Practical Nursing Exam Practice Tests
Course Introduction
Practical Nursing is a comprehensive course designed to equip students with the fundamental knowledge, clinical skills, and professional attitudes required for entry-level positions in nursing. The course covers essential topics such as anatomy and physiology, pharmacology, patient care techniques, health assessment, and infection control. Through a combination of classroom instruction, laboratory practice, and supervised clinical experiences, students learn to provide safe, ethical, and effective care to patients across the lifespan in a variety of healthcare settings. Emphasis is placed on the development of communication skills, critical thinking, and teamwork, preparing graduates to work collaboratively within interdisciplinary healthcare teams and to adapt to the evolving demands of the nursing profession.
Recommended Textbook
Basic Pharmacology for Nurses 16th Edition by Clayton
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50 Chapters
994 Verified Questions
994 Flashcards
Source URL: https://quizplus.com/study-set/2566
Page 2
Chapter 1: Drug Definitions, Standards, and Information
Sources
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/51045
Sample Questions
Q1) The nurse is caring for a patient newly diagnosed with type 1 diabetes mellitus.Which approach(es) to therapeutic methods would be considered in this patient's treatment? (Select all that apply.)
A)Therapeutic drugs
B)Concentrated carbohydrate diet
C)Family centered care
D)Regular daily exercise and activity
E)Daily baths
Answer: A, B, D
Q2) The physician has written an order for a drug with which the nurse is unfamiliar.Which section of the Physicians' Desk Reference (PDR) is most helpful to get information about this drug?
A)Manufacturer's section
B)Brand and Generic Name section
C)Product Category section
D)Product Information section
Answer: B
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Chapter 2: Basic Principles of Drug Action and Drug
Interactions
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/51046
Sample Questions
Q1) A patient developed hives and itching after receiving a drug for the first time.Which instruction by the nurse is accurate?
A)Stop the medication and encourage the patient to wear a medical alert bracelet that explains the allergy.
B)Explain to the patient that these are signs and symptoms of an anaphylactic reaction.
C)Emphasize to the patient the importance to inform medical personnel that in the future a lower dosage of this drug is necessary.
D)Instruct the patient that it would be safe to take the drug again because this instance was a mild reaction.
Answer: A
Q2) A nurse is preparing to administer tetracycline to a patient diagnosed with an infection.Which medication should not be administered with tetracycline?
A)Ativan
B)Tylenol
C)Colace
D)Mylanta
Answer: D
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4
Chapter 3: Drug Action Across the Life Span
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) After giving instructions to an expectant mother about taking medications during pregnancy, which patient statement indicates the need for further teaching?
A)"I will not take herbal medicines during pregnancy."
B)"For morning sickness, I will try crackers instead of taking a drug."
C)"If I get a cold, I will avoid taking nonprescription medications until I check with my physician."
D)"I will limit my alcohol intake to only one glass of wine weekly."
Answer: D
Q2) The nurse is caring for a 4 month old child who is on a water soluble medication for seizures.The child's mother voices concern that the dosage seems "too much" for the child's age and would like the dosage verified.What actions will the nurse take? (Select all that apply.)
A)Verify dosage requirements in the Physicians' Desk Reference( PDR) in mg/kg.
B)Compare the water composition requirements of adults and children.
C)Evaluate lean body mass and total fat content in adults and infants.
D)Chart "refused per mother" on the MAR and do not administer.
E)Compare transportation in the circulation of plasma bound proteins between adults and children.
Answer: A, B
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Chapter 4: The Nursing Process and Pharmacology
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is prioritizing care of a pediatric patient diagnosed with cystic fibrosis.Which nursing diagnosis would the nurse consider the highest priority?
A)Risk for altered nutrition: less than body related to decreased appetite
B)Altered breathing pattern related to thickened mucus secretions
C)Knowledge deficit related to disease process
D)Impaired skin integrity related to decreased mobility
Q2) Which statement best describes the planning phase of the nursing process?
A)Administer insulin subcutaneously (subcut) in the abdominal area.
B)Patient is at high risk for falls related to hypotension.
C)The patient will state the expected adverse effects of medication by the end of the teaching session.
D)Itching has resolved; medication given is effective.
Q3) What is the basis of the NANDA I taxonomy?
A)Functional health patterns
B)Human response patterns
C)Basic human needs
D)Pathophysiologic needs
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6
Chapter 5: Patient Education to Promote Health
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse and patient are participating in cooperative goal setting regarding drug therapy.The nurse is aware that it is imperative to encourage the patient to perform which task(s)? (Select all that apply.)
A)Contact the hospital for advice regarding discontinuation of medication.
B)Keep records of essential data needed to evaluate prescribed therapy.
C)See the health care provider regularly.
D)Avoid community based agencies for assistance.
E)Monitor parameters used to evaluate therapy.
Q2) The nurse is educating a 13-year-old boy newly diagnosed with diabetes and his parents about diet and glucose monitoring.Which domain of learning is represented when the patient expresses concern about feeling different from his peers?
