Question 1

The nurse is working with a patient who has elevated triglyceride levels despite dietary changes. The physician has ordered TriLipix (fenofibric acid) 135 mg per day. Which of the following statements should the nurse include in the teaching?

Accepted Answer

A)  "Since I take Coumadin, I'll need to have my bleeding labs checked more frequently for a while." 
B)  "This will be much easier than following all of those dietary restrictions; I know how hard that can be." 
C)  "This medicine will really help you lose weight, just be sure you're drinking enough water." 
D)  "This medicine sometimes causes stomach pain and fatty, clay-colored stools, so if I experience that, I shouldn't worry."

Question 2

The nurse is providing care for a patient scheduled to take Precose (acarbose) 25 mg three times daily with meals. The patient reports feeling sweaty, weak, and tremulous. Which of the following actions by the nurse is best?

Accepted Answer

A)  Reassure the patient that these are common side effects with the medication. 
B)  Call the pharmacy to report an adverse drug reaction. 
C)  Check the patient's blood glucose level. 
D)  Determine if the patient has a history of anemia.

Question 3

The nurse is caring for a patient with rheumatoid arthritis who takes Celebrex (celecoxib). The patient is on a pureed diet, and the nurse from the previous shift reported some difficulty with oral pills. Which of the following actions by the nurse is best?

Accepted Answer

A)  Hold the medication. 
B)  Call the pharmacy to obtain a substitute medication that comes in liquid form. 
C)  Call the physician to request a different pain medication. 
D)  Open the capsule and sprinkle granules on applesauce.

Question 4

The nurse is talking to a friend who recently revealed that she is 6 weeks pregnant. The woman says, "The doctor told me to take prenatal vitamins that have folic acid in them; what is that for?" Which of the following is the best response by the nurse?

Accepted Answer

A)  "Folic acid helps prevent miscarriage." 
B)  "Folic acid boosts your immune system." 
C)  "Folic acid actually helps fetal development." 
D)  "Folic acid reduces the amount of nausea caused by prenatal vitamins."

Question 5

A nurse working with patients in an HIV clinic recognizes the following medications as antivirals that may be included in patient medication regimens. Select all that apply.

Accepted Answer

A)  Famciclovir 
B)  Emtriva (emtricitabine) 
C)  Sustiva (efavirenz) 
D)  Lodine (etodolac) 
E)  Afinitor (everolimus)
F) Enbrel (etanercept)

Question 6

The nurse recognizes that Apriso (mesalamine) would most likely be included in the plan of care for which of the following patients?

Accepted Answer

A)  A 52-year-old patient with chronic obstructive pulmonary disease (COP
D) . 
B)  A 49-year-old patient with acute cholelithiasis. 
C)  A 37-year-old patient with ruptured ectopic pregnancy. 
D)  A 27-year-old patient with ulcerative colitis.

Question 7

The nurse is instructing the parent of a 6-year-old patient recently started on a ProAir HFA (albuterol) inhaler for exercise-induced asthma. The nurse recognizes that further teaching is necessary by which of the following client statements?

Accepted Answer

A)  "He may feel like his heart is racing after he takes his inhaler." 
B)  "He can use the inhaler as many times during football practice as he needs it." 
C)  "He should avoid cola and other caffeinated drinks since they may increase his heart rate." 
D)  "He should take two puffs about 15 minutes before gym class."

Question 8

Pradaxa (dabigatran) is approved for the treatment of which of the following conditions?

Accepted Answer

A)  Deep vein thrombosis 
B)  Pulmonary emboli 
C)  Atrial fibrillation 
D)  Prophylaxis for artificial heart valve

Question 9

The nurse is caring for a patient in the intensive care unit who is to be started on dopamine 1 mcg/kg/min. The patient weighs 220 pounds. The drip rate in mg/hr should be ____________________.

Accepted Answer

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

Question 10

When taking Lunesta (eszopiclone), the following instructions should be followed.

Accepted Answer

A)  Take at the same time every morning. 
B)  Take 1 hr before meals. 
C)  Take with food. 
D)  Take immediately before going to bed.

Question 11

As part of a new treatment regimen for migraine headaches, an 18-year-old girl is prescribed Axert (almotriptan). The nurse should include which of the following statements in the patient teaching? Select all that apply.

