OTC Presentations NCLEX questions

Which of the following statements are true about the potential side effects of calcium carbonate? *Select all that apply a. many patients using calcium carbonate do not have serious side effects b. any change in urine output should be reported to the doctor immediately c. patients taking iron supplements should create a dosing schedule to avoid possible interactions d. Calcium carbonate should be taken seven times a day maximum and use of the maximum dosage should not exceed a two-week period e. consult doctor before taking if you are breastfeeding

A, B

The nurse is educating a patient on the adverse effects of Metamucil (Psyllium) if the fluid intake is not adequate. What would the nurse inform the patient can occur if swallowed in the absence of sufficient fluid? *Select all that apply a. esophageal obstruction b. intestinal obstruction c. fecal impaction d. orthostatic hypotension

A, B, C

A doctor has prescribed their patient with 150mg of Ranitidine (Zantac) per day for their patient's consistent heartburn. What priority adverse effects should the nurse educate the patient on while taking Zantac? *Select all that apply a. vomiting b. black or blood stool c. dizziness d. tremors e. pneumonia

A, B, C, E

A physician suggest to the patient that they should take an OTC drug of Pepcid AC (Famotidine) for their mild heartburn. What stated by the patient suggest to the nurse this OTC drug should not be suggested to take? *Select all that apply a. Patient has complaints of frequent headaches b. patient states they have not had a bowel movement in 4 days c. patient complains of heartburn d. patient states they are on medication for their severe anxiety

A, B, D

Since osmotic laxatives draw water into the bowel to soften stool, what are the possible side effects that can occur? *Select all that apply a. diarrhea b. dehydration c. Cl- accumulation d. bloating e. nausea

A, B, D, E

Chronic overdose of NASACORT may result in which of the following conditions? *Select all that apply a. cataracts b. nose bleeds c. hallucinations d. orthostatic hypotension e. hypercorticism

A, B, E

Laxatives such as Metamucil (Psyllium) are commonly misused by the public. To reduce abuse, the nurse should educate the patient on? *Select all that apply a. normal bowel functions b. consuming a diet high in fiber c. eating foods high in fat d. regular exercising is not important for normal bowel function e. agents that produce catharsis must be avoided

A, B, E

A 6-year-old patient with a history renal impairments is prescribed cetrizine (Zyrtec) for seasonal allergies. Which administration instruction(s) is correct under these circumstances? *Select all that apply a. <2.5 mg PO per day b. 5mg PO once daily c. taken with or without food d. not recommended for this patient e. 2.5mg PO QOD

A, C

Phenylephrine HCl is effective for which of the following conditions? *Select all that apply a. nasal congestion b. fever c. sinus pressure d. hay fever e. sore throat

A, C, D

Which of the following are common ADRs with the use of phenylephrine? *Select all that apply a. hypertension b. orthostatic hypotension c. myocardial irritability d. urinary retention e. tachycardia

A, C, D

Which symptoms would the nurse associate as an adverse effect of Guaifenesin (Mucinex and Robitussin)? *Select all that apply a. dizziness b. sudden loss of hearing c. headache d. vomiting e. dyspnea

A, C, D

Your patient states they have heartburn after eating spicy foods. You advise them to take calcium antacids after eating. What other information do you give them prior to taking this medication? *Select all that apply a. chew the pill thoroughly and drink water or milk after it is swallowed b. swallow the tablet whole c. wait 1 hour before taking other medications d. when taking frequently, monitor blood pressure e. you can take this drug as many times as needed

A, C, D

When administering NASACORT which information in the patient chart would cause the nurse to question the administration? *Select all that apply a. Bacterial infection b. Heart failure c. Herpes simplex d. hypertension e. active TB

A, C, E

Dextromethorphan Polistirex (Delsym) extended-release suspension is labeled as a cough suppressant. Which of the following statements are accurate regarding the drug's mechanism of action? *Select all that apply a. has analgesic and addictive properties b. has antitussive activity c. activates sigma opioid receptors on the cough center in the CNS d. does not cross the blood brain barrier

B, C

What are the adverse effects of Diphenhydramine (Benadryl)? *Select all that apply a. increased appetite b. drowsiness c. dry mouth d. dyspnea e. anorexia