A)Cognitive
B)Psychomotor
C)Affective
D)Learning style
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Chapter 6: A Review of Arithmetic
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67 Verified Questions
67 Flashcards
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Sample Questions
Q1) 5/18 - 2/9 = _____
Q2) 0.125 + 0.25 = _____
Q3) 0.5 + 0.05 = _____
Q4) 7/30 + 9/30 + 1/30 = _____
Q5) 300/125* 5/1 = _____
Q6) 1 kg = _____ pounds
Q7) 1 3/4 = _____
Q8) 0.100 ÷ 1000 = _____
Q9) 0.25 * 1/2 = _____
Q10) 5.5 ÷ 10 = _____
Q11) 10 7/9 - 6 1/6 = _____
Q12) 4 - 0.8 = _____
Q13) 1000 mL of solution containing 50 g glucose in water: _____
Q14) 1:45 = _____ (%), _____ (fraction), _____ (decimal [round to the nearest thousandth])
Q15) 7/10 ÷ 3/5 = _____ Page 8
Q16) 75/20 * 5 = _____
Q17) 15 kg = _____ lb
Q18) 32% = _____ (ratio), _____ (fraction), _____ (decimal)
Q19) 1 1/2 - 7/11 = _____
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Chapter 7: Principles of Medication Administration and Medication Safety
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/51051
Sample Questions
Q1) Where would the procedures and treatments directed by the health care provider be found?
A)Summary sheet
B)Physician's order form
C)Physician's progress notes
D)History and physical examination form
Q2) A patient's liquid cough medicine has been discontinued with one half of the bottle remaining.The home health nurse is aware that according to the U.S.Food and Drug Administration (FDA) guidelines on prescription medication disposal, the next step should be to:
A)save the remainder for another patient with the same prescription.
B)flush the remainder down the toilet.
C)read the drug label for specific disposal instructions.
D)pour remaining medication into a hazardous waste container.
Q3) Which medication route provides the most rapid onset of a medication, but also poses the greatest risk of adverse effects?
A)Intradermal
B)Subcutaneous (subcut)
C)Intramuscular (IM)
D)Intravenous (IV)
Page 10
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Chapter 8: Percutaneous Administration
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A patient with metastatic cancer is being admitted for pain control.Which action will the nurse perform in administering a transdermal patch?
A)After removal, dispose of the old patch in a receptacle in the patient's room.
B)Change the fentanyl patch every day, either in the morning or at bedtime.
C)Hold the short acting oral pain medication when a fentanyl patch is initiated.
D)Label the patch with date, time, dosage, and initials after patch placement.
Q2) Why are sublingual and buccal medications rapidly absorbed?
A)Their action is localized to the mouth.
B)They are metabolized in the liver.
C)Blood flow is diminished in these sites.
D)These drugs pass directly into systemic circulation.
Q3) Which order(s) would be examples of percutaneous medication administration?
(Select all that apply.)
A)Timolol 0.5% 1 drop to each eye daily
B)Albuterol nebulizer 2.5 mg qid
C)Heparin 5000 units IV
D)Lasix 20 mg PO every AM
E)Silvadene 1% topically to affected area
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11
Chapter 9: Enteral Administration
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Oral drug administration includes which principle(s)? (Select all that apply.)
A)Dependable rate of absorption
B)Most economical
C)Insulin able to be administered via this route
D)Drugs delivered directly by the oral, rectal, or nasogastric (NG) methods
E)Dosage forms are convenient and readily available
Q2) After entering the patient's room to administer oral medications, which action will the nurse take first?
A)Assist the patient to sit upright.
B)Check the patient's identification.
C)Inform the patient about the medications.
D)Offer the patient something to drink.
Q3) Which data will the nurse document when administering a PRN oral pain medication to a patient? (Select all that apply.)
A)Date, time, drug name, dosage, and route of administration
B)Essential patient education about the drug completed
C)Administration receptacle used
D)Signs and symptoms of adverse drug effects
E)Evaluation of therapeutic effectiveness
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Page 12
Chapter 10: Parenteral Administration: Safe Preparation of Parenteral Medications
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/51054
Sample Questions
Q1) Which nursing action is accurate when administering parenteral medication?
A)Adjust the route of the medication, if needed.
B)Document the response to PRN medications at the end of the shift.
C)Request the pharmacist to provide education about the medication to the patient.
D)Use clinical judgment when rescheduling missed doses of a medication.
Q2) Which part of the syringe contains the calibrations for drug volume measurement?
A)Plunger
B)Tip
C)Luer Lok
D)Barrel
Q3) An adult patient is to receive two medications IM.Which action by the nurse is most important in order to mix the medications in one syringe?
A)Assess for the presence of adequate muscle mass.
B)Ensure that the combined medication amount is less than 2 mL.
C)Determine the compatibility of the medications.
D)Use a needle that is 25 gauge.
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Chapter 11: Parenteral Administration: Intradermal,
Subcutaneous, and Intramuscular Routes
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/51055
Sample Questions
Q1) The nurse administers B<sub>12</sub> IM to a patient in a long term care facility.After administering this medication, the nurse will: (Select all that apply.)
A)carefully recap the needle.
B)identify the patient.
C)massage site of injection.
D)dispose of the used needle according to policy.
E)apply a small bandage to the site.
Q2) The nurse is educating a patient about diabetes.Based on recommendations from the American Diabetes Association, which statement by the nurse is best regarding site rotation?
A)"Insulin injection sites should always be in the abdomen to ensure absorption into the stomach."
B)"It is important to rotate injection sites systematically within one area before progressing to a new site for injection."
C)"Following exercise, site rotation is not indicated because the circulation in the muscles will absorb the medication efficiently."
D)"If you aspirate, site rotation can be done every other day to avoid developing problems with absorption."
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Chapter 12: Parenteral Administration: Intravenous Route
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/51056
Sample Questions
Q1) A patient has a peripherally inserted central catheter (PICC) line inserted to continue IV antibiotic therapy at home.With proper care, how long can this type of venous access device remain in place?
A)2 months
B)4 months
C)6 months
D)12 months
Q2) Which condition would the nurse expect to be treated with an isotonic solution?
