Advertisement Upgrade to remove ads

A pt is taking a beta- blocker as part of the tx plan for HF. The nurse knows that the purpose of the beta blocker is to:
a. Increase urine output
b. Prevent stimulation of the heart by catecholamines
c. Increase contractility of heart muscle
d. Cause peripheral vasodilation

B

A CCB is RX for a pt, and the nurse provides instructions to the pt about the meds. What does the nurse tell the pt?
a. The tab should be chewed for faster release of the med
b. To increase the effect of the drug, take it with grapefruit juice
c. If the A/E of chest pain, fainting, or dyspnea occurs, discontinue the med and call doc immediately
d. A high fiber diet with plenty of fluids will help prevent the constipation that may occur

D

pain associated with lack of O2 to the heart muscles

Angina

Calcium channel blockers are effective in treating angina because they:

Block strong muscle contractions and cause vasodilation, decreasing work of the heart

Which of the following parameters determine the regulation of arterial blood pressure?

Cardiac output and vascular resistance

Nurse is reviewing orders for pt and notes new order for ACE inhibitor. Nurse checks current med orders, knowing that this drug class may have serious interaction with what other drug class:

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Calcium channel blockers are effective in treating angina because:

Block strong muscle contractions and cause vasodilation, decreasing work of the heart

Antidysrhythmic drugs alter the action potential of the cardiac cells. Because they alter the action potential, antidysrhythmic drugs often:

Cause new dysrhythmias

A nurse is about to administer Digoxin to a pt whose apical pulse is 48 beats/min. She should:

Withhold the drug and notify prescriber

Blood pressure is related to heart rate, stroke volume, and the total peripheral resistance. True or False

True

Pt will be receiving thrombolytic drug as part of his treatment for acute myocardial infarction. Nurse explains to him that this drug is used to:

Dissolve the clot in his coronary artery

Nurse notes a pts med history that the pt will be taking demopressin. Based on this finding the nurse interprets that the pt has which disorder?

Diabetes insipidus

A 16 yo boy who is taking growth hormone somatropin comes into the office cause he has had an asthma attack during a race at school. Cause of this new development the nurse expects which intervention to occur next?

Dosage may be adjusted

When pt receiving vasopressin, which therapeutic response would the nurse expect to see?

Decreased urinary output

A pituitary drug is prescribed for a pt with hormone deficiency and the nurse provides instructions about the medication. Which statement by the RN indicates for further instruction?

I am looking for a cure for my condition

During a teaching session for pt on antithyroid drugs the RN should discuss which dietary instructions?

Avoid iodine containing foods

A pt has a dx of primary hypothyroidism. which statement accurately describes this problem?

The abnormality is in the thyroid glad itself

RN admin lispro rapid acting insulin and should keep in mind that this insulin will start to have effect whithin which time frame?

15 min

When teaching about hypoglycemia the RN should make sure the pt is aware of the early signs of hypoglycemia including:

irritability and confusion

The RN is teaching group of pts about a self admin of insulin. Which teaching is import to include?

When mixing insulins clear before cloudy

A 75 yo women with type 2 DM has a recently been placed on glyburise a sufonylurea drug 10 mg daily. She asks wen best time to take med?

Take in the morn 30 min before breakfast

Pt with T2DM is scheduled for a colonoscopy and has been NPO since midnight. She is concerned cause her meds are being held. What is the best action regarding admin of her oral antidiabetic drug?

Contacting her prescriber for further orders

RN is reviewing instructions for a pt with T2DM who also gives herself insulin injections as part of the therapy. The nurse asks the pt what should you do if your fasting blood glucose is 47 mg/dl?

Take oral form of glucose

The nurse is admin rapid acting Insulin. Which statement is true regarding its admin?

Should be given w/in 15 m in of a meal

After starting treatment for type 2 DM 6 mo earlier, a pt is in the office for a follow up examination. Which lab test will best reflect pts adherence to the antidiabetic therapy over the past few months?

Hemoglobin A1C level

A pt in the emergency depart was showing signs of hypoglycemia and a finger stick glucose level of 34 mg/dl. He has just become unconscious. What is RN first action?

Give him IV glucose

Nurse preparing to admin insulin IV. Which statement about IV insulin is true?

Only regular can be admin IV

A pt with hx of COPD and T2DM has been treated for pneumonia for the past week. He has been receiving IV corticosteroids as well as antibiotics as part of his therapy/ his pneumonia has resolved but wen monitoring his blood glucose levels the nurse notices that his blood glucose level is still elevated, and has required sm amounts of sliding scale coverage. What is the best explanation for this elevation?

Corticosteroids may cause increase in glucose levels

The RN knows to admin acarbose (precose) an alpha glucosidase inhibitor at which time?

