Clinical Nursing Exam Practice Tests
Course Introduction
Clinical Nursing is a comprehensive course designed to equip students with the practical skills, theoretical knowledge, and professional attitudes necessary for effective patient care in various healthcare settings. The course emphasizes the application of evidence-based practices in the assessment, planning, implementation, and evaluation of nursing care, focusing on critical thinking, clinical reasoning, and patient-centered approaches. Through hands-on clinical experiences and simulations, students learn to collaborate within multidisciplinary teams, adhere to ethical and legal standards, and adapt to diverse patient needs, preparing them for competent and compassionate practice in hospital, community, and specialty care environments.
Recommended Textbook
Understanding Pharmacology 2nd Edition by Workman
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32 Chapters
1305 Verified Questions
1305 Flashcards
Source URL: https://quizplus.com/study-set/2480 Page 2
Chapter 1: Drug Regulation, Actions, and Responses
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/49270
Sample Questions
Q1) When a patient takes 400 mg of an oral drug that has a half-life of 2 hours at noon,at which time will the patient's blood drug level first be less than 40 mg?
A) 2:00 p.m.
B) 6:00 p.m.
C) 8:00 p.m.
D) Midnight
Answer: C
Q2) Which statement about agonist and antagonist drugs is true?
A) The target tissues for these types of drugs are invading bacteria and viruses.
B) Both agonist and antagonist drugs must interact with receptors to produce their intended responses.
C) Antagonist drugs produce only intended responses and agonist drugs produce both intended responses and side effects.
D) These types of drugs are less likely to cause allergic responses than drugs that are neither agonists nor antagonists.
Answer: B
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3
Chapter 2: Safely Preparing and Giving Drugs
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) What must you have a patient do after a vaginal drug is administered?
A) Replace the drug in the refrigerator when not in use.
B) Give the drug while the patient is sitting on the toilet.
C) Have the patient empty her bladder after receiving this drug.
D) Keep the patient lying down for 10 to 15 minutes after receiving the drug.
Answer: D
Q2) A patient is to receive nitroglycerin ointment,1 inch STAT,for elevated blood pressure.What must be done before giving this drug?
A) Shave the hair off the patient's chest.
B) Place the patient on a heart monitor.
C) Put on a pair of disposable gloves.
D) Measure the dose directly on the patient's skin.
Answer: C
Q3) When is it acceptable to take a verbal order from the prescriber before giving a drug to a patient?
A) During the nightshift when the prescriber is not at the hospital
B) In an emergency situation such as a cardiac arrest
C) When a patient is experiencing severe pain
D) At any time it is convenient
Answer: B
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Chapter 3: Mathematics Review and Introduction to Dosage Calculation
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/49272
Sample Questions
Q1) Which term is used to describe the bottom number of a fraction?
A) Denominator
B) Subtractor
C) Numerator
D) Dividend
Answer: A
Q2) Which decimal represents the smallest part of a whole?
A) 0.2
B) 0.15
C) 0.085
D) 0.85
Answer: C
Q3) What does the "N" indicate in the PINCH high alert drugs?
A) Narcotics
B) Niacin
C) Naphthalene
D) Neurotransmitter
Answer: A
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Chapter 4: Medical Systems of Weights and Measures
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) What is the boiling point of water in Fahrenheit measurement?
A) 0 degrees
B) 30 degrees
C) 100 degrees
D) 212 degrees
Q2) An infant is to receive 6 mg of a liquid drug that is available in the strength of 10 mg/mL.How many drops (gtt)of this drug is the correct dose?
A) 3
B) 6
C) 9
D) 12
Q3) A patient tells you he usually takes two aspirin tablets every morning and every evening.Each tablet contains 325 mg.How many total milligrams of aspirin does this patient take every day?
A) 650
B) 1000
C) 1300
D) 1625
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6
Chapter 5: Dosage Calculation of Intravenous Solutions and Drugs
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) How many drops per milliliter (mL)does a microdrip chamber and tubing provide?
A) 15
B) 20
C) 60
D) 100
Q2) If an IV scheduled to have a duration of 6 hours is started at 5:00 p.m. ,what is the expected stop time?
A) 5:00a.m.
B) 11:00a.m.
C) 1:00a.m.
D) 11:00A.m.
Q3) Which precaution is most important to teach a patient who is receiving intravenous (IV)drug therapy?