B, C, E

Which of the following are adverse effects associated with omeprazole (Prilosec)? *Select all that apply a. vomiting b. headache c. hypomagnesemia d. rebound acid hyposecretion e. pneumonia f. palpitaitons

B, C, E

Which of the following patients would not be a good candidate for Claritin? *Select all that apply a. a pregnant women in her first-trimester b. a 15-year-old recently diagnosed with a loratadine allergy c. a 58-year-old man with hypertension d. a 40-year-old woman with liver disease

B, D

After consulting with her healthcare provider, Sheila was advised to avoid calcium carbonate antacids. Which of the following conditions prompted her healthcare provider to that conclusion? *Select all that apply a. peptic ulcer disease b. kidney stones c. GERD d. hypercalcemia e. kidney disease

B, D, E

The nurse is teaching a patient about how their osmotic laxative works and other considerations. What phrase by the patient indicates the need for further teaching by the nurse? *Select all that apply a. "This laxative I am taking stops the reabsorption of water and sodium" b. "I might get a dry mouth when taking this laxative" c. "My urine will go from yellow to an even darker yellow after taking this laxative" d. "This laxative I am taking stops the reabsorption of water and magnesium" e. "I should sit on the toilet immediately after I take this laxative until it cleans me out"

C, D, E

Which adverse effects should the nurse include in teaching about the OTC drug dimenhydrinate? *Select all that apply a. nausea not related to motion sickness b. drowsiness c. chest pain d. new or worsening dizziness e. kidney. damage

a, b, d

Which statement indicates the understanding of teaching for diphenhydramine? a. "I should contact my doctor before taking this medication if I am pregnant" b. "I can give this to my child to get them to sleep" c. "It's okay if I use other products that contain diphenhydramine" d. "If I am breastfeeding, I don't need to ask my doctor if it's okay to take this medication because it is totally fine to continue taking"

a. "I should contact my doctor before taking this medication if I am pregnant"

The client is receiving an antitussive with codeine for treatment of a cough. Nursing intervention is required if the client makes which of the following statements? a. I will take my medicine with red wine to help me sleep b. I will avoid driving c. I will notify my doctor if my breathing changes d. I will keep this medication away from my children

a. I will take my medicine with red wine to help me sleep

Which scenario would be most appropriate to recommend a patient take Imodium? a. a patient with IBS experiencing diarrhea b. a patient experiencing acute constipation c. a patient experiencing dizziness and nausea d. a patient with long QT syndrome

a. a patient with IBS experiencing diarrhea

Why does the calcium antacid drug label state to "Ask your pharmacist or doctor before use," if you are taking other prescription medication? a. antacids may influence the absorption and dissolution of other medication b. calcium antacids may affect the systemic pH, which could cause systemic alkalosis c. antacids may acidize urine, delaying the excretion of other drugs d. calcium antacids can cause electrolyte imbalance due to diarrhea

a. antacids may influence the absorption and dissolution of other medication

What is a reason that a patient should contact a health professional before taking Guaifenesin (Mucinex)? a. if the patient is pregnant or breastfeeding b. if the patient is 65 years old c. if the patient is 13 years old d. if the patient has an acute cough that is not persistent

a. if the patient is pregnant or breastfeeding

Following administration of Phenylephrine HCl, the nurse would assess for which of the following adverse drug effects? a. insomnia, nervousness, and dizziness b. nausea, vomiting, and hypotension c. dry mouth, drowsiness, and dyspnea d. increased bronchial secretions, hypotension, and bradycardia

a. insomnia, nervousness, and dizziness

Famotidine is contraindicated in patients with what condition? a. moderate to severe kidney disease b. hepatic impairment c. diabetes mellitus d. coronary heart disease

a. moderate to severe kidney disease

A patient should stop use of Colace and consult a doctor if what adverse effects occur? a. rectal bleeding b. mild cramps c. diarrhea d. stomach irritation

a. rectal bleeding

The nurse is preparing to give instructions about administration of dimenhydrinate and checks the patient chart again before. What would the nurse see in the chart that would make her question about whether the client should actually take the drug? a. the patient has chronic bronchitis b. the patient has a history of arthritis c. the patient is taking Tylenol PRN for headaches d. the patient has a family history of Alzheimer's

