Question 1

While caring for a client with a history of epilepsy, the nurse would expect which of the following medications to be included in the patient's treatment plan? Select all that apply.

Accepted Answer

A)   Clinoril (sulindac) 
B)   Dilantin (phenytoin) 
C)   Phenobarbital
D)   Depakote (divalproex sodium) 
E)   nabumetoneF)  Tegretol (carbamazepine)  B, C, D, F

Question 2

The nurse recognizes that which of the following individuals will need to receive supplemental vitamin B12 injections?

Accepted Answer

A)   A 37-year-old patient with acute renal calculi.
B)   A 59-year-old patient with gastric resection for stomach cancer.
C)   A 24-year-old patient with sickle cell anemia.
D)   A 58-year-old patient with congestive heart failure. B

Question 3

The nurse is providing care for a 92-year-old patient who has a standing order for Ambien (zolpidem) prn for insomnia. When providing the medication for the patient as requested, which of the following actions by the nurse is best?

Accepted Answer

A)   Inform the patient the medication will work within 10 min.
B)   Ensure the patient is in bed, ready for sleep, and raise the bed side rails.
C)   Instruct the patient to eat some crackers to reduce stomach irritation caused by the medication.
D)   Suggest the patient take the medication routinely every night. B

Question 4

The nurse recognizes which of the following individuals is at highest risk for developing orthostatic hypotension?

Accepted Answer

A)   A 53-year-old patient taking Tigacil (tigecycline) .
B)   A 61-year-old patient taking Coumadin (warfarin) .
C)   A 49-year-old patient taking Zincate (zinc sulfate) .
D)   A 64-year-old patient taking Calan (verapamil) .

Question 5

An infant being treated for colic was prescribed Mylicon (simethicone) drops and has returned to the clinic for follow-up evaluation. Which of the following nursing action has the highest priority?

Accepted Answer

A)   Assessment of the infant's startle reflex.
B)   Gentle palpation of the anterior fontanel.
C)   Inspection and auscultation of the abdomen.
D)   Measurement of the infant's head circumference.

Question 6

The nurse is caring for a patient with multiple medications, including Sinemet (carbidopa/levodopa) QID. The nurse knows this medication is effective by which of the following signs or symptoms?

Accepted Answer

A)   The patient has fewer hand tremors.
B)   The patient's apical pulse is regular.
C)   The patient has less edema in the ankles bilaterally.
D)   The patient's cough is well controlled.

Question 7

To monitor the peak efficacy after providing oral Dilaudid (hydromorphone) Immediate Release for a patient reporting pain ranked 6 out of 10 on a numeric pain scale. The patient should report some relief in pain at the peak action of the drug. Which of the following reflects the peak action of Dilaudid Immediate Release?

Accepted Answer

A)   15-30min
B)   30-90 min
C)   1-2 hr
D)   Over 2 hr

Question 8

The nurse prepares to provide Zofran (ondansetron) in orally disintegrating tablet. Which of the following instructions should the nurse provide?

Accepted Answer

A)   "Simply suck on the pill like a lozenge, and it will dissolve over a few minutes."
B)   "Place the tablet on your tongue; it will melt in seconds and then you can swallow."
C)   "Take this with a full swallow of water."
D)   "I will dissolve this in some water, and you can drink it in one sip."

Question 9

The nurse receives a call from an 82-year-old patient with advanced prostate cancer who is being treated with Eligard (leuprolide) therapy. Which of the following statements requires immediate notification of the physician?

Accepted Answer

A)   "I've been having hot flashes lately, what should I do?"
B)   "The pain in my bones seems worse since I started this medication."
C)   "I forgot to get my shot 3 hours ago like I usually do, so I was going to take it now; is that okay?"
D)   "My legs feel numb and weak; is that normal with this medication?"

Question 10

The nurse is counseling a patient who has been given a prescription for Imitrex (sumatriptan) for migraine headaches. Which of the following statements indicates teaching has been effective?

Accepted Answer

A)   "This medication will prevent migraine headaches."
B)   "I can take this medication at any time during a migraine headache attack."
C)   "I can repeat the medication in 15 minutes if I have not gotten relief from the first injection."
D)   "I can use up to 4 doses in a 24-hour period."