Within the first bite of each main meal

A 48 yo is dx with T2DM and is started on metaformin (glucaphage) a biguanide. The purpose of the metaformin in this situation is:

to decrease insulin resistance

When admin morning meds to a new admitted pt the RN notes that the pt has an allergy to sulfa drugs. There is order for sulfonylurea glipizide. What RNs best action?

Hold drug and check with perscriber

The nurse is reviewing a pts medication list and notes that incretin mimetic Sitaglipitin (Januvia) is ordered. Nurse should question for additional order for which drug/drug class?

Insulin

Insulin order reads check blood glucose levels before meals and bed. For every 5 mg over 100 give 1 unit of R insulin subq. Pt level before lunch is was 150. How many units will nurse give?

10

When starting a pts drug therapy with corticosteroids the RN is aware that some drugs classes can have an adverse interaction with corticosteroids such as:

NSAIDs

A pt Is concerned about body changes that have resulted from lg term prednisone therapy for the treatment of lupus erythematous. Which effect of this drug therapy would be present to support the nursing dx of disturbed body image?

Weight Gain

A pt is taking fludrocortisone of addisons disease and his wife is concerned about all the probs that may occur with this therapy. When teaching them about therapy with this drug the RN should include which info?

Should be taken with milk/food to minimize GI upset.

Pt receiving aminoglutethimide an adrenal steroid inhibitor therapy. The nurse knows that this med if for which condition.

Cushing's syndrome

When monitoring a pt who is taking systematically administered glucocorticoid, the nurse should monitor for signs of which condition?

Hypoglycemia

A pt who has been on lg term corticosteroid therapy has had surgery to correct an abdominal hernia. Nurse keeps in mind that which potential effect of this med may have the most impact on the pts recovery?

Delayed wound healing

Thyroid replacement is indicated for the treatment of:

myxedema

Assessing a pt knowledge of his or her thyroid replacement therapy would show good understanding if the pt stated:

I should call if I experience unusual sweating, weight gain, and chills and fever

Currently the pharmological management of DM is aimed at:

tightly regulating blood sugar levels

Insulin is available in several forms or suspensions which differ in their:

onset, peak, and duration

Treatment of DM may include replacement therapy with insulin. True or false

true

Treatment of DM may include control of glucose absorption through GI tract. True or false

true

Treatment of DM may include drugs that stimulate insulin release or increase sensitivity of insulin receptor cites. True or false

True

Treatment of DM may include surgical clearing of the basal cell membrane. True or false

false

Treatment of DM may include slowing gastric emptying. True or false

true

Treatment of DM may include diet and exercise programs. True or false

true

Lg illegal doses of anabolic steroids to enhance performance is associated with:

liver peliosis

Levothyroxine is classified as a:

thyroid replacement hormone

The nurse is preparing insulin for subq admin. Which is correct:

always have another licensed nurse check insulin drawn into syringe before admin

The highest priority intervention associated with adverse effects of insulin is related to the need to monitor the client for receiving insulin for:

hypoglycemia

The nurse is reviewing the hx of a pt who will be taken the amylin mimetic drug Pramlintide (symlin). Which condition is contraindicated with the use of this drug?

Gastroparesis

Nurse is admin octreotide (sandostatin) to a pt who has metastatic carcinoid tumor. The pt asks about the purpose of the drug. What is RN best response?

This drugs helps to control the flushing and diarrhea you are experiencing

The most commonly prescribed synthetic thyroid hormone:

is levothyroxine

A drug used to treat hyperthyroidism is:

propylthiouracil (PTU)

The type of hypothyroidism that results from insufficient secreation of thyroid stimulating hormone from the pituitary gland is called:

secondary

The type of hypothyroidism that is dysfunction within the thyroid gland is called:

primary

Pt beginning therapy with levothyroxine asks the RN wen the med will start working:

within a few weeks

It is important to take a thyroid preparations at the same time each day. True or false

true

After thyroidectomy as a treatment of thyroid tumor life long replacement therapy is normally required. True or false

true

A 38 yo teacher has come to the clinic complaining OF NO ENERGY AND APPETITE and yet her weight has increased by 15 lbs in the last month. Her hair is thin and skin is dull. Lab work reveals an elevated level of TSH. She has:

hypothyroid state

When admin insulin the nurse keep in mind that which is the most immediate an serious AE of insulin therapy?

Hypoglycemia

Pt placed on insulin drip to control bl gucose levels. Which one can be admin IV:

regular

A pt taking rosiglitazone a thiazolidinedione/glitazone, tells the nurse there is my insulin pill, which info will nurse provide regarding the MOA or the drug:

it inhibits hepatic glucose production

50 yo man taking prednisone following severe reaction to poison ivy. He notices that the dosage of the med decreases. During follow up he asks the nurse why he must continue med and not just stop it now that the rash is better. The nurse says:

sudden discontinuation of this med may result in adrenal insufficiency.

