Pharmacology Clear & Simple Practice Test 2 (ch 11-20)

The LPN is working with a client newly prescribed minocycline (Dynacin). Which of the following precautions should the nurse include in the patient instructions? A) "Be sure to wear a hat and sunscreen as this medication increases your sensitivity to the sun." B) "You can stop taking this medication once your symptoms are under control." C) "It is important that you eat low fat meals while you are on this medication." D) "This medication has a deadly interaction with alcohol, so you must not drink."

A) "Be sure to wear a hat and sunscreen as this medication increases your sensitivity to the sun."

The LPN answers the phone call of a client who has been taking prednisolone (Prelone) for the treatment of an acute flare of systemic lupus erythematosus. The client says, "The doctor said something about stopping this medication but I can't remember what she said." Which response by the nurse is best? A) "It is important to taper steroid medications slowly, so the tapering schedule should have been part of the prescription and will be written on the label." B) "Once you need to start taking steroids, you usually stay on them indefinitely." C) "I will have to check your chart and call you back next week." D) "What did the pharmacy tell you about the medication?"

A) "It is important to taper steroid medications slowly, so the tapering schedule should have been part of the prescription and will be written on the label."

An LPN is talking to a friend who states, "My husband is visiting the doctor today to talk about getting a prescription for tadalifil (Cialis). He saw it on a commercial and thinks it may help. What do you know about that medication?" Which of the following responses by the nurse is best? A) "Men take it half an hour to an hour before sexual activity to help attain and maintain an erection." B) "I know you can only safely take it once a week or less." C) "It's placed inside the urethral shaft to stimulate erection within a couple of minutes." D) "As long as he doesn't have a history of kidney disease, he should be able to take it."

A) "Men take it half an hour to an hour before sexual activity to help attain and maintain an erection."

While talking with a friend who is to start cancer treatment using a monoclonal antibody, the LPN could include which statement regarding this class of medications? A) "The nice thing about those medications is that they are designed to target only the cancer cells." B) "Those are powerful medications that destroy rapidly growing cells in your body." C) "The physician will give you a pre-treatment with something to tag the cancer cells so the antibody can find them." D) "Monoclonal antibodies stimulate your own immune system rather than fight the cancer cells themselves."

A) "The nice thing about those medications is that they are designed to target only the cancer cells."

The nurse prepares to provide guiafenesin (Mucinex) as ordered. The patient asks, "What is this for?" Which of the following responses by the nurse is best? A) "This helps thin the mucus so it is easier for you to cough up." B) "It is a cough suppressant and will help reduce your coughing." C) "It dries up your secretions so you won't feel so stuffy headed." D) "This helps open your airways to help you breathe."

A) "This helps thin the mucus so it is easier for you to cough up."

During the care of a client with pink eye, the LPN prepares to provide gentamicin ophthalmic (Garamycin) eye drops. Which of the statements by the LPN is best? A) "This may burn just a bit when I instill the drops." B) "This medication will numb your eyes for about 15 minutes." C) "Your eyes will be very sensitive to light for the next 4 hours." D) "You will probably notice that your tears are bright yellow for a while."

A) "This may burn just a bit when I instill the drops."

The LPN is providing medications to a client recently diagnosed with atrial fibrillation who has been prescribed quinidine (Cardioquin) 300 mg every 6 hours. Which of the following statements would the nurse include in the client teaching? A) "This medication alters sodium exchange in the heart muscle to block irregular rhythms." B) "The medication will help slow the heart rate by interfering with calcium ion exchange." C) "You may notice a slight tingling under your tongue when you take this medication." D) "You will need to wear a heart monitor when you go home."

A) "This medication alters sodium exchange in the heart muscle to block irregular rhythms."

An LPN is working with a client who takes isosorbide dinitrate (IsoBid). The LPN would include which of the following instructions to the client? A) "This medication will interact with medications for erectile dysfunction." B) "You may notice that your blood sugar is altered while you're on this medication." C) "It will be important for you to avoid over the counter medications containing ibuprofen." D) "The physician will most likely order weekly blood tests for the first month or so."

A) "This medication will interact with medications for erectile dysfunction."

A client calls the nurse at 2 p.m. stating, "I forgot to take my atenolol (Tenormin) at 8 a.m., like I usually do. Should I take it now?" Which of the following responses by the nurse is best? A) "Yes, it is important to take the medication each day." B) "How often do you forget to take your medications? C) "It would be best to simply take two pills tomorrow." D) "Since it is already afternoon, just skip the dose for today."

A) "Yes, it is important to take the medication each day."

The nurse is teaching a patient with prostate cancer about the planned treatment of goserelin acetate (Zoladex). Which of the following statements should be included in the patient teaching? A) "You may experience hot flashes while taking these medications." B) "The doctor will follow CA-125 levels periodically to monitor the tumor's response." C) "You may experience hair loss while taking Zoladex." D) "These medications rarely impact your sex life provided you had nerve-sparing surgery."

A) "You may experience hot flashes while taking these medications."

The LPN is visiting a friend who recently delivered a 9-lb 4-oz infant. The friend confides, "I have awful hemorrhoids now, and they are so miserable." Which of the following statements by the nurse is best? A) "You should have the doctor order some Preparation H and Tucks pads to help with that." B) "I know how terrible those can be! They will go down in a day or two." C) "It's probably because the baby was so big. Did you have to push long?" D) "Once you stop bleeding you'll be able to apply some topical cream to the area."

A) "You should have the doctor order some Preparation H and Tucks pads to help with that."

The LPN is assisting with the care of a 38-year-old woman newly prescribed levothyroxine (Levothroid). The nurse should include which of the following statements in the client teaching? A) "You should take this medication at roughly the same time each day." B) "Once you've been taking this medication for a few weeks you should be cured and the doctor will stop it." C) "Avoid eating broccoli or other cruciferous vegetables while taking this medication." D) "The nice thing about this medication is that you won't have a menstrual cycle anymore."

A) "You should take this medication at roughly the same time each day."

A student nurse is talking to a respiratory therapist about the various clients receiving nebulizer treatments. Which client is most likely to receive acetylcysteine (Mucomyst)? A) A 19-year-old patient with cystic fibrosis B) A 56-year-old patient with chronic obstructive pulmonary disease C) A 31-year-old patient with an exacerbation of asthma D) A 43-year-old patient with bronchitis

A) A 19-year-old patient with cystic fibrosis

The LPN who works in a urology clinic would be most concerned if sildenafil (Viagra) were prescribed for which of the following individuals? A) A 52-year-old patient with a history of hypertension B) A 65-year-old patient with a history of migraine headaches C) A 69-year-old patient with a history of benign prostatic hypertrophy D) A 74-year-old patient with a history of gastroesophageal reflux disease

A) A 52-year-old patient with a history of hypertension

While assisting in an outpatient recover room, the LPN recognizes which of the following individuals is at highest risk for fluid or electrolyte concerns? A) A 59-year-old patient given glycerin (Osmoglyn) preoperatively for cataract surgery B) A 44-year-old patient with a history of glaucoma who takes carbachol (Isopto Carbachol) C) A 61-year-old patient who takes meclizine (Antivert) for vertigo D) A 57-year-old patient who had surgery for a ruptured ear drum

A) A 59-year-old patient given glycerin (Osmoglyn) preoperatively for cataract surgery

An LPN working in a long-term care facility would use nystatin (Nilstat) for which of the following clients? A) A 75-year-old patient who has oral candidiasis B) A 69-year-old patient who has gall stones C) An 88-year-old patient who has peptic ulcer disease D) A 91-year-old patient who has loose liquid stools

A) A 75-year-old patient who has oral candidiasis

The LPN is reviewing client medications and lab values. Which of the following clients is most likely to be taking potassium gluconate? A) A client with heart failure taking bumetanide (Bumex) B) A client with hypertension taking trandolapril (Mavik) C) A client with surpraventricular tachycardia taking propafenone (Rythmol) D) A client with heart failure taking valsartan (Diovan)

A) A client with heart failure taking bumetanide (Bumex)

The LPN is counseling a client newly diagnosed with glaucoma. While discussing medications that may increase intraocular pressure, the nurse would instruct the client to use caution when taking which of the following? A) Antihistamines B) Narcotics C) Antibiotics D) NSAIDs

A) Antihistamines

While grocery shopping, the nurse notes a middle-aged woman in the aisle stop frequently and rub her left arm and shoulder. As the nurse gets closer, he notes the woman is pale and appears slightly short of breath. The nurse's additional assessment will be based on which of the following? A) Awareness that symptoms of a myocardial infarction in woman are atypical in nature. B) Knowledge that chronic respiratory disease is common among smokers. C) Comprehension that early action in the presence of stroke symptoms saves lives. D) Understanding that polypharmacy is a growing concern among middle-aged individuals.

A) Awareness that symptoms of a myocardial infarction in woman are atypical in nature.

After reviewing a new prescription for theophylline (Slo-Bid), the nurse would ensure the client understood which of the following? A) Careful monitoring with blood tests will be necessary. B) The medication can greatly increase the client's risk of bleeding. C) Seizure medications may need to be altered as the medication lowers seizure threshold. D) The medication can dampen libido in some clients.

A) Careful monitoring with blood tests will be necessary.

The LPN is assisting in the admission process for a client with a history of asthma. In addition to a rescue inhaler, the LPN would expect the client may take which of the following medications? A) Cromolyn sodium (Intal) B) Phenylephrine (Dimetapp) C) Theophylline D) Bupropion (Wellbutrin)

A) Cromolyn sodium (Intal)

An LPN is assisting in the care of a patient with rheumatoid arthritis who takes celebrex (Celecoxib). The patient is on a pureed diet and the previous nurse on duty reported the client had some difficulty with oral pills. Which of the following actions by the nurse is best? A) Crush the medication and sprinkle it on applesauce. B) Contact the RN for direction. C) Ask the physician for a different pain medication. D) Hold the medication.

A) Crush the medication and sprinkle it on applesauce.

While talking to a cousin who has a history of lupus and takes azathioprine (Imuran), the LPN learns her cousin has recently been diagnosed with hypertension. The nurse is aware that which of the following medications may interact with the azathioprine (Imuran) therapy? A) Diltiazem (Cardizem) B) Pravastatin (Pravachol) C) Losartan (Cozaar) D) Acebutolol (Sectral)

A) Diltiazem (Cardizem)

The LPN prepares to provide a client with scheduled Lispro insulin. Which action should the nurse take first? A) Ensure the client has something to eat within 15 minutes of insulin provision. B) Instruct the client not to eat for at least 2 hours after insulin provision. C) Determine the number of calories expected in the next meal. D) Ask the client how many "carbs" have been consumed for the day thus far.

A) Ensure the client has something to eat within 15 minutes of insulin provision.

The LPN is preparing to provide a dose of cough syrup and notes it contains alcohol as a listed ingredient. The LPN would notify the aide to be aware that the client is at increased risk for which of the following? A) Falls B) Incontinence C) Bronchospasms D) Anorexia

A) Falls

The nurse is admitting a 22-year-old client to the hospital with suspected fractures of the right arm after a bicycle accident. The client reports taking Vitamin A daily. Which of the following would the nurse expect to see during the physical examination? A) Flushed nose and cheeks B) Oral fever blisters C) Dry patchy reddened areas on the hands and elbows D) Genital warts

A) Flushed nose and cheeks

A nurse caring for an individual taking chlorpropamide (Diabinese) would monitor which of the following lab values to determine treatment effectiveness? A) Glycosylated hemoglobin B) Serum progesterone levels C) Serum calcium D) Thyroid stimulating hormone (TSH) levels

A) Glycosylated hemoglobin

When preparing to provide morning medications, the LPN would give levothyroxine (Synthroid) ordered daily in which of the following manners? A) In the morning before breakfast and without any other medications B) In the morning with breakfast C) In the morning on an empty stomach with other daily meds D) In the evening before bedtime with a snack

A) In the morning before breakfast and without any other medications

The nurse is caring for a patient receiving magnesium hydroxide (Phillips Milk of Magnesia) every two hours while awake for the treatment of a peptic ulcer. For which of the following side effects should the nurse monitor? A) Kidney stone formation B) Headache C) Insomnia D) Tremors

A) Kidney stone formation

While helping the RN to develop a care plan for a client with rheumatoid arthritis, the LPN recognizes which of the following goals would be of highest priority? A) Maintain the client's optimal independence B) Increase fluid intake to 1,800 mL per day C) Lift 2-lb ankle weight during physical therapy routine D) Verbalize acceptance of social isolation

A) Maintain the client's optimal independence

An LPN working in a long-term care facility notes that a 92-year-old woman has lost 3 pounds in the past week. Which of the following would the nurse request be added to the treatment plan? A) Nutritional supplementation with Boost with meals and at bedtime B) Anti-emetic therapy with ondansetron (Zofran) every day C) Anti-depressant therapy with bupropion (Wellbutrin) D) A referral to a psychiatrist

A) Nutritional supplementation with Boost with meals and at bedtime

The LPN is caring for a client who reports taking ipratropium (Atrovent) and budesonide (Pulmicort) inhalers. Which action by the nurse is best? A) Provide the ipratropium first then the budesonide. B) Provide the budesonide first then the ipratropium. C) Contact the physician to clarify which inhaler should be used. D) Use the ipratropium daily and the budesonide for rescue if the client has acute dyspnea.

