Question 1
A patient is prescribed warfarin (Coumadin). Which statement by the patient
indicates a need for further teaching?
A. "I will avoid eating large amounts of spinach."
B. "I will monitor for signs of bleeding."
C. "I will take aspirin for headaches."
D. "I will keep my INR within the target range."
Answer: C. "I will take aspirin for headaches."
Rationale: Aspirin increases the risk of bleeding when taken with warfarin.
Patients should use acetaminophen for minor pain relief instead.
Question 2
A nurse is reviewing the medication list for a patient with peptic ulcer disease.
Which medication should the nurse question?
A. Omeprazole (Prilosec)
B. Ibuprofen (Advil)
C. Sucralfate (Carafate)
D. Misoprostol (Cytotec)
Answer: B. Ibuprofen (Advil)
Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs), like ibuprofen, can
worsen peptic ulcers by inhibiting prostaglandins that protect the stomach lining.
Question 3
What is the antidote for a patient experiencing benzodiazepine toxicity?
A. Naloxone (Narcan)
B. Flumazenil (Romazicon)
C. Atropine
D. Protamine sulfate
,Answer: B. Flumazenil (Romazicon)
Rationale: Flumazenil is a benzodiazepine receptor antagonist used to reverse the
effects of benzodiazepine overdose.
Question 4
A patient with hypothyroidism is prescribed levothyroxine (Synthroid). Which
adverse effect should the nurse monitor for?
A. Bradycardia
B. Heat intolerance
C. Weight gain
D. Cold intolerance
Answer: B. Heat intolerance
Rationale: Heat intolerance can occur if the dosage is too high, leading to
hyperthyroidism.
Question 5
Which instruction should the nurse give a patient prescribed alendronate
(Fosamax) for osteoporosis?
A. Take the medication with a full glass of water after breakfast.
B. Lie down for 30 minutes after taking the medication.
C. Take the medication with a full glass of water on an empty stomach.
D. Take the medication with orange juice.
Answer: C. Take the medication with a full glass of water on an empty stomach.
Rationale: Alendronate must be taken with water on an empty stomach to ensure
absorption. Patients should remain upright for 30 minutes to prevent esophageal
irritation.
Question 6
What laboratory test should the nurse monitor for a patient receiving heparin
therapy?
, A. Platelet count
B. Prothrombin time (PT)
C. Partial thromboplastin time (PTT)
D. International normalized ratio (INR)
Answer: C. Partial thromboplastin time (PTT)
Rationale: PTT is used to monitor the anticoagulant effect of heparin.
Question 7
A patient is taking digoxin (Lanoxin). Which finding indicates digoxin toxicity?
A. Tachycardia
B. Vision changes, such as yellow halos
C. Increased appetite
D. Hypertension
Answer: B. Vision changes, such as yellow halos
Rationale: Visual disturbances, such as yellow or green halos, are classic signs of
digoxin toxicity.
Question 8
A patient on furosemide (Lasix) reports leg cramps. Which electrolyte imbalance
should the nurse suspect?
A. Hypocalcemia
B. Hypokalemia
C. Hypermagnesemia
D. Hypernatremia
Answer: B. Hypokalemia
Rationale: Furosemide is a loop diuretic that can cause significant potassium loss,
leading to hypokalemia and symptoms like leg cramps.
Question 9
A patient is prescribed warfarin (Coumadin). Which statement by the patient
indicates a need for further teaching?
A. "I will avoid eating large amounts of spinach."
B. "I will monitor for signs of bleeding."
C. "I will take aspirin for headaches."
D. "I will keep my INR within the target range."
Answer: C. "I will take aspirin for headaches."
Rationale: Aspirin increases the risk of bleeding when taken with warfarin.
Patients should use acetaminophen for minor pain relief instead.
Question 2
A nurse is reviewing the medication list for a patient with peptic ulcer disease.
Which medication should the nurse question?
A. Omeprazole (Prilosec)
B. Ibuprofen (Advil)
C. Sucralfate (Carafate)
D. Misoprostol (Cytotec)
Answer: B. Ibuprofen (Advil)
Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs), like ibuprofen, can
worsen peptic ulcers by inhibiting prostaglandins that protect the stomach lining.
Question 3
What is the antidote for a patient experiencing benzodiazepine toxicity?
A. Naloxone (Narcan)
B. Flumazenil (Romazicon)
C. Atropine
D. Protamine sulfate
,Answer: B. Flumazenil (Romazicon)
Rationale: Flumazenil is a benzodiazepine receptor antagonist used to reverse the
effects of benzodiazepine overdose.
Question 4
A patient with hypothyroidism is prescribed levothyroxine (Synthroid). Which
adverse effect should the nurse monitor for?
A. Bradycardia
B. Heat intolerance
C. Weight gain
D. Cold intolerance
Answer: B. Heat intolerance
Rationale: Heat intolerance can occur if the dosage is too high, leading to
hyperthyroidism.
Question 5
Which instruction should the nurse give a patient prescribed alendronate
(Fosamax) for osteoporosis?
A. Take the medication with a full glass of water after breakfast.
B. Lie down for 30 minutes after taking the medication.
C. Take the medication with a full glass of water on an empty stomach.
D. Take the medication with orange juice.
Answer: C. Take the medication with a full glass of water on an empty stomach.
Rationale: Alendronate must be taken with water on an empty stomach to ensure
absorption. Patients should remain upright for 30 minutes to prevent esophageal
irritation.
Question 6
What laboratory test should the nurse monitor for a patient receiving heparin
therapy?
, A. Platelet count
B. Prothrombin time (PT)
C. Partial thromboplastin time (PTT)
D. International normalized ratio (INR)
Answer: C. Partial thromboplastin time (PTT)
Rationale: PTT is used to monitor the anticoagulant effect of heparin.
Question 7
A patient is taking digoxin (Lanoxin). Which finding indicates digoxin toxicity?
A. Tachycardia
B. Vision changes, such as yellow halos
C. Increased appetite
D. Hypertension
Answer: B. Vision changes, such as yellow halos
Rationale: Visual disturbances, such as yellow or green halos, are classic signs of
digoxin toxicity.
Question 8
A patient on furosemide (Lasix) reports leg cramps. Which electrolyte imbalance
should the nurse suspect?
A. Hypocalcemia
B. Hypokalemia
C. Hypermagnesemia
D. Hypernatremia
Answer: B. Hypokalemia
Rationale: Furosemide is a loop diuretic that can cause significant potassium loss,
leading to hypokalemia and symptoms like leg cramps.
Question 9
