Question 1

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 2

The nurse caring for patients on a gynecological surgery unit would monitor which of the following women most closely for evidence of a deep vein thrombosis?

Accepted Answer

A) A 64-year-old patient taking Apriso (mesalamine)who has a history of ulcerative colitis. 
B) A 47-year-old patient admitted for lumpectomy with a family history of breast cancer. 
C) A 58-year-old patient taking Estrace (estradiol)with a 42-pack-per-year history of smoking. 
D) A 61-year-old patient who had a bladder-sling procedure whose platelet count is 167,000 cells/mm³.

Question 3

What should the nurse communicate to the patient when teaching the proper technique for administration of two simultaneous doses of beclomethasone?

Accepted Answer

A) Allow at least 1 min between inhalations. 
B) Allow at least 5 min between inhalations. 
C) Take second dose immediately following the first dose. 
D) Rinse mouth between doses.

Question 4

The home-care nurse is preparing to see a patient being treated for diabetic foot ulcerations with Regranex (becaplermin).Which of the following instructions will the nurse include in the patient teaching?

Accepted Answer

A) "Apply the wound gel three times daily to promote healing." 
B) "Store the gel in the refrigerator." 
C) "Complete healing is expected within 3 days." 
D) "After applying the wound gel,cover with a transparent adhesive dressing."

Question 5

The nurse is caring for an infant who weighs 4.5 kg.Penicillin at 25,000 units/kg every 8 hr has been ordered.The amount of penicillin in each dose is ____________________ units.

Accepted Answer

The answer of The nurse is caring for an infant...

Question 6

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 7

Which of the following assessments would indicate that dopamine is effective?

Accepted Answer

A) Increased blood pressure,peripheral circulation,and urine output 
B) Decreased respiratory rate and increased oxygen saturation 
C) Increased mental awareness,peripheral circulation,and respiratory rate 
D) Decreased blood pressure,increased urine output,and increased respiratory rate

Question 8

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

Accepted Answer

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

Question 9

The nurse is providing care for a patient diagnosed with candidiasis.The nurse expects the medication record to include which of the following medications?

Accepted Answer

A) Lamictal (lamotrigine) 
B) Trandate (labetalol) 
C) Sprix (ketorolac) 
D) Nizoral (ketoconazole)

Question 10

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

Question 11

A nurse working in the neonatal intensive care unit receives an order to provide Lasix (furosemide)2 mg/kg orally now.The neonate weighs 2.5 kg,and the medication is available as a liquid with a concentration of 10 mg/mL.The calculated dose the nurse will provide in mL is __________________ mL.

Accepted Answer

The answer of A nurse working in the neonatal intensive...

Question 12

A 58-year-old woman with a history of cardiac arrhythmias visits her health-care provider with complaints of sunburn on her arm while riding in a car.What should the health-care provider suspect?

Accepted Answer

A) Allergic reaction related to cardizem 
B) Photosensitivity related to amiodarone 
C) Dermatitis related to verapamil 
D) Hypersensitivity related to sotalol

Question 13

Mr.Jacobs,who started taking Lipitor (atorvastatin)8 weeks ago,returns for a follow-up visit.He is angry because there has been no improvement in his cholesterol level.How should the nurse respond to his concern?

Accepted Answer

A) This medication helps to control but does not cure elevated serum cholesterol levels. 
B) Continue to take the medication as you have been and you should see results within 3 months. 
C) It must be taken in conjunction with an antihypertensive to get the most beneficial response. 
D) Did you eat something for breakfast this morning that would have caused the test result to be elevated?

Question 14

Intramuscular iron dextran should be administered in which site?

Accepted Answer

A) Deltoid 
B) Dorsogluteal 
C) Ventrogluteal 
D) Vastus lateralis

Question 15

The nurse is caring for a 56-year-old patient with a history of atrial fibrillation who takes Lanoxin (digoxin)0.5 mg/day.Which of the following assessments should cause the nurse to hold the patient's dose?

Accepted Answer

A) BP = 112/70 mmHg 
B) Lung sounds with fine bibasilar crackles 
C) Urine output = 300 mL in 3 hr 
D) P = 58 bpm

Question 16

A 52-year-old patient is going home with NitroMist (nitroglycerine translingual spray).How should the patient be taught to take this medication?

Accepted Answer

A) Shake canister,spray in mouth,and rinse with glass of water 5 min after administration. 
B) Roll canister between hands and spray on tongue. 
C) Inhale as the medication is being sprayed into the mouth. 
D) Lift the tongue and spray under the tongue.

Question 17

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 18

A 38-year-old woman asks the nurse,"Can I just use Tums (calcium carbonate)to help prevent osteoporosis?" Which of the following responses by the nurse is best?

Accepted Answer

A) "Tums are really an antacid,so there isn't any research to support their use that way." 
B) "You can use them that way,but they aren't very effective." 
C) "Did your doctor tell you to start taking a calcium supplement?" 
D) "It is safe to use them as a calcium supplement,but make sure you're getting enough vitamin D as well."

Question 19

The nurse is caring for a patient admitted with hepatic encephalopathy who is receiving Constilac (lactulose).The nurse should be prepared to assist the patient in managing which of the following side effects?

Accepted Answer

A) Headache 
B) Somnolence 
C) Muscle aches 
D) Frequent loose stools

Question 20

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."

Exam 1: Medication Errors: Improving Practices and Patient Safety

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 caring for patients on a gynecological surgery unit would monitor which of the following women most closely for evidence of a deep vein thrombosis?

What should the nurse communicate to the patient when teaching the proper technique for administration of two simultaneous doses of beclomethasone?

The home-care nurse is preparing to see a patient being treated for diabetic foot ulcerations with Regranex (becaplermin) .Which of the following instructions will the nurse include in the patient teaching?

The nurse is caring for an infant who weighs 4.5 kg.Penicillin at 25,000 units/kg every 8 hr has been ordered.The amount of penicillin in each dose is ____________________ units.

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

Which of the following assessments would indicate that dopamine is effective?

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

The nurse is providing care for a patient diagnosed with candidiasis.The nurse expects the medication record to include which of the following medications?

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

A nurse working in the neonatal intensive care unit receives an order to provide Lasix (furosemide)2 mg/kg orally now.The neonate weighs 2.5 kg,and the medication is available as a liquid with a concentration of 10 mg/mL.The calculated dose the nurse will provide in mL is __________________ mL.

A 58-year-old woman with a history of cardiac arrhythmias visits her health-care provider with complaints of sunburn on her arm while riding in a car.What should the health-care provider suspect?

Mr.Jacobs,who started taking Lipitor (atorvastatin) 8 weeks ago,returns for a follow-up visit.He is angry because there has been no improvement in his cholesterol level.How should the nurse respond to his concern?

Intramuscular iron dextran should be administered in which site?

The nurse is caring for a 56-year-old patient with a history of atrial fibrillation who takes Lanoxin (digoxin) 0.5 mg/day.Which of the following assessments should cause the nurse to hold the patient's dose?

A 52-year-old patient is going home with NitroMist (nitroglycerine translingual spray) .How should the patient be taught to take this medication?

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.

A 38-year-old woman asks the nurse,"Can I just use Tums (calcium carbonate) to help prevent osteoporosis?" Which of the following responses by the nurse is best?

The nurse is caring for a patient admitted with hepatic encephalopathy who is receiving Constilac (lactulose) .The nurse should be prepared to assist the patient in managing which of the following side effects?

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?