What time will the trough blood level need to be drawn if the nurse administers the intravenous medication dose at 9:00 AM?

What will the nurse expect the healthcare provider’s order to be when starting an older adult patient on thyroid hormone replacement therapy?

Which drugs cause birth defects?

Which life-threatening illness may occur as a result of aspirin (salicylate) administration during viral illness to patients younger than 20 years of age?

Which classification of medications commonly causes allergic reactions in children?

After giving instructions to an expectant mother about taking medications during pregnancy, which patient statement indicates the need for further teaching?

When is the ideal time for a nursing mother to take her own medications?

Which age-related change would affect transdermal drug absorption in geriatric patients the most?

Which intervention would be considered to reduce accumulation of a drug in a patient who has decreased liver function?

The nurse is teaching an elderly patient with difficulty swallowing about his medications. Which explanation by the nurse is most helpful?

The nurse is administering an antibiotic intravenously. Which blood level determines the lowest amount of medication present in the patient?

Which patient would the nurse identify as having the lowest rate of absorption of enteral medications?

What is the definition of cumulative effect of a drug?

Which patient, when compared with the general population, would require a larger dose or more frequent administration of a drug to attain a therapeutic response?

A resident in a long-term care facility reports difficulty swallowing enteric coated aspirin and asks the nurse to crush it prior to administration. The most appropriate action for the nurse to take is to:

One of the prescribed medications for a 36-week gestational age baby girl is a topical water-soluble medication to be applied to the perineum daily to treat an inflammatory rash. What considerations is the nurse aware of before medication administration? (Select all that apply.)

2. The nurse is caring for a 4-month-old child who is on a water-soluble medication for seizures. The child’s mother voices concern that the dosage seems “too much” for the child’s age and would like the dosage verified. What actions will the nurse take? (Select all that apply.)

For which reason(s) is/are elderly patients at increased risk for drug interactions and toxicity? (Select all that apply.)

Which patient(s) require(s) special considerations for medication administration? (Select all that apply.)

Which factor(s) in a patient would influence GI absorption of medications? (Select all that apply.)

When receiving a report on a new admission from the emergency room, the nurse learns that the patient is newly diagnosed with renal failure. Which medication(s) in the patient’s medication history will require dosage adjustment by the physician? (Select all that apply.)

Prenatal education is being provided by the nurse at a maternal family child clinic. What information should be relayed? (Select all that apply.)

The nurse is educating a 13-year-old boy newly diagnosed with diabetes and his parents about diet and glucose monitoring. Which domain of learning is represented when the patient expresses concern about feeling different from his peers?

The nurse has taught a patient’s spouse to administer an injectable medication. After the spouse completed a return demonstration of the injection in the hospital, the nurse does not feel confident that this can be carried out independently at home and requests referral for a home health nurse. The nurse is using which phase of the nursing process?

In preparing for health teaching with a patient who has an auditory learning style, which would be most appropriate?

Which is the most intangible portion of the learning process?

Which would positively affect readiness to learn?

Which represents the psychomotor domain of learning?

Which is an example of ethnocentrism?

What is the most important nursing consideration when teaching an older adult patient about a newly prescribed medication?

The nurse caring for a Spanish-speaking patient uses the assistance of an interpreter to help with preoperative teaching. While implementing the education, the nurse should:

A teaching plan has been developed by the nurse to educate the mother of a preterm infant on prescribed medications. Before initiating this teaching plan, the nurse should:

Which item(s) would be considered characteristic of the cognitive domain level of learning? (Select all that apply.)

The nurse is preparing to instruct a patient and his wife on technique and importance of assessing pulse prior to taking heart medication. Which principle(s) of learning would be appropriate in this situation? (Select all that apply.)

The nurse is writing a teaching plan for a 30-year-old patient who has AIDS. Which objective(s) is/are written in the correct format? (Select all that apply.)

Which action(s) by the nurse can foster patient responsibility for adhering to the therapeutic regimen? (Select all that apply.)

What should the nurse include during discharge in addition to verbal instructions? (Select all that apply.)

Which action(s) would let the nurse know that the patient has mastered a psychomotor skill? (Select all that apply.)

The nurse and patient are participating in cooperative goal setting regarding drug therapy. The nurse is aware that it is imperative to encourage the patient to perform which task(s)? (Select all that apply.)

