Question 1

A nurse working in a physician's office is collecting history information from a patient who reports experiencing erectile dysfunction and is seeking treatment with Levitra (vardenafil). This medication would be contraindicated if the patient is currently taking which of the following?

Accepted Answer

A)  Vitamin B12 (cyanocobalamin) 
B)  Nitro-Dur (nitroglycerin patch) 
C)  Chantix (varenicline) 
D)  Effexor (venlafaxine)

Question 2

A 62-year-old male is started on Revatio (sildenafil) for treatment of pulmonary arterial hypertension. What is a side effect of this medication?

Accepted Answer

A)  Male erection 
B)  Metallic taste in mouth 
C)  Tinnitus 
D)  Color of urine may turn orange

Question 3

The nurse receives a call from a client who recently started taking Paxil (paroxetine). The parent reports the child has lost 6 pounds in the past 10 days. Which of the following statements by the nurse is best?

Accepted Answer

A)  "Are you able to come into the clinic today?" 
B)  "That's great news, the treatment must be working." 
C)  "Weight loss is expected with this medication, so there is no reason for concern." 
D)  "Has your child had any vomiting?"

Question 4

The student nurse is participating in discharge teaching for the parents of a 2-year-old patient diagnosed with impetigo who have been given a prescription for Bactroban (mupirocin). The student understands that this medication is provided in which of the following forms?

Accepted Answer

A)  As an oral pill 
B)  As a rectal suppository 
C)  As a topical ointment 
D)  As a liquid suspension

Question 5

The nurse is caring for a patient admitted with diarrhea for the past 3 days. Stool cultures are negative, and the physician orders Lomotil, two tablets orally now and one tablet after each loose stool OR every 3-4 hr as needed. Which of the following parameters would the nurse expect to accompany the order?

Accepted Answer

A)  "Do not exceed 8 tablets per day." 
B)  "Do not exceed 4 doses per day." 
C)  "Do not give for more than 2 days." 
D)  No parameters are necessary.

Question 6

A nurse in an outpatient clinic receives a call from a patient who reports having had symptoms of the flu for the past 4 days. The patient is seeking an appointment with the physician and wants, "the medication that treats the flu [Tamiflu (oseltamivir)]." Which of the following responses by the nurse is best?

Accepted Answer

A)  "Tamiflu is only helpful for those who have had symptoms for 2 days or less." 
B)  "Did you receive the flu shot this season?" 
C)  "What is your current temperature?" 
D)  "Do you have an allergy to eggs?"

Question 7

A nurse working in the chemotherapy outpatient department is providing antiemetic therapy using Zofran (ondansetron). The ordered dose is 32 mg. Which of the following actions should the nurse take to optimize the efficacy of the medication?

Accepted Answer

A)  Provide the dose as an intramuscular injection 10 min prior to starting chemotherapy. 
B)  Provide the dose undiluted intravenously over 2 min just prior to starting chemotherapy. 
C)  Provide the dose diluted in 50 mL of D5W infused intravenously over 15 min at least 30 min prior to starting chemotherapy. 
D)  Provide the dose diluted in 50 mL of 0.9 NaCl infused intravenously over 5 min, 60 min prior to starting chemotherapy.

Question 8

While planning care for a patient who takes Requip (ropinirole), the nurse would develop which of the following nursing diagnoses? Select all that apply.

Accepted Answer

A)  Impaired gas exchange related to chronic obstructive pulmonary disease 
B)  Decreased cardiac output related to heart failure 
C)  Impaired physical mobility related to Parkinson disease 
D)  Risk for injury related to fall risk 
E)  Risk for fluid volume deficit related to diuresis
F) Ineffective coping related to depression.

Question 9

The nurse on the hospice unit receives an order to administer fentanyl via a transmucosal route. Which of the following actions will the nurse take?

Accepted Answer

A)  Place under the tongue and allow to dissolve. 
B)  Place between the cheek and lower gum moving it back and forth from one side to another. 
C)  Place between the cheek and gum and allow to dissolve. 
D)  Rub on tongue, instruct patient to move tongue in the mouth and then swallow.

Question 10

A nurse in the labor and delivery unit is caring for a patient who is receiving Marcaine (bupivicaine) epidural anesthesia. Which of the following symptoms would be recognized as indicative of systemic toxicity?

Accepted Answer

A)  BP drops from 112/74 to 106/68. 
B)  Patient complains, "I can't feel the baby moving anymore." 
C)  Patient reports, "I can hear ringing in my ears." 
D)  Respiratory rate drops from 22 to 16 respirations per minute.

Question 11

The nurse is caring for a patient who is to receive 1 mg of Ativan (lorazepam) intravenously as conscious sedation prior to a bedside procedure. Which of the following actions should the nurse take?

Accepted Answer

A)  Infuse the medication using an insulin syringe directly into the nearest Y port of the IV. 
B)  Dilute the medication with 10 mL of Lactated Ringer's solution prior to administration. 
C)  Administer the medication over at least 1 min. 
D)  Monitor the patient for hypertension immediately following administration.

Question 12

The nurse is counseling the parent of a 14-year-old patient with asthma who is to initiate maintenance therapy with Singulair (montelukast). Which of the following should the nurse include in the teaching?

