1. The nurse is providing dietary teaching for a client that takes furosemide (Lasix) for high blood
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1. The nurse is providing dietary teaching for a client that takes furosemide (Lasix) for high blood pressure. The nurse should recommend which of the following foods that the client will need as a result of a side effect of furosemide?
A. 2% milk
B. Bananas
C. Cheddar cheese
D. Cooked carrots
2. The nurse is discharging a client from the hospital with a new prescription for furosemide (Las). Which of the following client statements indicates an understanding of the information?
A. 1 should eat a diet low in potassium while taking this medication
B. 1 should limit my fluid intake while taking this medication.”
C. My blood pressure will increase while I am taking this medication
D. I need to limit. my sun exposure and wear sunscreen while on this medication
3. A 51-year-old woman will be taking selective estrogen receptor modulators (SERMs) as part of treatment for postmenopausal osteoporosis. The nurse reviews potential contraindication, including which condition?
O Venoug,unromboembolism.
© Stress fractures
© Breast cancer.
© Hypocalcemia
4. A client who is taking the biphosphonate alendronate (Fosamax) has been instructed to lie flat in bed for 2 days afterhaving ophthalmic surgery. Which intervention is appropriate at this time?
She will stop taking the medication 72 hours before her surgery.
She cannot take the alendrondate until she can sit up for 30 minutes.
O She can take the medication with breakfast
O She will continue to take the alendronate with water.
5. A21-year-old male athlete admits to using androgenic steroids. The nurse tells him that which of these is a possible
adverse effect of these drugs?
O Liver damage.
© Renal failure.
© Impotence.
O Heart failure.
6. The nurse is instructing a male client about the application of transdermal testosterone gel (AndroGel). Which body location is preferred for this medication? Select all that apply
O Thigh
O Upper arm.
O Scrotum
O Abdomen.
O Shoulders.
7. A nurse is providing information to a client with a new prescription for sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the instruction?
O I will reduce my fluid intake with this medication.”
O “I will take this medication with an antacid.”
© 7 will take this medication as needed to reduce pain.”
O i will take this medication 1 hour before meals and at bedtime.”
8. The nurse is providing client teaching about antacids. Which statements about antacids are accurate? (Select all that apply.)
O Antacids neutralize acid in the stomach.
O Magnesium-based antacids cause dianea
© Aluminum-based antacid cause diarnea
O Antacids reduce the production of acid in the stomach!
O Rebound hyperacidity may occur with calcium-based antacids.
9. The nurse is providing instructions to a client with a new prescription for docusate (Colace). Which of the following information should the nurse include in the instruction?
O Take the medication with a full glass of water
O Do not take this medication before bedtime.”
© “Expect abdominal pain with this medication.”
O Take this medication on an empty stomach.”
10. A client has been instructed to use an over the counter (OTC) form of the bulk-forming laxative methylcellulose (Citrucel) to prevent constipation. The nurse will advise the patient of which potential adverse effect?
O Discolored urine
O Darkened stools.
O Electrolvte imbalance.
O Decreased absorption of vitamins
11. When the nurse is teaching a client about taking an antidysrhythmic drug, which statement by the nurse is correct?
O Take the medication with an antacid if stomach upset occurs.”
O Do not chew sustained release capsules
O If you experience side effects, stop the drug and notify your health care provider.”
O If weight gain of 5 pounds within 1 week occurs, notify your health care provider at the next office visit.”
12. When a client is receiving a second generation antipsychotic drug, such as risperidone (Risperdal), the nurse will monitor for which therapeutic effect?
© Decreased paranoia and delusions.
O Fewer panic attacks.
O Decreased feeling of hopelessness
O Improved tardive dyskinesia.
13. A client has been taking haloperidol (Haldol) for 3 months for a psychotic disorder, and the nurse is concered about the development of extrapyramidal symptoms. The nurse will monitor the client for which effects?
O. Jr Abnormal muscle movements.
© Drowsiness and dizziness.
© Increased paranoia.
© Dry mouth and constipation.
14. Clozapine (Clozani), an atypical antipsychotic, is prescribed for a client The nurse will monitor for which adverse effect during this drug therapy?
© Photosensitivit
O Severe neutropenia
O Severe extrapyramidal symptoms (EPS).
© Edema
15. A client has been taking lithium for 1 year, and the most recent lithium level is 0.9 mEq/L Which statement about the laboratory result is correct?
O The lithium level is too low.
O The lithium level is therapeutic
© Lithium is not usually monitored with blood levels
O The lithium level is too high.
16. While monitoring a depressed client who has just started SSRI antidepressant therapy, the nurse will observe for which problem during the early time frame of this therapy?
O Self-injury or suicidal tendencies
© Loss of appetite.
© Hypertensive cnsis.
O Extrapyramidal symptoms.
17. A client has been given a prescription for levodopa-carbidopa (Sinemet) for a new diagnosis of Parkinson’s disease. The client asks the nurse, Why are there two drugs in this pill?” The nurse’s best response reflects which fact?
