Nursing Practice and Medication Administration Exam Practice Tests - 556 Verified Questions

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Nursing Practice and Medication Administration Exam Practice Tests

Course Introduction

This course provides an in-depth exploration of the foundational principles and best practices in nursing practice with a focus on safe and effective medication administration across the lifespan. Students will develop critical clinical judgment and technical skills necessary for administering various routes and types of medications, utilizing current evidence-based guidelines and legal and ethical frameworks. Emphasis is placed on the nursing process, pharmacology basics, dosage calculations, patient assessment, prevention of medication errors, and effective communication with patients and the healthcare team. Through lectures, simulations, and laboratory experiences, students will gain the confidence and competence required to deliver high-quality, patient-centered medication management in diverse healthcare settings.

Recommended Textbook

Introduction to Clinical Pharmacology 8th Edition by Edmunds

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Chapter 1: Pharmacology and the Nursing Process in LPN Practice

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Sample Questions

Q1) Which is never administered if prepared by another nurse?

A) Written orders

B) Daily reports

C) Diet selections

D) Medications

Answer: D

Q2) It is important for the LPN/LVN to be a part of the evaluation process when giving the patient medications.Which factor is considered to be an important part of the process of evaluating medications once they are given?

A) Asking the patient what the medication tasted like

B) Asking the patient if swallowing all of the medications at once helped

C) Evaluating the therapeutic effects and the adverse effects of the medication

D) Evaluating whether more scheduled medication is needed

Answer: C

Q3) The nurse should document drug administration at which time?

A) At the end of each shift

B) As soon as possible after administration

C) Just before administration

D) Any time during the nurse's shift

Answer: B

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Chapter 2: Patient Teaching and Health Literacy

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Sample Questions

Q1) When giving the patient key written information about his discharge,the nurse will include which of the following?

A) Prescriptions written by the physician

B) The questionnaire found at the bedside

C) The unit-dose package given at discharge

D) Drug inserts and booklets prepared for medications

Answer: D

Q2) A patient begins medication therapy for hypertension.Which reason is most likely to make the scheduled teaching plan change for this patient?

A) The patient's outlook for her condition changes.

B) The patient writes down some of the information.

C) The patient has no questions after being taught.

D) The patient's systolic blood pressure falls below 60 mm Hg with therapy.

Answer: D

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Chapter 3: Legal Aspects Affecting the Administration of Medications

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Sample Questions

Q1) Meperidine,75 mg IV push,is ordered by the physician to be given stat.The nurse understands that this is which type of order?

A) Standing

B) Immediate

C) Flexible

D) Indefinite

Answer: B

Q2) The narcotic control system is used by nurses working in any hospital or agency.Which of the following are special conditions that all nurses must follow? (Select all that apply.)

A) Narcotics are watched by everyone on the unit.

B) Medication is stored in a special locked cabinet.

C) Narcotics may be borrowed from one patient to use for another patient.

D) The nurse signs for the medication.

E) An inventory must be kept on drugs.

Answer: B,D,E

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Chapter 4: Foundations and Principles of Pharmacology

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Q1) Which is always true regarding the generic name for a drug?

A) It is capitalized when written.

B) It is the same in any country.

C) It is assigned by a specific manufacturer.

D) It is similar to the chemical name.

Q2) Propranolol (Inderal)is eliminated almost entirely via metabolism by the liver after oral administration.This necessitates giving much larger doses by mouth as compared to intravenous (IV)administration.For this reason,propranolol is a good example of a drug that exhibits which effect?

A) Hepatotoxicity

B) Nephrotoxicity

C) First-pass

D) Displacement

Q3) What can affect the half-life of a drug?

A) Patient age

B) Liver dysfunction

C) Cardiac disease

D) Smoking

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Chapter 5: Lifespan and Cultural Modifications

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Q1) What may the nurse question the patient about when performing a cultural assessment? (Select all that apply.)

A) Differences in values

B) Religious practices

C) Health practices

D) Tolerance practices

E) Political values and beliefs

Q2) In aging patients,distribution of drugs may be lessened because of a decline in total body water and lean body mass,warranting the use of decreased dosing.Which drugs are distributed into body water or lean muscle mass and may lead to increased effects and possible toxicity for the aging patient? (Select all that apply.)

