Rationale
Practice exam a
1. Nursing education on the action of sucralfate for peptic ulcer disease
a. Forms a protective barrier over ulcers
2. Nursing education on handling oral transmucosal fentanyl lozenges on a stick
a. Store unused medication sticks in a storage container
3. Ecg indication of hypokalemia for a pt receiving furosemide
a. Presence of u waves
4. Taking docusate sodium can minimize what adverse effect of morphine
a. Constipation
5. Nurse should monitor what with a pt on mannitol via iv fusion
a. Bibasilar crackles
6. Nursing education for a pt with gastric ulcer on ranitidine
a. Report yellowing of the skin
7. Nursing priority when observing anxiety, hypotension, and dyspnea after administration of
cefazolin iv
a. Anticipate administration of epinephrine
8. Nursing consideration when administering metoprolol for hypertension
a. Determine apical pulse prior to administration
9. Which medication is contraindicated with calcium gluconate
a. Digoxin
10. Priority nursing intervention when metformin was administered instead of metoclopramide a.
Check the clients bg
11. Nursing education about a pt taking hydrocodone and acetaminophen
a. Decreased respirations may occur
12. Which medication is contraindicated with oral contraceptives
a. Carbamazepine
13. Nursing priority with what vital sign when giving digoxin. Bp 144/86 hr 55 rr 20 a. Heart rate
14. Nursing consideration of adverse effects of fluoxetine for depression
a. Sexual dysfunction
15. Why can't a pt take aspirin while taking warfarin
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a. Aspirin will increase the risk of bleeding
16. What indicates a pt is ready for discharge post endoscopy on midazolam
a. Their capnography has returned to baseline
17. Newborn age required for their first dtap
a. 2 months old
18. Findings that propylthiouracil is effective for graves disease
a. Increase in ability to focus
19. Nursing action when a pt refuses a dose of medication
a. Document the refusal and inform the provider
20. Nurse monitoring for what adverse effect when donepezil is administered for alzheimers a.
Dyspnea
21. Nursing consideration of what adverse effect of neostigmine for myasthenia gravis a. Miosis
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22. Nursing education understood by pt about cyclobenzaprine
a. I will taper off the medication before discontinuing
23. Nursing education on adverse effects of oxybutynin for urinary incontinence
a. Dry mouth
b. Blurred vision
c. Dry eyes
24. Nursing education on adverse effects of bupropion for smoking cessation
a. Insomnia
25. Which of the following is a manifestation of neuroleptic malignant syndrome
a. Temp 103.5f
26. Nursing education about medication reconciliation
a. A transition in care requires the nurse to conduct medication reconciliation
27. Nursing consideration of adverse effects of gentamicin iv
a. Tinnitus
28. Nursing consideration of adverse effects of tamoxifen for breast cancer treatment a. Hot
flashes
29. Why would chlordiazepoxide be administered for acute alcohol withdrawal
a. To prevent delirium tremens
30. Otc medication contraindicated with lithium
a. Ibuprofen
31. What is the time window to administer medication
a. 30 min before or after the prescribed time
32. Nursing education on risedronate for osteoporosis
a. Pt should sit up for 30 min after taking medication
33. Nursing consideration of adverse effects of heparin for pulmonary embolism a. Blood in
urine
34. What should be included in the teaching plan for a pt taking simvastatin
a. Report muscle pain to the provider
b. Avoid taking the medication with grapefruit juice
c. Expect therapy with this medication to be lifelong
35. What test is required for a refill of isotretinoin for severe nodulocystic acne vulgarism a.
Pregnancy test
36. Nursing consideration of adverse effects for metoclopramide following bowel surgery a.
Sedation
37. Nursing education for a pt taking ergotamine to treat migraine headaches
a. Take one tablet at onset of migraine
38. How to administer subq medication
a. Outside the 5cm radius of the umbilicus
39. Nursing education should include which adverse effect to report ot the provider for
acetazolamide to treat glaucoma
a. Tingling of the fingers
40. Nursing priority when medication error of atenolol was given instead of allopurinol a.
Obtain the pt bp
41. Nursing consideration when administering sodium polystyrene sulfonate for hyperkalemia
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