Which condition would alert the nurse of the need to use beta-adrenergic blockers cautiously?

A patient with chronic obstructive pulmonary disease (COPD) reports having insomnia and a racing heart after starting terbutaline therapy. Which explanation by the nurse is most accurate?

What is the primary response to alpha-1–receptor stimulation?

Which category of medications is used for peripheral vascular diseases characterized by excessive vasoconstriction, such as Raynaud’s disease?

Why are beta blockers used cautiously in patients with respiratory conditions?

A patient with Parkinson’s disease asks the nurse why anticholinergics are used in the treatment. Which response by the nurse is most accurate?

Before the initiation of anticholinergic medications, it is important for the nurse to screen patients for which condition?

Which nerve endings liberate norepinephrine?

The autonomic nervous system can be subdivided into which types of adrenergic receptors?

Prior to the administration of metoprolol, a beta-adrenergic blocking agent, which is most important for the nurse to assess?

A patient with a history of type 1 diabetes after myocardial infarction has been placed on a beta-adrenergic blocking agent. Which statement by the patient indicates a need for further teaching?

An older adult patient is to receive atenolol, a beta-adrenergic blocking agent. Prior to administration of the drug, the nurse assesses an apical pulse rate of 58 and notes ankle edema. Which action will the nurse take first?

A patient hospitalized in an acute care setting reports to the nurse that since starting on an adrenergic medication, he has been feeling “dizzy and weak.” The most appropriate action for the nurse is to:

A long-term care resident is taking an anticholinergic agent. The nurse observes the resident to be disoriented and hallucinating. The priority nursing action is to:

The nurse is caring for a patient taking a cholinergic agent. When auscultating lung sounds, the nurse notes inspiratory and expiratory wheezing bilaterally. The best action for the nurse to take would be to:

Which adverse effect(s) is/are common when a patient is receiving a cholinergic agent? (Select all that apply.)

Which statement(s) is/are true about efferent nerves? (Select all that apply.)

Which instruction(s) given by the nurse will assist a patient to cope with the common adverse effects of anticholinergic medications? (Select all that apply.)

Which body function(s) is/are controlled by the autonomic nervous system? (Select all that apply.)

A patient is being discharged on an adrenergic bronchodilator. Which common adverse effect(s) will the nurse include in discharge teaching? (Select all that apply.)

Neurotransmitter(s) include: (Select all that apply.)

Which disorder(s) would indicate the use of anticholinergic agents? (Select all that apply.)

The nurse is completing an assessment on a nonverbal adult patient. Which type of pain scale assessment tool is the most accurate to use?

Which action will the nurse take when a patient receiving morphine sulfate via percutaneous coronary angioplasty (PCA) has a shallow, irregular respiratory rate of 6 breaths/min?

Which patient assessment would indicate to the nurse that salicylate toxicity is occurring?

What is the advantage of taking a nonsteroidal antiinflammatory drug (NSAID) that is a COX-2 inhibitor?

5. An 86-year-old patient who was admitted with GI bleeding as a result of salicylate therapy is being discharged. As the nurse reviews the discharge medication list, the patient states that she doesn’t understand why Tylenol doesn’t work as well as the aspirin she had been taking. What would be the nurse’s best response?

What term is used to define an awareness of pain?

Which statement is true about neuropathic pain?

How long after the administration of a parenteral pain medication will the nurse complete the next pain assessment to evaluate the effectiveness of the medication?

Which sign or symptom displayed by a patient would be indicative of opiate withdrawal?

Which medication is contraindicated when a patient is taking warfarin (Coumadin)?

What is the best way for the nurse to evaluate the effectiveness of the patient’s opiate agonist?

Which medication would the nurse administer to a patient who is rating the pain at 8 on a 0 to 10 scale?

In which case would the nurse be correct in withholding an opiate agonist?

What information is most accurate regarding the nurse’s understanding of pain management?

The nurse is assessing a patient’s pain. When the patient describes his pain as cramping and burning, which component of the pain history is being addressed?

A patient experiencing chronic pain as a result of metastatic cancer has a new order for fentanyl (Duragesic) transdermal patch. The initial patch is applied at 8 AM on Monday. At 8 PM on Monday, the patient reports a pain level of 8. The nurse’s best response is to:

A patient is taking meperidine (Demerol) as needed for moderate to severe pain following an open appendectomy. The nurse assesses the following: current pain level 2, temperature 99°F, BP 130/76, respirations 10, lung sounds clear, abdomen soft and tender, bowel sounds present. Based on this assessment information, the priority nursing diagnosis is:

Which additional nursing intervention(s) would be effective with pain management in the pediatric population? (Select all that apply.)

