Professional Documents
Culture Documents
1. A client with myasthenia gravis reports the occurrence of difficulty chewing. The
physician prescribes pyridostigmine bromide (Mestinon) to increase muscle strength
for this activity. The nurse instructs the client to take the medication at what time,
in relation to meals?
2. A client is advised to take senna (Senokot) for the treatment of constipation asks
the nurse how this medication works. The nurse responds knowing that it:
4. A client is being treated for acute congestive heart failure (CHF) and the client’s
vital signs are as follows: BP 85/50 mm Hg; pulse, 96 bpm; respirations, 26 cpm. The
physician prescribes digoxin (Lanoxin). To evaluate a therapeutic effectiveness of
this medication, the nurse would expect which of the following changes in the
client’s vital signs?
5. Diazepam (Valium) is prescribed for a client with anxiety. The nurse instructs the
client to expect which side effect?
a. incoordination
b. cough
c. tinnitus
d. hypertension
6. A client receives oxytocin (Pitocin) to induce labor. During the administration of
the oxytocin, it is most important for the nurse to monitor:
a. urinary output
b. fetal heart rate
c. central venous pressure
d. maternal blood glucose
7. A clinic nurse is performing assessment on a client who is being seen in the clinic
for the first time. When asking about the client’s medication history, the client tells
the nurse that he takes nateglinide (Starlix). The nurse then questions the client
about the presence of which disorder that is treated with this medication?
a. hypothyroidism
b. insomnia
c. type 2 diabetes mellitus
d. renal failure
8. A client who is taking rifampin (Rifadin) as part of the medication regimen for the
treatment of tuberculosis calls the clinic nurse and reports that her urine is a red-
orange color. The nurse tells the client to:
9. A nurse is caring for a client with a tracheostomy that has been diagnosed with a
respiratory infection. The client is receiving vancomycin hydrochloride (Vancocin)
500 mg intravenously every 12 hours. Which of the following would indicate to the
nurse that the client is experiencing an adverse effect of the medication?
10. A nurse is caring for a client with a diagnosis of metastatic breast carcinoma who
is receiving tamoxifen citrate (Nolvadex) 10 mg orally twice daily. Which of the
following would indicate to the nurse that the client is experiencing a side effect
related to the medication?
a. hypetension
b. diarrhea
c. nose bleeds
d. vaginal bleeding
11. A client has just been given a prescription for diphenoxylate with atropine
(Lomotil). The nurse teaches the client which of the following about the use of this
medication?
12. A nurse is gathering data from client about the client’s medication history and
notes that the client is taking tolterodine tartrate (Detrol LA). The nurse determines
that the client is taking the medication to treat which disorder?
a. glaucoma
b. renal insufficiency
c. pyloric stenosis
d. urinary frequency and urgency
13. A client has an order to receive psyllium (Metamucil) daily. The nurse
administers this medication with:
a. signs of infection
b. hypotension
c. weight loss
d. hair loss
15. A nurse reinforces dietary instruction for the client receiving spironolactone
(Aldactone). Which food would the nurse instruct the client to avoid while taking
this medication?
a. crackers
b. shrimp
c. apricots
d. popcorn
16. Oral lactulose (Chronulac) is prescribed for the client with a hepatic disorder
and the nurse provides instructions to the client regarding this medication. Which
statement by the client indicates a need for further instructions?
a. “I need to take the medication with water’”
b. “ I need to increase fluid intake while taking the medication”
c. “ I need to increase fiber in the diet”
d. “I need to notify the physician of nausea occurs”
17. A home care nurse provides instructions to a client taking digoxin (Lanoxin) 0.25
mg daily. Which statement by the client indcates a need for further instructions?
18. A client with anxiety disorder is taking buspirone (BuSpar) and tells the nurse
that it is difficult to swallow the tablets. The nurse tells the client to:
19. A nurse is caring for a child with CHF provides instructions to the parents
regarding the administration of digoxin (Lanoxin). Which statement by the mother
indicates a need for further instructions?
a. “If my child vomits after I give the medication, I will not repeat the dose”
b. “I will check my child’s pulse before giving the medication”
c. “I will check the dose of the medication with my husband before I give the
medication”
d. “I will mix the medication with food”
20. A nurse provides instructions to a client who will begin an oral contraceptives.
Which statement by the client indicates the need for further instructions?
a. “I will take one pill daily at the same time every day”
b. “I will not need to use an additional birth control method once I start these pills”
c. “If I miss a pill I need to take it as soon as I remember”
d. “If I miss two pills I will take them both as soon as I remember and I will take two
pills the next day also”
a. 24 hours
b. Two to three days
c. One week
d. Two to three weeks
a. 3 mcg/ml
b. 8 mcg/ml
c. 15 mcg/ml
d. 24mcg/ml
24. A nurse is caring for a client with a genitourinary tract infection receiving
amoxicillin (Augmentin) 500 mg every 8 hours. Which of the following would
indicate to the nurse that the client is experiencing an adverse effect related to the
medication?
