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    Exam Review

    1. A nurse is providing discharge instructions to a client who has a complicated urinary tract infection (UTI) and is taking ciprofloxacin, a quinolone antiinfective. Which of the following instructions should the nurse give to the client?
      A)
      "If the medicine causes an upset stomach, take an antacid at the same time."
      B)
      "Limit your daily fluid intake while taking this medication."
      C)
      "This medication will affect your eyesight, wear sunglasses while outside"
      D)
      "You should report any discomfort in your tendons while taking this medication."
    2. A client with a documented anaphylactic reaction to penicillin is prescribed cefazolin for surgical prophylaxis. Which nursing action is most appropriate?
      A)
      Administer cefazolin as ordered, as cross-reactivity is negligible.
      B)
      Hold cefazolin and notify the provider immediately.
      C)
      Administer cefazolin with premedication of antihistamines and corticosteroids.
      D)
      Administer cefazolin slowly with close monitoring for allergic reactions.
    3. A nurse is caring for a client who has active pulmonary tuberculosis (TB). The client is a multiple drug regiment, for several months including Rifampin. What information should the nurse discuss with the client regarding the adverse effects of Rifampin?
      A)
      The client might experience constipation
      B)
      The client might see black-colored stools
      C)
      The medication may stain the teeth
      D)
      The client's urine might turn a red/orange color.
    4. A client with tuberculosis is starting drug therapy with Isoniazid (INH). Before giving the client the first dose, the nurse should ensure that which baseline study has been completed?
      A)
      Electrolyte levels
      B)
      enzymes (LFTs)
      C)
      Serum creatinine level
      D)
      Serum creatine level
    Page 1 of 13

    Exam Review

    1. A 6-year-old child is prescribed tetracycline for a severe infection. Which adverse effect should the nurse monitor for during therapy?
      A)
      Ototoxicity
      B)
      Tooth discoloration
      C)
      Nephrotoxicity
      D)
      Hyperglycemia
    2. A client is prescribed Metronidazole for a chlamydia infection. What statement made by the client indicates the need for further teaching?
      A)
      "I can have a glass of wine or two while taking this medication."
      B)
      "I might get a funny metal taste in my mouth while taking this drug."
      C)
      "This medication is an antibiotic used to treat the bacterial infection I have."
      D)
      "I should take the full prescription to get rid of this infection."
    3. A client who has been taking antibiotics presents to the clinic complaining of white patches on the tongue. The nurse exams the client and believes the client has thrush. What medication will most likely be ordered for this client?
      A)
      Hydroxychloroquine
      B)
      Warfarin
      C)
      Nystatin
      D)
      Ondansetron
    4. A client has been coughing up thick yellow mucus for the past four days. What type of upper respiratory medication would be most appropriate for this client?
      A)
      An Antihistamine medication like fexofenadine
      B)
      An Antitussive medication like dextromethorphan
      C)
      A Decongestant medication like pseudoephedrine
      D)
      An Expectorant medication like guaifenesin
    Page 2 of 13

    Exam Review

    1. A nurse should question administering Loperamide (Immodium) to which of the following clients?
      A)
      A client with acute, non-infectious diarrhea
      B)
      A client with traveler's diarrhea
      C)
      A client with an e.coli infection
      D)
      A client who has hyperactive bowel sounds
    2. A nurse is providing education to a client with chronic asthma who has been prescribed the anti-leukotriene modifier montelukast. The nurse evaluates the client's understanding of the medication's purpose. Which statement by the client indicates understanding of the medication?
      A)
      "I will take this medication every time I have an acute asthma attack."
      B)
      "This medication will help to open my airways immediately when I feel short of breath."
      C)
      "I will continue to take my other asthma medications as this drug works to prevent future attacks."
      D)
      "I should stop taking this medication when my asthma symptoms improve."
    3. A nurse is providing teaching to a client who is taking the antacid Aluminum Hydroxide for heartburn. What information should be provided to this client?
      A)
      "This medication can lead to constipation."
      B)
      "This medication can cause a metallic taste in my mouth."
      C)
      "You should take this medication at the same time as your other morning medications."
      D)
      "This medication requires a prescription from your provider."
    4. A client in the ICU is prescribed Famotidine. Which statement best describes the reason this drug will help the client?
      A)
      This drug will prevent the client from getting a bacterial infection while in the ICU.
      B)
      This drug will help control the client's pain and reduce the amount of opioids needed.
      C)
      This drug will help the client to breathe easier while on the ventilator
      D)
      This drug will decrease gastric acid production and reduce the chance for stress ulcers.
    Page 3 of 13

