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    Exam Review

    1. After taking the medication guaifenesin (Mucinex), the client complains of coughing up phlegm. What is the best response by the nurse?
      A)
      This means there is probably more pathology present.
      B)
      This is indicative of an allergic reaction.
      C)
      This requires further investigation.
      D)
      This is a normal response to the medication.
    2. How does drug therapy of tuberculosis differ from that of most other infections?
      A)
      Patients with tuberculosis have no symptoms.
      B)
      Antituberculosis drugs are used extensively for treating active disease, not prevention.
      C)
      Patients usually require therapy for a shorter period.
      D)
      Mycobacteria have a cell wall that is resistant to penetration by anti-infective drugs.
    3. A nurse is assisting with the care of four clients who have peptic ulcer disease. The nurse should identify that misoprostol (Cytotec) is contraindicated for which of the following clients?
      A)
      A client who is pregnant.
      B)
      A client who has osteoarthritis.
      C)
      A client who has a urinary tract infection.
      D)
      A client who has a kidney stone.
    4. The risk for physical and psychological dependence is high from which class of medications, which is rarely used to treat insomnia or anxiety?
      A)
      Barbiturates.
      B)
      Nonsteroidal anti-inflammatory drugs (NSAIDs).
      C)
      Benzodiazepines.
      D)
      Selective serotonin reuptake inhibitors (SSRIs).
    Page 1 of 7

    Exam Review

    1. Which of the following is a violation of safe practice when administering insulin?
      A)
      Administering ordered insulin subcutaneously.
      B)
      Using an insulin syringe to administer the insulin dose.
      C)
      Drawing up the ordered dose in a 3 mL syringe.
      D)
      Verifying the drawn-up insulin dose with another nurse.
    2. A nurse is reinforcing teaching with a client who was newly prescribed paroxetine (Paxil) (an SSRI) for treatment of panic disorder. Sort the following information by what the nurse should include vs what not to include.
      (SATA)
      A)
      Take this medication just before bedtime to promote sleep.
      B)
      Herbal medication can be combined with this medication.
      C)
      Monitor for weight changes while taking this medication.
      D)
      It can take several weeks before you feel like the medication is helping.
    3. According to an evidence-based approach, what is the most productive way to treat anxiety disorders?
      A)
      Provide the client with a powerful medication.
      B)
      Uncover and address the cause of anxiety.
      C)
      Allow the client to self-medicate with OTC medications.
      D)
      Immediately start multiple-drug therapy.
    4. When beginning herbal products, the nurse understands that the best way to identify allergic or other adverse reactions is to have the client:
      A)
      Take less than the recommended dose initially.
      B)
      Never take with prescription medications.
      C)
      Check with a reputable pharmacist.
      D)
      Use only one herbal preparation at a time.
    Page 2 of 7

    Exam Review

    1. A teenage client is taking duloxetine (Cymbalta) for a generalized anxiety disorder. The dose has been changed by the physician. What adverse effects will the nurse advise the client and family to watch?
      (SATA)
      A)
      Warning signs of suicide.
      B)
      Fatigue.
      C)
      Irritability.
      D)
      Weight gain.
    2. Which class of drugs is successful in treating an ulcer caused by H. pylori?
      A)
      Antacids
      B)
      H2-receptor blockers
      C)
      Antibiotics
      D)
      Proton-pump inhibitors
    3. What is the priority action for a nurse caring for a client with a urinary tract infection before administering prescribed antibiotics?
      A)
      Obtain a blood pressure
      B)
      Obtain a urine specimen for culture and sensitivity
      C)
      Obtain a PTT
      D)
      Obtain a platelet count .
    4. Which of the following triggers the pancreas to secrete insulin?
      A)
      Hypoglycemia
      B)
      Hyperglycemia
      C)
      Glucagon
      D)
      Ketoacids
    Page 3 of 7

