Pharmacology I Final NCLEX Text Questions

Which of the following statements by a male patient taking transdermal androgens indicates that teaching has been adequate? (choose all that apply.) A. "I need to weigh myself once or twice weekly and record the amount." B. "I should wash my face and body thoroughly to decrease the risk of acne." C. "The patch systems should be applied nightly to skin on my back, abdomen, upper arm, or thigh." D. "I should apply the patch systems in the morning to the same site each and every day."

A, B, C (pg. 836)

a pt presents with a BP of 162/88 mm Hg, HR of 100 bpm, triglycerides of 378 mg/dL, and HDL of 25 mg/dL. Which of the following are characteristics of metabolic syndrome? (select all that apply) A. Bp of 162/88 B. HR 100 C. triglycerides of 378 mg/dL D. HDL of 25 mg/dL

A. BP of 162/88, C. triglycerides of 378 mg/dL, D. HDL of 25 mg/dL (pg. 718)

The nurse is administering a continuous IV infusion of calcium properly diluted in a compatible IV fluid. Which one of the following would it be most important for the nurse to monitor? A. Cardiac rhythm B. Urine output C. Hearing Changes D. Musculoskeletal pain

A. Cardiac rhythm (pg. 787)

A woman receives a prescription of hydrocortisone for adrenal insufficiency. It is necessary to report which of the following conditions to the primary health care provider? A. fever B. Headache C. insomnia D. neuropathic pain

A. Fever (pg. 801)

A patient is being treated with colchicine for acute gouty flare-up. Which of the following statements indicates the need for increased patient education? A. "I am going to stop taking the colchicine because of the diarrhea I'm having" B. "the gastrointestinal effects are difficult to deal with but I know they will decrease my gouty symptoms." C. "I will continue my colchicine just as it has been prescribed for me" D. "The diarrhea I am experiencing can result in dehydration. If I have lethargy I will call my prescriber"

A. I am going to stop taking the colchicine because of the diarrhea I'm having. (pg. 267)

a man has sustained burns over 80% of his body in a boating accident. Which of the following hormones is released to raise the arterial BP? A. antidiuretic hormone B. oxytocin C. melanocyte-stimulating hormone D. luteinizing hormone

A. antidiuretic hormone (pg. 765)

A 16 y.o. girl develops migraine headaches. Which of the following medications is safe and effective for the treatment of migraine headaches? A. antiepileptic agents B. triptans C. ergot alkaloids D. opioids

A. antiepileptic agents (pg. 945)

Finasteride is most effective: A. If started early in the development of prostatic hypertrophy B. for improvement of erectile dysfunction C. when prostatic hypertrophy is advanced D. to decrease the risk of prostate cancer

A. if started early in the development of prostatic hypertrophy

a man is hospitalized due to a relapse of his psychotic disorder. He states "I quit taking my meds because I always forget to take them at least one time a day". Which of the following regimens for his antipsychotic meds will increase med adherence? A. monthly injections by a home care nurse B. low-dose daily therapy C. daily visits to the clinic to receive his meds D. once a week drug therapy

A. monthly injections by a home care nurse (pg. 1026)

The nurse is circulating in the operating room when the anesthesia provider declares a malignant hyperthermia emergency. Which of the following symptoms are indicative of malignant hyperthermia? A. muscle rigidity B. bradycardia C. hypokalemia D. increased serum creatinine

A. muscle rigidity (pg. 920)

A man is taking chlorpromazine (thorazine). He develops a high fever, respiratory depression, and diminished level of consciousness. What condition has the pt developed? A. neuroleptic malignant syndrome B. dystonia C. anhedonia D. akathisia

A. neuroleptic malignant syndrome (pg. 1029)

Which of the following medications is contraindicated with acetaminophen? A. percocet B. furosemide C. phenytoin D. ampicillin

A. percocet. It contains acetaminophen. (pg. 254)

A mom calls the clinic to report that her son recently started meds to treat ADHD. The mother fears her son is experiencing side effets of the med. Which of the following side effects are typically r/t meds used for ADHD? A. poor appetite B. frequency of urination C. wt. gain D. sedation

A. poor appetite (pg. 1053)

a pt is beginning a new drug regimen of escitalopram (lexapro) for depression. Before administering this med, it is necessary to assess for which of the following? A. prior recent use of monoamine oxidase (MAO) inhibitors B. prior diet high in tyramine-containing foods C. hx of cigarette use D. hx of seizure disorders

A. prior recent use of monoamine oxidase (MAO) inhibitors (pg. 1014)

Error-reduction strategies during medication administration include (choose all that apply) A. quiet zone signs at entrance to the medication room B. protocols and checklist outlining medication administration C. wearing of a sash or vest to signal to others to avoid interruptions of the nurse during medication administration D. carrying several patients' prescanned medications on a tray

A. quiet zone signs at entrance to the medication room, B. protocols and checklist outlining medication administration, C. wearing of a sash or vest to signal to others to avoid interruptions of the nurse during medication administration (pg. 12)

The administration of fludrocortisone acetate (Florinef Acetate) is necessary in which of the following conditions? A. hypoglycemia B. hypernatremia C. hypercalcemia D. hyperphosphatemia

B. Hypernatremia (pg. 801)

Once an ovum is fertilized, what hormone works to maintain pregnancy? A. Estrogen B. Progesterone C. Follicle-stimulating hormone D. Luteinizing hormone

B. Progesterone. It creates endometrial support and maintains the environment. (pg. 812)

In which of the following men would the use of sildenafil be contraindicated? A. a 52 year old with type 1 diabetes B. a 58 year old with unstable angina C. a 69 year old with asthma D. a 74 year old with cirrhosis

B. a 58 year old with unstable angina. Sildenafil shouldn't be taken with organic nitrates, commonly used to treat angina, because the drug combination can cause severe hypotension resulting in dizziness, stroke, syncope, or heart attack (pg. 842)

The nurse is taking care of a man who is confused about the different medications he is prescribed. He notes that some of the drug names have changed over the course of time he has been taking them. When counseling him, it is most important to keep the following statement in mind: A. a drug can belong to only one group or classification B. a prototype drug is the standard by which similar drugs are compared C. drug groups and prototypes change frequently, and knowledge about a prototype cannot guide knowledge about other drugs in the same class D. The generic name of a drug changes among manufacturers

B. a prototype drug is the standard by which similar drugs are compared (pg. 5)

A nurse is teaching the importance of proper diet to a pt taking the MAO inhibitor tranylcypromine (Parnate) for depression. Which of the following food selections by the pt indicates that further teaching is needed? A. a tossed salad and a bowl of vegetable soup B. a salami and swiss cheese sandwich and a banana C. a hamburger and ff D. a cold plate with cottage cheese, chicken salad, and grapes

B. a salami and swiss cheese sandwich and a banana (pg. 1018)

A teen is taking a CNS stimulant. Which of the following is a common effect of CNS stimulant meds? A. hypotension B. anorexia C. sedation D. hypouricemia

B. anorexia (pg. 1065)

a pt w/ COPD is being administered a corticosteroid by nebulizer. What effect does the corticosteroid have? A. decrease in BP B. decrease in mucus secretion C. decrease in edema D. increase in immunity

B. decrease in mucus secretion (pg. 279)

Which of the following medications increases the effectiveness of local anesthetics? A. norepinephrine B. epinephrine C. calcium D. phosphorous

B. epinephrine. Prolongs effectiveness of local anesthetic. (pg. 911)

A teenage girl is suffering from migraine headaches. Her health care provider orders a combination of acetaminophen, aspirin, and caffeine. Prior to the administration of the medication, it is necessary to assess for which of the following? A. anxiety and depression B. history of smoking C. family history of migraines D. antacid use

B. history of smoking. (pg. 938)

A prescriber has ordered a CNS stimulant for a child. What is the expected outcome of this med? A. increased behavioral problems B. improved performance in school work C. decreased ability to complete a task D. increased hyperactivity

B. improved performance in school work (pg. 1045)

A 63 year old man begins to take dutasteride for benign prostatic hypertrophy. He asks the nurse how long he will need to take the medication. The man needs to take the drug for how long? A. 2 years B. indefinitely C. for 2 weeks D. until his prostate is normal

B. indefinitely (pg. 842)

An anesthesia provider administers vecuronium. What is the expected effect of this drug? A. decrease in anxiety B. induction of paralysis C. decrease in spasticity D. reduction in tachycardia

B. induction of paralysis. (pg. 926)

a man is diagnosed with schizophrenia. He exhibits anhedonia, which is defined as which of the following? A. seizure activity B. lack of pleasure C. worm-like movements D. depression

B. lack of pleasure (pg. 1026)

a 58 y.o. woman with type 2 DM takes glyburide (DiaBeta) 5mg by mouth daily, and this drug controls her diabetes well. However, recently her fasting blood glucose has measured between 200-220mg/dL. Which of the following medications may have been added to the pt's regimen? A. atenolol (tenormin) B. prednisone (deltasone) C. enalapril maleate (vasotec) D. levothyroxine sodium (synthroid)

B. prednisone (deltasone) (pg. 746)

The nurse is caring for a child who is receiving a CNS stimulant for ADHD. It is most important to monitor for which of the following? A. liver function B. wt. loss C. fever D. seizure activity

B. wt. loss (pg. 1045)

a pt is receiving haloperidol decanoate 100 mg IM. What assessment should the nurse make before and after the administration of this med? A. pulse rate B. respiratory rate C. BP D. mental status

C. BP (pg. 1032)

A pt is taking thiothixene (Navane). Which of the following outcomes is desireable with this medication? A. decreased HR and diminished agitation B. BP within normal limits and diminished psychosis C. HR of 60 bpm w increased pulse pressure D. mental status

C. HR of 60 bpm w increased pulse pressure (pg. 1032)

Which of the following interventions assists the pt in decreasing the anticholinergic effects of cyclobenzaprine (flexeril)? A. have the pt void before the administration of cyclobenzaprine B. give the pt lemon juice mixed with warm water to preven constipation C. give the pt hard candy to suck on D. assess the pt's pulse and BP

C. give the pt hard candy to suck on (pg. 979)

a pt has received a script for zolpidem (ambien). which of the following aspects of pt teaching is most important? A. take th emed with a high fat meal B. only take the med if Tylenol PM doesn't produce sleep C. go to bed immediately after taking the med D. take the med if nondrug relaxation has not produced sleep