A) Provide the ipratropium first then the budesonide

The LPN is working with a client in a long-term care facility who takes metaproterenol (Alupent). The nurse is aware that the client's blood pressure that morning was 118/68. Which action should the nurse take? A) Provide the metaproterenol knowing there is a potential it will increase the client's blood pressure. B) Hold the metaproterenol since there is a potential it will decrease the client's blood pressure. C) Contact the RN. D) Delay administration of the metaproterenol until the blood pressure is rechecked in an hour.

A) Provide the metaproterenol knowing there is a potential it will increase the client's blood pressure.

The LPN is assisting in the care of a client who takes famatodine (Pepcid) at home. The nurse determines the pharmacy may substitute which of the following agents during the client's stay in the hospital? A) Ranitidine (Zantac) B) Metronidazole (Flagyl) C) Sucralfate (Carafate) D) Misoprostol (Cytotec)

A) Ranitidine (Zantac)

A nurse working in the emergency department is assisting in the care of a client who came in with symptoms of a cerebral vascular accident (CVA). As the team considers the use of tissue plasminogen activator (tPA), the nurse recognizes the most important assessment would be: A) When the symptoms of stroke began B) If the client has a history of hypertension C) When the client last ate or drank anything D) If the client has an allergy to aspirin

A) When the symptoms of stroke began

While talking to a client at the weight-loss center who is taking phentermine (Zantryl), the LPN would be most concerned by which of the following statements? A) "I've lost 4 pounds this first week and I'm really excited to make so much progress." B) "I just started taking this along with my other diet medications and really hope it can help." C) "I know I can only use this for a short term, so I'm working hard to lose weight now." D) "I've been exercising every day and am really motivated to get healthy again."

B) "I just started taking this along with my other diet medications and really hope it can help."

The nurse is providing instructions for a client newly that will begin taking docosanol 10% (Abreva) for HSV-1 infection. Which of the following instructions indicates further teaching is necessary? A) "Side effects of this medication could be headache or nasal congestion." B) "I should apply this medication once daily." C) "I don't need a prescription for this medication." D) "The medication helps shorten how long I'll have symptoms because it blocks the spread of the virus."

B) "I should apply this medication once daily."

While counseling a patient who takes bisacodyl (Peri-Colace), the nurse determines further teaching is required by which of the following statements? A) "I typically need to take it about once or twice a week." B) "It bulks up my stool and absorbs water so I have to really increase my fluid intake." C) "If I take it at night, my bowels usually move in the morning." D) "Taking a stool softener has been helpful since I don't get around as much with my walker."

B) "It bulks up my stool and absorbs water so I have to really increase my fluid intake."

Which of the following clients would be instructed to avoid/discontinue using the noted treatment? A) A 16-year-old male with acne prescribed tretinoin (Retin-A) who reports has a history of asthma B) A 21-year-old female with eczema using hydrocortisone (Cortaid) who reports she is pregnant C) A 34-year-old male with tinea infection that reports localized itching while using clotrimazole (Lotrimin) D) A 26-year-old female with psoriasis using fluorouracil (Efudex) who reports photosensitivity since starting the medication

B) A 21-year-old female with eczema using hydrocortisone (Cortaid) who reports she is pregnant

The LPN is working in an ob/gyn office and determines which of the following individuals is most likely to be taking terbutaline (Brethine)? A) A 28-year-old patient with symptoms of pre-eclampsia B) A 31-year-old patient with preterm labor C) A 38-year-old patient at 39 weeks gestation who is experiencing regular contractions D) A 19-year-old patient who has decided to terminate a possible pregnancy after unprotected sex 1 week ago

B) A 31-year-old patient with preterm labor

The nurse recognizes that which of the following individuals is most likely to be taking calcitonin (Miacalcin)? A) A 21-year-old patient with a fractured femur B) A 44-year-old patient with thyroid cancer C) A 51-year-old patient with gastroesophageal reflux disease (GERD) D) A 67-year-old patient with hypertension

B) A 44-year-old patient with thyroid cancer

While reviewing clients scheduled at the optometrist's offices, the LPN determines which of the following individuals is most likely to take medications for the treatment of glaucoma? A) A 32-year-old patient with a history of asthma and astigmatism B) A 74-year-old patient with a history of hypertension and diabetes C) A 61-year-old patient with a history of gastro-esophageal reflux and a hiatal hernia D) A 49-year-old patient with a history of breast cancer and anemia

B) A 74-year-old patient with a history of hypertension and diabetes

An LPN working with a client on long-term warfarin (Coumadin) therapy would be most interested in which of the following lab values? A) A prothrombin time (PT) B) An international normalized ration (INR) C) A Vitamin B12 level D) A serum potassium (K+) level

B) An international normalized ration (INR)

The LPN notes that many of the clients in the long-term care facility take nisoldipine (Sular). The LPN is aware that in addition to treating hypertension, this medication can be used to treat which of the following conditions? A) Renal disease B) Angina C) Arrhythmias D) Hyperlipidemia

B) Angina

The student nurse is studying the various types of medications that can be used to treat nausea and vomiting. If asked which classification of these medications can also be used to treat motion-sickness, the student nurse would select which of the following? A) 5-hydroxytryptamine-3 receptor antagonists B) Antihistamines C) Anticholinergic medications D) Phenothiazines

B) Antihistamines

The LPN is taking a medication history from a client with chronic obstructive pulmonary disease (COPD) who reports taking tiotropium (Spiriva). The nurse is aware the client takes this medication in what type of formulation? A) As syrup B) As an inhaled powder C) Sublingually D) Orally

B) As an inhaled powder

An LPN takes her daughter to the primary care physician for a routine physical. In reviewing the client's history of asthma and noting the child's peak flow meter is in the yellow zone, the nurse would anticipate the physician to prescribe which of the following medications? A) Loratadine (Claritin) B) Beclomethasone (Vanceril) C) Phenylephrine (Dimetapp) D) Diflunisal (Dolobid)

B) Beclomethasone (Vanceril)

While working in a long-term care facility, the LPN notes an elderly woman is experiencing symptoms of an upper respiratory infection. The LPN reports these findings to the RN and anticipates the RN will seek orders for which of the following medications? A) Ethambutol (Myambutol) B) Clarithromycin (Biaxin) C) Amphotericin B (Fungizone) D) Nystatin (Mycostatin)

B) Clarithromycin (Biaxin)

A nurse assisting in the care of a client with hyperlipidemia who has been taking lovastatin (Altocor) for 3 months and continues to have elevated lipid levels. Which of the following actions would the nurse anticipate? A) Lovastatin (Altocor) is replaced with simvastatin (Zocor) B) Colesevelam (Wechol) is added to the client's regimen C) Lovastatin (Altocor) is discontinued and the client is given dietary counseling D) Lovastatin (Altocor) is continued at the current dose and labs are repeated in 3 months

B) Colesevelam (Wechol) is added to the client's regimen

The nurse is assisting in the care of a client who smokes 2 packs per day. The client has been prescribed a 14-mg nicotine patch (NicoDerm). The client expresses a desire to smoke. Which action by the nurse is best? A) Allow the client to smoke 1 cigarette four times daily to curb their cravings. B) Contact the physician to request an order for Nicorette gum as needed. C) Contact the pharmacy and request a 21-mg patch. D) Inform the client that smoking is against institutional policy and is not good for her.

B) Contact the physician to request an order for Nicorette gum as needed.

While assisting in the care of a client with pernicious anemia, the LPN would anticipate which of the following medications? A) Ascorbic acid (Vitamin C) orally twice daily B) Cyanocobalamin (Vitamin B12) injection monthly C) Ferrous sulfate (Fer-in-Sol) by mouth daily D) Warfarin (Coumadin) by mouth every evening

B) Cyanocobalamin (Vitamin B12) injection monthly

The LPN is caring for a sick child at home who has a bad cough. The nurse would choose an over-the-counter cough syrup that contained which of the following active ingredients? A) Albuterol B) Dextromethorphan C) Flunisolide D) Phenylephrine

B) Dextromethorphan

The LPN is assisting in the care of a client newly diagnosed with Addison's disease. The nurse would expect to see new orders for which of the following? A) Levothyroxine (Levothroid) B) Fludrocortisone acetate (Florinef) C) Nandrolone decanoate D) Methimazole (Tapazole)

B) Fludrocortisone acetate (Florinef)

The LPN is assisting in the care of a client who wants to discuss hormone replacement therapy (HRT) for menopause. The client states, "My mother died of breast cancer, so I want to avoid anything that increases my chances of getting that." The nurse would base a response on which of the following principles? A) There is no link between HRT and breast cancer. B) HRT increases the risk of breast cancer development. C) HRT decreases the risk of breast cancer development. D) Studies involving HRT and breast cancer development have not been done.

B) HRT increases the risk of breast cancer development.

An LPN working in an outpatient clinic is counseling a client with cerumen build-up. Which of the following over-the-counter products would be appropriate to assist with this concern? A) Rubbing alcohol B) Hydrogen peroxide C) Witch hazel D) Baking soda

B) Hydrogen peroxide

A student nurse is taking notes about the medications taken by a 72-year-old woman with a complex cardiac history and multiple co-morbidities. The student is aware that atenolol (Tenormin) will not play a role in the treatment of which of the following co-morbid conditions? A) Hypertension B) Hyperlipidemia C) Heart failure D) Atrial fibrillation

B) Hyperlipidemia

The LPN receives a phone call from a relative who reports her mother has been rushed to the emergency department and is being treated for shock. The LPN knows the medical team will work to accomplish which of the following goals first? A) Determine if the client has ever had shock before B) Identify the cause of the shock C) Establish an accurate means of measuring urine output D) Prevent hypoglycemia

B) Identify the cause of the shock

The LPN is working with a client who has had iodine-125 seeds implanted for the treatment of cervical cancer. The LPN is aware this client is best placed in which of the following rooming situations? A) In a semiprivate room with a woman who has breast cancer B) In a private room at the end of the hall with lead-lined walls C) In a private room near the nurse's station for close monitoring D) In a semiprivate room with a woman who has uterine cancer

B) In a private room at the end of the hall with lead-lined walls

A client newly prescribed hydrochlorothaizide (Esidrix) daily should be instructed to take this medication at what time? A) In the evening with dinner B) In the morning with or without food C) At bedtime D) Timing of the pill does not matter as long as it is taken with food

B) In the morning with or without food

The LPN working in an immunization clinic is preparing to provide tetanus immune globulin (BayTet). Which method of administration will the nurse use? A) Intravenous B) Intramuscular C) Subcutaneous D) Intradermal injection

B) Intramuscular

The LPN is assisting with the admission of a client who takes sirolimus (Rapamune). Which of the following disease states would the nurse anticipate might be part of the client's medical/surgical history? A) Tuberculosis B) Kidney transplant C) Colorectal cancer D) Methicillin-resistant staphylococcus aureus infection (MRSA)

B) Kidney transplant

While working with a 35-year-old woman who started taking methimazole (Tapazole), the nurse would expect to find which of the following interventions in the plan of care? A) Teach the client self-injection techniques B) Monitor for signs and symptoms of hyperthyroidism or hypothyroidism C) Place client in protective isolation D) Perform Accucheck testing with each meal and at bedtime

B) Monitor for signs and symptoms of hyperthyroidism or hypothyroidism

The LPN is providing care for a client in the long-term care facility who reports pain with urination and a frequent need to void. The nurse anticipates which of the following medications would be added to the client's treatment regimen? A) Triamterene (Dyrenium) B) Phenazopyridine (Pyridium) C) Alfuzosin (Uroxatral) D) Desmopressin (DDAVP)

B) Phenazopyridine (Pyridium)

A client taking metyrapone (Metopirone) tells the nurse that she would like to consider becoming pregnant. The nurse's response would be based on what information? A) Metyrapone is a naturally occurring replacement hormone. B) Pregnancy and breastfeeding are contraindicated for those taking metyrapone. C) Clients who are pregnant are typically given increased doses to help support metabolic need. D) Metyrapone causes sterility and this woman will not be able to conceive.

