2026 | Graded A+ Galen
1. A patient with severe renal disease is being treated for a serious infection. The
nurse notices an order for penicillin G. What is the nurse's next action?
Ask the patient if they are worried about the risk and what medication
they would like
Call provider as severe renal disease is contraindicated with
penicillin
Check BUN and creatinine and administer medication
Administer medication anyways as antibiotics are on a strict schedule
2. When acetylcholine is transmitted in the parasympathetic nervous system,
which of the following occurs?
Pupils of the eyes dilate
Digestion is stimulated
Bronchi relax
HR increases
3. A client who had a MI receives 15 mg of morphine sulfate for chest pain. 15
minutes after receiving the drug, The client complains of feeling dizzy. What
action should the nurse take?
Place the client in the supine position and take the vital signs
Determine if this is an allergic reaction
Elevate the clients head and keep the extremities warm
Tell the client that this is not a typical sensation after receiving
morphine sulfate
,4. The nurse is reviewing the patient's medication orders and knows that the
patient has an allergy to penicillin. which prescribed medications is the nurse
most likely to question?
cephalosporin on call to surgery
analgesic for pain prn
ACEI daily
decongestant prn for rhinorrhea
5. What is the primary reason for administering lorazepam before surgery?
To increase alertness
To prevent infection
To enhance pain relief
To reduce anxiety
6. What is the primary nursing intervention to prevent crystalluria in patients
taking sulfa drugs?
Limit the patient's physical activity.
Monitor vital signs regularly.
Administer the medication with food.
Encourage increased fluid intake.
7. A hospitalized patient who has been taking antibiotics for several days
develops watery diarrhea. Which action should the nurse take first?
Place the patient on contact precautions.
Obtain a stool specimen for analysis.
, Monitor the patient's electrolytes.
Provide education about handwashing.
8. The nurses should educate the patient on which of the following:
Various adverse side effects of NSAIDS
Inform their prescriber if these effects occur or bleeding occurs
Follow the amount to be taken on the bottle
All of the above
9. Describe how H2 antagonists function in the treatment of gastrointestinal
conditions.
H2 antagonists increase the absorption of nutrients in the intestines.
H2 antagonists stimulate acid production to aid digestion.
H2 antagonists block histamine receptors in the stomach, leading to
decreased acid secretion.
H2 antagonists act as antibiotics to eliminate stomach bacteria.
10. A patient with gastroesophageal reflux disease (GERD) is prescribed an H2
antagonist. What should the nurse monitor for in this patient?
Reduction in symptoms of acid reflux
Signs of infection
Elevated blood pressure
Increased heart rate
11. A patient who takes daily doses of aspirin is scheduled for surgery in two
weeks. The nurse should advise the patient to:
, Continue to use aspirin as scheduled.
Stop using aspirin 7 days before the surgery.
Reduce the aspirin the day before the surgery.
Reduce the aspirin dosage by half until after surgery.
12. Why is it important for patients to understand the proper administration of
nitrofurantoin?
Patients should only take nitrofurantoin when symptoms worsen.
It is not important as all medications work the same way.
Understanding administration is only necessary for injectable
medications.
Proper administration ensures effectiveness and reduces the risk of
side effects.
13. What is a condition that would lead a nurse to question the administration of
meperidine?
Asthma
Renal impairment
Hypertension
Diabetes
14. Aspirin inhibits platelet aggregation for the life of the platelet resulting in
prolonged bleeding time. Thus, prior to surgery, ASA should be held for:
at least a week prior
at least 14 days prior
at least 2 days prior