Which common adverse effect(s) is/are associated with opiate agonists? (Select all that apply.)

Which condition(s) may be managed by salicylates? (Select all that apply.)

When teaching a patient who is starting therapy with NSAIDs, the nurse must be sure to mention drug interactions with which drug(s)? (Select all that apply.)

When performing a baseline neurologic assessment prior to the administration of an NSAID medication, the nurse will assess which patient characteristic(s)? (Select all that apply.)

Which lipoprotein contributes to the development of atherosclerosis?

The nurse is preparing medications for a patient. When is the best time for the nurse to administer lovastatin (Mevacor)?

The nurse has completed an admitting patient history and notes the patient’s current medications to be simvastatin (Zocor) and warfarin (Coumadin). What is the result of the interaction of these drugs?

Which deficiency may develop in patients taking cholestyramine?

A patient is prescribed a bilen acid resIin. The nurse instructs the patient to report which adverse reaction related to vitamin K deficiency?

Which vitamin has antilipemic actions?

Why are statins, or HMG-CoA reductase inhibitors, administered at bedtime?

What is the desired effect of any antilipemic therapy?

In addition to controlling hyperlipidemia, what are bile acid–binding resins prescribed to treat?

Which antilipemic agent is most potent?

The nurse is teaching a patient about statin therapy. Which statement by the patient indicates a need for further teaching?

The nurse is providing education to a patient who has recently been prescribed niacin. Which information given by the nurse is accurate?

The nurse is assessing a patient who is being evaluated for hyperlipidemia. Which assessment will most increase the risk of coronary artery disease (CAD)?

A patient is taking a HMG-CoA reductase inhibitor and reports muscle aches, soreness, and weakness. The nurse suspects these symptoms to indicate early signs of myopathy. When notifying the physician of these symptoms, the nurse will also be sure to report the results of the patient’s:

1. The nurse is educating a patient about niacin prescribed to treat his hyperlipidemia. Which important teaching point(s) should be included in the educational plan? (Select all that apply.)

Which nutritional concept(s) is/are necessary to provide to patients receiving colestipol? (Select all that apply.)

A teaching plan for a patient with hyperlipidemia would instruct the patient to avoid which food(s)? (Select all that apply.)

What will the nurse review when teaching a patient about therapy with statins? (Select all that apply.)

The nurse transcribes a new order for Lovaza on a patient in a long-term care facility. When providing education to the patient about this medication, the nurse will include which statement(s)? (Select all that apply.)

The nurse is preparing to administer niacin for the first time to a patient being treated for dyslipidemia. Before administering this medication, the nurse will assess: (Select all that apply.)

A patient who has just begun taking an angiotensin converting enzyme (ACE) inhibitor calls the nurse and reports feeling very dizzy when standing up and asks if the medication should be discontinued. What is the nurse’s best response?

Which nursing assessment confirms that the angiotensin II receptor blocker (ARB) that a patient is taking is effective?

How does propranolol (Inderal) control hypertension?

Which class of antihypertensive agents should be avoided by patients with asthma?

Which is true about postural hypotension during therapy with direct vasodilators?

The nurse instructs the patient to avoid the sudden discontinuation of beta-adrenergic blockers so as to avoid which symptom?

What is meant by arterial pressure (MAP)?

Which agents are preferred for the initial treatment of hypertension?

Prior to the administration of a beta-adrenergic blocker, the nurse notes the patient to have a heart rate of 52 beats/min, peripheral edema, crackles in the bases of the lungs, and mottled skin. Which is the priority nursing action?

When displayed by the patient, which symptom would be most indicative to the nurse to withhold a recently prescribed beta-adrenergic blocker?

The nurse has provided information to a patient with diabetes who has been prescribed a beta-adrenergic blocker. Which statement by the patient indicates a need for further teaching?

The nurse is providing instruction to a patient who was recently prescribed an ACE inhibitor for hypertension. Which is an adverse effect of this medication?

The nurse is explaining to a patient how ACE inhibitors affect blood pressure. Which statement accurately describes the action of these medications?

