NP1 Exam 1 Review Exam Questions with 100% Correct SOLUTIONs Latest UPDATE 2025/2026 100% GUARANTEED PASS!!!(A+ GRADED 100% VERIFIED)

NP1 Exam 1 Review Exam Questions with 100% Correct SOLUTIONs Latest UPDATE 2025/2026 100% GUARANTEED PASS!!!(A+ GRADED 100% VERIFIED) 1. A patient asks the nurse about drug interactions with over-thecounter preparations. What is the nurse's best response? a. discuss this with the health care provider b. there are not many interactions, so don't worry about it c. read the labels carefully, and check with your health care provider d. avoid over-the-counter preparations - ANSWER C 2. During a medication review session, a client comments, "I just do not know why I am taking all of these pills." This comment suggests which nursing diagnosis? a. Risk for injury b. Deficient knowledge c. Risk for aspiration d. anxiety - ANSWER B 3. The nurse is developing goals in collaboration with a patient. Which is the best goal statement? a. a patient will self-administer albuterol by tomorrow b. the patient will self-administer the prescribed does of albuterol by the end of the second teaching session c. the patient will independently self-administer the prescribed dose of albuterol by the end of the second teaching session d. the patient will organize his or her medications by tomorrow - ANSWER C 4. When developing an effective medication teaching plan, which component will the nurse identify as most essential? a. written instructions b. the patient's readiness to learn c. use of colorful charts d. a review of community resources - ANSWER B 5. When developing an individualized medication teaching plan, which topics will the nurse include? (select all that apply) a. the importance of adherence to the prescribed drug regiment b. how to administer medications according to the prescribed route c. the side/adverse effects that should be reported to the health care provider d. if a drug is inadvertently missed, whether to double the next dose e. notifying the physician prior to taking over-the-counter drugs or supplements - ANSWER A, B, C, E 6. The Nursing Alliance for Quality Care's focus is for health care providers to strive for which goal? 7. a, safety in medication administration 8. b. confidentiality as determined by the patient 9. c. development of a patient relationship and family engagement 10. d. patient independence within the family - ANSWER C 11. The Quality and Safety education for Nurses' focus on safety is best exemplified by which competency? a. patient advocacy b. technology-enhanced medication administration c. infection control d. patient- and family-centered collaborative care - ANSWER D 12. Which teaching strategy is most likely to succeed in health teaching with the patient and family? a. have the patient verbalize why they are taking the drug b. have the patient answer closed-ended questions c. have the patient demonstrate information d. have the patient identify pills by color - ANSWER C 13. A patient ask about disposal of medications. What are the nurse's best response? (select all that apply) a. mix medications with coffee grounds or cat litter before disposal b. pour medications down the sink c. remove identifying information on the original container d. pulverize all tablets before disposal e. dilute the medication with bleach before disposal - ANSWER A, C 14. The nurse educator on the unit receives a list of high-alert drugs. Which strategy is recommended to decrease the risk of errors with these medications? (select all that apply) a. store medications alphabetically on an easy-access shelf for quick retrieval b. limit access to these drugs c. use special labels for these drugs d. provide increased information to staff e. standardized the ordering and preparation of these drugs - ANSWER B, C, D, E 15. The nurse is aware that The Joint Commission has recommended which abbreviation be on the "Do Not Use" list for ordering or documenting medications? a. qD b. NPO c. Subling d. bid - ANSWER A 16. A patient refuses to take prescribed medication. Which is the nurse's best response to this patient? a. explain the benefits and side effects of the drug b. leave the medication at the patient's bedside to be taken later c. persuade the patient to take the medication d. explain the risks of not taking the medication - ANSWER D 17. What information is essential for the nurse to know related to right documentation? (select all that apply) a. the necessity to document all medications given at the end of a shift b. the correct site of injectable medication c. patient response to an antiemetic d. patient's blood pressure prior to giving an anti hypertensive e. date and time of dose and necessity for the nurse's initials/signature - ANSWER B, C, D, E 18. The nurse prepares to administer medications. Which are complete drug orders? (select all that apply) a. aspiring 81 mg PO daily b. multivitamin c. vitamin d 2000 units PO d. ciprofoxacin hydrochloride (Cipro) 500 mg PO q12h x 7d e. Promethazine 50 mg IV q3-6h PRN for nausea - ANSWER A, D, E 19. The nurse is administering oral medications to a patient. Which are important considerations? (select all that apply) a. administer irritating