Question 11

The nurse is caring for a patient who recently started taking Compro (prochlorperazine) 10 mg po QID. Which of the following symptoms would cause the nurse to contact the physician immediately?

Accepted Answer

A)   Temp = 104.5°F and new onset urinary incontinence.
B)   Pulse = 70 bpm and patient complains of constipation.
C)   Blood pressure = 126/64 mmHg and complaints of hiccups.
D)   Respirations = 18 per min and patient reports mild nausea.

Question 12

The nurse would be most concerned if a patient taking phenobarbital reported daily consumption of which of the following?

Accepted Answer

A)   Grapefruit juice
B)   Beer
C)   Milk
D)   Coffee

Question 13

The nurse is caring for a patient who has an order for Osmitrol (mannitol) 1 g/kg to be infused over an hour. Which of the following actions should the nurse take prior to administering the medication?

Accepted Answer

A)   Assess deep tendon reflexes.
B)   Determine the blood pressure.
C)   Evaluate level of consciousness.
D)   Listen to bowel sounds.

Question 14

A nurse caring for a patient who's prescribed Inderal LA (propranolol) is being tapered off over a 2-wk period. The nurse would include which of the following statements in the patient teaching?

Accepted Answer

A)   "I bet you're glad to be getting off this medication since it is so expensive."
B)   "Stopping this medication suddenly can be very dangerous, so it is important that you follow the taper schedule carefully."
C)   "Patients usually only take this drug for a 1-2 wk cycle before switching to another medication."
D)   "By slowly weaning you from this drug, the risk of rebound headaches is reduced."

Question 15

The nurse recognizes that the treatment plan for which of the following individuals would likely include Metamucil (psyllium)? Select all that apply.

Accepted Answer

A)   A 72-year-old patient who drinks prune juice on a daily basis and has a soft brown stool daily.
B)   A 61-year-old patient hospitalized for an anterior myocardial infarction.
C)   A 29-year-old patient with the flu who reports having diarrhea.
D)   A 57-year-old patient reporting increased difficulty with constipation since the onset of menopause.
E)   A 65-year-old patient who recently had a hemorrhoidectomy.F)  An 84-year-old patient who reports walking 3 miles every day in the mall.

Question 16

Which of the following interventions would be helpful for a patient taking Claritin (loratadine) who complains of a dry mouth? Select all that apply.

Accepted Answer

A)   Frequent oral rinses with water
B)   Sugarless gum or candy
C)   Flossing twice daily
D)   Increased intake of caffeine
E)   Fluid intake of 1,000 mL/dayF)  Use of alcohol-based mouth wash

Question 17

A nurse caring for an individual with diabetes insipidus who is taking Vasostrict (vasopressin). Which of the following assessments would indicate treatment has been effective?

Accepted Answer

A)   Urine output is 800 mL at the end of an 8-hr shift.
B)   Urine specific gravity is 0.998.
C)   Patient has lost 2 pounds in 1 day.
D)   Mucous membranes are dry and sticky.

Question 18

At a follow-up appointment at the urologist's office, the nurse is gathering data on a patient who takes VESIcare (solifenacin) for an overactive bladder. Which of the following statements would be most concerning to the nurse?

Accepted Answer

A)   I started taking an aerobics class twice a week.
B)   I drink three cups of coffee each day.
C)   I smoke a half pack of cigarettes a day.
D)   A friend recommended St. John's wort and I've been taking that for a few weeks now.

Question 19

While caring for a patient who is taking Imodium (loperamide), the nurse would be most concerned by which of the following symptoms?

Accepted Answer

A)   Patient reports abdominal cramping and loose stool.
B)   Patient complains of a headache and a sore throat.
C)   Pupils are equal, round, and reactive to direct and indirect light.
D)   Tenting across the clavicular region and decreased reflexes are noted.

Question 20

A nurse working at an adult care center for individuals with mental illness provides an individual with their dose of Risperdal (risperidone). The nurse should intervene if the client mixes the liquid medication with which of the following?

Accepted Answer

A)   Milk
B)   Cola
C)   Orange juice
D)   Water

Davis's Drug Guide for Nurses Test 2