Which common adverse effect of an angiotensin II receptor antagonist will the nurse expect to assess in a patient?

Which medication lowers blood pressure by directly inhibiting renin?

A patient asks the nurse how amlodipine (Norvasc) works to reduce the blood pressure. Which response will the nurse give

A patient recently prescribed felodipine (Plendil) for treatment of hypertension is experiencing dizziness when rising to a standing position. Which action will the nurse take?

Which physiologic response will the nurse expect to assess in patients taking hydralazine (Apresoline)?

Which medication is often administered with hydralazine to reduce reflex physiologic responses to the drug?

Hydralazine, a direct vasodilator, is used to treat hypertension associated with which condition?

A patient’s blood pressure is 134/78 mm Hg. The nurse records the pulse pressure as:

If blood pressure is 120/70, what is the MAP?

Which complication(s) is/are associated with uncontrolled hypertension? (Select all that apply.)

The nurse is finished conducting nutritional education with a patient about the DASH (dietary approaches to stop hypertension) diet. The patient would like to complete the breakfast menu for tomorrow. Which foods offered for breakfast would be most appropriate for the patient to choose? (Select all that apply.)

Which statement(s) concerning the use of antihypertensive therapy for the treatment of hypertension would be considered true? (Select all that apply.)

Which statement(s) about diuretics is/are true? (Select all that apply.)

The nurse is preparing to assess blood pressure on a patient who has had two prior readings of 160/100. Physician’s notes from a prior visit indicate that the patient is suspected to have hypertension. When reassessing this patient for hypertension, the nurse will do what? (Select all that apply.)

A trauma patient arrives in the emergency department via EMS. He is bleeding profusely. A medical alert bracelet indicates that he is on heparin therapy. The nurse will most likely administer which medication that counteracts the action of heparin?

A patient receiving IV heparin therapy for a deep vein thrombosis (DVT) in his right calf asks why his calf remains painful edematous, and warm to touch after 2 days of anticoagulant

A patient is receiving IV heparin therapy. The aPTT is 90; the laboratory control is 30 seconds. Which nursing intervention is most accurate?

Which is an accurate nursing action when administering subcutaneous enoxaparin, a low-molecular-weight heparin product?

A patient is receiving 1400 units of heparin/hr on an IV pump. The aPTT time is 54. The laboratory control is 25. Which action by the nurse is accurate?

What is the rationale for administering fibrinolytic agents, such as streptokinase, within hours of the onset of myocardial infarction?

What is the mechanism of action of drugs used to treat thromboembolic disease?

Dipyridamole (Persantine) has been used extensively in combination with warfarin to prevent the formation of thromboembolism after which type of event?

Which action will the nurse implement to decrease the risk of clot formation in an older patient on bed rest?

The nurse is teaching a patient about dietary implications while on warfarin (Coumadin) therapy. Which salad is highest in vitamin K?

The nurse has provided instruction to a patient recently prescribed warfarin (Coumadin). Which statement by the patient indicates to the nurse the need for further teaching?

Which symptom is indicative of bleeding in a patient taking warfarin (Coumadin)?

The nurse is caring for a 27-year-old woman on the postpartum unit one day following a C-section. To prevent clot formation, the nurse will:

Rivaroxaban (Xarelto) is ordered on a patient following knee replacement surgery. When providing education on this medication to the patient, the nurse conveys that treatment will continue:

Anticoagulant therapy may be used for which situation(s)? (Select all that apply.)

The nurse is preparing discharge education for a patient who will be receiving warfarin (Coumadin) at home. Which important point(s) will the nurse include? (Select all that apply.)

Which nursing intervention(s) would be accurate when administering heparin subcutaneously? (Select all that apply.)

The pharmacologic agents used to treat DVT may act in which way(s)? (Select all that apply.)

The nurse is preparing to administer dalteparin (Fragmin) to a patient in order to prevent DVT following a hip replacement. When providing this medication to the patient, the nurse will: (Select all that apply.)

Which drug will be administered to a patient being admitted with severe digoxin intoxication?

The nurse is caring for a 3-year-old girl who has a congenital heart anomaly. The patient’s current medications include digoxin and furosemide (Lasix). The apical pulse rate is 100 beats/min. Which action will the nurse take?