C. go to bed immediately after taking the med (pg. 996)

a pt with type 2 diabetes calls the nurse to report the following symptoms: bg of 378 mg/dL, excessive urination, and feelings of becoming drowsier. To determine a possible diagnosis, which of the following questions is most important? A. has there been any change in diet B. has there been any fever C. have there been any ketones in the urine D. have you increased the amont of fluid intake

C. have there been any ketones in the urine (pg. 738)

A nurse is preparing to administer a subcutaneous injection. What size needle should the nurse use to administer the injection? A. 18 gauge B. 20 gauge C. 23 gauge D. 25 gauge

D. 25 gauge (pg. 51)

A patient has taken sumatriptan-naproxen sodium (Treximet) for an acute migraine. She has also taken OTC ibuprofen for menstrual cramps. Which of the following adverse effects is she at risk for developing? A. bronchospasm B. urinary retention C. edema D. GI bleed

D. GI bleed (pg. 942)

How is a medication delivered by piggyback administered? A. it is pushed into the IV line B. it is retrograded into the IV line C. it is injected intramuscularly after another medication D. it is mixed with 50-100 mL of IV fluid in a separate container

D. it is mixed with 50-100 mL of IV fluid in a separate container (pg. 59)

a pt w type 2 diabetes is scheduled to have a cardiac catheterization in 1 week, and the nurse makes a pre procedure phone call. the nurse instructs the pt to stop taking which med 2 days before the procedure? A. sitagliptin (januvia) B. insulin C. glyburide (diabeta) D. metformin (glucophage)

D. metformin (glucophage) (pg. 738)

A 21 y.o. woman is taking levothyroxine for hypothyroidism. She has recently become sexually active and would like to take an oral contraceptive. Which of the following aspects of pt teaching is most accurate? A. a low dose oral contraceptive agent is permissible with levothyroxine B. oral contraceptive agents increase the amount of thyroid hormone C. for protection from pregnancy, it is necessary to use an oral contraceptive and an alternative form of BC D. oral contraceptive agents result in diminished levothyroxine levels due to inactivation

D. oral contraceptive agents result in diminished levothyroxine levels due to inactivation (pg. 758)

which of the following adverse effects of the imipramine is considered the most serious? A. dry mouth B. constipation C. urinary retention D. orthostatic hypotension

D. orthostatic hypotension (pg. 1008)

Two weeks ago, a 4 y.o. girl fell from a backyard swing and hit her head. her mother states her potty-trained daughter has been wetting the bed for the past 3 nights. What do you suspect the bedwetting is related to? A. regression in development due to changes in the home B. drinking juices prior to bedtime C. a UTI D. possible diabetes insipidus

D. possible diabetes insipidus (pg. 766)

a pt is having a seizure that lasts longer than 30 mins. What type of generalized seizure is the pt experiencing? A. tonic-clonic B. absence seizure C. atonic seizure D. status epilepticus

D. status epilepticus (pg. 952)

a pt taking lithium is having problems with coordination and unstable gait. The patient's lithium level is 2.3 mEq/L. The nurse should do which of the following? A. continue to administer the lithium 3x per day B. skip a dose of lithium and then resume the regular med schedule C. administer an extra dose of lithium D. withhold the lithium and notify the prescriber of the lithium level

D. withhold the lithium and notify the prescriber of the lithium level (pg. 1018)

The nurse must administer a tetracycline antibiotic to a patient who takes an oral calcium supplement with each meal. When should the nurse administer the tetracycline? A. 2hrs before meals B. 30 minutes before meals C. With meals D. 1 hr after meals

A. 2 hours before meals (pg. 786)

an infant has diminished growth and development w a very slow pulse and below normal temperature. based on the symptoms, what disorder is suspected? A. Cretinism B. cushing's disease C. addison's disease D. thyroid storm

A. Cretinism (pg. 752)

A man has a low level of adrenocorticotropic hormone and a high level of cortisol. What disease does he have? A. Cushing's Disease B. Addison's Disease C. adrenal cortex hemorrhage D. myocardial infarction

A. Cushing's disease. (pg. 797)

A pt is taking phenobarbital (Luminal) for a seizure disorder. Which of the following statements indicates that the pt should be seen by a health care provider immediately? A. i have a rash that started on my trunk, and now it is on my arms and legs B. i rest if I feel tired C. I take my meds routinely and do not skip doses D. I have my blood levels checked if my breathing decreases

A. I have a rash that started on my trunk, and now it is on my arms and legs (pg. 957)

The nurse who is working in the genitourinary surgical division of the health center has an order to administer bethanechol (Urecholine) to a patient. Which of the following statements by the patient would require the nurse to hold the medication and notify the prescriber? A. I was diagnosed with hyperthyroidism this year B. I have not eaten any breakfast C. I have not urinated for 6 hours D. my mother was allergic to bethanechol

A. I was diagnosed with hyperthyroidism this year (pg. 957)

A boy comes to the school nurse's office and states, "I did not take my ritalin today". Which of the following is the most appropriate nursing intervention? A. call the child's parent of guardian to try to find out if the boy has taken his medicine B. give the child his morning dose since it is in the office C. send him back to class and tell him it is not necessary to take the med D. call the child's physician to obtain a one time dose of methylphenidate

A. call the child's parent or guardian to try to find out if the boy has taken his medicine (pg. 1050)

A man is receiving mitotane for an inoperable adrenocortical carcinoma. He is admitted to the emergency department following an automobile accident. He is diaphoretic and unresponsive. He has a blood pressure of 80/0 mm Hg. What medication should a nurse administer? A. a steroid B. an anticoagulant C. a beta blocker D. a sulfonylurea

A. a steroid (pg. 803)

A home care nurse is visiting an 88-year-old man, who is taking acetaminophen for arthritic pain in his knees. Which of the following patient teaching statements is most appropriate to implement? A. "acetaminophen will only relieve pain but not the inflammation from arthritis" B. "acetaminophen is appropriate for the treatment of inflammation from arthritis" C. "your primary health care provider should consider a prescription of Vicodin (acetaminophen/hydrocodone)." D. "acetaminophen should be administered on an empty stomach"

A. acetaminophen will only relieve pain but not the inflammation from arthritis (pg. 247)

When administering long-term systemic corticosteroid meds, which of the following dosing schedules is recommended? A. alternate-day therapy B. once daily at noon C. weekly therapy D. nightly therapy

A. alternate day therapy (pg. 283)

A 76-year-old woman is taking celecoxib for arthritic pain in her back. When administering celecoxib, which of the following patient teaching points is most important? A. any chest pain should be reported to the prescriber immediately B. celecoxib can be administered with warfarin C. increased mobility should be reported to the prescriber D. celecoxib can be administered with aspirin during periods of infection

A. any chest pain should be reported to the prescriber immediately. An MI is a side effect of celecoxib, which may manifest as chest pain. (pg. 263)

a pt is taking systemic corticosteroids. which of the following nursing interventions is most important to implement? A. assess for signs and symptoms of adrenocortical excess B. hold the corticosteroid before surgery or diagnostic testing C. assess for fluid volume deficit D. decrease the intake of vitamin C

A. assess for signs and symptoms of adrenocortical excess (pg. 289)

The nurse has administered lacosamide (Vimpat) to the wrong patient. What is the first action the nurse should take? A. assess the patient's vital signs and level of consciousness B. notify the physician C. fill out an incident report D. call the respiratory therapist for administration of oxygen

A. assess the patient's vital signs and level of consciousness (pg. 44)

Billy's medications should be individualized to ensure the best outcome. Individualizing drug therapy for a child involves which one of the following? A. assessing the child's age and development level B. Administering an adult drug selection and dosage and observing for adverse reactions C. deferring treatment until definitive pediatric dosing can be determined D. determining the child's diet and exercise needs

A. assessing the child's age and development level (pg. 71)

A pt is receiving prednisone 10 mg orally every day to reduce symptoms of Crohn's disease. Which of the following effects is associated with daily administration of prednisone? A. atrophy of the adrenal cortex B. decreased serum glucose C. wt loss D. fluid volume deficit

A. atrophy of the adrenal cortex (pg. 279)

A 62 y.o. man is admitted to the cardiac intensive care unit. He is in sinus bradycardia w/ a rate of 48 bpm. What is the drug of choice for sinus bradycardia? A. atropine sulfate B. epinephrine (Adrenalin) C. isoproterenol (Isuprel) D. dopamine (Intropin)

A. atropine sulfate (pg. 880)

a 46 y.o. woman is taking benztropine mesylate (cogentin). the nurse teaches her which of the following? A. avoid overheating and stay well hydrated B. double the dose with excess secretions C. report diarrhea to the prescriber D. administer benztropine with phenothiazines

A. avoid overheating and stay well hydrated (pg. 882)

Which of the following medications are administered for preventative therapy in the treatment of migraine? A. beta blockers B. nonsteroidal anti-inflammatory agents C. ergot alkaloids D. analgesics

A. beta blockers (pg. 935)

After patient teaching of the warning signs associated with combination hormonal contraception, what statement would result in the nurse providing additional education? A. "Breakthrough bleeding is a sign of a uterine abnormality." B. "I should immediately go to the emergency department if I get a sudden, severe headache that is not relieved by rest or analgesic." C. "Severe leg pain and swelling should immediately be reported." D. "Cardiovascular problems are the most severe adverse effect associated with oral contraceptives."

