Davis Drug Guide for Nurses 13th Edition Vallerand Sanoski Test Bank
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Below you will find some free nursing test bank questions from this test bank:
Drug Guide Test Bank 1
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is providing care for a patient scheduled to take Acarbose (Precose) 25 mg three times daily with meals. The patient reports feeling sweaty, weak, and tremulous. Which of the following actions by the nurse is best?
|A.||Reassure the patient that these are common side effects with the medication.|
|B.||Call the pharmacy to report an adverse drug reaction.|
|C.||Check the patient’s blood glucose level.|
|D.||Determine if the patient has a history of anemia.|
____ 2. While responding to a rapid response call on the cardiac step-down unit, the nurse from intensive care observes the unit nurse massaging a patient’s neck and instructing the patient to bear down. Which of the following medications will most likely be used if the patient’s pulse does not return to normal?
____ 3. The nurse is instructing the parent of a 6-year old recently started on Albuterol (Proair HFA) inhaler for exercise-induced asthma. The nurse recognizes that further teaching is necessary by which of the following client statements?
|A.||“He may feel like his heart is racing after he takes his inhaler.”|
|B.||“He can use the inhaler as many times during football practice as he needs it.”|
|C.||“He should avoid cola and other caffeinated drinks since they may increase his heart rate.”|
|D.||“He should take two puffs about 15 minutes before gym class.”|
____ 4. While providing care for an adolescent patient newly prescribed amitriptyline (Elavil), the nurse would be most concerned by which of the following patient statements?
|A.||“My mouth seems really dry and I’m thirsty all the time.”|
|B.||“I take a nap most afternoons now because I feel sleepy sometimes.”|
|C.||“I’m not sure why we should even bother anymore; everything seems so pointless.”|
|D.||“I drink a cup of coffee most days with breakfast.”|
____ 5. The nurse is caring for a patient with otitis media who reports an allergy to penicillin. Orders are received for Ampicillin 500 mg every 8 hr. Which of the following actions by the nurse is best?
|A.||Provide the medication as ordered.|
|B.||Call the pharmacist to request a substitution.|
|C.||Ask the patient if he or she has taken ampicillin in the past.|
|D.||Hold the medication.|
____ 6. While caring for a patient in hospice who is actively dying, the nurse notes moderate respiratory distress, copious oral secretion, and a frequent moist cough. Which of the following prn medications would most promote comfort for the patient?
|A.||Morphine Sulfate (Morphine) 2 mg IV bolus|
|B.||Atropine (Atro-Pen) 0.4 mg IV bolus|
|C.||Lorazepam (Ativan) 0.5 mg IV bolus|
|D.||Diphenhydramine (Benadryl) 25 mg IV bolus|
____ 7. The nurse is counseling a patient started on Azithromycin (Zithromax) for the treatment of an upper respiratory infection. The nurse recognizes that teaching has been effective by which of the following patient statements?
|A.||“The med pack will have five pills, one for each of the next five days.”|
|B.||“If I don’t feel better next week I can get a refill from the pharmacist.”|
|C.||“I only need to take one pill, but my symptoms may not clear for three days.”|
|D.||“I can take this medication safely even though I’m allergic to erythromycin.”|
____ 8. The home care nurse is preparing to see a patient being treated for diabetic foot ulcerations with Becaplermin (Regranex). Which of the following instructions will the nurse include in the patient teaching?
|A.||“Apply the wound gel three times daily to promote healing.”|
|B.||“Store the gel in the refrigerator.”|
|C.||“Complete healing is expected within 3 days.”|
|D.||“After applying the wound gel, cover with a transparent adhesive dressing.”|
____ 9. The nurse is tracking patient symptoms related to acute alcohol intoxication and withdrawal. Which of the following medications would the nurse expect to provide in the management of these symptoms?
