Question 1

While reviewing medications to be provided by a student nurse, the instructor notes a patient is scheduled to take famciclovir 500 mg orally every 8 hr. The instructor suspects the patient most likely has which of the following diagnoses?

Accepted Answer

A)   Methicillin-resistant Staphylococcus aureus (MRS
A)   infection
B)   Hepatic encephalopathy
C)   Herpes zoster
D)   Bacterial pneumonia C

Question 2

Which cranial nerve needs to be routinely evaluated while a person is receiving Vancomycin?

Accepted Answer

A)   I
B)   II
C)   IV
D)   VIII
E)   XII D

Question 3

While providing care for a patient who receives Lasix (furosemide) 20 mg IV push twice daily, the nurse would include which of the following in the plan of care? Select all that apply.

Accepted Answer

A)   Change the patient's incontinence brief 30-60 min after medication administration.
B)   Check patient's platelet count prior to medication administration.
C)   Schedule the first dose at 11 a.m. and the second dose at 11 p.m.
D)   Provide the dose undiluted.
E)   Give the medication over 30 secondsF)  Institute high fall risk protocol interventions. A, D, F

Question 4

While reviewing medications for a patient with multiple sclerosis, the student nurse recognizes that Lioresal (baclofen) is given for which the following symptoms?

Accepted Answer

A)   Depression
B)   Anxiety
C)   Muscle spasticity
D)   Headache

Question 5

A nurse working with a patient who started taking Bentyl (dicyclomine) recognizes that patient further teaching is necessary by which of the following statements?

Accepted Answer

A)   "I'll call the doctor immediately if I have any eye pain or sensitivity to light."
B)   "I won't have any restrictions on my driving or other activities if I take this drug."
C)   "I will get up slowly since this medication may make me dizzy."
D)   "People who take this medication sweat less, so it is important not to get overheated."

Question 6

A neighbor reports giving her 3-year-old daughter Pepto Bismol (bismuth subsalicylate) for diarrhea stools for the past 2 days. Which of the following statements by the nurse is the highest priority?

Accepted Answer

A)   "Has your child had a fever during this illness?"
B)   "Is the diarrhea better now?"
C)   "Has she had diarrhea before?"
D)   "What does she think of the taste of that stuff?"

Question 7

The nurse immediately notifies the doctor of a reaction to Lyrica (pregabalin) based on which of the following assessments?

Accepted Answer

A)   Petechiae on legs and back
B)   Poor appetite
C)   Increased heart rate
D)   Vomiting

Question 8

The nurse is caring for a patient who just received parenteral Valium (diazepam). Which of the following nursing actions is best?

Accepted Answer

A)   Monitor patient's serum calcium levels for the next 12 hr.
B)   Ensure fluid intake of 3,000 mL over the next 24 hr.
C)   Place patient on bed rest and monitor vital signs closely.
D)   Call for a hypothermia blanket to prevent rigors.

Question 9

The nurse is caring for a patient admitted with suspected overdose with Codeine. Which of the following medications would the nurse anticipate being ordered?

Accepted Answer

A)   Pamelor (nortriptyline) 
B)   Narcan (naloxone) 
C)   Naprosyn (naproxen) 
D)   Nicobid (niacin)

Question 10

The nurse is caring for an 82-year-old woman with superior vena cava syndrome due to a clot formed around the patient's implanted port. The patient is on a heparin drip at 12 units/hr. Which of the following laboratory values will be used to titrate the infusion rate?

Accepted Answer

A)   Hemoglobin (Hgb) 
B)   Platelet count (Plt) 
C)   Partial thromboplastin time (aPTT) 
D)   Clotting time

Question 11

The nurse is caring for a patient with bronchitis and prepares to provide Tessalon pearls (benzonatate) as ordered. The patient states, "I don't think I've had this before. What is it for?" Which of the following responses by the nurse is best?

Accepted Answer

A)   "This helps thin the mucus so it is easier for you to cough it up."
B)   "It is a cough suppressant and will help reduce your coughing."
C)   "This helps dilate the small airways in your lungs to help you breathe."
D)   "It is a muscle relaxer so you can rest more comfortably."

Question 12

The nurse is counseling a patient who will begin taking buspirone). Which of the following statements indicates further teaching is required?

Accepted Answer

A)   "I might feel dizzy or sleepy with this medication."
B)   "I shouldn't drive until I know how I'm going to respond to this medication."
C)   "It's all right to take most over-the-counter medications and things with this medication."
D)   "I should avoid alcohol or other medications that depress my nervous system."

Question 13

The nurse is providing a follow-up phone call to a patient who recently started taking Allegra (fexofenadine). Which of the following statements by the patient would indicate the medication has been effective?

Accepted Answer

A)   "My arthritis is much better; I can even write letters again."
B)   "My nose isn't running and itchy all the time now."
C)   "I don't have to get up to go to the bathroom in the middle of the night anymore."
D)   "I'm sleeping a lot better, and I don't have any headaches anymore."

Question 14

The nurse is counseling a patient who is newly prescribed Lyrica (pregabalin). Which of the following statements should be included in the patient's teaching? Select all that apply.

Accepted Answer

A)   "This medication may increase depression or suicidal thoughts, so be sure to notify your physician if this occurs."
B)   "The medication is used to reduce the pain associated with diabetic neuropathy."
C)   "Do not stop using this medication quickly."
D)   "Weight loss and decreased interest in food may be experienced with this medication."
E)   "Call the doctor right away if you have muscle pain or weakness."F)  "You must take this medication with your meals to avoid severe gastric irritation."