A. breakthrough bleeding is a sign of a uterine abnormality (pg. 827)

A patient has received neostigmine 50 mg. Which of the following is a serious adverse effect of neostigmine (Prostigmin)? A. bronchospasm B. h/a C. nausea D. sweating

A. bronchospasm (pg. 852)

The nurse who is caring for a pt admitted with an acute overdose of cocaine. What physiologic response should the nurse expect? A. severe lung damage B. anaphylaxis C. MI D. hypotension

C. MI (pg. 1065)

A prescriber has written an order for levothyroxine sodium (Synthroid) 50 mg per day by mouth. The nurse knows that the standard dose is 50 mcg. What action should the nurse take? A. call the prescriber and question the order B. administer 50 mcg instead C. consult the pharmacist about the order D. ask the patient what he or she usually takes

A. call the prescriber and question the order. mcg and mg should be written out as microgram or milligram on the order. (pg. 43)

a pt who is newly diagnosed with DM demonstrates extreme anxiety. The most appropriate intervention to decrease the pt's anxiety would be to A. convey empathy, trust, and respect toward the pt. B. administer an antianxiety med C. ensure that the pt knows the correct medical terminology to understand what is going on D. ignore the signs and symptoms of anxiety so they will disappear more quickly

A. convey empathy, trust, and respect toward the pt (pg. 746)

Progesterone is a progestin concerned almost entirely with reproduction. In nonpregnant women, progesterone is secreted by which of the following? A. corpus luteum B. hypothalamus C. anterior pituitary D. Adrenal cortex

A. corpus luteum. (pg. 821)

A nurse administers a peripherally acting muscle relaxant to a pt w/ a spinal cord injury. Which of the following drugs does the nurse administer? A. dantrolene (dantrium) B. baclofen (lioresal) C. methocarbamol (robaxin) D. diazepam (valium)

A. dantrolene (dantrium) (pg. 977)

Zolpidem is the most appropriate choice for pts who have which of the following conditions? A. difficulty in initiating and maintaining sleep B. early morning awakening C. agitation and violent outbursts D. obstructive sleep apnea and respiratory problems

A. difficulty in initiating and maintaining sleep (pg. 996)

the nurse is conducting pt teaching for a pt who will be taking alprazolam for treatment of anxiety. Which of the following meds increases the amount of alprazolam in the body? A. diltiazem (Cardizem) B. timolol (Istalol) C. albuterol inhaler D. bosentan (tracleer)

A. diltiazem (Cardizem) (pg. 993)

The nurse is taking care of an adolescent male with a hx of compulsive drug use. His parents have questioned him about the reasons behind such drug use. What factor is attributed to compulsive drug use? A. drug stimulation of the "reward" center in the brain B. a belief that the drugs are not harmful C. parental pressure to do well in school D. a permissive attitude toward taking drugs by parents and society

A. drug stimulation of the "reward" center in the brain (pg. 1058)

A newborn infant has been treated with parenteral indomethacin for treatment of patent ductus arteriosus. Which of the following symptoms would be indicative of a reopening of the ductus arteriosus in 12 hours after the original dosage? A. dyspnea B. pain C. elevated creatinine level D. hepatic failure

A. dyspnea. It is a sign of heart failure, and reopening of ductus arteriosus. (pg. 263)

A patient is admitted to the diagnostic procedure center for a routine colonoscopy. Propofol is the drug of choice for sedation. Which of the following food allergies should the nurse report to the anesthesia provider> A. eggs B. peanuts C. shrimp D. strawberries

A. eggs. (pg. 923)

A 78-year-old man is receiving treatment for hypertension. He has been having persistent headaches and difficulty with the medications he has been prescribed. This is the third prescription he has received. He states, "I can't afford to get this filled and then stop it in a few days." Which statement is most appropriate for the nurse to communicate to the patient? A. have the pharmacist give you a few pills to start B. take your other medication and then switch C. take the other medications back to the pharmacy for a refund D. save all your pills; you may need them again

A. have the pharmacist give you a few pills to start (pg. 80)

a pt diagnosed with addison's disease is taking exogenous corticosteroids. The nurse should assess the pt for which of the following adverse effects? A. hyperglycemia B. hyperkalemia C. hypercalcemia D. hypermagnesemia

A. hyperglycemia (pg. 289)

an adult has decreased GH. Which of the following signs and symptoms is the pt likely to develop? A. increased cholesterol B. increased muscle strength C. increased mental alertness D. increased BG

A. increased cholesterol (pg. 765)

A patient is taking naproxen sodium for headache and lithium for manic depression. Which of the following effects occurs when the naproxen is administered in combination with lithium? A. increased risk of lithium toxicity B. increase in creatinine clearance C. hepatotoxicity D. potential GI effects

A. increased risk of lithium toxicity. (pg. 938)

a boy has contracted a rash caused by poison Ivy over a large portion of his arms and legs following a camping trip. His health care provider has prescribed oral prednisone, which is to be administered in a tapering dose over the next 10 days. What effect does the med have on the rash? A. it decreases the accumulation of neutrophils and macrophages at the site, thus reducing inflammation B. it eliminates the itching associated with the allergy C. it increases the WBC count to assist in healing D. it increases the PR metabolism to allow for the rejuvenation of tissue

A. it decreases the accumulation of neutrophils and macrophages at the site, thus reducing inflammation (pg. 279)

What is the rationale for the administration of propofol? A. it has fewer lingering sedative effects B. it can be administered without risk C. it slowly crosses the blood-brain barrier D. there is less infusion pain with administration

A. it has fewer lingering sedative effects (pg. 923)

What is the rationale for withholding food or fluids following the application of a local anesthetic to the mouth or throat? A. it prevents aspiration B. it prevents infection C. it prevents a hypersensitivity reaction D. it enhances pain control

A. it prevent aspiration (pg. 913)

The 56 y.o. man is taking levodopa/carbidopa for Parkinson's disease. During the therapy, he becomes light-headed and dizzy. Which of the following is a potentially serious adverse effect of the drug treatment? A. orthostatic hypotension B. diminished fluid volume C. hematuria D. jaundice

A. orthostatic hypotension (pg. 870)

When caring for a patient who is receiving morphine, it is most important that the nurse regularly assess for which of the following? A. respiratory depression B. hyperactive bowel sounds C. frequent urination D. insomnia

A. respiratory depression (pg. 898)

An automobile worker visits an occupational health nurse. He has pain in his right hand due to repetitive movements, for which he has been taking aspirin 650 mg every 2 hours. Which of the following symptoms is indicative of salicylate toxicity? A. ringing in the ears B. halos around lights C. edema D. dysrhythmia

A. ringing in the ears. (pg. 252)

A woman is admitted to the labor and delivery unit with a BP of 200/90. The admitting diagnosis is preeclampsia. The IV magnesium sulfate ordered for this patient prevents? A. seizures B. myocardial damage C. tetany D. hypothermia

A. seizures (pg. 951)

a woman is being treated w long term corticosteroid therapy. her husband has just received a diagnosis of terminal cancer. how is his diagnosis likely to affect her treatment? A. she may need to have her dose of corticosteroid increased because of the stress B. she may need a decrease in corticosteroids because of the increase in cortisol C. she may need to be changed to a different corticosteroid because of the stress D. she may be switched to a parenteral form of corticosteroid

A. she may need to have her dose of corticosteroid increased because of the stress (pg. 287)

a pt has just received desmopressin. which electrolyte is most important to assess? A. sodium B. chloride C. potassium D. calcium

A. sodium (pg. 772)

Local anesthetics decrease the permeability of the nerve cells to ions. What is the most significant ion that reduces the excitability of the cell membrane? A. sodium B. potassium C. chloride D. magnesium

A. sodium (pg. 908)

An 85-year-old woman is administered a general anesthetic for repair of a hip fracture. Which of the following properties of the anesthetic place her at risk for respiratory depression? A. solubility in lipids B. solubility in water C. binding to cytochrome P450 D. binding to muscle tissue

A. solubility in lipids (pg. 78)

a pt stops taking clonazepam (klonopin). what adverse effect will occur? A. status epilepticus B. bone marrow depression C. cerebral edema D. lethargy

A. status epilepticus (pg. 957)

a man asks the nurse when he should take his daily dose of levothyroxine (synthroid). which of the following instructions is most appropriate to teach him? A. take it before breakfast on an empty stomach B. take it with meals every 8 hrs in divided doses C. take it every night at bedtime with a snack D. take it every day at the same without regard to meals

A. take it before breakfast on an empty stomach (pg. 758)

a 30 y.o. woman is receiving treatment for acromegaly. Her physician has prescribed octreotide for SQ administration 3 times per day. What is the most important information to teach the pt? A. to rotate the sites of the injections and use the sites infrequently B. to administer all injections in the dorsogluteal muscle C. to administer the injections with food D. to take an antacid if you experience gastric upset

A. to rotate the sites of the injections and use the sites infrequently (pg. 775)

The most clear-cut therapeutic indication for use of male sex hormones is which of the following? A. to treat androgen deficiency states in boys and men B. for body-building purposes C. to treat metastatic breast cancer D. to treat anemia associated with renal failure

A. to treat androgen deficiency states in boys and men (pg. 836)

During an initial nursing assessment, the patient reports that he is allergic to a particular medicine. What should the nurse ask the patient? A. what symptoms occurred when you had the allergic reaction? B. did you need to take epinephrine (Adrenaline)? C. Did your physician think this information needed to be communicated? D, have you ever overdosed on this medication?

A. what symptoms occurred when you had the allergic reaction? (pg. 61)

A 10 y.o. child diagnosed w/ ADHD has been taking amphetamine sulfate (Adderall) for the past 2 years. Which of the following are normal adverse effects of the drug? (choose all that apply) A. wt loss B. anorexia C. dry mouth D. bradycardia

A. wt loss, B. anorexia, C. dry mouth (pg. 1046)

When administering a beta-adrenergic agonist to a patient older than 65 years of age, what response do you anticipate? A. the drug will work very rapidly to decrease blood pressure B. the dosage will need to be increased to provide an effective response C. the drug should be combined with atropine to enhance effectiveness D. the dosage will need to be titrated over 20 minutes to increase BP

B. the dosage will need to be increased to provide an effective response (pg. 77)

what assessment should the nurse implement prior to the administration of levothyroxine? A. BG B. HR C. lung sounds D. urine output

B. HR (pg. 758)

a pt w a diagnosis of hyperthyroidism has a BP of 170/98. Which of the following meds might a physician prescribe to treat hypertension? A. PTU B. propranolol (inderal) C. furosemide (lasix) D. hydrochlorothiazide with triamterene (maxzide)

B. propranolol (inderal) (pg. 755)

Hormone therapy is indicated for A. treatment of osteoporosis B. relief of vasomotor symptoms C. cardiovascular disease prevention D. endometrial cancer treatment

B. relief of vasomotor symptoms (pg. 818)

a pt is taking NPH insulin once daily in the morning. What is the most likely time for a hypoglycemic reaction? A. 1-3 hrs after administration B. 4-12 hrs after administration C. 12-18 hrs after administration D. 18-24 hrs after administration

B. 4-12 hrs after administration (pg. 728)

The patient receives regular insulin 5 units subcutaneously. To what degree is the syringe held for the injection? (select all that apply) A. 30 degrees B. 45 degrees C. 60 degrees D. 90 degrees

B. 45 degrees, D. 90 degrees (pg. 59)

A woman visits the clinic. She state that she has been satisfying her recent cravings for salt by eating large quantities of potato chips and other salty foods. She has been under a great deal of stress, and last week she received treatment for pneumonia. What do these symptoms suggest? A. heart failure B. Addisonian crisis C. Hypernatremia D. thyrotoxicosis

