Question 1

A patient with asthma has multiple inhalants prescribed including Ventolin (albuterol), Pulmicort Flexhaler (budesonide), and Atrovent (ipratropium). The nurse verifies teaching is effective if which of the following is observed?

Accepted Answer

A)  The patient takes the Atrovent (ipratropium) inhaler first 
B)  The patient waits 1 min between each medication 
C)  The patient rinses her mouth after using the inhalers 
D)  The patient reports using ipratropium when experiencing severe, acute bronchospasms

Question 2

The nurse is assisting in the care of a patient complaining of severe pruritis. Which of the following medications does the nurse anticipate being available on an as-needed basis for the patient?

Accepted Answer

A)  Toradol (ketorolac) 
B)  Atarax (hydroxyzine) 
C)  Dilaudid (hydromorphone) 
D)  Hyzodro ER (hydrocodone)

Question 3

The nurse is caring for a patient receiving treatment for viral pneumonia. The nurse notes the patient has a persistent cough that is interfering with the patient's ability to sleep. Which of the following medications should the nurse provide?

Accepted Answer

A)  Ativan (lorazepam) 1 mg orally prn 
B)  Guiatuss (guaifenesin) 200 mg every 4 hr prn 
C)  Tylenol (acetaminophen) 325 mg orally prn 
D)  Sustol (granisetron) 2 mg orally prn

Question 4

Match the instructions for using an inhaler in the following section with the number they should occur in.
-Step 6

Accepted Answer

A) Press down on the inhaler to release medication. 
B) Hold your breath for 10 sec. 
C) Shake the inhaler. 
D) Tilt your head back and breathe out slowly. 
E) Breathe in slowly through the mouth.
F)Connect the inhaler to a spacer/chamber.

Question 5

While reviewing a patient's medication list, the nurse notes the patient takes Neurontin (gabapentin) 300 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)  Adjunct treatment of partial seizures 
B)  Prevention of migraine headaches 
C)  Treatment of diabetic peripheral neuropathy 
D)  Treatment of postherpetic neuralgia 
E)  Treatment for insomnia
F) Reduction of increased intracranial pressure

Question 6

The nurse is asked by the parent of a 13-year-old girl, "How does the new cervical cancer vaccine work?" Which of the following statements by the nurse is best?

Accepted Answer

A)  "It is a series of three vaccinations over a 6-month period of time designed to prevent cervical cancer and genital warts caused by a virus we call human papilloma virus (HPV)." 
B)  "Gardasil helps reduce sexually transmitted diseases and female cancers by stimulating an immune response to the herpes virus." 
C)  "Your daughter would get a single shot to help prevent cervical, ovarian, and vaginal cancer." 
D)  "You should really ask the doctor about the vaccination because it is still controversial."

Question 7

Which of the following examples should be provided as food to include with dietary intake when taking Lasix (furosemide)?

Accepted Answer

A)  Cauliflower, cabbage, and yogurt 
B)  Macaroni and cheese, deli meat, and buttermilk 
C)  Clams, oysters, and broccoli 
D)  Potatoes, milk, and prune juice

Question 8

The nurse is providing care to a patient with congestive heart failure who is taking Digoxin (lanoxin) and bumetanide. Which of the following statements indicates teaching has been effective?

Accepted Answer

A)  "I need to restrict my intake of salt and potassium while I'm on these medications." 
B)  "The bumetanide can increase my risk of digoxin overdose, so I should call the doctor if I have any nausea, vomiting, confusion, or muscle cramps." 
C)  "I need to hold both medications if the top number of my blood pressure is less than 140." 
D)  "These medications help my heart beat faster so I won't feel so tired all the time."

Question 9

The nurse is providing discharge instructions to a patient taking Boniva (ibandronate). The nurse should intervene if the client makes which of the following statements?

Accepted Answer

A)  "I usually walk 2 miles a day." 
B)  "I take that every morning when I get up and can't eat for an hour." 
C)  "I realized at lunch time that I'd forgotten to take it once last week, so I just skipped the dose." 
D)  "I always take that with my morning coffee."

Question 10

A nurse caring for a patient who is to initiate therapy with Zostrix (capsaicin) would include which of the following statements in the patient teaching? Select all that apply.

Accepted Answer

A)  "This medication is used to treat local skin infections." 
B)  "Apply the medication topically 3-4 times daily." 
C)  "Keep the ointment away from the eyes or any open skin areas." 
D)  "Rub the cream into the affected area well so little or no cream is left on the surface." 
E)  "The medication helps reduce the pain associated with arthritis."
F) "Capsaicin is taken in pill form on an empty stomach once daily."