____ 10. The nurse prepares to provide Colchicine (Colcrys) to a patient. The nurse should assess which of the following prior to administration of the medication?
|B.||Complete blood count|
____ 11. The nurse is transcribing new orders for a patient with multiple sclerosis. Cyclobenzaprine (Flexeril) 10 mg orally three times daily has been ordered. Which of the following would require an immediate intervention by the nurse?
|A.||The patient has a noted allergy to acetaminophen.|
|B.||The patient has a family history of breast cancer.|
|C.||The patient is currently taking Phenelzine (Nardil)|
|D.||The patient is diabetic.|
____ 12. The nurse is preparing to provide medications for a patient newly admitted with a cerebral vascular accident who reportedly had difficulty swallowing pills during the previous shift. The nurse plans to crush the patient’s medications and provide them in applesauce. Which of the following medications will require an alternative form of administration?
|A.||Aspirin 81 mg daily|
|B.||Darifenacin-XR (Enablex) 15 mg daily|
|C.||Loratadine (Claritin) 10 mg daily|
|D.||Calcium carbonate (CalCarb) 500 mg daily|
____ 13. The nurse receives a call from a patient who recently began taking Cetirizine (Zyrtec) 5 mg daily. The patient reports that her mouth frequently feels dry. Which of the following responses by the nurse is best?
|A.||“Dry mouth is a common side effect of Zyrtec. Rinse your mouth frequently, and try using sugarless chewing gum or candy for relief.”|
|B.||“You may be taking too strong of a dose. You should take half a pill each day to reduce the risk of side effects.”|
|C.||“You might be having an allergic reaction to the medication. Are you able to come to the doctor’s office today?”|
|D.||“It is important that you take the medication with a full meal and drink at least 12 glasses of water each day.”|
____ 14. The nurse is caring for a patient who takes Dextroamphetamine (Dexedrine). The nurse would be most concerned by which of the following patient statements?
|A.||“I seem to be able to focus better and I’m less distracted now.”|
|B.||“I’ve been having some trouble falling asleep at night lately.”|
|C.||“I started taking St. John’s wort this week to help with my depression.”|
|D.||“I forgot to take my medication in the morning last week so I took it at lunch time.”|
____ 15. The nurse receives orders to begin Doxazosin (Cardura) 1 mg daily with the first dose to start today. Which of the following assessments is the highest priority within the first 2 to 4 hr after provision?
____ 16. The nurse is providing care for a patient who returned from surgery 4 hr earlier. The patient reports adequate pain control with the use of patient-controlled analgesia but states she is having significant nausea. Which of the following medications would the nurse provide?
|A.||Droperidol (Inapsine) 2.5 mg IV|
|B.||Diphenhydramine (Benadryl) 25 mg IV|
|C.||Morphine sulfate (Morphine) 2 mg IV|
|D.||Colace 100 mg po|
____ 17. The nurse is counseling a patient with diabetes, hypertension, and chronic obstructive pulmonary disease on his medications. To verify patient understanding of his medications, the nurse states, “You are taking Cymbalta (Duloxetine) 60 mg once a day; do you know why you take that medication?” The nurse determines the patient has a good understanding of his medications if which of the following responses is given?
|A.||“I take that one to keep my blood sugar under control.”|
|B.||“I don’t know, honey, is that my little blue pill?”|
|C.||“That helps with the pain in my feet.”|
|D.||“I think that is to lower my blood pressure.”|
____ 18. While providing care for patients on a neuroscience unit, which of the following medications would the nurse provide first?
|A.||Dantrolene (Dantrium) 1 mg/kg IV to a patient with malignant hyperthermia.|
|B.||Desipramine (Norpramin) 100 mg orally to a patient admitted with syncope.|
|C.||Darifenacin (Enablex) 15 mg orally to a patient admitted for cerebrovascular accident.|
|D.||Duloxetine (Cymbalta) 20 mg to a patient with diabetes.|
____ 19. The nurse is caring for a patient with a history of Parkinson’s disease who recently started taking Entacapone (Comtan). The nurse notes the patient’s urine has a brownish-orange discoloration. Which of the following actions should the nurse take next?
|A.||Notify the physician.|
|B.||Determine the patient’s current weight.|
|C.||Ask the patient what he or she ate for breakfast.|
|D.||Note the assessment finding in the chart.|
____ 20. A young woman reports to the emergency with frank vaginal bleeding and a stated history of being 10 wk pregnant. Ultrasound confirms an incomplete miscarriage, and the woman is scheduled for a dilatation and curettage. Which of the following medications would the nurse anticipate will be provided after the surgical procedure?