Practice Questions
.A nurse is preparing to administer 250 mg of an antibiotic IM. Available is 3 g/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) ______ mL
0.4 mL
A nurse is preparing to administer amoxicillin 500 mg PO every 12 hr. The amount available is amoxicillin 250 mg/5 mL suspension. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) __________ mL
10
A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has a staphylococci infection. Available is clindamycin premixed in 50 mL 0.90% sodium chloride (NaCl). The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) ______ mL/hr
100 mL/hr
A nurse is preparing to administer fluconazole 400 mg by intermittent IV bolus daily. Available is fluconazole 400 mg in 0.9% sodium chloride (NaCl) 200 mL to infuse over 2 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.) ______ mL/hr
100 mL/hr
A nurse is preparing to administer amoxicillin 250 mg PO every 8 hr. The amount available is amoxicillin 125 mg tablets. How many tablets should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) ______ tablet(s)
2
A nurse is preparing to administer liquid mycostatin 600,000 units PO TID. Available is mycostatin 100,000 units/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) ______ mL
6
A nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions? A. Prevents dysrhythmias B. Slows intestinal motility C. Dissolves blood clots D. Relieves pain
A
A nurse is assessing a client who is taking oxacillin to treat an infection. The nurse should recognize which of the following findings is a manifestation of an allergic reaction? A. Pruritus B. Diarrhea C. Dark urine D. Fever
A
A nurse is caring for a client who has acute respiratory distress syndrome (ARDS), and requires mechanical ventilation. The client receives a prescription for pancuronium. The nurse recognizes that this medication is for which of the following purposes? A. Decrease chest wall compliance B. Suppress respiratory effort C. Induce sedation D. Decrease respiratory secretions
B
A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect? A. Seizures B. Bradycardia C. Constipation D. Hypothermia
C
What is the 1st step in choosing antimicrobial therapy?
Determine what type of infection you are treating.
Diazepam should not be stopped abruptly or used with ETOH/illicit substances. True False
true
How should amphotericin B be administered?
IV slowly over 6 hours
What are 3 possible side effects associated with ivermectin?
Lymph node enlargement, edema, rash
What is the difference between narrow-spectrum vs broad-spectrum antibiotics and when would each be used?
Narrow are affective against a few things and broad are affective against a lot of things. Narrow is used when the organism that is causing the infection is known and broad is used when the organism is unknown.
What are pathogens and pathogenicity?
Pathogens: microbes capable of causing disease. Pathogenicity: ability of an organism to cause infection
Which of the following medications is used for general anesthesia? Diazepam Lidocaine Dantrolene Propofol
Propofol
What three medication classes discussed today should be avoided during pregnancy?
Sulfonamides, Gentamicin, Tetracyclines
What is the difference in treatment between systemic fungal infection and superficial fungal infection?
Superficial fungal infections: nystatin Systemic fungal infections: fluconazole
What is the main therapeutic use discussed for azithromycin? And what education should the patient be provided?
Treatment for Chlamydia. Contraindicated with liver disease. If it is being used for Chlamydia treatment, the patient and thepartner need to complete the full treatment and have symptoms subside before they resume sexual activity. Hormonal contraceptives will have a decreased efficacy (another method should be used.) Complete the entire course
When administering propofol for conscious sedation, it is important to infuse lidocaine prior to propofol. True False
true
Which is an important step in administration of dantrolene? Monitor for mental status changes obtain baseline liver function Place on cardiorespiratory monitor all of the above
all of the above
This medication is used as a neuromuscular blocking agent. It is the only depolarizing agent in this class. diazepam pancuronium lidocaine succinylcholine
succinylcholine
What is the nursing administration for permethrin? What precautions need to be taken?
