Exam Review
- A client has a medical prescription for nifedipine [Adalat XL]. Which of the following should the nurse teach the client about this medication?A)"Swallow the medication whole and do not cut, crush, or chew the medication."B)"Take your blood pressure in the morning."C)"Use caution with over-the-counter (OTC) cold medications."D)"Take the medication before bedtime."
- A client has been diagnosed with a life-threatening recurrent ventricular fibrillation that has not responded to other medications or defibrillation. Which of the following does the nurse anticipate will be prescribed next?A)QuinidineB)Digoxin [Lanoxin]C)AtropineD)Amiodarone [Cordarone]
- Which of the following will the nurse include in teaching for a client taking ferrous sulfate [Feosol]?A)"Dilute liquid preparations with juice or water and administer through a straw."B)"Take with dairy products."C)"Notify provider if stools are green or brown."D)"Avoid citrus juices."
- The nurse is assessing a client on a telemetry unit when the client states, "My vision is blurry, and I have been seeing yellow/green halos everywhere I look." Which of the following would the nurse suspect?A)Hyperglycemia eventB)Captopril (Capoten) side effectC)Verapamil (Calan) side effectD)Digoxin (Lanoxin) toxicity
Exam Review
- A client prescribed fluoxetine (Prozac) returns to the clinic one week after beginning therapy and states, "This drug is not working, I am still very sad." Which of the following would be the nurse's best response?A)"We need to add another drug with this one to help."B)"This drug could take 1-3 weeks to begin working."C)"Let me call the provider to switch to a different antidepressant."D)"This drug could take 4-6 weeks to begin working."
- A client is admitted to a hospital for treatment for first-time acute symptoms of mania. The nurse anticipates the provider will prescribe which of the following medications?A)Lithium [Lithobid]B)Diazepam [Valium]C)Bupropion [Wellbutrin]D)Paroxetine [Paxil]
- The clinic nurse is teaching a community class about Angiotensin-Converting Enzyme (ACE) inhibitors and Angiotensin II Receptor Blockers (ARBs). Which of the following should be included in the teaching?A)Hypertension is a side effect of both types of drugs.B)ACE inhibitors treat heart failure, but ARBs do not.C)WBC and potassium are unaffected by both ARBs and ACE inhibitors.D)ARBs and ACE inhibitors are contraindicated during pregnancy.
- A client is admitted to a hospital for treatment for first-time acute symptoms of mania. The nurse anticipates the provider will prescribe which of the following medications?A)Lithium [Lithobid]B)Diazepam [Valium]C)Bupropion [Wellbutrin]D)Paroxetine [Paxil]
Exam Review
- The nurse is preparing to administer digoxin (Lanoxin) 750 mcg PO daily. Available: See label below. How many pills should the nurse administer? Do not round your answer. Enter numeric answer only.Correct Answer:3 tablets
- Which of the following is the federal statute that regulates drugs and medications in Schedules I through V?A)Centers for Disease Control and Prevention (CDC)B)Health Insurance Portability and Accountability Act (HIPAA)C)Controlled Substances Act (CSA)D)Food and Drug Administration (FDA)
- A nurse is assessing a client who complains of a persistent, nonproductive dry cough after starting a new prescription for hypertension. Which of the following medications does the nurse suspect?A)Captopril (Capoten)B)Nifedipine (Adalat)C)Verapamil (Calan)D)Propranolol (Inderal)
- The nurse is assessing a client who suffers from panic disorder. Which SNRI drug can induce remission and prevent relapse for this disorder?A)Venlafaxine (Effexor XR)B)Escitalopram (Lexapro)C)Alprazolam (Xanax)D)Buspirone (Buspar)
Exam Review
- The nurse is preparing to administer protamine sulfate for which of the following medication overdoses?A)Hydralazine (Apresoline)B)Diphenhydramine (Benadryl)C)Coumadin (Warfarin)D)Heparin
- The nurse is teaching the client prescribed verapamil to avoid which of the following foods?A)GrapefruitB)ApplesC)BananasD)Oranges
- The nurse is teaching a client who has been diagnosed with hyperlipidemia about medication therapy. Which of the following medications should the nurse include in the teaching?A)Lovastatin (Mevacor)B)Pioglitazone (Actos)C)Spironolactone (Aldactone)D)Nitrofurantoin (Macrodantin)
- The nurse is administering folic acid to a client and correctly identifies the medication is used to treat which of the following conditions?A)Heart failureB)Megaloblastic anemiaC)Angina pectorisD)Chronic kidney disease
Exam Review
- The nurse is caring for a client with a medical prescription for clozapine [Clozaril]. The nurse knows which of the following is the priority laboratory value that should be reviewed prior to medication administration?A)White blood cell countB)Potassium levelC)BUN/CreatinineD)Sodium level
- A client has been prescribed zolpidem (Ambien) for insomnia. The client's spouse reports that the patient drives at night but does not remember it in the morning. Which of the following explains this behavior?A)This is a side effect of this drug which will go away after 2 weeks.B)This is a complex sleep behavior with memory loss associated with this drug.C)This is a severe allergic reaction of this drug.D)This means the drug is at toxic levels in your system.
- The nurse is evaluating the therapeutic effects of nitroglycerin transdermal patches prescribed to a client 6 months ago. Which of the following statements by the client would indicate that the medication is effective?A)“I can tell that my blood pressure has been better every day.”B)“I have had no anginal attacks since starting the medication.”C)“I am tolerating exercise without pain on a regular basis.”D)“I have not had as many headaches since starting the medication.”
- The client has been taking a medical prescription of ferrous sulfate [Feosol] for 30 days. During a follow-up assessment, the nurse will observe for which therapeutic response?A)Increased activity tolerance.B)Decreased blood glucose level.C)Decreased low density lipoprotein.D)Increased urinary output.
Exam Review
- The nurse is preparing discharge instructions for a patient taking warfarin (Coumadin). Which would the nurse correctly include in the discharge instructions? (Select all that apply.)A)Eat 3-5 large salads per week for roughage.B)Carry an emergency ID identifying that you take warfarin (Coumadin).C)Avoid hazardous activities such as football and hockey.D)Follow-up with healthcare provider and obtain lab work regularly.E)You may drink no more than 1-2 alcoholic beverages per day with this drug.
- The nurse will administer which of the following to a hospitalized client experiencing difficulty falling asleep for short-term management of insomnia?A)Zolpidem [Ambien]B)Fluoxetine [Prozac]C)MorphineD)Aspirin
- The client, diagnosed with coronary artery disease and a recent myocardial infarction, is being discharged. The client has a medical prescription for nitroglycerin sublingual as needed. Which nursing instruction is correct?A)Swallow 1 nitroglycerin tablet with a full glass of water and repeat in 5 minutes.B)Apply 1 nitroglycerin transdermal patch to your chest, ensuring to remove any previous patches.C)Place 3 nitroglycerin tablets under the tongue and notify physician if pain is not relieved.D)Take 1 tablet of nitroglycerin and call 911 or go to emergency department if chest pain is not relieved in 5 minutes, and repeat medication for a total of 3 tablets at 5 minute intervals.
- A client diagnosed with schizophrenia is on drug treatment (chlorpromazine) and states, "I recently started having muscle spasms in my face and neck." Which of the following is the nurse's best response?A)"I will notify the physician."B)"You may have become addicted to this drug."C)"This is part of your schizophrenia disease process."D)"This is normal while taking this drug and will soon go away."