B. Addisonian crisis. Craving salt is a hallmark symptom. She is likely deficient in mineralocorticoids. (pg. 796)

Which of the following groups are most commonly used for drug management of the hyperactive child? A. CNS depressants B. CNS stimulants C. anticonvulsants D. major tranquilizers

B. CNS stimulants (pg. 1052)

Which of the following groups are most commonly used for drug management of the pt with narcolepsy? A. CNS depressants B. CNS stimulants C. anticonvulsants D. major tranquilizers

B. CNS stimulants (pg. 1052)

Which of the following statements indicate the pt is in need of further pt teaching regarding meds for ADHD? A. I should not crush my tablets B. I can skip doses when I am feeling good C. I should not change my dosage w/o consulting my health care provider D. I should consult with my health care provider before taking any new meds

B. I can skip doses when I am feeling good (pg. 1052)

An elderly man being taking levodopa/carbidopa/entacapone (Stalevo). Which of the following symptoms warrants a change in the dosage? A. dilated pupils B. static gait C. edema D. nausea

B. static gait (pg. 874)

A physician writes an order using the abbreviation MS. The order states "MS 10 mg IV push every 6 hours as needed for pain." According to the Joint Commission's "Do Not Use" list, what is the potential problem in this order? A. The order does not include a dosage B. The drug could be magnesium sulfate or morphine sulfate C. The potential problem is minimal, and the order is clear D. The order dose not include the route

B. The drug could be magnesium sulfate or morphine sulfate (pg. 37)

the nurse is assessing a pt who has just begun taking glyburide (diabeta). which of the following is a therapeutic outcome for this pt?(select all that apply) A. a glycosylated hgb (hgb a1c) of 10% B. a decrease in polyuria C. a decrease in polyphagia D. a fasting bg of 108 mg/dL

B. a decrease in polyuria, C. a decrease in polyphagia, D. a fasting BG of 108 mg/dL (pg. 738)

A toddler is running a fever of 103 degrees F. Which of the following medications is alternated to treat the fever? A. aspirin and acetaminophen B. acetaminophen and ibuprofen C. naproxen sodium and ibuprofen D. aspirin and ibuprofen

B. acetaminophen and ibuprofen (pg. 254)

A patient with an overdose of an oral drug usually receives which of the following? A. specific antidote B. activated charcoal C. syrup of ipecac D. strong laxative

B. activated charcoal. Most therapeutic drugs do not have antidotes. Activated charcoal is considered the "universal antidote". (pg. 30)

A 48 y.o. man with severe akinesia develops severe symptoms of parkinsonism following the administration of his antiparkinson meds. This condition occurs only one to two times per month. Which of the following meds is the man's prescriber most likely to order? A. bromocriptine mesylate (Parlodel) B. apomorphine hydrochloride (Apokyn) C. cabergoline (Dostinex) D. pramipexole dihydrochloride (Mirapex, Mirapex ER)

B. apomorphine hydrochloride (apokyn) (pg. 870)

a woman is receiving treatment for acute short-term anxiety with a benzodiazepine. The nurse should teach the pt which of the following? A. monitor serum glucose levels B. avoid alcohol when taking these meds C. take meds with food D. expect a delay in therapeutic effects of several weeks

B. avoid alcohol when taking these meds (pg. 990)

a pt is admitted to the chemical dependence unit. the nurse receives order to administer flumazenil (romazicon). clinicians use flumazenil to treat overdoses with which of the following? A. alcohol B. benzodiazepines C. opioids D. amphetamines

B. benzodiazepines (pg. 1063)

A 50-year-old patient is 1 day postoperative following abdominal surgery for resection of colon cancer. Which of the following pain control devices is most effective in treating his pain? A. fentanyl citrate by the transdermal route B. bupivacaine hydrochloride by the epidural route C. lidocaine by the transdermal route D. fentanyl citrate by patient-controlled analgesia

B. bupivacaine hydrochloride by the epidural route (pg. 908)

Which of the following meds is the health care provider most likely to prescribe for a pt who is experiencing alcohol withdrawal? A. haloperidol (haldol) B. chlordiazepoxide (librium) C. propoxyphene (darvon) D. phenytoin (dilantin)

B. chlordiazepoxide (librium) (pg. 1063)

Patient teaching for a woman who will be using the transdermal patch Ortho Evra should include information about applying the patch to A. the skin daily B. clean and dry skin C. the same area for consistency D. the skin every 2 weeks

B. clean and dry (pg. 827)

A physician tells a patient to take aspirin for back pain. It is most important to instruct the patient to A. take the medication on an empty stomach to enhance absorption B. take the medication after a meal to prevent gastric irritation C. crush the enteric-coated tablet for increased effectiveness D. take the medication 2 hours after a meal to enhance absorption

B. take the medication after a meal to prevent gastric irritation (pg. 252)

In monitoring the status of a pt on a long-term course of a phenothiazine antipsychotic, the nurse needs to be most aware than an adverse effect of long-term use of phenothiazine antipsychotics is the development of which of the following? A. glaucoma B. tardive dyskinesia C. HTN D. diabetes

B. tardive dyskinesia (pg. 1029)

the nurse is monitoring a pt newly diagnosed w type 2 diabetes mellitus taking repaglinide (prandin) for complications. Which of the following, if exhibited by the pt, would indicate hypoglycemia and require immediate treatment? A. polyuria B. diaphoresis C. decreased HR D. hypertension

B. diaphoresis (pg. 739)

Which of the following meds is administered for status epilepticus? A. phenytoin (Dilantin) B. diazepam (valium) C. levetiracetam (Keppra) D. mephobarbital (mebaral)

B. diazepam valium (pg. 957)

A 68-year-old woman has been prescribed digoxin (Lanoxin) 0.125 mg. Based on her age, what condition is she at risk for developing? A. diarrhea B. digoxin toxicity C. edema D. pulmonary embolism

B. digoxin toxicity (pg. 78)

A woman reports to the prescriber that she has developed a fever, sore throat, and malaise after starting clozapine therapy. Which of the following interventions is most important? A. treat the pt with a broad-spectrum antibiotic B. discontinue the clozapine and obtain a complete blood count with differential C. inform the pt that this is normal when taking clozapine D. assess the pt for diminished mental alertness

B. discontinue the clozapine and obtain a CBC w differential (pg. 1036)

A patient is to receive an IM injection of ketorolac. Which of the following muscles should be avoided? A. deltoid B. dorsogluteal C. ventrogluteal D. vastus lateralis

B. dorsogluteal. Many health care facilities do not allow dorsogluteal IM. (pg. 51)

when teaching a pt who has recently received a diagnosis of diabetes how to self-administer short acting and intermediate acting insulin SQ, which of the following instructions is correct? A. understand that the order of drawing up the two insulins into the syringe doesn't matter B. draw the short acting insulin into the syringe first, followed by the intermediate acting insulin C. draw the intermediate-acting insulin into the syringe first, followed by the short acting insulin D. give yourself two injections because mixing these insulins together is unsafe.

B. draw the short acting insulin into the syringe first, followed by the intermediate acting insulin (pg. 728)

What should the nurse keep in mind when evaluating a patient's response to drug therapy? A. few drugs cause adverse effects B. drugs may cause virtually any symptom or problem C. patients always report adverse effects D. therapeutic effects are more important than adverse effects.

B. drugs may cause virtually any symptom or problem

A patient is admitted to the ED with a severe headache with n/v. She receives a diagnosis of an acute migraine headache. Which of the following medications assists in decreasing the n/v r/t the acute migraine episode? A. IV ketorolac B. intranasal sumatriptan C. inhaled albuterol D. oral diclofenac

B. intranasal sumatriptan (pg. 935)

A man has been taking imipramine (Tofranil) for 1 wk for depression. He tells the nurse that he is going to stop taking this med b/c it is not working. The best response is which of the following? A. contact your prescriber about taking a different antidepressant med B. it may take up to 4 wks before this med makes you feel better C. you should slowly taper rather than suddenly discontinue this med D. you should take an extra dose today to build up your blood level and get faster results

B. it may take up to 4 wks before this med makes you feel better (pg. 1080)

a girl is taking somatropin. Her mom asks the nurse when her daughter will no longer need the med. Which of the following is the nurse's best response? A. it will be stopped if she develops obesity B. it will be stopped when she has stopped growing C. it will be stopped when she no longer wants to take the med D. it will be stopped if she has a test showing that the epiphysis of the bone is open.

B. it will be stopped when she has stopped growing (pg. 770)

a nurse is educating grandparents about child safety. which of the following prevent precocious puberty? A. keeping tylenol out of a child's reach B. keeping estrogen cream out of a child's reach C. keeping nitro-bid paste out of a child's reach D. keeping hydrocortisone out of a child's reach

B. keeping estrogen cream out of a child's reach (pg. 766)

A prescriber in an orthopedic care practice orders meloxicam for the treatment of osteoarthritis. Which of the following medications when combined with meloxicam places the patient at greatest risk? A. antimicrobials B. lithium C. selective serotonin inhibitors D. hydrochlorothiazide

B. lithium (pg. 259)

which baseline lab test should a pt receive prior to starting the benzodiazepine? A. BG level B. liver enzymes C. lipid profile D. thyroid panel

B. liver enzymes (pg. 990)

Which of the following meds can be administered to the elderly, accumulates to a small extent in the brain, and is not affected by diminished hepatic function? A. diazepam B. lorazepam C. Clonazepam D. chlordiazepoxide

B. lorazepam (pg. 993)

A 30-year-old woman suffering from postpartum depression is scheduled to receive electroconvulsant therapy. Which of the following anesthetic agents will most likely be administered? A. methotrexate sodium B. methohexital sodium C. methocarbamol (Robaxin) D. methimazole (Tapazole)

B. methohexital sodium (pg. 923)

A nurse working in the ED is caring for a pt who has been brought in with suspected opioid overdose. What is the appropriate treatment to administer? A. disulfiram (antabuse) B. naloxone (narcan) C. amitriptyline (Elavil) D. chlordiazepoxide (Librium)

B. naloxone (narcan) (pg.1056)

which of the following places the pt at risk for toxicity following the administration of phenytoin (dilantin)? A. the pt skips a dose of phenytoin B. the pt takes a different brand of phenytoin C. the pt switches to a different antiepileptic agent D. the pt receives phenytoin in an enteral feeding

B. the pt takes a different brand of phenytoin (pg 969)

a pt has been treated for ventricular dysrhythmias with amiodarone. What is the pt at risk for developing? A. graves' disease B. thyroiditis C. thyroid storm D. cretinism

