Question 1

As the nurse prepares to administer Ziagen,which of the following would indicate the medication is effective?

Accepted Answer

A) Decreased creatinine clearance and increased BUN 
B) Increased creatinine clearance and decreased BUN 
C) Decreased viral load and increased CD4 cell count 
D) Increased viral load and decreased CD4 cell count

Question 2

While providing care to a 68-year-old man taking Lopid (gemfibrozil),the nurse recognizes that which of the following assessments indicates the medication and treatment plan are effective?

Accepted Answer

A) The patient has lost 4 pounds this month. 
B) The patient's HDL drops from 55 mg/dL to 49 mg/dL. 
C) The patient's cholesterol drops from 265 mg/dL to 238 mg/dL. 
D) The patient's LDL is 175 mg/dL.

Question 3

While caring for a patient in hospice who is actively dying,the nurse notes moderate respiratory distress,copious oral secretion,and a frequent moist cough.Which of the following prn medications would most promote comfort for the patient?

Accepted Answer

A) Morphine (morphine sulfate)2 mg IV bolus 
B) Atro-Pen (atropine)0.4 mg IV bolus 
C) Ativan (lorazepam)0.5 mg IV bolus 
D) Benadryl (diphenhydramine)25 mg IV bolus

Question 4

The nurse is caring for a patient admitted with suspected overdose with Codeine.Which of the following medications would the nurse anticipate being ordered?

Accepted Answer

A) Pamelor (nortriptyline) 
B) Narcan (naloxone) 
C) Naprosyn (naproxen) 
D) Nicobid (niacin)

Question 5

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 6

While providing care for patients on a neuroscience unit,which of the following medications should the nurse provide first?

Accepted Answer

A) Dantrium (dantrolene)1 mg/kg IV to a patient with malignant hyperthermia 
B) Norpramin (desipramine)100 mg orally to a patient admitted with syncope 
C) Enablex (darifenacin)15 mg orally to a patient admitted for cerebrovascular accident 
D) Cymbalta (duloxetine)20 mg to a patient with diabetes

Question 7

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 8

While counseling a patient receiving Inspra (eplerenone)for hypertension,the nurse recognizes the need for further teaching by which of the following statements?

Accepted Answer

A) "I'll follow a cardiac diet to help lower my blood pressure." 
B) "It is important that I stop smoking to reduce my risk of a heart attack." 
C) "I can use salt substitutes if I want more seasoning." 
D) "It is important to check my blood pressure at home at least once a week."

Question 9

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 10

The nurse is caring for a patient with a long history of asthma.Which of the following medications should the nurse question?

Accepted Answer

A) Inderal (propanolol) 
B) Proventil (albuterol) 
C) Serevent (salmeterol) 
D) Pulmacort (budesonide)

Question 11

MATCHING
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 12

The nurse recognizes that which of the following medications ordered for a patient may help reduce skeletal muscle spasms?

Accepted Answer

A) Tagamet (cimetidine) 
B) Reglan (metoclopromide) 
C) Soma (carisoprodol) 
D) Tegretol (carbamazepine)

Question 13

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 14

Which drug is used in the treatment of scurvy?

Accepted Answer

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

Question 15

While caring for elderly residents in a nursing home,the nurse recognizes the use of Advil (ibuprofen)places these clients at increased risk for which of the following? Select all that apply.

Accepted Answer

A) Gastrointestinal bleeding 
B) Renal toxicity 
C) Hepatic toxicity 
D) Cerebrovascular accident 
E) Pulmonary embolism
F)Peripheral vascular disease

Question 16

While providing care for an adolescent patient newly prescribed Elavil (amitriptyline),the nurse should be most concerned by which of the following patient statements?

Accepted Answer

A) "My mouth seems really dry and I'm thirsty all the time." 
B) "I take a nap most afternoons now because I feel sleepy sometimes." 
C) "I'm not sure why we should even bother anymore;everything seems so pointless." 
D) "I drink a cup of coffee most days with breakfast."

Question 17

An oral dose of zinc sulfate is being prescribed for a patient in the wound clinic.Patient education should emphasize that the following products should not be taken with zinc sulfate because they will decrease absorption.Select all that apply.

Accepted Answer

A) Caffeine products 
B) Bran 
C) Dairy products 
D) Seafood

Question 18

The nurse caring for a patient taking hydrochlorothiazide and Lanoxin (digoxin)instructs the patient to notify the physician with which of the following symptoms? Select all that apply.

Accepted Answer

A) Systolic blood pressure less than 150 
B) Anorexia,nausea,and vomiting 
C) Muscle cramps 
D) Confusion 
E) Numbness and tingling in extremities
F)Nocturia

Question 19

The nurse caring for a patient taking Zyrtec (cetirizine)recognizes the treatment plan is effective by which of the following statements?

Accepted Answer

A) "I don't feel nearly as tired as I used to feel." 
B) "I am able to sleep at least 6 or 7 hr every night now." 
C) "My eyes itch less and I'm not sneezing as often." 
D) "My heartburn has essentially gone away."

Question 20

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."

Exam 1: Medication Errors: Improving Practices and Patient Safety

As the nurse prepares to administer Ziagen,which of the following would indicate the medication is effective?

While providing care to a 68-year-old man taking Lopid (gemfibrozil) ,the nurse recognizes that which of the following assessments indicates the medication and treatment plan are effective?

While caring for a patient in hospice who is actively dying,the nurse notes moderate respiratory distress,copious oral secretion,and a frequent moist cough.Which of the following prn medications would most promote comfort for the patient?

The nurse is caring for a patient admitted with suspected overdose with Codeine.Which of the following medications would the nurse anticipate being ordered?

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

While providing care for patients on a neuroscience unit,which of the following medications should the nurse provide first?

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

While counseling a patient receiving Inspra (eplerenone) for hypertension,the nurse recognizes the need for further teaching by which of the following statements?

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?

The nurse is caring for a patient with a long history of asthma.Which of the following medications should the nurse question?

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

The nurse recognizes that which of the following medications ordered for a patient may help reduce skeletal muscle spasms?

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.

Which drug is used in the treatment of scurvy?

While caring for elderly residents in a nursing home,the nurse recognizes the use of Advil (ibuprofen) places these clients at increased risk for which of the following? Select all that apply.

While providing care for an adolescent patient newly prescribed Elavil (amitriptyline) ,the nurse should be most concerned by which of the following patient statements?

An oral dose of zinc sulfate is being prescribed for a patient in the wound clinic.Patient education should emphasize that the following products should not be taken with zinc sulfate because they will decrease absorption.Select all that apply.

The nurse caring for a patient taking hydrochlorothiazide and Lanoxin (digoxin) instructs the patient to notify the physician with which of the following symptoms? Select all that apply.

The nurse caring for a patient taking Zyrtec (cetirizine) recognizes the treatment plan is effective by which of the following statements?

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.