B) Pregnancy and breastfeeding are contraindicated for those taking metyrapone.

The LPN is providing care for a client in a rehab facility with angina pectoris with a prn order for sublingual nitroglycerin (Nitrostat). The client reports chest pain and her BP = 155/72. Five minutes after administering the Nitrostat, the client's blood pressure is 124/60 and chest pain is not relieved. What action should the nurse take next? A) Call for an ambulance. B) Provide a second dose of nitroglycerin (Nitrostat). C) Contact the RN for additional assessment. D) Determine if the client has any additional cardiac medications ordered.

B) Provide a second dose of nitroglycerin (Nitrostat).

The LPN is called into the room of a client with known cardiac disease at 7:30 a.m. The client reports heavy pressure and chest pain. Which action by the nurse is best? A) Provide the client with the atenolol (Tenormin) scheduled for 9 a.m. B) Provide the client nitroglycerin sublingual scheduled prn. C) Determine the client's level of consciousness. D) Assess the client's respiratory rate and effort.

B) Provide the client nitroglycerin sublingual scheduled prn.

The LPN is called to the room of a client because the nurse aide determined the client's blood pressure is 195/101. The client complains of a moderate headache but denies blurry vision or other symptoms. What action should the nurse take next? A) Notify the RN that the client needs to be transferred to the hospital. B) Provide the client's morning dose of ramipril (Altace) 30 minutes early. C) Instruct the nursing aide to repeat the blood pressure in 15 minutes. D) Inform the client that he should reduce his salt intake with evening meals.

B) Provide the client's morning dose of ramipril (Altace) 30 minutes early.

The LPN performs a routine finger stick to check glucose and obtains a reading of 279 g/dL. The LPN would anticipate standing orders to provide sliding scale coverage with which of the following types of insulin? A) Humalog 75/25 B) Regular C) Ultralente D) Novolin 70/30

B) Regular

The LPN is working with a client who has ulcerative colitis and is taking bismuth subsalicylate (Pepto-Bismol). The nurse would caution the client about taking other over-the-counter products that contain which of the following? A) Acetaminophen (Tylenol) B) Salicylate (Aspirin) C) Ibuprofen (Advil) D) Guiafenesin (Mucinex)

B) Salicylate (Aspirin)

In assisting with the care of a client who recently had a thyroidectomy, the nurse would monitor which of the following laboratory values closely? A) White blood cells B) Serum calcium C) Serum potassium D) Platelets

B) Serum calcium

The LPN working at a pediatrician's office is talking to the mother of a 6-year-old patient who takes imipramine (Tofranil). The nurse would include which of the following statements in the client teaching? A) "Once your child starts taking this medication, her urinary tract infection should improve within a few days." B) "Avoid letting your child drink anything containing caffeine in the evening since it can irritate the bladder and increase bed-wetting." C) "This medication is given in the form of a patch that is changed once a week." D) "This medication acts on the loops of the kidney to alter the way fluid and electrolytes are exchanged."

B) "Avoid letting your child drink anything containing caffeine in the evening since it can irritate the bladder and increase bed-wetting."

The LPN is talking to a family member who was recently given propanolamine/propanolamine (Rhindecon) to aid in the treatment of a severe sinus infection. Which statement by the nurse is best? A) "That is a really potent antihistamine, so you will probably feel really dry." B) "Be aware that rebound nasal congestion occurs if you take that for more than a few days." C) "Wow, I thought they outlawed that stuff because kids were making drugs out of it." D) "That is a powerful antibiotic; you may get diarrhea with that."

B) "Be aware that rebound nasal congestion occurs if you take that for more than a few days."

The LPN is talking to a neighbor who spent multiple days in the hospital on intravenous antibiotics including erythromycin the week before. The individual states, "I've had such bad diarrhea all night and it really isn't any better today." Which of the following statements by the nurse is best? A) "Antibiotics commonly cause diarrhea; be sure to drink plenty of fluids." B) "Have you noticed any blood or pus in the stool?" C) "Is anyone else in the family experiencing the same symptoms?" D) "Are you taking any other medications that cause diarrhea?"

B) "Have you noticed any blood or pus in the stool?"

A nurse working with a patient who started taking glycopyrrolate (Robinul) recognizes that patient further teaching is necessary by which of the following statements? A) "I'll call the doctor immediately if I have any visual changes." B) "I can buy this medication over the counter." C) "I may experience some headache or nervousness with this medication." D) "People who take this medication have palpitations, so I need to tell the doctor if that happens."

B) "I can buy this medication over the counter."

The LPN is preparing for a colonoscopy and was given a prescription for polyethylene glycol electrolyte solution (GoLYTELY). The nurse was instructed to remain on clear liquids then start the prep from 10 to 11 a.m., remain NPO after the prep, and report for the procedure at 4 p.m. She typically takes her morning blood pressure medication and vitamins at 9 a.m. with her breakfast. Which of the following actions is best? A) Do not take the morning medications until after the procedure. B) Take the morning medications with a liquid breakfast at 8 a.m. or earlier. C) Take the morning medications with breakfast at 9 a.m. as usual then start clear liquids with the prep at 10 a.m. D) Take the blood pressure medication at 9 a.m. but not the vitamins with a clear liquid meal.

B) Take the morning medications with a liquid breakfast at 8 a.m. or earlier.

An LPN is preparing to go on a mission trip overseas to an area where malaria is prevalent. Which action by the nurse is best? A) Seek an immunization against malaria at the county Health Department. B) Talk to her physician about taking atovaquone/proguanil (Malarone). C) Plan to stay in a hotel that provides bottled water. D) Buy piperonyl butoxide/pyrethrins (Licide) shampoo and special soaps for the trip.

B) Talk to her physician about taking atovaquone/proguanil (Malarone).

The LPN is instructing a client how to take the prescribed theophylline (TheoCap). Which of the following actions by the client ensures the client understood the instructions? A) The client takes the medication every night at bedtime. B) The client takes the medication daily on an empty stomach with a full glass of water. C) The client takes the medication during an acute asthma attack. D) The client takes the medication up to four times each day as needed.

B) The client takes the medication daily on an empty stomach with a full glass of water.

An LPN provides a client a dose of nitroglycerin (Nitroquick) spray. Which of the following would the nurse expect? A) The client's blood sugar will be elevated. B) The client's blood pressure will be decreased. C) The client's heart rate will be slowed. D) The client's respiratory rate will be increased.

B) The client's blood pressure will be decreased.

The nurse is caring for an infant with oral thrush whose medications include mycostatin (Nystatin) suspension. Which of the following actions should the nurse take? A) Dilute the medication in water and provide it to the infant in a bottle. B) Use a mouth swab to paint the inside of the infant's mouth. C) Use a needleless syringe and allow the baby to suck the medication out of the tip. D) Dip a pacifier into the medication and allow the infant to suck on the pacifier.

B) Use a mouth swab to paint the inside of the infant's mouth.

While treating a client who has pinworms with the medication pyrantel (Antiminth), the nurse is most likely to also provide which of the following additional medications as part of the treatment regimen? A) Loperamide (Imodium) B) Dicyclomine (Bentyl) C) Senna/Docusate (Peri-Colace) D) Esomeprazole (Nexium)

C) Senna/Docusate (Peri-Colace)

The LPN is preparing for a gastroscopy procedure. In addition to remaining NPO, the nurse is aware that which of the following may be given preprocedure to help relieve gas formation? A) Albendazole (Albenza) B) Nystatin (Mycostatin) C) Simethicone (Flatulex) D) Phentermine (Adipex)

C) Simethicone (Flatulex)

The LPN is assisting in the care of a client who has had radiation therapy to the head and neck area for squamous cell carcinoma of the salivary gland. The nurse recognizes teaching is effective by which of the following statements? A) "The effects of the radiation and surgery have caused a lack of saliva called halitosis." B) "I should use alcohol-based mouth rinses to help kill the germs in my mouth." C) "I can use artificial saliva to help lubricate my mouth and make chewing and eating easier." D) "I will have to have a tube placed so I can be fed with formula for the rest of my life."

C) "I can use artificial saliva to help lubricate my mouth and make chewing and eating easier."

A patient with newly diagnosed type 2 diabetes has been instructed on self-administration of insulin. Which of the following statements indicates patient teaching has been effective? A) "The first thing I should do is shake the insulin bottle." B) "This medicine will help cure my diabetes if I use it regularly for a few months." C) "I should check my blood sugar at least three times a day and keep a record of results." D) "I can pick one roll of fatty tissue for the shot and rotate places each week."

C) "I should check my blood sugar at least three times a day and keep a record of results."

The LPN working at a family practice office receives a call from the parent of a 4-year-old patient who states, "I think she's swallowed my father's pills." What response by the nurse is best? A) "Do you have any syrup of ipecac?" B) "What pills does your father take?" C) "I suggest you call Poison Control at 1-800-222-1222." D) "I will leave a note for the doctor and have him call you back."

C) "I suggest you call Poison Control at 1-800-222-1222."

While working with clients in an obstetric office, the LPN assists with the care of a client taking liothyronine (Cytomel). The client states, "My husband and I are hoping to start our family soon. Do you know if I can take this while I'm pregnant?" Which response by the nurse is best? A) "How long have you been taking the liothyronine?" B) "Does your husband have any thyroid problems?" C) "It is generally safe to take that medication during pregnancy." D) "That's a big decision. The doctor may need to run some blood tests."

C) "It is generally safe to take that medication during pregnancy."

An LPN working in a physician's office receives a call from a woman who reports, "My daughter was just sent home from school. They said she has lice." Which of the following instructions by the nurse is best? A) "We will need to see her after hours. Can you come in at 5:30 p.m.?" B) "Head lice are a common problem in school-age children; it is nothing to worry about." C) "There are a number of products, such as permethrin (Elimite), sold over the counter that are effective at treating head lice." D) "Once you shampoo her hair and comb it out with the special comb, she should be fine."

C) "There are a number of products, such as permethrin (Elimite), sold over the counter that are effective at treating head lice."

The LPN is counseling a client who is taking bupropion (Welbutrin). Which of the following statements is most important to include in the teaching? A) "Smoking is a very hard habit to break, so we encourage you to seek support." B) "Be sure you do not smoke while you are taking this medication or you could overdose on nicotine." C) "This medication can cause people to think about killing themselves so it is imperative that you notify the doctor if you have any thoughts like that." D) "Your prescription is only good for 10 days so you must have it filled soon or it will expire."

C) "This medication can cause people to think about killing themselves so it is imperative that you notify the doctor if you have any thoughts like that."

The LPN is talking to a client newly prescribed nedocromil (Tilade aerosol) who asks, "Why do I have to take this medication? Why can't I just take my inhaler when I have an asthma attack?" Which of the following responses by the nurse is best? A) "This medication helps block asthma triggers from entering your lungs." B) "By suppressing your immune system, this medication helps treat your asthma." C) "This medication helps decrease your body's reaction to things that set off an asthma attack." D) "The nedocromil helps thin secretions so it is easier for you to clear your lungs."

C) "This medication helps decrease your body's reaction to things that set off an asthma attack."

The nurse receives a call from the parent of a 6-year-old girl who complains of a headache, sinus congestion, and a cough. The parent asks, "Can I give him some Benadryl to help with all this congestion?" Which of the following statements by the nurse is best? A) "How long has your child been ill?" B) "It should be fine if he weighs more than 60 pounds." C) "What other over-the-counter medications have you given him?" D) "We don't recommend antihistamines in children."

