "It will probably require surgery for a cure to happen."
B) "The full therapeutic effects may not occur for 3 to 4 weeks."
C) "Is it possible that you did not take your medication as instructed?"
D) "Let's review your diet; it may be causing absorption problems."
Q3) The nurse is giving morning medications. The Medication Administration Record has an order for levothyroxine, 75 mcg PO. The drug-dispensing cabinet contains levothyroxine tablets in milligram strengths instead of micrograms. Calculate the milligram equivalent dose of 75 mcg.
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Chapter 32: Antidiabetic Drugs
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/32009
Sample Questions
Q1) The nurse is teaching a group of patients about management of diabetes. Which statement about basal dosing is correct?
A) "Basal dosing delivers a constant dose of insulin."
B) "With basal dosing, you can eat what you want and then give yourself a dose of insulin."
C) "Glargine insulin is given as a bolus with meals."
D) "Basal-bolus dosing is the traditional method of managing blood glucose levels."
Q2) The nurse is reviewing the various types of insulins. For each insulin listed below, place in order from shortest duration (1) to longest duration (4).
A) Glargine insulin
B) Aspart insulin
C) Regular insulin
D) NPH insulin
Q3) The insulin order reads, "Check blood glucose levels before meals and at bedtime. For every 5 mg/dL over 150, give 1 unit of regular Humulin insulin, subcutaneously." The patient's blood glucose level at 11:30 A.M., before lunch, was 253 mg/dL. In units, how much insulin will the nurse give?
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Page 34
Chapter 33: Adrenal Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/32010
Sample Questions
Q1) The nurse notes in the patient's medication history that the patient is taking aminoglutethimide. Based on this finding, the nurse interprets that the patient has which disorder?
A) Acute asthma
B) Addison's disease
C) Chronic obstructive pulmonary disease
D) Cushing's syndrome
Q2) When monitoring a patient who is taking a systemically administered glucocorticoid, the nurse will monitor for signs of which condition?
A) Dehydration
B) Hypokalemia
C) Hyponatremia
D) Hypoglycemia
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. How many milliliters will the nurse draw up for this dose?
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Chapter 34: Womens Health Drugs
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/32011
Sample Questions
Q1) During a follow-up visit, a patient who has been on estrogen therapy admits that she has continued to smoke cigarettes. The nurse will remind the patient that smoking while on estrogen may lead to increased A) incidence of nausea.
B) risk for thrombosis.
C) levels of triglycerides.
D) tendency to bleed during menstruation.
Q2) 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.
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. How many milliliters will the nurse draw up and administer with each injection? (Record solve 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/32012
Sample Questions
Q1) A 73-year-old male patient is in the clinic for a yearly physical and is asking for a prescription for sildenafil ( Viagra ). He has listed on his health history that he is taking a nitrate for angina. The nurse is aware that which problem may occur if sildenafil is taken with a nitrate?
A) Significant increase in pulse rate
B) Significant decrease in blood pressure
C) Increased risk of bleeding
D) Reduced effectiveness of the sildenafil
Q2) The nurse is instructing a male patient about application of transdermal testosterone (Testoderm) patches. Which body location is preferred for this specific patch?
A) Back
B) Chest
C) Thigh
D) Scrotum
Q3) A patient will be receiving testosterone cypionate (Depo-Testosterone) 400 mg intramuscularly every 4 weeks. The medication is available in a 200-mg/mL strength. How many milliliters will the nurse draw up for each injection?
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32013
Sample Questions
Q1) 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."
Q2) When giving dextromethorphan, the nurse understands that this drug suppresses the cough reflex by which mechanism of action?
A) Causing depression of the central nervous system
B) Anesthetizing the stretch receptors
C) Having direct action on the cough center
D) Decreasing the viscosity of the bronchial secretions
Q3) A patient asks the nurse about the uses of echinacea. Which use will the nurse include in the response?
A) Memory enhancement
B) Boosting the immune system
C) Improving mood
D) Promoting relaxation
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Chapter 37: Respiratory Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32014
Sample Questions
Q1) 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 doctor 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) A patient has a new order for an ipratropium (Atrovent) inhaler, an anticholinergic drug. The nurse knows to assess for an allergy to which food before giving this drug?
