1. A nurse is preparing to administer a medication that is highly protein-bound.
The client has low albumin levels. What would the nurse expect?
A) Increased risk of toxicity
B) Decreased drug efficacy
C) Increased therapeutic effect
D) Decreased risk of side effects
Answer: A) Increased risk of toxicity
Rationale: Low albumin levels result in a higher free (active) drug concentration in the
bloodstream because less drug is bound to protein. This increases the risk of toxicity, as more
drug is available to exert its effects.
2. A nurse is administering a drug that inhibits the enzyme monoamine oxidase
(MAO). Which food should the nurse instruct the patient to avoid?
A) Bananas
B) Milk
C) Aged cheese
D) Eggs
Answer: C) Aged cheese
Rationale: MAO inhibitors interact with foods containing tyramine, such as aged cheese, leading
to potentially dangerous hypertensive crises.
3. A patient is receiving morphine for pain management. What is the most
important assessment for the nurse to make?
A) Respiratory rate
B) Blood pressure
C) Heart rate
D) Skin temperature
Answer: A) Respiratory rate
Rationale: Morphine is a central nervous system depressant and can cause respiratory
depression. Monitoring the respiratory rate is essential to prevent respiratory failure.
4. A client is receiving a loop diuretic. Which of the following laboratory values
should be monitored closely?
,A) Potassium
B) Calcium
C) Phosphorus
D) Sodium
Answer: A) Potassium
Rationale: Loop diuretics, such as furosemide, can cause significant potassium loss, which may
lead to hypokalemia.
5. A nurse is providing education about warfarin (Coumadin) therapy. Which of
the following foods should the nurse advise the client to avoid?
A) Spinach
B) Apple
C) Orange
D) Banana
Answer: A) Spinach
Rationale: Spinach is rich in vitamin K, which can interfere with the anticoagulant effects of
warfarin, decreasing its effectiveness.
6. A nurse is administering a dose of acetaminophen (Tylenol) to a patient.
Which of the following is the most important to assess?
A) Blood pressure
B) Liver function
C) Respiratory function
D) Renal function
Answer: B) Liver function
Rationale: Acetaminophen can cause liver toxicity, especially with overdose or chronic use, so
liver function must be monitored.
7. A nurse is caring for a client who is prescribed an ACE inhibitor. Which of the
following side effects should the nurse inform the client about?
A) Weight gain
B) Persistent cough
, C) Increased heart rate
D) Constipation
Answer: B) Persistent cough
Rationale: A common side effect of ACE inhibitors is a persistent dry cough due to the
accumulation of bradykinin.
8. A nurse is caring for a client with a prescription for digoxin. Which of the
following findings is a potential sign of digoxin toxicity?
A) Bradycardia
B) Hypotension
C) Tachypnea
D) Hyperthermia
Answer: A) Bradycardia
Rationale: Digoxin toxicity can cause bradycardia and other symptoms like nausea, vomiting,
and confusion.
9. A nurse is preparing to administer a medication that is a beta-blocker. Which
of the following is a common side effect?
A) Tachycardia
B) Hypoglycemia
C) Bradycardia
D) Hyperkalemia
Answer: C) Bradycardia
Rationale: Beta-blockers reduce heart rate and contractility, often resulting in bradycardia.
10. A nurse is providing education to a client who is starting on a statin. Which
of the following statements indicates the need for further teaching?
A) “I will need to monitor for muscle pain.”
B) “I should avoid grapefruit juice.”
C) “I will need to take this medication on an empty stomach.”
D) “I will have my liver function tested regularly.”
The client has low albumin levels. What would the nurse expect?
A) Increased risk of toxicity
B) Decreased drug efficacy
C) Increased therapeutic effect
D) Decreased risk of side effects
Answer: A) Increased risk of toxicity
Rationale: Low albumin levels result in a higher free (active) drug concentration in the
bloodstream because less drug is bound to protein. This increases the risk of toxicity, as more
drug is available to exert its effects.
2. A nurse is administering a drug that inhibits the enzyme monoamine oxidase
(MAO). Which food should the nurse instruct the patient to avoid?
A) Bananas
B) Milk
C) Aged cheese
D) Eggs
Answer: C) Aged cheese
Rationale: MAO inhibitors interact with foods containing tyramine, such as aged cheese, leading
to potentially dangerous hypertensive crises.
3. A patient is receiving morphine for pain management. What is the most
important assessment for the nurse to make?
A) Respiratory rate
B) Blood pressure
C) Heart rate
D) Skin temperature
Answer: A) Respiratory rate
Rationale: Morphine is a central nervous system depressant and can cause respiratory
depression. Monitoring the respiratory rate is essential to prevent respiratory failure.
4. A client is receiving a loop diuretic. Which of the following laboratory values
should be monitored closely?
,A) Potassium
B) Calcium
C) Phosphorus
D) Sodium
Answer: A) Potassium
Rationale: Loop diuretics, such as furosemide, can cause significant potassium loss, which may
lead to hypokalemia.
5. A nurse is providing education about warfarin (Coumadin) therapy. Which of
the following foods should the nurse advise the client to avoid?
A) Spinach
B) Apple
C) Orange
D) Banana
Answer: A) Spinach
Rationale: Spinach is rich in vitamin K, which can interfere with the anticoagulant effects of
warfarin, decreasing its effectiveness.
6. A nurse is administering a dose of acetaminophen (Tylenol) to a patient.
Which of the following is the most important to assess?
A) Blood pressure
B) Liver function
C) Respiratory function
D) Renal function
Answer: B) Liver function
Rationale: Acetaminophen can cause liver toxicity, especially with overdose or chronic use, so
liver function must be monitored.
7. A nurse is caring for a client who is prescribed an ACE inhibitor. Which of the
following side effects should the nurse inform the client about?
A) Weight gain
B) Persistent cough
, C) Increased heart rate
D) Constipation
Answer: B) Persistent cough
Rationale: A common side effect of ACE inhibitors is a persistent dry cough due to the
accumulation of bradykinin.
8. A nurse is caring for a client with a prescription for digoxin. Which of the
following findings is a potential sign of digoxin toxicity?
A) Bradycardia
B) Hypotension
C) Tachypnea
D) Hyperthermia
Answer: A) Bradycardia
Rationale: Digoxin toxicity can cause bradycardia and other symptoms like nausea, vomiting,
and confusion.
9. A nurse is preparing to administer a medication that is a beta-blocker. Which
of the following is a common side effect?
A) Tachycardia
B) Hypoglycemia
C) Bradycardia
D) Hyperkalemia
Answer: C) Bradycardia
Rationale: Beta-blockers reduce heart rate and contractility, often resulting in bradycardia.
10. A nurse is providing education to a client who is starting on a statin. Which
of the following statements indicates the need for further teaching?
A) “I will need to monitor for muscle pain.”
B) “I should avoid grapefruit juice.”
C) “I will need to take this medication on an empty stomach.”
D) “I will have my liver function tested regularly.”
