NLN MEDICATION EXAM SCRIPT 2025/2026 QUESTIONS
AND ANSWERS GRADED A++
✔✔A nurse should include which of these instructions for a patient on naproxen
(Naprosyn)?
• Maximum effectiveness may take two to four weeks of continued therapy
• The medication may be taken with aspirin to improve pain relief.
• You will need to carefully monitor your blood sugar levels
• It is important that you avoid sun exposure - ✔✔Maximum effectiveness may take two
to four weeks of continued therapy
✔✔A nurse should monitor ________________ for a patient who is taking furosemide
(Lasix)?
• Respiratory rate
• Blood pressure
• Pulse oximetry
• Babinski reflex - ✔✔Blood pressure
✔✔An anti-hyperlipidemic medication is contraindicated for which patient?
• a 30-year-old client who has a history of heart disease
• a 44-year-old client who has recurrent urinary tract infections
• a 57-year-old client who has cirrhosis related to alcohol abuse
• a 79-year-old client who has bilateral cataracts - ✔✔a 57-year-old client who has
cirrhosis related to alcohol abuse
✔✔The side effect for cefotaxime sodium (Claforan) is...?
• Diarrhea
• Vertigo
• Tinnitus
• Insomnia - ✔✔Diarrhea
✔✔The therapeutic effect of an angiotensin converting enzyme, ACE inhibitor is..?
• Increased cardiac workload
• Increased exercise tolerance
• Increased peripheral vascular resistance
• Increased respiratory effort - ✔✔Increased exercise tolerance
✔✔The desired effect of epoetin alfa (Epogen) is...?
• Decreased lymphocytes
, • Decreased neutrophils
• Increased platelet count
• Increased hematocrit level - ✔✔Increased hematocrit level
✔✔Signs of renal toxicity for a patient on vancomycin hydrochloride (Vancocin) would
include...
• Increased serum creatinine level
• Decreased blood urea nitrogen, BUN, level
• Increased blood pressure
• Intermittent flank pain - ✔✔Increased serum creatinine level
✔✔Which emergency medication should the nurse have available for a patient in
cholinergic crisis from bethanechol (Urecholine)?
• Atropine sulfate (Isopto Atropine)
• Epinephrine hydrochloride (Adrenalin chloride)
• Diphenhydramine hydrochloride (Benadryl)
• Acetaminophen (Tylenol) - ✔✔Atropine sulfate (Isopto Atropine)
✔✔Cephradine (Velosef) is contraindicated in an elderly patient with a history of...
• Hypertension
• Penicillin allergy
• Drug dependence
• Depression - ✔✔Penicillin allergy
✔✔What is the appropriate education for a patient who abruptly stops his hypertensive
medications due to interference to sexual function?
• Serious hypertension is likely to result from stopping medications abruptly
• The side effects would have eventually disappeared with continued administration
• Alternative medication therapy that will not affect sexual function is available
• Stopping the medications now will cause a stroke - ✔✔Alternative medication therapy
that will not affect sexual function is available
✔✔The nurse knows that performance of a purified protein derivative (PPD) test for TB
will include:
• Pointing the bevel of the needle downward
• Massaging the area after the injection
• Ensuring the wheal forms
• Using a 22 gauge, one-inch needle - ✔✔Ensuring the wheal forms
AND ANSWERS GRADED A++
✔✔A nurse should include which of these instructions for a patient on naproxen
(Naprosyn)?
• Maximum effectiveness may take two to four weeks of continued therapy
• The medication may be taken with aspirin to improve pain relief.
• You will need to carefully monitor your blood sugar levels
• It is important that you avoid sun exposure - ✔✔Maximum effectiveness may take two
to four weeks of continued therapy
✔✔A nurse should monitor ________________ for a patient who is taking furosemide
(Lasix)?
• Respiratory rate
• Blood pressure
• Pulse oximetry
• Babinski reflex - ✔✔Blood pressure
✔✔An anti-hyperlipidemic medication is contraindicated for which patient?
• a 30-year-old client who has a history of heart disease
• a 44-year-old client who has recurrent urinary tract infections
• a 57-year-old client who has cirrhosis related to alcohol abuse
• a 79-year-old client who has bilateral cataracts - ✔✔a 57-year-old client who has
cirrhosis related to alcohol abuse
✔✔The side effect for cefotaxime sodium (Claforan) is...?
• Diarrhea
• Vertigo
• Tinnitus
• Insomnia - ✔✔Diarrhea
✔✔The therapeutic effect of an angiotensin converting enzyme, ACE inhibitor is..?
• Increased cardiac workload
• Increased exercise tolerance
• Increased peripheral vascular resistance
• Increased respiratory effort - ✔✔Increased exercise tolerance
✔✔The desired effect of epoetin alfa (Epogen) is...?
• Decreased lymphocytes
, • Decreased neutrophils
• Increased platelet count
• Increased hematocrit level - ✔✔Increased hematocrit level
✔✔Signs of renal toxicity for a patient on vancomycin hydrochloride (Vancocin) would
include...
• Increased serum creatinine level
• Decreased blood urea nitrogen, BUN, level
• Increased blood pressure
• Intermittent flank pain - ✔✔Increased serum creatinine level
✔✔Which emergency medication should the nurse have available for a patient in
cholinergic crisis from bethanechol (Urecholine)?
• Atropine sulfate (Isopto Atropine)
• Epinephrine hydrochloride (Adrenalin chloride)
• Diphenhydramine hydrochloride (Benadryl)
• Acetaminophen (Tylenol) - ✔✔Atropine sulfate (Isopto Atropine)
✔✔Cephradine (Velosef) is contraindicated in an elderly patient with a history of...
• Hypertension
• Penicillin allergy
• Drug dependence
• Depression - ✔✔Penicillin allergy
✔✔What is the appropriate education for a patient who abruptly stops his hypertensive
medications due to interference to sexual function?
• Serious hypertension is likely to result from stopping medications abruptly
• The side effects would have eventually disappeared with continued administration
• Alternative medication therapy that will not affect sexual function is available
• Stopping the medications now will cause a stroke - ✔✔Alternative medication therapy
that will not affect sexual function is available
✔✔The nurse knows that performance of a purified protein derivative (PPD) test for TB
will include:
• Pointing the bevel of the needle downward
• Massaging the area after the injection
• Ensuring the wheal forms
• Using a 22 gauge, one-inch needle - ✔✔Ensuring the wheal forms