A) Shellfish
B) Soy products
C) Peanuts
D) Eggs
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, 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/32015
Sample Questions
Q1) During drug therapy for pneumonia, a female patient develops a vaginal superinfection. The nurse explains that this infection is caused by
A) large doses of antibiotics that kill normal flora.
B) the infection spreading from her lungs to the new site of infection.
C) resistance of the pneumonia-causing bacteria to the drugs.
D) an allergic reaction to the antibiotics.
Q2) The nurse is preparing to use an antiseptic. Which statement is correct regarding how antiseptics differ from disinfectants?
A) Antiseptics are used to sterilize surgical equipment.
B) Disinfectants are used as preoperative skin preparation.
C) Antiseptics are used only on living tissue to kill microorganisms.
D) Disinfectants are used only on nonliving objects to destroy organisms.
Q3) During drug therapy with a tetracycline antibiotic, a patient complains of some nausea and decreased appetite. Which statement is the nurse's best advice to the patient?
A) "Take it with cheese and crackers or yogurt."
B) "Take each dose with a glass of milk."
C) "Take an antacid with each dose as needed."
D) "Drink a full glass of water with each dose."
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Page 40
Chapter 39: Antibiotics Part 2
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32016
Sample Questions
Q1) The nurse is administering a vancomycin (Vancocin) infusion. Which measure is appropriate for the nurse to implement in order to reduce complications that may occur with this drug's administration?
A) Monitoring blood pressure for hypertension during the infusion
B) Discontinuing the drug immediately if red man syndrome occurs
C) Restricting fluids during vancomycin therapy
D) Infusing the drug over at least 1 hour
Q2) A patient with a Pseudomonas species urinary infection will be receiving amikacin (Amikin) 15 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. How many milliliters of medication will be drawn up for this injection? (Record answer using one decimal place.)
Q3) Which nursing diagnosis is appropriate for a patient who has started aminoglycoside therapy?
A) Constipation
B) Risk for injury (renal damage)
C) Disturbed body image related to gynecomastia
D) Imbalanced nutrition, less than body requirements, related to nausea
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Chapter 40: Antiviral Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/32017
Sample Questions
Q1) A patient who is diagnosed with genital herpes is taking topical acyclovir. The nurse will provide which teaching for this patient? (Select all that apply.)
A) "Be sure to wash your hands thoroughly before and after applying this medicine."
B) "Apply this ointment until the lesion stops hurting."
C) "Use a clean glove when applying this ointment."
D) "If your partner develops these lesions, then he can also use the medication."
E) "You will need to avoid touching the area around your eyes."
F) "You will have to practice abstinence when these lesions are active."
Q2) A patient who is HIV-positive has been receiving medication therapy that includes zidovudine (Retrovir). However, the prescriber has decided to stop the zidovudine because of its dose-limiting adverse effect. Which of these conditions is the dose-limiting adverse effect of zidovudine therapy?
A) Retinitis
B) Renal toxicity
C) Hepatotoxicity
D) Bone marrow suppression
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42
Chapter 41: Antitubercular Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/32018
Sample Questions
Q1) When monitoring patients on antitubercular drug therapy, the nurse knows that which drug may cause a decrease in visual acuity?
A) rifampin (Rifadin)
B) isoniazid (INH)
C) ethambutol (Myambutol)
D) streptomycin
Q2) The nurse is discussing adverse effects of antitubercular drugs with a patient who has active tuberculosis. Which potential adverse effect of antitubercular drug therapy should the patient report to the prescriber?
A) Gastrointestinal upset
B) Headache and nervousness
C) Reddish-orange urine and stool
D) Numbness and tingling of extremities
Q3) The nurse will assess the patient for which potential contraindication to antitubercular therapy?
A) Glaucoma
B) Anemia
C) Heart failure
D) Hepatic impairment
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Chapter 42: Antifungal Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32019
Sample Questions
Q1) A patient 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.
Q2) The nurse is administering one of the lipid formulations of amphotericin B. When giving this drug, which concept is important to remember?
A) The lipid formulations may be given in oral form.
B) The doses are much lower than the doses of the older drugs.
C) The lipid formulations are associated with fewer adverse effects than the older drugs. D) There is no difference in cost between the newer and older forms.
Q3) A patient will be taking fluconazole (Diflucan) 100 mg/day PO for 2 weeks. The patient is unable to swallow tablets, so an oral suspension that contains 10 mg/mL is available. How many milliliters will the nurse administer with each dose?
