NLN MEDICATION EXAM 2025
QUESTIONS AND ANSWERS
Six Rights of Medication Administration - ANS Right medication
Right patient
Right Time
Right Route
Right Dose
Right Documentation
Two patient identifiers - ANS Name and DOB
Which medication is contraindicated for renal failure patients?
• Ampicillin sodium (Omnipien-N)
• Calcitriol (Rocaltrol)
• Diphenhydramine hydrochloride (Benadryl)
• Tobramycin sulfate (Nebcin) - ANS Tobramycin sulfate (Nebcin)
What should a nurse do prior to administration of an initial dose of an antibiotic?
1
Page
• Ensure culture and sensitivity specimens have been obtained
@COPYRIGHT @THEBRIGHT 2025/2026
, • Obtain the client's body temperature
• Measure the client's urine output
• Determine the client's weight - ANS 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 - ANS 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. - ANS 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 - ANS Taper this medication slowly when discontinuing
2
its use
Page
@COPYRIGHT @THEBRIGHT 2025/2026
, An adverse effect of captopril (Capoten) is...?
• Dehydration
• Peripheral edema
• Hyperglycemia
• Persistent cough - ANS Persistent cough
A therapeutic effect to amlodipine (Norvasc) is...?
• Greater flexibility
• Decreased blood pressure
• Improved cognition
• Decreased pain - ANS Decreased blood pressure
What is a common side effect of a calcium channel blocker?
• Hypertension
• Urinary retention
• Weight loss
• Diplopia - ANS Diplopia
Enoxaparin (Lovenox) is CONTRAINDICATED for patients with...?
• Congestive health failure
• Kidney stones
3
Page
• Bleeding disorders
@COPYRIGHT @THEBRIGHT 2025/2026
QUESTIONS AND ANSWERS
Six Rights of Medication Administration - ANS Right medication
Right patient
Right Time
Right Route
Right Dose
Right Documentation
Two patient identifiers - ANS Name and DOB
Which medication is contraindicated for renal failure patients?
• Ampicillin sodium (Omnipien-N)
• Calcitriol (Rocaltrol)
• Diphenhydramine hydrochloride (Benadryl)
• Tobramycin sulfate (Nebcin) - ANS Tobramycin sulfate (Nebcin)
What should a nurse do prior to administration of an initial dose of an antibiotic?
1
Page
• Ensure culture and sensitivity specimens have been obtained
@COPYRIGHT @THEBRIGHT 2025/2026
, • Obtain the client's body temperature
• Measure the client's urine output
• Determine the client's weight - ANS 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 - ANS 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. - ANS 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 - ANS Taper this medication slowly when discontinuing
2
its use
Page
@COPYRIGHT @THEBRIGHT 2025/2026
, An adverse effect of captopril (Capoten) is...?
• Dehydration
• Peripheral edema
• Hyperglycemia
• Persistent cough - ANS Persistent cough
A therapeutic effect to amlodipine (Norvasc) is...?
• Greater flexibility
• Decreased blood pressure
• Improved cognition
• Decreased pain - ANS Decreased blood pressure
What is a common side effect of a calcium channel blocker?
• Hypertension
• Urinary retention
• Weight loss
• Diplopia - ANS Diplopia
Enoxaparin (Lovenox) is CONTRAINDICATED for patients with...?
• Congestive health failure
• Kidney stones
3
Page
• Bleeding disorders
@COPYRIGHT @THEBRIGHT 2025/2026
