Question 1

The nurse is providing care for a patient who has new orders to start Pacerone (amiodarone)po 400 mg BID.Which of the following orders should the nurse anticipate? Select all that apply.

Accepted Answer

A)  Monitor vital signs every 4 hr.
B)  Telemetry monitoring.
C)  Liver function tests every morning for the next 3 days.
D)  Initiate seizure precautions.
E)  Notify physician of visual changes.F) Do not serve grapefruit juice. A,B,C,E,F

Question 2

The nurse is working with a client who is undergoing a bowel prep prior to a scheduled colonoscopy.Which of the following medications should the nurse expect to provide?

Accepted Answer

A)  Magnesium chloride sustained-release tablets 535 mg/each,2 tablets
B)  Magnesium citrate oral solution,300 mL bottle
C)  Magnesium hydroxide chewable tablets,300 mg
D)  Magnesium sulfate 1 g intravenously B

Question 3

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." C

Question 4

The nurse is providing care for a 59-year-old patient with a long-term history of asthma for an acute exacerbation.The client is started on an infusion of aminophylline.Which of the following orders would the nurse expect to be written?

Accepted Answer

A)  Place on telemetry and monitor patient for reports of chest pain.
B)  Theophylline levels every 6 hr x4.
C)  O₂ to keep saturation greater than 93%.
D)  Strict I/O.
E)  NG to intermittent suction.F) Pleurovac to 20 cm water seal.

Question 5

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 6

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.

Question 7

The nurse receives new orders to start clindamycin 25 mg/kg/day in four equal intravenous doses every 6 hr to a child who weighs 20 kg.The dose of medication the nurse should provide with each administration is ___________________mg.

Accepted Answer

The answer of The nurse receives new orders to start...

Question 8

While providing care for a patient who takes Januvia (sitagliptin),the nurse should be most concerned by which of the following findings?

Accepted Answer

A)  Patient reports persistent abdominal pain that radiates to the back
B)  Patient reports having a headache
C)  Hemoglobin A1C = 5%
D)  Patient takes Glucophage (metformin) concurrently

Question 9

The nurse is caring for a patient taking Nexium (esomeprazole).The nurse knows teaching has been effective by which of the following statements? Select all that apply.

Accepted Answer

A)  "I should take this pill with my meals."
B)  "This medication helps reduce the release of stomach acid and reduces my reflux."
C)  "I should not chew or crush the pellets."
D)  "If I miss a dose,it should be skipped for the day."
E)  "I've eliminated alcohol from my diet completely."F) "I can keep taking Advil for my arthritis pain."

Question 10

The nurse recognizes that Celexa (citalopram)may be prescribed for which of the following patients?

Accepted Answer

A)  A 42-year-old patient with a history of depression
B)  A 22-year-old patient with a history of schizophrenia
C)  A 37-year-old patient taking MAO inhibitors
D)  A 55-year-old patient with a history of alcoholism

Question 11

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 12

The nurse is caring for a patient who has been started on Corgard (nadolol).Which of the following assessment findings would be most concerning to the nurse?

Accepted Answer

A)  A fasting blood sugar of 92 g/dL
B)  A blood pressure of 116/70 mm Hg
C)  Noted jugular vein distension
D)  A resting pulse of 64 bpm

Question 13

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 14

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 15

A nurse passing medications at the nursing home is supposed to provide Cardizem (diltiazem)90 mg po TID.The pharmacy stocks 60 mg tablets.The nurse should provide ____________________ tablets.

Accepted Answer

The answer of A nurse passing medications at the nursing...

Question 16

A young woman reports to the emergency department with frank vaginal bleeding and a stated history of being 10 wk pregnant.Ultrasound confirms an incomplete miscarriage,and the woman is scheduled for a dilatation and curettage.Which of the following medications should the nurse anticipate being provided after the surgical procedure?

Accepted Answer

A)  Rheumatrex (methotrexate) 
B)  Methergine (methylergonovine) 
C)  Magnesium sulfate
D)  Terbutaline

Question 17

The nurse is caring for a patient in the intensive care unit.The patient is receiving Osmitrol (mannitol)0.5 g/kg infused over 60 min.Which of the following would indicate an effective response to the treatment?

Accepted Answer

A)  Urine output is 50 mL over the next hour.
B)  White blood cell count is 6.4 cells/mm³.
C)  Patient oxygen status is 89% on 3 L of oxygen.
D)  Patient's blood pressure is 148/42.

Question 18

While providing peri-care for a patient receiving multiple intravenous antibiotics,the nurse notes that the patient's groin folds and peri-area are red,inflamed,and excoriated and that whitish discharge is noted from the vagina.When contacting the physician to report the patient's condition,which of the following medications would the nurse anticipate being ordered?

Accepted Answer

A)  Neomycin ointment
B)  Monistat cream
C)  Calamine lotion
D)  Hydrocortisone cream

Question 19

The nurse is providing Serevent Diskus (salmeterol)to a patient on the medical unit who has a long-term history of chronic obstructive pulmonary disease.The nurse would intervene if which of the following were observed?

Accepted Answer

A)  The patient did not attach a spacer prior to inspiration.
B)  The patient closes the device after inhalation without washing the mouthpiece.
C)  The patient held the diskus level in a horizontal position.
D)  The patient exhaled into the diskus device.

Question 20

A nurse caring for a patient who takes Tofranil (imipramine)150 mg orally at bedtime would be most concerned by which of the following observations?

Accepted Answer

A)  The patient's urine has a blue-green tinge.
B)  The patient reports fuzzy vision and difficulty seeing.
C)  The patient reports feeling dizzy when getting out of bed.
D)  The patient reports she has gained 2 pounds in the last 3 weeks.

Exam 1: Medication Errors: Improving Practices and Patient Safety

The nurse is providing care for a patient who has new orders to start Pacerone (amiodarone) po 400 mg BID.Which of the following orders should the nurse anticipate? Select all that apply.

The nurse is working with a client who is undergoing a bowel prep prior to a scheduled colonoscopy.Which of the following medications should the nurse expect to provide?

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?

The nurse is providing care for a 59-year-old patient with a long-term history of asthma for an acute exacerbation.The client is started on an infusion of aminophylline.Which of the following orders would the nurse expect to be written?

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?

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

The nurse receives new orders to start clindamycin 25 mg/kg/day in four equal intravenous doses every 6 hr to a child who weighs 20 kg.The dose of medication the nurse should provide with each administration is ___________________mg.

While providing care for a patient who takes Januvia (sitagliptin) ,the nurse should be most concerned by which of the following findings?

The nurse is caring for a patient taking Nexium (esomeprazole) .The nurse knows teaching has been effective by which of the following statements? Select all that apply.

The nurse recognizes that Celexa (citalopram) may be prescribed for which of the following patients?

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

The nurse is caring for a patient who has been started on Corgard (nadolol) .Which of the following assessment findings would be most concerning to the nurse?

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?

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?

A nurse passing medications at the nursing home is supposed to provide Cardizem (diltiazem)90 mg po TID.The pharmacy stocks 60 mg tablets.The nurse should provide ____________________ tablets.

The nurse is caring for a patient in the intensive care unit.The patient is receiving Osmitrol (mannitol) 0.5 g/kg infused over 60 min.Which of the following would indicate an effective response to the treatment?

The nurse is providing Serevent Diskus (salmeterol) to a patient on the medical unit who has a long-term history of chronic obstructive pulmonary disease.The nurse would intervene if which of the following were observed?

A nurse caring for a patient who takes Tofranil (imipramine) 150 mg orally at bedtime would be most concerned by which of the following observations?