Question
Week 1 quiz
Question 1
A patient has been prescribed several drugs and fluids to be
given intravenously. Before the nurse starts the intravenous administration, a
priority assessment of the patient will be to note the
Question 2
A nurse is caring for a postsurgical patient who has small
tortuous veins and had a difficult IV insertion. The patient is now receiving
IV medications on a regular basis. What is the best nursing intervention to
minimize the adverse effects of this drug therapy?
Question 3
A nurse who is responsible for administering medications
should understand that the goals of the MedWatch program are to (Select all
that apply.)
Question 4
In response to a patient's nausea, the nurse has mixed a
dose of an antiemetic with 50 mL of sterile normal saline and will administer
the dose by IV piggyback. What is the rationale for the use of IV piggyback?
Question 5
A home health nurse notes that there have been changes to a
patient's oral drug regimen. The nurse will closely monitor the new drug regimen
to
Question 6
A patient who has been admitted to the hospital for a
mastectomy has stated that she has experienced adverse drug effects at various
times during her life. Which of the following strategies should the nurse
prioritize in order to minimize the potential of adverse drug effects during
the patient's stay in the hospital?
Question 7
An older adult patient with a history of Alzheimer's disease
and numerous chronic health problems has been prescribed several medications
during his current admission to hospital and recent declines in the patient's
cognition have impaired his ability to swallow pills. Which of the following
medications may the nurse crush before administering them to this patient?
Question 8
A mother brings her 4-year-old child, who is vomiting and
has a temperature of 103°F into the emergency department (ED). The ED physician
orders acetaminophen (Tylenol) for the fever. The best form of Tylenol to give
the child, considering her presentation, would be
Question 9 The nurse is caring for a patient receiving an
aminoglycoside (antibiotic) that can be nephrotoxic. Which of the following
will alert the nurse that the patient may be experiencing nephrotoxicity?
Question 10
For which of the following patients would a nasogastric tube
most likely be considered to aid in the administration of medications?
Week 2 quiz
Question 1
A 46-year-old white American has been prescribed a drug that
binds to acid glycoproteins. The nurse understands that white Americans usually
receive
Question 2
A nurse is caring for a 46-year-old patient of Chinese
origin who has bipolar disorder. The physician has prescribed lithium carbonate
(Eskalith) to treat the disorder. The nurse is aware that the lithium dose will
likely be given in a
Question 3
A physician has ordered subcutaneous injections of morphine,
a narcotic, every 4 hours as needed for pain for a motor vehicle accident
victim. The nurse is aware that there is a high abuse potential for this drug
and that it is categorized as a
Question 4
A nurse is providing care for a 71-year-old woman who was
sponsored to emigrate from Mexico to the United States 6 months ago. Earlier
this week, the woman slipped while getting off a bus and fractured her hip. How
should the woman's nurse best exemplify cultural competence in the care of this
patient?
Question 5
A patient will begin three new medications as part of her treatment
plan. The nurse practitioner understands that proper disposal of medications is
key when the nurse practitioner states
Question 6
A nurse is admitting a Mexican woman to the hospital who
cannot speak or understand English. The patient is alone, and there is no
interpreter available. When trying to communicate with the patient the nurse
will
Question 7
A patient comes to primary clinic for strep throat. A throat
swab culture is sent to lab. What information is required for the nurse
practitioner to disclose on lab transmittal?
Question 8
A nurse practitioner understands when prescribing a
medication that there are certain questions to address. Check all that apply.
Question 9
A nurse at a large, university hospital has been informed
that a drug trial will be taking place that may involve several patients in the
hospital over the next several months. What is the nurse's most likely role in
this drug testing process?
Question 10
Drugs have a valid medical use but a high potential for
abuse, both psychological and physiologic. In an emergency, a Schedule 2 drug
may be prescribed by telephone if a written prescription cannot be provided at
the time. However, a written prescription must be provided within 72 hours with
the words authorization for emergency dispensing written on the prescription.
These prescriptions cannot be refilled. A new prescription must be written each
time. Examples include certain amphetamines and barbiturates. This is scheduled
drug
Week 3 quiz
Question 1
A nurse is caring for a patient who is diabetic and has been
diagnosed with hypertension. An angiotensin-converting enzyme inhibitor,
captopril, has been prescribed for her. Which of the following should the nurse
assess before beginning drug therapy?
Question 2
A normal maintenance dose for digoxin is 0.125 to 0.5
mg/day. In which of the following patients would the nurse most likely
administer a lower-than-normal maintenance dose of digoxin?