drugs with food b. avoid mixing medications in infant formula c. enteric-coated capsules may be chewed or crushed d. oral medication should be stopped if the patient is vomiting e. cut all transdermal patches to the correct dose - ANSWER A, B, D 20. The clinic nurse is preparing to administer an intradermal injection. Which supplies are most appropriate for this procedure? a. a 21-gauge, 5/8 inch needle b. a 27- gauge, 5/8 inch needle and a 3 mL syringe c. a 25-gauge needle and an insulin syringe d. a 25-gauge needle and a tuberculin syringe - ANSWER D 21. The nurse is administering an intramuscular injection to a 5 year old child. Choose the correct site the nurse will use. a. intravenous b. dorsogluteal c. deltoid d. ventrogluteal - ANSWER D 22. The nurse administers a variety of drugs to a patient. Which statement by the patient indicates a need for further teaching? a. I do not eat or drink when I have sublingual nitroglycerin in place b. I miss all of these meds in my dessert and hope I am not too full to finish it c. I keep the meds in their original labeled containers d. I store medications away from children and pets - ANSWER B 23. The nurse is teaching a patient to use an inhaler. What common teaching point is essential for the nurse to include? a. cleaning the metered dose inhaler or nebulizer is notrecommended b. the semi-fowler or high fowler position is recommended c. spacers decrease delivery of medication d. nebulizers change medications to a large-particle powder mist - ANSWER B 24. A 3 year old patient has an intramuscular medication ordered. What is the most appropriate approach to gain the child's cooperation? a. engage the help of a second nurse to hold the child b. give a pretend injection to a toy animal c. restrain the patient's upper extremities d. ask family member to leave the room - ANSWER B 25. The nurse prepares to administer oral medications to a patient. What nursing intervention is needed in addition to the "five-plus-five" rights to ensure safety? a. assess the patient for risk of aspiration b. mix two of the four medications into the meal c. administer drugs on a full stomach if food interferes with medication absorption d. administer irritating drugs without food to decrease gastrointestinal discomfort - ANSWER A 26. A patient is to start on a lidocaine transdermal patch. What is essential for the nurse to include int he patient's teaching? (select all that apply) a. wear gloves when applying the patch b. cut the patch in half if a reduced dose is needed c. wear gloves when removing the patch d. rotate placement of patch to different sites e. remove the patch if it becomes loose - ANSWER A, C, D 27. A patient is taking ibuprofen. The nurse understands that COX-1 and COX-2 inhibitors are different in that ibuprofen is more likely than celecoxib to cause which adverse effect? a. fever b. constipation c. peptic ulcer disease d. metallic taste when eating - ANSWER C 28. When teaching a patient who is receiving allopurinol, what should the nurse encourage the patient to do? a. eat more meat b. increase vitamin C intake c. have annual eye examinations d. take medication 2 hours before meals - ANSWER C 29. A patient is admitted to the hospital with an acute gout attack. The nurse expects that which medication will be ordered to treat acute gout? a. Colchicine b. Allopurinol c. Probenecid d. Sulfinpyrazone - ANSWER A 30. A patient is taking aspirin for arthritis. Which adverse reaction should the nurse teach the patient to report to the health care provider? a. Tinnitus b. Seizures c. Sinusitis d. Palpitations - ANSWER A 31. The nurse is teaching a patient about taking aspirin. Which are important points to include? (select all that apply) a. advise the patient to avoid alcohol while taking aspirin b. instruct the patient to take aspirin before meals on an empty stomach c. instruct the patient to inform the dentist of the aspirin dosage before having dental work d. instruct the patient to inform the surgeon of the aspirin dosage before having surgery e. suggest that aspiring may be given to children for flu symptoms - ANSWER A, C, D 32. A patient is taking infliximab and asks the nurse what side effects/adverse reactions to expect from this drug? The nurse lists which side effects? (select all that apply) a. fatigue b. headache c. chest pain d. renal damage e. severe infections - ANSWER A, B, C, E 33. A patient is taking nitrofurantoin. What will the nurse teach the patient? a. expect the urine to turn blue b. keep the urine acidic by drinking milk c. rinse the mouth after taking nitrofurantoin to avoid staining teeth d. rake an antacid with oral nitrofurantoin to avoid gastrointestinal distress - ANSWER C 34. A patient complains about a burning sensation and pain when urinating. Which urinary analgesic does the nurse suspect will be ordered? a. Tolterodine b. Oxybutynin c. Bethanechol d. Phenazopyridine - ANSWER D 35. A patient is taking the urinary antispectic methenamine for a urinary tract infection (UTI). The nurse understands that this drug should not be given concurrently with which other drug to avoid crystalluria? a. Ertapenem b. Ciprofloxacin c. Fosfomycin d. Trimethoprim-sulfamethoxazole - ANSWER D 36. A patient is recieving solifenacin succinate. The nurse knows that this drug is used to treat which condition? a. Chronic cystitis b. urinary tract stones c. urinary tract infection d. overactive bladder - ANSWER D 37. The patient is taking tolterodine. The nurse plans to teach the patient to report which condition? a. alkaline urine b. urinary retention c. excessive tearing d. reddish orange urine - ANSWER B 38. The nurse is caring for a patient who is taking nitrofurantoin. Which nursing interventions are appropriate for this patient? (select all that apply) a. monitor urinary output and urine specific gravity b. monitor the patient for peripheral neuropathy c. advise the patient to take the medication on an empty stomach to enhance absorption d. warn the patient to avoid excess exposure to sunlight e. inform the patient that urine may turn a harmless brown color - ANSWER A, B, E 39. A patient complains of constipation and requires a laxative. In providing teaching for this patient, the nurse reviews the common causes of constipation, including which cause? a. motion sickness b. poor dietary habits c. food intolerance d. bacteria (E coli) - ANSWER B 40. A patient with nausea is taking ondansetron. She asks the nurse how this drug works. The nurse is aware that his medication has which action? a. enhances histamine 1 receptor sites b. blocks serotonin receptors in the chemoreceptor trigger zone c. blocks dopamine receptors in the chemoreceptor trigger zone d. stimulates anticholinergic receptor sites - ANSWER B 41. A patient who has constipation is prescribed a bisacodyl suppository. Which explanation will the nurse use to explain the action of bisacodyl? a. acts on smooth intestinal muscle to gently increase peristalsis b. absorbs water into the intestines to increase bulk and peristalsis c. lowers surface tension and increases water accumulation in the intestines d. pulls salt into colon and increases water in the feces to increase bulk - ANSWER A 42. A patient is using scopolamine to prevent motion sickness. About which common side effect should the nurse teach the patient? a. diarrhea b. vomiting c. insomnia d. dry mouth - ANSWER D 43. When metoclopramide is given for nausea, the nurse plans to caution the patient to avoid which substance? a. milk b. coffee c. alcohol d. carbonated beverages - ANSWER C 44. The nurse is administering difenoxin with atropine to a patient. which should be included in the patient teaching regarding this medication? (select all that apply) a. caution the patient to avoid laxative abuse b. record the frequency of bowel movements c. caution the patient against taking sedatives concurrently d. encourage the patient to increase fluids e. instruct the patient to avoid this drug if he or she has narrow angle glaucoma f. teach the patient that the drug acts by drawing water into the intestine - ANSWER A, B, C, D, E 45. For which of the following health problems is a patient who has a 40-year history of smoking at risk? a. alcoholism and hypertension b. obesity and diabetes c. stress-related illnesses d. cardiopulmonary disease and lung cancer - ANSWER D 46. A patient has been diagnosed with severe iron deficiency anemia. During physical assessment, which of the following symptoms are associated with decreased oxygenation as a result of the anemia? a. increased breathlessness but increased activity tolerance b. decreased breathlessness and decreased activity tolerance c. increased activity tolerance and decreased breathlessness d. decreased activity tolerance and increased breathlessness - ANSWER D 47. A patient is admitted to the emergency department with suspected carbon monoxide poisoning. Even though the patient's color is ruddy and not cyanotic, the nurse understands the patient is at a risk for decreased oxygen-carrying capacity of blood because carbon monoxide does which of the following? a. stimulates hyperventilation, causing respiratory alkalosis b. forms a strong bond with hemoglobin, thus preventing oxygen binding in the lungs c. stimulates hypoventilation, causing respiratory acidosis d. causes alveoli to overinflated, leading to atelectasis - ANSWER B 48. A 86-year old woman is admitted to the unit with chills and a fever of 104 degrees F. What physiological process explains why she is at risk for dyspnea? a. fever increases metabolic demands, requiring increased oxygen b. blood glucose stores are depleted and the cells do not have energy to use oxygen c. carbon dioxide production increases due to hyperventilation d. carbon dioxide production decreases due to hypoventilation - ANSWER A 49. A patient is admitted with the diagnosis of severe left-sided heart failure. The nurse expects to auscultate which adventitious lung sounds? A. Sonorous wheezes in the left lower lung B. Rhonchi midsternum C. Crackles only in apex of lungs D. Inspiratory crackles in lung bases - ANSWER D 50. A nurse is caring for a patient who has decreased mobility. Which intervention is a simple and cost-effective method for reducing the risks of pulmonary complication? a. antibiotics b. frequent change in position c. oxygen humidification d. chest physiotherapy - ANSWER B