Question 1

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 2

While caring for a client who chose to start taking Niacin (vitamin B₃)rather than a statin agent,the nurse determines that the treatment has been effective by which of the following findings? Select all that apply.

Accepted Answer

A) Serum triglyceride = 136 mg/dL 
B) Protein = 7.2 g/dL 
C) Prothrombin time = 12 sec 
D) Total cholesterol = 168 mg/dL 
E) Random glucose = 108 g/dL
F)Glycosylated hemoglobin (A1
C) = 4.4%

Question 3

When taking Lunesta (eszopiclone),the following instructions should be followed.

Accepted Answer

A) Take at the same time every morning. 
B) Take 1 hr before meals. 
C) Take with food. 
D) Take immediately before going to bed.

Question 4

While providing initial chemotherapy teaching for a patient who is scheduled to receive cisplatin for metastatic ovarian cancer,the nurse recognizes that teaching has been effective by which of the following client statements? Select all that apply.

Accepted Answer

A) "This medication is usually taken as a pill every day for a week." 
B) "You will need to check my lab values each time I'm due for chemotherapy to make sure I can safely take each scheduled treatment." 
C) "It is very important that I continue to take the medication that prevents nausea and vomiting consistently throughout my day of treatment." 
D) "Aside from nausea,this medication has few other side effects." 
E) "I may have nausea or loss of appetite for up to a week after taking this medication."
F)"I will come into an infusion center to get my chemotherapy in an IV."

Question 5

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 6

Place the following steps in proper sequence to provide 12 units NPH insulin and 4 units regular insulin.

Accepted Answer

A) Draw up 12 units NPH insulin. 
B) Draw up 4 units regular insulin. 
C) Administer subcutaneous injection. 
D) Select and prep the site. 
E) Mix NPH insulin vial by rotating briskly between hands.
F)Verify order and current blood glucose result.

Question 7

The nurse is caring for a patient who had a total hip replacement yesterday.Based on the patient's risk of developing deep vein thrombosis or pulmonary emboli,which of the following would the nurse expect to find in the patient's plan of care? Select all that apply.

Accepted Answer

A) Bilateral thigh-high sequential compression stockings 
B) Fragmin (dalteparin)5,000 IU SQ every day 
C) Strict bed rest for 3 days 
D) Vital signs and pulse oximetry every 4 hr 
E) Lovenox (enoxaparin)30 mg IV push-single dose now
F)Aspirin 650 mg every 4 hr while awake

Question 8

While caring for a patient on post op day 1 after a total abdominal hysterectomy,the patient reports a pain level of 4 on a 1-10 scale.The nurse provides two tablets of Anexsia (hydrocodone/acetaminophen 5 mg/325 mg)orally along with the patient's other morning medications,which include Isordil (isosorbide)10 mg and Lasix (furosemide)20 mg orally at 9 a.m.Which of the following instructions should the nurse provide to the nursing assistant regarding the patient's activity?

Accepted Answer

A) "Have her sit at the side of the bed for a minute before walking as she may be dizzy." 
B) "She should only take a short walk right now since she just ate her breakfast." 
C) "Wait to walk her until after lunch so her pain is better." 
D) "Let's not walk her today since she seems rather tired."

Question 9

The nurse receives a call from a patient who recently started taking Actos (pioglitazone)15 mg every morning.The patient states,"I forgot to take it for the past 2 days.What should I do?" Which of the following is the best response by the nurse?

Accepted Answer

A) "Simply take the medication as planned today." 
B) "Take two today and then one a day from this point forward." 
C) "You will need to come in and have some blood drawn." 
D) "Are you experiencing any pain today?"

Question 10

The nurse is caring for a patient admitted with chronic pain who has been receiving meperidine 100 mg orally every 3-4 hr as needed for pain for the past 4 days.Which of the following actions is the highest priority in the patient's care?

Accepted Answer

A) Monitor the patient for irritability or seizure activity. 
B) Determine when the patient last moved his bowels. 
C) Ask the patient if he is experiencing insomnia. 
D) Check the patient's labs to determine triglyceride levels.

Question 11

A nurse working on the postpartum unit is caring for a woman who had a spontaneous delivery of a 9 lb,6 oz baby 6 hr earlier.The nurse notes the patient has soaked four peri-pads and that her uterine fundus is boggy.Which of the following medications does the nurse anticipate being ordered?

Accepted Answer

A) Pitocin (oxytocin) 
B) Methylergonovine (methergine) 
C) Brethine (terbutaline) 
D) Magnesium sulfate (magnesium sulfate)

Question 12

The nurse is caring for a patient admitted from an extended care facility who has developed a moist,productive cough.A chest x ray was ordered and new orders for Zyvox (linezolid)600 mg IV every 12 hr has been received.Which of the following orders should the nurse also complete prior to providing the first dose of medication?

Accepted Answer

A) Daily weight 
B) Sputum culture and sensitivity 
C) Complete blood count (CB
C)  
D) Chemistry profile

Question 13

While working on a medical unit,the nurse answers a call light for a woman who asks to take her Ambien (zolpidem)10 mg orally as ordered before going to sleep.After providing the medication,which of the following actions should the nurse take next?

