Question: The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans to administer the solution at a rate of 5 mcg/kg/min to a client weighing 182 pounds. Using a drip factor of 60 gtt/ml, how many drops per minute should the client receive?
Answer Options:
120 gtts/min
124 gtts/min
1.24 gtts/min
Answer: 124 gtts/min
Question: The nurse mixes 25 mg of Penicillin in 150 ml of D5W and plans to administer the solution at a rate of 2 mcg/kg/min to a client weighing 120 pounds. Using a drip factor of 20 gtt/ml, how many drops per minute should the client receive?
Answer Options:
1.3 gtts/min
15 gtts/min
13 gtts/min
Answer: 13 gtts/min
Question: Magnesium-based antacids cause constipation whereas calcium- and aluminum-based antacids cause diarrhea in patients.
Answer Options:
True
False
Answer: False
Question: Prolonged use of proton pump inhibitors has been associated with a higher risk of all EXCEPT:
Answer Options:
Hypermagnesemia
Osteoporosis
Clostridium difficile
Answer: Hypermagnesemia
Question: The patient receiving a continuous heparin infusion has a PTT 220/60 and an INR is 8. The nurse should prepare to administer:
Answer Options:
Vitamin K
Diphenhydramine (Benadryl)
Protamine Sulfate
Answer: Protamine Sulfate
Question: An adverse reaction to corticosteroids is:
Answer Options:
Hyperglycemia
Nausea and diarrhea
Myalgia and arthralgia
Answer: Hyperglycemia
Question: A Leukotriene Modifier is:
Answer Options:
Albuterol
Montelukast (Singulair)
Ipratropium bromide (Atrovent)
Answer: Montelukast (Singulair)
Question: Patients taking bisphosphonates such as ibandronate sodium (Boniva) or alendronate sodium (Fosomax) should be instructed to:
Answer Options:
Take the medication with antacids
Remain upright for 30-60 minutes after taking the medication
Double-up on the medication if a dose is missed
Answer: Remain upright for 30-60 minutes after taking the medication
Question: Which complementary product is used to help with memory?
Answer Options:
Fever Few
Echinacea
Ginko Biloba
Answer: Ginko Biloba
Question: Which complementary product is used to treat symptoms of menopause?
Answer Options:
Ginko Biloba
Black Cohosh
Echinacea
Answer: Black Cohosh
Question: Which complementary product is used to treat symptoms of depression?
Answer Options:
Fever Few
Ginger
St John’s Wort
Answer: St John’s Wort
Question: A example of a fat-soluble vitamin is:
Answer Options:
B
C
A
Answer: A
Question: A example of a water-soluble vitamin is:
Answer Options:
C
D
A
Answer: C
Question: A deficiency of Niacin (Nicotinic Acid)
Answer Options:
Scurvy
Beri Beri
Pellagra
Answer: Pellagra
Question: A deficiency of vitamin A:
Answer Options:
Rickets
Nightblindness
Beri Beri
Answer: Nightblindness
Question: Sumatriptan [Imitrex] works by:
Answer Options:
Constricts intracranial blood vessels
Dilates intracranial blood vessels
Promotes inflammation in the vessels
Answer: Constricts intracranial blood vessels
Question: A deficiency of vitamin C:
Answer Options:
Xerophthalmia
Rickets
Scurvy
Answer: Scurvy
Question: Vitamin B12 is called:
Answer Options:
Cyanocobalamin
Riboflavin
Thiamine
Answer: Cyanocobalamin
Question: Salicylate poisoning can cause:
Answer Options:
Metabolic Alkalosis
Tinnitus
Hypothermia
Answer: Tinnitus
Question: A nurse is teaching a patient about drug interactions that may occur with nitrates. All of the following are true except:
Answer Options:
Severe hypotension can result when nitrates interact with alcohol.
Sildenafil be taken within 24 hours of nitrates because of possible enhanced hypertensive effects.
Marked orthostatic hypotension with light-headedness, fainting, or blurred vision may occur when calcium channel blockers and nitrates are used together.
Answer: Sildenafil be taken within 24 hours of nitrates because of possible enhanced hypertensive effects.
Question: Patients taking bisphosphonates such as ibandronate sodium (Boniva) or alendronate sodium (Fosomax) should be instructed to:
Answer Options:
Take the medication with antacids
Double-up on the medication if a dose is missed
Remain upright for 30-60 minutes after taking the medication
Answer: Remain upright for 30-60 minutes after taking the medication
Question: ACE inhibitors are contraindicated in:
Answer Options:
Pregnancy
A patient on Spironolactone
A patient on Hydrochlorothiazide
Answer: Pregnancy
Question: Teaching about antacids include:
Answer Options:
Don’t take calcium carbonate with milk or other foods high in vitamin D.
Some antacids, such as aluminum hydroxide, may color stools brown or cause brown streaks.
Do not shake the suspension form before taking it.
Answer: Don’t take calcium carbonate with milk or other foods high in vitamin D.
Question: A patient taking nicotinic acid (niacin) complains of facial flushing and itching after taking the drug. What is the nurse’s best response?
Answer Options:
“A cool compress on your forehead will be sufficient”
“Take an antihistamine right away and stop taking the medication”
“Taking an NSAID about an hour before the niacin reduces that”
Answer: “Taking an NSAID about an hour before the niacin reduces that”
Question: A patient with chronic obstructive pulmonary disease has an acute bronchospasm. The nurse anticipates that the health care provider will prescribe which medication?
Answer Options:
Zafirlukast (Accolate)
Dexamethasone
Albuterol
Answer: Albuterol
Question: The prototype drug for treating gout to assist in the elimination of uric acid out of the body is:
Answer Options:
Colchicine
Probenecid
Allopurinol
Answer: Probenecid
Question: The prototype drug for treating gout to assist in decreasing the production of uric acid is:
Answer Options:
Probenecid
Celebrex
Allopurinol
Answer: Allopurinol
Question: Sumatriptan (Imitrex) works by:
Answer Options:
Constricts intracranial blood vessels
Promotes inflammation in the vessels
Dilates intracranial blood vessels
Answer: Constricts intracranial blood vessels
Question: Which of the following medications would be contraindicated for a patient with an elevated potassium level?
Answer Options:
Verapamil (Isoptin)
Enalapril maleate (Vasotec)
Furosemide (Lasix)
Answer: Enalapril maleate (Vasotec)