    Exam Review

    1. A nurse is preparing to administer pantoprazole (Protonix) to a client diagnosed with GERD. To ensure maximum therapeutic effect, the nurse should teach the client that this medication works best when administered:
      A)
      30 to 60 minutes before the first meal of the day.
      B)
      At bedtime to reduce nighttime heartburn symptoms.
      C)
      With the first bite of the largest meal of the day.
      D)
      As needed for episodes of severe heartburn.
    2. The nurse knows that acyclovir would most likely be prescribed for which type of infection?
      A)
      A candida fungal infection
      B)
      An MRSA bacterial infection
      C)
      A herpes viral infection
      D)
      A giardia protozoal infection
    3. A client has an order to receive the histamine receptor antagonist: Cimetidine. What potential adverse effects should be mentioned in client teaching?
      A)
      Impotence
      B)
      Hair growth
      C)
      Priapism
      D)
      Hypersecretion of stomach acid
    4. A client diagnosed with end-stage liver disease is prescribed Lactulose. Which assessment finding indicates that this medication is effective?
      A)
      The client has less itching.
      B)
      The client is having less bowel movements.
      C)
      The client's ammonia levels have decreased.
      D)
      The client has less pain and less jaundice.
    Page 4 of 13

    Exam Review

    1. A client is prescribed Bismuth Subsalicylate. What client condition or pathology might make this order concerning? Select all that apply, one, many or all may be correct.
      A)
      A client who has been complaining of frequent stools.
      B)
      A client with an intestinal obstruction.
      C)
      An adult who is dehydrated.
      D)
      A child with diarrhea associated with the flu.
      E)
      A client with an allergy to aspirin
    2. A client with a diagnosis of colon cancer is scheduled for a partial colectomy. She has been prescribed polyethylene glycol (PEG 3350). The nurse knows that polyethylene glycol is indicated for this patient for?
      A)
      Polyethylene glycol is a hyperosmotic laxative drug given as part of pre-surgical bowel preparation.
      B)
      Polyethylene glycol is an adsorbent antidiarrheal drug given as part of pre-surgical bowel preparation
      C)
      Polyethylene glycol is a Tetrahydrocannabinoid antiemetic given to prevent post-operative nausea and vomiting.
      D)
      Polyethylene glycol is a Neurokinin blocking antiemetic drug given to prevent post-operative nausea and vomiting.
    3. A client is ordered Timolol as part of their medication regimen for Glaucoma. The nurse knows that Timolol should be avoided in what client conditions?
      A)
      Diabetes mellitus
      B)
      Chronic kidney disease
      C)
      Asthma
      D)
      Hyperthyroidism
    4. The nurse knows that scopolamine is usually prescribed to treat?
      A)
      Migraine headaches associated with anxiety and stress
      B)
      Viral infections associated with respiratory illness.
      C)
      Nausea and vomiting associated with motion sickness
      D)
      Constipation associated with irritable bowel syndrome.
    Page 5 of 13

    Exam Review

    1. Which statement represents the advantage of prescribing Ondansetron rather than Promethazine for a client with nausea?
      A)
      Ondansetron can be given earlier and remain effective
      B)
      Ondansetron has minimal adverse effects and Promethazine affects the CNS.
      C)
      Ondansetron is an anti-emetic drug and Promethazine doesn't stop nausea
      D)
      Ondansetron is a newer medication and more available
    2. An elderly client presents to the Emergency room with sepsis. The provider immediately starts the client on a broad-spectrum antibiotic but then changes the antibiotic when the culture and sensitivity results come back. The new antibiotic would be considered what type of antibiotic therapy?
      A)
      Definitive therapy
      B)
      Empiric therapy
      C)
      Prophylactic therapу
      D)
      Palliative therapy
    3. A client with a diagnosis of sepsis is prescribed an antibiotic that kills bacteria. What type of antibiotic is this?
      A)
      Bacteriostatic
      B)
      Bactericidal
      C)
      Disinfectant
      D)
      Bacterial resistant
    4. When admitting a client to the unit, the nurse asks about any allergies to medications. The patient replies "I am allergic to sulfa drugs."What follow-up question should be the priority for the nurse to ask?
      A)
      "Why were you prescribed a sulfa drug?"
      B)
      "What was your reaction when you took the sulfa drug?"
      C)
      "Who is the provider that ordered it for you?"
      D)
      "When did you have a reaction?"
    Page 6 of 13