A) Digoxin (Lanoxin)

B) Gentamicin (Garamycin)

C) Meperidine (Demerol)

D) Acetaminophen (Tylenol)

E) Ibuprofen (Motrin)

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Q1) The nurse is evaluating the patient's understanding of how to decrease the risk of developing heart disease.Which would be the correct response made by the patient to the nurse?

A) "I will take a daily dose of folic acid and vitamins B<sub>6</sub> and B<sub>12</sub>."

B) "I will take folic acid every other day."

C) "I will take calcium supplements daily with meals."

D) "There are currently no vitamins or minerals available to decrease my risk of developing heart disease."

Q2) A patient with chronic respiratory disease tells the nurse that he has been using aromatherapy for the past 6 months.Which is the best response from the nurse?

A) "The aromatherapy can react with your inhalers. Please stop."

B) "What do you believe this will accomplish for you?"

C) "There is no research that supports the effects of aromatherapy."

D) "Do not swallow the oils, and keep them away from your eyes."

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Chapter 7: Preparing and Administering Medications

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Q1) An elderly patient is scheduled to take six medications each morning.What should the nurse know to do when administering these medications?

A) Allow extra time to administer all of the medications.

B) Allow the patient to take only the medications she can swallow.

C) Crush all of the medications before giving them.

D) Leave the medication at the bedside so the patient can take them slowly.

Q2) When giving a medicine through a nasogastric (NG)tube,which will the nurse do first?

A) Flush the tube with 30 mL of water.

B) Check placement of the tube.

C) Take the vital signs.

D) Ask the patient if the tube is painful.

Q3) If an IV has become infiltrated,the nurse will observe which assessment findings?

A) Pallor, pain

B) Erythema, warmth

C) Erythema, swelling

D) Warmth, swelling

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Chapter 8: Allergy and Respiratory Medications

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Q1) A patient with renal failure expresses he prefers to take an herbal drug for relief of his cold.Which herbal drug should the nurse caution the patient about taking?

A) Echinacea

B) Vitamin C

C) Arabinoxylane

D) Grapefruit seed extract

Q2) The patient on cromolyn for asthma is monitored carefully during reduction of the medication for which reason?

A) An increase in appetite causes weight gain.

B) The asthmatic symptoms may return.

C) Discharge from the nasal passages increases.

D) The patient's eyes will water more.

Q3) A young mother tells the nurse that her 6-month-old baby has a cough and that she is giving the baby an OTC cough and decongestant preparation.What should the nurse teach this young mother?

A) Over-the-counter medication is safe for infants.

B) These products are not safe for infants.

C) These products are safe if given diluted.

D) These products are safe in infants over 6 months.

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Chapter 9: Antiinfective Medications

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Sample Questions

Q1) Penicillin is the drug of choice in the treatment of which infections?

A) Urinary tract infections caused by Escherichia coli

B) Otitis media caused by Haemophilus

C) Group A beta-hemolytic streptococci

D) Group B staphylococci

Q2) Which treatment is used for treating active tuberculosis?

A) Long-term treatment with more than one drug

B) Developing drug-resistant organisms

C) Chemoprophylaxis with bacteriostatic medications

D) Chemotherapy in patients at high risk for developing infection

Q3) Which is true of antibiotics?

A) They are never used in viral, parasitic, or fungal infections.

B) They are rarely used in viral, parasitic, or fungal infections.

C) They are used in viral, parasitic, or fungal infections if a secondary bacterial infection develops.

D) They are used in superinfections caused by yeast.

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Chapter 10: Antivirals,Antiretrovirals,and Antifungal

Medications

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Q1) Which condition can result when antifungals are taken concurrently with corticosteroid therapy?

A) CNS depression

B) Superinfection

C) Anemia

D) Photophobia

Q2) For cytomegalovirus (CMV)retinitis,the nurse anticipates the physician will prescribe which type of medication?

A) Antifungal

B) Antiretroviral

C) Antibiotic

D) Antiviral

Q3) An HIV-infected patient asks,"Why do you have to wear gloves to dress the wound on my foot? I thought blood was the only thing you had to be careful with." Which represents what the nurse will tell the patient?

A) "I don't know; I just put them on."

B) "Everyone wears gloves in the hospital."

C) "Your wound is draining clear fluid."

D) "I don't know; the wound is dry."

