Show:
Drug therapy in Pediatric patients
Drug therapy in Geriatric patients
Childhood Immunization
Vitamins
Dietary Supplements
100
Question: An infant has allergies and often develops a pruritic rash when exposed to allergens. The infant’s parents ask the nurse about using a topical antihistamine. What does the nurse tell them?
Answer: a. Applying this medication to the skin can cause toxicity in this age group. b. Topical medications have fewer side effects than those given by other route.
100
Question: A nurse is concerned about renal function in an 84-year-old patient who is taking several medications. What should the nurse assess?
Answer: a. Creatinine clearance b. Sodium levels
100
Question: A nurse at an immunization clinic is providing vaccines to children. The parent of a child waiting to receive vaccines tells the nurse that the child has an immune deficiency disorder. The nurse understands that which vaccine should not be administered to this child?
Answer: a. Varicella virus vaccine b. Haemophilus influenzae type b (Hib) vaccine
100
Question: A patient tells the nurse that she is thinking about becoming pregnant. The nurse teaches the patient that which vitamin should be her priority for supplementation before planning a pregnancy?
Answer: a. Folic acid b. Vitamin D
100
Question: A patient in her twenties has frequent urinary tract infections, and her prescriber suggests drinking cranberry juice. She asks the nurse how drinking this can help. The nurse will tell her that cranberry juice:
Answer: a. reduces the odor of the urine. b. prevents bacteria from adhering to the urinary tract wall
200
Question: A pediatric nurse is teaching nursing students about medication administration in children. Which statement by a student indicates an understanding of the teaching?
Answer: a. “Drugs effective in adults may not work in children, even if the dose is proportional for weight and size. b. “Side effects of drugs in children are similar to side effects of drugs in adults.”
200
Question: A nurse is preparing to give medications to four geriatric patients who are all taking multiple medications. Which patient is most likely to have an adverse drug reaction related to increased drug effects?
Answer: a. Obese patient b. Thin patient with a chronically low appetite
200
Question: A nurse is preparing to administer vaccines to a 1-year-old child. The parents ask the nurse to give the child acetaminophen before administering the vaccine to reduce the pain. Which response by the nurse is correct?
Answer: a. “Children don’t remember pain, so it isn’t necessary to give acetaminophen.” b. “Your child’s response to the vaccine may not be as effective if I give acetaminophen.”
200
Question: A patient is scheduled to start taking vitamin C. The nurse should teach the patient to observe for which side effect?
Answer: a. Loosening of the teeth b. Nausea and diarrhea
200
Question: The nurse is obtaining a history from a patient who discloses daily use of St. John’s wort in addition to prescription drugs. Which effect of this dietary supplement would most concern the nurse?
Answer: a. It increases the risk of bleeding. b. It accelerates the metabolism of some drugs.
300
Question: The parents of a child with asthma ask the nurse why their child cannot use oral corticosteroids more often, because they are so effective. The nurse will offer which information that is true for children?
Answer: a. Systemic steroids can be toxic. b. Chronic steroid use can inhibit growth.
300
Question: A nurse is making a home visit to an older adult woman who was recently discharged home from the hospital with a new prescription. The nurse notes that a serum drug level drawn the day before was sub therapeutic. What will the nurse do next?
Answer: a. Count the pills in the prescription bottle. b. Notify the provider to request more frequent dosing.
300
Question: The parent of a 2-month-old infant who has just received the first dose of DTaP asks the nurse about expected reactions to the vaccine. The nurse will respond by saying that:
Answer: a. “Mild reactions, including a low-grade fever, are common.” b. “The most common reaction is a rash that develops into itchy vesicles.”
300
Question: A patient has an international normalized ratio (INR) that is elevated to an unsafe level. A nurse administers vitamin K, expecting which therapeutic result?
Answer: a. Decrease in bleeding tendency b. Increase in mental alertness
300
Question: A patient asks a nurse for a supplement that can be used to prevent motion sickness during a vacation cruise. The nurse suggests which supplement?
Answer: a. Ginger root (Zingiber officinale) b. Garlic (Allium sativum)
400
Question: A nurse caring for a 5-year-old child notes that the child has discoloration of several teeth. When taking a medication history, the nurse will ask about which group of medications?
Answer: a. Sulfonamides b. Tetracyclines
400
Question: The nurse is caring for a group of older adult patients who are all receiving multiple medications. The nurse understands that it is essential to individualize each patient’s therapy. Which is the best rationale for this practice?
Answer: a. Renal function declines with age, leading to decreased drug excretion. b. Most older adults have decreased body fat and increased lean mass.
400
Question: A nurse administers Gardasil, the human papillomavirus (HPV) vaccine, to an 11-year-old girl. The nurse informs the parent that routine screening with which diagnostic test is needed?
Answer: a. Beta hCG b. Pap test
400
Question: Which factor in a patient’s history is most likely related to the development of thiamine (vitamin B1) deficiency?
Answer: a. Chronic alcohol abuse b. Heart transplant recipient
400
Question: Which example of product information, if it appeared on the label of an herbal supplement, would comply with the regulations established by the Dietary Supplement Health and Education Act (DSHEA)?
Answer: a. Relieves menopausal hot flashes b. Supports the immune system
500
Question: When administering a medication known to be metabolized by the liver, the nurse will closely monitor for adverse drug reactions in which patient?
Answer: a. A 3 month old infant b. A 13 year old adolescent
500
Question: Older adult patients are at high risk for adverse drug reactions (ADRs). Which measures can reduce the incidence of ADRs?
Answer: a.Using as many drugs possible to relieve symptoms and achieve desired outcomes. b. Taking a thorough drug history, including over-the-counter (OTC) medications.
500
Question: A 3-year-old child is scheduled to receive pneumococcal vaccine (PCV). Which condition should the nurse recognize as a contraindication to the vaccine in this child?
Answer: a. The child’s mother is pregnant b. Temperature of 103°F
500
Question: A child is diagnosed with rickets. The nurse knows that this child is most likely deficient in which vitamin?
Answer: a. Vitamin C b. Vitamin D
500
Question: A nursing student asks a nurse what the NMBER system that rates dietary supplements means. The nurse responds that the NMBER system:
Answer: a. helps consumers evaluate the safety and efficacy of products b. provides funding for research on complementary and alternative medicine