TEST BANK
Davis's Drug Guide for Nurses
April Hazard Vallerand, and Cynthia A. Sanoski
17th Edition
,Table of Contents
Test Bank 01 1
Test Bank 02 86
Test Bank 03 110
Test Bank 04 128
,______________________________________________________________________________________________
Test Bank - Davis's Drug Guide for Nurses, 17th Edition (Vallerand, 2020)
Test Bank 1
MULTIPLE CHOICE
1. The nurse is providing care for a patient scheduled to take acarbose (Precose) 25 mg 3 times
daily with meals. The patient reports feeling sweaty, weak, and tremulous. Which of the
following actions by the nurse is best?
A. Reassure the patient that these are common side effects with the medication.
B. Call the pharmacy to report an adverse drug reaction.
C. Check the patient’s blood glucose level.
D. Determine if the patient has a history of anemia.
ANS: C
See Assessment for acarbose: Observe the patient for signs and symptoms of hypoglycemia.
Acarbose alone does not cause hypoglycemia; however, other concurrently administered
hypoglycemic agents may produce hypoglycemia, requiring treatment. Ignoring these
symptoms would be dangerous, but it is not considered an adverse drug reaction requiring an
official report. The patient is experiencing symptoms of hypoglycemia not anemia.
DIF: Medium REF: Drugguide.com
TOP: Therapeutic Classification: Antidiabetics
KEY: Cognitive Level: Analysis
2. While responding to a rapid response called on the cardiac step-down unit, the nurse from
intensive care observes the unit nurse massaging a patient’s neck and instructing the patient to
bear down. Which of the following medications will most likely be used if the patient’s pulse
does not return to normal?
A. Adenosine (Adenocard)
B. Epinephrine (Adrenaline)
C. Atenolol (Tenormin)
D. Asenapine (Saphris)
ANS: A
See Indications for adenosine: Adenosine is used for the conversion of paroxysmal
supraventricular tachycardia (PVST) to normal sinus rhythm when vagal maneuvers are
unsuccessful. Epinephrine is a bronchodilator used in the management of reversible airway
disease. Atenolol is a beta blocker used in the management of hypertension. Asenapine is an
antipsychotic mood stabilizer used in the acute treatment of schizophrenia or manic/mixed
episodes associated with bipolar I disorder.
DIF: Medium REF: Page 112 | Page 505 | Page 191 | Page 188
TOP: Therapeutic Classification: Antiarrhythmics
KEY: Cognitive Level: Application
3. The nurse is instructing the parent of a 6-year-old patient recently started on an albuterol
(ProAir HFA) inhaler for exercise-induced asthma. The nurse recognizes that further teaching
is necessary by which of the following client statements?
A. “He may feel like his heart is racing after he takes his inhaler.”
B. “He can use the inhaler as many times during football practice as he needs it.”
C. “He should avoid cola and other caffeinated drinks since they may increase his
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Davis's Drug Guide for Nurses, 17th Edition (Vallerand, 2020)
heart rate.”
D. “He should take 2 puffs about 15 min before gym class.”
ANS: B
See Contraindications/Precautions, Interactions, and Dosage for albuterol. Excess inhaler use
may lead to tolerance and paradoxical bronchospasm. Use with caffeine-containing herbs
(cola nut, guarana, tea, coffee) increases stimulant effect. Two inhalations every 4–6 hr or 2
inhalations 15 min prior to exercise). Tachycardia is an expected side effect with this
medication.
DIF: Easy REF: Page 117 TOP: Therapeutic Classification: Bronchodilators
KEY: Cognitive Level: Analysis
4. While providing care for an adolescent patient newly prescribed amitriptyline (Elavil), the
nurse should be most concerned by which of the following patient statements?
A. “My mouth seems really dry and I’m thirsty all the time.”
B. “I take a nap most afternoons now because I feel sleepy sometimes.”
C. “I’m not sure why we should even bother anymore; everything seems so
pointless.”
D. “I drink a cup of coffee most days with breakfast.”
ANS: C
See Contraindications/Precautions for amitriptyline: the use of this medication may increase
the risk of suicide attempt/ideation especially during early treatment or dose adjustment; risk
may be greater in children or adolescents. Sedation is an expected side effect. Dry mouth is an
expected side effect. There is no directive to avoid caffeine with this medication.