A)Fluid overload
B)Hemorrhagic shock
C)Cellular dehydration
D)Cerebral edema
Q3) The nurse is about to administer a prescribed medication IV push into a patient's Hickman catheter.When providing this medication, the nurse will first:
A)administer the prescribed drug.
B)flush with saline.
C)flush with heparin.
D)prepare a pump.
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Chapter 13: Drugs That Affect the Central Nervous System
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A patient with a history of type 1 diabetes after myocardial infarction has been placed on a beta adrenergic blocking agent.Which statement by the patient indicates a need for further teaching?
A)"This medication should not be discontinued suddenly."
B)"This medication lowers my blood pressure by helping me get rid of fluid."
C)"I may not have my usual symptoms of a hypoglycemic reaction while on this drug."
D)"This medication may take a few weeks to work."
Q2) The autonomic nervous system can be subdivided into which types of adrenergic receptors?
A)Nicotinic and muscarinic
B)Afferent and efferent
C)Alpha and beta
D)Agonists and antagonists
Q3) What is the primary response to alpha 1 receptor stimulation?
A)Bronchodilation
B)Tachycardia
C)Vasoconstriction
D)Uterine relaxation
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16
Chapter 14: Drugs Used for Sleep
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Barbiturates have which common adverse effect(s)? (Select all that apply.)
A)Residual daytime sedation
B)Headache
C)Hyperactivity
D)Blurred vision
E)Impaired coordination
Q2) For what conditions are benzodiazepines prescribed?
A)Chronic amnesia
B)Chronic insomnia
C)Preoperative sedation
D)Psychotic episodes
Q3) The nurse is explaining the use of medications to a patient with insomnia.Which statement about sedatives is true?
A)A sedative will produce sleep.
B)Sedatives increase the total time in REM sleep.
C)Increased relaxation occurs with sedatives.
D)Sedatives are more potent than hypnotics.
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17
Chapter 15: Drugs Used for Parkinsons Disease
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which cholinergic symptoms of Parkinson's disease are reduced with anticholinergic drugs?
A)Cognitive impairments
B)Rigidity
C)Tremors and drooling
D)Postural abnormalities
Q2) The nurse is providing education to a patient recently placed on selegiline disintegrating tablets.Which statement by the patient indicates a need for further teaching?
A)"This medication will help slow the development of symptoms."
B)"I will place the tablet on my tongue before breakfast."
C)"I may need to use a stool softener for constipation."
D)"I should not push the tablet through the foil."
Q3) The nurse is teaching a patient with Parkinson's disease about levodopa.Which statement by the nurse is accurate regarding drug administration?
A)"Take this medication in between meals."
B)"Take this medication at bedtime to prevent dizziness."
C)"Take this medication when your tremors get worse."
D)"Take this medication with food or antacids to reduce GI upset."
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Page 18
Chapter 16: Drugs Used for Anxiety Disorders
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) What will the nurse caution a patient about when providing information about the prescribed azaspirone antidepressant?
A)Risk for addiction
B)Adverse effect of nausea
C)Risk of injury when using machinery
D)Additive effects of central nervous system (CNS) depression with alcohol
Q2) The outcome statement for a patient suffering from anxiety disorder reads, "After 1 week on alprazolam (Xanax) therapy, patient will exhibit a manageable level of anxiety." Which assessment finding validates that this outcome is met?
A)Patient is unable to participate in group therapy conversations.
B)Patient reports persistent fear about dying of a rare illness.
C)Patient verifies that family reunions trigger anxiety and excessive drinking.
D)Patient reports sleeping better and increased interest in activities.
Q3) Which is the drug of choice to treat a patient with obsessive compulsive disorder (OCD)?
A)Lorazepam (Ativan)
B)Buspirone (BuSpar)
C)Fluvoxamine (Luvox)
D)Hydroxyzine (Vistaril)
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Page 19
Chapter 17: Drugs Used for Mood Disorders
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which area(s) should be addressed by the nurse when obtaining a history of a patient admitted with depression? (Select all that apply.)
A)Current medications and medical history
B)Recent stressors and support system
C)Family history of mood disorder
D)Dietary patterns
E)Insurance coverage
Q2) Which statement(s) is/are true regarding the pharmacologic actions of certain antidepressant drugs? (Select all that apply.)
A)MAOIs block the effects of dopamine in the CNS.
B)SSRIs inhibit the destruction and reuptake of serotonin at the synaptic cleft.
C)Tricyclic antidepressants block the action of norepinephrine and epinephrine in the SNS.
D)Monocyclic antidepressants such as bupropion (Wellbutrin) have an unknown mechanism of action.
E)SNRIs prolong the action of neurotransmitters by decreasing the destruction of serotonin and norepinephrine.
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Page 20
Chapter 18: Drugs Used for Psychoses
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A patient with schizophrenia has been nonadherent with his home medication regimen.He requires frequent admissions to the intensive psychiatric unit for treatment of acute psychotic episodes.Which medication regimen would be appropriate for this patient?
A)Daily home nursing visits to administer the prescribed oral medication
B)Continuous inpatient hospitalization for medication therapy
C)Administration of depot antipsychotic medication
D)Subcutaneous medication administration
Q2) The nurse is teaching a patient who is taking clozapine (Clozaril) to have weekly blood tests for the first 6 months of treatment to monitor for which potential complication?
A)Agranulocytosis
B)Vitamin deficiencies
C)Clotting abnormalities
D)Polycythemia
Q3) To what does potency of an antipsychotic medication refer?