Question 3
A nurse is the cardiac care unit is preparing to hang an
intravenous dose of dofetilide (Tikosyn) for a patient who has just been
admitted. What is the most likely goal of this intervention?
Question 4
A 58-year-old man is admitted to the emergency department. A
diagnosis of severe digoxin toxicity is made. Bradycardia is present, and an
electrocardiogram (ECG) confirms toxicity. The nurse will administer which of
the following drugs?
Question 5
A nurse is caring for a patient who is admitted into the
cardiac care unit with acute, decompensated heart failure. Nesiritide
(Natrecor) has been ordered. When preparing for administration of the drug, the
nurse will
Question 6
A 62-year-old man has been prescribed extended-release
lovastatin. The nurse will instruct the patient to take the medication
Question 7
A 70-year-old woman with a history of atrial fibrillation
takes digoxin and verapamil to control her health problem. Verapamil achieves a
therapeutic effect by
Question 8
A nurse is caring for a male patient who has a diagnosis of
coronary artery disease (CAD). His drug therapy includes lovastatin. Because
the patient has a history of severe renal disease, the nurse will assess for
which of the following?
Question 9
A female patient is taking 0.125 mg of digoxin daily for
heart failure. At a recent clinic visit she reports that since she has been on
the drug, she can breathe better and her heart rate has been around 74 beats
per minute. The nurse weighs the patient and notices that she has gained 10
pounds since the digoxin therapy was started. The patient is concerned that the
additional weight will necessitate an increase in the medication. Which of the
following is an appropriate response by the nurse?
Question 10
A nurse has been following a male patient who is taking
hydralazine, clonidine, and a diuretic for hypertension. After 2 weeks of
medication therapy, the patient begins to complain of numbness and tingling in
his hands and feet. The nurse suspects that these signs or symptoms are
Week 4 quiz
Question 1
A patient is in the clinic for seasonal allergic rhinitis.
Loratadine (Claritin) is prescribed. Which of the following statements will the
nurse include when providing patient education concerning this drug?
Question 2
After a recent history of shortness of breath that has
become increasingly severe, a woman has been prescribed ipratropium by MDI
while she undergoes a diagnostic workup. What patient teaching should the nurse
provide to this patient?
Question 3
A female patient, age 36, is prescribed inhaled
corticosteroid (ICS) for daily use. Which of the following adverse effects
should the nurse closely monitor for in this patient?
Question 4
A female patient calls the clinic and reports that since she
has been taking dextromethorphan (Robitussin), she has been extremely drowsy
and dizzy. The nurse will question the patient about which of the following?
Question 5
Children age 6 to 11 are recommended to start with what
dosage of Allegra?
Question 6
A 20-year-old woman calls the clinic at 5 PM and reports to
the nurse that she forgot to take her morning dose of fexofenadine (Allegra).
She usually takes her evening dose at 8 PM. She wants to know what she should
do. The nurse will instruct her to
Question 7
A nurse is caring for a female patient who has developed
atelectasis because of thick mucus secretions. The nurse is monitoring IV
administration of acetylcysteine (Mucomyst) and notices that the patient's face
is flushed. The appropriate nursing action would be to
Question 8
A nurse is providing patient education to a 42-year-old man
who has been prescribed dextromethorphan (Robitussin). The patient is a crane
operator for a local construction company. The nurse's assessment reveals that
the patient is a smoker and has diabetes. The most important safety
consideration while the nurse is designing a plan of care for this patient
would be the fact that he is
Question 9
A nurse is providing education to a 56-year-old man who is
admitted to the emergency department with an acute asthma attack. The nurse's
initial assessment reveals that the patient has a history of pneumonia, drinks
large quantities of coffee, and eats a high-calorie diet. Albuterol is
prescribed for him. The important consideration when the nurse is preparing a
teaching plan will be that the patient
Question 10
A college student has presented the campus medical clinic
complaining of cold symptoms that he has been experiencing for the past 2
weeks. He tells the nurse that he has been taking OTC decongestants twice daily
since the onset of the cold. What teaching point should the nurse provide to
this student?
Week 5 quiz
Question 1
Which of the following would be an expected outcome in a
patient who has been given atropine during a medical emergency?
Question 2
A patient has a history of tonic-clonic seizures that have
been successfully treated with phenytoin (Dilantin) for several years.
