10:57:34 AM NLN EXAM Friday, July 25, 2025
NLN Medication Actual Exam – 100% Pass Guarantee |
Real Questions & Answers with Rationales
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
Taper this medication slowly when discontinuing its use
An adverse effect of captopril (Capoten) is...?
• Dehydration
• Peripheral edema
• Hyperglycemia
• Persistent cough
Persistent cough
A therapeutic effect to amlodipine (Norvasc) is...?
• Greater flexibility
• Decreased blood pressure
• Improved cognition
• Decreased pain
Decreased blood pressure
What is a common side effect of a calcium channel blocker?
• Hypertension
• Urinary retention
• Weight loss
• Diplopia
Diplopia
Enoxaparin (Lovenox) is CONTRAINDICATED for patients with...?
• Congestive health failure
• Kidney stones
,10:57:34 AM NLN EXAM Friday, July 25, 2025
• Bleeding disorders
• Asthma
Bleeding disorders
A nurse should include which of these instructions for a patient on naproxen (Naprosyn)?
• Maximum effectiveness may take two to four weeks of continued therapy
• The medication may be taken with aspirin to improve pain relief.
• You will need to carefully monitor your blood sugar levels
• It is important that you avoid sun exposure
Maximum effectiveness may take two to four weeks of continued therapy
A nurse should monitor ________________ for a patient who is taking furosemide (Lasix)?
• Respiratory rate
• Blood pressure
• Pulse oximetry
• Babinski reflex
Blood pressure
An anti-hyperlipidemic medication is contraindicated for which patient?
• a 30-year-old client who has a history of heart disease
• a 44-year-old client who has recurrent urinary tract infections
• a 57-year-old client who has cirrhosis related to alcohol abuse
• a 79-year-old client who has bilateral cataracts
a 57-year-old client who has cirrhosis related to alcohol abuse
The side effect for cefotaxime sodium (Claforan) is...?
• Diarrhea
• Vertigo
• Tinnitus
• Insomnia
Diarrhea
The therapeutic effect of an angiotensin converting enzyme, ACE inhibitor is..?
• Increased cardiac workload
• Increased exercise tolerance
,10:57:34 AM NLN EXAM Friday, July 25, 2025
• Increased peripheral vascular resistance
• Increased respiratory effort
Increased exercise tolerance
The desired effect of epoetin alfa (Epogen) is...?
• Decreased lymphocytes
• Decreased neutrophils
• Increased platelet count
• Increased hematocrit level
Increased hematocrit level
Signs of renal toxicity for a patient on vancomycin hydrochloride (Vancocin) would
include...
• Increased serum creatinine level
• Decreased blood urea nitrogen, BUN, level
• Increased blood pressure
• Intermittent flank pain
Increased serum creatinine level
Which emergency medication should the nurse have available for a patient in cholinergic
crisis from bethanechol (Urecholine)?
• Atropine sulfate (Isopto Atropine)
• Epinephrine hydrochloride (Adrenalin chloride)
• Diphenhydramine hydrochloride (Benadryl)
• Acetaminophen (Tylenol)
Atropine sulfate (Isopto Atropine)
Cephradine (Velosef) is contraindicated in an elderly patient with a history of...
• Hypertension
• Penicillin allergy
• Drug dependence
• Depression
Penicillin allergy
What is the appropriate education for a patient who abruptly stops his hypertensive
medications due to interference to sexual function?
, 10:57:34 AM NLN EXAM Friday, July 25, 2025
• Serious hypertension is likely to result from stopping medications abruptly
• The side effects would have eventually disappeared with continued administration
• Alternative medication therapy that will not affect sexual function is available
• Stopping the medications now will cause a stroke
Alternative medication therapy that will not affect sexual function is available
The nurse knows that performance of a purified protein derivative (PPD) test for TB will
include:
• Pointing the bevel of the needle downward
• Massaging the area after the injection
• Ensuring the wheal forms
• Using a 22 gauge, one-inch needle
Ensuring the wheal forms
What is a priority action for the nurse with a patient who is admitted with an international
normalized ratio, (INR) of 1.2 after taking Coumadin for 3 months?
• Administer phytonadione (AquaMEPHYTON) to the client?
• Withhold the client's next dose of warfarin sodium (Coumadin)
• Encourage the client to increase intake of iron-rich foods
• Determine if the client is taking the medication as prescribed
Determine if the client is taking the medication as prescribed
How many hours after administration of isophane insulin suspension (Humulin N, NPH)
should the patient be monitored for hypoglycemia?