Because corticosteroids may cause sodium retention the nurse should closely monitor pts with which condition wen admin corticosteroids:

heart failure

When the nurse teaches a manual skill such as self-injection of insulin to a patient, what is the best way to set up the teaching/learning session?

a) Provide written pamphlets for instruction.
b) Show a video and allow the patient to practice as needed on his own.
c) Verbally explain the procedure and provide written handouts for reinforcement.
d) After demonstrating the procedure, allow the patient to do several return demonstrations.

d) After demonstrating the procedure, allow the patient to do several return demonstrations.

Which activity best reflects the implementation phase of the nursing process for a patient who is newly diagnosed with type 1 diabetes mellitus?

a) Providing education regarding self-injection technique
b) Setting goals and outcome criteria with the patient's input
c) Recording a drug history regarding over-the-counter medications used at home
d) Formulating nursing diagnoses regarding knowledge deficit related to new treatment regimen

a) Providing education regarding self-injection technique

The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus. Which statement best illustrates an outcome criterion for this patient?
Choose one answer.

a) The patient will follow instructions.
b) The patient will not experience complications.
c) The patient will adhere to the new insulin treatment regimen.
d)The patient will demonstrate safe insulin self-administration technique.

d)The patient will demonstrate safe insulin self-administration technique.

Which nursing diagnosis is appropriate for a patient who has just received a prescription for a new medication?
Choose one answer.

a. Noncompliance related to a new drug therapy
b. Ineffective health maintenance related to new drug therapy
c. Lack of knowledge regarding newly prescribed drug therapy
d. Deficient knowledge related to newly prescribed drug therapy

d. Deficient knowledge related to newly prescribed drug therapy

A patient is receiving eye drops that contain a beta-blocker medication. The nurse will use what method to reduce systemic effects after administering the eye drops?
Choose one answer.

a. Wiping off excess liquid immediately after instilling the drops
b. Having the patient close the eye tightly after the drops have been instilled
c. Having the patient close the eye, then move the eye around to help distribute the medication
d. Applying gentle pressure to the patient's nasolacrimal duct for 30 to 60 seconds after instilling the drops

d. Applying gentle pressure to the patient's nasolacrimal duct for 30 to 60 seconds after instilling the drops

A 42lb child is to receive 5mg/kg of a drug. Each tablet equals 50mg. How many tablets are needed by this child?
Choose one answer.

a. 1 tablet
b. 2 tablets
c. 3 tablets
d. 4 tablets

b. 2 tablets

The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing diagnosis?
Choose one answer.

a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to feelings about drug therapy as evidenced by statements such as "I'm upset about having to give myself shots"
d. Anxiety related to new drug therapy as evidenced by statements such as "I'm upset about having to give myself shots"

d. Anxiety related to new drug therapy as evidenced by statements such as "I'm upset about having to give myself shots"

A patient is experiencing chest pain and needs to take a sublingual form of nitroglycerin. Where does the nurse instruct the patient to place the tablet?
Choose one answer.

a. Under the tongue
b. In the space between the cheek and the gum inside the mouth
c. At the back of the throat for easy swallowing
d. On a non-hairy area of the chest

a. Under the tongue

The nurse is developing a care plan for a patient who will be self-administering insulin injections. Which statement reflects a measurable goal?
Choose one answer.

a. The patient will know about insulin injections.
b. The patient will understand the principles of insulin preparation.
c. The patient will demonstrate the proper technique of mixing insulin.
d. The patient will comprehend the proper technique of preparing insulin.

c. The patient will demonstrate the proper technique of mixing insulin.

The physician orders states: "Digoxin elixir 0.25mg PO daily and hold for apical heart rate below 60/min. The bottle is labeled 0.05mg/ml. How many ml(s) are needed for the ordered dose?
Choose one answer.

a. 5 ml
b. 10 ml
c. 15 ml
d. 20 ml

a. 5 ml

The physician orders 500mg of Ancef I.M. The pharmacy supplies a vial powder with the following instructions: "Add 2.5ml of sterile water for injection. This will provide a yield of 330mg/ml." How many ml of this antibiotic preparation should be administered to the patient?
Choose one answer.

a. 0.125 ml
b. 0.9 ml
c. 1.5 ml
d. 2.6 ml

c. 1.5 ml

The nurse will plan to use the Z-track method of IM injections when the
Choose one answer.

a. medication is known to be irritating to tissues.
b. patient is emaciated and has very little muscle mass.
c. medication must be absorbed quickly into the tissues.
d. patient is obese and has a deep fat layer below the muscle mass.

a. medication is known to be irritating to tissues.

The nurse needs to administer insulin subcutaneously (subq) to an obese patient. The proper technique for this injection includes
Choose one answer.

a. using the Z-track method.
b. inserting the needle at a 5- to 15-degree angle until resistance is felt.
c. pinching the skin at the injection site and inserting the needle to below the tissue fold.
d. spreading the skin tightly over the injection site, inserting the needle, then releasing the skin.

c. pinching the skin at the injection site and inserting the needle to below the tissue fold.

