Question 1

The nurse is caring for a patient who takes rosiglitazone 4 mg daily. The nurse should be most concerned by which of the following assessment findings?
A) Random glucose = 142 mg/dL
B) Urine output is 200 mL in the past 4 hr
C) Inspiratory crackles noted on auscultation
D) Apical pulse = 72 bpm

Accepted Answer

Inspiratory crackles could indicate pulmonary edema, a known side effect of rosiglitazone. The other assessment findings are within normal limits or not directly related to the medication.

Question 2

Which of the following actions should the nurse perform to administer Reclast (zoledronic acid)?
A) Instruct the patient to look up and gently pull down on the eyelid.
B) Select a syringe that will provide deep tissue insertion using a Z track method.
C) Carefully peel back wrapper with extra caution not to touch the medication.
D) Assess patency of the intravenous site.

Accepted Answer

Reclast is administered intravenously, so the nurse should assess the patency of the intravenous site before administering the medication. Option A is not relevant to administering Reclast, option B is not applicable since Reclast is not administered via a syringe using the Z track method, and option C could be a general rule for administering medications but is not specific to Reclast.

Question 3

A public health nurse is administering the first dose of Gardasil (human papillomavirus quadrivalent vaccine) to a teenage girl. What action should the nurse take following the administration of this medication?
A) Schedule an appointment for an additional dose in 4 weeks.
B) Schedule an appointment for an additional dose in 8 weeks.
C) Schedule an appointment for a second dose in 1 month and a third dose in 5 months.
D) Schedule an appointment for a second dose in 2 months and a third dose in 6 months.

Accepted Answer

The correct schedule for the administration of the Gardasil vaccine involves three doses: the first dose, a second dose 2 months after the first, and a third dose 6 months after the first dose.

Question 4

The nurse is caring for a patient in the intensive care unit with an NG tube to low intermittent suction after bowel surgery. Morning lab results include the following: Na⁺ = 136 mEq, K⁺ = 3.3 mEq, Cl^- = 100 mEq, Ca⁺⁺ = 10 mg/dL. The patient has scheduled medications, which include potassium bicarbonate/potassium chloride 40 mEq via NG and Lasix (furosemide) 20 mg intravenous push daily. Which of the following actions should the nurse take next? A) Evaluate the patient's telemetry reading. B) Hold the patient's daily dose of potassium chloride. C) Assess the amount and color of the NG output over the past 2 hr. D) Provide the patient's scheduled Lasix (furosemide).

Accepted Answer

The answer of The nurse is caring for a patient...

Question 5

Pradaxa (dabigatran) is approved for the treatment of which of the following conditions?
A) Deep vein thrombosis
B) Pulmonary emboli
C) Atrial fibrillation
D) Prophylaxis for artificial heart valve

Accepted Answer

Pradaxa (dabigatran) is approved for the treatment of atrial fibrillation, specifically for reducing the risk of stroke and systemic embolism. It is not approved for the treatment of deep vein thrombosis, pulmonary emboli, or prophylaxis for artificial heart valve.

Question 6

While talking to a teen who stopped taking tetracycline) a couple of weeks ago, the nurse learns the teenager has been having diarrhea and abdominal cramping for the past few days. Which of the following responses by the nurse is best?
A) "Does anyone else in your family have the flu?"
B) "Did you get a flu vaccine this year?"
C) "How much water are you drinking each day?"
D) "You need to contact your physician right away. This could be a serious complication of your medication."

Accepted Answer

Diarrhea and abdominal cramping are potential side effects of tetracycline, especially if the medication was stopped abruptly. These symptoms could also indicate a serious complication, such as pseudomembranous colitis. Therefore, the nurse should advise the teenager to contact their physician right away to determine the cause of their symptoms and receive appropriate treatment. Choices A, B, and C are not relevant to the situation and do not address the potential seriousness of the symptoms.

Question 7

While working on a medical unit, the nurse answers a call light for a woman who asks to take her Ambien (zolpidem) 10 mg orally as ordered before going to sleep. After providing the medication, which of the following actions should the nurse take next?
A) Instruct the patient to drink at least two full glasses of water in the next 30 min.
B) Instruct the patient to wear her slippers if she gets up during the night.
C) Raise the patient's bed side rail.
D) Document the medication provision in the patient's chart.

Accepted Answer

Raising the patient's bed side rail is a safety measure to prevent falls, especially after administering a sedative like Ambien, which can cause drowsiness and increase the risk of falls.

Question 8

How is Abilify (aripiprazole) prescribed?
A) As an add-on treatment along with antidepressant medications
B) To minimize side effects associated with antidepressant medications
C) As an add-on treatment for those with schizophrenia
D) To minimize the side effects associated with medications for schizophrenia

Accepted Answer

Abilify (aripiprazole) is often prescribed as an add-on treatment to antidepressant medications for individuals who do not respond adequately to antidepressants alone.

