Exam Review
- A patient is administered cyclosporine. The nurse understands that which off the following are major adverse effects of cyclosporine? (Select all that apply).(SATA)A)BlindnessB)Opportunistic infectionC)Respiratory arrestD)NephrotoxicityE)Heart failure
- What best response does the nurse provide for a patient who is asking how their new prescription for norethindrone and ethinyl estradiol works in preventing pregnancy?A)This medication causes the destruction of a fertilized eggB)This medication increases the development of hormones released by the pituitary which prevents egg fertilization and implantationC)This medication causes the thickening of uterine mucus which decreases sperm movement and it also inhibits egg implantationD)This medication induces the maturation of the ovarian follicle
- Which of the following Parkinson's medications does the nurse know is used cautiously in patients with peripheral vascular disease?A)AmantadineB)RasaglineC)RopiniroleD)Bromocriptine
- A nurse is caring for a new patient admitted after having 3 seizures at home. The provider has ordered phenytoin (Dilantin), 100 mg, IV infusion, over 30 minutes, every eight hours Why will the nurse question this order and contact the provider?A)Phenytoin should be given as an IV push and not as a slow infusion over 30 minutesB)Phenytoin should be given as needed (pm) and there is no indication listed in the orderC)Phenytoin given greater than two times a day can cause gingival hyperplasia and excessive hair growthD)Phenytoin should be given very slowly over at least one hour
Exam Review
- The nurse is administering beta interferon to a patient. Which common adverse effect will the nurse be sure to educate the patient about?A)ConstipationB)Flu-like symptomsC)Weight gainD)Anorexia
- The nurse is teaching a nursing student about tocolytics. Which statement by the student indicates teaching was effective?A)Tocolytics stimulate uterine contractionsB)Tocolytics will inhibit labor and maintain a pregnancyC)Tocolytics will induce an abortion during pregnancyD)Tocolytics will cause harm to the fetus
- The nurse is administering medications to a patient with Crohn's disease. The nurse recognizes that which medication has a black box warning for fatal tuberculosis infection?A)BromocriptineB)BelimumabC)InfliximabD)Ropinirole
- The nurse is educating a pregnant client about the purpose of RhoGAM administration. The nurse determines that the client understands the instruction when the client states that RhoGAM will protect her baby from?A)Exposure to Rh antibodiesB)Exposure to rubella infectionC)Developing Rh+ bloodD)Developing pernicious anemia
Exam Review
- When monitoring a patient who is on immunosuppressant therapy with azathioprine, the nurse will monitor which laboratory results?A)Serum albumin levelsB)White blood cell (leukocyte) countC)Serum calcium levelsD)Serum potassium levels
- A patient is asking a nurse about taking conjugated equine estrogens for hot flashes. The nurse informs the patient that she should not take this medication because it is contraindicated due to the patient's documented medical history of:A)OsteoporosisB)Atrophic vaginitisC)irritable bowel syndromeD)Thrombophlebitis
- The nurse is monitoring a patient who is receiving mycophenolate after an organ transplant. Which adverse effect is possible with mycophenolate therapy?A)DysuriaB)ConstipationC)ConfusionD)Hypertension
- A nurse is preparing to give a lung surfactant to a 32 weeks old newborn with respiratory distress syndrome. Which of the following does the nurse understand is the correct route of administration?A)IntradermalB)IntratrachealC)IntramuscularD)Intravenous
Exam Review
- A nurse is reviewing the health history of a 38-year-old woman seeing her provider to request a prescription for an oral contraceptive. Which information in this patient's history is most concerning and is a contraindication with most forms of oral contraceptive therapy?A)past use of an intrauterine contraceptive deviceB)cigarette smoking of one pack per dayC)a history of uterine fibroidsD)systolic blood pressure consistently in the low 130's
- A patient with a history of epilepsy has been ordered nothing by mouth prior to a surgical procedure scheduled for 1000. The patient is due for phenytoin 100 mg PO at 0900. Which action is most appropriate for the nurse to take?A)Give the prescribed medication with 30 ml of waterB)Give the same dosage of the drug rectally, indicating that the patient is NPOC)Ask the provider if the drug route of administration can be changed to IVD)Omit the 0900 dose and note in the chart that the patient is NPO
- The nurse is caring for a neonate born at 38 weeks gestation and weighs 3625 grams. The provider orders a septic workup and the administration of Ampicillin 75mg/kg/day every 8 hours. What dose in milligrams will the nurse administer per dose? Round to the nearest whole number
- Which statement should the nurse include when discussing estradiol cream with a patient experiencing post-menopausal vaginitis?A)Very little hormone is absorbed systemically with cream-based preparations resulting in fewer adverse effects compared to oral estrogen replacement therapy.B)This form of hormone replacement therapy is the least effective for vaginitisC)Recent menopausal women should not use hormone replacement as symptoms of vaginitis may be transientD)There is a higher incidence of thrombophlebitis with estradiol cream than with oral estrogen preparations
Exam Review
- At 6 weeks' gestation a client is found to have gonorrhea. For which medication would the nurse anticipate preparing a teaching plan?A)Trimethoprim/sulfamethoxazoleB)LevofloxacinC)CeftriaxoneD)Sulfasalazine
- The nurse receives an order for 1000mLs normal saline to be infused at 75 mLs per hour for a client recently admitted to the unit. The IV drip factor is 10gtts/mL. To deliver the IV fluids as ordered, how many drops per minute will the nurse titrate the IV? (Round to the nearest whole number)
- The nurse is administering the medication pramipexole to a patient with Parkinson's disease. Which statement is inaccurate about this medication?A)This medication is an antiviral drug also used for treatment of influenzaB)The patient may take this in both early and late stages of Parkinson's disease.C)This medication may also be used for restless leg syndrome.D)This may be ordered in conjunction with carbidopa levodopa
- When a patient is receiving vasopressin, the nurse will monitor for which expected response?A)Decreased urinary outputB)Increased serum albumin levelsC)Increased serum potassium levelsD)Improved appetite
Exam Review
- When a patient is taking benztropine (Copentin) as part of the treatment for Parkinson's disease, the nurse should include which information in the teaching plan?A)Use artificial saliva or sugarless gum to counteract dry mouth.B)Discontinue the medication immediately if you experience dry eyes.C)Minimize the amount of fluid taken while on this drug to assist with urinary retentionD)Take the medication first thing each morning.
- A client at 28 weeks' gestation is admitted with preterm labor. The nurse understands that in addition to tocolytics, the client will receive which of the following medications?A)ProstaglandinsB)Betablockers'C)CorticosteroidsD)Uterotonics
- Which medication does the nurse anticipate being ordered to reduce cerebral edema in a patient who is experiencing severe increased intracranial pressure?A)pregabalinB)dexamethasoneC)mannitolD)phenytoin
- A patient has been admitted to the emergency department in a persistent tonic-clinic seizure. Diazepam is administered intravenously. The nurse anticipates that the effects of this medication willA)provide muscle relaxationB)dilate the tracheobronchial structuresC)cause increased blood pressureD)slow cardiac contractions