MILESTONE 1 Practice Exam Questions with Certified Solutions

MILESTONE 1 Practice Exam Questions with Certified Solutions Which information should the nurse have when assessing a client for therapeutic effects of a prescribed medication? a) The client's previous experience with medication. b) The client's baseline before taking the medication. c) Expected side effects of the medication. d) Expected response of the medication. b) The client's baseline before taking the medication. The nurse is teaching a client about the medication treatment for active tuberculosis (TB) infection. The nurse should include which information in the teaching? a) "At least 2 antituberculosis medications will need to be taken." b) "You will most likely develop a superinfection from the antituberculosis medications." c) "Treatment is necessary for just 10 days." d) "Drug sensitivity is not necessary before starting treatment." a) "At least 2 antituberculosis medications will need to be taken." The basic mechanism of action of most diuretic medications includes which of the following? a) Increasing the thirst sensation to promote more water intake by the client b) Causing vasodilation and increasing blood supply to the kidneys c) Blocking sodium and chloride reabsorption d) Increasing potassium excretion by removing water from the cells c) Blocking sodium and chloride reabsorption The nurse is administering prescribed tetracycline. Which client would be appropriate to receive the medication? a) A female client who is pregnant and has a skin infection. b) A 6-year-old client with an ear infection. c) A teenager with severe acne on the back. d) A 12-month-old with an eye infection. c) A teenager with severe acne on the back. Angiotensin-converting enzyme (ACE) inhibitors are used to treat which diagnosis? a) Hypotension b) Heart failure c) Stroke d) Atrial fibrillation b) Heart failure Which anticoagulant would be contraindicated for a client with a vitamin K deficiency? a) enoxaparin (Lovenox) b) apixaban (Eliquis) c) heparin (unfractionated) d) warfarin (Coumadin) d) warfarin (Coumadin) The nurse is caring for a client taking newly prescribed first-generation antipsychotic medication. The nurse should monitor the client for which adverse effect that can occur within the first few days? a) Suicidal ideations b) Fibromyalgia syndrome c) Tardive dyskinesia d) Acute dystonia c) Tardive dyskinesia The mnemonic SLUDGE is used to remember the signs and symptoms for the life-threatening adverse effect of which type of medication? a) Cholinesterase inhibitors b) Antipsychotics c) Antiepileptics d) Adrenergic Agonists a) Cholinesterase inhibitors The nurse is evaluating the effects of prescribed phenytoin (Dilantin) for a client who has been taking the medication for six months. The nurse should assess the client for which outcome? a) Increased sensation in peripheries. b) Reduced seizure activity. c) Decrease in body mass index. d) Improved activity tolerance. b) Reduced seizure activity. The nurse is teaching a client diagnosed with Alzheimer's disease and the client's spouse about medication treatment. Which information should the nurse include? a) "The medication will reverse the symptoms for as long as you take the medication." b) "Moderate to severe stages of the disease are prevented by the medication." c) "You will not become confused and forgetful if you take the medication daily." d) "The decline in functioning from the disease will be slowed from the medication." d) "The decline in functioning from the disease will be slowed from the medication." Muscle relaxants cause which adverse effect? a) Decreased gastrointestinal motility b) Nephrotoxicity c) Dysrhythmias d) Central nervous system depression d) Central nervous system depression The nurse should consider providing which type of medication whenever a client is receiving prescribed opioids for a few days? a) antihistamine b) anticholinergic agent c) diuretic d) stimulant laxative d) stimulant laxative Which medication is the first-line medication for treating a migraine attack? a) methadone (Methadose) b) morphine c) sumatriptan (Imitrex) d) caffeine c) sumatriptan (Imitrex) Which information is correct about fluoroquinolones? a) Penicillin is considered a fluoroquinolone. b) Fluoroquinolones are broad-spectrum agents. c) Side effects are usually severe. d) They are used to treat fungal infections. b) Fluoroquinolones are broad-spectrum agents. The nurse is administering a prescribed vasodilator to a client. The nurse should monitor the client for which adverse effect? a) increased urine output b) light-headedness c) decreased pulse d) dry cough b) light-headedness Alpha-adrenergic antagonist medications can produce which therapeutic effect? a) Bronchodilation b) Improved cardiac output c) Vasodilation d) Nasal decongestion c) Vasodilation Absorption, distribution, metabolism, and excretion of medication passage describes the phases of which of the following? -Pharmacogenomics -Pharmacotherapeutic -Pharmacodynamics -Pharmacokinetics Pharmacokinetics Which information should the nurse be aware of when administering prescribed medications to older adult clients? -Adverse drug reactions rarely occur in the older adult. -Older adults are often more sensitive to medications. -Medication effects are often shortened because of reduced liver function in the older adult. -The older adult will usually need a higher dose than a younger adult. -Older adults are often more sensitive to medications. Glucocorticoid medications are most often used for which of the following? -Vasoconstriction and antidysrhythmic effects -Anti-nausea and emesis reducing effects -Anti-inflammatory and immunosuppressant effects -Preventing electrolyte imbalance and hyperglycemic effects -Anti-inflammatory and immunosuppressant effects The nurse is caring for a client diagnosed with obsessive compulsive disorder (OCD). Which type of medication should the nurse expect to administer for treatment? -Selective serotonin reuptake inhibitor (SSRI) -Benzodiazepine -Monoamine oxidase inhibitor (MAOI) -Amphetamine -Selective serotonin reuptake inhibitor (SSRI) The inhalation route of beta2-adrenergic agonists is used to treat which of the following? -Peptic ulcer disease -Asthma attacks -Acetaminophen toxicity -Heart failure -Asthma attacks The nurse is caring for a client with a gastric ulcer who is being treating with a prescribed medication that suppresses secretion of gastric acid, so the ulcer can heal. Which type of medication should the nurse plan to administer? -Antibacterial -Antiemetic -Histamine 2 receptor antagonist -5-aminosalicylate -Histamine 2 receptor antagonist The nurse is caring for a client diagnosed with hypothyroidism. Which medication would be used for treatment? -methimazole (Tapazole) -levothyroxine (Levothroid) -dexamethasone -iodine-131 -levothyroxine (Levothroid)