A)Severity of adverse effects associated with the drug
B)Length of time that it takes to reach a therapeutic blood level of the drug
C)Milligram doses used for the medication
D)Effectiveness of the drug in alleviating psychotic behavior
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Chapter 19: Drugs Used for Seizure Disorders
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which medication is used to control seizures or prevent migraine headaches?
A)Topiramate (Topamax)
B)Zonisamide (Zonegran)
C)Valproic acid (Depakene)
D)Tiagabine (Gabitril)
Q2) What is included in the nursing management of the patient with generalized tonic clonic seizure activity? (Select all that apply.)
A)Restraining the patient's arms to avoid further injury
B)Placing padding around or under the patient's head
C)Attempting to insert a tongue depressor into the patient's mouth
D)Positioning the patient on the side once the relaxation stage is entered to allow oral secretions to drain
E)Requesting additional assistance and/or necessary equipment in case the patient does not begin breathing spontaneously when the seizure is over
Q3) For which condition may carbamazepine (Tegretol) be used?
A)Tardive dyskinesia
B)Psychotic episodes
C)Trigeminal neuralgia pain
D)Sedation
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Page 22
Chapter 20: Drugs Used for Pain Management
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) How long after the administration of a parenteral pain medication will the nurse complete the next pain assessment to evaluate the effectiveness of the medication?
A)10 minutes
B)30 minutes
C)1 hour
D)2 hours
Q2) A patient experiencing chronic pain as a result of metastatic cancer has a new order for fentanyl (Duragesic) transdermal patch.The initial patch is applied at 8 AM on Monday.At 8 PM on Monday, the patient reports a pain level of 8.The nurse's best response is to:
A)immediately contact the physician.
B)reassess pain level in 30 to 45 minutes.
C)remove current patch and reapply a new patch.
D)provide a PRN analgesic medication as ordered.
Q3) Which statement is true about neuropathic pain?
A)This pain is the result of a stimulus to pain receptors.
B)Patients describe it as dull and aching.
C)It commonly originates in the abdominal region.
D)The pain is a result of nerve injury.
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Page 23
Chapter 21: Introduction to Cardiovascular Disease and Metabolic Syndrome
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Sample Questions
Q1) What lifestyle choice(s) may aggravate metabolic syndrome? (Select all that apply.)
A)Excessive tobacco smoking
B)Inadequate hydration
C)Excessive exercise
D)Inadequate caloric intake
E)Excessive consumption of alcohol
Q2) The mother of a school aged child asks the nurse how to help prevent her child from acquiring metabolic syndrome.The nurse informs the child's mother that education for children in primary grades should focus on which action(s)? (Select all that apply.)
A)Treatment of dyslipidemia
B)Prevention of smoking
C)Importance of moderate activity
D)Discouraging use of alcohol
E)Increase in saturated fat
Q3) Weight: 70 kilograms.Height: 164 cm (1.65 m).What is the BMI?
Q4) Weight: 140 pounds.Height: 5 feet 4 inches.What is the BMI?
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24
Chapter 22: Drugs Used to Treat Dyslipidemias
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which nutritional concept(s) is/are necessary to provide to patients receiving colestipol? (Select all that apply.)
A)Take on an empty stomach to enhance absorption.
B)Whole grains, raw fruits, and vegetables will minimize constipation.
C)Drink eight to ten 8 ounce glasses of water daily to eliminate dehydration that results from frequent loose stools.
D)Report signs of vitamin K deficiency, including bleeding gums, dark tarry stools, and coffee ground emesis.
E)Supplemental fat soluble vitamins may be necessary.
Q2) The nurse is preparing to administer niacin for the first time to a patient being treated for dyslipidemia.Before administering this medication, the nurse will assess: (Select all that apply.)
A)blood glucose levels.
B)blood pressure.
C)heart rate.
D)temperature.
E)oxygen saturation.
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Chapter 23: Drugs Used to Treat Hypertension
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse instructs the patient to avoid the sudden discontinuation of beta adrenergic blockers so as to avoid which symptom?
A)Postural hypotension
B)Edema
C)Increased angina
D)Confusion
Q2) Which agents are preferred for the initial treatment of hypertension?
A)ACE inhibitors and angiotensin receptor antagonists
B)Calcium ion agonists and central acting alpha agonists
C)Thiazide diuretics and beta adrenergic blockers
D)Direct vasodilators and peripherally acting adrenergic antagonists
Q3) If blood pressure is 120/70, what is the MAP?
Q4) A patient who has just begun taking an angiotensin converting enzyme (ACE) inhibitor calls the nurse and reports feeling very dizzy when standing up, and asks if the medication should be discontinued.What is the nurse's best response?
A)"Stop taking the medication immediately."
B)"Rise to a sitting or standing position slowly; your symptoms will resolve."
C)"I will schedule you to visit the health care provider today."
D)"Cut the pill in half and take a reduced dosage."
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Chapter 24: Drugs Used to Treat Dysrhythmias
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) How many milligrams of lidocaine will the nurse administer via intravenous (IV) bolus to a 30 year old patient with ventricular tachycardia who weighs 75 kg after a myocardial infarction?
A)10
B)25
C)50
D)75
Q2) The nurse is preparing to administer adenosine to a patient with supraventricular tachycardia.Which consideration(s) should the nurse take into account before administration? (Select all that apply.)
A)Constant ECG monitoring is necessary.
B)Initial recommended dosage is 12 mg IV bolus.
C)Rapid IV bolus administration is recommended.
D)Saline flush following bolus is necessary.