a. the patient has chronic bronchitis

Which adverse effect caused by Imodium should require immediate medical attention? a. ventricular dysrhythmias b. drowsiness c. constipation d. nausea

a. ventricular dysrhythmias

A patient was just prescribed to take 1 tablet (150 mg/ tablet) of Ranitidine (Zantac) for 10 days or up until their pain is relieved for their consistent heartburn. Which of the following statements requires the need to further patient education? a. "If my heartburn does not get better by the time my medication is done, I will contact my healthcare provider" b. "I am allowed to take other histamine 2 receptor blockers with my Zantac if I am not seeing results initially" c. "If I am experiencing trouble or pain with swallowing, blood in vomit, or bloody, black, tarry stools, I will contact my doctor right away" d. "I am to only take 1 tablet of Zantac a day for my heartburn"

b. "I am allowed to take other histamine 2 receptor blockers with my Zantac if I am not seeing results initially"

Which of the following scenarios indicates more teaching of when to use phenylephrine? a. "I use this to help clear my airways" b. "I only use this to combat my allergies" c. "I can wake up in the middle of the night for my congestion" d. "It can reduce any swelling especially in the nasal mucosa"

b. "I only use this to combat my allergies"

Which of the following statements by the patient about sodium bicarbonate indicates a need for further teaching? a. "I should take one capsule an hour before breakfast" b. "I should take one capsule a day for the next 3 weeks to prevent symptoms such as abdominal bloating from reoccurring" c. "I know that it may take a few days before full effect of antacid kicks in." d. "I need to contact my doctor if a rash and/or joint pain occurs"

b. "I should take one capsule a day for the next 3 weeks to prevent symptoms such as abdominal bloating from reoccurring"

Which statement about Loratadine (Claritin) by the patient requires further teaching? a. "Adverse effects of this medication include dry mouth and GI upset" b. "This medication can be used to prevent hives and anaphylaxis" c. "It is important to not chew or crush this medication" d. "This medication can be taken long term"

b. "This medication can be used to prevent hives and anaphylaxis"

A patient with reduced kidney function asks if it is safe for them to take calcium carbonate for indigestion. What would be the best response by the nurse be? a. "If they are sold OTC they are considered safe" b. "You should speak to your physician before you take these" c. "Your kidneys help regulate calcium levels, so these would be beneficial" d. "They are safe if used as directed on the label but monitor and report any symptoms of renal osteodystrophy"

b. "You should speak to your physician before you take these"

A nurse is providing patient education on dramamine to a parent who is planning to give their 3-year-old child the medication for motion sickness. Which statement by the parent reflects a need for further education? a. I can give this to my child with or without food b. I can give my child 2 tablets as needed every 3 hours c. My child may become drowsy from this medication d. this drug should be given 30 minutes to an hour before motion sickness may occur

b. I can give my child 2 tablets as needed every 3 hours

Which statement made by the patient affirms that the patient needs further teaching about this medication? a. I need to read the medication label closely, looking at the correct dosages for children and adults b. I can swallow a Loperamide tablet without chewing the tablet because I am able to swallow whole pillows c. I want to make sure that I am shaking the liquid form if I choose to take this form of Loperamide. d. I want to take Loperamide with a glass of water to combat dehydration

b. I can swallow a Loperamide tablet without chewing the tablet because I am able to swallow whole pillows

You are educating a patient on the use of surfactant laxatives, which of the following statements by the patient indicates a need for further teaching? a. docusate sodium works by allowing more water to enter the stool b. I should take docusate sodium with no more than a sip of water c. serious adverse reactions such as rectal bleeding and allergic reactions can occur d. with docusate sodium, I might experience adverse effects such as throat and stomach irritation

b. I should take docusate sodium with no more than a sip of water

A patient is taking an antitussive because he has recently been suffering from a deep and constant cough. Which indication by the patient indicates a need for further teaching? a. My psychiatrist was thinking about prescribing me an MAOI for my depression, and I now need to talk to him about choosing a different medication so I don't experience severe interactions b. If I take both Dextromethorphan and codeine, then my cough will go away even faster c. If I experience blurred vision, I should contact my provider d. I should not take another dose of this medicine until my next dose is due, even if I feel as if its effects are not kicking in

b. If I take both Dextromethorphan and codeine, then my cough will go away even faster