C) "What other over-the-counter medications have you given him?"

An LPN working at a community health fair recognizes which of the following individuals is at highest risk for erectile dysfunction? A) A 44-year-old man with a history of inguinal hernia B) A 50-year-old man with a history of asthma C) A 48-year-old man with a history of diabetes D) A 52-year-old man with a history of cholecystitis

C) A 48-year-old man with a history of diabetes

An LPN working with the Red Cross determines which of the following individuals will be ineligible to donate blood at this time? A) A 64-year-old patient taking chlorthalidone (Hygroton) B) A 55-year-old patient taking indapamide (Lozol) C) A 61-year-old patient taking dutasteride (Avodart) D) A 58-year-old patient taking chlorothiazide (Diuril)

C) A 61-year-old patient taking dutasteride (Avodart)

The nurse is preparing to admit a client to an acute care hospital. The client has a long history of treatment with auranofin (Ridaura) for rheumatoid arthritis. Which of the following room placements would be best? A) A client with pneumonia B) A client with cellulitis C) A client with a myasthenia gravis D) A client with acute appendicitis

C) A client with a myasthenia gravis

The LPN working at the Health Department provides multiple vaccinations each day. Which type of immunity is being transferred to the clients in this process? A) Active natural immunity B) Passive natural immunity C) Active artificial immunity D) Passive artificial immunity

C) Active artificial immunity

A new LPN is assisting in the admission of a client in a rehab facility that is being transferred from the hospital after a left hip replacement. The nurse would expect the client to be taking which of the following medications? A) Enoxaparin (Lovenox) B) Tenecteplase (TNKase) C) Aminocaproic acid (Amicar) D) Ferrous sulfate (Feosol)

C) Aminocaproic acid (Amicar)

The LPN is working with clients in the long-term care facility. Which of the following individuals is most likely to have frequent vital sign assessment for blood pressure monitoring included in their plan of care? A) A 78-year-old patient who takes fluvastatin (Lescol) B) An 82-year-old patient who takes lovastatin (Mevacor) C) An 84-year-old patient who takes quinapril (Accupril) D) A 90-year-old patient who takes zaleplon (Sonata)

C) An 84-year-old patient who takes quinapril (Accupril)

An LPN is caring for a client who has orders for ketorolac (Toradol). The nurse notes the client has allergies to ibuprofen (Nuprin/Advil/Motrin) and diphenhydramine (Benadryl). Which of the following actions by the nurse is best? A) Call the pharmacy to determine if there is any contraindication. B) Give the medication and monitor for any signs or symptoms of rash. C) Ask the RN to contact the physician for alternative orders for pain control. D) Hold the medication and flag the chart for investigation by the RN.

C) Ask the RN to contact the physician for alternative orders for pain control.

The LPN is assisting with a newly admitted client who reports taking 800 mg ibuprofen (Advil) four times daily for chronic back pain. Which action by the nurse is most appropriate? A) Ask the client if the ibuprofen is effective for the pain. B) Notify the RN of the prescribed dose. C) Ask the client if he's experienced any abdominal pain. D) Inform the client that aspirin may be a more effective pain reliever.

C) Ask the client if he's experienced any abdominal pain.

A nurse working in a public school system is alerted to a rumor that many of the high school athletes are using anabolic steroids to enhance their growth and performance. The nurse recognizes the use of these medications will increase the students' risk for which of the following? A) Mental illness B) Thyroid disorders C) Atherosclerosis D) Kidney failure

C) Atherosclerosis

The LPN overhears an individual in the drug store mention, "I'm taking something called a Z-pak for my sinus infection." The LPN is aware that the medication the individual takes is: A) Ciprofloxacin B) Sulfamethoxazole C) Azithromycin D) Ceftizoxime

C) Azithromycin

The LPN would counsel a client newly prescribed cholestramine (Prevalite) to expect which of the following changes in bowel pattern? A) Diarrhea B) Pale, clay colored stools C) Constipation D) Greasy stools that float

C) Constipation

An LPN is talking to a neighbor who is undergoing chemotherapy for colorectal cancer and is interested in reducing the risk of stomatitis and infection. Which of the following would the nurse recommend? A) Alcohol-based mouth rinse four times daily B) Brushing with baking soda and a hard bristle brush C) Dilute hydrogen peroxide rinses before and after meals and at bedtime D) Limit oral hydration to 40 ounces per day

C) Dilute hydrogen peroxide rinses before and after meals and at bedtime

An LPN working in a gynecologist's office is discussing medication use with a client who takes ferrous sulfate (Feosol). The nurse would assess for which of the following side effects? A) Urinary retention B) Blurry vision C) Gastric irritation D) Insomnia

C) Gastric irritation

The nurse is caring for a patient who is NPO after midnight for a bronchoscopy scheduled for 12:30 p.m. The patient normally receives acetohexamide (Dymelor) and the dose is currently due. The patient's Accucheck result was 106. Which action by the nurse is best? A) Hold the medication and monitor blood sugars frequently B) Give the medication with a cup of milk C) Give the medication with a sip of water D) Ask the client if he is feeling shaky or weak

C) Give the medication with a sip of water

The LPN is assisting in the care of a client who requests a suppository to aid in the passage of constipated stool. Which of the following medications ordered on a prn basis would the nurse provide? A) Orlistat (Xenical) B) Polyethylene glycol (MiraLax) C) Glycerine (Colace) D) Cimetidine (Tagamet)

C) Glycerine (Colace)

While performing dietary teaching during a health fair, the nurse is aware that to prevent hyperlipidemia, most Americans need to reduce their intake of which of the following? A) High density lipoproteins B) Iron C) Low density lipoproteins D) Dietary fiber

C) Low density lipoproteins

While visiting a friend in the intensive care unit who experienced an acute myocardial infarction, the LPN notes there is an IV infusing with norepinephrine (Levophed). The LPN is aware that long-term use of this medication can cause which of the following? A) Metabolic alkalosis B) Metabolic acidosis C) Necrosis of fingers and toes D) Clotting disorders

C) Necrosis of fingers and toes

The LPN is assisting in the care of a client taking ethambutol (Myambutol), isoniazid (Nydrazid), and rifampin (Rifadin). The client is scheduled for an x-ray. Which action should the nurse take next? A) Assess the client's breath sounds and respiratory rate. B) Contact the RN to be sure the client can be transported. C) Place a mask on the client and send him to the x-ray department. D) Call the x-ray department and request a portable film.

C) Place a mask on the client and send him to the x-ray department.

The LPN notes a new prescription for naphazoline drops (Privine). How should the nurse administer this medication? A) Place the drops on the tongue B) Place the drops in the ear C) Place the drops in the nose D) Place the drops sublingually

C) Place the drops in the nose

The LPN is assisting in the care of a patient who received chlorambucil (Leukeran) two weeks ago for chronic myelogenous leukemia. Which of the following lab results would be most concerning to the nurse? A) Glucose = 154 g/dl B) Potassium = 4.2 mEq/L C) Platelets = 84,000/mm3 D) Albumin = 4.0 g/dL

C) Platelets = 84,000/mm3

The LPN is assisting in the care of a client newly prescribed warfarin (Coumadin). The nurse recognizes that teaching is effective if the client chooses which of the following meals? A) Grilled chicken with rice pilaf, garden salad, bok choy, and ice cream B) Spinach lasagna, broccoli, fruit cocktail, and a glass of wine C) Pork chop, baked potato with butter, cooked carrots, and a sliced apple D) Chef salad, chips with humus, minestrone soup, and a cup of green tea

C) Pork chop, baked potato with butter, cooked carrots, and a sliced apple

While assisting in the care of a client newly prescribed glimepiride (Amaryl), the LPN would counsel the client to avoid which of the following? A) Products containing Tylenol B) Products containing ibuprofen C) Products containing aspirin D) Herbal preparations with melatonin

C) Products containing aspirin

The LPN is passing morning medications which include digoxin (Digetek) for a 68-year-old man with congestive heart failure. The nurse notes the client's BP = 112/68, P = 60, R = 18. Which action by the nurse is best? A) Determine if the client has eaten breakfast. B) Hold the medication and contact the RN. C) Provide the medication as ordered. D) Ask the client if he is experiencing any difficulty breathing.

C) Provide the medication as ordered.

The LPN is taking a dose of multi-symptom cold medication and is aware that which of the following active ingredients will help reduce nasal congestion? A) Acetylcysteine B) Guiafenesin C) Pseudoephedrine D) Codeine

C) Pseudoephedrine

The LPN is called by a neighbor who reports her husband seems to be acting, "a little odd" and says he feels really tired and weak. The LPN discovers the client recently stopped taking his benazepril (Lotensin) due to the fear of side effects mentioned in a television commercial. Which of the following actions by the LPN is best? A) Instruct the woman to have her husband take an aspirin and lie down for one hour to rest. B) Ask the woman if she has a blood pressure cuff and instruct her to take the man's blood pressure. C) Tell the woman to call an ambulance or get her husband to an emergency department right away. D) Inform the woman these are withdrawal symptoms of stopping the drug and suggest he call his doctor in the morning.

C) Tell the woman to call an ambulance or get her husband to an emergency department right away.

An LPN is assisting a physician with the removal of a foreign object from the eye of a 29-year-old individual. The LPN anticipates the physician will use which of the following medications? A) Prednisolone ophthalmic (Econopred Plus) B) Glycerine (Osmoglyn) C) Tetracaine (Altacaine) D) Latanoprost (Xalatan)

C) Tetracaine (Altacaine)

An LPN is caring for a client at the long-term care facility who has a history of heart failure and routinely takes furosemide (Lasix). The nurse will be most concerned by which of the following assessment findings? A) The client has a urinary output of 1,900 mL in 24 hours. B) The client's blood pressure is 124/68 mmHg. C) The client's apical pulse is irregular. D) The client has gained 3 pounds in 2 weeks.

C) The client's apical pulse is irregular.

The nurse is assisting in the care of a 35-year-old man who is diagnosed with depression. The client is interested in starting treatment with selegline (Eldepryl). Which of the following factors would be of most concern to the health care team? A) The patient smokes a pack of cigarettes each day. B) The patient lives alone. C) The patient has a history of heart disease. D) The patient has a history of seizures.

C) The patient has a history of heart disease.

The LPN is assisting in the care of client recently diagnosed with cholecystitis. Surgeons have determined the client is not able to face surgery at the time. The LPN anticipates the client will be given which of the following medications? A) Clarithromycin (Biaxin) B) Ranitidine (Taladine) C) Ursodiol (Actigall) D) Orlistat (Alli)

C) Ursodiol (Actigall)

While working in a primary care physician's office, the LPN is collecting history data for a client who takes sargramostim (Leukine). The nurse would be most interested in which of the following lab results for this client? A) Serum sodium B) Serum magnesium C) White blood cell count D) Blood urea nitrogen

C) White blood cell count

The LPN receives an early morning phone call from a client with heart failure. The client typically takes digoxin (Digetek), quinapril (Accupril), and valsartan (Diovan). The client reports flu-like symptoms and states, "I haven't been able to keep much down for about 2 days." Which response by the nurse is best? A) "Are you able to come in for an appointment in tomorrow afternoon?" B) "What usually works when you are experiencing nausea and vomiting?" C) "Have you lost much weight with this illness?" D) "Have you noticed any greenish halos around lights?"

D) "Have you noticed any greenish halos around lights?"

An LPN working in a rehabilitation center is assisting in the care of a client with a hip replacement that frequently has issues with incontinence. The client is started on oxybutynin (Ditropan). Which of the following statements indicates further teaching is necessary? A) "I'm so glad they have a medication that can help me hold onto my urine longer. It is so embarrassing to lose control." B) "I am much more comfortable now that this medication has reduced my bladder spasms." C) "I seem to get more constipated now that I'm taking this medication." D) "I know this medication might make my urine turn bright orange."

D) "I know this medication might make my urine turn bright orange."

The nurse prepares to provide scopolamine (Scopace). Which of the following instructions should the nurse provide? A) "Take this with your other pills and swallow them all at once; it dissolves in your stomach." B) "I will dissolve this in juice and then have you drink it." C) "Just suck on this like a lozenge and it will dissolve over a few minutes." D) "I will place this patch behind your ear and the medication is absorbed through your skin."

