Question 1

A 58-year-old woman with a history of cardiac arrhythmias visits her health-care provider with complaints of sunburn on her arm while riding in a car. What should the health-care provider suspect?
A) Allergic reaction related to cardizem
B) Photosensitivity related to amiodarone
C) Dermatitis related to verapamil
D) Hypersensitivity related to sotalol

Accepted Answer

Amiodarone is a medication commonly used for cardiac arrhythmias and is known to cause photosensitivity, which can result in sunburns or rashes when exposed to sunlight or UV light. Allergic reactions or hypersensitivity are possible with any medication, but there is no specific indication for this in the scenario provided. Dermatitis is a possible adverse effect of verapamil, but it is not related to sun exposure.

Question 2

Which of the following examples should be provided as food to include with dietary intake when taking Lasix (furosemide)?
A) Cauliflower, cabbage, and yogurt
B) Macaroni and cheese, deli meat, and buttermilk
C) Clams, oysters, and broccoli
D) Potatoes, milk, and prune juice

Accepted Answer

Lasix (furosemide) is a diuretic medication that can cause potassium loss. Therefore, it is recommended to consume foods that are high in potassium, such as potatoes, milk, and prune juice. Option A includes cruciferous vegetables which may interfere with thyroid function, option B includes processed and high-fat foods which are not recommended for a healthy diet, and option C includes shellfish which may cause allergies or other adverse reactions in some people.

Question 3

An overdose of Starlix (nateglinide) would present with which symptom?
A) Hypertension
B) Hypotension
C) Hyperglycemia
D) Hypoglycemia

Accepted Answer

Starlix (nateglinide) is a medication used to treat type 2 diabetes by stimulating insulin release from the pancreas. An overdose of Starlix can cause hypoglycemia (low blood sugar) which can present with symptoms such as weakness, dizziness, confusion, tremors, sweating, palpitations, and even loss of consciousness. Hypertension and hypotension are not typical symptoms of a Starlix overdose, and hyperglycemia is the opposite of what this medication is intended to treat.

Question 4

A 37-year-old male was brought to the emergency room in thyroid crisis. Which medication will likely be ordered?
A) Potassium chloride
B) Potassium gluconate
C) Potassium iodide
D) Potassium

Accepted Answer

The medication likely ordered in a thyroid crisis is potassium iodide, which is used to block the release of thyroid hormones. Potassium chloride and potassium gluconate are used to treat potassium deficiencies and would not be indicated in this situation. "Potassium" alone is not a specific medication and therefore cannot be the correct answer.

Question 5

What is Niacin indicated for?
A) The treatment of inflammatory response
B) As an adjunctive therapy for hyperlipidemia
C) The treatment of thrush
D) To prevent migraine headaches

Accepted Answer

Niacin is indicated as an adjunctive therapy for hyperlipidemia to reduce total cholesterol, LDL, triglycerides, and increase HDL.

Question 6

When starting a patient on Synthroid (levothyroxine), which of the following requires close monitoring?
A) Neurological status
B) Heart rate and rhythm
C) Respiratory rate and depth
D) Urinary output

Accepted Answer

When starting a patient on Synthroid, it is important to closely monitor heart rate and rhythm as Synthroid can cause tachycardia and arrhythmias.

Question 7

A patient was started on Fragmin (dalteparin). Which of the following assessment findings should cause concern?
A) Nosebleed
B) Low urine output
C) Fever
D) Ecchymosis on the abdomen

Accepted Answer

Fragmin (dalteparin) is an anticoagulant, and a nosebleed could indicate excessive bleeding, which is a potential side effect of anticoagulants.

Question 8

A 52-year-old patient is going home with NitroMist (nitroglycerine translingual spray). How should the patient be taught to take this medication?
A) Shake canister, spray in mouth, and rinse with glass of water 5 min after administration.
B) Roll canister between hands and spray on tongue.
C) Inhale as the medication is being sprayed into the mouth.
D) Lift the tongue and spray under the tongue.