A patient presents to the ER with high blood pressure, a rapid heartbeat, and reports hallucinating. The patient states that they took Delsym to relieve their urge to cough. What other medication does the nurse suspect the patient took? a. Ibuprofen b. Selegiline c. Omeprazole d. Lisinopril

b. Selegiline

The nurse is educating a patient on the adverse effects of Claritin (Loratadine). What would the nurse inform the patient can occur? a. Dyspnea, insomnia, hypertension, anemia b. confusion, blurred vision, dry mouth, GI upset c. anxiety, sexual dysfunction, urinary frequency d. flatulence, arrhythmias, pulmonary edema

b. confusion, blurred vision, dry mouth, GI upset

A client has been taking omeprazole (Prilosec) for 4 weeks. The nurse determines that the client is receiving the optimal intended effect of the medication if the client reports absence of which of the following symptoms? a. diarrhea b. heartburn c. flatulence d. constipation

b. heartburn

Which of the following statements is false about diphenhydramine (benadryl)? a. it can be given as an injection b. it is used for motion sickness c. it is used to treat symptoms of a cold d. it can only bind to histamine 1 receptors

b. it is used for motion sickness

A patient comes in with SOB, dizziness, irregular heartbeat, and drowsiness. What is the patient most likely experiencing? a. iron-deficieny b. morphine-like subjective effects c. COVID symptoms d. symptoms of hypertension

b. morphine-like subjective effects

A patient has been given Imodium. Which of the following situations is the medication best suited for? a. patient complaining of a headache b. patients with an ileostomy c. abdominal pain d. acute dysentery

b. patients with an ileostomy

What is the nursing priority with omeprazole? a. pt complaining of GI issues b. pt complaining of pneumonia c. pt presenting signs of hyperkalemia d. pt presenting signs of CNS effects

b. pt complaining of pneumonia

When taking a surfactant laxative, what may the nurse monitor in order to make sure the medication is working properly? a. vital signs b. regular bowel movements c. level of consciousness d. urinary output

b. regular bowel movements

What symptom displayed by the patient would the nurse not associate as an adverse effect of Loperamide (Imodium)? a. drowsiness b. sedation c. constipation d. dizziness

b. sedation

Which of the following is the most frequent side effect of H1 antihistamines that is less common with second gen. antihistamines? a. decreases appetite b. sedation c. bradycardia d. hypertension

b. sedation

A patient who will be traveling by boat has recently been prescribed dramamine to help manage their motion sickness. Which information should the patient be aware of about administration of this drug? a. take the dose once you begin to feel nauseous b. take the dose about 1 hour before activity that may result in motion sickness c. when taking the drug, make sure to chew it before swallowing d. inject the medication

b. take the dose about 1 hour before activity that may result in motion sickness

What would you tell the patient to do if they missed a dose of Gelusil? a. double next dose to catch up with the missed dose b. take the missed dose as soon as you remember c. don't worry about it, just skip it! d. throw out the rest of the doses and get a new package

b. take the missed dose as soon as you remember

Phenylephrine HCl goes through an extensive first-pass metabolism effect. What effects does an extensive first-pass have on the metabolism of this drug? a. The concentration of Phenylephrine HCl would be greatly increased following oral administration b. the concentration of Phenylephrine HCl would be greatly reduced following oral administration c. the first-pass effect wouldn't have any effects on the metabolism of Phenylephrine HCl d. the concentration of Phenylephrine HCl would be greatly reduced following topical administration

b. the concentration of Phenylephrine HCl would be greatly reduced following oral administration

A nurse is giving medication instructions to a patient with constipation who is receiving Metamucil (Psyllium). The nurse instructs the patient that this medication should be administered .... a. with foods high in fat b. with a full glass of water or juice c. first thing in the morning on an empty stomach d. as a suppository

b. with a full glass of water or juice

Which statement made by the patient demonstrates a need for further teaching on the drug Guanifensin (Mucinex)? a. "I do no need to worry about timing my meals around the administration of this drug" b. "This medication will make my cough more productive" c. "When taking this drug I can crush or break the tablet" d. "I should stop taking this medication and contact my doctor if my cough lasts more than a week"

c. "When taking this drug I can crush or break the tablet"

