Question 1

While preparing to pass medications on a medical unit,the student nurse notes a client is scheduled to receive Minipress (prazosin).The student recognizes this medication will cause which of the following?

Accepted Answer

A) Decreased gastric acid production 
B) Reduced oral and respiratory secretions 
C) Dilatation of arteries and veins 
D) Increased cardiac preload and afterload

Question 2

The nurse is overseeing medication provision by a student nurse for a client taking Vitamin B-1 (thiamine).The nurse knows the student has a solid understanding of this medication by which of the following statements? Select all that apply.

Accepted Answer

A) "The patient may have some diarrhea while taking this medication." 
B) "Many people who take this medication have a history of alcohol use." 
C) "This medication helps prevent Wernicke's encephalopathy." 
D) "Sometimes thiamine is given in IV form." 
E) "This medication helps prevent bone loss."
F)"We typically get thiamine from foods such as whole grains,pork,and fresh vegetables."

Question 3

The nurse is caring for a woman in active labor.IV Nubain (nalbuphine)10 mg every 4 hr as needed has been ordered.Prioritize the following nursing actions in the correct order to depict safe administration.
A.Administer slowly over 3-5 min.
B.Explain therapeutic value of the medication.
C.Assess respiratory rate and pain control in 30 min
D.Assess location and intensity of the pain.
E.Advise client to call for assistance with ambulation

Accepted Answer

The answer of The nurse is caring for a woman...

Question 4

While caring for a client who is taking Dipentum (olsalazine)for ulcerative colitis,the nurse is aware that it is most important to determine if the patient has an allergy to which of the following?

Accepted Answer

A) Penicillins or cephalosporins 
B) NSAIDs or opioids 
C) Beta blockers or nitrosoureas 
D) Sulfonamides or salicylates

Question 5

The nurse is reviewing the home medication list for a client with a history of head and neck cancer who has been receiving radiation therapy.The client reports taking PO Salagen (pilocarpine)three times daily.The nurse understands this medication is designed to help treat which of the following?

Accepted Answer

A) Xerostomia 
B) Nausea 
C) Metastatic disease 
D) Taste changes

Question 6

While preparing to give morning medications,Remeron (mirtazapine)was newly ordered for the patient to begin this morning.The nurse would immediately call the physician to question this order if which of the following medications was included in the patient's list of home medications?

Accepted Answer

A) Enteric coated aspirin 
B) Lasix (furosemide) 
C) Digoxin (lanoxin) 
D) Nardil (phenelzine)

Question 7

While reviewing a client's medication list,the nurse notes the client takes Oleptro (trazodone)50 mg three times daily.The nurse recognizes this medication has multiple indications and is used both on and off label for various reasons including which of the following? Select all that apply.

Accepted Answer

A) Insomnia 
B) Chronic pain syndromes 
C) Appetite stimulation 
D) Major depression 
E) Migraine headaches
F)Diabetic neuropathy

Question 8

While working in the intensive care unit,the nurse is preparing to initiate an IV infusion of Levophed (norepinepherine)ordered at 1 mcg/min.Prioritize the following steps in the correct order of infusion.
A.Titrate as ordered to maintain SBP between 80-100 mm Hg.
B.Have second nurse verify order and dose calculations.
C.Calculate rate of IV solutions and pump settings.
D.Obtain IV solutions from pharmacy.
E.Monitor Urinary output.

Accepted Answer

The answer of While working in the intensive care unit,the...

Question 9

While working in the oncology clinic,the nurse provides Matulane (procarbazine)for a patient with Hodgkin disease.Which of the following medications could potentially cause deep coma and/or death if given concurrently?

Accepted Answer

A) Advil (ibuprofen) 
B) Lanoxin (digoxin) 
C) Demerol (meperidine) 
D) Carafate (sulcrafate)

Question 10

A client admitted with neutropenia would most likely be started on which of the following medications to promote neutrophil differentiation?

Accepted Answer

A) Epogen (epoetin) 
B) Neulasta (pegfilgrastim) 
C) Neurontin (gabapentin) 
D) Procardia (nifedipine)

Question 11

A nurse caring for a client who is to initiate therapy with Amaryl (glimepiride)1 mg once daily would include which of the following statements in the client teaching?

Accepted Answer

A) "This medication is used to treat infections." 
B) "You should take this in the evening on an empty stomach for optimal effectiveness." 
C) "You can continue to eat or drink whatever you like,including alcohol,while taking this medication." 
D) "Please notify me if you have any feelings of low blood sugar such as sweating,dizziness,or tremors."

Question 12

Which of the following would allow the nurse to determine that a client taking Flomax (tamsulosin)was achieving clinical benefit from the medication?

Accepted Answer

A) Client's white blood cell count = 10,500/mm3. 
B) Client blood pressure = 142/88 mmHg. 
C) Client reports decreased nocturia. 
D) Family reports noting improved cooperation and cohesive thought patterns.

Question 13

The student nurse reviews a list of medications a client takes at home.Prandin (repaglinide)is on the list.The student expects this medication is provided in which of the following ways?

Accepted Answer

A) Topically 
B) Rectally 
C) Orally 
D) Subcutaneously

Question 14

The nurse is providing care for a 31-year-old patient with a history of seizures.Which of the following medications would the nurse anticipate is part of the patient's home medication regimen?

