NursGuru

    Exam Review

    1. A client exposed to anthrax has presented to the healthcare setting. Which of the following medications below is the treatment for this biological exposure?
      A)
      Amoxicillin/clavulanate (Augmentin)
      B)
      Nystatin (Mycostatin)
      C)
      Ciprofloxacin (Cipro)
      D)
      Tamoxifen
    2. 2-month-old patient with current active infection. Being treated with neomycin. Complete the following sentence by using the list of options. The nurse understands that neomycin may cause serious adverse effects such as▾ Ototoxicity and ▾ Pseudomembranous colitis
      Dropdown 1:
      Option 1: Ototoxicity
      Option 2: Constipation
      Option 3: Hypercalcemia
      Option 4: Thrombocytopenia
      Dropdown 2:
      Option 1: Hypotrichosis
      Option 2: Pseudomembranous colitis
      Option 3: Photosensitivity
      Option 4: Hyperpigmentation
    3. The charge nurse is performing an Inservice regarding the adverse effects of antibiotic therapy. Which of the following antibiotics should the nurse include regarding the potential to cause QT prolongation? (Select All that Apply)
      (SATA)
      A)
      Fluoroquinolones
      B)
      Penicillin's
      C)
      Macrolides
      D)
      Beta-Lactams
      E)
      Cephalosporins
    4. A client diagnosed with strep throat requires antibiotics for treatment. With an allergy to penicillin, the nurse understands which medication should be avoided due to cross-sensitivity with penicillin medications?
      A)
      Macrolides
      B)
      Antiretrovirals
      C)
      Antimalarials
      D)
      Cephalosporins

    Exam Review

    1. A client with a leukemia has been placed on methotrexate. Which of the following mechanism of actions below describes this medication?
      A)
      Stops fungal growth
      B)
      Alters pH level
      C)
      Inhibits replication by blocking folic acid synthesis
      D)
      Inhibits helper T Cells
    2. A nurse is caring for a client recently prescribed doxycycline (Doryx) for the treatment of a urinary tract infection. Which of the following statements below applies to doxycycline (Doryx)? (Select All that Apply.)
      (SATA)
      A)
      This medication should not be taken if you are lactating
      B)
      This medication can cause hyperglycemia
      C)
      This medication may cause photosensitivity
      D)
      This medication should not be taken with antacids
      E)
      This medication may cause discoloration of the teeth
    3. A client diagnosed with trichomoniasis is prescribed metronidazole. The nurse should instruct the client to avoid which contraindication associated with this medication?
      A)
      Alcohol consumption
      B)
      Tyramine based foods
      C)
      Apple Juice
      D)
      Soy beans
    4. A client who is newly diagnosed with metastatic breast cancer is being prepared for chemotherapy. Which of the following adverse effects below should the nurse educate the client regarding chemotherapy? (Select All that Apply.)
      (SATA)
      A)
      Alopecia
      B)
      Bone marrow suppression
      C)
      Extrapyramidal symptoms
      D)
      Bleeding
      E)
      Nausea

    Exam Review

    1. A nurse is providing an Inservice to newly graduated nurses. Which of the following vaccines would the nurse label as "live vaccines" and should be avoided by immunocompromised clients? Select All that Apply
      (SATA)
      A)
      Measles
      B)
      Inactivated Polio
      C)
      Mumps
      D)
      Varicella
      E)
      Rubella
    2. A nurse is caring for a client. Exhibits After reviewing the information in the client's medical record, which of the following provider prescriptions should the nurse anticipate? Complete the following sentence by using the list of options. The nurse should anticipate a provider prescription for ▾ Acyclovir as evidenced by the client’s ▾ Painful vesicular sores on the perineum .
      Dropdown 1:
      Option 1: Acyclovir
      Option 2: Ceftriaxone
      Option 3: Azithromycin
      Option 4: Fluconazole
      Dropdown 2:
      Option 1: Painful vesicular sores on the perineum
      Option 2: Muscle aches and chills
      Option 3: Enlarged inguinal lymph nodes
      Option 4: Low-grade fever
    3. A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results would the nurse assess for to determine therapeutic effectiveness?
      A)
      Clotting Factors
      B)
      hemoglobin & hematocrit
      C)
      leukocyte count
      D)
      ALT & AST
    4. A nurse is caring for a client who recently traveled to a malaria-stricken country. The client is diagnosed with malaria and is prescribed chloroquine (Aralen). Which of the following adverse effects should the nurse educate the client regarding this medication?
      A)
      Retinal toxicity
      B)
      Tumors
      C)
      Pancytopenia
      D)
      Cancer

    Exam Review

    1. A nurse is teaching a client who is beginning highly active antiretroviral therapy (HAART) for HIV which includes zidovudine. The nurse should include teaching regarding which black box warning associated with this medication?
      A)
      lactic acidosis
      B)
      Uterine cancer
      C)
      oral candidiasis
      D)
      thromboembolic events
    2. A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for rifampin. The nurse should instruct the client that they should expect which of the following clinical manifestations while taking this medication?
      A)
      Staining of teeth
      B)
      Orange colored secretions
      C)
      Constipation
      D)
      White-colored stools
    3. A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of the following information should the nurse include in the teaching?
      A)
      Medications will need to be taken until the Mantoux test is negative
      B)
      A typical course of treatment usually involves 6 months of consistent medication use.
      C)
      Medications will need to be taken for the rest of the client's life, even if the client feels better.
      D)
      The client's family will also need to take medications to prevent infection.
    4. A nurse caring for a client receiving doxycycline for the treatment of Lyme's Disease. Which statement below should be included in the client's teaching plan?
      A)
      Regular sun exposure is needed to maximize drug efficacy
      B)
      Avoid water while taking this medication
      C)
      Take this medication with antacids to relieve gastrointestinal symptoms
      D)
      Avoid dairy products when taking this medication

    Exam Review

    1. A client diagnosed with a urinary tract infection (UTI) is prescribed sulfamethoxazole/trimethoprim. Which of the following conditions below would be a contraindication for this medication?
      A)
      Uterine cancer
      B)
      Client taking captopril for hypertension
      C)
      Osteoporosis
      D)
      Multiple Sclerosis
    2. The nurse is caring for a client receiving ciprofloxacin for treatment of a urinary tract infection (UTI). The nurse will include which black box warning (BBW) in the discharge education?
      A)
      This medication can cause thromboembolic events
      B)
      This drug has a black box warning for causing tendon rupture
      C)
      This medication can cause endometrial cancers
      D)
      This medication can cause breast cancer
    3. The nurse is administering an estrogen blocker to a client diagnosed with advanced breast cancer. Which of the following side effects will the nurse caution the client regarding?
      A)
      Tendon rupture
      B)
      Phlebitis
      C)
      Increase risk of lymphomas
      D)
      Thromboembolic events
    4. A client recently diagnosed with Iron deficiency Anemia is prescribed Ferrous Sulfate daily. Which of the following statements below is true regarding iron therapy?
      A)
      This medication should be taken with a straw to avoid discoloration of the teeth.
      B)
      This medication is to be taken at night to prevent constipation from occurring.
      C)
      This medication should be taken with antacids to prevent gastrointestinal distress.
      D)
      This medication is to be taken with milk to enhance absorption.

    Exam Review

    1. A charge nurse is teaching a group of nurses about the differences amongst anemia treatments. For each medication listed below, click to specify the expected treatment option.
      A)
      Anemia due to CKD (chronic kidney disease)
      B)
      Iron Deficiency Anemia
      C)
      Pernicious Anemia
      D)
      Folate Deficiency Anemia