An elderly patient complains of feeling nauseous anytime they drive their car for longer than 20 minutes. The patient states that they take OTC dramamine while they drive to prevent the nausea, but have trouble seeing the road signs. Which statement by the nurse is correct? a. "you should take the dramamine an hour before driving" b. "this is normal and not a concern" c. "dramamine causes blurry vision and drowsiness, so it should not be taken if you are operating a vehicle" d. "take the dramamine with food to lessen the side effects, like blurry vision"

c. "dramamine causes blurry vision and drowsiness, so it should not be taken if you are operating a vehicle"

A patient ask how Bisacodyl will help with their constipation, which answer given by the nurse is most appropriate? a. Bisacodyl increases intestinal motility and decreases intestinal fluid levels b. Bisacodyl does not impact intestinal motility but increases fluid helping to soften stool c. Bisacodyl increases intestinal motility and increases intestinal fluid levels d. Bisacodyl may decrease intestinal motility but increases fluid levels enough so stool can still be passed more easily

c. Bisacodyl increases intestinal motility and increases intestinal fluid levels

Which patient statement requires education intervention by the nurse? a. I take my Bisacodyl with a glass of water b. I should not chew or crush Bisacodyl c. I take an antacid with my Bisacodyl to reduce stomach irritation d. I take Bisacodyl with a cup of grapefruit juice

c. I take an antacid with my Bisacodyl to reduce stomach irritation

Which statement made by the patient would indicate a need for further teaching? a. Mucinex and Robitussin thin secretions of the bronchioles b. Mucinex and Robitussin are expectorants, meaning they ease expectoration c. Mucinex and Robitussin can be used for emergency airway clearing d. Mucinex and Robitussin are over-the counter medications

c. Mucinex and Robitussin can be used for emergency airway clearing

The patient has a PRN prescription for loperamide. For which condition should the nurse plan to administer the medication? a. constipation b. abdominal pain c. an episode of diarrhea d. hematest-positive nasogastric tube drainage

c. an episode of diarrhea

What is the mechanism of action for Famotidine? a. Creates a protective coating against gastric acid b. it causes a decrease in stomach pH c. binds to the histamine receptors located in the stomach and blocks their action d. it enhances gastric absorption

c. binds to the histamine receptors located in the stomach and blocks their action

A patient came into the doctor's office this morning with complaints of some side effects of taking Esomeprazole (Nexium). The patient could be complaining of all of the following adverse effects except for: a. headache b. stomach pain c. black tarry stool d. nausea e. dizziness

c. black tarry stool

A nurse should plan to administer a PRN order of Imodium to a client if they show signs of what? a. constipation b. abdominal pain c. episodes of diarrhea d. Hematest-positive NG tube drainage

c. episodes of diarrhea

A patient has come into the clinic with severe heartburn, upset stomach, and some dizziness. She states that she has been taking a tablet (150 mg/ tablet) of Ranitidine (Zantac) before she eats dinner everyday for the past month, but she is seeing no signs of relief. What is the nurse's priority action? a. tell the patient to continue the use of the Zantac and reassure them that their pain will be relieved eventually b. advice the patient to take 2 chewable Tums (antacids) with their daily Zantac and they should see some pain relief c. get ahold of the health care provider and explain the patient's condition and the prolongation of their Zantac use d. tell the patient that since the Zantac isn't working, there is nothing else they can do

c. get ahold of the health care provider and explain the patient's condition and the prolongation of their Zantac use

Which type of antacid would a patient with chronic renal failure be advised NOT to take? a. calcium-containing antacids b. Aluminum-containing antacids c. magnesium-containing antacids d. sodium-containing antacids

c. magnesium-containing antacids

Which age group would the nurse most closely monitor in patients taking NASACORT? a. elderly b. young adults c. pediatrics d. infants

c. pediatrics

Which indicates an understanding of what to do when taking phenylephrine? a. make sure there is mucus in the nasal passageway b. leave the other nostril open so the patient can still breathe c. prime the spray before use d. tilt your head forward to allow medicine to reach the full nasal passage

c. prime the spray before use

The nurse is preparing to orally administer a sodium bicarbonate antacid to her patient to relieve symptoms of heartburn. She must follow the six rights of administration before administering the medication. Which option is not one of the six rights of administration? a. Right patient b. right dose c. right health care provider d. right time