D) "I will place this patch behind your ear and the medication is absorbed through your skin."

When asked by a client taking ibuprofen (Motrin) 8000 mg post-operatively after a robotic hysterectomy why the physician ordered this med, the best response by the nurse is: A) "This medication helps ensure you don't develop a post-op fever." B) "Ibuprofen is really good for reducing muscle spasms." C) "We've found that women who take this medication have decreased bleeding risk." D) "Motrin will help reduce both pain and inflammation after surgery."

D) "Motrin will help reduce both pain and inflammation after surgery."

While working with a client who has extensive third-degree burns, the nurse applies becaplermin (Regranex) gel to the client's wound bed. The client asks, "What will that do?" Which of the following responses is best? A) "This will kill topical bacteria and help reduce the risk of infection." B) "The gel helps slow tissue growth to prevent scarring that may cause contractures." C) "By stimulating phagocytosis, the gel reduces the amount of fluid loss within your burns." D) "The gel helps new tissue grow within the wound bed and increase healing."

D) "The gel helps new tissue grow within the wound bed and increase healing."

The LPN provides a client with daily Lente insulin at bedtime. The client states, "I've never really understood why I take insulin at night when I eat during the day." Which response by the nurse is best? A) "This insulin doesn't start to work for 6 to 8 hours. B) "Your pancreas makes insulin at night and the medication is stimulating your pancreas." C) "We give insulin at night to help cover the glucose released as you digest your dinner." D) "This is a long-acting insulin that lasts 18 to 24 hours for sustained control of your sugar."

D) "This is a long-acting insulin that lasts 18 to 24 hours for sustained control of your sugar."

The LPN is assisting a client newly diagnosed with influenza who has been given a prescription for oseltamivir (Tamiflu). The nurse recognizes the client is aware of potential side effects by which of the following statements? A) "I might feel my heart racing when I take this medication." B) "Some people get really constipated when they take this." C) "The medication is likely to make me feel hungry often." D) "This medication may cause nervousness or difficulty sleeping."

D) "This medication may cause nervousness or difficulty sleeping."

An LPN is visiting a friend in the hospital who was recently diagnosed with a right-sided thrombotic stroke. The individual says, "I don't understand why they want to give me blood thinners if I had bleeding in my brain." Which of the following responses by the nurse is best? A) "Blood thinners are used to help the heart not have to work so hard to pump blood around." B) "The blood brain barrier will protect your brain from the medications they give you." C) "Are you sure they're giving you blood thinners? What medication have they prescribed?" D) "Your stroke was caused by a clot that blocked blood flow to a portion of your brain, not bleeding within your brain."

D) "Your stroke was caused by a clot that blocked blood flow to a portion of your brain, not bleeding within your brain."

Which of the following individuals is the most likely to receive caffeine citrate (Cafcit)? A) A 59-year-old woman diagnosed with sleep apnea B) A 9-year-old girl diagnosed with asthma C) A 28-year-old man diagnosed with pleurisy D) A 3-day-old boy born at 30 weeks' gestation

D) A 3-day-old boy born at 30 weeks' gestation

The nurse is providing education at a community cholesterol screening event. Which of the following individuals will need routine liver function tests as part of their medical follow-up? A) A 58-year-old patient who takes cholestyramine (Questran) B) A 65-year-old patient who takes rosuvastatin (Crestor) C) A 61-year-old patient who takes simvastatin (Zocor) D) A 59-year-old patient who takes fenofibric acid (Trilipix)

D) A 59-year-old patient who takes fenofibric acid (Trilipix)

The LPN is visiting her father who has been hospitalized with pneumonia. The LPN recognizes that her father has thick secretions and a frequent cough. Which of the following medications might the LPN inquire to help her father? A) Triamcinolone (Azmacort) B) Aminophylline (Phyllocontin) C) Albuterol (Proventil) D) Acetylcysteine (Mucomyst)

D) Acetylcysteine (Mucomyst)

An LPN is discussing weight loss with a co-worker who states, "I've been taking phentermine (Adipex) for a few weeks and it is really helping with my weight loss." The LPN is aware this medication has a high potential to result in which of the following? A) Altered taste sensations B) Diarrhea C) Tolerance D) Addiction

D) Addiction

A nurse working in the gynecology office is asked to assist in the treatment of a client with condylomas. Which of the following actions should the nurse take? A) Prepare the client for full-body phototherapy. B) Ask the client if there are any known allergies to iodine. C) Make a list of the client's sexual partners for the past 3 weeks. D) Assist the client to remove their clothing below the waist.

D) Assist the client to remove their clothing below the waist.

While reviewing the medications taken by a client being admitted to a long-term care facility, the nurse notes the client takes fluvastatin (Lescol) daily. The nurse should schedule this medication: A) In the morning with breakfast B) First thing in the morning on an empty stomach C) In the afternoon with lunch D) At bedtime

D) At bedtime

The LPN is assisting in the care of a client newly prescribed captopril (Capoten). The nurse would instruct the client to take which of the following precautions? A) Avoid foods that are high in potassium B) Limit visitors and avoid crowds C) Increase the amount of fiber in the diet D) Avoid changing positions rapidly

D) Avoid changing positions rapidly

A nurse's teenage daughter tearfully states, "I keep getting pimples on my face even though I wash it every day and I'm not eating any chips or cookies. What can I do?" While looking at over-the-counter treatment options, what common ingredient will the nurse most likely find in topical creams and lotions? A) Hydrocortisone B) Lidocaine C) Clotrimazole D) Benzoyl peroxide

D) Benzoyl peroxide

The LPN would instruct a client using which of the following medications that the medication may change the color of the individual's eyes. A) Ketorolac tromethamine (Acular) B) Dorzolamide HCl (Trusopt) C) Timilol maleate ophthalmic (Timoptic-XE) D) Bimatoprost (Lumigan)

D) Bimatoprost (Lumigan)

An LPN who works as a travel nurse is preparing to provide a client with both regular and long-acting insulin. Which of the following steps should the nurse take? A) Draw up the long-acting insulin first and then the regular. B) Use two syringes, one for each type of insulin. C) Draw up the regular insulin first and then the long-acting insulin. D) Check the institutional policy regarding mixing of insulin.

D) Check the institutional policy regarding mixing of insulin.

The LPN is assisting in the care of a client taking gentamicin (Cidomycin). The nurse would be most concerned by which of the following lab values for this client? A) Hmg = 12.7 g/dL B) Na+ = 138 mEq/L C) K+ = 3.6 mEq/L D) Creatinine = 1.8 mg/dL

D) Creatinine = 1.8 mg/dL

The LPN caring for a client with heart failure is preparing to provide multiple medications. Which of the following medications will impact the heart contractility? A) Pravastatin (Pravachol) B) Trandolapril (Mavik) C) Venlafaxine (Effexor) D) Digoxin (Cardoxin)

D) Digoxin (Cardoxin)

While providing care for a client taking diltiazem (Dilacor) the nurse would monitor for which of the following side effects? A) Tachycardia B) Bronchodilatation C) Palpitations D) Edema

D) Edema

The LPN is working with an elderly client who reports difficulty sleeping. When reviewing the client's record, the nurse notes numerous prn medications. Which of the following would the nurse suggest at this time? A) Alprazolam (Xanax) B) Oxycodone with ibuprofen (Combunox) C) Clonazepam (Klonopin) D) Eszopiclone (Lunesta)

D) Eszopiclone (Lunesta)

In talking to a neighbor who is undergoing chemotherapy for breast cancer, the nurse learns the woman's most recent chemotherapy treatment was not given because her white blood cell count was too low. The nurse would expect the woman to also be receiving which of the following medications? A) Digoxin (Cardoxin) B) Ferrous sulfate (Ferra-TD) C) Disopyramide (Norpace) D) Filgrastim (Neupogen)

D) Filgrastim (Neupogen)

The LPN is talking to a neighbor who recently moved to the area and says, "My allergies are just crazy here! They've never been this bad before. The doctor actually gave me this nasal spray to help try and breathe through my nose again." The nurse suspects the physician prescribed: A) Celecoxib (Celebrex) B) Cefterizine (Zyrtec) C) Azathioprine (Imuran) D) Fluticasone (Flovent)

D) Fluticasone (Flovent)

The LPN is talking to her sister about various birth control methods. Her sister says, "Bill and I just got married and we don't want to start a family for quite a while. Isn't there something that works long term but isn't permanent?" Which of the following methods of birth control would the nurse suggest? A) Ethinyl estradiol and etonogestrel (NuvaRing) B) Nonoxynol-9 containing spermicide (Encare) C) Transdermal patches (Ortho Evra) D) Levonorgestrel intrauterine device (Mirena)

D) Levonorgestrel intrauterine device (Mirena)

While helping to clean a patient with pneumonia who is incontinent, the nurse notes the patient's groin folds are red, inflamed and excoriated and whitish discharge is noted from the vagina. Which of the following medications would the nurse anticipate being ordered? A) Neomycin ointment B) Calamine lotion C) Hydrocortisone cream D) Monistat cream

D) Monistat cream

The nurse receives orders to begin spirinolactone (Aldactone) daily with the first dose to start today. Which of the following assessments is the highest priority within the first 2 to 4 hours after provision? A) Urinary output B) Pain relief C) Red blood cell count D) Orthostatic hypotension

D) Orthostatic hypotension

The nurse is providing care for a patient with a history of mitral valve replacement. The patient is taking ticlopidine (Ticlid). The nurse recognizes the medication is effective by which of the following patient outcomes? A) Patient reports chest pain is relieved after receiving the medication. B) Patient's heart rhythm is regular. C) Patient's lung sounds remain clear. D) Patient has no symptoms of a clot formation.

D) Patient has no symptoms of a clot formation.

An LPN working at an obstetrician's office is talking to a woman who says, "I just hope I don't have to have any pitocin. My sister had that when she was in labor and she said it was awful." The nurse's response would be based on which of the following principles? A) If pitocin is used during delivery there is increased risk of uterine cancer later in life. B) Pitocin is given in the physician's office to initiate labor. C) Women who use pitocin are being prepared for a cesarean section. D) Pitocin is a synthetic oxytocin used to encourage uterine contractions.

D) Pitocin is a synthetic oxytocin used to encourage uterine contractions.

The nurse is caring for a client recently returned from surgery who is wearing oxygen 2L NC. The client has continuous pulse oximeter in place and the monitor alarms and indicates the client's oxygen saturation is 88%. Which action by the nurse is best? A) Replace the nasal cannula with a simple face mask. B) Notify the RN. C) Instruct the client to take deep breaths through the nose. D) Reset the alarm to indicate a saturation of 85% or less.

D) Reset the alarm to indicate a saturation of 85% or less.

The LPN is notified that a friend will be undergoing brachytherapy for the treatment of cancer on Friday. The LPN is aware this individual will have what type of treatment? A) Intravenous delivery of medications targeting the tumor cells. B) Radiation beam treatment to the tumor area. C) Oral delivery of a substance that is radioactive and will cause tumor cell destruction. D) Surgical implantation of radioactive seeds into a tumor bed.

D) Surgical implantation of radioactive seeds into a tumor bed.

The nurse is preparing to pass morning medications, including newly prescribed bisoprolol (Zebeta), for a patient with a history of myocardial infarction. Which action should the nurse take first? A) Check to make sure the medication has been delivered from pharmacy. B) Monitor the patient's urinary output. C) Determine if the client knows the side effects of the medication. D) Take the patient's pulse and blood pressure.

D) Take the patient's pulse and blood pressure.

Which of the following would cause the nurse to intervene for a patient taking pantoprazole (Protonix)? A) The client takes the medication an hour before breakfast. B) The client has a history of gastric ulceration. C) The client has an allergy to sulfa antibiotics. D) The client reports having just taken a Tums for heartburn.

D) The client reports having just taken a Tums for heartburn.

While visiting a friend who has recently been diagnosed with a brain tumor, the LPN notes the patient is receiving IV mannitol (Osmitrol). Which of the following will the nurse conclude based on the provision of this medication? A) The medication is being given to increase sedation in preparation for brain surgery. B) The client is at increased risk for liver dysfunction due to this medication. C) The client may experience hypertension while on this medication. D) The medication is being given to decrease swelling in the brain caused by the tumor.

