Question 1

The nurse is counseling a patient who wants to start using Nicorette (nicotine chewing gum).Which of the following statements indicates that teaching has been effective? Select all that apply.

Accepted Answer

A) "Since I used to smoke about 12 cigarettes a day,I will use the 2 mg gum." 
B) "I should not chew more than five pieces per day." 
C) "I should start out chewing one piece of gum every 1 or 2 hr." 
D) "I will gradually decrease the amount of gum I chew over about 10 weeks." 
E) "The gum comes in a number of flavors so I can have variety."
F)"There are no side effects to the gum,so I can use more if I need it."

Question 2

What times should be indicated for the administration of Maalox?

Accepted Answer

A) 6 a.m. ,10 a.m. ,3 p.m. ,7 p.m. 
B) 7 a.m. ,11 a.m. ,4 p.m. ,8 p.m. 
C) 8 a.m. ,12 p.m. ,5 p.m. ,9 p.m. 
D) 9 a.m. ,1 p.m. ,7 p.m. ,11 p.m.

Question 3

A nurse from the medical unit is floated to the cardiology floor.While preparing to provide morning medications,the nurse realizes many patients are taking bisoprolol and knows the drug must be given cautiously or in reduced doses to which of the following patients? Select all that apply.

Accepted Answer

A) A 56-year-old patient with a history of pulmonary disease. 
B) A 68-year-old patient with a history of gastroesophogeal reflux disease. 
C) A 71-year-old patient with chronic renal failure. 
D) A 66-year-old patient with elevated liver enzymes. 
E) A 59-year-old patient with a history of diverticulitis.
F)A 74-year-old patient with a history of Alzheimer's disease.

Question 4

While checking orders for a patient newly admitted with abdominal pain and suspected pancreatitis,the nurse notes the following order,"meperidine 50-100 mg IM q 3-4 hr prn for pain." Which of the following medications currently taken by the patient would cause the nurse to contact the physician?

Accepted Answer

A) Isordil (isosorbide)20 mg po q 6 hr 
B) Trandate (labetalol)100 mg BID 
C) Nardil (phenelzine)15 mg po TID 
D) Indocin (indomethacin)25 mg po QID

Question 5

MATCHING
Match the instructions for using an inhaler in the following section with the number they should occur in.
-Step 5

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 6

The nurse is taking a medication history over the phone for a patient scheduled for knee replacement in 3 days.Which of the following medications,if reported by the patient,should be reported to the surgeon?

Accepted Answer

A) Zantac (ranitidine) 
B) Proventil (albuterol) 
C) Lotrimin (clortrimazole) 
D) Klonopin (clonazepam)

Question 7

The nurse is providing care for a patient with hepatic encephalopathy who is receiving lactulose via a nasogastric tube QID.Which of the following indicates the patient is responding appropriately to the medication?

Accepted Answer

A) The patient's serum ammonia level returns to normal limits. 
B) The patient's potassium level returns to normal limits. 
C) The patient's blood alcohol level returns to normal limits. 
D) The patient's serum calcium level returns to normal limits.

Question 8

When administering bisacodyl,which of the following implications should the nurse consider? Select all that apply.

Accepted Answer

A) Increase fluid intake up to 2,000 mL/day. 
B) Administer with food. 
C) Dilute with normal saline prior to administration. 
D) Assess fluid and electrolyte status. 
E) If giving rectally,encourage retention of enema for 15-30 min.

Question 9

The nurse is caring for a patient who has been receiving chemotherapy for the past 4 months.The patient takes Reglan (metoclopramide)10 mg every 4 hr as needed for nausea and vomiting.The nurse should be most concerned with which of the following patient statements?

Accepted Answer

A) "I'm losing my balance a lot and I noticed my hands are shaky." 
B) "I've lost 5 pounds in the past month." 
C) "I'm not sure what I'm going to do when I don't have to come in here all of the time." 
D) "My kids are really struggling with the fact that I just don't have any energy anymore."

Question 10

MATCHING
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 11

The nurse is counseling a patient who will begin taking buspirone).Which of the following statements indicates further teaching is required?

Accepted Answer

A) "I might feel dizzy or sleepy with this medication." 
B) "I shouldn't drive until I know how I'm going to respond to this medication." 
C) "It's all right to take most over-the-counter medications and things with this medication." 
D) "I should avoid alcohol or other medications that depress my nervous system."

Question 12

The nurse is caring for a patient with bronchitis and prepares to provide Tessalon pearls (benzonatate)as ordered.The patient states,"I don't think I've had this before.What is it for?" Which of the following responses by the nurse is best?

Accepted Answer

A) "This helps thin the mucus so it is easier for you to cough it up." 
B) "It is a cough suppressant and will help reduce your coughing." 
C) "This helps dilate the small airways in your lungs to help you breathe." 
D) "It is a muscle relaxer so you can rest more comfortably."

Question 13

The nurse is caring for a patient with ulcerative colitis.New orders are received for Anaflex (salsalate)orally TID.The nurse recognizes the patient cannot received this drug due to an allergy to which of the following?

Accepted Answer

A) Meperidine 
B) Sulfa 
C) Penicillin 
D) Aspirin

Question 14

Which of the following should be communicated to a patient who is being prescribed Advair Diskus (fluticasone and salmeterol)?

Accepted Answer

A) Open capsule and mix with water or juice. 
B) Rinse mouth with water after each use. 
C) Use a spacer device. 
D) Shake medication container prior to administration.