Question 9

While providing care for a patient who takes Januvia (sitagliptin), the nurse should be most concerned by which of the following findings?
A) Patient reports persistent abdominal pain that radiates to the back
B) Patient reports having a headache
C) Hemoglobin A1C = 5%
D) Patient takes Glucophage (metformin) concurrently

Accepted Answer

Persistent abdominal pain that radiates to the back can be a sign of acute pancreatitis, a rare but serious side effect of Januvia. The nurse should report this finding immediately and monitor the patient closely. Headaches and a low Hemoglobin A1C are not typically associated with Januvia use. Taking Glucophage concurrently is common and not a cause for concern.

Question 10

The nurse would be most concerned about ototoxicity for which of the following patients?
A) A 51-year-old patient receiving ciprofloxacin
B) A 29-year-old patient receiving gentamycin
C) A 37-year-old patient receiving cefazolin
D) A 70-year-old patient receiving clindamycin

Accepted Answer

Gentamycin is known for its potential ototoxicity, which can cause permanent hearing loss, tinnitus, and vertigo. Ciprofloxacin, cefazolin, and clindamycin are not known to have ototoxic effects.

Question 11

The nurse is providing Serevent Diskus (salmeterol) to a patient on the medical unit who has a long-term history of chronic obstructive pulmonary disease. The nurse would intervene if which of the following were observed?
A) The patient did not attach a spacer prior to inspiration.
B) The patient closes the device after inhalation without washing the mouthpiece.
C) The patient held the diskus level in a horizontal position.
D) The patient exhaled into the diskus device.

Accepted Answer

Exhaling into the diskus device can cause moisture and obstruct the medication from being properly administered. The other options are not necessarily incorrect, but proper use and technique should be taught to the patient to ensure optimal medication efficacy.

Question 12

The nurse is providing care for a patient who is being considered for treatment with Actonel (risedronate). Prior to initiating therapy, the nurse should evaluate the results from which of the following diagnostic tests?
A) Echocardiogram
B) Pulmonary function tests
C) Fasting blood sugar
D) Bone density study

Accepted Answer

Actonel is a medication used to treat osteoporosis by increasing bone density. Therefore, the nurse should evaluate the results from a bone density study prior to initiating therapy to determine if the medication is appropriate for the patient.

Question 13

Mr. Jacobs, who started taking Lipitor (atorvastatin) 8 weeks ago, returns for a follow-up visit. He is angry because there has been no improvement in his cholesterol level. How should the nurse respond to his concern?
A) This medication helps to control but does not cure elevated serum cholesterol levels.
B) Continue to take the medication as you have been and you should see results within 3 months.
C) It must be taken in conjunction with an antihypertensive to get the most beneficial response.
D) Did you eat something for breakfast this morning that would have caused the test result to be elevated?

Accepted Answer

Lipitor helps to control but does not cure elevated serum cholesterol levels. It may take more than 8 weeks for the medication to show significant improvement in cholesterol levels.

Question 14

The nurse receives a call from a patient who recently started taking Actos (pioglitazone) 15 mg every morning. The patient states, "I forgot to take it for the past 2 days. What should I do?" Which of the following is the best response by the nurse?
A) "Simply take the medication as planned today."
B) "Take two today and then one a day from this point forward."
C) "You will need to come in and have some blood drawn."
D) "Are you experiencing any pain today?"

Accepted Answer

The best response is to advise the patient to take the medication as planned on the day of the call. A missed dose should be taken as soon as the patient remembers, unless it is close to the time for the next dose. In that case, the missed dose should be skipped and the regular dosing schedule should be resumed. There is no need to adjust the dosing schedule or perform blood tests based on missing 2 doses. Asking about pain is not relevant to the situation.

Question 15

A nurse working in a physician's office is collecting history information from a patient who reports experiencing erectile dysfunction and is seeking treatment with Levitra (vardenafil). This medication would be contraindicated if the patient is currently taking which of the following? A) Vitamin B₁₂ (cyanocobalamin) B) Nitro-Dur (nitroglycerin patch) C) Chantix (varenicline) D) Effexor (venlafaxine)

Accepted Answer

Nitro-Dur (nitroglycerin patch) is contraindicated with Levitra due to the potential for severe hypotension (low blood pressure) and cardiovascular complications. The other medications listed are not known to have significant interactions with Levitra.

Question 16

Prior to the administration of Humira (adalimumab) the nurse should assess which of the following laboratory values?
A) Blood glucose
B) White blood cell count
C) Red blood cell count
D) Hemoglobin and hematocrit

Accepted Answer

Prior to administration of Humira (adalimumab), the nurse should assess the patient’s white blood cell count to evaluate their immune function as Humira can affect the immune system. Monitoring for signs of infection or immunosuppression during treatment with Humira is necessary. Blood glucose, red blood cell count, hemoglobin and hematocrit may not be directly affected by Humira administration.