E)Long half life of adenosine may prolong adverse medication effects.
Q3) Amiodarone is contraindicated for patients with which condition?
A)Pulmonary edema
B)Severe sinus node dysfunction causing bradycardia
C)Atrial fibrillation
D)Premature ventricular contractions (PVCs)
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Chapter 25: Drugs Used to Treat Angina Pectoris
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Which instruction will the nurse include for a patient prescribed sublingual nitrate PRN for angina?
A)Take a dose routinely at bedtime.
B)Place the tablet under the tongue and swallow immediately.
C)Take one tablet and then seek medical attention if the pain is not relieved within 5 minutes.
D)Take one tablet every 2 to 3 minutes until relief is obtained.
Q2) What risk is minimized when the smallest dose of nitroglycerin is used to provide satisfactory results?
A)Allergy
B)Dependence
C)Tolerance
D)Nausea
Q3) Which action by the nurse is most accurate when administering nitroglycerin ointment to a patient?
A)Spread the ointment on the patient's legs in a thin, uniform layer.
B)Cover the patch with a clear plastic wrap.
C)Rub the ointment into the skin in a circular motion.
D)Shave the skin prior to application.
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Page 28
Chapter 26: Drugs Used to Treat Peripheral Vascular Disease
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16 Verified Questions
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Sample Questions
Q1) The nurse is assessing a patient on papaverine therapy and notes tachycardia, which is a compensatory effect of which condition?
A)Hypoventilation
B)Hypotension
C)Excessive sympathetic stimulation
D)Adrenergic suppression
Q2) When assessing a client recently prescribed pentoxifylline (Trental), which medication will alert the nurse to monitor closely for adverse effects?
A)Antilipemic
B)Antihypertensive
C)Antibiotic
D)Antipsychotic
Q3) What will the nurse include in the discharge teaching plan for a patient with PVD? (Select all that apply.)
A)Intermittent cold applications to the extremities
B)Heat therapy
C)Stress reduction techniques
D)An exercise program
E)Bed positioning techniques
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Chapter 27: Drugs Used to Treat Thromboembolic Disorders
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Sample Questions
Q1) Anticoagulant therapy may be used for which situation(s)? (Select all that apply.)
A)To prevent stroke in patients at high risk
B)Following a myocardial infarction
C)Following total hip or knee joint replacement surgery
D)With DVT
E)To prevent thrombosis in immobilized patients
F)Peptic ulcer disease
Q2) A patient is receiving 1400 units of heparin/hour on an IV pump.The aPTT time is 54.The laboratory control is 25.Which action by the nurse is accurate?
A)Bolus the patient with an additional 5000 units of heparin.
B)Stop the heparin immediately and notify the health care provider that the patient's blood level is toxic.
C)Administer protamine sulfate stat.
D)Continue with the prescribed rate.
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Chapter 28: Drugs Used to Treat Heart Failure
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Sample Questions
Q1) A patient with heart failure has been prescribed nesiritide (Natrecor).Which statement(s) is/are true regarding this medication? (Select all that apply.)
A)It increases preload.
B)Cardiac ventricles secrete this hormone in response to fluid overload.
C)It suppresses aldosterone.
D)It promotes norepinephrine secretion.
E)It causes vasodilation.
Q2) Which drug will be administered to a patient being admitted with severe digoxin intoxication?
A)Amiodarone (Cordarone)
B)Spironolactone (Aldactone)
C)Digoxin immune Fab (Digibind)
D)Digitalis glycoside
Q3) The nurse monitors a patient receiving digoxin closely for toxicity when which other medication is prescribed?
A)Potassium supplements
B)Furosemide (Lasix)
C)Acetylsalicylic acid (aspirin)
D)Antibiotics
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Page 31
Chapter 29: Drugs Used for Diuresis
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Sample Questions
Q1) Which premedication assessment(s) would the nurse obtain prior to the initiation of bumetanide (Bumex)? (Select all that apply.)
A)Serum potassium
B)Bowel sounds
C)Lung sounds
D)Orientation level
E)Blood pressure
Q2) Which are common signs and symptoms of dehydration? (Select all that apply.)
A)Furrowed tongue
B)Decreased intake and output levels
C)Bounding pulse rate
D)Mental confusion
E)Elastic skin turgor
Q3) Which medical condition(s) may contribute to fluid volume excess? (Select all that apply.)
A)Hypertension
B)Liver disease
C)Pregnancy
D)Use of corticosteroids
E)Skin disorders
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Chapter 30: Drugs Used to Treat Upper Respiratory Disease
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Sample Questions
Q1) The clinic nurse is assessing a patient being seen for a severe allergic reaction to environmental allergens.Which symptom should the nurse prioritize as the most important?
A)Hypotension
B)Urticaria
C)Dyspnea
D)Rhinorrhea
Q2) Which medication may be given to patients with allergic seasonal rhinitis who do not respond to antihistamines and sympathomimetics?
A)Leukotrienes
B)Mineralocorticoids
C)Corticosteroids
D)Cortisol
Q3) Which action(s) is/are true of antihistamines? (Select all that apply.)
A)Reduce inflammation locally
B)Antagonize H<sub>1</sub> receptors
C)May be administered orally
D)Are systemically distributed
E)Reduce nasal congestion
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Page 33
Chapter 31: Drugs Used to Treat Lower Respiratory Disease
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Sample Questions
Q1) The nurse is obtaining a history of respiratory symptoms on a patient with the diagnosis of COPD.The patient reports smoking one pack of cigarettes per day for the past 20 years.The nurse calculates the pack years as:
A)5.