Accepted Answer

A)  "This medication can be helpful in acute asthmatic attacks." 
B)  "Monitor your child for any behavior that indicates depression or suicidal thoughts." 
C)  "If your child is not experiencing any asthma symptoms, she will not need to take the medication that day." 
D)  "Now that your child is taking this medication, she will not need her other asthma medications."

Question 13

The nurse is preparing to provide medications for a patient newly admitted with a cerebral vascular accident who reportedly had difficulty swallowing pills during the previous shift. The nurse plans to crush the patient's medications and provide them in applesauce. Which of the following medications will require an alternative form of administration?

Accepted Answer

A)  Aspirin 81 mg daily 
B)  Enablex (darifenacin-XR) 15 mg daily 
C)  Claritin (loratadine) 10 mg daily 
D)  CalCarb (calcium carbonate) 500 mg daily

Question 14

A woman with severe rheumatoid arthritis is starting Simponi (golimumab). Which of the following tests should be performed prior to starting this medication?

Accepted Answer

A)  CT scan 
B)  x ray 
C)  D-Dimer 
D)  Tuberculin skin test

Question 15

Match the instructions for using an inhaler in the following section with the number they should occur in.
-Step 3

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 16

The nurse is preparing to infuse Keflex (cephalexin) 1 g in 50 mL over 30 min. To infuse 50 mL of fluid over 30 min, the pump should be set at __________________mL/hr (= hourly rate).

Accepted Answer

The answer of The nurse is preparing to infuse Keflex...

Question 17

Ciprofloxacin, Levaquin, and Avelox fall under which drug classification?

Accepted Answer

A)  Aminoglycosides 
B)  Carbapenems 
C)  Macrolides 
D)  Fluoroquinolones

Question 18

When starting a patient on Synthroid (levothyroxine), which of the following requires close monitoring?

Accepted Answer

A)  Neurological status 
B)  Heart rate and rhythm 
C)  Respiratory rate and depth 
D)  Urinary output

Question 19

Which of the following medications can be used to prevent or treat nausea and vomiting? Select all that apply.

Accepted Answer

A)  Chlorpromazine) 
B)  Zofran (ondansetron) 
C)  Adrenalne (epinephrine) 
D)  Reglan (metoclopramide) 
E)  Emend (aprepitant)
F) Catapres (clonodine)

Question 20

Place the following steps in the correct order for the nurse to provide Prevacid (lansoprazole) 15 mg capsule qd through an NG tube.

Accepted Answer

A)  Flush NG tube with 20 mL water 
B)  Check chest x-ray results to verify NG tube placement. 
C)  Flush NG tube with additional 20 mL water or apple juice. 
D)  Open capsule and mix contents with 40 mL apple juice. 
E)  Inject medication mixture through the NG tube.
F) Aspirate NG tube and check pH of aspirate.

Davis's Drug Guide for Nurses Test 1

A nurse working in a physician's office is collecting history information from a patient who reports experiencing erectile dysfunction and is seeking treatment with Levitra (vardenafil) . This medication would be contraindicated if the patient is currently taking which of the following?

A 62-year-old male is started on Revatio (sildenafil) for treatment of pulmonary arterial hypertension. What is a side effect of this medication?

The nurse receives a call from a client who recently started taking Paxil (paroxetine) . The parent reports the child has lost 6 pounds in the past 10 days. Which of the following statements by the nurse is best?

The student nurse is participating in discharge teaching for the parents of a 2-year-old patient diagnosed with impetigo who have been given a prescription for Bactroban (mupirocin) . The student understands that this medication is provided in which of the following forms?

A nurse working in the chemotherapy outpatient department is providing antiemetic therapy using Zofran (ondansetron) . The ordered dose is 32 mg. Which of the following actions should the nurse take to optimize the efficacy of the medication?

While planning care for a patient who takes Requip (ropinirole) , the nurse would develop which of the following nursing diagnoses? Select all that apply.

The nurse on the hospice unit receives an order to administer fentanyl via a transmucosal route. Which of the following actions will the nurse take?

A nurse in the labor and delivery unit is caring for a patient who is receiving Marcaine (bupivicaine) epidural anesthesia. Which of the following symptoms would be recognized as indicative of systemic toxicity?

The nurse is caring for a patient who is to receive 1 mg of Ativan (lorazepam) intravenously as conscious sedation prior to a bedside procedure. Which of the following actions should the nurse take?

The nurse is counseling the parent of a 14-year-old patient with asthma who is to initiate maintenance therapy with Singulair (montelukast) . Which of the following should the nurse include in the teaching?

A woman with severe rheumatoid arthritis is starting Simponi (golimumab) . Which of the following tests should be performed prior to starting this medication?

Match the instructions for using an inhaler in the following section with the number they should occur in. -Step 3

The nurse is preparing to infuse Keflex (cephalexin) 1 g in 50 mL over 30 min. To infuse 50 mL of fluid over 30 min, the pump should be set at __________________mL/hr (= hourly rate).

Ciprofloxacin, Levaquin, and Avelox fall under which drug classification?

When starting a patient on Synthroid (levothyroxine) , which of the following requires close monitoring?

Which of the following medications can be used to prevent or treat nausea and vomiting? Select all that apply.

Place the following steps in the correct order for the nurse to provide Prevacid (lansoprazole) 15 mg capsule qd through an NG tube.