RN MEDICATION 2025/2026
EXAMINATION
A patient, newly diagnosed with non-insulin dependent diabetes, is
receiving glyburide and asks the nurse how this drug works. The nurse
answers the question by telling the patient it acts by: - ANSWER-
Stimulating the pancreas to produce insulin
A patient complained of incisional pain; level 5 on the ten point pain
scale. The patient has an order for tramadol 100 mg PO prn pain.
Pharmacy dispensed tramadol in 50 mg tablets. The nurse should
administer: - ANSWER-2 tablets
A patient who is being discharged is going home on a dexamethasone
dose pack. The nurse knows that it is important to teach the patient to
avoid being around people who might have which of the following? -
ANSWER-chickenpox
The nurse recognizes that which of the following medications should
never be given via IV push or bolus? - ANSWER-potassium chloride
,The nurse is caring for a newly admitted patient who is a smoker. The
physician has ordered varenicline 0.5 mg daily. Which of the following
in the patient history would be considered a contraindication for
varenicline? - ANSWER-Psychiatric illness
Mr. Taylor is receiving IV therapy via a triple-lumen central line,
including Total Parenteral Nutrition (TPN) at 75 ml/hr, an IV of Normal
Saline at 20 ml/hr, and two antibiotics, one ordered every 8 hr and
another every 6 hr. Which of the following symptoms would suggest to
the nurse that he might have a fluid overload? - ANSWER-Crackles and
wheezing when listening to breath sounds
The nurse has received a new order for furosemide 40 mg by mouth
twice daily. Which of the following is important to consider when
scheduling the timing of the second dose? - ANSWER-Give the second
dose in the early evening to allow for the patient to sleep at night
The nurse is caring for a patient who is scheduled for surgery at 1200.
The physician has left orders to give medications with a sip of water at 9
am. Which of the following medications would cause the nurse to
question this order? - ANSWER-Warfarin
The nurse is reviewing discharge instructions on the use of antacids for a
client who has been diagnosed with GERD. Which statement made by
the client would demonstrate understanding of the teaching? -
ANSWER-I should take antacids within 1-2 hours of all other
medications
,The nurse is educating a client on taking sublingual medications. Which
statement made by the client indicates the teaching was effective? -
ANSWER-I should hold the medication under my tongue until it is
dissolved
The nurse is caring for a patient with community acquired pneumonia
who is receiving ceftaroline 600 mg IV every 12 hours. Which of these
allergies would alert the nurse to notify the physician before giving the
first dose? - ANSWER-Penicillin
The nurse is caring for Mrs. Smith, who was admitted with a possible
warfarin sodium overdose. The laboratory values confirm this suspicion.
The nurse would expect the physician to order which drug as an
antidote? - ANSWER-Vitamin K
A patient with hypertensive heart disease who had an acute episode of
congestive heart failure is to be discharged on a regimen of propranolol
HCL and digoxin. During discharge teaching, the nurse recognizes the
need to educate the patient concerning which of the following reactions
that might occur when propranolol HCL is administered with digoxin? -
ANSWER-Slow heart rate
Mr. Johnson, who has a diagnosis of liver failure, has an ammonia level
of 55. The patient is receiving Lactulose three times a day. When the
nurse comes to administer the Lactulose the patient refuses the
medication stating "I have horrible diarrhea, I don't need my Lactulose."
, The nurse replies: - ANSWER-"We are purposefully causing you
diarrhea. The lactulose pulls extra water into your colon to loosen your
stool in order to rid your body of extra ammonia."
A patient reports taking four (4) buffered aspirin a day and is
complaining of dizziness and ringing in the ears. The nurse should
recognize that the patient is probably experiencing: - ANSWER-Aspirin
toxicity
When preparing to apply an oxybutynin patch, the nurse will first assess
which of the following? - ANSWER-***NOT: The patient's blood
pressure and heart rate
Mrs. Smith is taking prescribed metoclopramide 10 mg tablet daily for
gastroesophageal reflux disease. The patient states, "My diabetic father
takes metoclopramide to help him empty his stomach, so how can it help
with my GERD?" The nurse replies: - ANSWER-Metoclopramide is
used to treat GERD, slow gastric emptying, and nausea.
A patient is receiving an 80 mg gentamycin invusion over 30 minutes
every 12 hrs. The patient will receive the 4th dose of gentamycin today
at 0900. The physician has ordered trough blood level to be drawn with
the 4th dose. Which time is appropriate for the nurse to draw the trough?