A) "Turn on your call light if the IV machine starts to beep for any reason."
B) "Do not use the arm that has the IV running in it for any reason whatsoever."
C) "Call me immediately if you start to feel any pain or burning in the arm with the IV."
D) "If you think the IV is running too slowly,just push the up-arrow button on the machine once or twice."
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Chapter 6: Anti-Inflammatory Drugs
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) Which new symptom in a patient taking celecoxib (Celebrex)requires immediate medical attention?
A) Headache
B) Ankle swelling
C) Chest pain
D) Itchy nose
Q2) For which health problem will you specifically monitor in the older patient prescribed to take a corticosteroid for the next month?
A) Sudden hair loss
B) Weight loss
C) High blood glucose level
D) Change in sleep patterns
Q3) Which NSAID is a COX-2 inhibitor?
A) Celecoxib (Celebrex)
B) Ketorolac (Toradol)
C) Aspirin (Bufferin)
D) Ibuprofen (Motrin)
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Chapter 7: Drugs for Pain Control
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) A 2-month-old infant who weighs 11 lb is prescribed to receive acetaminophen 8 mg/kg by oral liquid.The drug on hand is acetaminophen liquid with a concentration of 80 mg/0.8 mL.How many milliliters is the correct dose for this patient?
Q2) A 64 lb child with a broken arm is prescribed to receive morphine 75 mcg/kg by intravenous push immediately.The drug available is morphine 1 mg/mL (1000 mcg/mL).What is the correct dose for this patient,in mL?
Q3) Which key point should you teach a pregnant woman who is prescribed opioids drugs during pregnancy?
A) Your child may become addicted to opioids and go through withdrawal after birth.
B) These drugs do not cross the placenta so are safe to use during pregnancy.
C) Some opioids have been found to cause birth defects in animal studies.
D) Opioids are not present in breast milk so it is safe to breastfeed.
Q4) For which opioid pain drug order should you contact and question the prescriber?
A) Adult male,hydromorphone (Dilaudid)4 mg orally every 4 hours
B) Older adult,meperidine (Demerol)50 mg IM every 3 hours
C) Child,codeine 0.5 mg/kg orally every 6 hours
D) Adult women,hydrocodone with acetaminophen (Vicodin)5 mg orally every 6 hours
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9
Chapter 8: Anti-Infectives: Antibacterial Drugs
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62 Verified Questions
62 Flashcards
Source URL: https://quizplus.com/quiz/49277
Sample Questions
Q1) What is the most important action needed when a patient is first started on an intravenous (IV)antibacterial drug?
A) Check the IV site every 4 hours for redness around the site and the presence of cordlike veins.
B) Check the drip rate every hour to ensure that the proper blood drug level is maintained.
C) Assess the patient's pulse,blood pressure,and respiratory effect every 15 minutes.
D) Assess the patient's white blood cell count daily to determine drug effectiveness.
Q2) What is the main feature of an opportunistic infection?
A) It usually leads rapidly to sepsis.
B) Children are not susceptible to this type of infection.
C) It is most often caused by pathogenic microorganisms.
D) It is only found in people who are immunosuppressed.
Q3) Which protein synthesis inhibitors can raise the pressure inside the brain?
A) Aminoglycosides
B) Macrolides
C) Lincosamides
D) Tetracyclines
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10
Chapter 9: Anti-Infectives: Antiviral Drugs
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55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/49278
Sample Questions
Q1) What is the most important precaution to teach a patient who is prescribed oral valacyclovir (Valtrex)?
A) "Avoid coffee and other caffeinated beverages."
B) "Wear long sleeves and a hat when going outdoors."
C) "Take this drug 1 hour before or 4 hours after eating a full meal."
D) "Drink at least 3 L of water daily for the entire time you are taking this drug."
Q2) A 40-year-old patient infected with human immunodeficiency virus (HIV)asks why the new drug maraviroc (Selzentry)is not being prescribed for her.What is your best response?
A) "This drug is very expensive and your insurance may not cover it."
B) "This drug can cause birth defects and should not be prescribed for anyone who is pregnant or might become pregnant."
C) "This drug is very toxic to the heart and lungs.It is prescribed only for patients who are young and have no other health problems."
D) "This drug is not effective against all HIV subtypes and the HIV causing your infection does not have the target for this drug."