D) The medication is being given to decrease swelling in the brain caused by the tumor.

The LPN is attempting to stop smoking and has tried to quit "cold-turkey" multiple times. This time he is willing to seek help and wants to use a medication that will make his desire to smoke fade away. Which of the following medications will the physician most likely prescribe? A) Bupropion (Budeprion) B) Nicotine (Nicotrol) C) Flunisolide (Aerobid) D) Varenicline (Chantix)

D) Varenicline (Chantix)

While providing a calcium supplement to a client with osteopenia, the nurse would also counsel the client to ensure sufficient intake of which additional supplement? A) Protein B) Vitamin C C) Potassium D) Vitamin D

D) Vitamin D

The LPN provides a client with NPH insulin at 8 a.m. and expects the insulin to take effect at approximately what time? A) 8:30 a.m. B) 9:30 a.m. C) 12 p.m. D) 4 p.m.

B) 9:30 a.m.

A woman at 42 weeks gestation is in for an appointment with the gynecologist. The woman reports inconsistent contractions on and off for three days and it is determined the cervix is not dilated at this time. The doctor informs the woman that they would like to provide dinoprostone (Prepidil). The nurse would help the woman understand this medication by stating which of the following? A) "It is given in IV form and is designed to stimulate labor within a few minutes." B) "It is a gel placed on the cervix to help soften it and should allow labor to start in 6 hours or less." C) "It is a cream inserted into the vagina to help prevent cervical dilation and postpone delivery." D) "It is an intramuscular injection given to help reduce muscle tension and stop contractions."

B) "It is a gel placed on the cervix to help soften it and should allow labor to start in 6 hours or less."

An LPN working in a fertility clinic notes that teaching has been effective if the client taking menotropin (Humegon) states which of the following? A) "I will swallow this pill every day to help start the ovulation process." B) "My husband can learn to give me the shots so an egg will ripen and be released." C) "There are no risks associated with fertility medications." D) "My husband will need to get the same shots to help increase our chances of becoming pregnant."

B) "My husband can learn to give me the shots so an egg will ripen and be released."

The nurse is providing a follow-up phone call to a patient who recently started taking fexofenadine (Allegra). Which of the following statements by the patient would indicate the medication has been effective? A) "My joint pain is much better now." B) "My nose isn't running and itchy all the time now." C) "I don't have any green drainage from that cut in my arm anymore." D) "I passed a large worm last night, so I guess it's working."

B) "My nose isn't running and itchy all the time now."

The LPN answers the phone at a primary care physician's office. The client reports, "I recently started taking hydralazine (Apresoline) and have been feeling very nauseated." Which of the following responses by the nurse is best? A) "You should try taking half a pill for a few days until the doctor is able to call you back." B) "This is a side effect of the medication, and I will leave a note for the physician to determine what course of action should be taken." C) "Because this is common with the medication, I suggest you try eating saltine crackers frequently throughout the day." D) "I think you should call the pharmacy and see what they suggest."

B) "This is a side effect of the medication, and I will leave a note for the physician to determine what course of action should be taken."

The LPN is assisting in the care of a client who is recovering from a myocardial infarction and was newly started on clopidogrel (Plavix). The nurse would include which of the following statements in the client teaching? A) "You will need to have weekly blood tests done to follow your clotting and bleeding times." B) "This medication helps prevent platelets from sticking together and forming clots." C) "You should avoid taking any over the counter medications with acetaminophen (Tylenol)." D) "Clopidogrel prevents clotting by interfering with the factors involved in the bleeding cascade."

B) "This medication helps prevent platelets from sticking together and forming clots."

The LPN discusses the use of calcium carbonate (Tums) antacids with a client who suffers from chronic heartburn. The LPN would include which of the following instructions in the client teaching? A) "Take the medication once daily with your other medications." B) "You should drink a glass of water or milk after chewing the tablets." C) "If you prefer to use the liquid preparations, they come premixed and should not be shaken." D) "The medications generally start to work in 4 to 6 hours."

B) "You should drink a glass of water or milk after chewing the tablets."

The LPN is working with a client whose medication list includes lithium. The LPN would be most concerned by which of the following? A) The client reports blurry vision and sensitivity to light. B) The client's urinary output was 1,600 mL the previous day. C) The client reports following a low-salt diet. D) The lab report indicates the client's lithium level is therapeutic.

A) The client reports blurry vision and sensitivity to light

The LPN is working with a client who has cystic fibrosis and takes pancrelipase (Ultrase) daily with each meal. The nurse may expect to see which of the following? A) Greasy stools and gas production B) Clay colored stool that floats C) Dark, tarry stools D) Soft brown stool passed once or twice daily

A) Greasy stools and gas production

While shopping in the mall, the LPN notices a woman with bulging eyes. The LPN knows this condition is related to which of the following hormonal conditions? A) Hyperthyroidism B) Hypoparathyroidism C) Hypothyroidism D) Hyperparathyroidism

A) Hyperthyroidism

A nursing instructor informs a nursing student that the assigned client has been prescribed a pediculicide medication. The student recognizes the client has been diagnosed with which of the following? A) Lice B) Psoriasis C) Impetigo D) Malignant melanoma

A) Lice

A nurse working at a dermatologist's office is working with a client with suspected basal cell carcinoma. The nurse would most likely prepare for which of the following? A) Liquid nitrogen cryotherapy B) Radiation therapy C) Surgical excision with wide margins D) Topical treatment with corticosteroids

A) Liquid nitrogen cryotherapy

The LPN is talking to a client who experiences watery diarrhea frequently with menstruation. Which of the following is an over-the-counter medication that would be useful for short-term use in this scenario? A) Loperamide (Imodium) B) Prochlorperazine (Compazine) C) Simethicone (Mylanta gas) D) Phentermine (Zantryl)

A) Loperamide (Imodium)

At 10 p.m. the LPN notes one of the clients has a blood glucose of 351. The client has sliding scale insulin ordered as noted below. What action by the nurse is best? Accucheck ac and hs with sliding scale Insulin Aspart SQ: Glucose 0-150: 0 units 151-200: 2 units 201-250: 4 units 251-300: 6 units 301-350: 8 units 351-400: 10 units 400: Notify physician A) Provide 10 units insulin aspart SQ. B) Provide 8 units insulin aspart SQ. C) Notify the physician. D) Ask the client if he or she is experiencing increased thirst or urination.

A) Provide 10 units insulin aspart SQ.

The nurse prepares to admit a 71-year-old client with a long-standing history of rheumatoid arthritis who has been taking ibuprofen (Motrin) 600 mg tid for many years. The nurse would be most concerned if the client reported which of the following symptoms? A) Sharp, stabbing pain in the midepigastric region B) Dull, aching joint pain in both hands C) Small squirts of urine with sneezing D) Diffuse sense of fullness in the lower left quadrant upon abdominal palpation

A) Sharp, stabbing pain in the midepigastric region

The nurse prepares to provide colchicine (Colcrys) to a patient. Which of the following assessments indicates this medication is effective? A) Client's large toe is less red and swollen B) Client reports decreased pain in the lower back C) The nurse notes serum calcium levels have increased D) The client reports he did not have any leg spasms during the night

A) Client's large toe is less red and swollen

A nurse is receiving shift-to-shift report for a client with multiple medical problems. The client is receiving auranofin (Ridaura). The nurse recognizes this medication is ordered to address which of the following health care problems? A) Dystonia B) Rheumatoid arthritis C) Gout D) Osteoporosis

A) Dystonia

A student nurse is preparing to pass medications on the rehab unit. Which statement would be included in the client teaching for an individual taking metaxalone (Skelaxin)? A) "This medication helps reduce the spasticity in your muscles." B) "This medication may cause liver damage but your current liver enzymes are fine." C) "Please let us know if you have any stomach pain or black, tarry stools." D) "This medication is delivered as a nasal spray once daily."

A) "This medication helps reduce the spasticity in your muscles."

An LPN is preparing to provide eye drops for an elderly client in a long-term care facility. The client is ordered Restasis. Which of the following statements should the nurse include in the teaching? A) "This medication helps relieve the chronic dryness in your eyes." B) "This is to treat your eye infection, which is looking much better." C) "This is one of your glaucoma eye drops; I'll give you the other one tonight." D) "This medicine will make your pupils dilate, so it might be hard to watch TV for a while."

A) "This medication helps relieve the chronic dryness in your eyes."

The LPN providing multiple medications for a client with numerous co-morbid conditions would include which of the following statements while educating the client about colchicine (Colcrys)? A) "This medication helps the pain you have due to gout." B) "You take this medication to prevent skeletal fractures." C) "This medication is one of the NSAIDs and helps reduce inflammation." D) "This is the medication you take to support your calcium balance."

A) "This medication helps the pain you have due to gout."

While talking to a neighbor who is planning a cruise, the LPN is told, "My husband really wants to go on this trip, but I'm a little worried about this because I get so motion sick when I'm in the car for long periods or have to fly." Which response by the nurse is best? A) "You may want to ask your doctor to prescribe some dimenhydrinate (Dramamine)." B) "Sometimes it is helpful to take cefaclor (Ceclor)." C) "I imagine the crew is very familiar with people who have motion sickness; they'll take good care of you." D) "Did you have a lot of morning sickness when you were pregnant?"

A) "You may want to ask your doctor to prescribe some dimenhydrinate (Dramamine)."

Ultraviolet therapy will be most helpful for which of the following clients? A) A 41-year-old with psoriasis B) A 55-year-old with squamous cell carcinoma C) A 15-year-old with atopic dermatitis D) A 28-year-old with basal cell carcinoma

A) A 41-year-old with psoriasis

While studying for the medication exam, the nursing student determines that norepinephrine (Levophed), if given to a patient, would be contraindicated for which of the following individuals? A) A 52-year-old patient with a blood pressure of 186/94 B) A 49-year-old patient with a pulse of 65 C) A 61-year-old patient with a respiratory rate of 18 D) A 75-year-old patient with a history of seizures

A) A 52-year-old patient with a blood pressure of 186/94

While counseling the mother of an 18-month-old child diagnosed with a viral infection, the nurse should include which of the following statements in the client's teaching? A) "The doctor will probably prescribe an antibiotic to help with the ear pain." B) "Be sure not to give the baby anything with aspirin in it." C) "You can crush a regular acetaminophen (Tylenol) and put it in the baby's bottle." D) "The doctor might order a narcotic to help the baby sleep."

B) "Be sure not to give the baby anything with aspirin in it."

An LPN is approached by a friend whose mother was recently diagnosed with Alzheimer's disease. The friend states, "The doctor wants to put her on donepezil (Aricept) right away, but right now she's just occasionally forgetful. We had no idea she had Alzheimer's and I worry about side effects." Which of the following is the best response by the nurse? A) "It is hard to know the best way to go with this diagnosis. Have you gotten a second opinion?" B) "Early diagnosis and treatment seems to be giving the best results for long-term function." C) "I've given that medication many times and most people don't have any side effects." D) "I'm so sorry to hear about this. What do your siblings think you should do?"

B) "Early diagnosis and treatment seems to be giving the best results for long-term function."

The LPN working in a long-term care facility realizes that one of the clients was taken on an outing without receiving his daily dose of neostigmine (Prostigmin). The nurse provides the client's medication on his return at 4 p.m., but would communicate which of the following to the aide caring for that client? A) "He may be more lethargic than usual this afternoon since he received his medication late." B) "I expect he will be weaker and may need help with eating this evening." C) "Be aware that he will need to have prunes with dinner as he may be more constipated today." D) "I am worried about the potential for mood swings, so watch him carefully."

B) "I expect he will be weaker and may need help with eating this evening."

A client recovering from minor eye surgery was given proparacaine (Alcaine) during the procedure. Which of the following statements would the nurse include in the client teaching? A) "Your eyes will probably tear uncontrollably for the next few hours." B) "It is important that you wear dark glasses outside." C) "You may notice that your tears are a strange orange color for a few days." D) "The medication may cause dizziness, dry mouth, and tremors."

B) "It is important that you wear dark glasses outside."

