Exam Review
- What is the primary therapeutic use of Brilinta (ticagrelor)?A)To treat hyperlipidemiaB)To prevent thrombotic events in patients with acute coronary syndromeC)To manage hypertensionD)As a first-line treatment for heart failure
- A patient is receiving (metoprolol) Lopressor post MI, the nurse should monitor for which adverse effect?A)Constipation and dry mouthB)Signs of heart failure such as edema and weight gainC)Signs of hyperactivityD)Increased energy and appetite
- A nurse reviews medication precautions with a patient who is taking levothyroxine (Synthroid). Which of these statements, if made by the patient would indicate that the patient has the correct understanding of the instructions?A)"I will monitor my pulse rate while I am taking the medication."B)"I will be able to stop taking the medication when my symptoms improve."C)"I will probably gain some weight while I am taking this medication."D)"I will take the medication every night at bedtime."
- The nurse is caring for a patient who will begin taking omeprazole (Prevacid) 20 mg per day for 4 to 8 weeks to treat gastroesophageal reflux disease esophagitis. The nurse learns that the patient takes digoxin. The nurse will contact the provider for orders to:A)decrease the dose of omeprazoleB)increase the dose of digoxinC)monitor for digoxin toxicity.D)increase the omeprazole to 60 mg per day
Exam Review
- A patient who is taking levothyroxine (Synthroid) texts a home care nurse and states "I feel very anxious and I have been having palpitations." Which of these responses should the nurse make to the patient?A)"This is an expected side effect of the medicine."B)"Cut back on your daily caffeine intake."C)"Make sure you change positions slowly."D)"Do not take the medication and call your HCP."
- A young woman tells the nurse that she has a strong family history of osteoporosis and that she has been taking calcium supplements. Which vitamin will the nurse recommend as an adjunct to calcium supplementation?A)Vitamin KB)Vitamin DC)Vitamin AD)Vitamin E
- A client is receiving furosemide (Lasix). The nurse should monitor for which adverse effect of the medication?A)NauseaB)Increased urinary outputC)Dizziness LightheadednessD)Gastric upset
- The nurse is preparing to give a second dose of trimethoprim-sulfamethoxazole (TMP-SMX) to a patient and notes a petechial rash on the patient's extremities. The nurse will perform which action?A)Request an order for a blood glucose level.B)Hold the dose and notify the provider.C)Request an order for a BUN and creatinine level.D)Request an order for diphenhydramine (Renadryl)
Exam Review
- The nurse is caring for an older adult patient with a decrease in kidney function. Which of the following laboratory values should the nurse monitor?A)Complete Blood CountB)CreatinineC)Serum Sodium and PotassiumD)Serum Albumin
- The nurse is preparing to administer ciprofloxacin (Cipro) to a client. Which of the following administration guidelines should the nurse provide to the client? (Select all that apply)(SATA)A)Take ciprofloxacin on an empty stomach for best absorption.B)Avoid prolonged sun exposure while taking ciprofloxacin.C)Take ciprofloxacin with a full glass of water.D)Avoid taking ciprofloxacin with dairy products.E)Ensure adequate fluid intake while taking ciprofloxacin.
- Which of the following medications is most commonly used to treat acute migraine attacks?A)TriptansB)AntidepressantsC)AntibioticsD)Beta-blockers
- A patient who is unconscious and has a pulse is brought to the emergency department. The patient is wearing a Medic-Alert bracelet indicating type 1 diabetes mellitus. The nurse will anticipate an order to administerA)glucagon.B)orange juice.C)insulin.D)cardiopulmonary resuscitation (CPR).
Exam Review
- What is the primary purpose of levodopa in Parkinson's diseaseA)To decrease acetylcholine levelsB)To cure Parkinson's diseaseC)To reduce symptoms of anxietyD)To increase dopamine levels in the brain
- A nurse is calculating the intake of a client during the past 9 hr. The client's intake includes lactated Ringer's IV at 125 mL/hr, cefazolin 2 g IV intermittent bolus in 100 mL of 0.9% sodium chloride, two units of packed RBCs of 275 mL and 250 mL: two IV bolus infusions of 250 mL of 0.9% sodium chloride, ranitidine 50 mg IV intermittent bolus in 50 mL of dextrose 5% in water. How many mL of intake should the nurse record?
- The nursing caring for a patient who is receiving Warfarin. The lab calls and tells the nurse the patient's INR is reported at 5.3. What action should the nurse take?A)Continue with the current doseB)Administer additional warfarinC)Increase the dose of warfarinD)Administer vitamin K as ordered
- A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. Which of the following findings should the nurse recognize as a potential adverse effect?A)Orthostatic hypotensionB)Blurred visionC)Urinary retentionD)Muscle weakness
Exam Review
- A patient comes to the ER with complaints of shortness of breath, wheezing, a O2 saturation of 92%, respiratory rate of 28, and heart rate of 110. The patient did take a short acting beta 2 agonist prior to coming to the ER. Which drug will the nurses anticipateA)AlbuterolB)TheophyllineC)EpinephrineD)Dexamethasone
- A patient diagnosed with diabetes is being discharge to home with regular insulin and insulin glargine (Lantus). During discharge teaching the patient asks what is the difference between the 2 types of insulin. What is your best response?A)"Insulin glargine will only be given if her blood sugars are higher than 200 mg/dL."B)"Insulin glargine is the same as regular insulin, and she will require several injections during the day."C)"Insulin glargine helps to manage elevated blood sugars after she eats, and she will require injections three times a day."D)"Insulin glargine will help control her blood sugar for 24 hours and will need to be given one time per day."
- Lisinopril is contraindicated in patients with which adverse condition?A)History of angioedema related to ACE inhibitorsB)AsthmaC)Chronic sinusitisD)Diabetes mellitus
- A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions?A)Dries mucous membranesB)Stimulates secretionsC)Suppresses the urge to coughD)Reduces inflammation
Exam Review
- The therapeutic range for Dilantin is __________. It is essential for effective seizure control.
- The nurse is teaching a newly diagnosed type 1 diabetic patient about insulin administration and glucose monitoring, which statements will be included in the teaching plan? (select all that apply)A)All complementary and alternative therapies are safe to use along with insulin.B)Wash your hands prior to insulin administration.C)Unopened insulin vials should be stored in the refrigerator.D)With diet and exercise you may be able to stop taking insulin.E)You will need to monitor your glucose more often when you are ill.
- Order: Ascorbic Acid 200 mg IM every day. Available: Ampule containing Ascorbic Acid 500 mg/2mL. How many mL's will be given? Include mL in answer
- A patient is admitted to the hospital for treatment of pneumonia after complaining of high fever and shortness of breath. The patient was not able to produce sputum for a culture. The nurse will expect the patient's provider to order which of the following?A)a narrow-spectrum antibioticB)multiple antibioticsC)the pneumococcal vaccineD)a broad-spectrum antibiotic