NLN Medication Exam 63 ACTUAL
QUESTIONS WITH VERIFIED ANSWERS
with RATIONALES 2025-2026
Which medication is contraindicated for renal failure patients?
A. Ampicillin sodium (Omnipien-N)
B. Calcitriol (Rocaltrol)
C. Diphenhydramine hydrochloride (Benadryl)
D. Tobramycin sulfate (Nebcin)
D. Tobramycin sulfate (Nebcin)
Nephrotoxicity and ototoxicity may occur.
What should a nurse do prior to administration of an initial dose
of an antibiotic?
A. Ensure culture and sensitivity specimens have been obtained
B. Obtain the client's body temperature
,C. Measure the client's urine output
D. Determine the client's weight
A. Ensure culture and sensitivity specimens have been obtained
Obtain specimens for culture and sensitivity prior to initiation of
antimicrobial therapy. This reduces the occurrences of drug
resistant organisms
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?
A. Cool, wet skin
B. Elevated blood pressure
C. Frequent urination
D. Blurred vision
A. Cool, wet skin
Glyburide is a sulfonylureas, it lowers blood sugar by causing
pancrease to produce insulin.
,Cool, wet skin is a S&S of hypoglycemia.
Which statement by a patient on warfarin sodium (Coumadin)
would indicate that he/she is knowledgeable about the
medication?
A. I will shave with an electric razor.
B. I will increase my intake of green vegetables.
C. I will use unwaxed dental floss twice daily.
D. I will decrease my daily dose if I feel fatigued.
A. I will shave with an electric razor
Coumadin increases bleeding risk; therefore, the pt should not
shave with a bladed razor.
What is the appropriate teaching for a patient on fentanyl
(Duragesic) for several weeks?
A. Taper this medication slowly when discontinuing its use
, B. Increase the dosage when pain persists for several hours
C. Limit physical activity while on this medication
D. Vigorously rub medication into skin
A. Taper this medication slowly when discontinuing its use
Fentanyl is an opioid. Discontinuing this medication abruptly may
result in withdrawal symptoms.
An adverse effect of captopril (Capoten) is...?
A. Dehydration
B. Peripheral edema
C. Hyperglycemia
D. Persistent cough
D. Persistent cough
-pril = ACEs
Cough is an adverse side effect of ACEs.
QUESTIONS WITH VERIFIED ANSWERS
with RATIONALES 2025-2026
Which medication is contraindicated for renal failure patients?
A. Ampicillin sodium (Omnipien-N)
B. Calcitriol (Rocaltrol)
C. Diphenhydramine hydrochloride (Benadryl)
D. Tobramycin sulfate (Nebcin)
D. Tobramycin sulfate (Nebcin)
Nephrotoxicity and ototoxicity may occur.
What should a nurse do prior to administration of an initial dose
of an antibiotic?
A. Ensure culture and sensitivity specimens have been obtained
B. Obtain the client's body temperature
,C. Measure the client's urine output
D. Determine the client's weight
A. Ensure culture and sensitivity specimens have been obtained
Obtain specimens for culture and sensitivity prior to initiation of
antimicrobial therapy. This reduces the occurrences of drug
resistant organisms
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?
A. Cool, wet skin
B. Elevated blood pressure
C. Frequent urination
D. Blurred vision
A. Cool, wet skin
Glyburide is a sulfonylureas, it lowers blood sugar by causing
pancrease to produce insulin.
,Cool, wet skin is a S&S of hypoglycemia.
Which statement by a patient on warfarin sodium (Coumadin)
would indicate that he/she is knowledgeable about the
medication?
A. I will shave with an electric razor.
B. I will increase my intake of green vegetables.
C. I will use unwaxed dental floss twice daily.
D. I will decrease my daily dose if I feel fatigued.
A. I will shave with an electric razor
Coumadin increases bleeding risk; therefore, the pt should not
shave with a bladed razor.
What is the appropriate teaching for a patient on fentanyl
(Duragesic) for several weeks?
A. Taper this medication slowly when discontinuing its use
, B. Increase the dosage when pain persists for several hours
C. Limit physical activity while on this medication
D. Vigorously rub medication into skin
A. Taper this medication slowly when discontinuing its use
Fentanyl is an opioid. Discontinuing this medication abruptly may
result in withdrawal symptoms.
An adverse effect of captopril (Capoten) is...?
A. Dehydration
B. Peripheral edema
C. Hyperglycemia
D. Persistent cough
D. Persistent cough
-pril = ACEs
Cough is an adverse side effect of ACEs.