- ANSWER-8:30am
EXAMINATION
A patient, newly diagnosed with non-insulin dependent diabetes, is
receiving glyburide and asks the nurse how this drug works. The nurse
answers the question by telling the patient it acts by: - ANSWER-
Stimulating the pancreas to produce insulin
A patient complained of incisional pain; level 5 on the ten point pain
scale. The patient has an order for tramadol 100 mg PO prn pain.
Pharmacy dispensed tramadol in 50 mg tablets. The nurse should
administer: - ANSWER-2 tablets
A patient who is being discharged is going home on a dexamethasone
dose pack. The nurse knows that it is important to teach the patient to
avoid being around people who might have which of the following? -
ANSWER-chickenpox
The nurse recognizes that which of the following medications should
never be given via IV push or bolus? - ANSWER-potassium chloride
,The nurse is caring for a newly admitted patient who is a smoker. The
physician has ordered varenicline 0.5 mg daily. Which of the following
in the patient history would be considered a contraindication for
varenicline? - ANSWER-Psychiatric illness
Mr. Taylor is receiving IV therapy via a triple-lumen central line,
including Total Parenteral Nutrition (TPN) at 75 ml/hr, an IV of Normal
Saline at 20 ml/hr, and two antibiotics, one ordered every 8 hr and
another every 6 hr. Which of the following symptoms would suggest to
the nurse that he might have a fluid overload? - ANSWER-Crackles and
wheezing when listening to breath sounds
The nurse has received a new order for furosemide 40 mg by mouth
twice daily. Which of the following is important to consider when
scheduling the timing of the second dose? - ANSWER-Give the second
dose in the early evening to allow for the patient to sleep at night
The nurse is caring for a patient who is scheduled for surgery at 1200.
The physician has left orders to give medications with a sip of water at 9
am. Which of the following medications would cause the nurse to
question this order? - ANSWER-Warfarin
The nurse is reviewing discharge instructions on the use of antacids for a
client who has been diagnosed with GERD. Which statement made by
the client would demonstrate understanding of the teaching? -
ANSWER-I should take antacids within 1-2 hours of all other
medications
,The nurse is educating a client on taking sublingual medications. Which
statement made by the client indicates the teaching was effective? -
ANSWER-I should hold the medication under my tongue until it is
dissolved
The nurse is caring for a patient with community acquired pneumonia
who is receiving ceftaroline 600 mg IV every 12 hours. Which of these
allergies would alert the nurse to notify the physician before giving the
first dose? - ANSWER-Penicillin
The nurse is caring for Mrs. Smith, who was admitted with a possible
warfarin sodium overdose. The laboratory values confirm this suspicion.
The nurse would expect the physician to order which drug as an
antidote? - ANSWER-Vitamin K
A patient with hypertensive heart disease who had an acute episode of
congestive heart failure is to be discharged on a regimen of propranolol
HCL and digoxin. During discharge teaching, the nurse recognizes the
need to educate the patient concerning which of the following reactions
that might occur when propranolol HCL is administered with digoxin? -
ANSWER-Slow heart rate
Mr. Johnson, who has a diagnosis of liver failure, has an ammonia level
of 55. The patient is receiving Lactulose three times a day. When the
nurse comes to administer the Lactulose the patient refuses the
medication stating "I have horrible diarrhea, I don't need my Lactulose."
, The nurse replies: - ANSWER-"We are purposefully causing you
diarrhea. The lactulose pulls extra water into your colon to loosen your
stool in order to rid your body of extra ammonia."
A patient reports taking four (4) buffered aspirin a day and is
complaining of dizziness and ringing in the ears. The nurse should
recognize that the patient is probably experiencing: - ANSWER-Aspirin
toxicity
When preparing to apply an oxybutynin patch, the nurse will first assess
which of the following? - ANSWER-***NOT: The patient's blood
pressure and heart rate
Mrs. Smith is taking prescribed metoclopramide 10 mg tablet daily for
gastroesophageal reflux disease. The patient states, "My diabetic father
takes metoclopramide to help him empty his stomach, so how can it help
with my GERD?" The nurse replies: - ANSWER-Metoclopramide is
used to treat GERD, slow gastric emptying, and nausea.
A patient is receiving an 80 mg gentamycin invusion over 30 minutes
every 12 hrs. The patient will receive the 4th dose of gentamycin today
at 0900. The physician has ordered trough blood level to be drawn with
the 4th dose. Which time is appropriate for the nurse to draw the trough?
- ANSWER-8:30am