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Chapter 11: Antineoplastic Medications

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Sample Questions

Q1) The nurse is caring for a patient receiving an antineoplastic medication IV.While the medication is infusing,the IV needle becomes dislodged and goes in to the tissue.What is the highest priority for this patient at this time?

A) Call the physician on call to report the occurrence.

B) Inject medication immediately into the skin to counter the effect of the medication.

C) Elevate the affected IV site and apply ice.

D) Place the affected site into a dependent position.

Q2) A patient taking Mustargen is suffering from alopecia.The nurse should include which intervention in the care plan?

A) Provide ice chips.

B) Maintain IV hydration.

C) Use emollients on the affected area.

D) Offer the use of a scarf.

Q3) Which precautions should nurses administering antineoplastic preparations use?

A) Standard precautions as always

B) Proper hand hygiene after use

C) Preparation of medication in special areas

D) Preparation in direct light under a hood

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Chapter 12: Cardiovascular and Renal Medications

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Sample Questions

Q1) Diet and exercise alone may not lower a patient's risk for having high cholesterol.Which medication would help to lower a patient's cholesterol level?

A) Clonidine (Catapres), a central adrenergic inhibitor

B) Simvastatin (Zocor), a reductase inhibitor

C) Nadolol (Corgard), a beta-adrenergic blocker

D) Terazosin (Hytrin), an alpha1-adrenergic blocker

Q2) A patient with hypertension for 10 years has been told by his health care provider that he has developed nephrotic syndrome,causing generalized edema.Which diuretic will work in the treatment of his condition?

A) Furosemide, a loop diuretic

B) Polythiazide, a thiazide diuretic

C) Metolazone, a sulfonamide diuretic

D) Spironolactone, a potassium-sparing diuretic

Q3) Under which condition should the nurse hold the patient's digitalis medication?

A) The patient has headaches.

B) The patient's stool contains blood.

C) The patient's apical rate is less than 60.

D) The patient's apical rate is greater than 100.

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Chapter 13: Central and Peripheral Nervous System

Medications

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Sample Questions

Q1) Lithium is an antimanic drug that is used in the treatment of which condition?

A) Clinical chronic depression

B) Acute depression

C) Prolonged sleep psychosis

D) Manic-depressive psychosis

Q2) The desired effect of an antidepressant drug will usually occur within which period?

A) 48 to 72 hours

B) 35 days

C) 3 to 4 weeks

D) 48 weeks

Q3) Which medication is classified as a benzodiazepine?

A) Lorazepam (Ativan)

B) Buspirone (BuSpar)

C) Benztropine (Cogentin)

D) Chlorpromazine (Thorazine)

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Chapter 14: Medications for Pain Management and Anesthesia

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Sample Questions

Q1) The LVN/LPN is assisting the physician with a bedside procedure that requires anesthesia.While assisting,which tasks may be delegated to the LPN/LVN ?

A) Locate the anesthetic for the physician.

B) Explain the procedure to the patient.

C) Administer IM preoperative medication.

D) Inject the local anesthetic into the patient.

E) Prepare IV medication.

Q2) The nurse would expect to see which symptom in a patient who is an abuser of narcotics?

A) An outward show of happiness

B) A complete downward spiral in behavior

C) "Hyper" behavior

D) Constipation

Q3) Which is an example of a procedure appropriate for local anesthesia?

A) Tonsillectomy

B) Dental procedure

C) Cesarean section

D) Hip replacement

E) Minor suturing

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Chapter 15: Antiinflammatory,Musculoskeletal,and Antiarthritis Medications

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Sample Questions

Q1) A clinic patient was started on leflunomide.The nurse expects this medication will have which effect?

A) It will decrease joint movement at first.

B) It will cause the patient to feel flushed.

C) It will reduce symptoms and slow joint damage.

D) It will increase fluid in the joints.

Q2) A patient recently fell while she was out jogging and has severely sprained her left ankle.What should the nurse tell her when discussing how much medication she should take to reduce her symptoms?

A) High doses of NSAIDs may be necessary to get the antiinflammatory response.

B) She should take the medications only when needed to avoid developing drug dependency.

C) Oral forms of NSAIDs are not very helpful, and she should have the injectable forms for good response.

D) NSAIDs should be taken on an empty stomach to enhance absorption.

