Practice Questions

c

a 66 year old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction and has requested a prescription for tadalafil based on television commercials he has seen. what characteristic of this client would contraindicate the use of tadalafil? a. takes allopurinol for gout b. has a family history of osteoporosis c. has unstable angina and uses a nitroglycerin patch d. often takes ginseng when he has the common cold

a

a client diagnosed with erectile dysfunction has been advised to take viagra. for up to how many hours does the action of the drug persist? a. 4 hours b. 8 hours c. 12 hours d. 24 hours

a

a client has been prescribed a PDE5 inhibitor for erectile dysfunction. medication education should strongly discourage the use of what drug classification while on this medication? a. alpha-blockers b. antibiotics c. proton pump inhibitors d. serotonin re-uptake inhibitors

b

a client is started on terbutaline therapy. what would indicate that the therapy has been successful? a. the mother did not require any labor induction b. premature birth is avoided for at least 24 hours c. there has been less or no bleeding in the delivery d. the mother does not experience adverse effects

c

a client who is taking estrogen therapy calls the clinic and tells the nurse that she is experiencing sudden, sharp chest pain. the nurse suspects the client is experiencing what adverse reaction related to estrogen therapy? a. skeletal pain b. breast pain c. pulmonary embolism d. deep vein thrombosis

b

a menopausal client prescribed estrogen asks what the implications of taking the medication are. which response by the nurse best demonstrates an understanding of the associated implications? a. estrogen decreases the risk of dementia, myocardial infarctions, strokes, breast cancer, and blood clots b. estrogen increases the risk of certain cancers, myocardial infarctions, and blood clots c. estrogen has not been proven to increase the risk of any significant medical conditions d. if estrogen and progesterone are taken together, there are no increased health risks

c

a menopausal client, prescribed estrogen and progesterone, asks why she should take two different medications. which explanation best addresses the client's question? a. taking both medications together will make her periods lighter and shorter b. the client needs both estrogen and progesterone to stop menopausal hot flashes c. when estrogens are used alone, they cause endometrial hyperplasia and may cause endometrial cancer d. the client should speak with her health care provider concerning the need for both prescriptions

d

a nurse is providing care to a patient with extensive burns to the extremities during a recent accident. topical lidocaine gel has been ordered to be applied to the surfaces of all the burns to relieve pain. when considering this order, the nurse should be aware that: a. IV lidocaine may be preferable to topical application b. lidocaine must be potentiated with another anesthetic for pain relief c. pain relief is unlikely to be achieved due to the destruction of nerve endings d. there is a risk of systemic absorption of the lidocaine through the patient's traumatized skin

a

a perioperative nurse is explaining the process of general anesthesia in anticipation of the adult client's imminent bowel resection. when describing the phase of induction, the nurse should explain that this is usually achieved by what means? a. IV administration of anesthetics b. SQ injection of a rapid-acting anesthetic c. IM injection of anesthetics and benzodiazepines d. IV administration of opioid analgesics

c

a postmenopausal woman is administered estradiol for the purpose of preventing which condition? a. endometriosis b. amenorrhea c. osteoporosis d. uterine cancer

d

a woman who is at 31 weeks gestation comes to the clinic in labor. the health care provider decides to use terbutaline therapy before transferring the woman to the hospital. the client is upset and confused and asks the nurse why she can't just have the baby, that it's only 5 weeks early. an appropriate response by the nurse should be: a. this drug will make your delivery in a few days less painful b. the drug that you are being given will prevent and control postpartum bleeding c. this drug helps induce uterine contractions and milk ejection for breast feeding d. the drug provides sufficient time for other medications to be given to improve your baby's outcome

d

administration of which class of medications can decrease secretions of the upper respiratory tract? a. opioids b. antiemetics c. antianxiolytics d. cholinergic antagonists

b

after teaching a client who is prescribed sildenafil about using the drug, the nurse determines that the teaching was successful when the client states: a. i should take the medication just before i start having sex b. i need to take the pill about an hour before any sexual stimulation c. i can take the pill in the morning before i engage in sex later in the day d. i should take the pill after dinner if i'm planning to have sex later that night