Accepted Answer

A) Trileptal (oxcarbazepine) 
B) Pentoxil (pentoxifylline) 
C) Zyloprim (allopurinol) 
D) Dexedrine (dextroamphetamine)

Question 15

The nurse is providing care for a client who has new orders to start Renagel (sevelamer)800 mg with each meal.Which of the following orders should the nurse anticipate? Select all that apply.

Accepted Answer

A) Serum calcium and phosphorous in the morning. 
B) Teach client self-injection techniques. 
C) Administer with meals. 
D) Do not give other medications less than 1 hr before or 3 hr after sevelamer. 
E) Low protein,renal diet.

Question 16

The nurse works in a pediatric psychiatry unit.Ritalin (methylphenidate)5 mg three times daily is commonly prescribed for many of the clients.The nurse recognizes this drug needs to be used cautiously in which of the following children?

Accepted Answer

A) An 8-year-old patient with a history of cardiovascular disease 
B) A 12-year-old patient with a history of scoliosis 
C) A 6-year-old patient who takes Singulair (montelukast)daily 
D) A 7-year-old patient with a history of sickle cell anemia

Question 17

The nurse is providing milrinone to a 71-year-old woman with heart failure.Which of the following nursing assessments during the infusion is of the highest priority?

Accepted Answer

A) Monitor client's blood sugar every 4 hr. 
B) Monitor client's sedation level hourly. 
C) Monitor client's telemetry continuously. 
D) Monitor client's urine output every 4 hr.

Question 18

A 71-year-old client was newly prescribed Zaroxolyn (metolazone).The nurse recognizes the drug has been effective by which of the following assessments?

Accepted Answer

A) White blood cell count = 5,500 cells/mm³ 
B) Client reports sleeping 8 hr per night 
C) BP = 132/74 
D) Client denies hallucinations

Question 19

While providing care for a client in the intensive care unit,the nurse is preparing to initiate therapy with Nitropress (nitroprusside).Orders are to start the infusion at 0.3 mcg/kg/min.The client weighs 154 pounds.The IV fluid has been sent with 50 mg in 250 mL D5W.Calculate the rate of medication in mL/hr.______________ mL/hr

Accepted Answer

The answer of While providing care for a client in...

Question 20

While working on the medical unit,the nurse is notified that one of the patients has requested a sleeping pill.A new order has been received for Rozerem (ramelteon)8 mg orally 30 min prior to sleep.The nurse will monitor most closely for which of the following potential adverse reactions?

Accepted Answer

A) Dizziness 
B) Angioedema 
C) Nausea 
D) Hallucinations

Exam 4: Drugs Approved in Canada

While preparing to pass medications on a medical unit,the student nurse notes a client is scheduled to receive Minipress (prazosin) .The student recognizes this medication will cause which of the following?

The nurse is overseeing medication provision by a student nurse for a client taking Vitamin B-1 (thiamine) .The nurse knows the student has a solid understanding of this medication by which of the following statements? Select all that apply.

While caring for a client who is taking Dipentum (olsalazine) for ulcerative colitis,the nurse is aware that it is most important to determine if the patient has an allergy to which of the following?

The nurse is reviewing the home medication list for a client with a history of head and neck cancer who has been receiving radiation therapy.The client reports taking PO Salagen (pilocarpine) three times daily.The nurse understands this medication is designed to help treat which of the following?

While preparing to give morning medications,Remeron (mirtazapine) was newly ordered for the patient to begin this morning.The nurse would immediately call the physician to question this order if which of the following medications was included in the patient's list of home medications?

While reviewing a client's medication list,the nurse notes the client takes Oleptro (trazodone) 50 mg three times daily.The nurse recognizes this medication has multiple indications and is used both on and off label for various reasons including which of the following? Select all that apply.

While working in the oncology clinic,the nurse provides Matulane (procarbazine) for a patient with Hodgkin disease.Which of the following medications could potentially cause deep coma and/or death if given concurrently?

A client admitted with neutropenia would most likely be started on which of the following medications to promote neutrophil differentiation?

A nurse caring for a client who is to initiate therapy with Amaryl (glimepiride) 1 mg once daily would include which of the following statements in the client teaching?

Which of the following would allow the nurse to determine that a client taking Flomax (tamsulosin) was achieving clinical benefit from the medication?

The student nurse reviews a list of medications a client takes at home.Prandin (repaglinide) is on the list.The student expects this medication is provided in which of the following ways?

The nurse is providing care for a 31-year-old patient with a history of seizures.Which of the following medications would the nurse anticipate is part of the patient's home medication regimen?

The nurse is providing care for a client who has new orders to start Renagel (sevelamer) 800 mg with each meal.Which of the following orders should the nurse anticipate? Select all that apply.

The nurse works in a pediatric psychiatry unit.Ritalin (methylphenidate) 5 mg three times daily is commonly prescribed for many of the clients.The nurse recognizes this drug needs to be used cautiously in which of the following children?

The nurse is providing milrinone to a 71-year-old woman with heart failure.Which of the following nursing assessments during the infusion is of the highest priority?

A 71-year-old client was newly prescribed Zaroxolyn (metolazone) .The nurse recognizes the drug has been effective by which of the following assessments?

While working on the medical unit,the nurse is notified that one of the patients has requested a sleeping pill.A new order has been received for Rozerem (ramelteon) 8 mg orally 30 min prior to sleep.The nurse will monitor most closely for which of the following potential adverse reactions?