thin layer of cream for 8-14 hours then wash off with soap and water Wash all bedding, towels, clothes in hot water
Anesthesia is a medical procedure performed by administering drugs that cause loss of sensation True False
true
Dantrolene inhibits muscle contraction by preventing the release of calcuim in skeletal muscles. True False
true
Dantrolene is used to treat malignant hyperthermia True False
true
Diazepam can be used to aid in muscle spasms in addition to anesthesia induction. True False
true
Diazepam is given for pre-op anxiety and to provide sedation prior to surgical procedures. True False
true
Local anesthetics such as lidocaine patches have less risk of adverse events comparted to general anesthetics. True False
true
Malignant Hyperthermia is a life threatening emergency that occurs with administration of succinylcholine True False
true
This medication is used for local anesthesia. diazepam lidocaine pancuronium propofol
lidocaine
This type of anesthesia includes a peripheral nerve block. general anesthesia regional anesthesia
regional
A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following prescriptions with the provider? A. Amoxicillin-clavulanate B. Gentamicin C. Erythromycin D. Amphotericin B
A
A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. 10 minutes into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and short of breath. Which of the following actions should the nurse take first? A. Stop the infusion. B. Call the client's provider. C. Elevate the head of the bed. D. Auscultate the client's breath sounds.
A
A nurse is instructing the caregiver of a toddler who has bacterial conjunctivitis and a new prescription for an ophthalmic ointment. Which of the following instructions should the nurse provide? A. "Apply the ointment in a thin line into the conjunctival sac." B. "Ask the child to look down before applying the ointment." C. "Always wipe from the outer to the inner canthus when wiping away secretions." D. "Use a sterile glove and applicator to apply the antibiotic ointment."
A
A nurse is monitoring a client who received epinephrine for angioedema after a first dose of losartan. Which of the following data indicates a therapeutic response to the epinephrine? A. Respirations are unlabored. B. Client reports decreased groin pain of 3 on a 1 to 10 scale. C. The client's blood pressure when arising from resting position is at premedication levels. D. The client tolerates a second dose of medication with no greater than 1+ peripheral edema.
A
People who are allergic to penicillin antibiotics may also be allergic to what other medication class discussed today?
Cephalosporin Antibiotics
A nurse in a public clinic is planning a health fair for older adult clients in the community. In teaching medication safety, which of the following foods should the nurse advise the clients to avoid when taking their prescriptions? A. Carbonated beverage B. Milk C. Orange juice D. Grapefruit juice
D
The patient is being treated with Ceftriaxone for Gonorrhea. This medication can be administered via what two routes? Which route is preferred for outpatient treatment?
IM or IV. IM is preferred for outpatient
A patient is prescribed chloroquine phosphate. What is the therapeutic use of chloroquine?
Inhibits growth of parasite by binding to its DNA. Treatment for Acute Phase Malaria
A patient on all the following medications will require mechanical ventilation, EXCEPT: propofol pancuronium succinylcholine diazepam
diazepam
T or F. Symptoms of fungal infection will develop rapidly
false
True or False: Ivermectin will kill the adult roundworms.
false
This type of anesthesia causes loss of consciousness and eliminates response to painful stimuli. neuraxial anesthesia peripheral nerve blocks general anesthesia local anesthesia
general anesthesia
CNS depression as a result of general anesthesia includes: loss of memory loss of muscle coordination loss of sensory impulses all of the above
all the above
This type of medication can increase the effects of pancuronium. anticoagulants cephlasporins aminoglycosides
aminoglycosides
What blood test helps you to identify if the bacteria is aerobic vs anaerobic?