Phenytoin achieves a therapeutic effect by
Question 3
An elderly woman is slated for a hemiarthroplasty (hip replacement
surgery) after falling and breaking her hip on the stairs outside her home. The
woman's pain in the time since her injury has been severe, and her care team
has been treating it with morphine. Which of the following administration
schedules is most likely to control the patient's pain?
Question 4
A patient who is experiencing withdrawal from heavy alcohol
use have developed psychosis and been treated with haloperidol. Which of the
following assessment findings should prompt the care team to assess the patient
for neuroleptic malignant syndrome?
Question 5
A nurse will be prepared to administer naloxone (Narcan) to
a patient who has had an overdose of morphine. Repeated doses of Narcan will be
necessary because Narcan
Question 6
A patient is suffering from acute inhalant intoxication. The
priority nursing intervention will be to
Question 7
A 39-year-old patient who is having trouble sleeping is
beginning drug treatment with zaleplon (Sonata). The nurse will be sure to ask
the patient if she is taking
Question 8
Which of the following drugs used to treat anxiety would be
appropriate for a patient who is a school teacher and is concerned about
feeling sedated at work?
Question 9
A nurse is providing care for a patient who suffered
extensive burns to his extremities during a recent industrial accident. Topical
lidocaine gel has been ordered to be applied to the surfaces of all his burns
in order to achieve adequate pain control. When considering this order, the
nurse should be aware that
Question 10
A patient has been hospitalized for treatment of substance
abuse after being arrested and jailed for the past 24 hours. The patient is
experiencing severe muscle and abdominal cramps, seizures, and acute psychosis
due to abrupt withdrawal. Which of the following drug classes is the most
likely cause of these severe and potentially fatal withdrawal symptoms?
Week 6 quiz
Question 1
A 43-year-old woman was diagnosed with multiple sclerosis 2
years ago and has experienced a recent exacerbation of her symptoms, including
muscle spasticity. Consequently, she has been prescribed Dantrolene (Dantrium).
In light of this new addition to her drug regimen, what teaching point should
the woman's nurse provide?
Question 2
A 65-year-old woman has an advanced form of rheumatoid
arthritis. Her treatment includes a regular dosage of methotrexate. The nurse
will advise her to take which of the following vitamin supplements while taking
the drug?
Question 3
A 40-year-old woman with a diagnosis of fibromyalgia has
been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug
regimen. What nursing diagnosis should the nurse prioritize when updating the
nursing care plan for this patient?
Question 4
A diabetic patient being treated for obesity tells the nurse
that he is having adverse effects from his drug therapy. The patient has been
taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following
adverse effects would need the nurse's immediate attention?
Question 5
A clinic nurse is following a 9-year-old boy who is taking
somatropin. Which of the following will the nurse monitor periodically?
Question 6
A nurse has been invited to speak to a support group for
persons with movement disorders and their families. Which of the following
statements by the nurse addresses the chronic nature of these diseases and the
relevant drug therapies?
Question 7
Which of the following would be the most important
safety-related instruction for a nurse to give to a patient taking baclofen
(Lioresal)?
Question 8
A nurse is developing a care plan for a patient who has
multiple sclerosis. An expected outcome for the patient who is receiving
glatiramer would be a decrease in
Question 9
Following an assessment by her primary care provider, a
70-year-old resident of an assisted living facility has begun taking daily oral
doses of levothyroxine. Which of the following assessment findings should
prompt the nurse to withhold a scheduled dose of levothyroxine?
Question 10
A 13-year-old patient has juvenile arthritis. He has
recently had oral surgery and was told by the surgeon to take aspirin for the
pain. The nurse will monitor for which of the following?
Week 7 quiz
Question 1
A patient has GERD and is taking ranitidine (Zantac). She
continues to have gastric discomfort and asks whether she can take an antacid.
Which of the following is an appropriate response by the nurse?
Question 2
A patient is taking cholestyramine. The nurse will assess
for which of the following common adverse effects of the drug?
Question 3
A patient on 5-FU calls the clinic and reports that he has
between five and seven loose bowel movements daily. The nurse will instruct the
patient to
Question 4
A 42-year-old man is being treated for a peptic ulcer with
ranitidine (Zantac) taken PO at bedtime. Even though few adverse effects are
associated with this drug, one common adverse effect that can be severe is
Question 5
A nurse is overseeing the care of a young man whose
ulcerative colitis is being treated with oral prednisone. Which of the following
actions should the nurse take in order to minimize the potential for adverse
drug effects and risks associated with prednisone treatment?