DIF: Medium REF: Page 145 TOP: Therapeutic Classification: Antidepressants
KEY: Cognitive Level: Analysis
5. The nurse is caring for a patient with otitis media who reports an allergy to penicillin. Orders
are received for amoxicillin 500 mg every 8 hr. Which of the following actions by the nurse is
best?
A. Provide the medication as ordered.
B. Call the pharmacist to request a substitution.
C. Ask the patient if he or she has taken amoxicillin in the past.
D. Hold the medication.
ANS: D
See contraindications/precautions for amoxicillin. Contraindicated in hypersensitivity to
penicillin. This medication should be held due to the stated allergy to penicillin.
DIF: Easy REF: Page 148 TOP: Therapeutic Classification: Anti-infectives
KEY: Cognitive Level: Application
6. While caring for a patient in hospice who is actively dying, the nurse notes moderate
respiratory distress, copious oral secretion, and a frequent moist cough. Which of the
following prn medications would most promote comfort for the patient?
A. Morphine sulfate (Morphine) 2 mg IV bolus
B. Atropine (AtroPen) 0.4 mg IV bolus
C. Lorazepam (Ativan) 0.5 mg IV bolus
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Davis's Drug Guide for Nurses, 17th Edition (Vallerand, 2020)
D. Diphenhydramine (Benadryl) 25 mg IV bolus
ANS: B
See Action for atropine: Low doses decrease sweating, salivation, and respiratory secretions.
Morphine is used for pain control. Lorazepam is used for anxiety. Benadryl is used for
itching.
DIF: Medium REF: Page 198
TOP: Therapeutic Classification: Antiarrhythmics | Therapeutic Classification: Anticholinergics
KEY: Cognitive Level: Analysis
7. The nurse is counseling a patient started on azithromycin (Zithromax) for the treatment of an
upper respiratory infection. The nurse recognizes that teaching has been effective by which of
the following patient statements?
A. “The med pack will have 5 pills, 1 for each of the next 5 days.”
B. “If I don’t feel better next week, I can get a refill from the pharmacist.”
C. “I only need to take 1 pill, but my symptoms may not clear for 3 days.”
D. “I can take this medication safely even though I’m allergic to erythromycin.”
ANS: A
See Route/Dosage for azithromycin: 500 mg on 1st day, then 250 mg/day for 4 more days.
Instruct the patent to notify health care professional if symptoms do not improve. Teach the
patient to take medication as directed and to finish the drug completely. Azithromycin is
contraindicated in patients with an allergy to erythromycin.
DIF: Easy REF: Page 202 TOP: Therapeutic Classification: Anti-infectives
KEY: Cognitive Level: Analysis
8. The home-care nurse is preparing to see a patient being treated for diabetic foot ulcerations
with becaplermin (Regranex). Which of the following instructions will the nurse include in
the patient teaching?
A. “Apply the wound gel 3 times daily to promote healing.”
B. “Store the gel in the refrigerator.”
C. “Complete healing is expected within 3 days.”
D. “After applying the wound gel, cover with a transparent adhesive dressing.”
ANS: B
See Implementation for becaplermin: Calculated amount is applied as a thin layer and covered
with a moist saline dressing for 12 hr; dressing is removed, ulcer rinsed, and redressed with
moist dressing without becaplermin for rest of day. Process is repeated daily. Store gel in
refrigerator; do not freeze. If ulcer does not decrease in size by 30% within 10 wk,
continuation of therapy should be reassessed. Cover with a moist saline dressing for 12 hr.
Then, remove dressing, rinse ulcer, and redress with moist dressing without becaplermin for
rest of day.
DIF: Hard REF: Page 214
TOP: Therapeutic Classification: Wound/Ulcer/Decubiti healing agents
KEY: Cognitive Level: Analysis
______________________________________________________________________________________________
3|Page
, ______________________________________________________________________________________________
Test Bank - Davis's Drug Guide for Nurses, 17th Edition (Vallerand, 2020)
9. The nurse is tracking patient symptoms related to acute alcohol intoxication and withdrawal.
Which of the following medications would the nurse expect to provide in the management of
these symptoms?