B)10.
C)20.
D)40.
Q2) The nurse is providing nutrition information to a patient diagnosed with a lower respiratory tract disease.What is the rationale for limiting caffeine?
A)Caffeine increases the respiratory rate.
B)Caffeine can result in thicker lung secretions.
C)Caffeine will increase the anxiety response associated with dyspnea.
D)Caffeine can cause bronchospasm.
Q3) What structures in the respiratory tract assist in removing foreign bodies such as smoke and bacteria?
A)Villi
B)Golgi bodies
C)Ciliary hairs
D)Erector pili
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34
Chapter 32: Drugs Used to Treat Oral Disorders
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18 Flashcards
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Sample Questions
Q1) Which condition is treated by saliva substitutes?
A)Caries
B)Mucositis
C)Xerostomia
D)Halitosis
Q2) The nurse is assisting with care of a patient on chemotherapy with severe mucositis.The patient reports mucous membrane pain level to be "8" on the pain scale.The priority nursing diagnosis for this patient is:
A)altered nutrition: less than body requirements.
B)risk for aspiration.
C)fluid volume deficit.
D)pain.
Q3) Which assessment information is pertinent to oral health? (Select all that apply.)
A)Medication history
B)Dental history, visit frequency
C)Presence of halitosis
D)Amount of saliva present
E)Bowel sounds
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Chapter 33: Drugs Used to Treat Gastroesophageal Reflux and Peptic Ulcer Diseases
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Sample Questions
Q1) The nurse is planning to administer an antacid to a patient diagnosed with PUD who will receive an H<sub>2</sub> antagonist at 8:00 AM.When is the most appropriate time for the nurse to provide the antacid to this patient?
A)With the H<sub>2</sub> antagonist
B)30 minutes prior to the H<sub>2</sub> antagonist
C)2 hours after the H<sub>2</sub> antagonist
D)Within an hour after the H2 antagonist
Q2) A patient who is taking NSAIDs to treat arthritis asks the nurse why misoprostol has also been prescribed.Which explanation by the nurse is accurate?
A)NSAIDs often cause GI irritation that can result in peptic ulcers.
B)NSAIDs promote the production of prostaglandins and reduce the incidence of gastric irritation.
C)Antiulcer medications eradicate the presence of bacteria in the stomach that cause ulcers.
D)Drug interactions are prevented when antiulcer medications are used in combination with NSAIDs.
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Chapter 34: Drugs Used to Treat Nausea and Vomiting
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Sample Questions
Q1) Why is drug therapy important for selected causes of nausea and vomiting? (Select all that apply.)
A)Relieves the distress associated with nausea and vomiting
B)Prevents aspiration of gastric contents into the lung
C)Prevents dehydration
D)Prevents electrolyte imbalances
E)Increases intracranial pressure
Q2) What is the purpose for the nurse administering metoclopramide (Reglan) IV postoperatively?
A)Prolong the effects of anesthesia.
B)Decrease the potential for thrombus formation.
C)Prevent postoperative nausea and vomiting.
D)Decrease postoperative pain.
Q3) The nurse is administering medications to various patients during morning medication pass.The patient at the lowest risk of having an adverse reaction is the patient receiving:
A)ondansetron.
B)scopolamine.
C)promethazine.
D)dexamethasone.
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Chapter 35: Drugs Used to Treat Constipation and Diarrhea
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Sample Questions
Q1) The nurse is performing a premedication assessment.For which patient would laxative use be contraindicated?
A)Patient with quadriplegia
B)Patient with appendicitis
C)Geriatric patient
D)Patient with fractured femur
Q2) Which effect will the nurse expect when a patient is taking psyllium while on digoxin?
A)Decreased effectiveness of the laxative
B)Increased laxative effect
C)Increased absorption of the digoxin
D)Decreased absorption of the digoxin
Q3) Which treatment(s) would be considered safe for an infant? (Select all that apply.)
A)Saline laxatives
B)Bulk forming laxatives
C)Malt soup extract
D)Stimulant laxatives
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Chapter 36: Drugs Used to Treat Diabetes Mellitus
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Sample Questions
Q1) The nurse is instructing a patient about insulin administration.Which statement by the patient indicates a need for further teaching?
A)"I may need more insulin if I have surgery."
B)"Once I open my insulin, I will store it in the refrigerator."
C)"I will date the insulin bottle when I open it."
D)"I will keep a spare bottle of insulin on hand."
Q2) Which statement(s) regarding type 2 diabetes mellitus would be correct? (Select all that apply.)
A)Type 2 diabetes is more prevalent in overweight people older than 45 years.
B)A genetic predisposition exists for the development of type 2 diabetes mellitus.
C)Type 2 diabetes requires lifelong insulin replacement.
D)Type 2 diabetes is often diagnosed after complications have resulted.
E)Women have a higher incidence of type 2 diabetes.
Q3) When is the best time for the nurse to administer Lispro?
A)After the patient has started eating
B)Within 10 to 15 minutes of eating
C)30 minutes before a meal
D)45 to 60 minutes before a meal
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Chapter 37: Drugs Used to Treat Thyroid Disease
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Sample Questions
Q1) When assisting with the care of a patient with hyperthyroidism, the nurse will:
A)provide a cool environment.
B)anticipate ordering a low calorie diet.
C)limit daily caffeine intake.
D)encourage intake of bran products.
Q2) Which patient would be a candidate for radioactive iodine therapy?