d

an otherwise healthy surgical patient has developed sharply increased muscle tone and a rapid increase in heart rate and core body temperature. the operating room team should proceed with assessments and interventions that address what health problem? a. anaphylaxis b. rhabdomyolysis c. orthostatic hypotension d. malignant hyperthermia

d

in an ideal 28 day menstrual cycle, the secretory phase occurs during which days? a. 1-5 b. 5-11 c. 12-14 d. 15-28

c

in what drug class are anabolic steroids? a. I b. II c. III d. IV

b

the nurse in the ICU prepares to administer a medication that is used for the induction and maintenance of anesthesia but may also be used to continuously administer sedation to intubated clients. which medication is it? a. midazolam b. propofol c. ketamine d. isoflurane

a

the nurse instructs a client to use benzocaine to soothe the itching and pain related to an insect bite. benzocaine is considered to be what type of dermatologic agent? a. anesthetic b. antiseptic c. soothing d. pain relief

c

the nurse is assisting in the care of a patient during surgery. the nurse will be prepared to administer which drug if the client develops malignant hyperthermia? a. acetaminophen b. toradol c. dantrolene sodium d. diazepam

c

the nurse is discussing the proper use of oral contraceptives with a client. the nurse should instruct the client to immediately contact a health care provider if she: a. experiences nausea b. experiences breast tenderness c. misses a menstrual period d. misses a dose of the medication

c

the nurse receives a call from a male client who takes finasteride for treatment of BPH, and tells the nurse that his wife may be pregnant. what does the nurse expect the health care provider to do? a. decrease the dose b. increase the dose c. discontinue the medication d. change the finasteride to dutasteride

a

the release of gonadotropin releasing hormone by the hypothalamus signals the onset of: a. puberty b. menarche c. menopause d. menstruation

c

the students demonstrate understanding when they identify which drug as a PDE5 inhibitor? a. alprostadil b. danazol c. sildenafil d. oxandrolone

d

when describing fertilization, the nurse would explain that it normally occurs in which structure? a. vagina b. cervix c. endometrium d. fallopian tube

d

which hormone is involved if a couple engages in the rhythm method of birth control? a. estradiol b. estrone c. estriol d. progesterone

b

which hormone is primarily responsible for maintaining pregnancy? a. estrogen b. progesterone c. FSH d. LH

d

which is an adverse effect of all uterine stimulants because of their antidiuretic effect? a. dehydration b. polydipsia c. hypotension d. water intoxication

a

which medication can be used to treat anemia associated with renal insufficiency? a. oxymetholone b. fluoxymesterone c. finasteride d. dutasteride

a

a 31 year old woman has been prescribed a tocolytic drug. during which period should the drug be administered? a. pre-term labor b. antepartum c. postpartum d. second stage of labor

a

a patient has been administered a local anesthetic prior to treatment. the drugs that were administered decrease the permeability of the nerve cell membrane to: a. sodium b. phosphorus c. glucose d. bicarbonate

c

a patient reports menstrual cramps. the nurse understands that this is due to: a. high levels of plasminogen b. decreased estrogen levels c. prostaglandins d. FSH

c

during recovery from general anesthesia, what would be a priority? a. monitoring temperature and reflexes b. providing comfort measures c. having emergency equipment available d. providing pain relief as ordered

a

if pregnancy does not occur during the menstrual cycle, the corpus luteum becomes the: a. corpus albicans b. graafian follicle c. maturing follicle d. menarche

d

sperm are produced by the: a. prostate gland b. epididymis c. seminal vesicles d. seminiferous tubules

c

what effect can administration of androgens have on fetal development? a. fetal development may stop b. a female fetus may be spontaneously aborted c. a female fetus may experience masculinization d. fetal growth may be abnormally high

b

what is most important to tell the client who will be taking adrenergic blocking drugs for BPH? a. take with food b. take at the same time each day c. reduce the amount of liquid you drink to prevent nocturia d. if you have adverse effects, stop the medication for a week then restart