Questions and verified Answers
1. What are risk factors for Angina? (SELECT ALL THAT APPLY)
A. Obesity
B. Stress
C. Smoking
D. Regular physical activity
E. Arteriosclerosis - ANSW-A, B, C, E
1. A 19-year-old patient comes to the behavioral health center for treatment of her major depressive
disorder. What are the defining criteria of a major depressive disorder?
A. The patient is only exhibiting two signs of depression.
B. The patient has a depressed effect as well as 5 or more symptoms lasting longer than two weeks.
C. The patient has anxiety as well as depression.
D. The patient experiences every symptom of depression for three days. - ANSW-B
1. A 22-year-old patient is receiving a Monoamine Oxidase Inhibitor, tranylcypromine, to treat a major
depressive disorder. What is a unique side effect should the nurse include while teaching about this drug
class?
A. Taking MAOIs can cause an elevated cholesterol
B. Increased risk of paradoxical reaction is common especially in children
C. Tranylcypromine can cause fatal blood dyscrasia (disorder)
D. Risk of hypertensive crisis when taken with foods high in tyramine - ANSW-D
1. Foods high in tyramine can cause a severe reaction when taken with some medication such as MAOIs
and Antitubercular drugs. What are some examples of foods high in tyramine? (SELECT ALL THAT APPLY)
A. Blue cheese
B. Sauerkraut
C. Blueberries
D. Beer
E. Pepperoni pizza - ANSW-A, B, D, E
1. A small child becomes extremely hyperactive and cannot settle down after taking Benadryl, a First-
Generation Antihistamine. What is this type of opposite reaction called?
A. An adverse reaction
B. Paradoxical
C. Anaphylaxis
D. A side effect - ANSW-B
,1. Which drug class would alert the nurse to watch CBC results for possible blood dyscrasias?
A. Benzodiazepines
B. MAOIs
C. Barbiturates
D. Tricyclic Antidepressants - ANSW-C
1. A patient has a total cholesterol of 286. The care provider orders statins. What is the highest priority
before starting the statins?
A. Assessing for muscle pain and breakdown
B. Teaching to avoid grapefruit juice
C. Checking liver function labs
D. Teaching about good and bad fats - ANSW-C
1. Where should the patient be taught to self-inject Low Molecular Weight Heparin (enoxaparin)?
A. Thigh
B. Abdomen
C. Upper arm
D. Back - ANSW-B
1. A patient who is taking the Cardiac Glycoside, Digoxin has a new lab result showing a potassium of 2.3,
what should nurse check first?
A. Renal Labs
B. Heart rate/rhythm
C. Respiratory rate
D. Blood pressure - ANSW-B
1. What dietary teaching is important for someone who is taking a Potassium Sparing Diuretic
medication?
A. Limit daily water intake to 500 mL
B. Limit potassium rich foods
C. Large amounts of salt substitutes are a good idea to add back important nutrients
D. Eat 4-5 daily servings of dairy - ANSW-B
1. A patient admits into the Emergency Department due to a severe anxiety attack. The provider
prescribes the Benzodiazepine, lorazepam. The nurse should inform the patient that it is only a short-
term use drug. What is the maximum amount of time the prescribed benzodiazepine should be used?
A. 5-7 weeks
B. 2-4 weeks
C. 3-6 weeks
D. 1 week - ANSW-C
1. The nurse is caring for a patient taking a Monoamine Oxidase Inhibitor (MAOI). The nurse should
expect to teach the patient to avoid foods/drinks containing what substance?
A. Grapefruit
, B. Fruit juice
C. Tyramine
D. Leafy greens - ANSW-C
1. A nurse is educating a patient about the Nitrate medication, nitroglycerine. What is appropriate
patient teaching about use of this medication for chest pain?
A. Call 911 after the first dose
B. Swallow the pills
C. Store the pills in a window so they are exposed to sunlight
D. Make sure you are standing when you use this medication - ANSW-A
1. What are some of the side and adverse effects of the drug cetirizine (Zyrtec), a Second-Generation
Antihistamine? (SELECT ALL THAT APPLY)
A. Nausea
B. Headache
C. Paradoxical Effect
D. Hepatotoxicity
E. Anticholinergic effects - ANSW-A, C, E
1. For the drug Salmeterol, which is a Sympathomimetic Long-Acting Beta-2 Agonist, which patient
would be more likely to have an asthma related death?
A. 75-year-old male
B. 21-year-old female
C. 12-year-old male
D. 52-year-old male - ANSW-C
1. An 84-year-old female came into the Emergency Room after she fell at her home. While performing a
review of the patient's medications, one of the nurses noticed that she has been taking
pseudoephedrine, an Oral Decongestant. The nurses told her that she should not be taking that drug
because she has a diagnosis that is contraindicated with Oral Decongestants. Which of the following
could the patient have that could be contraindicated with an Oral Decongestant?
A. Type II Diabetes
B. Narrow Angle Glaucoma
C. Hyperlipidemia
D. Osteoporosis - ANSW-B
1. A patient asks the nurse what is meant by anticholinergic effects that is listed on the box of the
Antihistamine, diphenhydramine. What are things the nurse could include? (SELECT ALL THAT APPLY).
A. Urinary retention
B. Blurred vision
C. Excessive saliva
D. Constipation
E. Difficulty sleeping - ANSW-A, B, D
1. Which patient would be the most appropriate patient for the Antitussive, dextromethorphan?