NLN Medication Exam
Six Rights of Medication Administration - ANSRight medication
Right patient
Right Time
Right Route
Right Dose
Right Documentation
Two patient identifiers - ANSName and DOB
Which medication is contraindicated for renal failure patients?
• Ampicillin sodium (Omnipien-N)
• Calcitriol (Rocaltrol)
• Diphenhydramine hydrochloride (Benadryl)
• Tobramycin sulfate (Nebcin) - ANSTobramycin 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 - ANSEnsure 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 - ANSCool, 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. - ANSI 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 - ANSTaper this medication slowly when discontinuing its
use
An adverse effect of captopril (Capoten) is...?
• Dehydration
• Peripheral edema
• Hyperglycemia
• Persistent cough - ANSPersistent cough
A therapeutic effect to amlodipine (Norvasc) is...?
• Greater flexibility
• Decreased blood pressure
• Improved cognition
• Decreased pain - ANSDecreased blood pressure
What is a common side effect of a calcium channel blocker?
• Hypertension
• Urinary retention
• Weight loss
• Diplopia - ANSDiplopia
Enoxaparin (Lovenox) is CONTRAINDICATED for patients with...?
• Congestive health failure
• Kidney stones
• Bleeding disorders
• Asthma - ANSBleeding 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 - ANSMaximum effectiveness may take two to four
weeks of continued therapy
Six Rights of Medication Administration - ANSRight medication
Right patient
Right Time
Right Route
Right Dose
Right Documentation
Two patient identifiers - ANSName and DOB
Which medication is contraindicated for renal failure patients?
• Ampicillin sodium (Omnipien-N)
• Calcitriol (Rocaltrol)
• Diphenhydramine hydrochloride (Benadryl)
• Tobramycin sulfate (Nebcin) - ANSTobramycin 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 - ANSEnsure 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 - ANSCool, 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. - ANSI 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 - ANSTaper this medication slowly when discontinuing its
use
An adverse effect of captopril (Capoten) is...?
• Dehydration
• Peripheral edema
• Hyperglycemia
• Persistent cough - ANSPersistent cough
A therapeutic effect to amlodipine (Norvasc) is...?
• Greater flexibility
• Decreased blood pressure
• Improved cognition
• Decreased pain - ANSDecreased blood pressure
What is a common side effect of a calcium channel blocker?
• Hypertension
• Urinary retention
• Weight loss
• Diplopia - ANSDiplopia
Enoxaparin (Lovenox) is CONTRAINDICATED for patients with...?
• Congestive health failure
• Kidney stones
• Bleeding disorders
• Asthma - ANSBleeding 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 - ANSMaximum effectiveness may take two to four
weeks of continued therapy