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Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/32020
Sample Questions
Q1) A patient who has a helminthic infection has a prescription for pyrantel (Antiminth). Which is one of the common adverse effects that the patient may experience while on this therapy?
A) Vertigo
B) Seizures
C) Diarrhea
D) Insomnia
Q2) Hydroxychloroquine (Plaquenil) is prescribed as part of malaria prophylaxis for a patient who will be traveling. The nurse will discuss which potential adverse effects with the patient? (Select all that apply.)
A) Diarrhea
B) Constipation
C) Insomnia
D) Dizziness
E) Rash
F) Headache
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45
Chapter 44: Antiinflammatory and Antigout Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32021
Sample Questions
Q1) A patient is taking the nonsteroidal antiinflammatory drug indomethacin (Indocin) as treatment for pericarditis. The nurse will teach the patient to watch for which adverse effect?
A) Tachycardia
B) Nervousness
C) Nausea and vomiting
D) Dizziness
Q2) The nurse notes in a patient's medication history that the patient is taking allopurinol (Zyloprim). Based on this finding, the nurse interprets that the patient has which disorder?
A) Rheumatoid arthritis
B) Gout
C) Osteoarthritis
D) Systemic lupus erythematosus
Q3) Naproxen (Naprosyn) 250 mg PO every 6 hours is ordered. The drug is available as an oral suspension that contains 125 mg/5 mL. How many milliliters will the nurse administer for one dose of this medication?
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Chapter 45: Antineoplastic Drugs Part 1: Cancer Overview and
Cell Cyclespecific Drugs
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/32022
Sample Questions
Q1) When administering chemotherapy for treatment of cancer, the nurse implements which intervention that treats or even prevents chemotherapy-induced nausea and vomiting?
A) Instructing the patient to avoid caffeine while on chemotherapy
B) Giving an antiemetic when the chemotherapy is started
C) Giving an antiemetic 30 to 60 minutes before the chemotherapy is started.
D) Increasing mobility before and during chemotherapy
Q2) The nurse is monitoring a patient who has severe bone marrow suppression following antineoplastic drug therapy. Which is considered the principal early sign of infection?
A) Fever
B) Diaphoresis
C) Tachycardia
D) Elevated white blood cell count
Q3) A patient is to receive a daily dose of fludarabine (Fludara), 25 mg/m²/day for 5 consecutive days. Each dose is diluted in a 125-mL bag of normal saline and is to infuse over 30 minutes. The nurse will set the infusion pump to what rate in mL/hr?
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Page 47
Chapter 46: Antineoplastic Drugs Part 2: Cell
Cyclenonspecific Drugs and Miscellaneous Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32023
Sample Questions
Q1) When hanging a new infusion bag of a chemotherapy drug, the nurse accidentally spills a small amount of the solution 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 patient will be receiving mitoxantrone (Novantrone), 12 mg/m² every 3 weeks, as part of treatment for prostate cancer. Each dose is mixed into a 50-mL bag of D<sub>5</sub>W and needs to infuse over 15 minutes. The infusion pump delivers the dose at mL/hour. The nurse will set the pump to infuse at what rate?
Q3) During therapy with the cytotoxic antibiotic bleomycin, the nurse will assess for a potentially serious adverse effect by monitoring which assessment finding?
A) Blood urea nitrogen and creatinine levels
B) Cardiac ejection fraction
C) Respiratory function
D) Peripheral nerve sensation
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Page 48
Chapter 47: Biologic Responsemodifying and Antirheumatic Drugs
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/32024
Sample Questions
Q1) A patient who has received chemotherapy has a steadily decreasing white blood cell count. The chemotherapy will end on Tuesday afternoon. The oncologist has mentioned that a colony-stimulating factor will be started soon. The nurse knows that the appropriate time to start this medication is when?
A) While the patient is still receiving chemotherapy
B) Two hours after the chemotherapy ends
C) Wednesday afternoon, 24 hours after the chemotherapy ends
D) In 2 to 4 days, after the white blood cells have reached their nadir
Q2) During therapy with hematopoietic drugs, the nurse will monitor the patient for which adverse effects? (Select all that apply.)
A) Hypotension
B) Edema
C) Diarrhea
D) Black, tarry stools
E) Nausea and vomiting
F) Headache
Q3) A patient will be receiving aldesleukin [IL-2] (Proleukin), 600,000 IU/kg every 8 hours for 14 doses. The patient weighs 220 pounds. How many IU of medication will this patient receive per dose?
Page 49
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Chapter 48: Immunosuppressant Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/32025
Sample Questions
Q1) The nurse is preparing to administer an injection of monoclonal antibodies. Which additional drug will the nurse administer to minimize adverse reactions to the monoclonal antibodies?
A) A nonsteroidal antiinflammatory drug ( NSAID )
B) A benzodiazepine
C) An opioid pain reliever
D) A corticosteroid
Q2) 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
Q3) A patient with multiple sclerosis will be starting therapy with an immunosuppressant drug. The nurse expects that which drug will be used?
A) azathioprine (Imuran)
B) glatiramer acetate (Copaxone)
C) daclizumab (Zenapax)
D) sirolimus (Rapamune)
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Page 50
Chapter 49: Immunizing Drugs and Biochemical Terrorism
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/32026
Sample Questions
Q1) A 12-month-old infant has received an MMR II (measles, mumps, and rubella virus vaccine), and her mother calls the clinic that afternoon to ask about helping her fussy infant to "feel better." What will the nurse suggest?
A) Apply an ice pack to the injection site.
B) Apply warm compresses to the injection site.
C) Observe the site for further swelling and redness.
D) Bring the infant in to the emergency department for an immediate examination.
Q2) 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) "This vaccine is recommended for women 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."
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Chapter 50: Acid-Controlling Drugs
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/32027
Sample Questions
Q1) A 75-year-old woman comes into the clinic with complaints of muscle twitching, nausea, and headache. She tells the nurse that she has been taking sodium bicarbonate 5 or 6 times a day for the past 3 weeks. The nurse will assess for which potential problem that may occur with overuse of sodium bicarbonate?
A) Constipation
B) Metabolic acidosis
C) Metabolic alkalosis
D) Excessive gastric mucus
Q2) The nurse is reviewing the medication orders for a patient who will be taking an H<sub>2</sub> antagonist. Which drug may have an interaction if taken along with the H<sub>2</sub> antagonist?
A) ibuprofen ( Motrin )
B) ranitidine ( Zantac )
C) tetracycline ( Doryx )
D) ketoconazole ( Nizoral )
Q3) A patient will be receiving pantoprazole (Protonix), 20 mg IV daily every morning. The medication, once reconstituted, has a strength of 40 mg/10 mL. How many milliliters will the nurse draw up for this dose?
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Chapter 51: Bowel Disorder Drugs
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/32028
Sample Questions
Q1) A patient will be taking bismuth subsalicylate (Pepto-Bismol) to control diarrhea. When reviewing the patient's other ordered medications, the nurse recognizes that which medication or medication class will interact significantly with the Pepto-Bismol?
A) Oral hypoglycemic drugs
B) Antibiotics
C) acetaminophen (Tylenol)
D) Antidepressants
Q2) A patient is about to undergo a diagnostic bowel procedure. The nurse expects which drug to be used to induce total cleansing of the bowel?
A) docusate sodium ( Colace )
B) magnesium hydroxide ( milk of magnesia )
C) mineral oil
D) polyethylene glycol ( GoLYTELY )
Q3) A 10-year-old child will be receiving docusate sodium (Colace), 120 mg/day PO, divided into 3 doses. How many milligrams will the child receive per dose?
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Chapter 52: Antiemetic and Antinausea Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/32029
Sample Questions
Q1) A patient on chemotherapy is using ondansetron (Zofran) for treatment of nausea. The nurse will instruct the patient to watch for which adverse effect of this drug?
A) Dizziness
B) Diarrhea
C) Dry mouth
D) Blurred vision
Q2) A patient with motion sickness is planning a cross-country car trip and has a new prescription for a scopolamine transdermal patc (Transderm-Sc p). h The nurse provides teaching for the use of this patch medication. The patient shows a correct understanding of the teaching with which statement?
A) "I will change the patch every day."
B) "I will change the patch every other day."
C) "I will change the patch every 3 days."
D) "I will remove the patch only if it stops working."
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Chapter 53: Vitamins and Minerals
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/32030
Sample Questions
Q1) The patient asks the nurse about taking large doses of vitamin C to improve her immunity to colds. "It's just a vitamin, right? What can happen?" Which responses by the nurse are correct? (Select all that apply.)
A) "Vitamin C is harmless because it is a water-soluble vitamin."
B) "Large doses of vitamin C can cause nausea, vomiting, headache, and abdominal cramps."
C) "Keep in mind that if you suddenly stop taking these large doses, you might experience symptoms similar to scurvy."
D) "Studies have shown that vitamin C has little value in preventing the common cold."
E) "Vitamin C acidifies the urine, which can lead to the formation of renal stones."
F) "Large doses of vitamin C may delay wound healing."
Q2) The nurse administers intravenous calcium slowly in order to avoid which adverse effect?
A) Ototoxicity
B) Cardiac arrest
C) Neurotoxicity
D) Respiratory arrest
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Chapter 54: Anemia Drugs
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/32031
Sample Questions
Q1) The nurse is administering folic acid to a patient with a new diagnosis of anemia. Which statement about treatment with folic acid is true?
A) Folic acid is used to treat any type of anemia.
B) Folic acid is used to treat iron-deficiency anemia.
C) Folic acid is used to treat pernicious anemia.
D) The specific cause of the anemia needs to be determined before treatment.
Q2) 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
Q3) A nurse is giving instructions to a patient who will be receiving oral iron supplements. Which instructions will be included in the teaching plan?
A) Take the iron tablets with milk or antacids.
B) Crush the pills as needed to help with swallowing.
C) Take the iron tablets with meals if gastrointestinal distress occurs.
D) If black tarry stools occur, report it to the doctor immediately.
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Chapter 55: Nutritional Supplements
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Q1) A patient with type 2 diabetes will be receiving a nasogastric tube feeding for a few days. The nurse expects which type of formula to be used?
A) Jevity
B) Ensure Plus
C) Glucerna
D) Polycose
Q2) When monitoring a patient who has been receiving peripheral parenteral nutrition for more than 3 weeks, the nurse will watch for which potential complication?
A) Diarrhea
B) Phlebitis
C) Hypernatremia
D) Hypoglycemia
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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Q1) A father calls because his son has head lice. He reports that he used "that special medicated shampoo three times, but nothing happened." He wants to know what to do now. What will the nurse advise first?
A) "It sounds like you need a prescription for a second product, malathion."
B) "Try one of the lotion products instead."
C) "Use a nit comb to remove nits from the hair shafts."
D) "Try combing through the hair with mineral oil to loosen the lice from the hair shafts."
Q2) The preoperative nurse is ready to perform a skin prep with povidone-iodine (Betadine) on a patient who is about to have abdominal surgery. Which allergies, if present, would be a contraindication to the Betadine prep?
A) Peanuts
B) Shellfish
C) Adhesives
D) Latex
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Chapter 57: Ophthalmic Drugs
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Q1) A patient has a new prescription for an antiglaucoma eyedrop. The next day, she calls the clinic and states, "The package insert says this medication might make my blue eyes turn brown! Is this true?" The nurse realizes that the patient has a prescription for which eye medication?
A) latanoprost ( Xalatan ), a prostaglandin agonist
B) dorzolamide (Trusopt ), an ocular carbonic anhydrase inhibitor
C) betaxolol ( Betoptic ), a direct-acting beta blocker
D) pilocarpine ( Pilocar ), a direct-acting cholinergic
Q2) The nurse is administering ophthalmic drops. Place the following administration steps in the correct order.
A) Close the eye gently.
B) Apply gentle pressure to the inner canthus/lacrimal sac for 1 minute.
C) Place drops into the conjunctival sac.
D) Clean debris from the eye as needed.
E) Have the patient tilt the head back and look up at the ceiling.
F) Remove excess medication gently from around the eyes.
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Chapter 58: Otic Drugs
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Q1) The nurse is assessing a child with otitis media. Which statement about otitis media is correct?
A) It is treated with over-the-counter medications.
B) In children, it commonly follows a lower respiratory tract infection.
C) Common symptoms include pain, fever, malaise, and a sensation of fullness in the ears.
D) Hearing deficits are associated only with inner ear infections, not with otitis media.
Q2) The nurse is teaching a patient's wife about administering eardrops to her husband. The nurse will use which technique when demonstrating the skill?
A) Pull the pinna of the ear down and back.
B) Pull the pinna of the ear up and back.
C) Pull the pinna of the ear down and forward.
D) Pull the pinna of the ear up and forward.
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