Which drug is manufactured as a result of indirect gene therapy?
Choose one answer.

a. Vitamin K
b. Warfarin
c. Human insulin
d. Heparin

c. Human insulin

Antihypertensive drug therapy for a newly diagnosed, stage 1 hypertensive African American patient would most likely include which drug or drug classes?
Choose one answer.

a. Vasodilators alone
b. ACE inhibitors alone
c. Calcium channel blockers with thiazide diuretic
d. Beta-blockers with thiazide diuretic

c. Calcium channel blockers with thiazide diuretic

A patient has been taking digoxin at home but has taken an accidental overdose and has developed toxicity. He has been admitted to the telemetry unit where the physician has ordered digoxin immune Fab (Digibind). The patient asks the nurse why the medication is ordered. What is the nurse's best response?
Choose one answer.

a. "It works faster than digoxin."
b. "It is safer than digoxin and can be taken orally."
c. "It helps to convert the irregular heart rhythm to a more normal rhythm."
d. "This drug is an antidote to digoxin and will help to lower the blood levels."

d. "This drug is an antidote to digoxin and will help to lower the blood levels."

When starting a patient on antidysrhythmic therapy, the nurse should remember that which problem is a potential adverse effect of any antidysrhythmic drug?
Choose one answer.

a. Deficiency of fat-soluble vitamins
b. Hyperkalemia
c. Heart failure
d. Dysrhythmias

d. Dysrhythmias

A patient is in the intensive care unit because of an acute myocardial infarction. He is experiencing severe ventricular dysrhythmias. The nurse should prepare to give which drug of choice for this dysrhythmia?
Choose one answer.

a. diltiazem (Cardizem)
b. verapamil (Calan)
c. lidocaine
d. adenosine (Adenocard)

c. lidocaine

A patient with severe liver disease is receiving the angiotensin converting enzyme (ACE) inhibitor, captopril (Capoten). The nurse is aware that the advantage of this drug for this patient is that captopril
Choose one answer.

a. is a prodrug and is metabolized by the liver before becoming active.
b. is not a prodrug and does not need to be metabolized by the liver before becoming active.
c. rarely causes first-dose hypotensive effects.
d. has little effect on electrolyte levels.

b. is not a prodrug and does not need to be metabolized by the liver before becoming active.

During a routine checkup, a patient states that she is unable to take the prescribed antihistamine because of one of its most common adverse effects. The nurse suspects that which adverse effect has been bothering this patient?
Choose one answer.

a. Diarrhea
b. Urticaria
c. Drowsiness
d. Decreased libido

c. Drowsiness

A patient arrives in the emergency department with severe chest pain. She says she has had pain off and on for a week now. Which assessment finding would indicate the need for cautious use of nitrates and nitrites?
Choose one answer.

a. Blood pressure of 98/68 mm Hg
b. History of liver disease
c. History of heart failure
d. History of a myocardial infarction 2 years ago

a. Blood pressure of 98/68 mm Hg

A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers should the nurse give to the patient?
Choose one answer.

a. "The corticosteroid should be taken first."
b. "The bronchodilator should be taken first."
c. "The two drugs should be taken at least 2 hours apart."
d. "The order of administration does not matter with these two drugs."

b. "The bronchodilator should be taken first."

While assessing a patient who is receiving intravenous digitalis, the nurse recognizes that the drug has a negative chronotropic effect. How would this drug effect be evident in the patient?
Choose one answer.

a. Increased heart rate
b. Decreased heart rate
c. Decreased conduction
d. Increased ectopic beats

b. Decreased heart rate

The physician has ordered the adrenergic drug doxazosin (Cardura) for a patient. When providing education about this drug, the nurse should include which instructions?
Choose one answer.

a. The patient should weigh herself daily and report any weight loss to the physician.
b. The patient should increase her potassium intake by eating more bananas and apricots.
c. The impaired taste associated with the medication usually goes away in 2 to 3 weeks.
d. The patient should take her first dose while lying down because there is a first-dose hypertensive effect.

d. The patient should take her first dose while lying down because there is a first-dose hypertensive effect.

A calcium channel blocker (CCB) is prescribed for a patient, and the nurse provides instructions to the patient about the medication. What does the nurse tell the patient?
Choose one answer.

a. The tablet should be chewed for faster release of the medication.
b. To increase the effect of the drug, take it with grapefruit juice.
c. If the adverse effects of chest pain, fainting, or dyspnea occur, discontinue the medication immediately.
d. A high-fiber diet with plenty of fluids will help prevent the constipation that may occur.

d. A high-fiber diet with plenty of fluids will help prevent the constipation that may occur.