Question 11

The nurse is preparing to provide the first dose of Maxipime (cefepime) 1 gm in 50 mL D5W via intravenous piggyback to a patient diagnosed with febrile neutropenia. Place the following steps in the appropriate order:

Accepted Answer

A)  Set rate at 100 mL/hr. 
B)  Verify right drug, dose, and time. 
C)  Observe for symptoms of anaphylaxis. 
D)  Discontinue the infusion. 
E)  Verify correct patient using two identifiers.
F) Begin infusion.

Question 12

The nurse is providing education for an immunosuppressed patient with recurrent oral herpes simplex lesions (cold sores) who is being treated with topical acyclovir ointment. Which of the following statements would be included in the nurse's teaching? Select all that apply.

Accepted Answer

A)  "Apply the ointment every 3 hr each day for 7 days." 
B)  "Other topical ointments should be avoided as they may cause the lesions to spread or worsen." 
C)  "This medication should cure the lesions and recurrence is rare." 
D)  "You should wear a glove when applying the ointment to prevent spreading." 
E)  "You cannot eat or drink for 2 hr after application."
F) "There are no activity restrictions while you are taking this medication."

Question 13

A public health nurse is administering the first dose of Gardasil (human papillomavirus quadrivalent vaccine) to a teenage girl. What action should the nurse take following the administration of this medication?

Accepted Answer

A)  Schedule an appointment for an additional dose in 4 weeks. 
B)  Schedule an appointment for an additional dose in 8 weeks. 
C)  Schedule an appointment for a second dose in 1 month and a third dose in 5 months. 
D)  Schedule an appointment for a second dose in 2 months and a third dose in 6 months.

Question 14

While admitting a client with a history of osteoporosis, the nurse notes a physician's order reading, "Acetaminophen extra strength (500 mg), two tabs every 8 hr as needed for pain." Which of the following actions by the nurse is best?

Accepted Answer

A)  Call the physician to question the total daily dose. 
B)  Call the pharmacy to verify that this is a safe dose. 
C)  Transcribe the order as written. 
D)  Schedule the pain medication TID to maximize pain control.

Question 15

The nursing instructor is reviewing the administration of Levemir (insulin-detemir) via injectable pen. The instructor would be most concerned by which of the following statements by the student? Select all that apply.

Accepted Answer

A)  "I have to rotate the pen a few times before I set the dose." 
B)  "I need a special needle so I make sure to get the insulin into muscle tissue." 
C)  "It is important to rotate sites to prevent tissue damage." 
D)  "The expiration date is not important on single-patient administration devices." 
E)  "This medication is usually given once a day with dinner or at bedtime."
F) "I should store this pen in the refrigerator once I provide the dose."

Question 16

The nurse is caring for a patient who is to receive 40 mg of Lasix (furosemide) as an intravenous push. If the recommended administration time is 20 mg/min, the nurse will take ____________________ min to administer the medication.

Accepted Answer

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

Question 17

After the administration of rifampin, what should be included in patient education? Select all that apply.

Accepted Answer

A)  Take dose at the same time daily. 
B)  Avoid use of soft contact while taking rifampin. 
C)  If taking oral contraceptives, an alternate form should be used. 
D)  Keep medication refrigerated until time of use. 
E)  Notify patient that bodily fluids such as sweat, urine, saliva, and feces may turn reddish-orange in color.

Question 18

A nursing faculty is observing a student nurse prepare and provide morning medications including delayed-released Nexium (esomeprazole) capsules to a patient with a nasogastric (NG) tube. The nurse should intervene if which of the following is noted?

Accepted Answer

A)  The student asks the patient to state his name and birth date prior to preparing the medication. 
B)  The student opens the capsule and mixes the granules with 50 mL of water. 
C)  The student uses a 60 mL cath-tipped syringe to instill the medication into the NG tube. 
D)  The student waited for the granules to dissolve to prevent clogging of the NG tube.

Question 19

Which of the following assessments should cause concern for a patient who is receiving Vancomycin? Select all that apply.

Accepted Answer

A)  Black, furry growth on the tongue 
B)  Tinnitus 
C)  Vertigo 
D)  Yellow sclera 
E)  Pink-tinged urine

Question 20

A nursing student is preparing to join a college expedition in the tropics. Which of the following medications is most likely to be included in the medical preparation for this trip?

Accepted Answer

A)  Keppra (levetiracetam) 
B)  Remicade (infliximab) 
C)  Namenda (memantine) 
D)  Plaquenil (hydroxychloroquine)

Davis's Drug Guide for Nurses Test 1

A patient with asthma has multiple inhalants prescribed including Ventolin (albuterol) , Pulmicort Flexhaler (budesonide) , and Atrovent (ipratropium) . The nurse verifies teaching is effective if which of the following is observed?