c. right health care provider

What is the reason for the Guaifenesin (Mucinex) label to state "Stop use and ask doctor if cough occurs with a fever, rash, or persistent cough? a. these could be signs of respiratory failure b. these could be signs that the drug is interfering with another drug the patient is taking c. these could be signs that a serious illness is present d. none of the above

c. these could be signs that a serious illness is present

Which statement demonstrates patient understanding regarding provided teaching about expectorants? a. this medication is a bronchial dilator, making it easier for me to cough up my mucus and phlegm b. I will not increase my fluid intake as this can reverse the effects of the expectorant c. this medication thins and loosens the secretions in my bronchioles, making coughing easier to accomplish d. if I am allergic to this medication, I will continue to take it away

c. this medication thins and loosens the secretions in my bronchioles, making coughing easier to accomplish

What statement made by the patient about taking liquid suspension Dextromethorphan Polistirex (Delsym) indicates the need for further teaching? a. "I will store this medication in a room temperature environment" b. "I will shake the bottle well before use" c. "I should drink plenty of fluids when taking this medication to loosen the mucus in my lungs" d. "I can use a household spoon when measuring my dose"

d. "I can use a household spoon when measuring my dose"

A nurse is teaching a patient who is prescribed cetirizine (Zyrtec). Which of the following statements made by the patient will need further teaching? a. "I can only take this medication orally" b. "I should avoid driving alcohol while taking this medication" c. "I can take this medication with an empty stomach" d. "I might experience an increase in saliva production"

d. "I might experience an increase in saliva production"

Which answer indicates successful teaching of Gelusil dosages indicated for an adult? a. "I should take 5 tablets daily no matter if my symptoms continue or not" b. "I can take whatever amount until my symptoms are gone" c. "I should take 1 tablet even if my symptoms return" d. "I should chew 2-4 tablets hourly if my symptoms continue"

d. "I should chew 2-4 tablets hourly if my symptoms continue"

A patient came in for her annual check up. The patient states that for the past 3 weeks she has been taking 40mg of esomeprazole daily. She also states that she found out she was pregnant 2 days ago and has concerns about if she needs to stop taking esomeprazole while pregnant. Which is the most appropriate statement the nurse should tell the patient? a. "We must stop the medication because esomeprazole is not safe to take while pregnant" b. "It is safe for you to take, but I would recommend only taking half of the daily dose." c. "It is safe for you to take, but you should take it every other day" d. "It is not recommended, but it can be taken. Check with your healthcare provider first."

d. "It is not recommended, but it can be taken. Check with your healthcare provider first."

The nurse would recognize the need for further teaching for which of the following statements regarding calcium carbonate? a. I cannot exceed 7 tablets in 24 hours b. don't use the maximum dosage of antacids for more than 2 weeks c. I am taking antacids to relive my heartburn and indigestion d. because they are not a real drug, I can take antacids safely with all other prescription medications

d. because they are not a real drug, I can take antacids safely with all other prescription medications

A nurse is caring for a patient with heartburn. The nurse wants to prescribe a sodium bicarbonate antacid to treat the heartburn. Which drug that the patient is taking will contraindicate giving the sodium bicarbonate antacid? a. spironolactone b. levodopa c. neostigmine d. digoxin

d. digoxin

You are the nurse taking care of the patient who has recently started to take esomeprazole for the treatment of GERD and gastric ulcers. Which of the following choices best describes the mechanism of action of esomeprazole? a. it causes a decrease in stomach pH, reducing stomach acidity b. it competes with histamine for binding sites on the parietal cells c. it forms a protective coating against gastric acid, pepsin, and bile salts d. it irreversible binds to the hydrogen-potassium-ATPase pump

d. it irreversible binds to the hydrogen-potassium-ATPase pump

What symptom displayed by the patient would the nurse not associate as an adverse effect of loperamide? a. abdominal discomfort b. dizziness c. constipation d. palpitations

d. palpitations

A patient taking Bisacodyl for constipation reports rectal bleeding, how should the nurse respond? a. inform the patient this is normal when using a laxative for constipation b. inform the patient this is an initial reaction that usually goes away after multiple doses c. tell the patient the bleeding was likely caused by the constipation and should resolve on its own d. report the rectal bleeding to the physician and hold the medication

d. report the rectal bleeding to the physician and hold the medication