Red
Blue
Yellow
Green
White
100

Flumazenil is an antidote for which medication?

  • Lorazepam
  • Methylphenidate
  • Amitriptyline
  • Fluoxetine
  • Lorazepam
100

What class of medication is Lorazepam?

  • Antidepressants
  • Benzodiazepine
  • Selective Serotonin Reuptake Inhibitor
  • Monoamine Oxidase Inhibitor (MAOI)
  • Benzodiazepine
100

A nurse is caring for a patient who has been prescribed phenytoin for seizure management. The nurse should educate the patient to immediately report which of the following symptoms?

  • Development of a rash
  • Mild headache and dizziness
  • Muscle weakness

Increase appetite

  • Development of a rash
100

The best time to take levothyroxine is:

  • One hour after a meal
  • Once a day with any meal
  • With a bedtime snack
  • 30 to 60 minutes before breakfast
  • 30 to 60 minutes before breakfast
100

The client receives a dose of insulin lispro at 0700. At what time would the nurse expect the risk for hypoglycemia to occur?

  • 0600
  • 0800
  • 1200
  • 1500
  • 0800
200

The nurse would monitor for which priority concern for the client taking benzodiazepines?

a. Severe withdrawal

b. Respiratory depression

c. Hypotension

d. Shock

b. Respiratory depression

200

27. The nurse is discussing the reason for new Parkinson's medications. When educating the client and family, the nurse explains these agents focus on:

A) Restoring the balance of dopamine and acetylcholine

B) Increasing adrenergic stimulation
C) Restoring acetylcholine and blocking dopamine
D) Destroying acetylcholine receptors

A) Restoring the balance of dopamine and acetylcholine

200

25. A nurse is educating a client newly diagnosed with Type 1 diabetes. Which of the following is most likely to occur in the client’s pancreas?

A) The pancreas produces insufficient insulin due to beta cell destruction.

B) The pancreas produces excess insulin due to overstimulation of beta cells.
C) The pancreas fails to produce glucagon, leading to low blood sugar.
D) The pancreas becomes resistant to insulin, resulting in high blood sugar.

A) The pancreas produces insufficient insulin due to beta cell destruction.

200

24. A nurse is reviewing the function of the pancreas with a client diagnosed with diabetes. Which of the following cells in the pancreas are responsible for producing insulin?

A) Alpha cells
B) Beta cells
C) Delta cells
D) Gamma cells

B) Beta Cells

200

The nurse recognizes that a client with a blood sugar level of 60 mg/dL would stimulate which hormone to be released from the pancreas?

a. Glycogen

b. Insulin

c. Glucagon

d. Glucocorticoid

c. Glucagon

300

A nurse is reviewing the medication list for a patient with depression who has been prescribed fluoxetine. Which of the following is the primary mechanism of action for fluoxetine?

  • Inhibits the reuptake of dopamine
  • Increases the release of norepinephrine
  • Inhibits the reuptake of serotonin
  • Stimulates the release of serotonin
  • Inhibits the reuptake of serotonin
300

29. A nurse is educating a client who has just been prescribed a new antidepressant. Which of the following statements by the client indicates a need for further teaching?

A) "I might feel dizzy when I stand up too fast while taking this medication."
B) "If I don’t feel better after a few days, I’ll stop taking the medication."

C) "I should report any increased feelings of sadness or thoughts of self-harm."
D) "It might take a few weeks before I notice improvement in my symptoms."

B) "If I don’t feel better after a few days, I’ll stop taking the medication."

300

A nurse is assessing a client who is experiencing chronic pain. The client describes the pain as a “burning,” “tingling,” or “shooting” sensation that sometimes radiates along a specific nerve pathway. The nurse knows that this type of pain is most likely treated with which of the following medications?

  • A) Acetaminophen
    B) Gabapentin
    C) Ibuprofen
    D) Oxycodone

B) Gabapentin

300

A patient with diabetes has a new prescription for prednisone. What will the nurse expect to administer?

A) The same dose of insulin
B) No dose of insulin
C) A lower dose of insulin
D) A higher dose of insulin

D) A higher dose of insulin

300

A patient is prescribed long-term prednisone therapy for an autoimmune disorder. Which of the following instructions should the nurse provide to the patient regarding the risk of immunosuppression associated with prednisone use?