When evaluating a patient's use of a metered dose inhaler, the nurse notes that the patient is unable to coordinate the activation of the inhaler with her breathing. What intervention would be most appropriate at this time?
Choose one answer.

a. Notify the doctor that the patient is unable to use the inhaler.
b. Obtain an order for a peak flow meter.
c. Obtain an order for a spacer device.
d. Ask the physician if the medication can be given orally.

c. Obtain an order for a spacer device.

A patient is taking procainamide for cardiac dysrhythmia. The nurse will monitor the patient for which possible adverse effect?
Choose one answer.

a. Tinnitus
b. Shortened QT interval
c. Constipation
d. Nausea and diarrhea

b. Shortened QT interval

A patient is in an urgent-care center with an acute asthma attack. The nurse expects that which medication will be used for initial treatment?
Choose one answer.

a. An anticholinergic such as ipratropium (Atrovent)
b. A leukotriene receptor antagonist such as montelukast (Singulair)
c. A beta2 agonist such as albuterol (Proventil)
d. A corticosteroid such as fluticasone (Flovent)

c. A beta2 agonist such as albuterol (Proventil)

When counseling a male patient about the possible adverse effects of antihypertensive drugs, the nurse should discuss which potential problem?
Choose one answer.

a. Impotence
b. Bradycardia
c. Increased libido
d. Increased weight

a. Impotence

When reviewing the list of medications taken by a patient who will be receiving a new prescription for digoxin, the nurse would be concerned about which medication that may interact with the digoxin?
Choose one answer.

a. aspirin
b. acetaminophen (Tylenol)
c. furosemide (Lasix)
d. vitamin K

c. furosemide (Lasix)

A patient has a new order for an ipratropium (Atrovent) inhaler, an anticholinergic drug. The nurse knows to assess for an allergy to which food before giving this drug?
Choose one answer.

a. Shellfish
b. Wheat
c. Peanuts
d. Eggs

c. Peanuts

After receiving a nebulizer treatment with a beta-agonist, a patient complains of feeling slightly nervous and wonders if her asthma is getting worse. What is the nurse's best response?
Choose one answer.

a. "This is an expected side effect. Let me take your pulse."
b. "The next scheduled nebulizer treatment should be skipped."
c. "I will notify the physician about this adverse effect."
d. "We will hold the treatment for 24 hours."

a. "This is an expected side effect. Let me take your pulse."

When monitoring a patient who has diabetes and is receiving a carbonic anhydrase inhibitor (Diamox) for edema, the nurse monitors for which possible adverse effect?
Choose one answer.

a. Metabolic alkalosis
b. Elevated blood glucose
c. Hyperkalemia
d. Drowsiness

b. Elevated blood glucose

Order: You want to give 5mg/kg of ampicillin to a child weighing 65 pounds. How many kilograms does the child weigh? (Keep answer at nearest 10th of a point).
Choose one answer.

a. 29 kg
b. 30 kg
c. 29.5 kg
d. 29.6 kg

c. 29.5 kg

During a teaching session for a patient on antithyroid drugs, the nurse should discuss which dietary instructions?
Choose one answer.

a. Using iodized salt when cooking
b. Avoiding foods containing iodine
c. Increasing fluid intake to 2500 mL per day d. Increasing intake of sodium- and potassium-containing foods

b. Avoiding foods containing iodine

A patient with motion sickness is planning a cross-country car trip to attend a family reunion. He has a prescription for a scopolamine transdermal patch (Transderm-Scop). The nurse should instruct the patient that the patch should be changed
Choose one answer.

a. every day.
b. every other day.
c. every 3 days.
d. only if it stops working.

c. every 3 days.

The nurse is administering lispro insulin (Humalog) and should keep in mind that this insulin will start to have an effect within which time frame?
Choose one answer.

a. 15 minutes
b. 1 to 2 hours
c. 80 minutes
d. 3 to 5 hours

a. 15 minutes

The nurse is teaching a group of patients about self-administration of insulin. What teaching is important to include?
Choose one answer.

a. Patients should use the injection site that is the most accessible.
b. During times of illness, patients should increase their insulin dosage by 25%.
c. When mixing insulins, the cloudy (such as NPH) insulin should be drawn up into the syringe first.
d. When mixing insulins, the clear (such as Regular) insulin should be drawn up into the syringe first.

d. When mixing insulins, the clear (such as Regular) insulin should be drawn up into the syringe first.

A patient who is taking propylthiouracil (PTU) for hyperthyroidism wants to know how this medicine works. What should the nurse explain to her?
Choose one answer.

a. It blocks the action of thyroid hormone.
b. It impedes the formation of thyroid hormone.
c. It destroys overactive cells in the thyroid gland.
d. It inactivates already existing thyroid hormone in the bloodstream.

b. It impedes the formation of thyroid hormone.

