
True or False: Beta Blockers can mask the signs of hypoglycemia
Which medication is given to patients with Parkinson's Disease to control the EPS symptoms?
Levodopa
Benztropine
Carbidopa
Donepezil
Rapid-Acting Insulins (Lispro, Aspart, Glulisine) should be administered:
Twice a day
20-30 minutes before each meal
4x a day evenly spaced
Immediately before meals
Which of the following medications below is a urinary tract analgesic?
Phenazopyridine
Oxybutynin
Tamsulosin
Bethanechol
Which serious adverse effect is more common in patients taking TCA antidepressants?
Neuroleptic Malignant Syndrome & Respiratory Depression
Hypertensive Crisis & Serotonin Syndrome
Malignant Hyperthermia & EPS
Arrythmias & Seizures
Erythromycin (Ophthalmic) is given to newborns as prophylaxis against gonorrhea and chlamydia. It is essential to note this medication can only be delayed for up to _____ after the newborn's birth.
12 hours
1 hour
8 hours
24 hours
Mucolytic Medications such as Acetylcysteine are used:
To vasoconstrict the respiratory tract and mucosa in rhinitis
To suppress coughs
To break up mucus in serious pulmonary disorders such as Cystic Fibrosis
To decrease secretion thickness
How long does the antigout agent Allopurinol typically take to show effects?
3 weeks
4 weeks
1 week
2 weeks
Which serious adverse effect is more common in patients taking MAOI antidepressants?
Hypertensive Crisis
Cholinergic Crisis
Neuroleptic Malignant Syndrome
Hypotensive Crisis
Which baseline lab values need to be obtained prior to administering Valproate (mood stabilizer)?
Platelet Levels
Liver Function
Renal Function
Glucose Levels
Which of the following are the side effects of the Urinary Anti-Inflammatory Sulfasalazine? Select all that apply.
Orange/Yellow Discoloration of the Urine & Skin
Crystalluria
Cinchonism
Blood Dyscrasias, Rash, Fever
When a client with COPD is taking theophylline, and also receives ciprofloxacin, which of the following may occur?
Theophylline Toxicity
Ineffectiveness of Theophylline
Ciprofloxacin Toxicity
Ineffectiveness of Ciprofloxacin
Which of the following are the side effects of Metronidazole (Antiprotozoal) medication? Select all that apply
GI Upset
Metallic Taste & Dark Urine
Dizziness & Headaches
Diarrhea
Which of the following are known side effects of Metoclopramide (Prokinetic Antiemetic)?
Metabolic Alkalosis
Ischemic Colitis
EPS, Tardive Dyskinesia
Constipation
Which of the following medications can cause Ischemic Colitis?
Alosetron (IBS Agent)
Loperamide (Antidiarrheal)
Diphenoxylate (Antidiarrheal)
Lubiprostone (IBS Agent)
How long does it take for effects to be apparent in the use of Levodopa/Carbidopa?
2-3 weeks
4-6 weeks
1-2 weeks
3-6 weeks
The home health nurse visits a client taking Phenytoin (Dilantin) for control of seizures. During the assessment, the nurse notes that the client is taking birth control pills. Which information should be included in patient education?
There is an increased risk of thrombophlebitis while taking birth control and Phenytoin together.
Pregnancy must be avoided while taking phenytoin
The client may stop the medication if it is causing severe GI effects
There is a potential for decreased effectiveness of birth control pills while taking phenytoin.
A client began taking amantadine (Antiparkinson Agent) approximately 2 weeks ago. Does the nurse determine that the client is experiencing a side effect related to the use of this medication based on which finding below?
Complaints of urinary retention
BP of 118/74
Decreased rigidity
Decreased Akinesia
Albumin is a colloid/volume expander. It is contraindicated in:
Heart Failure
Kidney Disease
Liver Disease
Lung Disease
Imipenem and Meropenem (Carbapenem Antibiotics) are contraindicated in:
those with hypertension
Those with asthma
Those with cephalosporin allergies
those with allergies to glycopeptides
We know that vancomycin (Glycopeptide Antibiotic) can cause the infusion reaction Red-Man-Syndrome when infused too rapidly. What other considerations should the nurse keep in mind? Select all that apply
This med needs peak and trough levels drawn
This med can cause nephrotoxicity
This med can cause ototoxicity
This med can cause hepatotoxicity
Lithium is a Mood Stabilizer used in Bipolar Disorder. This medication is contraindicated in
Lung Disease
Renal Disease
Heart Disease
Liver Disease
Which antibiotics below can cause dysrhythmias, such as Torsades de Pointes?
