NLN MEDICATION EXAM-66 QUESTIONS AND ANSWERS

Six Rights of Medication Administration Right medication Right patient Right Time Right Route Right Dose Right Documentation Two patient identifiers Name and DOB Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Which medication is contraindicated for renal failure patients? • Ampicillin sodium (Omnipien-N) • Calcitriol (Rocaltrol) • Diphenhydramine hydrochloride (Benadryl) • Tobramycin sulfate (Nebcin) 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 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 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. 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 Taper this medication slowly when discontinuing its use An adverse effect of captopril (Capoten) is...? • Dehydration • Peripheral edema • Hyperglycemia • Persistent cough Persistent cough A therapeutic effect to amlodipine (Norvasc) is...? • Greater flexibility • Decreased blood pressure • Improved cognition • Decreased pain Decreased blood pressure What is a common side effect of a calcium channel blocker? • Hypertension • Urinary retention • Weight loss • Diplopia Diplopia Enoxaparin (Lovenox) is CONTRAINDICATED for patients with...? • Congestive health failure • Kidney stones • Bleeding disorders • Asthma Bleeding disorders 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 What is a priority action for the nurse with a patient who is admitted with an international normalized ratio, (INR) of 1.2 after taking Coumadin for 3 months? • Administer phytonadione (AquaMEPHYTON) to the client? • Withhold the client's next dose of warfarin sodium (Coumadin) • Encourage the client to increase intake of iron-rich foods • Determine if the client is taking the medication as prescribed Determine if the client is taking the medication as prescribed How many hours after administration of isophane insulin suspension (Humulin N, NPH) should the patient be monitored for hypoglycemia? • 1 to 1 1 ⁄ 2 • 2 to 3 • 4 to 12 • 16 to 18 4 to 12