Order: You want to give 5mg/kg of ampicillin Q8HR to a child weighing 65 pounds. If there is 25mg/ml on hand, how many total mls will you give in 24 hours?
Choose one answer.

a. 18 mls
b. 17.7 mls
c. 17.76 mls
d. 17.4 mls

b. 17.7 mls

The nurse expects that a patient is experiencing undersecretion of adrenocortical hormones when which condition is found upon assessment?
Choose one answer.

a. Osteoporosis
b. Steroid psychosis
c. Dehydration and weight loss
d. Water retention

c. Dehydration and weight loss

A patient with a history of alcohol abuse has been admitted for severe weakness and malnutrition. The nurse will prepare to administer which vitamin preparation to prevent Wernicke's encephalopathy?
Choose one answer.

a. vitamin B3 (niacin)
b. vitamin B1 (thiamine)
c. vitamin B2 (riboflavin)
d. vitamin B6 (pyridoxine)

b. vitamin B1 (thiamine)

A patient is receiving finasteride (Proscar) for treatment of benign prostatic hyperplasia. The nurse should tell him that a possible effect of this medication is
Choose one answer.

a. alopecia.
b. increased hair growth.
c. urinary retention.
d. increased prostate size.

b. increased hair growth.

The nurse knows that the major difference between diphenoxylate with atropine (Lomotil) and the over-the-counter drug loperamide (Imodium) is that
Choose one answer.

a. Lomotil acts faster.
b. Imodium does not cause physical dependence.
c. Lomotil is available as a parenteral form.
d. Imodium is a natural antidiarrheal drug.

b. Imodium does not cause physical dependence.

After starting treatment for type 2 diabetes mellitus 6 months earlier, a patient is in the office for a follow-up examination. Which laboratory test will best reflect the patient's adherence to the antidiabetic therapy over the past few months?
Choose one answer.

a. Hemoglobin levels
b. Hemoglobin A1C level
c. Fingerstick fasting blood glucose level
d. Serum insulin levels

b. Hemoglobin A1C level

Furosemide (Lasix) is prescribed for a patient who is about to be discharged, and the nurse provides instructions to the patient about the medication. Which statement by the nurse is correct?
Choose one answer.

a. "Keep a weekly journal or log of your weight."
b. "Avoid foods high in potassium, such as bananas, oranges, fresh vegetables, and dates."
c. "If you experience weight gain, such as five or more pounds a week, be sure to tell your physician during your next routine visit."
d. "Be sure to change your position slowly and rise slowly after sitting or lying so as to prevent dizziness and possible fainting because of blood pressure changes."

d. "Be sure to change your position slowly and rise slowly after sitting or lying so as to prevent dizziness and possible fainting because of blood pressure changes."

A patient's medication order indicates that he is to receive a dose of cosyntropin (Cortrosyn). The nurse is aware that this drug is used for what problem?
Choose one answer.

a. Adrenocortical insufficiency
b. Diabetes insipidus
c. Myasthenia gravis
d. Pituitary dwarfism

a. Adrenocortical insufficiency

Levothyroxine (Synthroid) has been prescribed for a patient with hypothyroidism. The nurse provides information to the patient about the medication and tells the patient to contact the prescriber if which potential adverse effect occurs?
Choose one answer.

a. Fatigue
b. Constipation
c. Palpitations
d. Drowsiness

c. Palpitations

A patient is concerned about the body changes that have resulted from long-term prednisone therapy for the treatment of lupus erythematosus. Which effect of this drug therapy would be present to support the nursing diagnosis of disturbed body image?
Choose one answer.

a. Weight loss
b. Weight gain
c. Pale skin color
d. Loss of hair

b. Weight gain

The nurse notes in a patient's medication history that the patient will be taking desmopressin (DDAVP). Based on this finding, the nurse interprets that the patient has which disorder?
Choose one answer.

a. Diabetes mellitus
b. Diabetes insipidus
c. Adrenocortical insufficiency
d. Carcinoid tumor

b. Diabetes insipidus

An 8-year-old girl has been diagnosed with true pituitary dwarfism. She is being treated with somatropin. In follow-up visits, the nurse will monitor for which expected outcome?
Choose one answer.

a. Increased growth
b. Decreased urinary output
c. Increased muscle strength
d. Increased height when she reaches puberty

a. Increased growth

The nurse is administering adrenal drugs to a patient. Which of the following actions is appropriate for this patient?
Choose one answer.

a. Administering oral drugs before meals to maximize absorption
b. Rinsing the oral cavity after using steroid inhalers
c. Administering the corticosteroids before bedtime to minimize adrenal suppression
d. Discontinuing the medication immediately if a weight gain of more than 5 pounds in 1 week is experienced

b. Rinsing the oral cavity after using steroid inhalers

A 72-year-old man has a new prescription for an anticholinergic drug. He is an active man and enjoys outdoor activities, such as hiking, golfing, and doing his own yard work. What should the nurse emphasize to him during the teaching session about his drug therapy?
Choose one answer.

a. Drowsiness may interfere with his outdoor activities.
b. Increased salivation may occur during exercise and outside activities.
c. Fluid volume deficits may occur as a result of an increased incidence of diarrhea.
d. He should take measures to reduce the occurrence of heat stroke during his activities.

d. He should take measures to reduce the occurrence of heat stroke during his activities.