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11
Chapter 10: Anti-Infectives: Antitubercular and Antifungal Drugs
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) Which drug must a patient be taught to avoid during TB drug therapy?
A) Aspirin
B) Ibuprofen
C) Acetaminophen
D) Iron supplements
Q2) Which changes are intended responses of first-line antituberculosis drugs? (select all that apply)
A) Sputum is mobilized (increased).
B) Cough is decreased.
C) Fatigue is eliminated.
D) Weight is gained.
E) Sputum culture for TB is negative.
Q3) What is the major way in which tuberculosis is spread from one person to another?
A) By blood transfusions
B) By aerosol transmission
C) Through direct skin contact
D) From unprotected sexual intercourse
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Page 12
Chapter 11: Drugs That Affect the Immune System
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/49280
Sample Questions
Q1) What is definition of a toxoid that can be used for vaccination?
A) A vaccine containing antibodies that were produced by other animals in response to the administration of human white blood cells.
B) A vaccine that contains a modified toxin that an organism produces or a small part of the actual organism.
C) A vaccine designed to be toxic to or inhibit the excessive functioning of the immune system.
D) A vaccine that contains artificially created antibodies that will generate passive immunity.
Q2) What would be the expected response in an Rh-positive infant who was accidentally injected with RhoGAM?
A) The infant would rapidly develop antibodies to Rh-positive red blood cells.
B) The infant would rapidly develop antibodies to Rh-negative red blood cells.
C) Some of the infant's Rh-positive red blood cells would be destroyed.
D) The infant's blood type would change from Rh-positive to Rh-negative.
Q3) A child who weighs 78 lb is prescribed to receive azathioprine (Imuran)2 mg/kg intravenously.The solution available is azathioprine 100 mg/10 mL.How many milliliters will you prepare for a correct dose?
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13
Chapter 12: Anticancer Drugs
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/49281
Sample Questions
Q1) A patient who is receiving intravenous (IV)chemotherapy asks why you are wearing a mask,gloves,and gown when giving the drugs.What is your best response?
A) "These drugs will reduce your immune response,and with these coverings I am protecting you from getting an infection from me."
B) "Because your immunity is reduced by this therapy,I am preventing the spread of infection from you to me or any other patient here."
C) "The drugs are powerful and I handle them every day.The clothing protects me from accidentally absorbing these strong drugs."
D) "The hospital policy is for any person giving these drugs to wear gowns,gloves,and masks to prevent other people from getting cancer."
Q2) A male patient is prescribed estrogen as hormone treatment for cancer.Which assessment is most important to perform for this patient?
A) Ask whether there has been a change in the level of sexual activity.
B) Compare breast size after therapy to that from before therapy.
C) Check for swelling and hard,cordlike veins in the legs.
D) Measure the patient's abdominal girth.
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Chapter 13: Drug Therapy for Diabetes
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/49282
Sample Questions
Q1) How does the glucose we eat influence metabolism?
A) It combines with the glucose we make to form the proteins needed to replace those lost daily in stool.
B) It is composed of extra or "empty" calories that are not necessary for life and only contribute to obesity.
C) It is used inside cells to form the high-energy substance adenosine triphosphate (ATP)needed to perform most cell functions.
D) It is converted to fats (lipids)which are used to protect the body from injury,insulate against heat loss,and provide the greatest number of needed calories.
Q2) A patient is receiving an injection of Humulin 70/30 at 7:00a.m.At what time should you expect the peak action for this drug?
A) Between 7:30 a.m.and 8:00 a.m.
B) Between 9:00 a.m.and 11:00 a.m.
C) Between 1:00 p.m.and 5:00 p.m.
D) Between 4:00 p.m.and 11:00 p.m.
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15
Chapter 14: Drug Therapy for Thyroid and Adrenal Gland
Problems
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/49283
Sample Questions
Q1) Which drug belongs to the mineralocorticoid class?
A) Aminoglutethimide (Cytadren)
B) Fludrocortisone (Florinef)
C) Cortisol (Prednisone)
D) Mitotane (Lysodren)
Q2) A 6-year-old child is being started on levothyroxine (Synthroid)intravenously and is prescribed 5 mcg/kg.The child weighs 32lb.The drug vial contains 100 mcg/mL.How many milliliters should you draw up for a correct dose?
Q3) A patient is prescribed levothyroxine (Synthroid)and a fiber supplement.What key point would you be sure to teach the patient about these drugs?