Question 17

While caring for a patient on post op day 1 after a total abdominal hysterectomy, the patient reports a pain level of 4 on a 1-10 scale. The nurse provides two tablets of Anexsia (hydrocodone/acetaminophen 5 mg/325 mg) orally along with the patient's other morning medications, which include Isordil (isosorbide) 10 mg and Lasix (furosemide) 20 mg orally at 9 a.m. Which of the following instructions should the nurse provide to the nursing assistant regarding the patient's activity?
A) "Have her sit at the side of the bed for a minute before walking as she may be dizzy."
B) "She should only take a short walk right now since she just ate her breakfast."
C) "Wait to walk her until after lunch so her pain is better."
D) "Let's not walk her today since she seems rather tired."

Accepted Answer

Anexsia contains hydrocodone, which can cause dizziness and drowsiness, especially when combined with other medications such as Isordil and Lasix. Therefore, the nurse should instruct the nursing assistant to have the patient sit at the side of the bed for a minute before walking to assess for any potential dizziness before ambulating the patient.

Question 18

The nurse is preparing to provide routine morning medications, which include Synthroid (levothyroxine). Which of the following assessments should be done prior to administration?
A) Apical pulse rate
B) Serum sodium level
C) Deep tendon reflexes
D) Pupils' response to light

Accepted Answer

Prior to administration of Synthroid (levothyroxine), the nurse should assess the patient's apical pulse rate. Levothyroxine is a thyroid hormone replacement medication and can cause tachycardia as a side effect.

Question 19

The nurse is providing care for a patient who is taking Senokot (sennoside) two tablets orally each day. Which of the following actions by the nurse will most promote effective treatment with this planned medication?
A) Give the medication with breakfast at 8 a.m.
B) Give the medication with a full glass of water.
C) Determine the patient's resting pulse rate prior to provision.
D) Assess the patient's level of consciousness 2 hr after provision.

Accepted Answer

Giving the medication with a full glass of water is the most appropriate action as it helps to promote hydration and prevent constipation. The other answer choices are not relevant to the effective treatment with this medication.

Question 20

The nurse immediately notifies the doctor of a reaction to Lyrica (pregabalin) based on which of the following assessments?
A) Petechiae on legs and back
B) Poor appetite
C) Increased heart rate
D) Vomiting

Accepted Answer

Petechiae on legs and back can indicate a serious allergic reaction or blood disorder, which requires immediate medical attention, especially in the context of a new medication like Lyrica (pregabalin).

Davis's Drug Guide for Nurses Test 1

The nurse is caring for a patient who takes rosiglitazone 4 mg daily. The nurse should be most concerned by which of the following assessment findings?

Which of the following actions should the nurse perform to administer Reclast (zoledronic acid) ?

A public health nurse is administering the first dose of Gardasil (human papillomavirus quadrivalent vaccine) to a teenage girl. What action should the nurse take following the administration of this medication?

Pradaxa (dabigatran) is approved for the treatment of which of the following conditions?

While talking to a teen who stopped taking tetracycline) a couple of weeks ago, the nurse learns the teenager has been having diarrhea and abdominal cramping for the past few days. Which of the following responses by the nurse is best?

While working on a medical unit, the nurse answers a call light for a woman who asks to take her Ambien (zolpidem) 10 mg orally as ordered before going to sleep. After providing the medication, which of the following actions should the nurse take next?

How is Abilify (aripiprazole) prescribed?

While providing care for a patient who takes Januvia (sitagliptin) , the nurse should be most concerned by which of the following findings?

The nurse would be most concerned about ototoxicity for which of the following patients?

The nurse is providing Serevent Diskus (salmeterol) to a patient on the medical unit who has a long-term history of chronic obstructive pulmonary disease. The nurse would intervene if which of the following were observed?

The nurse is providing care for a patient who is being considered for treatment with Actonel (risedronate) . Prior to initiating therapy, the nurse should evaluate the results from which of the following diagnostic tests?

Mr. Jacobs, who started taking Lipitor (atorvastatin) 8 weeks ago, returns for a follow-up visit. He is angry because there has been no improvement in his cholesterol level. How should the nurse respond to his concern?

The nurse receives a call from a patient who recently started taking Actos (pioglitazone) 15 mg every morning. The patient states, "I forgot to take it for the past 2 days. What should I do?" Which of the following is the best response by the nurse?

A nurse working in a physician's office is collecting history information from a patient who reports experiencing erectile dysfunction and is seeking treatment with Levitra (vardenafil) . This medication would be contraindicated if the patient is currently taking which of the following?

Prior to the administration of Humira (adalimumab) the nurse should assess which of the following laboratory values?

The nurse is preparing to provide routine morning medications, which include Synthroid (levothyroxine) . Which of the following assessments should be done prior to administration?

The nurse is providing care for a patient who is taking Senokot (sennoside) two tablets orally each day. Which of the following actions by the nurse will most promote effective treatment with this planned medication?

The nurse immediately notifies the doctor of a reaction to Lyrica (pregabalin) based on which of the following assessments?