Accepted Answer

A)  "You will take this medication daily to help prevent the onset of migraines." 
B)  "You should avoid alcohol when you are taking this medication." 
C)  "You can take this medication every 2-4 hr as needed for up to eight doses per day." 
D)  "Take the medication as soon as you notice the onset of a migraine headache." 
E)  "Avoid taking over-the-counter medications that have not been prescribed by your doctor while taking this medication."
F) "If taking this medication causes any pain or tightness in your chest, you should notify the physician immediately."

Question 12

Which drug is used in the treatment of scurvy?

Accepted Answer

A)  Ascorbic acid 
B)  Polyethylene glycol 
C)  Kava-kava 
D)  Valerian

Question 13

The nurse is caring for a patient with otitis media who reports an allergy to penicillin. Orders are received for ampicillin 500 mg every 8 hr. Which of the following actions by the nurse is best?

Accepted Answer

A)  Provide the medication as ordered. 
B)  Call the pharmacist to request a substitution. 
C)  Ask the patient if he or she has taken ampicillin in the past. 
D)  Hold the medication.

Question 14

The nurse is counseling a patient who is to start taking Norvasc (amlodipine) for hypertension. The nurse recognizes that further teaching is required by which of the following statements?

Accepted Answer

A)  "I need to call the doctor if my pulse is less than 50 beats in a minute." 
B)  "I'll get up slowly since I may be a little dizzy if I get up too fast." 
C)  "It is important that I take this medication on an empty stomach." 
D)  "I need to check with the doctor before taking any new over-the-counter cold medicines."

Question 15

While providing discharge instructions for a patient who is taking Naprosyn (naproxen) for rheumatoid arthritis, the nurse would include which of the following statements? Select all that apply.

Accepted Answer

A)  "You should limit your alcohol consumption to a maximum of one glass per day." 
B)  "Please notify your physician if you notice your stools become dark or tarry in appearance." 
C)  "Extended release tablets can be broken into smaller pieces to make it easier to swallow." 
D)  "You should not take any over-the-counter products that contain aspirin while you are taking this medication." 
E)  "Consult your doctor before taking anything that contains Tylenol."
F) "Ringing in the ears is a potential side effect of this medication, so don't worry if that happens."

Question 16

The nurse is caring for a patient recently started on Seroquel (quetiapine). Which assessment finding would indicate that treatment was effective?

Accepted Answer

A)  BP = 178/82 
B)  Patient denies hearing voices in his head. 
C)  Urine output was 350 mL in 8 hr. 
D)  Patient reported pain was a 2 on a 1-10 scale.

Question 17

The nurse is providing care for a patient who returned from surgery 4 hr earlier. The patient reports adequate pain control with the use of patient-controlled analgesia but states she is having significant nausea. Which of the following medications should the nurse provide?

Accepted Answer

A)  Inapsine (droperidol) 2.5 mg IV 
B)  Benadryl (diphenhydramine) 25 mg IV 
C)  Morphine (morphine sulfate) 2 mg IV 
D)  Colace 100 mg po

Question 18

The nurse is caring for a patient who reports taking Prevacid (lansoprazole) 15 mg orally each day. The nurse expects the pharmacy to substitute which of the following medications during hospitalization?

Accepted Answer

A)  Prilosec (omeprazole) 
B)  Zofran (ondansetron) 
C)  Carafate (sucralfate) 
D)  Tums (calcium carbonate)

Question 19

The nurse is caring for a patient who has been receiving chemotherapy for the past 4 months. The patient takes Reglan (metoclopramide) 10 mg every 4 hr as needed for nausea and vomiting. The nurse should be most concerned with which of the following patient statements?

Accepted Answer

A)  "I'm losing my balance a lot and I noticed my hands are shaky." 
B)  "I've lost 5 pounds in the past month." 
C)  "I'm not sure what I'm going to do when I don't have to come in here all of the time." 
D)  "My kids are really struggling with the fact that I just don't have any energy anymore."

Question 20

The nurse is caring for a patient with ulcerative colitis. New orders are received for Anaflex (salsalate) orally TID. The nurse recognizes the patient cannot received this drug due to an allergy to which of the following?

Accepted Answer

A)  Meperidine 
B)  Sulfa 
C)  Penicillin 
D)  Aspirin

Davis's Drug Guide for Nurses Test 1