Unit 2 Practice Questions
The development of a new infection as a result of the elimination of normal flora by an antibiotic is referred to as what? Choice A: Resistant infection Choice B: Superinfection Choice C: Nosocomial infection Choice D: Allergic reaction
Choice B: Superinfection
Before administering a cephalosporin to a patient, it is most important for the nurse to assess the patient for an allergy history to what? Choice A: Soy products Choice B: Peanuts Choice C: Penicillin Choice D: Opioids
Choice C: Penicillin
The nurse is monitoring a client receiving levothyroxine sodium for hypothyroidism. Which findings indicate the presence of a side effect associated with this medication? Select all that apply a. Insomnia b. Weight loss c. Bradycardia d. Constipation e. Mild heat intolerance
a. Insomnia b. Weight loss e. Mild heat intolerance
A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus previously had been well controlled with glyburide daily, but recently the fasting blood glucose level has been 180-200 mg.dL. Which medication, if added to the client's regimen, may have contributed to the hyperglycemia? a. Prednisone b. Atenolol c. Phenelzine d. Allopurinol
a. Prednisone
The home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse should tell the client to take which action? a. Freeze the insulin b. Refrigerate the insulin c. Store the insulin in a dark, dry place d. Keep the insulin at room temp
b. Refrigerate the insulin
A client is about to begin a 6-month course of therapy with isoniazid. The nurse should plan to teach the client to take which action? a. Use alcohol in small amounts only b. Report yellow eyes or skin immediately c. Increase intake of swiss or aged cheeses d. Avoid vitamin supplements during therapy
b. Report yellow eyes or skin immediately
A daily dose of prednisone is prescribed for a client. The nurse provides instructions to the client regarding administration of the medication and should instruct the client that which time is BEST to take this medication? a. At noon b. At bedtime c. Early morning d. Any time, at the same time, every day
c. Early morning
Which of the following medications would be of priority in holding prior to and 48 hours following any radiological study that involves IV contrast? a. Insulin b. Glyburide c. Metformin d. Prednisone
c. Metformin
A patient has been taking metformin for type 2 diabetes. Which statement made by the patient indicates the need for further teaching? a. I will report muscle aches and tiredness b. I will avoid binge drinking c. I may experience GI side effects d. This medication stimulates my pancreas to secrete insulin
d. This medication stimulates my pancreas to secrete insulin
A teaching plan for a patient who is taking lispro should include which instruction by the nurse? Choice A: "Inject this insulin within 15 minutes of eating, because it is very fast acting." Choice B: "The duration of action for this insulin is about 8 to 10 hours, so you'll need a snack." Choice C: "This insulin needs to be mixed with regular insulin to enhance the effects." Choice D: "To achieve tight glycemic control, this is the only type of insulin you'll need."
Choice A: "Inject this insulin within 15 minutes of eating, because it is very fast acting."
A patient with type 1 diabetes reports mixing NPH and regular insulin to allow for one injection. What should the nurse tell the patient? Choice A: This is an acceptable practice. Choice B: These two forms of insulin are not compatible and cannot be mixed. Choice C: Mixing these two forms of insulin may increase the overall potency of the products. Choice D: NPH insulin should only be mixed with insulin glargine.
Choice A: This is an acceptable practice.
The RN is preparing to administer morning medications to a patient with newly diagnosed TB. The patient asks, "Why do I have to take so many different drugs?" Which response is correct? Choice A: "Your prescriber hopes that one of the drugs will work to fight the TB." Choice B: "Taking multiple drugs increases effectiveness and reduces the chance that the TB will become drug resistant." Choice C: "Using more than one drug can help reduce side effects." Choice D: " Using multiple drugs enhances the effect of each"
Choice B: "Taking multiple drugs increases effectiveness and reduces the chance that the TB will become drug resistant."
Which information will the nurse include in discharge teaching for a patient receiving doxycycline? Choice A: Take the medication until you feel better Choice B: Use sunscreen and protective clothing when outdoors Choice C: Keep the remainder of the medication in case of recurrence Choice D: Take the medication with food and milk to minimize GI upset
Choice B: Use sunscreen and protective clothing when outdoors
A patient who took NPH insulin at 0800 reports feeling weak and tremulous at 1400. Which action should the nurse take? (NPH is intermediate, could be peaking at that time and that can be when patient is at risk for hypoglycemia) Choice A: Contact the provider Choice B: Give the patient's PRN dose of insulin. Choice C: Check the patient's blood glucose. Choice D: Advise the patient to lie down with the legs elevated.
Choice C: Check the patient's blood glucose.
When planning care for a patient receiving a sulfonamide antibiotic, it is important for the nurse to perform which action? Choice A: Advise the patient to report any tinnitus Choice B: Encourage a diet that causes acidic urine Choice C: Encourage fluid intake of 8 to 10 glasses of water a day Choice D: Insert an indwelling catheter for accurate intake and output
Choice C: Encourage fluid intake of 8 to 10 glasses of water a day
Insulin glargine is prescribed for a hospitalized patient who is diabetic. When will the nurse administer this drug? Choice A: Approximately 15 to 30 minutes before each meal Choice B: In the morning and at 4 PM Choice C: Once daily at bedtime Choice D: After meals and at bedtime
Choice C: Once daily at bedtime
A nurse observes a red streak and palpates the vein as hard and cordlike at the intravenous (IV) site of a patient receiving cefepime. Which assessment should the nurse make about the IV site? Choice A: An allergic reaction has developed to the drug solution. Choice B: The drug has infiltrated the extravascular tissues. Choice C: Phlebitis of the vein used for the antibiotic has developed. Choice D: Local infection from bacterial contamination has occurred.
Choice C: Phlebitis of the vein used for the antibiotic has developed.
The nurse identifies which of the following as the most common toxic effect of vancomycin therapy? Choice A: Ototoxicity Choice B: Hepatotoxicity Choice C: Renal toxicity Choice D: Cardiac toxicity
Choice C: Renal toxicity
When a patient is on Gentamicin, the nurse will monitor for which indicators of potential toxicity? Choice A: Fever Choice B: Elevated liver function tests Choice C: Tinnitus and dizziness Choice D: Decreased blood urea nitrogen (BUN)
Choice C: Tinnitus and dizziness
The nurse is reviewing the medication profile for a patient who will be receiving linezolid therapy. Which other medication class would be cause for concern? Choice A: NSAIDS Choice B: Calcium Channel Blockers Choice C: Anticoagulants Choice D: SSRIs
Choice D: SSRIs
The nurse provides instructions to a client who is taking levothyroxine. The nurse should tell the client to take the medication in which way? a. With food b. At lunchtime c. On an empty stomach d. At bedtime with a snack
c. On an empty stomach
The nurse has given a client taking ethambutol info about the medication. The nurse determines that the client understands the instructions if the client states that he or she will immediately report which finding? a. Impaired sense of hearing b. GI side effects c. Orange-red discoloration of body secretions d. Visual changes
d. Visual changes
