Endocrine
Neurological
Cardiovascular
Infection
Gastrointestinal
100
What are the effects associated with insulin-induced hypoglycemia for a patient taking a sulfonylurea like glipizide? A) Tachycardia B) Palpitations C) Nausea D) Sweating E) All of the above
E) All of the above.
100
What side effect of baclofen (centrally-acting muscle relaxant) is significantly different from dantrolene (peripherally-acting muscle relaxant)? A) Diarrhea B) Drowsiness C) Dizziness D) Withdrawal symptoms
D) Withdrawal symptoms
100
The nurses recognizes that the therapeutic level for digoxin is: A) 0.8 - 1.2 ng/mL B) 0.8 - 2.0 ng/mL C) 0.4 - 1.2 ng/mL D) 0.4 - 2.0 ng/mL
B) 0.8 - 2.0 ng/mL
100
What patient statement indicates they are having an adverse reaction to their prescribed vancomycin? A) "I have a headache!" B) "I'm thirsty!" C) "I'm feeling anxious!" D) "I hear a ringing in my ears!"
D) "I hear a ringing in my ears!"
100
A nurse recognizes that there is a need for further teaching when the patient who is taking an antacid like aluminum hydroxide (Amphojel) indicates: A) "I'm taking this to neutralize my gastric acid levels." B) "I need to increase my fiber intake." C) "I will report coffee ground emesis." D) "I will take this with my ibuprofin to decrease the gastric upset."
D) "I will take this with my ibuprofin to decrease the gastric upset."
200
A diabetic patient taking atenolol and allopurinol is experiencing nausea and sweating, but has stable vital signs. What should the nurse's first action be? A) Offer a moist towelette B) Administer prescribed antiemetic C) Check blood glucose D) Provide an emesis basin
C) Check blood glucose
200
A nurse recognizes that her patient taking pilocarpine for glaucoma is at risk for retinal detachment. Which of the following is not an indication of retinal detachment? A) Feeling as though a curtain has been pulled over the visual field. B) Dark floaters C) Headache D) Flashes of light
C) Headache
200
What is the proper sequence of events for a patient with chest pain who has sublingual nitroglycerin tablets prescribed? A) Take 2nd Nitroglycerin tablet (5 min later) B) Take 1st Nitroglycerin tablet C) Sit down / lie down to relax D) Call 911 E) Take 3rd Nitroglycerin tablet (5 min later)
C - B - D - A - E
200
Which of the following prescriptions would the nurse question if their patient told them that they were allergic to penicillin? A) ceftriaxone B) aztreonam C) ezithromycin D) tetracycline
A) ceftriaxone
200
Which of the following is an expected side effect for a patient taking ondansetron? A) Constipation B) Dizziness C) Sweating D) Rash
B) Dizziness
300
Which of the following is not a side effect for a patient taking levothyroxine? A) Dry skin B) Menstrual irregularities C) Diarrhea D) Heat intolerance
A) Dry skin
300
Which option correctly matching the anti-seizure medication to its corresponding adverse effect? A) Phenytoin - fatal liver toxicity B) Carbamazepine - bone marrow suppression C) Valproic Acid - withdrawal symptoms D) Lamotrigine - rhabdomyolysis
B) Carbamazepine - bone marrow suppression **Phenytoin - withdrawal symptoms **Valproic Acid - fatal liver toxicity
300
[Select all that apply] What labs should the nurse pay close attention to when their patient is taking captopril? A) Potassium levels B) Troponin I levels C) Liver function tests (LFTs) D) Complete blood count (CBC) E) BUN / Creatinine
A) Potassium levels C) Liver function tests (LFTs) D) Complete blood count (CBC) E) BUN / Creatinine
300
The acronym "PIERS" identifies what 5 medications to treat tuberculosis?
Pyrazinamide Isoniazid Ethambutol Rifampin Streptomycin
300
[Select all that apply] What nursing actions are appropriate for a patient taking lubiprostone (Amitiza)? A) Monitor for dehydration B) Give medication with food to prevent GI distress C) Hold for constipation D) Auscultate bowel sounds E) Expect to give for Crohn's Disease diagnoses
A) Monitor for dehydration B) Give medication with food to prevent GI distress D) Auscultate bowel sounds
400
A nurse recognizes that his patient taking hydrocortisone for management of Addison's Disease requires further teaching when the patient states: A) "I am taking this medication because of my decreased level of cortisol" B) "In times of stress, my provider may recommend an increased dose" C) "I have to wear a medical alert band" D) "I will need to take this medication until my cortisol level is under control"
D) "I will need to take this medication until my cortisol level is under control"
400
After a patient receives their diazepam (Valium), their nurse obtains the following vital signs: BP: 94/65, HR: 125, RR: 7, Temp: 98.5, O2: 97%. What is the nurses priority? A) Prepare the patient for intubation B) Assist the patient to a fowler's position C) Administer 0.9% NS bolus D) Administer flumazenil IV
D) Administer flumazenil IV
400
Of the nurse's 4 patients currently taking atorvastain, what lab value indicate an effectiveness of the medication? A) HDL: 15 mg/dL B) LDL: 150 mg/dL C) Triglycerides: 300 mg/dL D) Cholesterol: 180 mg/dL
D) Cholesterol: 180 mg/dL
400
[Select all that apply] Instructions for a patient taking ketoconazole should include which of the following? A) Take it with food to reduce GI distress B) Take it in the morning to avoid insomnia C) Take it with 8 oz of orange juice to increase absorption D) Take it with an antacid to minimize dyspepsia E) Increase fluid intake to 2 to 3 L /day if tolerated
A) Take it with food to reduce GI distress C) Take it with 8 oz of orange juice to increase absorption
400
What is not a side effect for a patient taking sulfasalazine for their IBS? A) Headache B) Yellow discoloration of urine and skin C) Agranulocytosis D) Non-disolved E.C. pill in stool
A) Headache
500
How would a nurse go about evaluating the effectiveness of their patient taking somatropin? A) Level of consciousness B) ECG C) Height and weight D) Breath sounds and respiratory rate
C) Height and weight
500
The nurse should question which of the following prescriptions for her patient taking fluoxetine (Prozac). A) ibuprofin B) amitripyline C) zofran D) warfarin
A) ibuprofin
500
[Select all that apply] The nurse recognizes that the patient teaching has been effective when the patient identifies which of the following foods are recommended during their therapy of furosemide: A) Baked Potato B) Dried apricot C) Peaches D) Bananas E) Apples
A) Baked Potato B) Dried apricot D) Bananas
500
What would you expect the provider to prescribe if the patient is diagnosed with Methicillin-resistant Staphylococcus aureus (MRSA)? A) Penicillin B) Trimethoprim (Bactrim) C) Vancomycin (Vancocin) D) Ciprofloxacin (Cipro)
C) Vancomycin (Vancocin)
500
For which patient should a long-term prescription of omeprazole be questioned? A) 34 year old pregnant female B) 52 year old diabetic male C) 87 year old female with osteoporosis D) 42 year old male with prostate cancer
C) 87 year old female with osteoporosis
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