Medication Proficiency Practice Test

A decrease in urine output

A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective?

By promoting gastric emptying

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?

Vitamin K

A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following medications should the nurse prepare to administer?

Furosemide

A nurse is caring for a client whose serum potassium level is 5.3 mEq/L. Which of the following scheduled medications should the nurse plan to administer?

Protamine

A nurse is caring for a hospitalized client who is receiving IV heparin for a deep vein thrombosis. The client begins vomiting blood. After the heparin has been stopped, which of the following medications should the nurse prepare to administer?

A SSRI affects only one neurotransmitter instead of several

A client is prescribed a selective serotonin re-uptake inhibitor and the nurse knows that a benefit of taking an SSRI over other anti-depressants is which of the following?

Epidural catheter migration

A client who is receiving epidural analgesia complains of nausea and loss of motor function in his legs. The nurse obtains his blood pressure and notes a drop in his blood pressure from the previous reading. Which complication is the patient most likely experiencing?

diarrhea

A nurse is preparing to administer cefotaxime IV to a client who has severe infection and has been receiving cefotaxime for the past week. Which of the following findings indicates a potentially serious adverse reaction to this med that the nurse should report to the provider?

Urticaria

A nurse is preparing to transfuse one unit of packed RBC to a client who experienced a mild allergic reaction during a previous transfusion. The nurse should administer diphenhydramine prior to the transfusion for which of the following allergic responses?

Increase fiber

A nurse is providing discharge teaching to a client who has a new prescription for verapamil, a calcium channel blocker, for angina. Which of the following instructions should the nurse include?

Asthma

A nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40 mg twice daily. Which of the following findings in the history should the nurse report to the provider?

Prednisone

A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance?

Diaphoresis and trembling

A patient received 6 units of regular insulin three (3) hours ago. The nurse would be MOST concerned if which of the following was observed?

Hyperkalemia

The nurse has just administered captopril to a client for the first time. For which of the following side effects will the nurse monitor?

Below 5.7%

Blood sugar is well controlled when Hemoglobin A1C is:

Tall peaked "T" waves

The nurse is caring for a client with a serum potassium level of 3.5 mEq/L. The client is placed on a cardiac monitor and receives 40 mEq potassium chloride in 1000 ml of 5% dextrose in water IV. Which of the following EKG patterns indicates to the nurse that the infusions should be discontinued?

Mix long acting insulin first

The nurse is caring for a diabetic client who takes insulin. Which of the following actions should the nurse take to avoid complications?

PKU is reversible

A new mother has some questions about phenylketonuria (PKU). Which of the following statements made by a nurse is not correct regarding PKU?

Report of anorexia

A nurse is assessing a client who is taking digoxin to treat heart failure. Which of the following findings is a manifestation of digoxin toxicity?

Check the client's vital signs

A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?

Monitor the frequency and consistency of bowel movements

A patient with Crohn's disease is receiving an infusion therapy of infliximab (Remicade). Which of the following should the nurse do while the patient is on this medication?

Autonomic neuropathy

A thirty-five-year-old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect?

Beta-adrenergic blockers

Nurse Kate is aware that one of the following classes of medication protects the ischemic myocardium by blocking catechol amines and sympathetic nerve stimulation is:

Obtain a serum glucose level

One hour following a normal vaginal delivery, a newborn infant boy's axillary temperature is 96° F, his lower lip is shaking and, when the nurse assesses for a Moro reflex, the boy's hands shake. Which intervention should the nurse implement first?

Spironolactone (Aldactone)

Potassium-wasting diuretics can cause hypokalemia and increase the risk of digoxin toxicity. Which of the following drugs commonly taken by cardiac clients would be safe for a client on digoxin.

When the meal tray arrives on the floor

The doctor orders insulin lispro (Humalog) 10 units for Alicia, a client with diabetes mellitus. When will the nurse administer this medication?

<130 mg/dl

The goal of preprandial blood glucose for those with type 1 diabetes mellitus is:

grapefruit

What food must nurses teach clients to avoid when taking calcium channel blockers (CCBs)?

Coronary artery disease

What is the main contraindication for administering hydralazine to a client?

Regular insulin (Novolin R)

Which insulin can be administered through continuous intravenous infusion?

PT, INR

Which lab tests are best evaluation for patients on warfarin therapy?

Inotropic agents (Digoxin)

Which of the following classes of medications maximizes cardiac performance in clients with heart failure by increasing ventricular contractility?

Platelet count, prothrombin time, and partial thromboplastin time

While monitoring a client for the development of disseminated intravascular coagulation (DIC), the nurse should take note of what assessment parameters?