a. hypertension
b. nausea
c. headache
d. watery diarrhea
25. A nurse is caring for a client with glaucoma who receives a daily dose of
acetazolamide (Diamox). Which of the following would indicate to the nurse that the
client is experiencing an adverse effect of the medication?
a. constipation
b. difficulty swallowing
c. dark-colored urine and stools
d. irritability
26. A nurse is caring for a client with a diagnosis of meningitis who is receiving
amphotericin B (Fungizone) intravenously. Which of the following would indicate to
the nurse that the client is experiencing an adverse effect related to the medication?
a. nausea
b. decreased urinary output
c. muscle weakness
d. confusion
27. A nurse has formulated a nursing diagnosis of Disturbed Body Image for a client
who is taking spironolactone (Aldactone). The nurse based this diagnosis on
assessment of which side effect of the medication?
a. edema
b. weight gain
c. excitability
d. decreased libido
28. A nurse is caring for the client with a history of mild heart failure who is
receiving diltiazem hydrochloride (Cardizem) for hypertension. The nurse would
assess the client for:
a. bradycardia
b. wheezing
c. peripheral edema and weight gain
d. apical pulse rate lower than baseline
29. The wound of a client with an extensive burn injury is being treated with the
application of silver sulfadiazine (Silvadene). Which symptom would indicate to the
nurse that the client is experiencing a side effect related to systemic absorption?
30. A nurse is caring for a client with a diagnosis of rheumatoid arthritis who is
receiving sulindac (Clinoril) 150 mg po twice daily. Which finding would indicate to
the nurse that the client is experiencing a side effect related to the medication?
a. diarrhea
b. photophobia
c. fever
d. tingling in the extremities
31. The nurse notes that the client is receiving filgrastim (Neupogen). The nurse
checks which of the following to determine medication effectiveness?
a. neutrophil count
b. platelet count
c. blood urea nitrogen
d. creatinine level
a. blurred vision
b. constipation
c. sore throat
d. dry mouth
a. sodium
b. potassium
c. calcium
d. chloride
34. A clinic nurse asks a client with diabetes mellitus being seen in the clinic for the
first time to list the medications that she is taking. Which combination of
medications taken by the client should the nurse report to the physician?
36. A client has been taking fosinopril (Monopril) for 2 months. The nurse
determines that the client is having the intended effects of therapy if the nurse notes
which of the following?
a. lowered BP
b. lowered pulse rate
c. increased WBC
d. increased monocyte count
37. A client is taking labetalol (Normodyne). The nurse monitors the client for which
frequent side effect of the medication?
a. tachycardia
b. impotence
c. increased energy level
d. night blindness
38. An older client has been using cascara sagrada on a long-term basis. The nurse
determines that which laboratory result is a result of the side effects of this
medication?
39. A client has an order to begin short-term therapy with enoxaparin (Lovenox).
The nurse explains to the client that this medication is being ordered to:
40. Quinidine gluconate (Dura Quin) is prescribed for a client. The nurse reviews
the client’s medical record, knowing that which of the following is a
contraindication in the use of this medication?
41. A client has been taking benzonatate (Tessalon) as ordered. The nurse tells the
client that this medication should do which of the following?
42. Auranofin (Ridaura) is prescribed for a client with rheumatoid arthritis, and the
nurse monitors the client for signs of an adverse effect related to the medication.
Which of the following indicates an adverse effect?
a. nausea
b. diarrhea
c. anorexia
d. proteinuria
44. A female client tells the clinic nurse that her skin is very dry and irritated.
Which product would the nurse suggest that the client apply to the dry skin?
a. glycerin emollient
b. aspercreame
c. myoflex
d. acetic acid solution
45. A client with advanced cirrhosis of the liver is not tolerating protein well, as
eveidenced by abnormal laboratory values. The nurse anticipates that which of the
following medications will be prescribed for the client?
a. lactulose (Chronulac)
b. ethacrynic acid (Edecrin)
c. folic acid (Folvite)
d. thiamine (Vitamin B1)
46. A nurse is planning dietary counseling for the client taking triamterene
(Dyrenium). The nurse plans to include which of the following in a list of foods that
are acceptable?
a. baked potato
b. bananas
c. oranges
d. pears canned in water
47. A client is taking famotidine (Pepcid) asks the home care nurse what would be
the best medication to take for a headache. The nurse tells the client that it would be
best to take:
48. A nurse has taught a client taking a xanthine bronchodilator about beverages to
avoid. The nurse determines that the client understands the information if the client
chooses which of the following beverages from the dietary menu?
a. chocolate milk
b. cranberry juice
c. coffee
d. cola
49. A client with histoplasmosis has an order for ketoconazole (Nizoral). The nurse
teaches the client to do which of the following while taking this medication?
a. take the medication on an empty stomach
b. take the medication with an antacid
c. avoid exposure to sunlight
d. limit alcohol to 2 ounces per day
50. A nurse is preparing the client’s morning NPH insulin dose and notices a clumpy
precipitate inside the insulin vial. The nurse should: