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    Exam Review

    1. A pregnant client is requiring an antibiotic for a bacterial infection. Which antibiotic is safe to administer during pregnancy?
      A)
      nitrofurantoin
      B)
      Erythromycin
      C)
      Doxycycline
      D)
      Ciprofloxacin
    2. A client is prescribed a broad-spectrum antibiotic for a bacterial infection. What adverse effect(s) are associated with the use of broad-spectrum antibiotics? (Select all that apply.)
      (SATA)
      A)
      Insomnia
      B)
      Constipation
      C)
      Tinnitus
      D)
      Oral thrush
      E)
      Nausea
    3. A healthcare provider is preparing to administer a dose of Fosfomycin to a client. Which condition is most likely being treated?
      A)
      Latent tuberculosis
      B)
      Acute cystitis
      C)
      Dental abscess
      D)
      Nodular acne
    4. A client has received a prescription for fluconazole. Which condition is most likely being treated?
      A)
      HIV/AIDS
      B)
      Tuberculosis
      C)
      Vaginal candidiasis
      D)
      Genital herpes
    Page 1 of 13

    Exam Review

    1. Which of the following statements best describes the mechanism of action for Rhogam?
      A)
      Binds to maternal red blood cells in the fetal circulation.
      B)
      Binds to maternal red blood cells in the maternal circulation.
      C)
      Binds to fetal red blood cells in the maternal circulation.
      D)
      Binds to fetal red blood cells in the fetal circulation.
    2. A client with a urinary tract infection has been prescribed phenazopyridine. Which statement is correct concerning phenazopyridine?
      A)
      This medication should be taken with food to minimize nausea.
      B)
      Cranberry juice should be avoided while taking this medication.
      C)
      It is a bactericidal antibiotic that inhibits the bacterial cell wall.
      D)
      This medication may cause an orange discoloration of tears.
    3. What is the optimal age for administering the initial dose of the human papillomavirus vaccine?
      A)
      26 years of age
      B)
      50 years of age
      C)
      11 years of age
      D)
      4 years of age
    4. A client is receiving intravenous gentamicin for the treatment of peritonitis. Which of the following would be a contraindication to gentamicin use?
      A)
      Liver damage
      B)
      Gastric ulceration
      C)
      Renal failure
      D)
      Cephalexin allergy
    Page 2 of 13

    Exam Review

    1. A client with neutropenia is being educated about reporting fevers. What defines a fever and requires reporting to the healthcare provider in the setting of neutropenia?
      A)
      A temperature greater than 102.5 F for a duration of at least 6 hours consecutively.
      B)
      A single temperature of 101 F or greater, or a temperature of 100.4 F for at least an hour.
      C)
      A temperature of at least 102 F on 2 separate occasions during a 24 hour period.
      D)
      A single temperature of 102 F or greater, or a temperature of 101.5 F for at least an hour.
    2. After initiating treatment with isoniazid, a client develops numbness and tingling of their legs. Which medication could have been co-administered with isoniazid to help prevent this adverse effect from occurring?
      A)
      Thiamine
      B)
      Folic acid
      C)
      Niacin
      D)
      Pyridoxine
    3. A client with breast cancer is being assessed after beginning tamoxifen 4 weeks ago. Which symptom would alert the healthcare team to a potential adverse effect from tamoxifen?
      A)
      Painful urination
      B)
      Persistent cough
      C)
      Unilateral leg swelling
      D)
      Abdominal cramps
    4. A client has been suffering from chronic joint pain for decades due to rheumatoid arthritis, an autoimmune condition. Which medication could be administered to treat this client's autoimmune condition?
      A)
      Cyclosporine
      B)
      Vincristine
      C)
      Doxorubicin
      D)
      Interferon
    Page 3 of 13

    Exam Review

    1. A client received vincristine for the treatment of brain cancer. Which symptom would most likely indicate an adverse effect to this medication?
      A)
      Difficulty falling asleep and staying asleep at night.
      B)
      Redness, warmth, and swelling in one of the legs.
      C)
      Pins and needles sensation in the hands and feet.
      D)
      Difficulty recognizing family members and friends.
    2. A client has developed severe tissue destruction and necrosis of the arm following an IV infusion of a medication. Which medication is most likely to cause this adverse reaction?
      A)
      Tamoxifen
      B)
      Vincristine
      C)
      Leucovorin
      D)
      Filgrastim
    3. A client has been prescribed tetracycline for the treatment of acne vulgaris. What teaching point is important to provide to the client?
      A)
      Protect your skin from exposure to sunlight
      B)
      Do not take this drug if have a sulfa allergy
      C)
      You may experience ringing in the ears
      D)
      Your urine may appear red in color
    4. A client has a new prescription for amoxicillin to treat pneumonia. Which statement is true regarding amoxicillin?
      A)
      This medication is safe to administer to clients with a penicillin allergy.
      B)
      This medication may cause tooth discoloration.
      C)
      This medication is a bactericidal agent that inhibits cell wall synthesis.
      D)
      This medication may result in Achilles tendonitis or tendon rupture.
    Page 4 of 13

    Exam Review

    1. A client is receiving interferon alfa-2b for the treatment of hepatitis B. Which side effect is most commonly associated with administration of interferon?
      A)
      Achy muscles and low-grade fevers.
      B)
      Back pain and bloody urine.
      C)
      Persistent vomiting and diarrhea.
      D)
      Yellow eyes and itchy skin.
    2. Which adverse effect is most likely to occur following the administration of methotrexate?
      A)
      Leg swelling
      B)
      Jaundice
      C)
      Palpitations
      D)
      Hot flashes
    3. While reviewing a client's chart, the healthcare provider notices the client is receiving leucovorin. Which medication is the client also likely to be receiving?
      A)
      Mesna
      B)
      Tamoxifen
      C)
      Cyclophosphamide
      D)
      Methotrexate
    4. A client has been prescribed metronidazole for an infection. Which adverse effect should the healthcare team educate the client about prior to dispensing this medication?
      A)
      This medication can cause your skin to take on a blue tint.
      B)
      This medication can cause your urine to become orange or red in color.
      C)
      This medication can cause facial flushing and vomiting when taken with alcohol.
      D)
      This medication can cause hearing impairment and ringing in the ears.
    Page 5 of 13

    Exam Review

    1. Which medication is an example of an immunoglobulin?
      A)
      RhoGAM
      B)
      Td booster
      C)
      MMR vaccine
      D)
      Trastuzumab
    2. A client is taking azathioprine for a flare-up of Crohn's disease, an autoimmune disorder. What would be contraindicated while the client is taking azathioprine?
      A)
      Taking a multivitamin daily
      B)
      Administration of antiemetic drugs
      C)
      Administration of a live vaccine
      D)
      Taking an antihypertensive drug
    3. Which immunization series is initiated during infancy when the child is 2 months old?
      A)
      Rotavirus
      B)
      Tdap
      C)
      MMR
      D)
      Varicella
    4. Which medication is commonly administered alongside cyclophosphamide to prevent hematuria from occurring?
      A)
      Infliximab
      B)
      Mesna
      C)
      Folic acid
      D)
      Pyridoxine
    Page 6 of 13