Med. Safety & Administration
A nurse is preparing to administer a medication that the client has taken before. What should the nurse do?
A. Skip verification because the medication is familiar
B. Verify all Rights of Medication Administration
C. Ask the client if they recognize the medication
D. Administer the medication without further assessment
B. Verify all Rights of Medication Administration
Which laboratory value is most important to monitor for a client receiving atorvastatin?
A. CK
B. aPTT
C. INR
D. Platelets
A. CK
Which adverse effect is associated with rifampin?
A. Blue urine
B. Orange-red body fluids
C. Severe hypoglycemia
D. Bradycardia
B. Orange-red body fluids
Which medication is a proton pump inhibitor?
A. Cimetidine
B. Omeprazole
C. Albuterol
D. Warfarin
B. Omeprazole
Which medication is used to reverse benzodiazepine toxicity?
A. Protamine sulfate
B. Vitamin K
C. Flumazenil
D. Acetylcysteine
C. Flumazenil
A client is prescribed liquid ferrous sulfate. Which instruction is appropriate?
A. Drink it through a straw and rinse the mouth afterward
B. Take it with an antacid
C. Mix it with milk to increase absorption
D. Brush the teeth immediately before taking it
A. Drink it through a straw and rinse the mouth afterward
A client taking spironolactone should have which electrolyte monitored closely?
A. Calcium
B. Sodium
C. Potassium
D. Magnesium
C. Potassium
Which finding is associated with aspirin toxicity?
A. Tinnitus
B. Constipation
C. Urinary retention
D. Hypothermia
A. Tinnitus
What is the pharmacological action of omeprazole?
A. Blocks H2 receptors
B. Increases gastric acid secretion
C. Irreversibly blocks the H+/K+-ATPase pump
D. Stimulates intestinal motility
C. Irreversibly blocks the H+/K+-ATPase pump
Which medication is used to treat anemia by stimulating red blood cell production?
A. Epoetin alfa
B. Mannitol
C. Montelukast
D. Rifampin
A. Epoetin alfa
A nurse realizes that the wrong dose of medication was administered. What is the priority action?
A. Complete an incident report
B. Notify the provider
C. Assess the client for harm
D. Document the medication error
C. Assess the client for harm
Which assessment is essential before administering digoxin?
A. Respiratory rate for 30 seconds
B. Apical pulse for one full minute
C. Blood pressure after ambulation
D. Radial pulse for 15 seconds
B. Apical pulse for one full minute
Which adverse effect is associated with ciprofloxacin?
A. Achilles tendon injury
B. Hypercalcemia
C. Severe bradycardia
D. Orange-red tears
A. Achilles tendon injury
Which medication is used to treat serious MRSA infections?
A. Vancomycin
B. Lactulose
C. Sucralfate
D. Calcium carbonate
Vancomycin
A client with hypothyroidism is prescribed levothyroxine. Which finding indicates the medication is working?
A. Increased cold intolerance
B. Improved energy and bowel function
C. Increased fatigue
D. Decreased metabolic rate
B. Improved energy and bowel function
A client taking warfarin asks whether they need to completely eliminate foods containing vitamin K. Which response demonstrates correct teaching?
A. “Yes. Vitamin K should be avoided completely.”
B. “Only green vegetables should be avoided.”
C. “Increase vitamin K intake whenever your INR is elevated.”
D. “Keep your vitamin K intake consistent from day to day.”
D. “Keep your vitamin K intake consistent from day to day.”
A client receiving digoxin reports nausea and says that food “doesn’t taste right.” The nurse also notes an apical pulse of 56/min. Which action is most appropriate?
A. Administer the medication and reassess later
B. Give the medication with food
C. Hold the dose and notify the provider
D. Encourage the client to increase potassium intake immediately
C. Hold the dose and notify the provider
A client taking metronidazole reports facial flushing, vomiting, and a rapid heartbeat after drinking alcohol. What should the nurse suspect?
A. Hypokalemia
B. A disulfiram-like reaction
C. Red man syndrome
D. Digoxin toxicity
B. A disulfiram-like reaction
A client has a history of angioedema while taking an ACE inhibitor. The provider prescribes losartan instead. Why is losartan an appropriate alternative according to the study guide?
A. It increases bradykinin breakdown
B. It blocks angiotensin II rather than its formation
C. It prevents all allergic reactions
D. It directly replaces ACE inhibitor activity
It blocks angiotensin II rather than its formation
A client with an acute asthma attack is prescribed both albuterol and prednisone. Which medication should the nurse expect the client to use for immediate relief?
A. Prednisone
B. Montelukast
C. Albuterol
D. Neither medication
Albuterol
A nurse administers a medication and realizes immediately afterward that the dose was incorrect. The client currently has no symptoms. Which sequence should the nurse follow?
A. Document → incident report → notify provider
B. Notify provider → incident report → assess client
C. Assess client → notify provider → complete incident report
D. Complete incident report → assess client → notify provider
C. Assess client → notify provider → complete incident report
A client receiving furosemide has weakness and leg cramps. The nurse reviews the laboratory results and finds potassium 2.9 mEq/L. Which complication should the nurse be most concerned about?
A. Hyperkalemia
B. Cardiac dysrhythmias
C. Fluid volume overload
D. Hypernatremia
B. Cardiac dysrhythmias
A client receiving gentamicin reports ringing in the ears and dizziness. Which additional assessment is most important?
A. Ask about bowel movements
B. Assess for signs of hypoglycemia
C. Review BUN, creatinine, and urine output
D. Check the client’s INR
C. Review BUN, creatinine, and urine output
A client with a clot is prescribed alteplase rather than an anticoagulant such as heparin. Which explanation best describes the difference?
A. Alteplase prevents platelets from forming new clots only
B. Heparin dissolves existing fibrin clots
C. Alteplase promotes clot formation to stop bleeding
D. Alteplase dissolves an existing clot by converting plasminogen to plasmin
D. Alteplase dissolves an existing clot by converting plasminogen to plasmin
A client with increased ICP is being monitored by the nurse. Which assessment finding requires the most immediate intervention?
A. Mild headache and nausea
B. Blood pressure 118/72 mmHg and pulse 82/min
C. Increased appetite and thirst
D. Widened pulse pressure, bradycardia, and irregular respirations
D. Widened pulse pressure, bradycardia, and irregular respirations