• 1 to 1 1 ⁄ 2
• 2 to 3
• 4 to 12
• 16 to 18
4 to 12
The nurse notes that the patient understands teaching on nadolol (Corgard) when he states
_______________as a side effect.
• Hypotension
• Migraine headache
NLN Medication Actual Exam – 100% Pass Guarantee |
Real Questions & Answers with Rationales
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
Taper this medication slowly when discontinuing its use
An adverse effect of captopril (Capoten) is...?
• Dehydration
• Peripheral edema
• Hyperglycemia
• Persistent cough
Persistent cough
A therapeutic effect to amlodipine (Norvasc) is...?
• Greater flexibility
• Decreased blood pressure
• Improved cognition
• Decreased pain
Decreased blood pressure
What is a common side effect of a calcium channel blocker?
• Hypertension
• Urinary retention
• Weight loss
• Diplopia
Diplopia
Enoxaparin (Lovenox) is CONTRAINDICATED for patients with...?
• Congestive health failure
• Kidney stones
,10:57:34 AM NLN EXAM Friday, July 25, 2025
• Bleeding disorders
• Asthma
Bleeding disorders
A nurse should include which of these instructions for a patient on naproxen (Naprosyn)?
• Maximum effectiveness may take two to four weeks of continued therapy
• The medication may be taken with aspirin to improve pain relief.
• You will need to carefully monitor your blood sugar levels
• It is important that you avoid sun exposure
Maximum effectiveness may take two to four weeks of continued therapy
A nurse should monitor ________________ for a patient who is taking furosemide (Lasix)?
• Respiratory rate
• Blood pressure
• Pulse oximetry
• Babinski reflex
Blood pressure
An anti-hyperlipidemic medication is contraindicated for which patient?
• a 30-year-old client who has a history of heart disease
• a 44-year-old client who has recurrent urinary tract infections
• a 57-year-old client who has cirrhosis related to alcohol abuse
• a 79-year-old client who has bilateral cataracts
a 57-year-old client who has cirrhosis related to alcohol abuse
The side effect for cefotaxime sodium (Claforan) is...?
• Diarrhea
• Vertigo
• Tinnitus
• Insomnia
Diarrhea
The therapeutic effect of an angiotensin converting enzyme, ACE inhibitor is..?
• Increased cardiac workload
• Increased exercise tolerance
,10:57:34 AM NLN EXAM Friday, July 25, 2025
• Increased peripheral vascular resistance
• Increased respiratory effort
Increased exercise tolerance
The desired effect of epoetin alfa (Epogen) is...?
• Decreased lymphocytes
• Decreased neutrophils
• Increased platelet count
• Increased hematocrit level
Increased hematocrit level
Signs of renal toxicity for a patient on vancomycin hydrochloride (Vancocin) would
include...
• Increased serum creatinine level
• Decreased blood urea nitrogen, BUN, level
• Increased blood pressure
• Intermittent flank pain
Increased serum creatinine level
Which emergency medication should the nurse have available for a patient in cholinergic
crisis from bethanechol (Urecholine)?
• Atropine sulfate (Isopto Atropine)
• Epinephrine hydrochloride (Adrenalin chloride)
• Diphenhydramine hydrochloride (Benadryl)
• Acetaminophen (Tylenol)
Atropine sulfate (Isopto Atropine)
Cephradine (Velosef) is contraindicated in an elderly patient with a history of...
• Hypertension
• Penicillin allergy
• Drug dependence
• Depression
Penicillin allergy
What is the appropriate education for a patient who abruptly stops his hypertensive
medications due to interference to sexual function?
, 10:57:34 AM NLN EXAM Friday, July 25, 2025
• Serious hypertension is likely to result from stopping medications abruptly
• The side effects would have eventually disappeared with continued administration
• Alternative medication therapy that will not affect sexual function is available
• Stopping the medications now will cause a stroke
Alternative medication therapy that will not affect sexual function is available
The nurse knows that performance of a purified protein derivative (PPD) test for TB will
include:
• Pointing the bevel of the needle downward
• Massaging the area after the injection
• Ensuring the wheal forms
• Using a 22 gauge, one-inch needle
Ensuring the wheal forms
What is a priority action for the nurse with a patient who is admitted with an international
normalized ratio, (INR) of 1.2 after taking Coumadin for 3 months?
• Administer phytonadione (AquaMEPHYTON) to the client?
• Withhold the client's next dose of warfarin sodium (Coumadin)
• Encourage the client to increase intake of iron-rich foods
• Determine if the client is taking the medication as prescribed
Determine if the client is taking the medication as prescribed
How many hours after administration of isophane insulin suspension (Humulin N, NPH)
should the patient be monitored for hypoglycemia?
• 1 to 1 1 ⁄ 2
• 2 to 3
• 4 to 12
• 16 to 18
4 to 12
The nurse notes that the patient understands teaching on nadolol (Corgard) when he states
_______________as a side effect.
• Hypotension
• Migraine headache