Question 6
A 22-year-old male college senior has lived with a diagnosis
of Crohn's disease for several years and has undergone several courses of
treatment with limited benefit. Which of the following targeted therapies has
the potential to alleviate the symptoms of Crohn's disease?
Question 7
A patient who is postoperative day one following a
metatarsal amputation is experiencing nausea and vomiting. Consequently, the
nurse has administered an intravenous dose of metoclopramide. This drug will
relieve the patient's nausea by
Question 8
A nurse is planning care for a 59-year-old woman who is on
ranitidine therapy. The nurse is concerned for the patient's safety. Which of
the following would be an appropriate nursing diagnosis?
Question 9
A woman with an inflammatory skin disorder has begun taking
prednisone in an effort to control the signs and symptoms of her disease. The
nurse who is providing care for this patient should prioritize which of the
following potential nursing diagnoses in the organization of the patient's
care?
Question 10
Prior to administering a dose of 5-FU to a patient with
pancreatic cancer, the nurse is conducting the necessary drug research. The
nurse is aware that 5-FU is a cell cycle–specific chemotherapeutic agent. Which
of the following statements best describes cell cycle–specific drugs?
Week 8 quiz
Question 1
A 34-year-old male has been diagnosed with TB and will be
started on INH therapy. The medication history reveals that he currently takes
antacids on a regular basis. The nurse will instruct the patient to take
Question 2
A patient has been prescribed daptomycin for a complicated
skin infection. Which of the following will the nurse advise the patient to
report immediately?
Question 3
Which of the following is critical to helping prevent
development of resistant strains of microbes in patients?
Question 4
A 72-year-old patient is prescribed ophthalmic ciprofloxacin
for a bacterial infection in her right eye. The nurse will teach her to observe
for which of the following adverse effects of the drug?
Question 5
An immunocompromised patient in a critical care setting has
developed a respiratory infection that has been attributed to
methicillin-resistant Staphylococcus aureus (MRSA). The nurse should anticipate
that the patient will require treatment with
Question 6
A patient is receiving long-term clindamycin therapy for a
life-threatening infection. The nurse will begin by monitoring this drug
therapy by obtaining
Question 7
A 49-year-old farmer who normally enjoys good health has
become seriously ill in recent days and the results of an extensive diagnostic
work up have resulted in a diagnosis of histoplasmosis. The patient has been
admitted to the hospital and has begun treatment with amphotericin B. The nurse
who is providing care for the patient should prioritize which of the following
diagnostic results during his course of treatment?
Question 8
An immunocompromised cancer patient has developed
cryptococcal meningitis and been admitted to the intensive care unit for
treatment with amphotericin B. How should the nurse most safely administer this
drug?
Question 9
Laboratory testing has confirmed that a patient has
chloroquine-resistant malaria and the patient's physician has prescribed
quinine along with an adjunctive drug. The nurse should question the
physician's order if the patient has a history of
Question 10
A patient has endocarditis and is taking gentamicin. The
nurse will be sure to monitor which of the following?
Week 9 quiz
Question 1
Mr. Lepp is a 63-year-old man who was diagnosed with colon
cancer several weeks ago and who is scheduled to begin chemotherapy. He reports
to the nurse that he read about the need for erythropoietin in an online forum
for cancer patients and wants to explore the use of epoetin alfa with his
oncologist. Which of the following facts should underlie the nurse's response
to Mr. Lepp?
Question 2
A nurse is discussing oprelvekin therapy with a male
patient. Which of the following will the nurse tell the patient is the most
common adverse effect of the drug?
Question 3
A middle-aged patient has received a diagnosis of GI stromal
tumor following an extensive diagnostic workup. Imatinib has been recommended
as a component of the patient's drug regimen. What patient education should the
nurse provide to this patient?
Question 4
A patient with non-Hodgkin's lymphoma (NHL) will be starting
a course of doxorubicin shortly. When planning this patient's care, what nursing
diagnosis should the nurse prioritize?
Question 5
An oncology nurse is aware of the risks for injury that
exist around the preparation, transportation, and administration of
chemotherapeutic agents. In order to reduce these risks of injury, the nurse
should take which of the following actions?
Question 6
An older adult woman has been diagnosed with acute
lymphoblastic leukemia (ALL) and her care team has identified potential
benefits of imatinib. Which of the following characteristics of this patient's
current health status may preclude the use of imatinib?
Question 7
A 28-year-old woman has completed rituximab therapy for an
autoimmune disease. She tells the nurse that she and her husband would like to
start a family. The nurse will advise her to
Question 8
A male patient is receiving heparin by continuous
intravenous infusion. The nurse will instruct the patient and family members to
report which of the following should it occur?