A)A 17-year-old woman with Graves' disease
B)A 64-year-old woman with hypothyroidism
C)A 46-year-old man with heart disease and thyroid cancer
D)An 82-year-old man with myxedema crisis
Q3) Which clinical manifestation(s) would the nurse assess in a patient with hypothyroidism? (Select all that apply.)
A)Cold intolerance, weight gain
B)Nervousness, agitation
C)Increased susceptibility to infection
D)Exophthalmos, fatigue
E)Hypoactive reflexes
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Chapter 38: Corticosteroids
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Sample Questions
Q1) A patient with type 1 diabetes was prescribed a glucocorticoid for chronic obstructive pulmonary disease.Which will the nurse expect in the treatment plan?
A)A decrease in the amount of insulin needed
B)No change in the amount of insulin needed
C)An increase in the need for carbohydrates
D)An increase in the insulin needed
Q2) Which fluid replacement method will the nurse identify for a patient on a fluid restriction?
A)Freely throughout the day and evening shift
B)One third of the allowed volume on each shift
C)Half the volume with meals and the remainder divided among shifts
D)As the patient desires
Q3) Which condition would require mineralocorticoid replacement?
A)Addison's disease
B)Diabetes insipidus
C)Myxedema
D)Glomerulonephritis
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Chapter 39: Gonadal Hormones
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Sample Questions
Q1) The nurse is teaching a young woman about birth control pills.For which situation will the patient need to seek immediate follow up with the health care provider?
A)Breakthrough bleeding
B)Nausea
C)Missed dose
D)Light menstrual flow
Q2) Which is most important for the nurse to remember when instructing the patient about treatment with gonadal hormones?
A)Dosage, schedule, and adverse effects
B)Cost, storage, and route of administration
C)Drug interactions and food interactions
D)Scheduling follow up appointments and lab studies
Q3) What is the rationale for using an androgen as part of breast cancer treatment?
A)For maintenance of fat stores
B)To promote nutrition
C)To prevent wasting resulting from cancer growth
D)For palliative treatment to suppress cancer cell growth
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42
Chapter 40: Drugs Used in Obstetrics
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Sample Questions
Q1) Which is characterized by seizures?
A)Pregnancy induced hypertension
B)Preeclampsia
C)Eclampsia
D)Premature rupture of membranes
Q2) Which test would the nurse anticipate to be done to determine if preterm labor is present in a patient whose symptoms are questionable?
A)Sonogram
B)Fetal fibronectin test
C)Amniocentesis
D)Doppler study
Q3) Which drug will the nurse administer to prevent neonatal conjunctivitis in the newborn?
A)Silver nitrate
B)Dexamethasone
C)Erythromycin
D)Vitamin K
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Chapter 41: Drugs Used in Mens and Womens Health
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Which type of drug is most effective in the treatment of erectile dysfunction (ED)?
A)Phosphodiesterase inhibitors
B)Antiandrogen agents
C)Sympathomimetic agents
D)Alpha<sub>1</sub> adrenergic blocking agents
Q2) The nurse at an outpatient clinic is educating a group of young adults regarding prevention of the spread of sexually transmitted infections.Information will include: (Select all that apply.)
A)the use of hormonal contraceptives.
B)the use of latex condoms when infection is present.
C)abstinence.
D)frequent use of nonoxynol 9.
E)the importance of "partner services."
Q3) Why must caution be used when taking a phosphodiesterase inhibitor to enhance male sexual function?
A)It can become habit forming.
B)Life-threatening consequences can occur with cardiovascular disorders.
C)It is an ineffective treatment.
D)It is expensive and available only by special prescription.
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Page 44
Chapter 42: Drugs Used to Treat Disorders of the Urinary System
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Sample Questions
Q1) The nurse is reviewing the urinalysis results of an older adult patient admitted with elevated temperature and incontinence.Which urinalysis properties are indicative of an infection? (Select all that apply.)
A)Straw color
B)Foul odor
C)Trace glucose
D)pH of 8.2
E)Specific gravity of 1.014
Q2) What may become discolored by phenazopyridine (Pyridium) in addition to the urine?
A)Feces
B)Sclera
C)Sputum
D)Saliva
Q3) How often is fosfomycin (Monurol) usually administered when used in the treatment of UTIs?
A)In a one-time dose
B)Once per day
C)Once per week
D)Monthly
45
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Chapter 43: Drugs Used to Treat Glaucoma and Other Eye Disorders
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Sample Questions
Q1) The nurse is caring for a patient immediately following a right sided trabeculectomy.When positioning this patient, the nurse will encourage a _____ position.
A)prone
B)right side lying
C)left side lying
D)Trendelenburg
Q2) The nurse is assisting with applanation tonometry on a patient at the ophthalmologist's office.The results indicate the patient's reading to be 15 mm Hg.The nurse interprets this result as _____ IOP.
A)decreased
B)normal
C)slightly increased
D)severely increased
Q3) What is the action of timolol maleate (Timoptic), a beta adrenergic blocking agent?
A)Draws aqueous humor from the eye into the circulatory network
B)Increases the production of aqueous humor
C)Increases the outflow of aqueous humor
D)Decreases the production of aqueous humor
Page 46
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Chapter 44: Drugs Used for Cancer Treatment
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Sample Questions
Q1) Which nursing consideration(s) would be taken into account prior to the administration of cisplatin IV? (Select all that apply.)
A)Review of laboratory data for presence of myelosuppression and hepatic and renal parameters
B)Administration of IV hydration as prescribed
C)Administration of epoetin alfa (Epogen)
D)Administration of prechemotherapy mesna (Mesnex)
E)Assessment for dermatologic conditions
Q2) The nurse is providing education about chemotherapy to a patient who is being discharged.Which statement by the patient indicates a need for further teaching?
