Question 1

The nurse is caring for a 58-year-old male who has been prescribed Neulasta (pegfilgrastim). The nurse recognizes provision of this medication is based on which of the following lab results?

Accepted Answer

A)  Hgb= 11.7 g/dL 
B)  CPK = 25 mcg/L 
C)  Platelets = 114,000 cells/mm3 
D)  WBC = 2.3 cells/mm3

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

In reviewing new orders, the nurse notes Starlix (nateglinide) 120 mg three times daily before meals has been ordered. Before initiating therapy, the nurse should assess for which of the following?

Accepted Answer

A)  Blood sugar 
B)  Respiratory rate 
C)  Level of consciousness 
D)  Creatinine clearance

Question 4

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

Question 5

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 6

While investigating the medications taken by a client in the hospital, the student nurse understands that Zosyn (piperacillin/tazobactam) has an extended spectrum compared to other penicillins for which of the following reasons?

Accepted Answer

A)  Neither drug is able to cross the placenta well. 
B)  Tazobactam inhibits an enzyme that destroys penicillins. 
C)  The half-life of the combined drugs is over 6 hr. 
D)  Pipercillin is highly metabolized with less than 10% excreted in an unchanged form.

Question 7

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 8

The nurse is preparing to give an initial dose of Aloxi (palonosetron) as ordered prior to starting chemotherapy for breast cancer. Which of the following nursing actions is of the highest priority?

Accepted Answer

A)  Infuse the medication undiluted 30 min prior to planned chemotherapy. 
B)  Monitor symptoms of nausea or vomiting. 
C)  Provide the client with written materials on the chemotherapy agents being used. 
D)  Determine the client's typical food intake.

Question 9

While preparing to provide morning medications, a new nurse realizes many clients are taking Viagra (sildenafil) and knows the drug must be given cautiously or in reduced doses to which of the following clients?

Accepted Answer

A)  A 52-year-old patient with a history of coronary artery disease 
B)  A 68-year-old patient with a history of benign prostatic hypertrophy 
C)  A 64-year-old patient admitted with cellulitis 
D)  A 56-year-old patient admitted for knee replacement surgery

Question 10

The nurse is providing care for a 64-year-old client being prepped for a colonoscopy who is given midazolam. The nurse would expect to see which of the following responses?

Accepted Answer

A)  Decrease in oral secretions 
B)  Increased heart rate 
C)  Decrease in abdominal cramping 
D)  Increased drowsiness

Question 11

The nurse is caring for a client who was newly prescribed Crinone (progesterone). The nurse would provide additional education in response to which of the following client statements?

Accepted Answer

A)  "I should stop taking this medication if I suspect I may be pregnant." 
B)  "If I have spotting or a change in my bleeding pattern, I should call the physician." 
C)  "I should use sunscreen and protective clothing to reduce the chance of irritation." 
D)  "This medication is designed to halt ovulation."

Question 12

The nurse is providing care for an elderly woman with a urinary tract infection. The nurse understands the patient is receiving Pyridium (phenazopyridine) for which of the following reasons?

Accepted Answer

A)  To reduce the frequency and severity of bladder spasms. 
B)  To provide local anesthetic effects to the bladder mucosa. 
C)  To kill 
D)  To promote diuresis and subsequently prevent stone formation. 
E)  coli bacteria commonly associated with urinary tract infection.

Question 13

A new order for K-Phos (potassium phosphate) 250 mg four times daily has been noted. When preparing to administer the medication, which of the following actions will the nurse take?

Accepted Answer

A)  Provide the tablets orally at least 2 hr before meals. 
B)  Provide the tablets orally directly after meals. 
C)  Dissolve the tablets in a full glass of water and let stand for 2-5 min to ensure it is fully dissolved. 
D)  Provide medication simultaneously with antacid to reduce stomach irritation.

Question 14

While providing care for a client who is to receive Amerge (naratriptan), the nurse recognizes that the client understands this medication by which of the following statements?

Accepted Answer

A)  "If my migraine headache doesn't go away, I can repeat the dose within 30 minutes." 
B)  "This medication will typically make me very sleepy after I take it." 
C)  "I need to let the doctor know right away if I have any chest pain or tightness after taking this medication." 
D)  "I need to be sure and take a laxative when I take this medication."

Question 15

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 16

The nurse is providing medications for a male patient who has been taking Tebrazid (pyrazinamide) 30 mg/kg daily. The nurse notes the patient's AST = 45 units/L. Which of the following actions by the nurse is best?

Accepted Answer

A)  Provide the pyrazinamide at this time. 
B)  Check the client's total protein level. 
C)  Hold the medication and call the physician regarding dosage. 
D)  Contact the pharmacy and ask them to split the dose.

Question 17

The nurse is providing care for a client who is receiving Aciphex (rabeprazole). The nurse recognizes this medication is effective by which of the following assessment findings?

Accepted Answer

A)  Patient voids 250 mL urine and reports feeling reduced bladder spasms. 
B)  Patient denies abdominal pain or heartburn. 
C)  Patient reports improvement in itching. 
D)  Patient's white blood cell count is less than 10,000/mm3.

Question 18

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 19

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 20

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

Davis's Drug Guide for Nurses Test 4

The nurse is caring for a 58-year-old male who has been prescribed Neulasta (pegfilgrastim) . The nurse recognizes provision of this medication is based on which of the following lab results?

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.