A. Clopidogrel (Plavix)
B. Bupropion (Zyban)
C. Omeprazole (Prilosec)
D. Clorazepate (Tranxene T-Tab)
ANS: D
See Indications for clorazepate: Clorazepate is used in the management of simple partial
seizures, anxiety disorder, symptoms of anxiety, and acute alcohol withdrawal. Clopidogrel is
an antiplatelet agent. Bupropion is an antidepressant. Omeprazole is an antiulcer agent.
DIF: Medium REF: Drugguide.com
TOP: Therapeutic Classification: Anticonvulsants
KEY: Cognitive Level: Application
10. The nurse prepares to provide colchicine (Colcrvs) to a patient. The nurse should assess which
of the following prior to administration of the medication?
A. Blood pressure
B. Complete blood count
C. Triglyceride level
D. Oxygen saturation
ANS: B
See Nursing Implications/Assessment for colchicine: In patients receiving prolonged therapy,
monitor baseline and periodic CBC; may cause decreased platelet count, leukopenia, aplastic
anemia, and agranulocytosis. No alteration in the blood pressure, triglyceride, or oxygenation
is expected.
DIF: Hard REF: Page 345 TOP: Therapeutic Classification: Antigout agents
KEY: Cognitive Level: Application
11. The nurse is transcribing new orders for a patient with multiple sclerosis. Cyclobenzaprine
(Amrix) 10 mg orally 3 times daily has been ordered. Which of the following would require
an immediate intervention by the nurse?
A. The patient has a noted allergy to acetaminophen.
B. The patient has a family history of breast cancer.
C. The patient is currently taking phenelzine (Nardil).
D. The patient is diabetic.
ANS: C
See Contraindications/Precautions for cyclobenzaprine: Should not be used within 14 days of
MAO inhibitor therapy. Phenelzine is an MAO inhibitor. The other factors will not impact the
safe provision of cyclobenzaprine.
DIF: Hard REF: Page 377 | drugguide.com (phenelzine)
TOP: Therapeutic Classification: Skeletal muscle relaxants
KEY: Cognitive Level: Analysis
______________________________________________________________________________________________
4|Page
Davis's Drug Guide for Nurses
April Hazard Vallerand, and Cynthia A. Sanoski
17th Edition
,Table of Contents
Test Bank 01 1
Test Bank 02 86
Test Bank 03 110
Test Bank 04 128
,______________________________________________________________________________________________
Test Bank - Davis's Drug Guide for Nurses, 17th Edition (Vallerand, 2020)
Test Bank 1
MULTIPLE CHOICE
1. The nurse is providing care for a patient scheduled to take acarbose (Precose) 25 mg 3 times
daily with meals. The patient reports feeling sweaty, weak, and tremulous. Which of the
following actions by the nurse is best?
A. Reassure the patient that these are common side effects with the medication.
B. Call the pharmacy to report an adverse drug reaction.
C. Check the patient’s blood glucose level.
D. Determine if the patient has a history of anemia.
ANS: C
See Assessment for acarbose: Observe the patient for signs and symptoms of hypoglycemia.
Acarbose alone does not cause hypoglycemia; however, other concurrently administered
hypoglycemic agents may produce hypoglycemia, requiring treatment. Ignoring these
symptoms would be dangerous, but it is not considered an adverse drug reaction requiring an
official report. The patient is experiencing symptoms of hypoglycemia not anemia.
DIF: Medium REF: Drugguide.com
TOP: Therapeutic Classification: Antidiabetics
KEY: Cognitive Level: Analysis
2. While responding to a rapid response called on the cardiac step-down unit, the nurse from
intensive care observes the unit nurse massaging a patient’s neck and instructing the patient to
bear down. Which of the following medications will most likely be used if the patient’s pulse
does not return to normal?
A. Adenosine (Adenocard)
B. Epinephrine (Adrenaline)
C. Atenolol (Tenormin)
D. Asenapine (Saphris)
ANS: A
See Indications for adenosine: Adenosine is used for the conversion of paroxysmal
supraventricular tachycardia (PVST) to normal sinus rhythm when vagal maneuvers are
unsuccessful. Epinephrine is a bronchodilator used in the management of reversible airway
disease. Atenolol is a beta blocker used in the management of hypertension. Asenapine is an
antipsychotic mood stabilizer used in the acute treatment of schizophrenia or manic/mixed
episodes associated with bipolar I disorder.