A) "Take the drugs together as there are no interactions between them."
B) "Be sure to take the fiber supplement 2 hours before a meal and the levothyroxine 3 hours after a meal."
C) "Take the fiber supplement in the morning with breakfast and the levothyroxine in the evening before you go to bed."
D) "Do not take the drugs together because a fiber supplement will decrease the absorption of your levothyroxine."
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Page 16
Chapter 15: Drugs That Affect Urine Output
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/49284
Sample Questions
Q1) You prepare to give a second dose of furosemide (Lasix)to a patient by intravenous (IV)push.Before the injection is started,the patient reports having chest pain since the last dose of the drug.What is your best action?
A) Assist the patient to lay flat and encourage him or her to take slow,deep breaths.
B) Document the report as the only action for this expected side effect.
C) Slow the IV drip rate and examine the infusion site for infiltration.
D) Hold the dose and notify the prescriber immediately.
Q2) Which type of diuretic can cause higher than normal blood calcium levels?
A) Loop diuretics
B) Osmotic diuretics
C) Thiazide diuretics
D) Potassium-sparing diuretics
Q3) For which complication should you remain alert when a patient is taking any type of diuretic?
A) Loss of appetite
B) Bladder spasms
C) Hypertension
D) Dehydration
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17
Chapter 16: Drug Therapy for Hypertension
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54 Verified Questions
54 Flashcards
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Sample Questions
Q1) A hospitalized patient prescribed nifedipine XL (Procardia)60 mg once a day informs you that at home he was taking nicardipine (Cardene)20 mg three times a day and thinks this is the wrong drug.What is your best action?
A) Give the dose as ordered after informing the patient that this is a new medication the prescriber wants him or her to take.
B) Hold the drug and contact the prescriber to clarify the order because of the patient's concern before administering the dose.
C) Contact the pharmacy to ask what the prescriber ordered and if there was a mistake when the prescription was filled.
D) Administer the dose because nifedipine and nicardipine are from the same class of drugs and may be substituted for each other.
Q2) A patient has been prescribed losartan (Cozaar).Which substance,drug,or activity do you teach the patient to avoid?
A) Oral contraceptives
B) Salt substitutes
C) Caffeine
D) Running
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Page 18
Chapter 17: Drug Therapy for Heart Failure
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/49286
Sample Questions
Q1) Which two factors are most likely to result in improved cardiac output?
A) Greater preload;greater afterload
B) Greater preload;reduced afterload
C) Reduced preload;greater afterload
D) Reduced preload;reduced afterload
Q2) Which precaution should you stress when teaching a patient about a prescribed nitroglycerin transdermal patch?
A) "If a patch comes loose,tape it tightly to the skin with several layers of tape."
B) "Do not remove old patches,just let them fall off over time."
C) "Take care to apply the patches directly over your heart."
D) "Remove the old patch before applying the new patch."
Q3) What does the term "afterload" mean?
A) The amount of blood entering the left ventricle that must be pumped out of the heart
B) The peripheral resistance of the arterial system,including mean arterial pressure
C) The ability of the living muscle fibers of the heart to contract and pump blood
D) The percentage of blood pumped out of the heart with each heartbeat
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Page 19
Chapter 18: Drug Therapy for Dysrhythmias
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) What step must be taken before giving digoxin (Lanoxin)?
A) Measure the size of both ankles.
B) Take the apical pulse for a full minute.
C) Make sure the patient has not eaten for at least an hour.
D) Take the blood pressure in both the right arm and the left arm.
Q2) Why must most cardiac dysrhythmias be treated?
A) They increase preload.
B) They decrease preload.
C) They increase cardiac output.
D) They decrease cardiac output.
Q3) A patient who received an oral dose of procainamide immediate release an hour ago at 9:00a.m.is now prescribed to receive an oral dose of disopyramide.When is the earliest you should give the disopyramide?
A) Immediately
B) 12:00 noon
C) 3:00 p.m.
D) 9:00 p.m.
Q4) A patient is prescribed sotalol (Betapace)320 mg orally once a day.Sotalol comes in 80 mg tablets.How many tablets would you give for each daily dose?
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Chapter 19: Drug Therapy for High Blood Lipids
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/49288
Sample Questions
Q1) Why should the use of cholestyramine (Questran)and colestipol (Colestid)be avoided in children?