Accepted Answer

A) Instruct the patient to drink at least two full glasses of water in the next 30 min. 
B) Instruct the patient to wear her slippers if she gets up during the night. 
C) Raise the patient's bed side rail. 
D) Document the medication provision in the patient's chart.

Question 14

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 15

A nurse working with a patient who started taking Bentyl (dicyclomine)recognizes that patient further teaching is necessary by which of the following statements?

Accepted Answer

A) "I'll call the doctor immediately if I have any eye pain or sensitivity to light." 
B) "I won't have any restrictions on my driving or other activities if I take this drug." 
C) "I will get up slowly since this medication may make me dizzy." 
D) "People who take this medication sweat less,so it is important not to get overheated."

Question 16

The nurse is passing medications for a patient whose medication administration record reads,"Neurontin (gabapentin)300 mg po TID." Gabapentin is provided by the pharmacy in 600 mg scored tablets.The nurse should provide ____________________ tablets with each dose.

Accepted Answer

The answer of The nurse is passing medications for a...

Question 17

While admitting a patient to the medical unit at 9:30 a.m.for an acute episode of Crohn's disease,the nurse learns the patient typically takes Imodium (loperamide)2 mg four times each day.The nurse recognizes that further patient teaching is needed by which of the following statements? Select all that apply.

Accepted Answer

A) "That is the medicine that helps control my diarrhea." 
B) "I have to be careful about loperamide when I'm taking my narcotic pain medication." 
C) "I didn't take my loperamide this morning so I'd like to take two when it is due at 11 a.m." 
D) "I usually drink one or two beers a day." 
E) "I'm always sure to drink at least 10 glasses of water or juice each day."
F)"I chew a lot of sugarless gum."

Question 18

A nurse providing hypertension screening and education recognizes which of the following medications as an ACE inhibitor? Select all that apply.

Accepted Answer

A) Tenormin (atenolol) 
B) captopril) 
C) Vasotec (enalopril) 
D) Teveten (eprosartan) 
E) Lotensin (benazepril)
F)Atacand (candesartan)

Question 19

The nurse is counseling a patient who is newly prescribed Lyrica (pregabalin).Which of the following statements should be included in the patient's teaching? Select all that apply.

Accepted Answer

A) "This medication may increase depression or suicidal thoughts,so be sure to notify your physician if this occurs." 
B) "The medication is used to reduce the pain associated with diabetic neuropathy." 
C) "Do not stop using this medication quickly." 
D) "Weight loss and decreased interest in food may be experienced with this medication." 
E) "Call the doctor right away if you have muscle pain or weakness."
F)"You must take this medication with your meals to avoid severe gastric irritation."

Question 20

For chondroitin to be effective it should be taken:

Accepted Answer

A) As needed 
B) Once a week 
C) Once a month 
D) For an extended period of time

Exam 1: Medication Errors: Improving Practices and Patient Safety

While caring for a client who chose to start taking Niacin (vitamin B₃) rather than a statin agent,the nurse determines that the treatment has been effective by which of the following findings? Select all that apply.

When taking Lunesta (eszopiclone) ,the following instructions should be followed.

While providing initial chemotherapy teaching for a patient who is scheduled to receive cisplatin for metastatic ovarian cancer,the nurse recognizes that teaching has been effective by which of the following client statements? Select all that apply.

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?

Place the following steps in proper sequence to provide 12 units NPH insulin and 4 units regular insulin.

The nurse is caring for a patient who had a total hip replacement yesterday.Based on the patient's risk of developing deep vein thrombosis or pulmonary emboli,which of the following would the nurse expect to find in the patient's plan of care? Select all that apply.

The nurse receives a call from a patient who recently started taking Actos (pioglitazone) 15 mg every morning.The patient states,"I forgot to take it for the past 2 days.What should I do?" Which of the following is the best response by the nurse?

The nurse is caring for a patient admitted with chronic pain who has been receiving meperidine 100 mg orally every 3-4 hr as needed for pain for the past 4 days.Which of the following actions is the highest priority in the patient's care?

A nurse working on the postpartum unit is caring for a woman who had a spontaneous delivery of a 9 lb,6 oz baby 6 hr earlier.The nurse notes the patient has soaked four peri-pads and that her uterine fundus is boggy.Which of the following medications does the nurse anticipate being ordered?

While working on a medical unit,the nurse answers a call light for a woman who asks to take her Ambien (zolpidem) 10 mg orally as ordered before going to sleep.After providing the medication,which of the following actions should the nurse take next?

A nurse working with a patient who started taking Bentyl (dicyclomine) recognizes that patient further teaching is necessary by which of the following statements?

The nurse is passing medications for a patient whose medication administration record reads,"Neurontin (gabapentin)300 mg po TID." Gabapentin is provided by the pharmacy in 600 mg scored tablets.The nurse should provide ____________________ tablets with each dose.

A nurse providing hypertension screening and education recognizes which of the following medications as an ACE inhibitor? Select all that apply.

The nurse is counseling a patient who is newly prescribed Lyrica (pregabalin) .Which of the following statements should be included in the patient's teaching? Select all that apply.

For chondroitin to be effective it should be taken: