NLN MEDICATION 2025/2026 QUESTIONS AND ANSWERS
GRADED A++
✔✔A nurse should recognize that enoxaparin (Lovenox) is CONTRAINDICATED in a
client who has a history of
• Congestive health failure
• Kidney stones
• Bleeding disorder
• Asthma - ✔✔c. Bleeding disorder
✔✔A nurse is teaching a client who has osteoarthritis about naproxen (Naprosyn). The
nurse should include which of these instructions?
• 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 - ✔✔a. Maximum effectiveness may take
two to four weeks of continued therapy
✔✔Which of these parameters should a nurse monitor in a client who is taking
furosemide (Lasix)?
• Respiratory rate
• Blood pressure
• Pulse oximetry
• Babinski reflex - ✔✔b. Blood pressure
✔✔When preparing to give a 5-year-old an intramuscular injection, a nurse should take
which of these actions?
• Tell the child to hold still so the injection would not hurt
• Show the child the amount of medication in the syringe
• Tell the child about the injection immediately before giving it to the child
• Allow the child to observe another child receiving an injection - ✔✔c. Tell the child
about the injection immediately before giving it to the child
✔✔A nurse should question an anti-hyperlipidemic medication for which of these client?
• 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-yaer-old client who has cirrhosis related to alcohol abuse
• a 79-year-old client who has bilateral cataracts - ✔✔c. a 57-yaer-old client who has
cirrhosis related to alcohol abuse
✔✔A client is to receive an intravenous infusion of 1L of Ringer's lactate. If the IV
infusion pump is set to deliver 80 mL/hr, he infusion will be completed in 12 hours and
• 5 minutes
• 20 minutes
• 30 minutes
, • 40 minutes - ✔✔c. 30 minutes
✔✔A client is to receive 50 mL of intravenous solution in 45 minutes. A nurse should
regulate the client's infusion pump to deliver approximately how many milliliters each
hour?
• 37
• 45
• 52
• 67 - ✔✔d. 67
✔✔A physician orders heparin sodium (Liquaemin Sodium) 1,250 units/hour IV for a
client. The IV solution contains 25,000 unites of heparin in 500mL. A nurse should set
the infusion pump to run at how many mL/hr?
• 20
• 22
• 25
• 30 - ✔✔c. 25
✔✔A nurse should monitor a client who is receiving cefotaxime sodium (Claforan) for
side effects, which include
• Diarrhea
• Vertigo
• Tinnitus
• Insomnia - ✔✔a. Diarrhea
✔✔A nurse should monitor a client, who is taking an angiotensin converting enzyme
(ACE) inhibitor, for evidence of therapeutic effects, which include
• Increased cardiac workload
• Increased exercise tolerance
• Increased peripheral vascular resistance
• Increased respiratory effort - ✔✔b. Increased exercise tolerance
✔✔A client who is receiving chemotherapy is started on epoetin alfa (Epogen). A nurse
should recognize that the medication is having the desired effect if the client develops
• Decreased lymphocytes
• Decreased neutrophils
• Increased platelet count
• Increased hematocrit level - ✔✔d. Increased hematocrit level
✔✔A client is started on vancomycin hydrochloride (Vancocin) for a methylcillin-
resistant staphylococcus aureus infection. A nurse should monitor the client carefully for
signs of renal toxicity, which include
• Increased serum creatinine level
• Decreased blood urea nitrogen (BUN) level
• Increased blood pressure
GRADED A++
✔✔A nurse should recognize that enoxaparin (Lovenox) is CONTRAINDICATED in a
client who has a history of
• Congestive health failure
• Kidney stones
• Bleeding disorder
• Asthma - ✔✔c. Bleeding disorder
✔✔A nurse is teaching a client who has osteoarthritis about naproxen (Naprosyn). The
nurse should include which of these instructions?
• 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 - ✔✔a. Maximum effectiveness may take
two to four weeks of continued therapy
✔✔Which of these parameters should a nurse monitor in a client who is taking
furosemide (Lasix)?
• Respiratory rate
• Blood pressure
• Pulse oximetry
• Babinski reflex - ✔✔b. Blood pressure
✔✔When preparing to give a 5-year-old an intramuscular injection, a nurse should take
which of these actions?
• Tell the child to hold still so the injection would not hurt
• Show the child the amount of medication in the syringe
• Tell the child about the injection immediately before giving it to the child
• Allow the child to observe another child receiving an injection - ✔✔c. Tell the child
about the injection immediately before giving it to the child
✔✔A nurse should question an anti-hyperlipidemic medication for which of these client?
• 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-yaer-old client who has cirrhosis related to alcohol abuse
• a 79-year-old client who has bilateral cataracts - ✔✔c. a 57-yaer-old client who has
cirrhosis related to alcohol abuse
✔✔A client is to receive an intravenous infusion of 1L of Ringer's lactate. If the IV
infusion pump is set to deliver 80 mL/hr, he infusion will be completed in 12 hours and
• 5 minutes
• 20 minutes
• 30 minutes
, • 40 minutes - ✔✔c. 30 minutes
✔✔A client is to receive 50 mL of intravenous solution in 45 minutes. A nurse should
regulate the client's infusion pump to deliver approximately how many milliliters each
hour?
• 37
• 45
• 52
• 67 - ✔✔d. 67
✔✔A physician orders heparin sodium (Liquaemin Sodium) 1,250 units/hour IV for a
client. The IV solution contains 25,000 unites of heparin in 500mL. A nurse should set
the infusion pump to run at how many mL/hr?
• 20
• 22
• 25
• 30 - ✔✔c. 25
✔✔A nurse should monitor a client who is receiving cefotaxime sodium (Claforan) for
side effects, which include
• Diarrhea
• Vertigo
• Tinnitus
• Insomnia - ✔✔a. Diarrhea
✔✔A nurse should monitor a client, who is taking an angiotensin converting enzyme
(ACE) inhibitor, for evidence of therapeutic effects, which include
• Increased cardiac workload
• Increased exercise tolerance
• Increased peripheral vascular resistance
• Increased respiratory effort - ✔✔b. Increased exercise tolerance
✔✔A client who is receiving chemotherapy is started on epoetin alfa (Epogen). A nurse
should recognize that the medication is having the desired effect if the client develops
• Decreased lymphocytes
• Decreased neutrophils
• Increased platelet count
• Increased hematocrit level - ✔✔d. Increased hematocrit level
✔✔A client is started on vancomycin hydrochloride (Vancocin) for a methylcillin-
resistant staphylococcus aureus infection. A nurse should monitor the client carefully for
signs of renal toxicity, which include
• Increased serum creatinine level
• Decreased blood urea nitrogen (BUN) level
• Increased blood pressure