When giving an anticholinergic drug, the nurse should monitor for which side effect from this drug?
Choose one answer.

a. Excessive urination
b. Diaphoresis
c. Dry mouth
d. Pupillary constriction

c. Dry mouth

The nurse should teach a patient who is receiving oral iron supplements to watch for which expected side effect?
Choose one answer.

a. Palpitations
b. Dizziness and syncope
c. black, tarry stools
d. Red discoloration of the urine

c. black, tarry stools

A patient is going home with a new prescription for the beta-blocker atenolol (Tenormin). The nurse should include which content when teaching the patient about this drug?
Choose one answer.

a. Never stop taking this medication abruptly.
b. The medication should be stopped once symptoms subside.
c. If adverse effects occur, skip a dose for a "drug holiday."
d. Be watchful for first-dose hypotension.

a. Never stop taking this medication abruptly.

A patient is to receive iron dextran injections. Which technique will the nurse use to administer this medication safely?
Choose one answer.

a. Intravenous administration mixed with 5% dextrose
b. Intramuscular injection in the upper arm
c. Intramuscular injection using the Z-track method
d. Subcutaneous injection into the abdomen

c. Intramuscular injection using the Z-track method

The surgical nurse is ready to perform a skin prep with povidone-iodine (Betadine) on a patient who is about to have abdominal surgery. The nurse checks the patient's medical record for which allergies, if present, that would be a contraindication to the Betadine prep?
Choose one answer.

a. Peanuts
b. Shellfish
c. Penicillin
d. Latex

b. Shellfish

A 58-year-old man has had a myocardial infarction (MI), has begun rehabilitation, and is ready for discharge. He is given a prescription for metoprolol (Lopressor), and he becomes upset. "I don't have high blood pressure-why did my doctor give me this medicine?" The nurse explains to him that
Choose one answer.

a. this medication prevents emboli that may lead to another MI.
b. beta-blockers will improve blood flow to the kidneys.
c. it is being prescribed to prevent the hypertension that often occurs post-MI.
d. studies have shown that this medication has greatly increased survival rates in patients after an MI.

d. studies have shown that this medication has greatly increased survival rates in patients after an MI.

The nurse is teaching a session on eating foods to increase iron intake. Which food will enhance the absorption of oral iron forms?
Choose one answer.

a. Milk
b. Yogurt
c. Antacids
d. Orange juice

d. Orange juice

A 49-year-old patient is in the clinic for a follow-up visit 6 months after starting a beta-blocker for treatment of hypertension. During this visit, his blood pressure is 169/98 mm Hg, and he eventually confesses that he stopped taking this medicine 2 months ago because of an "embarrassing problem." What problem did he most likely experience with this medication that caused him to stop taking it?
Choose one answer.

a. Urge incontinence
b. Dizziness when standing up
c. Excessive flatus
d. Impotence

d. Impotence

A patient has had an overdose of an intravenous cholinergic drug. The nurse should expect to administer which drug as an antidote?
Choose one answer.

a. atenolol
b. bethanechol
c. dobutamine
d. atropine sulfate

d. atropine sulfate

A patient is experiencing a severe anaphylactic reaction to an antibiotic. Which drug will the nurse expect to use to treat this condition?
Choose one answer.

a. Ephedra
b. Epinephrine
c. Phenylephrine
d. Pseudoephedrine

b. Epinephrine

A patient who has had abdominal surgery has been discharged on a cholinergic drug to assist in increasing gastrointestinal peristalsis. The nurse should teach this patient to look for which therapeutic effects?
Choose one answer.

a. Decreased pulse rate
b. Abdominal cramping
c. Increased bowel sounds and passage of flatus
d. Decreased frequency and urgency of voiding patterns

c. Increased bowel sounds and passage of flatus

A patient is brought to the emergency department with a severe case of atropine overdose. Which drug will the nurse expect to administer?
Choose one answer.

a. atenolol
b. bethanechol
c. scopolamine
d. physostigmine

d. physostigmine

When a patient is taking an anticholinergic such as benztropine (Cogentin) as part of the treatment for Parkinson's disease, the nurse should include which information in the teaching plan?
Choose one answer.

a. Minimize the amount of fluid taken while on this drug.
b. Discontinue the medication immediately if adverse effects occur.
c. Take the medication on an empty stomach to enhance absorption.
d. Use artificial saliva, sugarless gum, or hard candy to counteract dry mouth.

d. Use artificial saliva, sugarless gum, or hard candy to counteract dry mouth.

