Page |1
TEST BANK
DAVIS'S DRUG GUIDE FOR NURSES
17TH EDITION
MULTIPLE CHOICE QUESTION & ANSWERS
1. The nurse is providing care for a patient scheduled to take acarbose
(Precose) 25 mg 3 times daily with meals. The patient reports feeling sweaty,
weak, and tremulous. Which of the following actions by the nurse is best?
A. Reassure the patient that these are common side effects with the medication.
B. Call the pharmacy to report an adverse drug reaction.
C. Check the patient’s blood glucose level.
D. Determine if the patient has a history of anemia.
ANS: C
See Assessment for acarbose: Observe the patient for signs and symptoms of
hypoglycemia. Acarbose alone does not cause hypoglycemia; however, other
concurrently administered hypoglycemic agents may produce hypoglycemia,
requiring treatment. Ignoring these symptoms would be dangerous, but it is not
considered an adverse drug reaction requiring an official report. The patient is
experiencing symptoms of hypoglycemia not anemia.
KEY: Cognitive Level: Analysis
DIF: Medium
TOP: Therapeutic Classification: Antidiabetics
REF: Drugguide.com
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2. While responding to a rapid response called on the cardiac step-down unit,
the nurse from intensive care observes the unit nurse massaging a patient’s
neck and instructing the patient to bear down. Which of the following
medications will most likely be used if the patient’s pulse does not return to
normal?
A. Adenosine (Adenocard)
B. Epinephrine (Adrenaline)
C. Atenolol (Tenormin)
D. Asenapine (Saphris)
ANS: A
See Indications for adenosine: Adenosine is used for the conversion of
paroxysmal supraventricular tachycardia (PVST) to normal sinus rhythm when
vagal maneuvers are unsuccessful. Epinephrine is a bronchodilator used in the
management of reversible airway disease. Atenolol is a beta blocker used in the
management of hypertension. Asenapine is an antipsychotic mood stabilizer
used in the acute treatment of schizophrenia or manic/mixed episodes
associated with bipolar I disorder.
KEY: Cognitive Level: Application
DIF: Medium
TOP: Therapeutic Classification: Antiarrhythmics
REF: Page 112 | Page 505 | Page 191 | Page 188
3. The nurse is instructing the parent of a 6-year-old patient recently started on
an albuterol (ProAir HFA) inhaler for exercise-induced asthma. The nurse
recognizes that further teaching is necessary by which of the following client
statements?
A. “He may feel like his heart is racing after he takes his inhaler.”
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B. “He can use the inhaler as many times during football practice as he needs
it.”
C. “He should avoid cola and other caffeinated drinks since they may increase
his heart rate.”
D. “He should take 2 puffs about 15 min before gym class.”
ANS: B
See Contraindications/Precautions, Interactions, and Dosage for albuterol.
Excess inhaler use may lead to tolerance and paradoxical bronchospasm. Use
with caffeine-containing herbs (cola nut, guarana, tea, coffee) increases
stimulant effect. Two inhalations every 4–6 hr or 2 inhalations 15 min prior to
exercise). Tachycardia is an expected side effect with this medication.
KEY: Cognitive Level: Analysis
DIF: Easy
TOP: Therapeutic Classification: Bronchodilators
REF: Page 117
4. While providing care for an adolescent patient newly prescribed
amitriptyline (Elavil), the nurse should be most concerned by which of the
following patient statements?
A. “My mouth seems really dry and I’m thirsty all the time.”
B. “I take a nap most afternoons now because I feel sleepy sometimes.”
C. “I’m not sure why we should even bother anymore; everything seems so
pointless.”
D. “I drink a cup of coffee most days with breakfast.”
ANS: C
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See Contraindications/Precautions for amitriptyline: the use of this medication
may increase the risk of suicide attempt/ideation especially during early
treatment or dose adjustment; risk may be greater in children or adolescents.
Sedation is an expected side effect. Dry mouth is an expected side effect. There
is no directive to avoid caffeine with this medication.
KEY: Cognitive Level: Analysis
DIF: Medium
TOP: Therapeutic Classification: Antidepressants
REF: Page 145
5. The nurse is caring for a patient with otitis media who reports an allergy to
penicillin. Orders are received for amoxicillin 500 mg every 8 hr. Which of the
following actions by the nurse is best?
A. Provide the medication as ordered.
B. Call the pharmacist to request a substitution.
C. Ask the patient if he or she has taken amoxicillin in the past.
D. Hold the medication.
ANS: D
See contraindications/precautions for amoxicillin. Contraindicated in
hypersensitivity to penicillin. This medication should be held due to the stated
allergy to penicillin.
