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100
Which source contains information specific to nutritional supplements? A. USP Dictionary of USAN & International Drug Names B. Natural Medicines Comprehensive Database C. United States Pharmacopoeia/National Formulary (USP NF) D. Drug Interaction Facts
What is C. United States Pharmacopoeia/National Formulary
100
The nurse is teaching an elderly patient with difficulty swallowing about his medications. Which explanation by the nurse is most helpful? Points : A. "Enteric coated tablets can be crushed and taken with applesauce." B. "Tablets that are scored can be broken in half." C. "Medications labeled 'SR' can be crushed." D. "Avoid taking medications in liquid form."
What is B. "Tablets that are scored can be broken in half."
100
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? Points : 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."
What is B. "I will place the tablet on my tongue before breakfast."
100
Which condition would indicate to the nurse that a patient has phenytoin (Dilantin) toxicity? Points : A. Oculogyric crisis B. Nystagmus C. Strabismus D. Amblyopia
What is B. Nystagmus
100
Which assessment is most important for the nurse to obtain when a patient is being treated with a neuromuscular-blocking agent? Points : A. Skin assessment for rash and urticaria B. Blood pressure assessment for orthostatic hypotension C. Respiratory assessment for patent airway D. Assessment for fluid volume overload
What is C. Respiratory assessment for patent airway
200
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? Points : A. Manufacturer's section B. Brand and Generic Name section C. Product Category section D. Product Information section
B. What is Brand and Generic Name Section
200
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? Points : 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."
What is B. "This medication lowers my blood pressure by helping me get rid of fluid." CORRECT ANSWER
200
A newly admitted psychiatric patient repetitively states, "I wish I were dead. I just want to kill myself." The priority nursing at this time is to: Points : A. establish a trusting relationship. B. encourage a nonstimulating environment. C. provide for patient safety. CORRECT ANSWER D. identify signs of increased anxiety.
What is . C. provide for patient safety. CORRECT ANSWER
200
Which action will the nurse take when a patient receiving morphine sulfate via percutaneous coronary angioplasty (PCA) has a shallow, irregular respiratory rate of 6 breaths/min? Points : A. Elevate the patient's head of bed to facilitate lung expansion. B. Increase the patient's primary intravenous (IV) flow rate. C. Complete the FLACC scale. D. Notify the health care provider and prepare to administer naloxone (Narcan).
What is Notify the health care provider and prepare to administer naloxone (Narcan). CORRECT ANSWER
200
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? Points : 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."
What is B. "Rise to a sitting or standing position slowly; your symptoms will resolve."
300
patient diagnosed with diabetes, hypertension, chronic obstructive pulmonary disease, and angina reports to the nurse that she is taking an aloe juice drink to treat constipation. When assessing this patient for adverse interactions, the nurse will prioritize: Points : A. pulse rate. B. blood pressure. C. lung sounds. D. blood glucose monitoring.
What is D. blood glucose monitoring
300
The nurse is caring for a patient taking a cholinergic agent. When auscultating lung sounds, the nurse notes inspiratory and expiratory wheezing bilaterally. The best action for the nurse to take would be to: Points : A. provide the next dose of the cholinergic agent immediately. B. assess heart rate and blood pressure. C. reposition the patient. D. withhold the next dose and notify the physician.
What is D. withhold the next dose and notify the physician.
300
The nurse transcribes an order for lorazepam for a patient experiencing nausea and vomiting as a result of alcohol withdrawal. The most appropriate route of administration for lorazepam with this patient would be: Points : A. by mouth. B. rectally. C. intramuscularly. D. subcutaneously.
What is C. intramuscularly.
300
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? Points : A. Hypotension B. Urticaria C. Dyspnea D. Rhinorrhea
What is C. dyspnea
300
Prior to the administration of a beta adrenergic blocker, the nurse notes the patient to have a heart rate of 52 beats/min, peripheral edema, crackles in the bases of the lungs, and mottled skin. Which is the priority nursing action? Points : A. Administer the medication as ordered. B. Re evaluate the patient in 20 minutes. C. Obtain a serum blood level. D. Withhold the medication and notify the health care provider.
What is D. Withhold the medication and notify the health care provider. CORRECT ANSWER
400
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: Points : 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"
What is B. Echinacea use is not recommending for patients with autoimmune diseases.
400
The nursing assessment identifies that the client is nauseated and cannot take acetaminophen (Tylenol) orally. Which is true regarding the substitution of this medication to suppository form? Points : A. It is standard practice when the patient is unable to take the ordered medication. B. It is acceptable if the patient agrees to the altered route form. C. It is preferable to having the patient miss a dose of the medication. D. It is contraindicated without an order from the health care provider.
What is D. It is contraindicated without an order from the health care provider.
400
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? Points : 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
What is C. Administration of depot antipsychotic medication
400
Within minutes of the initiation of a nebulizer treatment with a sympathomimetic bronchodilator, the patient turns on his call light and states that he feels "panicky" and his heart is racing. Which action will the nurse take? Points : A. Reassure the patient this is expected. B. Add more diluents to the nebulizer. C. Administer a sedative. D. Stop treatment and notify the health care provider.
What is D. Stop treatment and notify the health care provider.
400
The patient recently prescribed quinidine is at highest risk for which common adverse effect? Points : A. Chills B. Diarrhea C. Nausea D. Rash
What is B. Diarrhea
500
A patient developed hives and itching after receiving a drug for the first time. Which instruction by the nurse is accurate? Points : 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.
What is A. Stop the medication and encourage the patient to wear a medical alert bracelet that explains the allergy.
500
A patient has been prescribed lorazepam (Ativan), a benzodiazepine used to treat insomnia. Which action will the nurse take? Points : A. Advise the patient to take the medication with food. B. Assess the patient's blood pressure in sitting and lying positions. C. Inform the patient to discontinue the medication once sleep improves. D. Instruct the patient to lie down before taking the medication.
What is B. Assess the patient's blood pressure in sitting and lying positions. CORRECT ANSWER
500
Which statement is true regarding the adverse effects associated with antipsychotic medications? Points : A. Tardive dyskinesia is a common, reversible condition. B. Painful dystonic reactions can occur in the first 72 hours of initiation of therapy. C. Neuroleptic malignant syndrome (NMS) is a common adverse effect. D. Pseudoparkinsonian symptoms can cause Parkinson's disease.
What is B. Painful dystonic reactions can occur in the first 72 hours of initiation of therapy.
500
The nurse is providing nutrition information to a patient diagnosed with a lower respiratory tract disease. What is the rationale for limiting caffeine? Points : 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.
What is B. Caffeine can result in thicker lung secretions. CORRECT ANSWER
500
A patient is admitted to the acute care telemetry unit with a diagnosis of atrial fibrillation. The physician orders dofetilide (Tikosyn). Before initiating this medication, the nurse will: Points : A. hold anticoagulant medications. B. remove ECG leads. C. assess potassium level. D. ensure QTc interval is more than 440 to 500 msec.
What is C. assess potassium level. CORRECT ANSWER
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