B. thyroiditis (pg. 752)

A 7 y.o. takes methylphenidate every morning. Which of the following behaviors would a nurse expect the child to engage in? A. to sit an dplay with his toys for 90 min B. to get along better with his peers C. to express his anger in an appropriate manner D. not to throw his toys across the room

B. to get along better with his peers (pg. 1042)

A pt is taking carisoprodol (Soma) for back spasms r/t an occupational injury. Which of the following is most important to teach the pt? A. take the med at 8am, 2pm, and 8pm B. to know the s&s of an idiosyncratic reaction C. to take the med between meals D. to stop the med with the first sign of abdominal cramping

B. to know the s&s of an idiosyncratic reaction (pg. 977)

A nurse practitioner prescribes estrogen replacement therapy to relieve severe menopausal symptoms of hot flashes or flushes, which are the result of: A. insufficient gonadotropin secretion B. vasomotor instability C. high levels of estrogen D. decreased progesterone

B. vasomotor instability. (pg. 818)

A man w acromegaly is planning a mission trip to Haiti to assit with rebuilding houses damaged in a recent earthquake. He is taking chloroquine to prevent malaria and octreotide for acromegaly. What is he at risk for developing? A. diarrhea B. ventricular dysrhythmia C. hepatotoxicity D. urinary retention

B. ventricular dysrhythmia (pg. 775)

A patient is to receive lamotrigine (Lamictal) 300 mg by mouth two times per day. The pharmacy has delivered 50-mg tablets. How many tablets should the nurse administer each time? A. 2 tabs B. 4 tabs C. 6 tabs D. 8 tabs

C. 6 tabs (pg. 51)

The nurse is caring for a patient who takes alendronate (Fosamax). Which adverse effects should the nurse observe for? A. numbness and tingling of the extremities B. Irregular pulse rate and angina C. Acid reflux and difficulty swallowing D. Rash and skin lesions

C. Acid reflux and difficulty swallowing (pg. 790) --GI symptoms most common adverse side effects

A man is admitted to the emergency department. He is hypotensive with nausea, vomiting, and muscle weakness. He has been taking enoxaparin (Lovenox) 40 mg subcutaneously daily for the past 2 weeks. It is suspected that he has developed which of the following disorders? A. Hyperglycemia r/t diabetes insipidus B. sepsis r/t his heart surgery C. hemorrhage of the adrenal cortex D. hyponatremia and cardiovascular collapse

C. Hemorrhage of the adrenal cortex. Hypotension, n/v, and muscle weakness in a patient who has been taking enoxaparin is most likely experiencing a hemorrhage of the adrenal cortex. (pg. 796)

The patient receives pentazocine (Talwin) for pain. Which of the following statements by the patient indicates an adverse effect of the medication? A. I feel cold all over B. My ears are ringing C. I feel like I am going to throw up D. My heart feels like it is skipping a beat

C. I feel like I am going to throw up. (pg. 902)

The nurse should administer chlorpromazine (Thorazine) in which of the following ways? A. IM into the deltoid muscle B. SQ into the abdomen C. IM in the ventrogluteal muscle D. SQ in the small of the back

C. IM in the ventrogluteal muscle (pg. 1029)

The health care provider has prescribed alendronate (Fosamax) for the patient. Which one of the following should the nurse include in discharge teaching? A. "Take alendronate first thing in the morning with orange juice." B. "Take alendronate at bedtime with a glass of milk." C. "Take alendronate first thing in the morning with water." D. "Take alendronate on a full stomach after breakfast."

C. It is necessary to take the drug first thing in the morning with plenty of water. (pg.790)

A woman is stable on lithium therapy for her bipolar disorder is shortly going to be receiving a drug for her hypertension. Which drug would be of greatest concern if added to the treatment regimen? A. a vasodilator B. an angiotensin-converting enzyme inhibitor C. a diuretic D. a calcium channel blocker

C. a diuretic (pg. 1018)

a 12 y.o. boy comes to the school nurse's office after falling during gym class. The nurse assesses the child and notes that he has bruising and petechiae over most of his legs, arms, and torso. The child has a hx of absence seizures that are treated with valproic acid (depakene). based on the child's hx, what would the nurse suspect? A. abuse B. leukemia C. adverse effect D. anemia

C. adverse effect (pg. 969)

a child is taking long term systemic corticosteroids. what factor influences the child's diminshed growth? A. hypokalemia B. fluid retention C. altered DNA synthesis D. increase in parathyroid hormone

C. altered DNA synthesis (pg. 287)

A man is admitted to the PACU following surgery, where he received vecuronium. He is unable to raise his head and develops SOB. What is the priority nursing intervention? A. notify the anesthesia provider B. administer furosemide C. apply high flow oxygen D. intubate the patient

C. apply high flow oxygen (pg. 927)

A nurse administers baclofen (lioresal) to a young man for a back injury. Which of the following intervention is most important r/t the administration of baclofen? A. assess HR B. assess for edema C. assess blood sugar D. assess for increased spasticity

C. assess blood sugar (pg. 977)

The nurse is administering the first dose of an anti-infective agent. Which of the following assessments should the nurse make prior to administering the anti-infective agent? A. Assess the patient's temperature B. assess the patient's level of consciousness C. assess if the patient is allergic to any anti-infective agent D. assess if the patient has taken the medication previously

C. assess if the patient is allergic to any anti-infective agent (pg. 43)

The nurse has administered bethanechol (Urecholine) to a patient who has not voided in 8 hours. What is the priority assessment following the administration of bethanechol? A. assess the patient's blood pressure in 2 hours B. assess the cardiac status every 15 minutes C. assess the patient's urinary output in 1 hour D. assess the patient's fluid intake for 24 hours

C. assess the patient's urinary output in 1 hour (pg. 857)

A 76 y.o. woman is taking levodopa/carbidopa/entacapone (Stalevo). Which of the following is the priority nursing intervention? A. administering w/ a high protein meal B. administering w/ meals only C. assessing for diarrhea D. assessing for constipation

C. assessing for diarrhea (pg. 874)

a 62 y.o. woman has reduced TSH level of 0.07 microunit/L and a normal T3 and t4. Which of the following symptoms is she at risk for developing? A. sinus bradycardia B. premature ventricular contractions C. atrial fibrillation D. prolong QT interval

C. atrial fibrillation (pg. 752)

The nurse should be prepared to administer which of the following drugs as an antidote to cholinergic drug overdose? A. epinephrine (adrenaline) B. diphenhydramine (benadryl) C. atropine (AtroPen) D. propranolol (Inderal)

C. atropine (AtroPen) (pg. 857)

When oral contraceptives are contraindicated in women with liver disease, what other birth control option would be safe? A. Ortho Evra (contraceptive patch) B. Depo-provera (injectable progestin) C. barrier method (condoms) D. Implanon (subdermal implant)

C. barrier method (pg. 827)

flumazenil is the treatment of choice for pt's who have which of the following conditions? A. severe agitation B. schizophrenia C. benzodiazepine overdose D. opioid dependence

C. benzodiazepine overdose (pg. 993)

A man is taking allopurinol for acute gout. He has also been receiving anticoagulant therapy since having a myocardial infarction. What is the priority assessment? A. diminished pain in the inflamed joint B. adherence to the medication regimen C. bleeding D. abdominal pain

C. bleeding, (pg. 267)

a construction worker sees the company's occupational health nurse. He inquires about smoking cessation medications. which of the following drug products can be used to aid smoking cessation? A. naltrexone (ReVia) B. disulfiram (antabuse) C. bupropion (zyban) D. dronabinol (marinol)

C. burporpion (zyban) (pg. 1065)

How do nursing interventions increase safety and effectiveness of drug therapy? A. by avoiding the use of nondrug measures during drug therapy B. by using multiple drugs to relieve most symptoms or problems C. By teaching patients about their drug therapy D. by avoiding excessive instructions

C. by teaching patients about their drug therapy

A 68-year-old woman is receiving chemotherapy. What is the rationale for teaching her to drink 8 glasses of water throughout the day following the administration of chemotherapy? A. Chemotherapy is toxic to the liver, and the water will reduce the adverse effects B. the water will prevent the body from rejecting the medication C. chemotherapy is excreted in the kidneys and urine. The water will help eliminate it from the body D. the water will prevent dehydration, an adverse effect of the medication

C. chemotherapy is excreted in the kidneys and urine. The water will help eliminate it from the body (pg. 80)

A pt is admitted to the ED w/ repeated tonic-clonic seizures. Tonic-clonic seizures may be attributed to which of the following drugs? A. ciprofloxacin hydrochloride (Cipro) B. cimetidine (Tagamet) C. cocaine D. morphine sulfate

C. cocaine (pg. 952)

a young woman, a graduate nurse, is scheduled to take the NCLEX exam in the morning. Which of the following hormones is released while she is asleep? A. glucagon B. insulin C. corticotropin D. antidiuretic hormone

C. corticotropin (pg. 765)

A seriously ill pediatric patient has been admitted to the ICU. The patient is intubated, and propofol is used for long-term sedation so the patient does not "fight" the ventilator. Which of the following lab values should be monitored? A. CBC B. alkaline phosphatase C. creatine kinase D. luteinizing hormone

C. creatine kinase. Elevation of this can indicate propofol infusion syndrome. (pg. 923)

A patient is admitted to the chemical dependence unit with chronic alcohol abuse. For which of the following symptoms does the nurse assess during alcohol withdrawal? A. euphoria, hyperactivity, and insomnia B. depression, suicidal ideation, and hypersomnia C. diaphoresis, n/v, and tremors D. unsteady gait, nystagmus, and profound disorientation

C. diaphoresis, n/v, and tremors (pg. 1063)

A 50 y.o. woman has a subarachnoid bleed. She has received treatment for migraine headaches in the past. Which of the following patient teaching guidelines is a priority on her discharge from the rehabilitation facility? A. take estrogen to prevent menstrual migraine B. take gabapentin (Neurontin) for neuropathic pain C. don't take sumatriptan (Imitrex) for migraine headache D. take zolmitriptan (Zomig) because it has a more rapid onset of action

C. don't take sumatriptan (Imitrex) for migraine headache (pg. 942)

A nurse is reading a research report about use of a medication that describes the pharmacokinetics of a particular medication that a patient is taking. Pharmacokinetics involves A. drug effects on human cells B. drug binding with receptors C. drug absorption, distribution, metabolism, and elimination D. drug stimulation of normal cell functions