O Carbidopa is the biologic precursor of dopamine and can penetrate into the central nervous system.
O_Carbidopa prevents the breakdown of levodopa in the periphery.
© Carbidipa allows for larger doses of levodopa to be given.
© There are concerns about drug-food interactions with levodopa therapy that do not exist with the combination therapy.
18. A client who has had abdominal surgery has been discharged on a cholinergic drug to assist in increasing gastrointestinal peristalsis. The nurse will teach this client to look for which therapeutic effect?
© Decreased pulse rate
© Abdominal cramping
O Passage of flatus
O Decreased urge to void
19. A client has been taking donepezil (Aricept) for 2 weeks as part of the treatment for early stages Alzheimer’s disease. Her daughter calls the prescriber’s office and is upset because “Mother has not improved one bit!” Which response by the nurse is appropriate?
© Increase the dosage to twice daily.
O Take the medication on an empty stomach for improved absorption.”
© It takes time for the cure to take effect
O It may take up to 6 weeks to see an improvement ”
20. The medication order reads, “Give diphenhydramine (Benadryl) 50 mg before beginning vancomycin to prevent Red Man Syndrome.” What is the nurse’s next step?
O Give the medication orally.
O Call the prescriber to clarify the route of administration.
O Hold the medication until the prescriber makes rounds later that day.
O Give the diphenhydramine intravenously since the vancomycin is intravenous.
21. Which statement best reflects a positive outcome for the client’s antibiotic therapy as evaluated by the nurse?
O The client states that he is having diarrhea on top of everything else”
O Tiny the client slates that he is feeling better and the nurse observes the client eating.
O The client’s symptoms are unchanged.
O The client states he has no appetite and is too tired to get up from the chair.
22. A client is receiving vancomycin intravenously over 30 minutes when you come on duty. The client is flushed and complaining of itching but otherwise is fine. What is the most appropriate response?
A. Stop the infusion immediately, call the emergency team, and complete appropriate documentation.
B. Slow the infusion down (to be given over at least 1 hour), check on the client frequently to see if he is doing better, and complete appropriate documentation.
C. Slow the infusion down (to be given over at least 1 hour), call the emergency team, and complete appropriate documentation.
D. Speed up the infusion to get all of the medication in, call the healthcare provider for medication to relieve the itching, and complete appropriate documentation
23. A client reports having a sulfa allergy. Which classification if ordered requires further intervention by the nurse?
O Sulfonamides
O Lincosamides
O Quinolones
O Lipopeptides
24. A client who was prescribed an antibiotic was informed by the healthcare provider that she has to stop breastfeeding her one-month-old baby. Which classification was most likely ordered?
O Tetracycline
© Cephalosporin
© Macrolide
© Penicillin
25. Which medication is usually prescribed with isoniazid (Liniazid) for treatment of tuberculosis (TB)?
O Penicillin
© Tetracycline
O_Rifampin
O Chloramphenicol
26. A client is ready to go home on tuberculosis (TB) medications. Which statement represents critical knowledge for the client to understand?
© Drinking alcohol is all right in small amounts.
O The medications must be taken exactly as prescribed for possibly up to 2 years.
© Medications can be shared with family members who is suspected to have TB.
27. A client is receiving highly active antiretroviral therapy (HART) to treat infection with the human immunodeficiency Virus (HIV). Why is HAART therapy effective for HIV treatment?
O HAART treatment include a minimum of three drugs
O HAART treatment include a single drug that is potent to treat HIV.
O HAART treatment include taking medications every other week
O HAART treatment include two drugs that is selected to treat HIV.
28. A client is receiving the first dose of an antifungal, amphotericin B (Fungizone), intravenously (IV). Which action demonstrates priority actions for the client’s safety?
O Monitor the client’s vital signs and assess for adverse reactions.
O Continue the medication until it is complete if the client has hives and a sudden cough as these are normal reactions.
O Slow the infusion of amphotercin B when the client complains of nausea and chills.
O Call the prescriber and clarify the order as the client reported an allergy to Penicillin.
29. A client is taking gentamycin, an aminoglycoside, for a gram-negative infection. The client has begun complaining of feeling dizzy and losing his balance. You notice that he asks you to repeat what you said when you speak to him. What concerns do you have?
O The client is experiencing ototoxicity from the gentamycin.
O The client may fall and may have lost his hearing aid.
O The client is experiencing nephrotoxicity from the gentamycin.
O The client is experencing fluid depletion from the gentamycin.
30. A client reports an allergy to penicillin. The nurse calls the prescriber to clarify which order on the clients medication administration record?
O Keflex (cephalexin).
O Achromycin (panmycin).
© Bactrim (sulfamethoxazole trimethoprin).
O Cipro (ciprofloxacin).
31. The nurse is providing client education to a client who is starting antibiotic therapy for a urinary tract infection. Which client statement demonstrates understanding of the client education?
O*I can stop taking the medication when I feel better
O *I can save any unused medications to use the next time i have a urinary tract infection!
O if miss a dose. I can double up on the next dose!