  • A) "You should avoid all contact with other people to prevent infection."
    B) "You may need to take antibiotics to prevent infections while on this medication."
    C) "Notify your healthcare provider if you experience any signs of infection, such as fever or sore throat."
    D) "Prednisone will increase your immune system's ability to fight infections."

C) "Notify your healthcare provider if you experience any signs of infection, such as fever or sore throat."

400

Metformin is prescribed to a client with type 2 diabetes. Which class of medication does metformin belong to?

  • A) Sulfonylureas
    B) Biguanides
  • C) Thiazolidinediones
    D) DPP-4 inhibitors
  • B) Biguanides
400

A nurse is providing discharge instructions to a client who has been prescribed gabapentin. Which of the following statements by the client indicates an understanding of the teaching?

A) "I can drive as long as I take the medication at night."
B) "I will avoid driving until I know how this medication affects me."
C) "As long as I don’t feel dizzy, I can operate heavy machinery right away."

D) "This medication won’t affect my thinking, so I can continue my normal routine."

B) "I will avoid driving until I know how this medication affects me."

400

A nurse is caring for a client with diabetes who is unconscious due to severe hypoglycemia. The nurse prepares to administer glucagon. Which of the following actions is most appropriate for the nurse to take?

  • A) "Administer glucagon orally to increase blood glucose levels."
    B) "Inject glucagon and monitor the patient’s response."
    C) "Wait for the patient to regain consciousness before administering glucagon."
    D) "Give the patient a snack immediately after the glucagon injection."

B) "Inject glucagon and monitor the patient’s response."

400

A nurse is providing education to a client who has been prescribed Humalog (insulin lispro), a rapid-acting insulin, for the management of their diabetes. Which of the following instructions should the nurse include in the client’s education?

  • A) "You should inject Humalog 60 minutes before eating to allow it time to work."
    B) "You can mix Humalog with long-acting insulins in the same syringe."
    C) "Be sure to monitor your blood sugar before meals, as Humalog works quickly."
  • D) "You can skip meals if you don’t feel like eating, since Humalog won’t cause hypoglycemia."

C) "Be sure to monitor your blood sugar before meals, as Humalog works quickly.

400

A nurse is educating a patient with Parkinson’s disease who is prescribed a combination of carbidopa and levodopa. Which of the following statements is correct regarding the purpose of carbidopa in this medication condition?

  • Carbidopa increases the amount of levodopa that is available to the brain by preventing its breakdown in the peripheral tissues.
  • Carbidopa enhances the absorption of levodopa in the GI tract to improve its effectiveness.
  • Carbidopa helps to decrease the side effects of levodopa, such as nausea and vomiting, by increasing its absorption.
  • Carbidopa acts as a neurotransmitter 
  • in the brain, replacing the dopamine lost in Parkinson’s disease.
  • Carbidopa increases the amount of levodopa that is available to the brain by preventing its breakdown in the peripheral tissues.
500

The nurse is caring for a client who is taking levothyroxine. The nurse identifies effectiveness of the medication when the client reports which of the following? (Select all that apply.)

  • Fatigue during the day
  • Feeling more alert
  • Increased weight with decreased hunger
  • Needing more sleep at night
  • Improved concentration and mental clarity
  • Decreased sensitivity to cold
  • Increased sensitivity to cold
  • Feeling more alert
  • Improved concentration and mental clarity
  • Decreased sensitivity to cold
500

A nurse is preparing to administer insulin to a client with diabetes. The nurse understands that long-acting insulins, such as Lantus (insulin glargine), should not be mixed with other types of insulin. Which of the following is the primary reason for this?

  • A) Mixing insulins can reduce the effectiveness of long-acting insulin.
  • B) Mixing insulins can cause an allergic reaction.
    C) Mixing insulins can cause unpredictable peaks in blood glucose levels.
    D) Mixing insulins can lead to an increased risk of hypoglycemia.

Mixing insulins can reduce the effectiveness of long-acting insulin.

500

A nurse is providing education to a client who has been prescribed alendronate for osteoporosis prevention. The client is also taking corticosteroids for a chronic condition. Which of the following statements should the nurse include in the education?

  • A) "Corticosteroids increase the risk of osteoporosis, so alendronate is prescribed to help prevent bone loss."
    B) "Corticosteroids increase bone strength, so alendronate is prescribed to treat fractures.
  • "C) "You should take alendronate with food to avoid stomach irritation while on corticosteroids."
    D) "Since you're taking corticosteroids, you don't need to worry about taking calcium or vitamin D with alendronate."