    Exam Review

    1. A patient is allergic to penicillin. Which class of antibiotics might they also have a cross-allergy to?
      A)
      Cephalosporins
      B)
      Sulfonamides
      C)
      Macrolides
      D)
      Aminoglycosides
    2. The healthcare provider has ordered 1000 mL of 0.9% sodium chloride to be administered intravenously over 5 hours. The drop factor on the tubing is 15 drops/mL. How many milliliters per hour and how many drops per minute will you administer?
      A)
      200 mL/hr and 45 drops/min
      B)
      250 mL/hr and 45 drops/min
      C)
      250 mL/hr and 50 drops/min
      D)
      200 mL/hr and 50 drops/min
    3. A student nurse is studying drugs for anxiety and insomnia. Which of the following should be avoided as they counteract anxiolytics and sedatives and may worsen anxiety symptoms?
      A)
      Coffee
      B)
      Tea
      C)
      Chocolate
      D)
      All of the above
    4. The patient with tuberculosis is now on isoniazid (INH). Which laboratory test should the nurse monitor?
      A)
      BUN
      B)
      PT and PTT
      C)
      Liver enzymes (LFTs)
      D)
      CBC
    Page 4 of 7

    Exam Review

    1. A nurse is reinforcing teaching with a client who has a new prescription for buspirone (Buspar) to treat anxiety. Which of the following information should the nurse include?
      A)
      Take this medication on an empty stomach.
      B)
      Expect optimal effects within 24 hours.
      C)
      This medication has a low risk for dependency.
      D)
      Take this medication on an as-needed basis for anxiety.
    2. What would the nurse teach a client to avoid when taking barbiturates?
      A)
      Nicotine
      B)
      Alcohol
      C)
      Bananas
      D)
      Caffeine
    3. A client taking an MAOI should be instructed to avoid which item?
      A)
      Large amounts of water
      B)
      A diet that is high in salt
      C)
      A diet that is high in fat
      D)
      Foods that contain tyramine and caffeine .
    4. Drag the words from the choices below to fill in the blank in the following Definitions. Class of drugs derived from barbituric acid that act as CNS depressants and are used for their sedative and anti- seizure effect are known as _.
      A)
      Antidepressants
      B)
      Anxiolytics
      C)
      Barbiturates
      D)
      Benzodiazepines
    Page 5 of 7

    Exam Review

    1. Four patients are due to receive their morning insulin and breakfast will be served in 15 minutes. Which patient should the nurse administer insulin to first?
      A)
      The patient with a pre-meal glucose level of 90 mg/dL, scheduled to receive 10 units of NPH.
      B)
      The patient with a pre-meal glucose level of 70 mg/dL, scheduled to receive 2 units of aspart (Novolog) insulin.
      C)
      The patient with a pre-meal glucose level of 120 mg/dL, scheduled to receive 15 units of NPH.
      D)
      The patient with a pre-meal glucose level of 170 mg/dL, scheduled to receive 5 units of lispro (Humalog) insulin.
    2. The nurse has an order to administer U-500 Humulin R insulin 10 units. How many units should the nurse draw up when administering this insulin?
      A)
      50 units of Humulin R insulin in a 100-unit insulin syringe.
      B)
      10 units of Humulin R insulin in a 500-unit insulin syringe.
      C)
      10 units of Humulin R insulin in a 30-unit insulin syringe.
      D)
      50 units of Humulin R insulin in a 50-unit insulin syringe.
    3. Why are antianxiety medications used cautiously in older adults?
      A)
      The drug is not distributed as well due to poor circulation.
      B)
      The liver metabolizes the drug faster, making it ineffective.
      C)
      There is an inability to absorb the drugs due to decreased acid production.
      D)
      There is reduced elimination, leading to a buildup in the circulation.
    4. The nurse is caring for a patient who is being treated for peptic ulcer disease. Which medication should the patient be taught to avoid?
      A)
      NSAIDs
      B)
      Antacids
      C)
      H2 blockers
      D)
      PPIs .
    Page 6 of 7