O I will take the pills until they are gone even if I start to feel better
32. A client has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Which signs and symptoms would be of concern to the nurse for a client on this drug?
O New generalized weakness and shortness of breath when getting up from the chair
O Displayed anger over the breakfast tray.
O Temperature of 99° F orally.
O Generalized sadness.
33.You are caring for a client diagnosed with ovarian cancer receiving cyclophosphamide (Cytoxan) who develops
anemia. Which treatment should the nurse expect to be ordered for this client?
O Topical anesthetic.
O Blood transfusion.
O Appetite stimulants.
O Antiemetics.
34. What measure protects the nurse when preparing cytotoxic drugs?
O Administering medication intramuscularty.
O Washing hands before preparation.
O Wearing protective equipment such as gloves, mask, and gown.
O Mixing medication in a 1-Liter bag.
35. A combination of antineoplastic medications are used to attain which result?
O Increase the quantity of each medication used.
O Decrease the side effects of each medication.
O Decrease the development of cell resistance,
O Increase the length of treatment
36. Which nursing action will be most effective for a client who has oral ulcers after receiving an antineoplastic for breast cancer?
O Apply the ordered anesthetic gel to oral lesions before meals.
O Limit oral intake until ulcers heal
O Assist the client in choosing spicy, flavorful foods from the menu.
O Provide education about the importance of continuing with chemotherapy despite the ulcers.
37. During client education regarding an oral macrolide such as erythromycin, the nurse will include which information?
O The client needs to take each dose with a sip of water.
O The client may take the drug with a small snack to reduce gastrointestinal irritation.
O If gastrointestinal upset occurs, the drug will have to be stopped.
O The drug needs to be taken with an antacid to avoid gastrointestinal problems.
38. A home health nurse is visiting a client who has been started on therapy with clotrimazole. The nurse determines the effectiveness of the medication by noting a decrease in which problem?
O Pain
O Rash
O Fever
O Sneezing
39. A nurse is administering a prescribed dose of dexamethasone to a client following cranial surgery. Which would the nurse implement to assess for a common side effect of this medication?
© Monitor laboratory test results for hyperkalemia.
O Assess for decreased skin turgor
O Monitor for hair loss.
© Perform blood glucose monitoring.
40. The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse remindsthe children that chemical sunscreens are most effective when applied at which times?
O 5 minutes before exposure to the sun.
O Immediately before swimming
O At least 30 minutes before exposure to the sun.
O Immediately before exposure to the sun.
41. When reviewing the medication profile of a patient with a new order for desmopressin (DDAVP), the nurse notes that a drug interaction will occur if which drug is taken with desmopressin?
O Digoxin
© Aspirin
O Lithium
© Penicillin
42. The nurse is preparing to give an earwax emulsifier to a client and will assess the patient for which contraindication before administering the drops?
O Allergy to penicillin
O Excessive earwax in the outer ear canal
O Drainage from the ear canal
O Partial deafness in the affected ear
43. 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?
O It will probably require surgery for a cure to happen.”
O Lets review your diet, it may be causing absorption problems.”
O Is it possible that you did not take your medication as instructed?-
O The full therapeutic effects may not occur for several weeks.”
44. A nursing student is discussing the common adverse effects of digoxin taken by an elderly client Which manifestation listed will require further teaching?
O Fatigue
O Heart block
O Vomiting
O Anorexia
45. A nurse is caring for a client with type 1 diabetes mellitus. The nurse misread the client’s morning blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL before the client’s breakfast. Which of the following actions is the nurse’s priority?
© Notify the nurse manager.
© Complete an incident report.
O Monitor the client for hypoglycemia,
© Give the client 15 to 20 g of carbohydrate.
46. A non specific beta 1, beta 2 blocker is contraindicated in clients who have a history of which of the following
conditions?
O Glaucoma
O Migraines
O Depression
O Asthma
47. A nurse is preparing to administer chlordiazepoxide 75 mg by mouth every 8 hours to a client The amount available
is chlordiazepoxide 25 mg/capsule. How many capsules should the nurse administer per dose?
A. 5
B. 4
C. 2
D. 3
48. After receiving a nebulizer treatment with a beta agonist, the client states she is feeling slightly nervous and wonders if her asthma is getting worse. What is the nurse’s best response?
© The next scheduled nebulizer treatment will be skipped.”
O We will hold the treatment for 24 hours.
O This is an expected adverse effect. Let me take your pulse ”
O I will notify the physician about this adverse effect
49. A client is taking saw palmetto for prostate health. Which of the following client’s medication that is now ordered will interact with saw palmetto?
O Loop diuretics
O NSAIDS
O ACE inhibitors
O Nitrates
50. A father calls because his son has head lice. He reports that he used Kwell shampoo three times, but nothing happened He wants to know what to do now. What will the nurse advise first?
O It sounds like you need a prescription for a second product malathion.
O be sure to use a nit comb to remove nits from the hair shafts.*
O Try combing through the hair with mineral oil to loosen the lice from the hair shafts.
O try one of the lotion products instead
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