blood culture
In which condition is diazepam contraindicated in? bleeding conditions co-administration with tizanidine congestive heart failure bipolar disorder
co-administration with tizanidine
What is an important step in nursing administration with succinycholine? - continous monitoring of cardiac/respiratory status - monitor calcium levels -initiate warming measures if malignant hypothermia occurs -Insert a foley catheter
continous monitoring of cardiac/respiratory status
Which drug is not included in induction of general anesthesia? propofol ketamine dantrolene etomidate
dantrolene
Which medication is not used in rapid sequence intubation? opioid analgesic dantrolene succinylcholine propofol
dantrolene
A nurse is preparing to administer ampicillin and gentamicin sulfate via IV infusion. Which of the following resources should the nurse consult first regarding medication compatibility? A. Nurse manager B. Hospital pharmacist C. Health care provider D. Medication sales representative
B
A nurse is teaching a client who is taking metronidazole. Which of the following sense alterations should the nurse include as an adverse effect of metronidazole? A. Olfactory changes B. Metallic taste C. Alterations in touch D. Hearing loss
B
What are examples of Gram + vs Gram - bacteria?
Gram +: bacteria have a thick cell wall (ex. staphylococci, streptococci, and enterococci) Gram -: bacteria have thinner cell walls (ex. E. coli, Klebsiella, Pseudomonas, and Salmonella)
How does ketoconazole/ fluconazole differ from amphotericin B in terms of therapeutic use?
Ketoconazole/fluconazole is used for vaginal candidiasis while ampho B is used for severe fungal infections.
Goals of anesthesia include all but: analgesia amnesia skeletal muscle relaxation respiratory depression
respiratory depression
What side effect can occur in a patient who is asthmatic and prescribed chloroquine phosphate?
risk for bronchospasms
What is permethrin used to treat?
scabies
Propofol causes loss of consciousness True False
true
A nurse is preparing to instill ear drops to a 3-year-old child. Which of the following techniques should the nurse use? A. Pull the auricle down and back. B. Pull the auricle down and out. C. Pull the auricle up and back. D. Pull the auricle up and out.
A
A nurse is providing teaching to a client who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide? A. Wash the affected area with soap and water before applying cream. B. Increase intake of fluids while using this medication. C. The medication might cause temporary blurred vision. D. Apply the cream to large areas around the infection.
A
A patient who is prescribed metronidazole has presents to the ED after drinking at a winery all day. The patient has symptoms of facial flushing, vomiting, diarrhea, and dyspnea. What do we suspect is occurring with the patient and what is the next step?
A disulfiram-like rxn is occurring. Securing the airway should be the next step.
A nurse is teaching a class about safe medication administration. The nurse should include in the teaching that which of the following references are acceptable for safe medication administration? (Select all that apply.) A. A website that ends in .com B. Published journals C. Pharmacists D. Physicians' Desk Reference E. Pharmaceutical sales representatives
B, C, D
A nurse is planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool-age child. Which of the following actions should the nurse plan to take? (Select all that apply.) A. Spread the cream over the lateral surface of both forearms. B. Apply to intact skin. C. Apply the medication an hour before the procedure begins. D. Cleanse the skin prior to procedure. E. Use a visual pain rating scale to evaluate effectiveness of the treatment.
B, C, D, E
.A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take? A. Apply pressure to the bridge of the nose after administration. B. Wipe the eye from the outer canthus to the inner canthus before instillation. C. Drop prescribed amount of medication into the conjunctival sac. D. Protect the distal portion of the eyedropper using clean technique.
C
A nurse is planning care for a client who has a detached retina and is preoperative for a surgical repair. The nurse should prepare to administer which of the following medications? A. Phenylephrine B. Latanoprost C. Pilocarpine D. Timolol
A
A nurse is preparing to administer a medication to a client who states, "That looks different from the pill I usually take." Which of the following responses should the nurse make? A. "Describe what the pill looks like." B. "This is the medication prescribed by your provider." C. "This pill is probably from a different lot number than yours at home." D. "This hospital might use a different manufacturer, but the medication is the same."
A
A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching? A. "I will store the medication at room temperature." B. "I will take the medicine every morning on an empty stomach." C. "I will spit the medication out after swishing it around my mouth." D. "I will only need to take this medication for a few days."