DIF: Medium REF: Page 112 | Page 505 | Page 191 | Page 188
TOP: Therapeutic Classification: Antiarrhythmics
KEY: Cognitive Level: Application
3. The nurse is instructing the parent of a 6-year-old patient recently started on an albuterol
(ProAir HFA) inhaler for exercise-induced asthma. The nurse recognizes that further teaching
is necessary by which of the following client statements?
A. “He may feel like his heart is racing after he takes his inhaler.”
B. “He can use the inhaler as many times during football practice as he needs it.”
C. “He should avoid cola and other caffeinated drinks since they may increase his
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Davis's Drug Guide for Nurses, 17th Edition (Vallerand, 2020)
heart rate.”
D. “He should take 2 puffs about 15 min before gym class.”
ANS: B
See Contraindications/Precautions, Interactions, and Dosage for albuterol. Excess inhaler use
may lead to tolerance and paradoxical bronchospasm. Use with caffeine-containing herbs
(cola nut, guarana, tea, coffee) increases stimulant effect. Two inhalations every 4–6 hr or 2
inhalations 15 min prior to exercise). Tachycardia is an expected side effect with this
medication.
DIF: Easy REF: Page 117 TOP: Therapeutic Classification: Bronchodilators
KEY: Cognitive Level: Analysis
4. While providing care for an adolescent patient newly prescribed amitriptyline (Elavil), the
nurse should be most concerned by which of the following patient statements?
A. “My mouth seems really dry and I’m thirsty all the time.”
B. “I take a nap most afternoons now because I feel sleepy sometimes.”
C. “I’m not sure why we should even bother anymore; everything seems so
pointless.”
D. “I drink a cup of coffee most days with breakfast.”
ANS: C
See Contraindications/Precautions for amitriptyline: the use of this medication may increase
the risk of suicide attempt/ideation especially during early treatment or dose adjustment; risk
may be greater in children or adolescents. Sedation is an expected side effect. Dry mouth is an
expected side effect. There is no directive to avoid caffeine with this medication.
DIF: Medium REF: Page 145 TOP: Therapeutic Classification: Antidepressants
KEY: Cognitive Level: Analysis
5. The nurse is caring for a patient with otitis media who reports an allergy to penicillin. Orders
are received for amoxicillin 500 mg every 8 hr. Which of the following actions by the nurse is
best?
A. Provide the medication as ordered.
B. Call the pharmacist to request a substitution.
C. Ask the patient if he or she has taken amoxicillin in the past.
D. Hold the medication.
ANS: D
See contraindications/precautions for amoxicillin. Contraindicated in hypersensitivity to
penicillin. This medication should be held due to the stated allergy to penicillin.
DIF: Easy REF: Page 148 TOP: Therapeutic Classification: Anti-infectives
KEY: Cognitive Level: Application
6. While caring for a patient in hospice who is actively dying, the nurse notes moderate
respiratory distress, copious oral secretion, and a frequent moist cough. Which of the
following prn medications would most promote comfort for the patient?
A. Morphine sulfate (Morphine) 2 mg IV bolus
B. Atropine (AtroPen) 0.4 mg IV bolus
C. Lorazepam (Ativan) 0.5 mg IV bolus
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Davis's Drug Guide for Nurses, 17th Edition (Vallerand, 2020)
D. Diphenhydramine (Benadryl) 25 mg IV bolus
ANS: B
See Action for atropine: Low doses decrease sweating, salivation, and respiratory secretions.
Morphine is used for pain control. Lorazepam is used for anxiety. Benadryl is used for
itching.
DIF: Medium REF: Page 198
TOP: Therapeutic Classification: Antiarrhythmics | Therapeutic Classification: Anticholinergics
KEY: Cognitive Level: Analysis
7. The nurse is counseling a patient started on azithromycin (Zithromax) for the treatment of an
upper respiratory infection. The nurse recognizes that teaching has been effective by which of
the following patient statements?