Question 15

The nurse is caring for a patient on the operative day for a laparoscopic-assisted vaginal hysterectomy.The patient complains of pain and the nurse notes orders for ketorolac)30 mg intravenously every 6 hr as needed for pain.Which of the following actions should the nurse take?

Accepted Answer

A) Mix the ketorolac with 10 mL sterile normal saline prior to administration. 
B) Check the patient's magnesium level prior to administration. 
C) Draw up the medication and administer in the nearest IV port over 15 seconds. 
D) Check to determine if the patient has an allergy to morphine.

Question 16

The nurse is counseling a patient who is to start taking Norvasc (amlodipine)for hypertension.The nurse recognizes that further teaching is required by which of the following statements?

Accepted Answer

A) "I need to call the doctor if my pulse is less than 50 beats in a minute." 
B) "I'll get up slowly since I may be a little dizzy if I get up too fast." 
C) "It is important that I take this medication on an empty stomach." 
D) "I need to check with the doctor before taking any new over-the-counter cold medicines."

Question 17

A young man with an allergy to sulfa was recently diagnosed with ulcerative colitis.What medication is he likely to receive?

Accepted Answer

A) Bactrim 
B) Dipentum 
C) Glyburide 
D) Sulfasalazine

Question 18

Which of the following laboratory values requires the closest monitoring with isoniazid therapy?

Accepted Answer

A) CBC 
B) AST and ALT 
C) BUN and Cr 
D) HbA1c and glucose

Question 19

The nurse is asked by the parent of a 13-year-old girl,"How does the new cervical cancer vaccine work?" Which of the following statements by the nurse is best?

Accepted Answer

A) "It is a series of three vaccinations over a 6-month period of time designed to prevent cervical cancer and genital warts caused by a virus we call human papilloma virus (HPV)." 
B) "Gardasil helps reduce sexually transmitted diseases and female cancers by stimulating an immune response to the herpes virus." 
C) "Your daughter would get a single shot to help prevent cervical,ovarian,and vaginal cancer." 
D) "You should really ask the doctor about the vaccination because it is still controversial."

Question 20

A client calls the nurse at 2 p.m.stating,"I forgot to take my Tenormin (atenolol)at 8 a.m.like I usually do.Should I take it now?" Which of the following responses by the nurse is best?

Accepted Answer

A) "It would be best to simply take two pills tomorrow." 
B) "No,too much time has gone by so just skip that dose." 
C) "Yes,it is important to take the medication each day." 
D) "Why did you forget to take it today?"

Exam 1: Medication Errors: Improving Practices and Patient Safety

The nurse is counseling a patient who wants to start using Nicorette (nicotine chewing gum) .Which of the following statements indicates that teaching has been effective? Select all that apply.

What times should be indicated for the administration of Maalox?

A nurse from the medical unit is floated to the cardiology floor.While preparing to provide morning medications,the nurse realizes many patients are taking bisoprolol and knows the drug must be given cautiously or in reduced doses to which of the following patients? Select all that apply.

While checking orders for a patient newly admitted with abdominal pain and suspected pancreatitis,the nurse notes the following order,"meperidine 50-100 mg IM q 3-4 hr prn for pain." Which of the following medications currently taken by the patient would cause the nurse to contact the physician?

MATCHING Match the instructions for using an inhaler in the following section with the number they should occur in. -Step 5

The nurse is taking a medication history over the phone for a patient scheduled for knee replacement in 3 days.Which of the following medications,if reported by the patient,should be reported to the surgeon?

The nurse is providing care for a patient with hepatic encephalopathy who is receiving lactulose via a nasogastric tube QID.Which of the following indicates the patient is responding appropriately to the medication?

When administering bisacodyl,which of the following implications should the nurse consider? Select all that apply.

The nurse is caring for a patient who has been receiving chemotherapy for the past 4 months.The patient takes Reglan (metoclopramide) 10 mg every 4 hr as needed for nausea and vomiting.The nurse should be most concerned with which of the following patient statements?

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

The nurse is counseling a patient who will begin taking buspirone) .Which of the following statements indicates further teaching is required?

The nurse is caring for a patient with bronchitis and prepares to provide Tessalon pearls (benzonatate) as ordered.The patient states,"I don't think I've had this before.What is it for?" Which of the following responses by the nurse is best?

The nurse is caring for a patient with ulcerative colitis.New orders are received for Anaflex (salsalate) orally TID.The nurse recognizes the patient cannot received this drug due to an allergy to which of the following?

Which of the following should be communicated to a patient who is being prescribed Advair Diskus (fluticasone and salmeterol) ?

The nurse is caring for a patient on the operative day for a laparoscopic-assisted vaginal hysterectomy.The patient complains of pain and the nurse notes orders for ketorolac) 30 mg intravenously every 6 hr as needed for pain.Which of the following actions should the nurse take?

The nurse is counseling a patient who is to start taking Norvasc (amlodipine) for hypertension.The nurse recognizes that further teaching is required by which of the following statements?

A young man with an allergy to sulfa was recently diagnosed with ulcerative colitis.What medication is he likely to receive?

Which of the following laboratory values requires the closest monitoring with isoniazid therapy?

The nurse is asked by the parent of a 13-year-old girl,"How does the new cervical cancer vaccine work?" Which of the following statements by the nurse is best?

A client calls the nurse at 2 p.m.stating,"I forgot to take my Tenormin (atenolol) at 8 a.m.like I usually do.Should I take it now?" Which of the following responses by the nurse is best?