Accepted Answer

The correct way to take NitroMist is to lift the tongue and spray the medication under the tongue. This allows for the medication to be absorbed quickly into the bloodstream and can lead to faster relief of symptoms related to angina or heart failure. It is important to not inhale the medication or rinse the mouth after administration to ensure optimal absorption. Rolling the canister between hands and spraying on tongue is not an appropriate method of administration for NitroMist.

Question 9

Which of the following assessments would indicate that dopamine is effective?
A) Increased blood pressure, peripheral circulation, and urine output
B) Decreased respiratory rate and increased oxygen saturation
C) Increased mental awareness, peripheral circulation, and respiratory rate
D) Decreased blood pressure, increased urine output, and increased respiratory rate

Accepted Answer

Dopamine is effective when it increases blood pressure, peripheral circulation, and urine output, indicating improved cardiac output and renal perfusion.

Question 10

Percodan (oxycodone/aspirin) should not be given to a person with:
A) Bleeding tendencies
B) An allergy to seafood
C) An inability to stand on his or her own
D) A respiratory rate greater than 24 breaths/min

Accepted Answer

Percodan contains aspirin, which can increase the risk of bleeding. Therefore, it should not be given to a person with bleeding tendencies.

Question 11

A 7-year-old patient is to receive intravenous Lanoxin (digoxin). The apical rate is 66. What should the nurse do?
A) Administer Lanoxin as ordered.
B) Give fluid bolus and administer Lanoxin in 1 hr.
C) Hold Lanoxin and notify the doctor.
D) Hold Lanoxin and take apical rate again in 2 hr.

Accepted Answer

The normal range for a 7-year-old's heart rate is 70-110 beats per minute. A heart rate of 66 is below the normal range, which means the patient may have an underlying condition or the medication may cause further bradycardia. The nurse should hold the Lanoxin and notify the doctor to assess the patient's condition before administering the medication.

Question 12

Which of the following should be communicated to a patient who is being prescribed Advair Diskus (fluticasone and salmeterol)?
A) Open capsule and mix with water or juice.
B) Rinse mouth with water after each use.
C) Use a spacer device.
D) Shake medication container prior to administration.

Accepted Answer

Advair Diskus is a dry powder inhaler containing fluticasone (a steroid) and salmeterol (a long-acting beta agonist). Patients should rinse their mouths with water after each use to prevent oral thrush, a common side effect of inhaled steroids. The other options are not applicable to the use of Advair Diskus.

Question 13

A woman with severe rheumatoid arthritis is starting Simponi (golimumab). Which of the following tests should be performed prior to starting this medication?
A) CT scan
B) x ray
C) D-Dimer
D) Tuberculin skin test

Accepted Answer

A tuberculin skin test should be performed prior to starting Simponi (golimumab) in order to screen for tuberculosis, as this medication can increase the risk of developing tuberculosis. CT scans and x-rays are not typically needed for screening prior to starting this medication, and D-dimer is a blood test used to assess for blood clotting disorders, which is not relevant in this situation.

Question 14

Which laboratory value should be monitored during pharmacological therapy of Januvia (sitagliptin)?
A) CBC
B) Hemoglobin A1C
C) Phosphorus levels
D) Thiamine levels

Accepted Answer

Hemoglobin A1C is the best laboratory value to monitor during pharmacological therapy of Januvia (sitagliptin) as it measures the average blood glucose levels over the past 2-3 months, which is the goal of this medication. Monitoring CBC, phosphorus levels, and thiamine levels may be important for other medications or medical conditions, but are not specific to Januvia therapy.

Question 15

A 62-year-old male is started on Revatio (sildenafil) for treatment of pulmonary arterial hypertension. What is a side effect of this medication?
A) Male erection
B) Metallic taste in mouth
C) Tinnitus
D) Color of urine may turn orange

Accepted Answer

Sildenafil (Revatio) is a phosphodiesterase type-5 inhibitor that enhances relaxation of smooth muscle cells in the blood vessel walls, leading to vasodilation. This medication can cause male erection as a side effect due to its effect on blood flow to the penis.