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Chapter 16: Gastrointestinal Medications

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Sample Questions

Q1) A patient on disulfiram should be cautioned to avoid ingesting alcohol used as an ingredient in certain preparations.Which product has hidden alcohol?

A) Cough syrup

B) Chocolate candy

C) Fruit smoothies

D) Lifesavers

Q2) An alcoholic patient comes to the emergency department after drinking a beer.He has complaints of severe diarrhea,nausea,and vomiting.Which drug would produce this kind of reaction in the patient?

A) Cephulac (Lactulose)

B) Bisacodyl (Dulcolax)

C) Disulfiram (Antabuse)

D) Glycerin (Colace)

Q3) A patient is diagnosed as having a duodenal ulcer.Which medication does the nurse anticipate the physician will order?

A) Maalox

B) Gelusil

C) Milk of magnesia

D) Protonix

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Chapter 17: Hematologic Products

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Sample Questions

Q1) Which is the antidote for heparin overdose?

A) Aspirin

B) Packed red blood cells

C) Vitamin K

D) Protamine sulfate

Q2) Which drugs are used to prevent myocardial infarction in men? (Select all that apply.)

A) Vitamin K (AquaMEPHYTON)

B) Dipyridamole (Persantine)

C) Ticlopidine (Ticlid)

D) Clopidogrel (Plavix)

E) Aspirin

Q3) Thrombolytic agents are used in which conditions? (Select all that apply.)

A) Acute pulmonary embolism

B) Ischemic stroke

C) Cellular damage

D) Hypotensive crisis

E) Acute arterial occlusion

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Chapter 18: Hormones and Steroids

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Sample Questions

Q1) Lispro,a rapid-onset,short-acting insulin,differs from regular insulin in which way?

A) Longer duration

B) Shorter duration

C) Costs more to produce

D) Costs less to produce

Q2) A type 2 diabetic patient is learning to control his condition with diet and exercise.The patient was started on Januvia,a new incretin.The nurse expects the dose adjustment to be based on which lab value?

A) CBC

B) TSH

C) Creatinine clearance

D) BUN

Q3) Insulin needs may increase due to which insulin antagonists? (Select all that apply.)

A) Corticosteroids

B) Epinephrine

C) Alcohol

D) Thyroid hormone

E) Oral contraceptives

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Chapter 19: Immunologic Medications

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Sample Questions

Q1) Which is the nurse's best means of determining whether a patient is immunized against a certain disease?

A) Ask the patient for records.

B) Look for vaccination scars.

C) Call the health department.

D) Obtain a blood titer.

Q2) Which patient should take the varicella vaccine?

A) A child who stepped on a rusty nail

B) An adult who has never been immunized

C) A health care worker

D) Any child under 1 year of age

Q3) A mother has concerns about the immunization scheduled for this clinic visit having adverse effects on her child.Which would be the nurse's best response to the mother?

A) "The doctor wants the child to have the shot."

B) "We will give the injection at the next visit."

C) "More complications are caused by the disease than by the immunization."

D) "Side effects are expected, and there is nothing to worry about."

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Chapter 20: Topical Medications

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Sample Questions

Q1) A patient on antibiotics for a few weeks develops a fungal infection in the mouth.The health care provider would order which medication to treat oral thrush?

A) Nystatin

B) Peroxide

C) Betadine

D) Cepacol

Q2) A patient is instructed to take an oral troche by which means?

A) Dissolving it slowly in the mouth

B) Chewing and swallowing it

C) Holding it under the tongue for 1 minute

D) Swallowing it whole with 8 oz of water

Q3) What should a patient using a transdermal nicotine patch be instructed not to do?

A) Smoke

B) Drink caffeine

C) Drink alcohol

D) Go out into the sun

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Chapter 21: Vitamins and Minerals

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Sample Questions

Q1) A patient reports heavy menstrual periods,easy fatigability,and a general lack of energy.What is this patient most likely suffering from?

A) Acute renal failure

B) Iron-deficiency anemia

C) Hypokalemia

D) Dehydration

Q2) Which food(s)is (are)high in folic acid?

A) Crab

B) Chicken

C) Nuts

D) Vegetables

Q3) Women taking oral contraceptives often show high levels of which vitamin?

A) Vitamin E

B) Vitamin A

C) Vitamin C

D) Vitamin D

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