Question 9
Intravenous carmustine has been prescribed for a patient
with cancer. The nurse should help relieve the discomfort of pain and burning
during the infusion by
Question 10
Mr. Singh is a 66-year-old man who is receiving chemotherapy
for the treatment of lung cancer that has metastasized to his liver. In an
effort to prevent infection, Mr. Singh has been prescribed filgrastim
(Neupogen). Which of the nurse's following assessment questions most directly
addresses a common adverse effect of filgrastim?
Week 10
quiz
Question 1 A patient is being discharged from the hospital
and will be taking oxybutynin (Ditropan) for overactive bladder. The nurse will
instruct the patient that she will be taking a medication
Question 2 A nurse is working in a women's hospital where
she is caring for a new mother who is experiencing postpartum urinary
retention. Bethanechol (Urecholine) has been ordered. The nurse will observe
for which of the following?
Question 3 A patient is taking flavoxate hydrochloride
(Urispas) to help control an overactive bladder. On a follow-up visit to the
clinic, the nurse will question the patient about which of the following?
Question 4 A nurse is performing patient education for a
woman who has just been prescribed a bisphosphonate. Which of the following
diagnostic and history findings would have prompted the woman's care provider
to prescribe a bisphosphonate?
Question 5 A nurse is providing patient education to a
50-year-old woman who is taking methotrexate (MTX) for breast cancer. The nurse
will instruct the patient to avoid which of the following drugs?
Question 6 A nurse is providing patient education to a
23-year-old woman who is starting the norelgestromin/ethinyl estradiol
transdermal system (Ortho Evra). Because this is the patient's first time to
use the birth control patch, the nurse will instruct her to apply the patch
Question 7 After 6 months of unsuccessfully trying to
conceive, a 31-year-old woman and her husband have sought a referral to a
fertility specialist in order to explore their options. A nurse at the clinic
should recognize that the woman may benefit from
Question 8 A nurse practitioner is reviewing the
prepregnancy medication regimen of a patient who has just had a positive
pregnancy test. The nurse should be aware of which of the following changes in
pharmacokinetics that accompanies pregnancy?
Question 9 A nurse is working with a 16-year-old pregnant
teen and assessing for behavior that may put the baby at risk. The most
important assessment the nurse can make is
Question 10 A 36-year-old woman with a history of
dysmenorrhea has begun treatment with progesterone, which she will be receiving
by the intramuscular route. The nurse participating in the woman's care should
prioritize which of the following potential nursing diagnoses?
Week 11
quiz
Question 1
A nurse working in a cancer center is preparing to
administer medication to a 5-year-old child. The nurse will calculate the drug
dosage by using
Question 2
A 5-year-old boy needs an IM injection. The least painful
and most effective injection site would be the
Question 3
A 2-year-old child is diagnosed with a minor ailment and is
to be administered medications at home for 2 weeks. The child lives with his
mother, grandmother, and four other children between the ages of 14 months and
7 years. The home health nurse is asked to assess the home environment to
determine if it is appropriate for the child to take his medication at home.
Which of the following will have the greatest impact on the nurse's assessment?
Question 4
A 19-year-old patient reports to a clinic with vaginal
discharge with a foul odor. A microscopic exam reveals trichomonas vaginalis.
The nurse practitioner is aware that
Question 5
A 29-year-old woman who is morbidly obese has recently begun
a comprehensive, medically-supervised program of weight reduction. Prior to
adding dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned
about her intake of
Question 6
A 10-year-old boy is taking dextroamphetamine (Dexedrine)
daily for ADHD. At each clinic visit, the nurse's priority assessment would be
Question 7
A nurse works at a weight management clinic. To which of the
following overweight patients could the nurse safely administer
dextroamphetamine?
Question 8
A 30-year-old man with a BMI of 59 has recently been
diagnosed with type 2 diabetes mellitus. In light of the man's lack of success
with weight loss programs in the past, his care provider has prescribed
sibutramine (Meridia). What instructions should the nurse consequently provide
to this patient?
Question 9
A nurse is explaining to the parents of a 6-year-old child
suffering from angina why nitroglycerin patches for chest pain would not be
appropriate. Which of the following will the nurse include in an explanation?
Question 10
A nurse is providing patient education to a 13-year-old girl
who was just diagnosed with type 1 diabetes mellitus. Which of the following
statements by the patient will alert the nurse that special instructions
regarding insulin are necessary?