A. “The med pack will have 5 pills, 1 for each of the next 5 days.”
B. “If I don’t feel better next week, I can get a refill from the pharmacist.”
C. “I only need to take 1 pill, but my symptoms may not clear for 3 days.”
D. “I can take this medication safely even though I’m allergic to erythromycin.”
ANS: A
See Route/Dosage for azithromycin: 500 mg on 1st day, then 250 mg/day for 4 more days.
Instruct the patent to notify health care professional if symptoms do not improve. Teach the
patient to take medication as directed and to finish the drug completely. Azithromycin is
contraindicated in patients with an allergy to erythromycin.
DIF: Easy REF: Page 202 TOP: Therapeutic Classification: Anti-infectives
KEY: Cognitive Level: Analysis
8. The home-care nurse is preparing to see a patient being treated for diabetic foot ulcerations
with becaplermin (Regranex). Which of the following instructions will the nurse include in
the patient teaching?
A. “Apply the wound gel 3 times daily to promote healing.”
B. “Store the gel in the refrigerator.”
C. “Complete healing is expected within 3 days.”
D. “After applying the wound gel, cover with a transparent adhesive dressing.”
ANS: B
See Implementation for becaplermin: Calculated amount is applied as a thin layer and covered
with a moist saline dressing for 12 hr; dressing is removed, ulcer rinsed, and redressed with
moist dressing without becaplermin for rest of day. Process is repeated daily. Store gel in
refrigerator; do not freeze. If ulcer does not decrease in size by 30% within 10 wk,
continuation of therapy should be reassessed. Cover with a moist saline dressing for 12 hr.
Then, remove dressing, rinse ulcer, and redress with moist dressing without becaplermin for
rest of day.
DIF: Hard REF: Page 214
TOP: Therapeutic Classification: Wound/Ulcer/Decubiti healing agents
KEY: Cognitive Level: Analysis
______________________________________________________________________________________________
3|Page
, ______________________________________________________________________________________________
Test Bank - Davis's Drug Guide for Nurses, 17th Edition (Vallerand, 2020)
9. The nurse is tracking patient symptoms related to acute alcohol intoxication and withdrawal.
Which of the following medications would the nurse expect to provide in the management of
these symptoms?
A. Clopidogrel (Plavix)
B. Bupropion (Zyban)
C. Omeprazole (Prilosec)
D. Clorazepate (Tranxene T-Tab)
ANS: D
See Indications for clorazepate: Clorazepate is used in the management of simple partial
seizures, anxiety disorder, symptoms of anxiety, and acute alcohol withdrawal. Clopidogrel is
an antiplatelet agent. Bupropion is an antidepressant. Omeprazole is an antiulcer agent.
DIF: Medium REF: Drugguide.com
TOP: Therapeutic Classification: Anticonvulsants
KEY: Cognitive Level: Application
10. The nurse prepares to provide colchicine (Colcrvs) to a patient. The nurse should assess which
of the following prior to administration of the medication?
A. Blood pressure
B. Complete blood count
C. Triglyceride level
D. Oxygen saturation
ANS: B
See Nursing Implications/Assessment for colchicine: In patients receiving prolonged therapy,
monitor baseline and periodic CBC; may cause decreased platelet count, leukopenia, aplastic
anemia, and agranulocytosis. No alteration in the blood pressure, triglyceride, or oxygenation
is expected.
DIF: Hard REF: Page 345 TOP: Therapeutic Classification: Antigout agents
KEY: Cognitive Level: Application
11. The nurse is transcribing new orders for a patient with multiple sclerosis. Cyclobenzaprine
(Amrix) 10 mg orally 3 times daily has been ordered. Which of the following would require
an immediate intervention by the nurse?
A. The patient has a noted allergy to acetaminophen.
B. The patient has a family history of breast cancer.
C. The patient is currently taking phenelzine (Nardil).
D. The patient is diabetic.
ANS: C
See Contraindications/Precautions for cyclobenzaprine: Should not be used within 14 days of
MAO inhibitor therapy. Phenelzine is an MAO inhibitor. The other factors will not impact the
safe provision of cyclobenzaprine.
DIF: Hard REF: Page 377 | drugguide.com (phenelzine)
TOP: Therapeutic Classification: Skeletal muscle relaxants
KEY: Cognitive Level: Analysis
______________________________________________________________________________________________
4|Page