C. drug absorption, distribution, metabolism, and elimination (pg. 21)

a man with type 2 diabetes mellitus has a bg of more than 500mg/dL. he is complaining of excessive urination, extreme thirst, and weakness, and he also notes recent wt loss. The nurse would expect to find which diagnosis in his chart? A. hypoglycemia B. DKA C. hyperglycemic hyperosmolar nonketoic syndrome D. hypothyroidism

C. hyperglycemic hyperosmolar nonketoic syndrome (pg. 738)

A child who is diagnosed with pneumonia is taking ibuprofen for a fever. The nurse observes a rash. Which of the following reactions does the nurse suspect? A. hypersensitivity to antimicrobial agents B. streptococcal reaction C. hypersensitivity to ibuprofen D. viral infection

C. hypersensitivity to ibuprofen (pg. 259)

Which statement made by a man indicates that he requires further pt teaching regarding adherence to his med regimen? A. if I experience muscle spasms in my neck, I must report that to the HCP B. if I experience sudden fever and difficulty breathing, I must report that to the HCP C. if I experience sedation, I must cut down on my meds D. If i experience dizziness, I must report that to the HCP

C. if I experience sedation, I must cut down on my meds (pg. 1036)

A man is difficult to arouse after IV administration of morphine sulfate. He has a respiratory rate of 7 breaths/min. Which of the following is the priority nursing diagnosis? A. ineffective tissue perfusion B. activity intolerance C. impaired gas exchange D. chronic pain

C. impaired gas exchange (pg. 904)

A 14 y.o. girl is diagnosed with menstrual migraines. Which of the following factors prevents the use of estradiol for the treatment of menstrual migraines? A. breakthrough bleeding B. leg pain C. incomplete long bone growth D. anxiety

C. incomplete long bone growth (pg. 945)

The daughter of a 75 y.o. woman states to the parish nurse that she noticed her mother rolling her fingers together on her right hand. The nurse observes the patient and determines she is "pill rolling", which is characteristic of Parkinson's disease. Which of the following factors contributes to the development of CNS symptom of "pill rolling"? A. decrease firing of the sinoatrial node B. conversion of angiotensin I to angiotensin II C. increase in excitatory acetylcholine D. influx of potassium through the cell membrane

C. increase in excitatory acetylcholine (pg. 870)

an 8 y.o. boy has been taking dexmethylphenidate 5 mg daily for 3 months. His mother is concerned that this dosage is not adequately treating his symptoms of ADHD. Which of the following behaviors would support the mother's concerns? A. increased concentration during school B. wt gain of 8 lbs over the past 3 months C. increased activity D. bradycardia

C. increased activity (pg. 1053)

a pt is admitted to the ED in anaphylactic shock following numerous bee stings. The prescriber orders parenteral administration of corticosteroids. What effect is expected from the administration of these agents? A. decrease HR and BP B. increased circulation to the lower extremities C. increased or restored cardiovascular responsiveness D. decreased production of aldosterone

C. increased or restored cardiovascular responsiveness (pg. 279)

A 3-month-old infant who receives fosphenytoin (Cerebyx) for a seizure disorder dose not process this drug in the same way as an adult. Alterations in infant pharmacokinetics that influence their action include which of the following concepts? A. drug response in infants is slower and less rapid than in adults B. neonates have a decreased response to drugs that affect the CNS. C. infants have a decreased response to water-soluble drugs and an increased response to protein-bound drugs D. by 3 months of age, drug response in infants is similar to that of adults

C. infants have a decreased response to water-soluble drugs and an increased response to protein-bound drugs (pg. 72)

The nursing supervisor of a skilled nursing facility observes an aide crushing an extended-release tablet of neostigmine and mixing it in applesauce. What instruction should the nurse provide to the aide? A. inform the aide that it is appropriate to crush the pill B. inform the aide to order a liquid form of neostigmine C. inform the aide that this will result in too large a dose D. inform the aide that neostigmine causes respiratory depression

C. inform the aide that this will result in too large a dose (pg. 852)

a cancer pt asks the nurse why he is being given a corticosteroid before his chemotherapy. Which of the following is the nurse's best response? A. it will prevent the development of anemia r/t the chemo B. it will prevent the development of hiccups, which is associated w chemo C. it will prevent n/v that occurs w chemo D. it will boost your immune system and prevent infection

C. it will prevent n/v that occurs w chemo (pg. 283)

A woman diagnosed with Alzheimer's disease has used donepezil (Aricept) for 4 years. Her daughter notices her memory is worsening. Which of the following meds might be more successful for enhancing her memory? A. tacrine (Cognex) B. rivastigmine (Exelon) C. memantine (Namenda) D. galantamine (Razadyne)

C. memantine (Namenda) (pg. 856)

A nurse is caring for a man who has worsening liver disease. In monitoring his medication, it is important to know that a patient with liver disease may have impaired drug A. absorption B. distribution C. metabolism D. excretion

C. metabolism (pg. 22)

A woman has received a diagnosis of Cushing's disease and is taking ketoconazole. Which of the following conditions affects the treatment plan? A. hypertension with administration of hydrochlorothiazide B. type 2 diabetes with the administration of metformin C. migraine headaches with the administration of ergotamine. D. heart failure with the administration of digoxin

C. migraine headaches w/ the administration of ergotamine (pg. 803)

A nurse is administering an elixir. Which of the following measures is appropriate? A. microgram B. milligram C. milliliter D. kilogram

C. milliliter (pg. 44)

A surgical patient with which of the following conditions may experience recurarization following the administration of vecuronium? A. hypertension B. hyperthyroidism C. myasthenia gravis D. patient with the diagnosis of Parkinson's disease

C. myasthenia gravis (pg. 927)

For an overdose of morphine sulfate, which drug should the nurse have on hand to counteract an overdose? A. phenytoin (Dilantin) B. tramadol (Ultram) C. naloxone (Narcan) D. atropine sulfate (Atropine)

C. naloxone (Narcan) (pg. 904)

A patient is asking what the difference is between a prescription for 800 mg of a medication that can be purchased on an OTC basis as a 200-mg tablet. To address this issue, it is important that the nurse knows that OTC drugs A. are considered safe for any consumer to use B. are not available for treatment of most commonly occurring symptoms C. often differ in indications for use and recommended dosages from their prescription versions D. are paid for by most insurance policies

C. often differ in indications for use and recommended dosages from their prescription versions (pg. 8)

A 40 y.o. patient is taking bethanechol (Urecholine) for urinary retention. The physician increases the dosage from 30-40mg. For which of the following adverse effects should the nurse assess? A. pulmonary edema B. bronchospasm C. orthostatic hypotension D. pulse deficit

C. orthostatic hypotension (pg. 857)

after a man takes atropine sulfate, he becomes nonresponsive and his respiratory rate drops. Based on these symptoms, what med is administered? A. dicyclomine (bentyl) B. dopamine (intropin) C. physostigmine salicylate (antilirium) D. diazepam (Valium)

C. physostigmine salicylate (antilirium) (pg. 880)

A liver transplant pt is receiving corticosteroids. These drugs are important to the care of this pt because they A. prevent thrombocytopenia B. increase immunity C. prevent tissue rejection D. decrease inflammation

C. prevent tissue rejection (pg. 283)

Postmenopausal women with an intact uterus taking estrogen for hormone replacement therapy require progestin because: A. progestins enhance the effects of estrogen B. combination therapy provides osteoporosis prevention C. progestin opposes the effects of estrogen on the endometrium D. uterine cancer is increased

C. progestin opposes the effects of estrogen on the endometrium. Without opposition to estrogen, increases risk of endometrial cancer. (pg. 821)

how does propranolol (inderal) control symptoms of hyperthyroidism? A. propranolol blocks the alpha-adrenergic receptor sites B. propranolol stimulates the thyroid gland to decrease thyroid production C. propranolol blocks the beta-adrenergic receptors in various organs D. propranolol lowers BP to decrease metabolism

C. propranolol block the beta adrenergic receptors in various organs (pg. 755)

A man arrives in the emergency department with a swollen right ankle from a fall. He is complaining of pain and limited mobility. What factor is contributing to the pain in the right ankle? A. blocking of cyclooxygenase-1 (COX-1) B. blocking of COX-1 and COX-2 C. release of prostaglandin E2 D. release of cytochrome P450

C. release of prostaglandin E2. Inflammation is a normal body response to tissue damage. Prostaglandins induce inflammation and enhance mediators of the response. (pg. 247)

A man is receiving patient-controlled analgesia (PCA), and his family questions why his pain medication is being given in this manner. The nurse is most correct in explaining that the main advantage of PCA is that it A. requires less nursing time B. causes fewer adverse effects C. relieves pain more effectively D. can be used long term

C. relieves pain more effectively (pg. 902)

What is the most common cause of death from opioids? A. hypertension B. CNS stimulation C. respiratory depression D. MI

C. respiratory depression (pg. 1065)

A pt with newly diagnosed type 1 diabetes is beginning daily insulin injections. The nurse is preparing to teach the pt about insulin injections. What should the nurse include in the teaching plan? A. understand that ketones in the urine indicate the need for a decrease in the number of units of insulin B. administer the insulin at the same time every day regardless of meals. C. rotate the insulin injection sites D. increase the insulin dosage just prior to exercise

C. rotate the insulin injection sites (pg. 728)

An elderly woman is taking tolcapone. She has noticed that her skin is yellow. the nurse assesses which of the following? A. intake of carrots B. temp related to infection C. sclera D. amount of urine output

C. sclera (pg. 872)

A patient with migraine headaches receives a prescription for an ergot alkaloid as abortive therapy. Which of the following is a priority intervention for patient education? A. notify the prescriber if an aura precedes the migraine headache B. administer the medication with food C. seek emergency help if cardiac changes occur D. administer the medication with caffeinated beverages

C. seek emergency help if cardiac changes occur (pg. 940)

Fluoxetine achieves its effects by A. blocking the uptake of monoamines B. inhibiting monoamine oxidase A (MAO-A) enzyme in nerve terminals C. selectively inhibiting serotonin reuptake D. directly stimulating serotonin receptors

C. selectively inhibiting serotonin reuptake (pg. 1014)

a pt is given chlordiazepoxide (librium) for acute alcohol withdrawal. during the admission interview with the pt's family, the nurse asks if the pt has taken which of the following herbal supplements? A. garlic B. ginger C. St. John's wort D. gingko biloba

C. st. john's wort (pg. 993)

A 65 y.o. woman has been taking levodopa for several weeks for symptoms of Parkinson's disease. Which of the following symptoms indicates that she is not receiving an adequate dose for the treatment of her symptoms? A. edema of the feet and ankles B. widened QRS complex C. static gait D. increased intraocular pressure

C. static gait (pg. 870)

The nurse is caring for a woman who has strong beliefs about not putting anything unnatural into her body. It is most accurate to say that most modern medications are A. natural products derived from plants B. natural products derived from minerals C. synthetic products manufactured in laboratories D. synthetic modifications of natural products

C. synthetic products manufactured in laboratories (pg. 5)

a pt is taking benztropine mesylate (cogentin) and reports GI upset following administration of the med. The nurse teaches the patient to do what? A, take med prior to eating B. take med before bed C. take med with food D. take med with maalox

C. take med with food (pg. 882)

A nurse is teaching family members how to administer donepezil (Aricept) for Alzheimer's disease. The instruction should include which of the following? A. take the med with food B. take the med on an empty stomach C. take the med at bedtime D. take the med at the start of each day

C. take the med at bedtime (pg. 856)

A 68 y.o. man is seen by a home care nurse. He has been taking chlorpromazine (Thorazine) since 1969 for schizophrenia. Which of the following adverse effects are most commonly seen after use of chlorpromazine for long periods? A. lethargy B. amnesia C. tardive dyskinesia D. dystonia

C. tardive dyskinesia (pg. 1029)

the nurse is administering intranasal desmopressin to a child. What does he or she need to do differently from administering this drug to an adult? A. the nurse should question the order, because intranasal desmopressin is contraindicated in children B. the nurse should encourage the mother to administer the med in the hospital C. the nurse needs to blow in the tube to administer the med D. the nurse should use parenteral administration in the child

C. the nurse needs to blow in the tube to administer the med (pg. 772)

Which of the following is the most important to teach a pt who is being administered lamotrigine (lamictal)? A. to report the development of edema B. to report anxiety C. to report the development of a skin rash D. to report anorexia

C. to report the development of a skin rash (pg. 969)

An elderly woman with dementia is receiving haloperidol (Haldol). What adverse effect is this woman at increased risk for developing? A. anorexia B. increased temp C. infection D. tardive dyskinesia

D. tardive dyskinesia (pg. 1032)

A man has a serum calcium level of 6.8mg/dL. The health care provider orders a vitamin D supplement. Which one of the following laboratory values for serum calcium indicates that the vitamin D is effective? A. 5.5mg/dL B. 6.8mg/dL C. 7.5mg/dL D. 8.5mg/dL

D. 8.5mg/dL (pg. 790) --for men any value less than 8.5 is considered hypocalcemia

A 19-year old female athlete presents for her first prenatal visit and tells the nurse she has been on androgen therapy to improve her distance running. She asks the nurse if she can continue taking the androgens to maintain her "competitive edge." The nurse should instruct her that she: A. can continue taking androgens, because the drugs pose no risk to the fetus. B. can continue taking androgens, but a higher dose will be required due to increased drug metabolism during pregnancy. C. can continue taking androgens until the third trimester, when they must be discontinued because androgens cause an increased increased risk of premature rupture of membranes. D. must stop taking androgens immediately, because they pose a risk to the fetus; she should discuss this with her health care provider at today's visit.

D. Androgens pose a risk (pg. 836)

A man with an acute gouty flare-up is taking allopurinol. Which of the following subjective statements indicated that he has developed uric acid kidney stones? A. I have pain in my right toe and left elbow B. I am dizzy and feel like I am going to faint C. I am urinating every hour--approximately 8 ounces D. I have excruciating pain in my lower abdomen

D. I have excruciating pain in my lower abdomen (pg. 267)

a pt with type 2 DM begins taking sitagliptin (Januvia) for the management of BG levels. Which statement by the pt indicates an understanding of this med? A. I will take 2 doses in the morning if my blood sugar is high B. by taking this med, I am able to eat more C. now that I am taking this med, I don't have to exercise anymore D. I will take this med once a day

D. I will take this med once a day (pg. 742)

The effects of endogenous estrogen are multifaceted. Which of the following statements is associated with the effects of endogenous estrogen? A. It decreases protein anabolism, bone growth, and epiphyseal closure in young girls. B. It increases low-density lipoproteins. C. It decreases vascularity in the skin. D. It promotes bone formation and decreases bone loss.

D. It promotes bone formation and decreases bone loss. It increases protein anabolism, bone growth and epiphyseal closure in young adults ;decreases low density lipoproteins; and increases vascularity in the skin. (pg. 812)

The nurse who is caring for a patient who has been abusing alcohol may expect to see what symptom as the pt enters withdrawal? A. sleep B. muscle relaxation C. euphoria D. agitation

D. agitation (pg. 1058)

the nurse is educating a pt about proper foot care. which instruction does the nurse include in the teaching plan? A. always use a pumice stone on callused areas of the feet B. use a heavy moisturizing cream on the feet at all times C. wash feet in cold water only D. always have a podiatrist cut toenails

D. always have a podiatrist cut toenails (pg. 746)

A patient has been administered lidocaine hydrochloride epidural. Which of the following symptoms indicates the patient is having a serious reaction to the anesthesia? A. BP of 130/86 mm Hg B. pulse rate of 76 beats/min C. crackles in the right lower lobe of the lung D. anxiety

D. anxiety. Sign of LAST. (pg. 911)

A nurse is teaching a child care class to prospective grandparents. Which of the following medications is contraindicated in children? A. ibuprofen B. acetaminophen C. amoxicillin D. aspirin

D. aspirin. (Reye's syndrome). (pg. 251)

A child returns to school after a dental procedure requiring anesthesia. He visits the school nurse's office to take his pain medication. What is the most important assessment the nurse should make prior to the administration of the pain medication? A. assess the prescription for an expiration date B. assess the child's BP and pulse C. assess the child's mouth for bleeding D. assess the child's mouth for numbness

D. assess the child's mouth for numbness. (pg. 913)

A prescriber has written an order for an oral medication to a patient following a cerebrovascular accident (stroke). Prior to administering the medication, which of the following nursing interventions is most important? A. allowing the patient to take the medication with thickened liquids B. placing the patient in the sitting position C. assessing the patient's blood pressure and pulse D. assessing the patient's ability to swallow

D. assessing the patient's ability to swallow. Pt is at risk for pneumonia or aspiration. (pg. 37)

The mother of a 14-month old girl calls a nurse working in a pediatric clinic and reports that her daughter ingested an unknown number of sleeping pills about 4 hours ago and is now drowsy. The mother asks what she should do. The best response to give the mother is A. "administer a dose of syrup of ipecac to ensure vomiting" B. "call the poison control center immediately" C. "administer a strong laxative and observe for a response" D. "call 911 to transport your daughter to the nearest emergency department"

D. call 911 to transport your daughter to the nearest emergency department (pg. 30)

a clinician prescribes dextroamphetamine for a pt. which of the following is an adverse effect of this med? A. increased appetite B. respiratory depression C. sedation D. cardiac dysrhythmias

D. cardiac dysrhythmias (pg. 1046)

A 5 y.o. child is scheduled for a sleep electroencephalogram (EEG). Which of the following meds is a drug of choice to be given prior to the diagnostic test? A. diazepam B. lorazepam C. zolpidem D. choral hydrate

D. choral hydrate (pg. 996)

A nurse is caring for a pt who is NPO before surgery scheduled at 10am. he routinely receives 30 units of Humulin 70/30 every morning at 7am. What is the appropriate nursing action in this situation? A. administer 30 units of Humulin 70/30 SQ B. hold the insulin because the pt is NPO C. give the pt a light breakfast and administer the insulin as ordered D. contact the physician for a presurgery insulin order

D. contact the physician for a presurgery insulin order (pg. 728)

A woman receives a diagnosis of Cushing's Disease. She has an excess of which of the following hormones? A. luteinizing hormone B. glucose C. insulin D. corticotropin

D. corticotropin (pg. 797)

a woman is experiencing periods of increased anxiety and panic attacks over her illness and that of her family members. Epinephrine and norepinephrine are released. What glucocorticoid is released by the adrenal cortex in response to stress? A. insulin B. glucose C. thyroid hormone D. cortisol

D. cortisol (pg. 279)

an 18 y.o. man is having an open reduction external fixation of a hip following a football injury. During surgery, he develops a fever of 105F. which of the following meds is administered? A. cyclobenzaprine hydrochloride (flexeril) B. dexamethasone sodium phosphate (decadron) C. phenytoin (dilantin) D. dantrolene sodium (dantrium)

D. dantrolene sodium (dantrium) (pg. 979)

the nurse is caring for a pt w DM has lipodystrophy of the abdomen. What should the nurse assess? A. does the pt administer the injection at a 45 degree angle? B. does the pt aspirate for blood prior to giving the injection? C. does the pt pinch the skin appropriately? D. does the pt rotate sites for giving each injection?

D. does the pt rotate sites for giving each injection (pg. 742)

A physician has prescribed a CNS stimulant for a 7 y.o. child, who is already of short stature. Which of the following interventions will promote growth? A. administer GH B. encourage daily exercise C. maintain a 2200 calorie diet D. drug holidays when on school breaks

D. drug holidays when on school breaks (pg. 1046)

a pt who has just arrived at the ED may be suffering from DKA. Which of the following would confirm the diagnosis? A. elevated K B. increased respirations C. increased pH D. elevated BG and low plasma bicarb

D. elevated BG and low plasma bicarb (pg. 718)

a pt w DKA is admitted to the hospital. which of the following does the nurse expect to see? A. increased pH and increased HR B. increased respiratory rate and decrease in urine output C. elevated K and increase in BP D. elevated bg and decreased plasma bicarb

D. elevated blood glucose and decreased plasma bicarb (pg. 746)

A patient is admitted to the emergency department with dehydration. Which of the following assessments of the patient's vital signs does the nurse expect to assess? A. elevated blood pressure B. diminished pulse C. diminished respirations D. elevated temperature

D. elevated temperature. A patient who is dehydrated has a fever with an elevation in body temperature (pg. 247)

A 32-year-old woman is admitted to the hospital with right lower quadrant abdominal pain. She has a history of absence seizures. Which of the following inhalation anesthetic agents is contraindicated? A. isoflurane B. sevoflurane C. desflurane D. enflurane

D. enflurane (pg. 920)

benzodiazepines are thought to work by doing which of the following? A. exciting the CNS B. stimulating the reticular activating system C. increasing inhibitory feelings D. enhancing the effects of GABA