A) These drugs can cause muscle breakdown in children.
B) These drugs can cause intestinal obstruction in children.
C) These drugs can cause mental deficits in children.
D) These drugs can cause bleeding and easy bruising in children.
Q2) A patient who is prescribed cholestyramine (Questran)tablets reports experiencing bloating,nausea,and gas.What is your best action?
A) Hold the drug and notify the prescriber.
B) Document the finding as the only action.
C) Administer the drug before meals to avoid nausea.
D) Teach the patient to drink 12 to 16 ounces of water with the drug.
Q3) Which health problems should you teach a patient can be caused by chronic hyperlipidemia? (select all that apply)
A) Hypertension
B) Pancreatitis
C) Peptic ulcer disease
D) Xanthoma
E) Diabetes mellitus
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Page 21
Chapter 20: Drugs That Affect Blood Clotting
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) A patient who delivered a baby 6 weeks ago is now prescribed low-molecular-weight heparin for a venous thrombosis in her leg.She asks whether she can continue to breastfeed her baby while taking this drug.What is your best response?
A) "Yes,the baby's digestive system will inactivate the drug."
B) "Yes,the drug does not pass into breast milk."
C) "No,the drug will increase the baby's risk for bleeding."
D) "No,the drug can delay your baby's growth and development."
Q2) What actions are performed when giving a subcutaneous injection of low-molecular-weight heparin? (select all that apply)
A) Position the patient lying down.
B) Expel the air bubble before injection.
C) Insert the needle into a skinfold held between the thumb and forefinger.
D) Release the skinfold then inject the drug.
E) Rub the injection site to avoid bruising.
Q3) What is the intended response to an erythropoiesis-stimulating agent (ESA)?
A) Increased red blood cell counts
B) Decreased red blood cell counts
C) Increased platelet counts
D) Decreased platelet counts
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Page 22
Chapter 21: Drug Therapy for Asthma and Other Respiratory Problems
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/49290
Sample Questions
Q1) Drugs from which classes are considered the mainstays of therapy for pulmonary fibrosis?
A) Amiodarone and ambrisentan
B) Nonsteroidal anti-inflammatories and opiates
C) Corticosteroids and immunosuppressants
D) Disease-modifying antirheumatic drugs and aspirin
Q2) Which responses are possible side effects of inhaled beta<sub>2</sub>-adrenergic agonists? (select all that apply)
A) Bad taste in the mouth
B) Increased salivation
C) Difficulty sleeping
D) Rapid heart rate
E) Hypotension
Q3) Which assessment is most important to perform before administering a bronchodilator by inhalation?
A) Listening with a stethoscope to the patient's breath sounds.
B) Measuring blood pressure in the sitting and standing positions.
C) Asking questions to assess the patient's cognition and mental status.
D) Checking the oral mucous membranes for white or cream-colored patches.
Page 23
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Chapter 22: Drug Therapy for Gastrointestinal Problems
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) You are instructing a patient who is experiencing chronic nausea/vomiting,about antiemetic therapy.What is the most important precaution you must teach the patient?
A) "Rinse your mouth frequently to reduce the unpleasant sensation of dry mouth."
B) "Report any constipation lasting 2 days or longer to your prescriber."
C) "Wear sunscreen and protective clothing when going outdoors."
D) "Avoid drinking alcoholic beverages while taking this drug."
Q2) Which drug used to treat constipation is an osmotic laxative?
A) Methylcellulose
B) Lubiprostone
C) Castor oil
D) Docusate
Q3) What is the most important assessment question to ask a patient before administering intravenous metoclopramide (Reglan)?
A) "Are you being treated for depression?"
B) "Is your type 1 diabetes well controlled?"
C) "Do you have a gastric or duodenal ulcer?"
D) "Are you taking aspirin or any aspirin-containing products?"
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Chapter 23: Drug Therapy for Gastric Ulcers and Reflux
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/49292
Sample Questions
Q1) What should you teach a patient about smoking and peptic ulcer disease? (select all that apply)
A) Smoking increases acid secretion.
B) Smoking is not a cause of ulcer formation.
C) Smoking slows ulcer healing.
D) Smoking is related to the reoccurrence of ulcers.
E) Smoking decreases stomach mucus production.
Q2) A patient who has been prescribed ranitidine (Zantac)reports darkened stools.What is your best action?
A) Hold the dose and notify the prescriber.
B) Document the report as the only action.
C) Reassure the patient that this is a common and harmless side effect.
D) Ask the patient if he or she has been using aspirin or any other NSAID drug.
Q3) Which symptoms are associated with gastric ulcers?
A) Constant bloating and diarrhea
B) Shortness of breath in any position
C) Burning pain that is relieved by eating
D) Lower abdominal pain that is relieved by moving the bowels
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25
Chapter 24: Drug Therapy With Nutritional Supplements
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) What are the intended responses of the trace mineral zinc? (select all that apply)
A) Helps blood clot
B) Supports protein structures
C) Strengthens bones
D) Essential for taste and smell
E) Supports the immune system
Q2) A patient is receiving supplemental enteral feedings with Osmolite,1 can three times a day between meals.For which main side effect should you monitor?
A) Constipation
B) Nausea
C) Vomiting
D) Diarrhea
Q3) After giving a daily multivitamin supplement,for which side effect must you monitor?
A) Constipation and nausea
B) Belching and reflux
C) Abdominal distention and discomfort
D) Diarrhea and electrolyte imbalances
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Chapter 25: Drug Therapy for Seizures
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/49294
Sample Questions
Q1) Which assessment question is most important to ask a patient who is prescribed clonazepam (Klonopin)before administering the first dose?
A) "Do you smoke cigarettes?"
B) "How many seizures do you have daily?"
C) "Have you ever had high blood pressure?"
D) "Do you currently have an open sore or signs of an infection?"
Q2) A patient with a seizure disorder tells you about training to participate in a marathon run.What is the most important factor to teach the patient at this time?
A) "Your seizure medications prohibit training for this stressful event."
B) "During times of increased physical stress you are more likely to have a seizure."
C) "Be sure to watch your diet because during training you will need more calories."
D) "Start your exercise program slowly and gradually build up your strength."
Q3) Which precaution should you teach patients prescribed carbamazepine (Tegretol)?
A) Avoid crowds and people who are ill.
B) Take this drug with an antacid to prevent ulcers.
C) Restrict your fluid intake to less than 1.5 L daily.
D) Keep the bottle containing the drug in the refrigerator.
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Chapter 26: Drug Therapy for Alzheimers and Parkinsons Diseases
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41 Verified Questions
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Q1) Which drug for Parkinson's disease is not recommended for breastfeeding mothers because it stops the production of breast milk?
A) Rasagiline (Azilect)
B) Bromocriptine (Parlodel)
C) Carbidopa (Sinemet)
D) Tolcapone (Tasmar)
Q2) A patient is prescribed donepezil (Aricept)for Alzheimer's disease.What assessment is most important after giving this drug?
A) Blood pressure
B) Bowel sounds
C) Peripheral pulses
D) Signs of bleeding
Q3) What is the minimum time period needed before reapplying a rotigotine patch to the same skin site?
A) 7 days
B) 14 days
C) 21 days
D) 28 days
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Chapter 27: Drug Therapy for Psychiatric Problems
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Q1) A patient is prescribed bupropion (Wellbutrin SR)100 mg twice daily.It is time for the second dose today and the drug sent up from the pharmacy is Wellbutrin 100 XL.What is your best action?
A) Administer the Wellbutrin XL tablet in place of the Wellbutrin SR tablet.
B) Cut the Wellbutrin XL tablet in half and then administer it.
C) Call the pharmacy and obtain a Wellbutrin SR 100 mg tablet.
D) Hold the dose and notify the prescriber.
Q2) Which safety precaution is most important to teach an older adult who is prescribed chlorpromazine (Thorazine)?
A) "Avoid going barefoot,even in the house."
B) "Change positions slowly when rising to stand."
C) "Drink plenty of water to avoid having to strain during a bowel movement."
D) "Use a thermometer to check the temperature of your bath water to avoid a scald injury."
Q3) Which statement about depression is true?
A) Depression does not affect the way an individual interacts with others.
B) Men are twice as likely to experience depression as women.
C) Many older adults with depression are undiagnosed and untreated.
D) Women are less likely than men to seek treatment for depression.
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Page 29
Chapter 28: Drug Therapy for Insomnia
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Q1) What is the most important precaution to teach a patient who is prescribed a drug for insomnia?
A) "Avoid drinking fluids with caffeine before bedtime."