A patient has been taking the corticosteroid dexamethasone (Decadron) but has developed bacterial conjunctivitis and has a prescription for gentamicin ointment. The nurse notes that which interaction is possible if the two drugs are used concurrently?
Choose one answer.

a. The infection may become systemic.
b. The gentamicin effects may become more potent.
c. The corticosteroid may cause overgrowth of nonsusceptible organisms.
d. Immunosuppression may make it more difficult to eliminate the eye infection.

d. Immunosuppression may make it more difficult to eliminate the eye infection.

The nurse is providing teaching regarding drug therapy to the husband of a woman with Alzheimer's disease. She was diagnosed 3 months ago, has mild memory loss, and will be receiving donepezil (Aricept). What is the drug's action?
Choose one answer.

a. Prevents memory loss in later stages
b. Reverses the course of Alzheimer's disease
c. Provides sedation to prevent agitation and restlessness
d. May help to improve the symptoms of Alzheimer's disease

d. May help to improve the symptoms of Alzheimer's disease

When an adrenergic drug stimulates beta1-adrenergic receptors, the result is an increased force of contraction, which is known as a positive _____ effect.
Choose one answer.

a. inotropic
b. adrenergic
c. dromotropic
d. chronotropic

a. inotropic

A patient is experiencing severe diarrhea, flushing, and life-threatening hypotension associated with carcinoid crisis. The nurse will prepare to administer which drug?
A. Octreotide
B. vasopressin
c. somatotropin
d. cosyntropin

A. Octreotide

A patient is suspected of having adrenocortical insufficiency. The nurse expects to administer which drug to aid in the diagnosis of this condition?
A. Octreotide
B. vasopressin
c. somatotropin
d. cosyntropin

d. cosyntropin

The nurse is reviewing the medication list for a patient who will be starting therapy with somatropin. Which drug would raise a concern that would need to be addressed before the patient starts this new drug?
a. nonsteroidal antiinflammatory drug for arthritis
b. antidepressant drug
c. penicillin
d. thyroid hormone

d. thyroid hormone

A patient who is about to be given octreotide is also taking a diuretic, IV heparin, ciprofloxacin, and an opiod as needed for pain. The nurse should be watchful for what possible interaction?
a. hypokalmea due to an interaction with the diuretic
b. decreased anticoagulation due to an interaction with the heparin
c. prolongation of the QTc interval due to an interaction with ciprofloxacin
d. increased sedation if the opioid is given

c. prolongation of the QTc interval due to an interaction with ciprofloxacin

When monitoring for the therapeutic effects of intranasal desmopressin in a patient who has diabetes insipidus, which assessment finding would the nurse look for as an indication that the medication therapy is successful?
a. increased insulin levels
b. decreased diarrhea
c. improved nasal patency
d. decreased thirst

d. decreased thirst

Which drugs have an action similar to that of the naturally occuring hormone ADH? (select all that apply)
a. cosyntropin
b. desmopressin
c. somatropin
d. vasopressin
e. octreotide

b. desmopressin
d. vasopressin

When administering vasopressin, which is the priority vital sign for the nurse to monitor?
a. temperature
b. pulse
c. respirations
d. blood pressure

d. blood pressure

A nurse is administering octreotide to a patient who has a metastatic carcinoid tumor. The patient asks about the purpose of this drug. What is the nurses best response?
a. "this drug helps to reduce the size of your tumor."
b. "this drug works to prevent the spread of your tumor."
c. " Octreotide is given to reduce the nausea and vomitting you are having from the chemo"
d. "This drug helps to control the flushing and diarrhea that you are experiencing"

d. "This drug helps to control the flushing and diarrhea that you are experiencing"

Which nursing diagnosis is most appropriate for a patient who is receiving a pituitary drug?
a. constipation
b. disturbed body image
c. impaired physical mobility
d. impaired skin integrity

b. disturbed body image

The nurse will instruct a patient taking desmopressin acetate as a nasal spray for the treatment of diabetes insipidus to perform which action to obtain maximum benefit from the drug?
a. clear the nasal passages after spraying the medication
b. inhale the spray for full drug effect
c. take an over the counter preparation to control mucus if nasal congestion occurs.
d. administer the nasal spray at the same time every day.

d. administer the nasal spray at the same time every day.

During vasopressin therapy, which is the priority nursing action?
a. check blood glucose levels regularly
b. monitor the electrocardiogram for changes
c. monitor the IV site for signs of infiltration
d. watch for hypothermia

c. monitor the IV site for signs of infiltration

When assessing a patient who is receiving octreotide therapy, the nurse should monitor which assessment finding?
a. blood glucose levels
b. pulse
c. weight
d. serum potassium levels

a. blood glucose levels

See More

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions above and try again

Example:

Reload the page to try again!

Reload

Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

NEW! Voice Recording

Create Set