Question 15

The nurse contacts a patient whose physician has ordered Feosol (carbonyl iron) 60 mg BID after routine lab work revealed mild iron-deficiency anemia. Which of the following statements would be included in the patient teaching?

Accepted Answer

A)   "Since you are taking an iron supplement, you should reduce the amount of iron in your diet to prevent overdose."
B)   "The iron may make your stool a dark green or black color; this is nothing to worry about."
C)   "It is alright to take both doses together if you prefer."
D)   "Iron is fairly harmless, so there is little concern if you take extra when you are on your menstrual cycle."

Question 16

The nurse is caring for a patient who needs emergency surgery. The patient's history includes daily use of Coumadin (warfarin). Which of the following medications should the nurse anticipate being ordered?

Accepted Answer

A)   Dilantin (phenytoin) 
B)   Vitamin K (phytonadione) 
C)   Luminal (phenobarbital) 
D)   Protamine sulfate

Question 17

The nurse receives orders to begin Cardura (doxazosin) 1 mg daily with the first dose to start today. Which of the following assessments is the highest priority within the first 2 to 4 hr after provision?

Accepted Answer

A)   Urinary output
B)   Respiratory rate
C)   Pain relief
D)   Orthostatic hypotension

Question 18

Which of the following lab values must be monitored during therapy with Tegretol CR (carbamazepine)? Select all that apply.

Accepted Answer

A)   Uric acid level
B)   Hemoglobin
C)   Creatinine
D)   Alkaline phosphatase
E)   Platelet countF)  Serum iron

Question 19

The nurse is caring for a patient diagnosed with hypocalcaemia related to cancer. Which of the following medications would the nurse anticipate being ordered?

Accepted Answer

A)   Rolaids (calcium carbonate) 
B)   Miacalcin (calcitonin) 
C)   Capsin (capsaicin) 
D)   Norvasc (nifedipine)

Question 20

A patient with newly diagnosed type 2 diabetes has been instructed on administration of insulin, human inhalation (Afrezza). Which of the following statements should be included in the patient teaching? Select all that apply.

Accepted Answer

A)   Administer at beginning of each meal
B)   Do not take your Subcut insulin with Afrezza
C)   Use the Afrezza inhaler upside down
D)  Avoid smoking while taking inhaled insulin
E)   Monitor blood glucose every 6 hrF)  Monitor your weight daily. Afrezza may cause weight loss.

Davis's Drug Guide for Nurses Test 1

While reviewing medications to be provided by a student nurse, the instructor notes a patient is scheduled to take famciclovir 500 mg orally every 8 hr. The instructor suspects the patient most likely has which of the following diagnoses?

Which cranial nerve needs to be routinely evaluated while a person is receiving Vancomycin?

While providing care for a patient who receives Lasix (furosemide) 20 mg IV push twice daily, the nurse would include which of the following in the plan of care? Select all that apply.

While reviewing medications for a patient with multiple sclerosis, the student nurse recognizes that Lioresal (baclofen) is given for which the following symptoms?

A nurse working with a patient who started taking Bentyl (dicyclomine) recognizes that patient further teaching is necessary by which of the following statements?

A neighbor reports giving her 3-year-old daughter Pepto Bismol (bismuth subsalicylate) for diarrhea stools for the past 2 days. Which of the following statements by the nurse is the highest priority?

The nurse immediately notifies the doctor of a reaction to Lyrica (pregabalin) based on which of the following assessments?

The nurse is caring for a patient who just received parenteral Valium (diazepam) . Which of the following nursing actions is best?

The nurse is caring for a patient admitted with suspected overdose with Codeine. Which of the following medications would the nurse anticipate being ordered?

The nurse is caring for an 82-year-old woman with superior vena cava syndrome due to a clot formed around the patient's implanted port. The patient is on a heparin drip at 12 units/hr. Which of the following laboratory values will be used to titrate the infusion rate?

The nurse is caring for a patient with bronchitis and prepares to provide Tessalon pearls (benzonatate) as ordered. The patient states, "I don't think I've had this before. What is it for?" Which of the following responses by the nurse is best?

The nurse is counseling a patient who will begin taking buspirone) . Which of the following statements indicates further teaching is required?

The nurse is providing a follow-up phone call to a patient who recently started taking Allegra (fexofenadine) . Which of the following statements by the patient would indicate the medication has been effective?

The nurse is counseling a patient who is newly prescribed Lyrica (pregabalin) . Which of the following statements should be included in the patient's teaching? Select all that apply.

The nurse contacts a patient whose physician has ordered Feosol (carbonyl iron) 60 mg BID after routine lab work revealed mild iron-deficiency anemia. Which of the following statements would be included in the patient teaching?

The nurse is caring for a patient who needs emergency surgery. The patient's history includes daily use of Coumadin (warfarin) . Which of the following medications should the nurse anticipate being ordered?

The nurse receives orders to begin Cardura (doxazosin) 1 mg daily with the first dose to start today. Which of the following assessments is the highest priority within the first 2 to 4 hr after provision?

Which of the following lab values must be monitored during therapy with Tegretol CR (carbamazepine) ? Select all that apply.

The nurse is caring for a patient diagnosed with hypocalcaemia related to cancer. Which of the following medications would the nurse anticipate being ordered?

A patient with newly diagnosed type 2 diabetes has been instructed on administration of insulin, human inhalation (Afrezza) . Which of the following statements should be included in the patient teaching? Select all that apply.