An older adult male patient with long-term heart failure has presented for an office visit. The nurse obtains information that he has recently begun taking St. John’s wort. What results with the use of this herbal supplement?

The nurse is to administer digoxin to an 18-month-old patient who weighs 16.5 lb. Guidelines for administration read as follows: 0.0075 to 0.010 mg/kg/day. Which is a safe medication dosage?

The nurse monitors a patient receiving digoxin closely for toxicity when which other medication is prescribed?

Which is the initial manifestation of digoxin toxicity in children?

Which agents stimulate the heart to increase the force of contractions, thereby increasing cardiac output?

Which drug is used to obtain vasodilation in the treatment of chronic heart failure?

Which action of ACE inhibitors results in effective treatment of heart failure?

The nurse is providing teaching to a patient with heart failure who has been prescribed nifedipine, a calcium channel blocker. Which statement by the nurse is accurate?

Which instruction by the nurse will be included when teaching an adult patient about digoxin (Lanoxin) for management of heart failure?

Which nursing assessment is most important to determine fluid status for a patient with heart failure?

A patient with altered cardiac function is being assessed by the nurse. When auscultating lung sounds, the nurse will assist this patient into a position.

The nurse transcribes a new order for a daily diuretic on a patient diagnosed with congestive heart failure. The nurse will schedule this medication:

The nurse is assessing an emergency department patient who was recently discharged following a myocardial infarction (MI). Which symptom(s) would the nurse observe in this patient with left ventricular systolic failure? (Select all that apply.)

Before administering digoxin (Lanoxin), the nurse takes the adult patient’s apical pulse for 1 full minute. What additional nursing consideration(s) will be taken before administration of the medication? (Select all that apply.)

Which action(s) will the nurse take when caring for a patient with heart failure? (Select all that apply.)

Which contributing factor(s) to heart failure is/are modifiable? (Select all that apply.)

A patient with heart failure has been prescribed nesiritide (Natrecor). Which statement(s) is/are true regarding this medication? (Select all that apply.)

Which statement(s) about vasodilators is/are true? (Select all that apply.)

The nurse is providing education to a patient with altered cardiac function. When instructing this patient the nurse will encourage: (Select all that apply.)

Which is a serious adverse effect of decongestants?

The nurse is teaching a patient about the administration of antihistamines. The nurse will instruct the patient to take the medication at what time of day?

What can result if a patient overuses topical decongestants?

A patient at sports camp is complaining of itchy and watery eyes, coughing, and sneezing when outdoors. The patient’s chart states that he has an allergy to grasses. Which medication will the nurse administer?

Which medication may be given to patients with allergic seasonal rhinitis who do not respond to antihistamines and sympathomimetics?

What initiates the sneeze reflex?

What occurs in the nasal structures when cholinergic fibers are stimulated?

What process in the antigen-antibody reaction causes the symptoms of allergies?

Which instruction will the nurse include when teaching a patient with seasonal rhinitis and blocked nasal passages about intranasal corticosteroid therapy?

The clinic nurse is assessing a patient being seen for a severe allergic reaction to environmental allergens. Which symptom should the nurse prioritize as the most important?

A college student is being seen at an outpatient clinic with reports of allergic rhinitis and conjunctivitis. The healthcare provider orders fexofenadine. When providing information regarding this medication, the nurse will include statements indicating that:

When does allergic rhinitis occur? (Select all that apply.)

Which action(s) is/are true of antihistamines? (Select all that apply.)

The nurse is preparing education for a patient who has developed rebound nasal congestion resulting from use of topical decongestants. What information will the nurse include? (Select all that apply.)

Which patient(s) would be able to take an alpha-adrenergic decongestant safely? (Select all that apply.)

Which principle(s) will the nurse include in a teaching plan for antihistamine therapy? (Select all that apply.)

Which topically active aerosol steroids are highly effective for reducing sneezing, nasal itching, stuffiness, and rhinorrhea? (Select all that apply.)

The nurse is providing counseling to a patient on cromolyn sodium (Nasalcrom) nasal spray. Information relayed to the patient will include that: (Select all that apply.)

A nurse is teaching a patient’s family member about permanent tube feedings at home. Which purpose of patient education is the nurse meeting?

A nurse is teaching a group of healthy adults about the benefits of flu immunizations. Which type of patient education is the nurse providing?

A nurse’s goal is to provide teaching for restoration of health. Which situation indicates the nurse is meeting this goal?

