COMPREHENSIVE EXAMINATION TEST 2026
◉ A client is diagnosed with peptic ulcer disease caused by
Helicobacter pylori. Which medications should the nurse anticipate
the healthcare provider to prescribe for the client? (select all that
apply)
A. Clarithromycin (Biaxin)
B. Sulfisoxazole (Gantrisin)
C. Misoprostol (cytotec)
D. Omeprazole (Prilosec)
E. Metronidazole (Flagyl)
F. Sucralfate (Carafate). Answer: A,D,E
◉ The nurse is preparing to administer esomeprazole to a client for
the management of gastroesophageal reflux disease (GERD). Which
finding in the client's history should the nurse hold the medication
and notify the healthcare provider?
A. Eats spicy food three times a week
B. treatment for deep vein thrombosis
C. drinks 2 alcoholic beverages on weekends
,D. Family history of diabetes mellitus. Answer: B
◉ Which findings should the nurse identify in an adult client with
possible chronic salicylate intoxication?
A. tinnitus and hearing loss
B. Photosensitivity and nervousness
C Acute gastrointestinal bleeding and anorexia
D. Hyperventilation and central nervous system effects. Answer: A
◉ A client receives a prescription for tetracycline (sumycin). Which
instruction should the nurse include in the client's teaching?
A. Take the medication with a glass of orange juice
B. Avoid over-the-counter medications containing alcohol
C. Avoid dairy products for 2 hours after taking the medication
D. Do not use teeth whitening agents during the treatment regimen.
Answer: C
◉ A client experiencing ventricular dysrhythmias is admitted to the
intensive care unit status post a myocardial infarction. The nurse
should anticipate the healthcare provider to prescribe which
medication?
, A. Diltiazem
B. Bretylium
C. Amiodarone
D. Adenosine. Answer: C
◉ A client who is recently diagnosed with myasthenia gravis
receives a prescription for pyridostigmine (Mestinon), a cholinergic
agent. Which information should the nurse instruct the client to
implement when taking this medication?
A. Always take with meals to avoid GI distress
B. Plan the doses close together for maximal therapeutic effect
C. Take the medication at least 30 minutes before eating meals
D. Avoid dairy products two hours before and after taking
medications. Answer: C
◉ A mother of a child prescribed methylphenidate hydrochloride for
attention-deficit hyperactivity disorder (ADHD) informs the school
nurse she administers the medication at bedtime. Which
instructions should the nurse recommend?
A. continue administering the medication dose at bedtime
B. Give the medication when the child arrives at school