Azithromycin (Macrolides)
Gentamicin (Aminoglycosides)
Clindamycin (Lincosamides)
Ciprofloxacin (Fluoroquinolones)
Hypercoagulantion is a risk factor with which medication below?
Aminocaproic Acid (Fibrinolysis Inhibitor)
Dabigatran (Thrombin Inhibitor)
Rivaroxvan (Factor Xa Inhibitors)
Clopidogrel (Platelet Aggregation Inhibitor)
Which of the following medications interferes with the absorption of the fat-soluble vitamins (A, D, E, K)
Alikiren (Renin Inhibitors)
Ezetimibe (Cholesterol Absorption Inhibitors)
Gemifibrozil, Fenofibrate (Fibric Acid Derivatives)
Cholestyramine, Colesevelam (Bile Acid Sequestrants)
What is the generic name for Soltamox
Oxaliplatin
Mitomycin
Vincristine
Tamoxifen
What is the brand name for Citalopram
Zoloft
Prozac
Cymbalta
Celexa
What is the brand name for Eszopiclone
Lunesta
Ambien
Haldol
Inaspine
What is the generic name for Trexall
Vincristine
Methotrexate
Oxaliplatin
Adalimumab
What is the generic name for Caelyx, Myocet
Bleomycin
Mitomycin
Doxorubicin
Daunorubicin
What is the brand name for Lorazepam
Versed
Valium
Xanax
Ativan
What is the brand name for Benztropine
Concerta
Cogentin
Razadyne
Donepezil
What is the generic name for Platinol
Cisplatin
Cyclosporine
Cyclophosphamide
Procarbazine
What is the brand name for Duloxetine
Effexor
Tofranil
Elavil
Cymbalta
The client with a head injury is experiencing signs of increased intracranial pressure (ICP), and mannitol is prescribed. The nurse administering this medication expects which as intended effects of this medication? Select all that apply.
Increased osmotic pressure of glomerular filtrate
Increased Diuresis
Reabsorption of sodium and water in the loop of Henle
Reduced ICP
Reduced tubular absorption of waster and solutes
Your patient is on Heparin, and develops Heparin-Induced Thrombocytopenia (HIT). What signs and symptoms in the patient confirm this diagnosis? Select all that apply
Development of a new thrombus
Increase in platelet level
Decrease in platelet level
Increase in hemoglobin level
The nurse will teach a patient who is self-medicating with bismuth subsalicylate (Pepto-Bismol) to avoid which drug because of the possibility of toxicity?
Aspirin
Acetaminophen
Calcium Supplements
Vitamin Tablets
A patient with asthma is prescribed to take inhaled Salmeterol and Fluticasone for long-term management of asthma. You observe the patient taking these medications. Which option below best describes the correct order in how to take these medications?
The patient inhales the Salmeterol first and then waits 5 minutes before inhaling the Fluticasone.
The patient inhales the Fluticasone first and then waits 5 minutes before inhaling the Salmeterol.
The patient inhales the Salmeterol first and then waits 1 minute before inhaling the Fluticasone.
The patient inhales the Fluticasone and immediately inhales the Salmeterol.
The nurse will warn the patient taking metronidazole about which possible adverse effects? Select all that apply (4)
Reddish-orange urine
Anorexia
Cough
Fatigue
Headache
Metallic Taste
A 43-year-old female client is receiving thyroid replacement hormone following a thyroidectomy. What adverse effects associated with thyroid hormone toxicity should the nurse instruct the client to report promptly to the healthcare provider?
Tinnitus & Dizziness
Tachycardia & Chest Pain
Weight Gain & Increased Appetite
Dry Skin & Intolerance to Cold
The nurse is evaluating a client's understanding of the prescribed antilipemic drug lovastatin (Mevacor). Which client statement indicates that further teaching is needed?
"I will take the medication everyday before breakfast"
"I will take the medication every day after dinner."