Question 16

Ciprofloxacin, Levaquin, and Avelox fall under which drug classification?
A) Aminoglycosides
B) Carbapenems
C) Macrolides
D) Fluoroquinolones

Accepted Answer

Ciprofloxacin, Levaquin, and Avelox are all fluoroquinolones, a class of antibiotics commonly used to treat a variety of bacterial infections.

Question 17

Which is the preferred route for administration of Vitamin B₁₂(cyanocobalamin)? A) Sublingual B) Intravenous C) Intramuscular D) Dermal patch

Accepted Answer

Intramuscular administration is the preferred route for Vitamin B₁₂(cyanocobalamin). This allows for direct absorption into the bloodstream and ensures adequate absorption. Sublingual administration can also be effective, but it may not be as reliable or consistent in its absorption. Intravenous administration is reserved for severe cases or emergency situations. Dermal patch is not a commonly used method of administration for Vitamin B₁₂.

Question 18

What times should be indicated for the administration of Maalox?
A) 6 a.m., 10 a.m., 3 p.m., 7 p.m.
B) 7 a.m., 11 a.m., 4 p.m., 8 p.m.
C) 8 a.m., 12 p.m., 5 p.m., 9 p.m.
D) 9 a.m., 1 p.m., 7 p.m., 11 p.m.

Accepted Answer

The answer of What times should be indicated for the...

Question 19

Namenda (memantine) should be used cautiously in those with an impaired:
A) Cognitive status
B) Cardiac status
C) Renal status
D) Liver status

Accepted Answer

Namenda (memantine) is primarily eliminated via the kidneys and renal impairment can lead to increased exposure of the drug in the body. Therefore, caution should be exercised in those with impaired renal function.

Question 20

The intended therapeutic response after administering Restasis (cyclosporine) is which of the following?
A) Increase tear production
B) Relieve corneal pressure
C) Decrease bacterial growth associated with use of contact lenses
D) Facilitate increased growth of eyelashes

Accepted Answer

Restasis (cyclosporine) is an ophthalmic medication used to treat chronic dry eye by increasing tear production.

Davis's Drug Guide for Nurses Test 1

A 58-year-old woman with a history of cardiac arrhythmias visits her health-care provider with complaints of sunburn on her arm while riding in a car. What should the health-care provider suspect?

Which of the following examples should be provided as food to include with dietary intake when taking Lasix (furosemide) ?

An overdose of Starlix (nateglinide) would present with which symptom?

A 37-year-old male was brought to the emergency room in thyroid crisis. Which medication will likely be ordered?

What is Niacin indicated for?

When starting a patient on Synthroid (levothyroxine) , which of the following requires close monitoring?

A patient was started on Fragmin (dalteparin) . Which of the following assessment findings should cause concern?

A 52-year-old patient is going home with NitroMist (nitroglycerine translingual spray) . How should the patient be taught to take this medication?

Which of the following assessments would indicate that dopamine is effective?

Percodan (oxycodone/aspirin) should not be given to a person with:

A 7-year-old patient is to receive intravenous Lanoxin (digoxin) . The apical rate is 66. What should the nurse do?

Which of the following should be communicated to a patient who is being prescribed Advair Diskus (fluticasone and salmeterol) ?

A woman with severe rheumatoid arthritis is starting Simponi (golimumab) . Which of the following tests should be performed prior to starting this medication?

Which laboratory value should be monitored during pharmacological therapy of Januvia (sitagliptin) ?

A 62-year-old male is started on Revatio (sildenafil) for treatment of pulmonary arterial hypertension. What is a side effect of this medication?

Ciprofloxacin, Levaquin, and Avelox fall under which drug classification?

Which is the preferred route for administration of Vitamin B₁₂(cyanocobalamin) ?

What times should be indicated for the administration of Maalox?

Namenda (memantine) should be used cautiously in those with an impaired:

The intended therapeutic response after administering Restasis (cyclosporine) is which of the following?