NLN Medication Exam Questions and
Answers17
A therapeutic response to a prescribed antihyperlipidemic medication is indicated by:
• Decreased high density lipoprotein, HDL, cholesterol
• Increased triglyceride level
• Decreased low density lipoprotein, LDL, cholesterol
• Increased bilirubin level - ANSWERS-Decreased low density lipoprotein, LDL, cholesterol
A patient who has cytomegalovirus, CMV, is taking ganciclovir (Cytovene) for retinitis. What
side-effects should the nurse monitor for?
• Tinnitus
• Inflammation of the gallbladder
• Bone marrow depression
• Myalgia and muscle weakness - ANSWERS-Bone marrow depression
Which of the following is an adverse effect of beta-adrenergic blocker?
• Congestive heart failure
• Hypothyroidism
• Phlebitis
• Hypertension - ANSWERS-Congestive heart failure
,Six Rights of Medication Administration - ANSWERS-Right medication
Right patient
Right Time
Right Route
Right Dose
Right Documentation
Two patient identifiers - ANSWERS-Name and DOB
Which medication is contraindicated for renal failure patients?
• Ampicillin sodium (Omnipien-N)
• Calcitriol (Rocaltrol)
• Diphenhydramine hydrochloride (Benadryl)
• Tobramycin sulfate (Nebcin) - ANSWERS-Tobramycin sulfate (Nebcin)
What should a nurse do prior to administration of an initial dose of an antibiotic?
• Ensure culture and sensitivity specimens have been obtained
• Obtain the client's body temperature
• Measure the client's urine output
• Determine the client's weight - ANSWERS-Ensure culture and sensitivity specimens have been
obtained
Prior to administering the next dose of glyburide (Diabeta) which of the following signs and
symptoms would alert the nurse to further assess the patient?
, • Cool, wet skin
• Elevated blood pressure
• Frequent urination
• Blurred vision - ANSWERS-Cool, wet skin
Which statement by a patient on warfarin sodium (Coumadin) would indicate that he/she is
knowledgeable about the medication?
• I will shave with an electric razor.
• I will increase my intake of green vegetables.
• I will use unwaxed dental floss twice daily.
• I will decrease my daily dose if I feel fatigued. - ANSWERS-I will shave with an electric razor
What is the appropriate teaching for a patient on fentanyl (Duragesic) for several weeks?
• Taper this medication slowly when discontinuing its use
• Increase the dosage when pain persists for several hours
• Limit physical activity while on this medication
• Vigorously rub medication into skin - ANSWERS-Taper this medication slowly when
discontinuing its use
An adverse effect of captopril (Capoten) is...?
• Dehydration
• Peripheral edema
• Hyperglycemia
• Persistent cough - ANSWERS-Persistent cough
Answers17
A therapeutic response to a prescribed antihyperlipidemic medication is indicated by:
• Decreased high density lipoprotein, HDL, cholesterol
• Increased triglyceride level
• Decreased low density lipoprotein, LDL, cholesterol
• Increased bilirubin level - ANSWERS-Decreased low density lipoprotein, LDL, cholesterol
A patient who has cytomegalovirus, CMV, is taking ganciclovir (Cytovene) for retinitis. What
side-effects should the nurse monitor for?
• Tinnitus
• Inflammation of the gallbladder
• Bone marrow depression
• Myalgia and muscle weakness - ANSWERS-Bone marrow depression
Which of the following is an adverse effect of beta-adrenergic blocker?
• Congestive heart failure
• Hypothyroidism
• Phlebitis
• Hypertension - ANSWERS-Congestive heart failure
,Six Rights of Medication Administration - ANSWERS-Right medication
Right patient
Right Time
Right Route
Right Dose
Right Documentation
Two patient identifiers - ANSWERS-Name and DOB
Which medication is contraindicated for renal failure patients?
• Ampicillin sodium (Omnipien-N)
• Calcitriol (Rocaltrol)
• Diphenhydramine hydrochloride (Benadryl)
• Tobramycin sulfate (Nebcin) - ANSWERS-Tobramycin sulfate (Nebcin)
What should a nurse do prior to administration of an initial dose of an antibiotic?
• Ensure culture and sensitivity specimens have been obtained
• Obtain the client's body temperature
• Measure the client's urine output
• Determine the client's weight - ANSWERS-Ensure culture and sensitivity specimens have been
obtained
Prior to administering the next dose of glyburide (Diabeta) which of the following signs and
symptoms would alert the nurse to further assess the patient?
, • Cool, wet skin
• Elevated blood pressure
• Frequent urination
• Blurred vision - ANSWERS-Cool, wet skin
Which statement by a patient on warfarin sodium (Coumadin) would indicate that he/she is
knowledgeable about the medication?
• I will shave with an electric razor.
• I will increase my intake of green vegetables.
• I will use unwaxed dental floss twice daily.
• I will decrease my daily dose if I feel fatigued. - ANSWERS-I will shave with an electric razor
What is the appropriate teaching for a patient on fentanyl (Duragesic) for several weeks?
• Taper this medication slowly when discontinuing its use
• Increase the dosage when pain persists for several hours
• Limit physical activity while on this medication
• Vigorously rub medication into skin - ANSWERS-Taper this medication slowly when
discontinuing its use
An adverse effect of captopril (Capoten) is...?
• Dehydration
• Peripheral edema
• Hyperglycemia
• Persistent cough - ANSWERS-Persistent cough