"I will drink the medication with a full glass of water"
"I will take the medication in the evening before bed"
When monitoring hypokalemia in a patient taking diuretics. The nurse looks for which of the following symptoms? Select all that apply. (5)
Nausea
Anorexia
Constipation
Abdominal Pain
Restlessness
Hypotension
Muscle Weakness
Lethargy
A client who has been diagnosed with pneumonia has been given a prescription for a macrolide antibiotic - erythromycin. Client teaching about this medication would include which best instruction?
Take the medication with juice.
Take the medication with a meal.
Take the medication on an empty stomach.
Take the medication at bedtime with a snack.
A patient who has epilepsy is scheduled to take a dose of Dilantin. What is the desired therapeutic range for this medication?
4-10 mcg/mL
10-20 mcg/mL
15-40 mcg/mL
50-100 mcg/mL
While teaching a patient about the possible adverse effects of the interferons, the nurse should mention which effects? Select all that apply.
Myalgia
Fever
Diarrhea
Fatigue
Chills
Dizziness
A patient with prostatic carcinoma is scheduled for his dose of docetaxel (Taxotere) Chemotherapy. The nurse notices the patient has developed a new cough that is persistent. - This is a common side effect of this medication.
The nurse is monitoring a client with leukemia who is receiving An Anthracycline Agent - doxorubicin (Caelyx, Myocet) by intravenous infusion. The nurse would monitor for which finding that would indicate doxorubicin toxicity?
Elevated creatinine
Red coloration in the urine
Electrocardiogram (ECG) changes
Elevated blood urea nitrogen (BUN)
The nurse caring for a client receiving A Vina-Alkaloid Agent - vincristine (Vincasar) is monitoring the client for toxicity. The nurse interprets that the client is experiencing a toxic effect of this medication on the basis of which assessment finding?
Nausea and vomiting
Decreased platelet count
Decreased white blood cell count
Weakness and sensory loss in the legs
A client with testicular cancer is receiving an Alkylating Agent - cisplatin (Platinol). The nurse assesses for which finding as a toxic effect of this medication?
Tinnitus
Diarrhea
Nausea and vomiting
Elevated white blood cell (WBC) count
A client with Crohn's disease is scheduled to receive an infusion of infliximab. What intervention by the nurse will determine the effectiveness of treatment?
Monitoring the leukocyte count for 2 days after the infusion
Checking the frequency and consistency of bowel movements
Checking serum liver enzyme levels before and after the infusion
Carrying out a Hematest on gastric fluids after the infusion is completed
The nurse should ensure the client receives breakfast within 30 minutes after the injection of Insulin Aspart (Novolog)
Atorvastatin (HMG-CoA Inhibitor- Antilipidemic) has been prescribed for a client, and the client asks the nurse about the side and adverse effects of the medication. What would the nurse tell the client is a frequent side effect of this medication?
Tremors
Lethargy
Tiredness
Headache
Epoetin Alfa (Erythropoiesis Stimulating Agent) is contraindicated in which of the following? Select all that apply
Angina
Hemoglobin Level Greater than 8
Hemoglobin Level greater than 11
Uncontrolled Hypertension
A patient newly prescribed Sucralfate (Mucosal Protectant - Antiulcer Agent) needs education on when the medication should be taken. Which of the following will the nurse correctly instruct the patient to do?
Take immediately upon wakening, and 1 hour before meals (4x a day)
Take 1 hour after meals and at bedtime (4x a day)
Take 1 hour before meals and at bedtime (4x a day)
Take immediately upon wakening, and 1 hour after meals (4x a day)
A client schedules an appointment with the primary health care provider because of episodes of chest pain, and Prinzmetal's angina is diagnosed.
The provider prescribes diltiazem (Calcium Channel Blocker). The client asks the nurse which therapeutic effects the medication will provide, and the nurse provides education.
Which statement by the client indicates that the teaching has been effective?
"It increases the force of contraction of the heart tissues."
"It increases oxygen demands within the myocardium"
"It prevents an influx of calcium ions in the smooth muscle."
"It leads to an increase in calcium absorption in the smooth muscle."
A client is scheduled to begin therapy with carbamazepine (Anticonvulsant). The nurse would assess the results of which test(s) before administering the first dose of this medication to the client?
Pancreatic Enzyme Studies
Renal Function Tests
Complete Blood Count
Liver Function Tests