D. enhancing the effects of GABA (pg. 993)

a man has received a diagnosis of acromegaly. which of the following symptoms can cause alterations in the man's psychosocial integrity? A. increased libido B. tachycardia C. increased linear growth D. erectile dysfunction

D. erectile dysfunction (pg. 766)

Which of the following psychosocial changes are most likely to occur with the administration of corticosteroids? A. lethargy B. malaise C. ataxia D. euphoria

D. euphoria (pg. 289)

A man is very upset with a drug recall of a medication he has been taking for a long time. He states that he feels like he can no longer trust anyone to protect him. In response to his questions about the process of drug development, it is important to know that with a new drug, the U.S. Food and Drug Administration (FDA) is responsible for A. testing the drug with animals B. testing the drug with healthy people C. marketing the drug to health care providers D. evaluating the drug for safety and effectiveness

D. evaluating the drug for safety and effectiveness (pg. 12)

a male infant is admitted to the ED. His parents report that he had a seizure. The infant's oral temp is 104.3 degrees F. What is the most likely cause of the seizure? A. head injury B. developmental delay C. sepsis D. fever

D. fever (pg. 951)

Billy is unable to tolerate montelukast (Singulair) for his asthma, although this drug works well for his father. Billy's physician is aware that the boy's reaction is most likely a reflection of his A. inability to understand the purpose of the drug B. hope that he will not have to take the drug C. inability to swallow pills D. genetic variability

D. genetic variability (pg. 71)

The home care nurse is visiting w a pt who has a diagnosis of hypothyroidism. The pt is being treated w levothyroxine. The assessment of the pt reveals the following findings: an audible S3, crackles in the lower lobes, edema of the lower extremities, and a HR of 120 bpm. What does the nurse suspect the pt has developed? A. MI B. thrombophlebitis C. pulmonary embolism D. heart failure

D. heart failure (pg. 758)

a boy with type 1 DM receives a script for somatropin. how will this medication affect the boy's insulin needs? A. his insulin needs will decrease B. he will need a sulfonylurea added to his insulin C. his insulin needs will remain the same D. his insulin needs will increase

D. his insulin needs will increase (pg. 770)

The nurse is preparing a presentation of the risk factors of oral contraceptives. What would factor in as an absolute contraindication? A. bulimia B. cigarette smoking at age 33 C. body mass index (BMI) of 23 D. History of thromboembolism

D. history of thromboembolism (pg. 827)

A 52 y.o. man is taking selegiline for the treatment of Parkinson's disease. He consumes port wine cheese and crackers at a party. Which of the following symptoms does he develop? A. ataxic gait B. melena C. cardiac dysrhythmia D. hypertension

D. hypertension (pg. 870)

A patient is taking ketoconazole for the treatment of Cushing's disease. When providing patient teaching, which of the following is most important? A. Take antibiotics at the first sign of a sore throat. B. Have prothrombin times drawn monthly. C. Salt craving mean that it is fine to increase salt intake. D. Take the medication with juice or an acidic beverage.

D. take the medication w/ juice or an acidic beverage b/c of better absorption (pg. 803)

a pt is taking fluticasone (Flovent) 440 mcg inhaled two times per day. The pt is being seen in the pulmonary clinic and says, "I have been very congested and it has been hard to breathe, so for the past 10 days I have been using my inhaler four times per day". The nurse should assess the pt for which of the following systemic adverse effects? A. hypoglycemia B. hypercalcemia C. anxiety D. hypothalamic-pituitary-adrenal (HPA) suppression

D. hypothalamic-pituitary-adrenal (HPA) suppression (pg. 283)

MAO inhibitors are indicated in which of the following? A. in pts who have previously developed serotonin B. in pts who are first beginning treatment of depression C. in pts who are having trouble sleeping D. in pts who have not responded successfully to selective serotonin reuptake inhibitors and tricyclic antidepressants

D. in pts who have not responded successfully to selective serotonin reuptake inhibitors and tricyclic antidepressants (pg. 1014)

A nurse practitioner (NP) has just changed a patient's medication from an oral form to a patch formulation to avoid the first-pass effect. The NP has explained it to the patient, but the patient still has questions and asks the nurse to explain again what is meant by the first-pass effect. The NP would be most correct in explaining that this has to do with how A. drugs initially bind to plasma proteins B. initial renal function is involved in drug excretion C. the way drugs first reach their target cells D. initial metabolism of an oral drug occurs before it reaches the systemic circulation

D. initial metabolism of an oral drug occurs before it reaches the systemic circulation (pg. 21)

A 35 y.o. woman has begun to take tolcapone in addition to levodopa/carbidopa for Parkinson's disease. Which of the following is the priority nursing intervention? A. arrange to assess the pt for hypertension early in the morning B. evaluate the pt's ability to care for herself C. have the pt take levodopa/carbidopa 2 hours after tolcapone D. instruct the pt to report tea-colored urine to the prescriber

D. instruct the pt to report tea colored urine to the prescriber (pg. 872)

Which of the following insulins cannot be administered in a continuous SQ insulin infusion pump? A. regular insulin (humulin R) B. insulin aspart (novolog) C. insulin glulisine (apidra) D. insulin glargine (lantus)

D. insulin glargine (lantus) (pg. 728)

A patient is taking fludrocortisone acetate (Florinef Acetate) for adrenal insufficiency. Which of the following symptoms indicates that the patient is hypokalemic? A. tetany B. irregular pulse rate C. decreased pulse rate D. muscle weakness

D. muscle weakness (pg. 801)

based on the action of pramlintide, which of the following is a primary nursing intervention? A. administer glucagon during the peak of action B. assess blood sugar at 2.4 hours after medication administration C. assess respiratory status for the onset of an upper respiratory infection D. provide a meal immediately after the administration of the SQ injection

D. provide a meal immediately after the administration of the SQ injection (pg. 742)

A 75-year-old woman is having difficulty remembering to take all of her medications. Which of the following nursing interventions will assist her to improve adherence to the medication schedule? A. have her daughter administer the medications B. decrease the number of medications administered C. evaluate her ability to care for herself D. provide a medication administration aid

D. provide a medication administration aid (pg. 77)

Pt teaching for children taking methylphenidate for ADHD should include which of the following? A. give the child the drug at bedtime B. drowsiness may be a side effect C. if necessary, the child may take OTC cold products w/o problems D. provide for periodic drug-free holidays

D. provide for periodic drug free holidays (pg. 1050)

Four patients in an endocrine clinic are ordered to begin androgen therapy. The nurse reviews each patient's current medications and identifies which patient as able to begin androgen therapy without the risk of a known drug interaction? A. pt 1, taking cyclosporine B. pt 2, taking warfarin C. pt 3, taking sulfonylureas D. pt 4, taking heparin

D. pt 4, taking heparin. androgen therapy increases the effects of all the other mentioned drugs (pg. 836)

A nurse practitioner plans to order lithium for a pt with bipolar disorder. Lithium is contraindicated in a pt with an impairment of which of the following systems? A. respiratory system B. cardiac system C. endocrine system D. renal system

D. renal system (pg. 1018)

A child with ADHD would most likely exhibit which of the following symptoms? A. anxiety B. positive peer relationships C. hostility D. restlessness

D. restlessness (pg. 1042)

A 74 y.o. man has Alzheimer's disease. Which nursing diagnosis takes highest priority for this patient? A. imbalanced nutrition: less than body requirements B. ineffective airway clearance C. impaired urinary elimination D. risk for injury

D. risk for injury (pg. 856)

In understanding the use of controlled substances for patients, it is important that the nurse knows that controlled drugs are A. categorized according to prescription or nonprescription status B. regulated by state and local laws more than federal laws C. those that must demonstrate high standards of safety D. scheduled according to medical use and potential for abuse

D. schedule according to medical use and potential for abuse (pg. 8).

A hospice pt has loud gurgling respirations that are audible w/o a stethoscope. Which of the following medications is the drug of choice to decrease the secretions? A. trihexyphenidyl (Trihexy) B. tolterodine (Detrol LA) C. tiotropium bromide (Spiriva HandiHaler) D. scopolamine

D. scopolamine (pg. 880)

A woman is taking PTU and develops a sore throat and fever. What does the nurse suspect is wrong with this woman? A. she has developed a goiter B. she has an elevated liver function C. she had developed a hypersensitivity reaction D. she has agranulocytosis

D. she has agranulocytosis (pg. 755)

For Billy's asthma, a prescriber has ordered albuterol (Proventil). Which one of the following important factors related to growth and development is most likely to affect absorption of this beta 2-adrenergic agonist? A. the ability of Billy to cough up his secretions B. the need to decrease the dose as Billy's age increases C. the need to monitor Billy for hypotension D. the ability of Billy and his caregivers to understand the inhaler and how to use it to administer the albuterol

D. the ability of Billy and his caregivers to understand the inhaler and how to use it to administer the albuterol (pg. 72)

A nurse is looking up information about the effects of a drug on different receptors. Characteristics of receptors include which of the following? A. they are carbohydrates located in cell membranes or inside cells. B. they are constantly synthesized and degraded in the body C. they bind with molecules of any drug circulating in the bloodstream D. they regulate the actions of all drugs

D. they regulate the actions of all drugs (pg. 30)

A man has an order for morphine sulfate 2 mg intravenously every 2 hours following a cholecystectomy. The patient has a history of IV drug abuse. He reports that his pain in 7 out of 10 (with 10 being the worst) and requests the morphine every hour. What is the nurse's appropriate response? A. to instruct him about possible adverse effects B. to tell him that you can administer the drug only every 2 hours C. to use distraction techniques to help him forget his pain D. to notify the surgeon of his request

D. to notify the surgeon of his request. (pg. 898)

A man receives a diagnosis of myasthenia gravis. His physician prescribes neostigmine (Prostigmin) 60 mg by mouth every 3 hours. Before administering this anticholinesterase agent, the nurse reviews the patient's history. Which preexisting condition contraindicates the use of neostigmine? A. ulcerative colitis B. blood dyscrasia C. intestinal obstruction D. urinary obstruction

D. urinary obstruction

Which of the following nursing actions will prevent adverse drug events? A. use only the trade name when documenting medications B. crush long-acting medications if the patient has dysphagia C. after receiving a verbal order, administer the medication and then write down the order D. use bar code technology according to institutional policy

D. use bar code technology according to institutional policy (pg. 43)

A 32-year-old woman has been taking ergotamine tartrate as abortive therapy for migraine headache for many years. For which of the following adverse effects does the nurse assess? A. hypotension B. muscle weakness C. hypoventilation D. valvular fibrosis

D. valvular fibrosis (pg. 940)