A) "Corticosteroids increase the risk of osteoporosis, so alendronate is prescribed to help prevent bone loss."

500

A nurse is reviewing the laboratory results of a patient who is taking phenytoin for seizure management. The nurse notes that the patient’s serum phenytoin levels is 20 mcg/mL. Which of the following statements is correct?

  • A serum phenytoin level of 20 mcg/mL is within the normal therapeutic range and indicates effective treatment
  • A serum phenytoin level of 20 mcg/mL is slightly elevated and may increase risk of toxicity.
  • A serum phenytoin level of 20 mcg/mL is too low to be effective and should be adjusted upward.
  • A serum phenytoin level of 20 mcg/mL is normal for an elderly patient but too high for a young adult.
  • A serum phenytoin level of 20 mcg/mL is within the normal therapeutic range and indicates effective treatment
500

A nurse is caring for a child who has been prescribed methylphenidate for ADHD. Which of the following action is most important for the nurse to implement during the child’s treatment?

  • Monitor the child’s blood pressure and heart rate regularly, as these can be elevated with methylphenidate use.
  • Assess the child’s height and weight regularly to monitor for potential growth delays or weight loss.
  • Encourage the child to consume a high-calorie diet to prevent excessive weight gain.
  • Perform regular hearing assessments, as methylphenidate may cause auditory disturbances.
  • Assess the child’s height and weight regularly to monitor for potential growth delays or weight loss.
600

The nurse is planning to discharge a client newly diagnosed with diabetes who requires insulin injections. The nurse asks the client which locations are the best for insulin injections. The client states, “I will always give them in my abdomen.” How should the nurse respond?

A) "Rotating injection sites is recommended in order to prevent the formation of scar tissue."

B) "You should plan to give your injections in your arms and legs, because the abdomen is not recommended."
C) "Please be sure to monitor that area, and if you notice bruising, notify your provider."
D) "I am glad you were able to find a spot to give your injections where there is little discomfort."

A) "Rotating injection sites is recommended in order to prevent the formation of scar tissue.

600

A nurse is educating a patient who has been prescribed both a benzodiazepine and an opioid. Based on the black box warning for these medication, which of the following statements is most important for the nurse to include in the teaching?

  • “Both medication may increase your risk for GI bleeding, so be sure to take them with food.”
  • “Concomitant use of a benzodiazepine and an opioid can cause severe sedation, respiratory depression, and even coma or death.”
  • “Taking both medications together will likely increase your pain tolerance, reducing the need for higher opioid doses.”
  • “If you feel drowsy, you can safely stop taking one of the medications temporarily until you feel better.”
  • “Concomitant use of a benzodiazepine and an opioid can cause severe sedation, respiratory depression, and even coma or death.”
600

A nurse is caring for a patient who has been prescribed a benzodiazepine. The nurse understands that the medication exerts its therapeutic effects by binding to specific GABA receptors. Which of the following actions are most likely to occur as a result of this mechanism of action?

  • Decreased heart rate and blood pressure
  • Increased GABA activity leading to sedation, anxiety, reducation, and prevention of seizures
  • Increased dopamine release leading to mood elevation
  • Stimulation of norepinephrine release to increase alertness
  • Increased GABA activity leading to sedation, anxiety, reducation, and prevention of seizures
600

The nurse is caring for a client who is prescribed a selective serotonin reuptake inhibitor (SSRI) as well as a monoamine oxidase inhibitor (MAOI). The nurse should monitor the client for which of the following symptoms of serotonin syndrome

  • Incoordination and high fever
  • A productive cough and hypothermia
  • Tea-colored urine and constipation
  • Consistently low blood pressure and urinary retention
  • Incoordination and high fever
600

A client with type 2 diabetes is prescribed metformin. Which of the following actions accurately describes how metformin helps control blood glucose levels?

  • Stimulates the pancreas to release more insulin and increases glucose absorption in the intestines.
    Increases the body's sensitivity to insulin and decreases glucose production by the liver.
  • C) Reduces insulin sensitivity and increases glucose absorption in the intestines.
    D) Increases the production of glucose in the liver and decreases peripheral glucose uptake.

Increases the body's sensitivity to insulin and decreases glucose production by the liver.