A nursing student asks another student, "What does the blood brain barrier have to do with medications?" Which of the following responses by the student is best? A) "The barrier helps reduce the risk of infection, so not as many antibiotics are needed." B) "It prevents some medications from affecting the central nervous system." C) "There are only a few medications that don't cross the barrier, so we have to know those." D) "It has to do with how medications affect brain growth in a developing fetus."

B) "It prevents some medications from affecting the central nervous system."

A nurse working for a family practice physician sees a 48-year-old client who reports severe itching of his hands and under arms. Examination reveals redness and irritation in the webbing of both hands and axillae. The physician orders permethrin (Elimite) cream, a scabicide. The nurse recognizes treatment has been effective by which of the following statements? A) "I can't believe I have lice. I wonder if I got it from my niece." B) "So applying this cream between my fingers and arm pits will kill the mites and eggs." C) "I will need to use a fine-tooth comb to go through my hair daily for the next full week." D) "Scabies only live on top of the skin, so the itch should disappear within a day."

B) "So applying this cream between my fingers and arm pits will kill the mites and eggs."

Family members at a reunion on the beach return from a long walk with sunburn on their shoulders and feet. Which of the following recommendations will the nurse make? A) "Apply hydrocortisone cream to the area to reduce swelling." B) "Soak your feet in cool water and apply cold cloths to your shoulders for 20 minutes, then apply aloe vera ointment." C) "Take oral antihistamines to help reduce the chance of blistering." D) "Apply butter to the area to stop the burn."

B) "Soak your feet in cool water and apply cold cloths to your shoulders for 20 minutes, then apply aloe vera ointment."

The LPN is preparing to provide brimonidine tartrate (Alphagan P) eye drops to a client with glaucoma. Which of the following instructions would the LPN include in the client teaching? A) "This medication dilates the pupil of your eye so the fluid in your eye can drain better." B) "This medication helps dilate the blood vessels in your eye and reduce the pressure within the eye ball." C) "These eye drops reduce the amount of fluid that your inner eye makes." D) "These eye drops will increase the tear production to ease your discomfort."

B) "This medication helps dilate the blood vessels in your eye and reduce the pressure within the eye ball."

While assisting in the care of a client receiving a bright yellow IV solution containing thiamine and other vitamin B supplements, the LPN concludes the client is most likely being treated for which of the following? A) Osteoporosis B) Alcohol withdrawal C) Seizure disorder D) Parkinson's disease

B) Alcohol withdrawal

The nurse is caring for a client with extensive third-degree burns scattered across the left leg and hip. Orders for chemical debridement using collagenase (Santyl) are noted. The nurse will take which of the following actions? A) Apply the collagenase to the pink, open-areas within the burned area. B) Apply the collagenase to the blackened, dead tissue within the burned area. C) Work the collagenase into sterile 4 ´ 4 dressings and apply these uniformly across the burned area. D) Mix the collagenase with sterile normal saline and apply soaked dressing to entire wound bed.

B) Apply the collagenase to the blackened, dead tissue within the burned area.

While assisting in the care of a client diagnosed with petit mal seizures, the LPN overhears the treatment team discussing the addition of ethosuximide (Zarontin) to the client's medication regimen. The nurse is aware that this medication works by: A) Altering the transfer of sodium ions across a synaptic membrane B) Delaying the movement of calcium over the neuron C) Increasing the neurologic sensitivity to electric stimuli and lowering the seizure threshold D) Blocking GABA transmitters in the brain

B) Delaying the movement of calcium over the neuron

While supporting clients with chronic pain concerns related to musculoskeletal disease states, which of the following medications may be used as adjunct therapy? A) Calcitonin salmon (Miacalcin) B) Duloxetine (Cymbalta) C) Teriparatide acetate (Forteo) D) Neostigmine (Prostigmin)

B) Duloxetine (Cymbalta)

A 69-year-old client comes to his primary physician's office complaining of difficulty hearing. Which action by the nurse is best? A) Determine the client's smoking history. B) Examine the client's ears for cerumen. C) Ask the client if he or she has been taking medications for hypertension. D) Inform the RN that the client will need a referral to an audiologist.

B) Examine the client's ears for cerumen.

While working with a client who is taking selegiline (Eldepryl), the LPN recognizes the client understands the required dietary restrictions, if the client selects which of the following lunches? A) Bologna sandwich on wheat bread with chips and a diet soda B) Hamburger with an onion bun, coleslaw, and a glass of milk C) Pepperoni pizza with a side salad and ranch dressing with iced tea D) Stir fried rice and vegetables with soy sauce and a cup of coffee

B) Hamburger with an onion bun, coleslaw, and a glass of milk

The nurse is preparing to give a client the first dose of newly prescribed celecoxib (Celebrex) and notes the client has an allergy to morphine and sulfa antibiotics. Which of the following actions should the nurse take next? A) Provide the medication as ordered since there is no risk of allergic reaction. B) Hold the medication since it is contraindicated for clients with allergy to sulfa antibiotics. C) Hold the medication since it is contraindicated for clients with an allergy to morphine. D) Call the pharmacist to see if there are any concerns about taking the new medication.

B) Hold the medication since it is contraindicated for clients with allergy to sulfa antibiotics.

An LPN working in an ophthalmologist's office is working with a client diagnosed with uveitis who has been given a prescription for dexamethasone (AK-Dex). The nurse is aware this medication will assist with which of the following concerns? A) Infection B) Inflammation C) Bleeding D) Intraocular pressure

B) Inflammation

The LPN is preparing to give Lantus insulin and notices that the vial is cloudy and dated with an open date of one week ago. Which action should the nurse take? A) Shake the bottle to disperse the liquid. B) Roll the bottle between the fingers prior to drawing up the dose. C) Notify the RN that a new bottle of insulin is needed from the pharmacy. D) Check to see if another client has a bottle of Lantus insulin that can be used.

B) Roll the bottle between the fingers prior to drawing up the dose.

While working in a dermatologist's office, the nurse welcomes a new client who is 15 years old. The client has notable facial acne and a quick examination reveals scattered areas of keratinization and multiple pustules and comedos across the client's shoulders and back. The nurse anticipates which of the following medications will be recommended? A) Lindane (Rid-X) B) Salicylic acid (Stri-Dex) C) Anthralin (Psoriatec) D) Etanercept (Enbrel)

B) Salicylic acid (Stri-Dex)

While studying for the pharmacology examination, the student nurse identifies that sertraline (Zoloft), paroxetine (Paxil), and fluoxetine (Prozac) are all examples of which classification of medications? A) Monoamine oxidase inhibitor agents B) Selective serotonin reuptake inhibitors C) Tricyclic antidepressants D) Mood stabilizers

B) Selective serotonin reuptake inhibitors

A nurse working in an outpatient psychiatric clinic and assists with the care of a 24-year-old patient with schizophrenia who started taking chlorpromazine (Thorazine) three days ago. Which of the following should be reported to the physician immediately? A) The patient reports no bowel movement since he started the medication. B) The client is blinking rapidly and making odd facial movements involuntarily. C) Patient says, "I heard the angels talking again last night." D) Patient reports he is staying at a homeless shelter four blocks away.

B) The client is blinking rapidly and making odd facial movements involuntarily.

While participating in the care of a client with Grave's disease who is taking methimazole (Northyx), the LPN would be most concerned by which of the following symptoms? A) The client reports increased frequency of headaches. B) The client's hemoglobin has dropped 2 gm/dL in the past 2 months. C) The client has gained 3 pounds in one month. D) The client says, "I still have trouble remembering to take that pill; I think I forgot it three times last month."

B) The client's hemoglobin has dropped 2 gm/dL in the past 2 months.

The LPN is visiting a new mother and her infant. The mother says, "The doctor told us the baby has cretinism and will have to take hormone therapy." The LPN identifies that which of the following hormone imbalances occurred during the pregnancy? A) The mother' body released too much cortisol. B) The mother's body did not release enough thyroid hormone. C) The mother's body released too much calcitonin. D) The mother's body did not release enough somatotropin.

B) The mother's body did not release enough thyroid hormone.

The LPN is collecting history information for a client planning outpatient surgery. Which of the following statements by the client would cause the nurse to contact the anesthesiologist? A) "I forgot to sign the consent form while I was in the office last time." B) "I usually take alprazolam (Xanax) to help me sleep a couple times a week." C) "I used my pilocarpine (Pilopine) eye drops this morning but didn't take any of my pills." D) "I brushed my teeth this morning with just a sip of water."

C) "I used my pilocarpine (Pilopine) eye drops this morning but didn't take any of my pills."

The nurse is caring for a client with shingles lesions across the back and flank. The client's daughter asks, "I see the doctor started a new medication called pregabalin (Lyrica) but I thought that was for seizures. Why is my dad taking that medication?" Which of the following responses by the nurse is best? A) "I'm not sure; I will call the doctor and make sure there wasn't a mistake." B) "I don't know, but he's been getting it for almost a week now so there shouldn't be a problem." C) "We often use that medication to help with neuropathic pain conditions like shingles." D) "The medication helps reduce swelling along the nerve fibers and heals the lesions more quickly."

C) "We often use that medication to help with neuropathic pain conditions like shingles."

A 51-year-old neighbor is considering the use of hormone replacement therapy now that menopause has started. Which of the following statements by the nurse is best? A) "You do know that hormones increase your risk of blood clots, right?" B) "Have you talked to your doctor about taking hormone supplements?" C) "What menopausal symptoms are you experiencing, and what do you know about hormone therapy?" D) "Some people really suffer from symptoms of menopause, but it's been pretty easy for me."

C) "What menopausal symptoms are you experiencing, and what do you know about hormone therapy?"

While performing skin assessments during a local mall screening event, the nurse would be most concerned by which of the following findings? A) A 55-year-old client with multiple nevi across his back and shoulders B) A 47-year-old client with a small tan, flat, scaly patch noted on his cheek C) A 39-year-old client with a purplish-black irregular shaped area on the shoulder blade D) A 64-year-old client with reddish, firm, dry, and peeling patches noted on his knuckles and elbows

C) A 39-year-old client with a purplish-black irregular shaped area on the shoulder blade

Which of the following individuals will need a referral to determine the potential need for systemic chemotherapy? A) A 66-year-old patient with squamous cell carcinoma who is receiving radiation after surgical excision of the primary lesion B) A 54-year-old patient with basal cell carcinoma on the nose who is being treated with a topical immunomodulators C) A 61-year-old patient with malignant melanoma who had a wide surgical excision with clear margins D) A 48-year-old patient with basal cell carcinoma who is being treated with topical fluorouracil

C) A 61-year-old patient with malignant melanoma who had a wide surgical excision with clear margins

The LPN is assisting a client prepare for an eye exam. Which of the following eye drops will be used to help allow visualization of the retina? A) Apraclonidine HCl (lopidine) B) Acetazolamide (Diamox) C) Atropine (Atropine Ophthalmic) D) Cyclosporine (Restasis)

C) Atropine (Atropine Ophthalmic)

The nurse is caring for a 10-year-old child with profound cerebral palsy who takes muscle relaxants and antispasmodics and has continued neck muscle rigidity, which increasingly interferes with his ability to turn his head. Which of the following medications is most likely to be added to the child's treatment plan? A) Ibuprofen (Advil) B) Baclofen (Lioresal) C) Botulinum toxin A (Botox) D) Zyloprim (Allopurinol)

C) Botulinum toxin A (Botox)

While performing a skin assessment for a newly admitted 82-year-old patient, the nurse notes the client has reddened, peeling areas between his toes and around the soles of his feet. Which of the following medications would the nurse request? A) Nystatin B) Lidocaine C) Clotrimazole D) Calcipotriene

C) Clotrimazole

The nurse is providing care for a client prescribed methylprednisolone (Medrol). The nurse knows this medication mimics which of the following hormones naturally produced by the body? A) Insulin B) Thyroxine C) Cortisol D) Estrogen

C) Cortisol

While assisting with the care of a client with a history of alcohol abuse, the LPN determines the client's withdrawal symptoms are worsening. Which of the following actions should the nurse take next? A) Provide the client with warm blankets and turn out the lights and reduce noise levels. B) Call the family to see if someone can come with the client. C) Determine if the client has an order for prn diazepam (Valium). D) Inform the RN that the client is in need of restraints.

C) Determine if the client has an order for prn diazepam (Valium).