KEY: Cognitive Level: Application
DIF: Easy
TOP: Therapeutic Classification: Anti-infectives
REF: Page 148
TEST BANK
DAVIS'S DRUG GUIDE FOR NURSES
17TH EDITION
MULTIPLE CHOICE QUESTION & ANSWERS
1. The nurse is providing care for a patient scheduled to take acarbose
(Precose) 25 mg 3 times daily with meals. The patient reports feeling sweaty,
weak, and tremulous. Which of the following actions by the nurse is best?
A. Reassure the patient that these are common side effects with the medication.
B. Call the pharmacy to report an adverse drug reaction.
C. Check the patient’s blood glucose level.
D. Determine if the patient has a history of anemia.
ANS: C
See Assessment for acarbose: Observe the patient for signs and symptoms of
hypoglycemia. Acarbose alone does not cause hypoglycemia; however, other
concurrently administered hypoglycemic agents may produce hypoglycemia,
requiring treatment. Ignoring these symptoms would be dangerous, but it is not
considered an adverse drug reaction requiring an official report. The patient is
experiencing symptoms of hypoglycemia not anemia.
KEY: Cognitive Level: Analysis
DIF: Medium
TOP: Therapeutic Classification: Antidiabetics
REF: Drugguide.com
, Page |2
2. While responding to a rapid response called on the cardiac step-down unit,
the nurse from intensive care observes the unit nurse massaging a patient’s
neck and instructing the patient to bear down. Which of the following
medications will most likely be used if the patient’s pulse does not return to
normal?
A. Adenosine (Adenocard)
B. Epinephrine (Adrenaline)
C. Atenolol (Tenormin)
D. Asenapine (Saphris)
ANS: A
See Indications for adenosine: Adenosine is used for the conversion of
paroxysmal supraventricular tachycardia (PVST) to normal sinus rhythm when
vagal maneuvers are unsuccessful. Epinephrine is a bronchodilator used in the
management of reversible airway disease. Atenolol is a beta blocker used in the
management of hypertension. Asenapine is an antipsychotic mood stabilizer
used in the acute treatment of schizophrenia or manic/mixed episodes
associated with bipolar I disorder.
KEY: Cognitive Level: Application
DIF: Medium
TOP: Therapeutic Classification: Antiarrhythmics
REF: Page 112 | Page 505 | Page 191 | Page 188
3. The nurse is instructing the parent of a 6-year-old patient recently started on
an albuterol (ProAir HFA) inhaler for exercise-induced asthma. The nurse
recognizes that further teaching is necessary by which of the following client
statements?
A. “He may feel like his heart is racing after he takes his inhaler.”
, Page |3
B. “He can use the inhaler as many times during football practice as he needs
it.”
C. “He should avoid cola and other caffeinated drinks since they may increase
his heart rate.”
D. “He should take 2 puffs about 15 min before gym class.”
ANS: B
See Contraindications/Precautions, Interactions, and Dosage for albuterol.
Excess inhaler use may lead to tolerance and paradoxical bronchospasm. Use
with caffeine-containing herbs (cola nut, guarana, tea, coffee) increases
stimulant effect. Two inhalations every 4–6 hr or 2 inhalations 15 min prior to
exercise). Tachycardia is an expected side effect with this medication.
KEY: Cognitive Level: Analysis
DIF: Easy
TOP: Therapeutic Classification: Bronchodilators
REF: Page 117
4. While providing care for an adolescent patient newly prescribed
amitriptyline (Elavil), the nurse should be most concerned by which of the
following patient statements?
A. “My mouth seems really dry and I’m thirsty all the time.”
B. “I take a nap most afternoons now because I feel sleepy sometimes.”
C. “I’m not sure why we should even bother anymore; everything seems so
pointless.”
D. “I drink a cup of coffee most days with breakfast.”
ANS: C
, Page |4
See Contraindications/Precautions for amitriptyline: the use of this medication
may increase the risk of suicide attempt/ideation especially during early
treatment or dose adjustment; risk may be greater in children or adolescents.
Sedation is an expected side effect. Dry mouth is an expected side effect. There
is no directive to avoid caffeine with this medication.
KEY: Cognitive Level: Analysis
DIF: Medium
TOP: Therapeutic Classification: Antidepressants
REF: Page 145
5. The nurse is caring for a patient with otitis media who reports an allergy to
penicillin. Orders are received for amoxicillin 500 mg every 8 hr. Which of the
following actions by the nurse is best?
A. Provide the medication as ordered.
B. Call the pharmacist to request a substitution.
C. Ask the patient if he or she has taken amoxicillin in the past.
D. Hold the medication.
ANS: D
See contraindications/precautions for amoxicillin. Contraindicated in
hypersensitivity to penicillin. This medication should be held due to the stated
allergy to penicillin.
KEY: Cognitive Level: Application
DIF: Easy
TOP: Therapeutic Classification: Anti-infectives
REF: Page 148