A
A nurse is assessing a client who has a peripheral IV with a continuous infusion. Which of the following findings is a manifestation of phlebitis? (Select all that apply.) A. Erythema B. Damp dressing C. Throbbing D. Warmth at insertion site E. Streak formation
A, C, D, E
A nurse is preparing to instill eardrops to a 5-year-old child. Which of the following techniques should the nurse use? A. Pull the auricle down and back. B. Pull the auricle down and out. C. Pull the auricle up and back. D. Pull the auricle up and out.
D
A nurse is caring for a client who has E. coli infection and a prescription for gentamicin 5mg/kg/day by intermittent IV bolus every 8 hr. Which of the following manifestations indicate the client is experiencing gentamicin toxicity? (Select all that apply.) A. Insomnia B. Tinnitus C. Dizziness D. Restlessness E. Xerostomia
B,C
.A nurse is teaching a female client who has a new prescription for transdermal sumatriptan to treat migraine headaches. Which of the following instructions should the nurse include? A. "Take this medication daily to prevent headaches." B. "Activate the patch 30 minutes after application." C. "Use contraception while taking this medication." D. "You can bathe with the patch in place."
C
A clinic nurse is giving instructions to a mother on the proper technique of applying ophthalmic ointment to her preschool-age child who has conjunctivitis. Which of the following should the nurse include in the instructions? A. "Warm the ointment by placing the tube in glass of hot tap water." B. "Cleanse the eye with a wet cotton ball in a direction towards the inner canthus before applying the ointment." C. "Discard the first bead of ointment before each application." D. "Instruct your child to squeeze his eyes shut following application."
C
A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide? A. The medication is to be applied when the client is experiencing eye pain. B. The medication will be used until the client's intraocular pressure returns to normal. C. The medication should be applied on a regular schedule for the rest of the client's life. D. The medication is to be used for approximately 10 days, followed by a gradual tapering off.
C
A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide? A. Administer the medications by touching the tip of the dropper to the sclera of the eye. B. Hold pressure on the conjunctiva sac for 2 min following application of drops. C. Administer the medications 5 min apart. D. It is not necessary to remove contact lenses before administering medications.
C
A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication? A. Limit the client's fluid intake. B. Instruct the client to report agitation. C. Monitor the serum medication levels. D. Administer the medicine with food.
C
A nurse is caring for a client who has a fungal infection and has a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication? A. Sodium 140 mEq/L B. Potassium 4.5 mEq/L C. BUN 55 mg/dL D. Glucose 120 mg/dL
C
A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level? A. Draw a trough level at 0900 and a peak level at 2100. B. Draw a peak level 90 min prior to administering the medication and a trough level 90 min after the dose. C. Draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose. D. Draw a peak level at 0900 and a trough level at 2100.
C
A nurse is teaching a client who has a new prescription for erythromycin. Which of the following information should the nurse include? A. "Take this medication with a glass of grapefruit juice." B. "Expect your skin to turn yellow." C. "Monitor for ringing in your ears." D. "Increase fiber intake to prevent constipation."
C
A nurse is caring for a client who received an injection of penicillin G procaine. The client begins to experience dyspnea and tongue swelling. Which of the following actions should the nurse perform first? A. Obtain intravenous fluids for administration. B. Record the observed data in medical record. C. Deliver a dose of aminophylline by inhalation. D. Administer epinephrine subcutaneously.
D
A nurse is planning to administer ceftriaxone IM to an adult client. Which of the following actions should the nurse plan to take? A. Administer the medication using a 5/8-inch needle. B. Administer the medication at a 45° angle. C. Administer the medication in the deltoid muscle. D. Administer the medication using a Z-track technique.
D
A nurse is teaching a class about medication reconciliation. Which of the following information should the nurse include in the teaching? A. Do not include over-the-counter medications in the medication reconciliation report B. Provide a list of the client's current medications during the change of shift report. C. Do not perform reconciliation for a client at discharge from a health care facility. D. Provide a list of the client's current medications during admission to a health care facility.
D