While playing at the park with her children, the nurse notes a toddler who has honey-colored crusts and open areas on the lips and nose. Which of the following actions should the nurse take first? A) No action is required as the child is exhibiting symptoms of a common cold and medications will not alter the child's symptoms. B) Ask the child's parent if the child has food allergies and suggest the use of an antihistamine. C) Inform the child's parent the child may have a common bacterial infection and should be seen by a physician for topical or systemic antibiotics. D) Suggest the child's parent seek treatment for suspected thrush with an oral antifungal agent.

C) Inform the child's parent the child may have a common bacterial infection and should be seen by a physician for topical or systemic antibiotics.

While reviewing medications for a patient with multiple sclerosis, the student nurse recognizes that baclofen (Lioresal) is given for which the following symptoms? A) Gout B) Calcium balance C) Muscle spasticity D) Joint pain

C) Muscle spasticity

The nurse is reviewing medications taken at home by a client diagnosed with myasthenia gravis a year ago. Which of the following medications would the nurse anticipate the client takes? A) Diclofenac with misoprostol (Voltaren) B) Teriparatide acetate (Forteo) C) Neostigmine (Prostigmin) D) Calcium carbonate (Os-Cal D)

C) Neostigmine (Prostigmin)

An LPN working in a family practice office talks to a client who recently received sodium iodine 131 for the treatment of hyperthyroidism. Which of the following assessments by the nurse is best? A) Determine if the client has been experiencing any hair loss. B) Ask the client to report sleeping patterns since treatment. C) Obtain a diet history for the past 24 hours. D) Take the client's vital signs and note any tachycardia.

D) Take the client's vital signs and note any tachycardia.

At 8 a.m. the LPN is reviewing client assignments and notes one of the clients has a current blood glucose of 264. Breakfast is routinely served at 8:30. The following orders are noted in the chart. What action should the nurse take? Accucheck ac and hs with sliding scale Insulin Aspart SQ: Glucose 0-150: 0 units 151-200: 2 units 201-250: 4 units 251-300: 6 units 301-350: 8 units 351-400: 10 units 400: Notify physician A) Provide 4 units insulin aspart SQ. B) Determine if the client has eaten anything. C) Provide 6 units insulin aspart SQ. D) Inform the nursing assistant the blood sugar should be rechecked closer to breakfast.

C) Provide 6 units insulin aspart SQ.

While caring for a client who just returned from cataract surgery and received glycerin (Ophthalgan solution), the nurse would take which of the following actions? A) Place the client in Trendelenburg position. B) Encourage the client to reduce fiber and fluid intake for the next few days. C) Raise the side rails and encourage the client to call for assistance out of bed. D) Connect the client to telemetry monitoring.

C) Raise the side rails and encourage the client to call for assistance out of bed.

The LPN working in a physician's office receives a call from a client who was prescribed a transdermal scopolamine patch for use during a long trip. The client reports, "We got home yesterday and I took the patch off, but now I'm feeling a little dizzy and nauseated." Which of the following actions should the nurse take? A) Notify the RN of a suspected adverse drug reaction. B) Determine if the client has an allergy to any anti-emetics. C) Reassure the client that this is a normal side effect of the medication and her symptoms should improve within a day. D) Suggest the client come in to be evaluated by the physician.

C) Reassure the client that this is a normal side effect of the medication and her symptoms should improve within a day.

While discussing the care plan of a client living in a long-term care facility who has Parkinson's disease, the LPN emphasizes that the client has been more forgetful, has been wandering at night, and seems more withdrawn in his behavior. Which of the following suggestions for the plan of care is best? A) Encourage the client to take advantage of more social outings and activities. B) Discuss an increased exercise program with the physical therapist. C) Suggest the physician evaluate the client for use of a rivastigmine (Exelon) patch. D) Determine if the client would like to have a bird in her room to keep him company.

C) Suggest the physician evaluate the client for use of a rivastigmine (Exelon) patch.

While caring for a client in the pediatric clinic, the nurse notes the physician has prescribed otic benzocaine (Americaine Otic) for a child. The LPN's instructions to the child's parents will be based on an understanding that this medication: A) Is used in the topical treatment of conjunctivitis B) Is provided in a cream formulation to be placed along the inner eyelid C) Will help numb the inner ear and relieve pain D) Will kill yeast associated with thrush

C) Will help numb the inner ear and relieve pain

As students are studying, one student asks, "What is the difference between anesthetics that are esters and those that are amides?" Which of the following responses is best? A) "Amides don't last as long so they are very helpful with conscious sedation." B) "Novocaine is an ester, so just keep that in your mind as an example." C) "The esters are used as inhaled anesthetics and the amides are not." D) "Both are local anesthetics but esters are used topically since the risk of anaphylaxis is high."

D) "Both are local anesthetics but esters are used topically since the risk of anaphylaxis is high."

While working to assist with the admission of a client to a rehabilitation center, the LPN notes the client takes the following medications: flunidolide (Nasalize) nasal spray daily, lamotrigine (Laical) extended release by mouth once daily and betaxolol (Betoptic S) eye drops twice daily. Based on this information, which of the following questions should the nurse ask first? A) "How long have you been treated for an eye infection?" B) "Do you have chronic dry eyes? C) "When did you have eye surgery?" D) "How long have you had glaucoma?"

D) "How long have you had glaucoma?"

The nurse is counseling a patient who will begin taking diazepam (Valium). Which of the following statements indicates further teaching is required? A) "I might feel sleepy with this medication." B) "I shouldn't drive until I know how you're going to respond to this medication." C) "This medication can be addictive, so I should only take it if I really need it." D) "I can drink alcohol as long as I don't get drunk."

D) "I can drink alcohol as long as I don't get drunk."

The LPN receives a call from the parent of a 3-year-old child who was recently seen for swimmer's ear. The parent reports the pharmacy filled the prescription for acetic acid (Vosol) but did not tell her how to put the drops in her child's ear. Which of the following responses by the nurse is best? A) "Just let your child put the drops in himself, that way he won't fight you." B) "Have the child sit in a chair and put his chin to his chest so the ear is facing down." C) "Put your child in his high chair and then have him look at the ceiling as you put in the drops." D) "It is usually best to have a young child lie down with the sore ear facing up."

D) "It is usually best to have a young child lie down with the sore ear facing up."

A nurse discussing home medications with a client taking cyclobenzoprine (Flexeril) since a motor vehicle accident left him paralyzed 3 months earlier, determines further teaching is required with which client statement? A) "This medication helps my muscles relax so I don't have as many spasms." B) "I've been taking this medication since I was paralyzed." C) "I have trouble emptying my bladder sometimes, which might be due to my injury or to the medication." D) "Now that it is getting to be spring, I'll need to take my antihistamines."

D) "Now that it is getting to be spring, I'll need to take my antihistamines."

Upon admission an 85-year-old client reports taking alendronate sodium (Fosamax) once weekly but states, "I can't remember why I take that one; I just know I take it on Monday." The best response by the nurse would be: A) "Ok, I'll ask the pharmacy to give you some literature on that medication." B) "Oh heavens, who can keep track of all the medications people take nowadays." C) "That sounds like one of the new medications given for memory problems." D) "That medication helps strengthen your bones and prevent fractures."

D) "That medication helps strengthen your bones and prevent fractures."

The nurse is educating a client who is to start a prescription for tacrolimus (Protopic) for the treatment of atopic dermatitis. The nurse knows further teaching is necessary when the client states which of the following? A) "This medication will help reduce the swelling and redness on my skin." B) "I should notice a big improvement in the constant itch I've been having." C) "I will have to take this medication by mouth at least three times a day." D) "This medication alters the local immune response on my skin but won't increase my risk for other infections."

D) "This medication alters the local immune response on my skin but won't increase my risk for other infections."

The LPN is assisting in the care of a 61-year-old woman who is to begin taking teriparatide acetate (Forteo). Which of the following statements by the nurse is best? A) "This medication prevents attacks of gout." B) "This medication alters the estrogen balance in your body to reduce the risk of bone loss." C) "The class of medications called bisphosphonates is used to treat muscle spasms." D) "This medication will help maintain the strength of your bones."

D) "This medication will help maintain the strength of your bones."

An LPN working in a physician's office receives a call from the parent of a child who recently started taking dexmethylphenidate hydrochloride (Focalin). The parent reports, "My son says he hasn't slept well for the past three days." Which of the following statements by the nurse is best? A) "Does your son watch TV or play video games in his room at night?" B) "Insomnia is a common side effect with this type of medication and it may take a while for your son to adjust." C) "I suggest you just give him half a pill in the morning today and see what happens." D) "When does he usually take the medication?"

D) "When does he usually take the medication?"

The student nurse recognizes that citalopram (Celexa) would most likely be taken by which of the following clients? A) A 26-year-old patient with a history of schizophrenia B) A 16-year-old patient diagnosed with alcoholism C) A 27-year-old patient with a history of seizures D) A 42-year-old patient with a history of depression

D) A 42-year-old patient with a history of depression

A nurse working in the orthopedic clinic reviews a list of client appointments for the day. Which of the following clients is most likely to need uric acid level labs to be drawn? A) An 83-year-old patient using Capsaicin for the treatment of osteoarthritis B) A 76-year-old patient taking ibuprofen (Advil) for rheumatoid arthritis C) An 84-year-old patient taking celecoxib (Celebrex) for degenerative joint disease D) A 69-year-old patient taking zyloprim (Allopurinol) for gouty arthritis

D) A 69-year-old patient taking zyloprim (Allopurinol) for gouty arthritis

The LPN is providing care for a client who reports an allergy to acetaminophen (Tylenol) and penicillin. The client has orders for morphine 1 mg IM every 2 hours prn for severe pain, and Percocet, two tablets every 4 hours prn for moderate pain. The client reports pain of 4 on a 10-point scale. Which of the following actions should the nurse take first? A) Ask the client what kind of reaction was seen when penicillin was taken. B) Ask the client which medication the client would like to use for pain management. C) Provide the client with 2 tablets of Percocet. D) Contact the RN so orders can be clarified.

D) Contact the RN so orders can be clarified.

While providing morning medications, the LPN is aware that the risk of interactions is highest for a client taking levothyroxine (Levothroid) concurrently with which of the following? A) Lanoxin (Digoxin) B) Fluticasone (Flonase) C) Granisetron (Kytril) D) Insulin

D) Insulin

Which of the following lab values would the nurse be most concerned with for a client who was taking phenytoin (Dilantin)? A) Uric acid level B) Hemoglobin C) Creatinine D) Liver enzymes

D) Liver enzymes

While reviewing the medication list for a client who is to start a COX-2 inhibitor, the nurse recognizes the need to clarify the order when it is noted that the client is already taking which of the following medications? A) Albuterol (Prudential) B) Ceftazidime (Fortaz) C) Donepezil (Aricept) D) Perindopril (Aceon)

D) Perindopril (Aceon)

An LPN working in an eye, ear, nose, and throat clinic, determines that long-term use of which medications should be avoided? A) Tetracaine (Altacaine) B) Glycerine (Osmoglyn) C) Meclizine (Antivert) D) Prednisolone ophthalmic (Econopred Plus)

D) Prednisolone ophthalmic (Econopred Plus)

The LPN is assisting in the care of a client with diabetes mellitus. The nurse aide reports the client's blood sugar result is 58 and the client is awake and reports feeling shaky and weak. Which action should the nurse take first? A) Recheck the client's blood sugar with another meter. B) Notify the RN the client needs intravenous GlucaGen. C) Take the client's vital signs. D) Provide the client with oral BD Glucose.

D) Provide the client with oral BD Glucose.

The nurse is providing care for a client with a history of manic-depression. Which of the following classifications of medications would the nurse expect to find prescribed for the client? A) Narcotics B) Benzodiazepines C) Cholinergics D) Psychotropics

D) Psychotropics

The LPN is caring for a client one day after a total hip replacement. The client has orders for a Dilaudid PCA machine and currently reports his pain is well controlled. The nurse would be most concerned by which of the following findings? A) The client's wife reports his last bowel movement was the day before surgery. B) The client's blood pressure is 126/62 and pulse rate is 60. C) The nurse notes the client has not voided since the Foley was removed 3 hours ago. D) The client is difficult to arouse with a respiratory rate of 10.

D) The client is difficult to arouse with a respiratory rate of 10.