B) "Rinse your mouth frequently with water or saline."
C) "Avoid driving within 8 hours of taking this drug."
D) "Do not take this drug for more than 1 week."
Q2) Why is more than one dose of Flumazenil (Romazicon)often needed to reverse a benzodiazepine overdose?
A) It must be administered only by the intravenous route.
B) It depresses the drug metabolizing effects of the liver.
C) It has a shorter duration of action than most benzodiazepines.
D) It must be given in low doses to avoid respiratory depression.
Q3) Which symptoms are expected to be seen in a patient with insomnia? (select all that apply)
A) Difficulty falling asleep
B) Sleeping too much
C) Waking often during the night
D) Feeling unrested after sleep
E) Uncontrollable urge to sleep
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Page 30
Chapter 29: Drug Therapy for Eye Problems
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Q1) Which drug group for glaucoma can worsen asthma?
A) Adrenergic agonists
B) Beta blockers
C) Cholinergics
D) Prostaglandin agonists
Q2) With which patient should a carbonic anhydrase inhibitor be avoided as a treatment of glaucoma?
A) A patient with reduced vision
B) A patient with sulfa allergy
C) A patient with hypertension
D) A patient with diabetes
Q3) Where in or on the eye should eye drops be placed?
A) Under the upper lid
B) In a pocket of the lower lid
C) Directly over the center of the eye
D) In the corner of the eye closest to the nose
Q4) A patient is prescribed to use 2 gtt of carbachol (Isopto)1.5% solution per eye every 8 hours.The drug comes in a 15 mL bottle and 1 mL = 16 gtt.How many days will the bottle of carbachol last?
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Chapter
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Q1) What is the most common side effect of all drug therapy for skeletal muscle relaxants?
A) Nausea
B) Diarrhea
C) Drowsiness
D) Urinary incontinence
Q2) Which drugs belong to the estrogen agonist/antagonist class? (select all that apply)
A) Alendronate (Fosamax)
B) Densosumab (Prolia)
C) Estrogen/bazedoxifene (Duavee)
D) Ibandronate (Boniva)
E) Raloxifene (Evista)
Q3) How does rasburicase work to lower uric acid levels?
A) By increasing the production of enzymes that inactivate uric acid.
B) By inhibiting the synthesis of uric acid from metabolic purines.
C) By breaking down uric acid crystals so they can be excreted.
D) By converting uric acid crystals into purines and pyrimidines.
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Page 32
Chapter 31: Drug Therapy for Male Reproductive Problems
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Q1) A patient is prescribed sildenafil (Viagra)for erectile dysfunction.Which teaching points regarding administration of this drug should you teach this patient? (select all that apply)
A) Take the drug 30 minutes to 1 hour before sexual activity.
B) Take the drug 1 to 2 hours before sexual activity.
C) You will need sexual stimulation to achieve an erection.
D) You will notice that you attain an erection within an hour of taking the drug.
E) The effects of the drug should last around 4 hours.
Q2) For which patient should you question an order for the dutasteride (Avodart)0.5 mg orally once a day?
A) 55-year-old male with chronic obstructive pulmonary disease (COPD)
B) 63-year-old male with gastroesophageal reflux disease (GERD)
C) 71-year-old male with liver disease (hepatotoxicity)
D) 82-year-old male with kidney disease (nephrotoxicity)
Q3) A patient is prescribed tamsulosin (Flomax)1.2 mg orally once daily 30 minutes after a meal.You have tamsulosin (Flomax)0.4 mg/tablet.How many tablets will you administer?
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Chapter 32: Drug Therapy for Female Reproductive Issues
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Q1) Which side effects are most common among women taking hormone replacement therapy for menopause?
A) Breast tenderness and fluid retention
B) Increased vaginal dryness and constipation
C) Nausea,vomiting,and diarrhea
D) Skin itching and dark-colored urine
Q2) Which hormone levels in the blood are reduced as a result of taking hormone replacement therapy for menopause?
A) Estrogen and progesterone
B) Estrogen and follicle stimulating hormone
C) Gonadotrophin releasing hormone and progesterone
D) Follicle stimulating hormone and gonadotrophin releasing hormone
Q3) Which female hormone supports pregnancy by directly maintaining the thickened uterine lining?
A) Estrogen
B) Progesterone
C) Luteinizing hormone
D) Follicle stimulating hormone
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