A)"I will shave with an electric razor."
B)"I will take aspirin for a headache."
C)"I will wash my laundry separate from other family members."
D)"I will flush the toilet twice after using."
Q3) What is the intended outcome of the chemoprotective drug amifostine (Ethyol)?
A)Decreased nausea and vomiting
B)Increased effectiveness of the chemotherapy
C)Maintenance of body weight
D)Decreased renal toxicity
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Page 47
Chapter 45: Drugs Used to Treat the Muscular System
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Sample Questions
Q1) What is the reason for paraplegic patient to receive baclofen (Lioresal)?
A)It interrupts reflexes at the level of the spinal cord.
B)It acts directly on the skeletal muscles to reduce spasticity.
C)It interrupts transmission of impulses from motor nerves to muscles at the skeletal neuromuscular junction.
D)It produces generalized mild weakness of skeletal muscles and decreases the force of reflex muscle contractions.
Q2) Which laboratory values will the nurse review prior to beginning medication therapy for skeletal and muscle disorders?
A)Sodium, magnesium, and chloride
B)C-reactive protein (CRP), human leukocyte antigen (HLA), and liver function tests
C)Arterial blood gases (ABGs), complete blood count (CBC), and electrolytes
D)Glucose, high density lipoproteins (HDL), and prothrombin time (PT)
Q3) Which common adverse effects occur with neuromuscular-blocking agents?
A)Fever
B)Flushing
C)Nausea
D)Ataxia
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Chapter 46: Antimicrobial Agents
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Sample Questions
Q1) An older adult who has septicemia is receiving IV aminoglycoside therapy.Which symptom is most important for the nurse to monitor?
A)Bone marrow suppression
B)Ototoxicity
C)Gastrointestinal (GI) distress
D)Photosensitivity
Q2) On what is the selection of an antimicrobial agent based?
A)Sensitivity of the microorganism to the drug
B)Half life of the medication
C)Therapeutic levels of the drug
D)Bioavailability of the drug
Q3) A patient is admitted with glomerulonephritis.IV gentamicin therapy is started after cultures indicate gram negative bacilli in the blood.The patient also receives IV furosemide (Lasix).The nurse will monitor for signs and symptoms of toxicity related to which organ?
A)Kidneys
B)Pancreas
C)Liver
D)Brain
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49
Chapter 47: Nutrition
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Sample Questions
Q1) A patient is being treated for symptoms of alcohol withdrawal and has been identified to have a thiamine deficiency.When performing physical assessment on this patient specific to thiamine deficiency, the nurse will focus on: (Select all that apply.)
A)level of consciousness.
B)cardiac status.
C)sensitivity to light.
D)risk for diarrhea.
E)nutrition status.
Q2) A patient presents at the physician's office with reports of frequent nosebleeds and delayed clotting.The physician diagnoses this patient with a vitamin deficiency.To treat this type of deficiency, the nurse will encourage the patient to consume foods high in vitamin:
A)C.
B)D.
C)K.
D)A.
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Chapter 48: Herbal and Dietary Supplement Therapy
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Sample Questions
Q1) Which herb is used to stimulate the innate immune system?
A)Aloe
B)Echinacea
C)Chamomile
D)Ginger
Q2) The nurse is caring for a 36 year old male patient newly diagnosed with multiple sclerosis (MS).The patient asks if he can continue to take echinacea to help boost his immune system.The nurse's best response is:
A)"Limit use to no more than 8 weeks at a time"
B)"Echinacea use is not recommended for patients with autoimmune diseases"
C)"What other medications are you taking?"
D)"That is a decision that you will need to make independently"
Q3) What is St.John's wort used to treat?
A)Rheumatoid arthritis
B)Asthma
C)Depression
D)Viral infections
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Chapter 49: Substance Abuse
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Sample Questions
Q1) Which protects individuals who have been successfully rehabilitated from substance abuse from discrimination related to past addiction?
A)Americans with Disabilities Act (ADA)
B)National Council on Alcoholism and Drug Dependence
C)Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF)
D)American Medical Association (AMA)
Q2) Which psychological trait(s) is/are linked to substance abuse? (Select all that apply.)
A)Dependent personality
B)Ability to relax
C)Depression
D)Anxiety
E)Autonomy
F)Social personality
G)Optimism
Q3) What is the rationale for administering acamprosate (Campral)?
A)Withdrawal from alcohol addiction
B)Maintenance of sobriety
C)Improvement of renal function
D)Correction of electrolyte imbalances
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Chapter 50: Miscellaneous Agents
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Sample Questions
Q1) A nurse working in a long term care facility is caring for a resident diagnosed with moderate dementia.The physician recently started the resident on tacrine (Cognex).Baseline serum ALT levels were completed.The nurse will ensure that follow up ALT levels will be done:
A)every other week for 16 weeks, then monthly.
B)once a month then yearly.
C)every 6 months.
D)once a year.
Q2) The nurse is caring for a patient with a new prescription for donepezil (Aricept) for symptoms of mild dementia.Which symptom exhibited by the patient should the nurse report to the physician immediately?
A)Bradycardia
B)Vomiting
C)Diarrhea
D)Dyspepsia
Q3) Which nursing action is accurate when administering colchicine?
A)Administer the medication subcutaneously.
B)Maintain fluid intake of at least eight 8 ounce glasses daily.
C)Increase fiber in the diet to prevent constipation.
D)Inform the patient that pain will be alleviated in 2 weeks.
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