A nurse attends a seminar on teaching/learning. Which statement indicates the nurse has a good understanding of teaching/learning?

A nurse is determining if teaching is effective. Which finding best indicates learning has occurred?

A nurse is teaching a patient about the Speak Up Initiatives. Which information should the nurse include in the teaching session?

A nurse teaches a patient with heart failure healthy food choices. The patient states that eating yogurt is better than eating cake. Which element represents feedback?

While preparing a teaching plan, the nurse describes what the learner will be able to accomplish after the teaching session about healthy eating. Which action is the nurse completing?

A patient learns that a normal adult heartbeat is 60 to 100 beats/min after a teaching session with a nurse. In which domain did learning take place?

A nurse is trying to help a patient begin to accept the chronic nature of diabetes. Which teaching technique should the nurse use to enhance learning?

A nurse is describing a patient’s perceived ability to successfully complete a task. Which term should the nurse use to describe this attribute?

A toddler is going to have surgery on the right ear. Which teaching method is most appropriate for this developmental stage?

A nurse is preparing to teach a patient about smoking cessation. Which factors should the nurse assess to determine a patient’s ability to learn?

A nurse is teaching a patient about heart failure. Which environment will the nurse use?

Which assessment finding will cause the nurse to begin teaching a patient because the patient is ready to learn?

A nurse is teaching a patient with a risk for hypertension how to take a blood pressure. Which action by the nurse is the priority?

A patient has heart failure and kidney failure. The patient needs teaching about dialysis. Which nursing action is most appropriate for assessing this patient’s learning needs?

A nurse is teaching a patient about hypertension. In which order from first to last will the nurse implement the steps of the teaching process? 1. Set mutual goals for knowledge of hypertension. 2. Teach what the patient wants to know about hypertension. 3. Assess what the patient already knows about hypertension. 4. Evaluate the outcomes of patient education for hypertension

A patient had a stroke and must use a cane for support. A nurse is preparing to teach the patient about the cane. Which learning objective/outcome is most appropriate for the nurse to include in the teaching plan?

Which learning objective/outcome has the highest priority for a patient with life-threatening, severe food allergies that require an EpiPen (epinephrine)?

After a teaching session on taking blood pressures, the nurse tells the patient, “You took that blood pressure like an experienced nurse.” Which type of reinforcement did the nurse use?

A patient with heart failure is learning to reduce salt in the diet. When will be the best time for the nurse to address this topic?

A nurse is teaching a patient who has low health literacy about chronic obstructive pulmonary disease (COPD) while giving COPD medications. Which technique is most appropriate for the nurse to use?

A nurse is teaching a culturally diverse patient with a learning disability about nutritional needs. What must the nurse do first before starting the teaching session?

A nurse is teaching an older-adult patient about strokes. Which teaching technique is most appropriate for the nurse to use?

A patient who is going to surgery has been taught how to cough and deep breathe. Which evaluation method will the nurse use?

A patient has been taught how to change a colostomy bag but is having trouble measuring and manipulating the equipment and has many questions. What is the nurse’s next action?

A nurse is teaching a patient about healthy eating habits. Which learning objective/outcome for the affective domain will the nurse add to the teaching plan?

A nurse is assessing the ability to learn of a patient who has recently experienced a stroke. Which question/statement will best assess the patient’s ability to learn?

A nurse is preparing to teach a kinesthetic learner about exercise. Which technique will the nurse use?

A nurse is asked by a co-worker why patient education/teaching is important. Which statements will the nurse share with the co-worker? (Select all that apply.)

A nurse is preparing to teach patients. Which patient finding will cause the nurse to postpone a teaching session? (Select all that apply.)

Which medication is used in the treatment of gastric reflux esophagitis and diabetic gastroparesis?

The nurse is preparing to administer medications and notes that a patient has sucralfate ordered qid. When is the best time to administer this medication?

Which is a common adverse effect of magnesium-based antacid preparations?

Cimetidine (Tagamet) is an example of which class of drug?

postoperative appendectomy patient has a nasogastric tube and wonders why the previous nurse told him that he was receiving an IV “ulcer-preventing” medication called ranitidine. The patient states that he has never had any stomach problems in his life. Which is the best response by the nurse?

Which explanation by the nurse is accurate to include when teaching a patient who is beginning therapy for gastroesophageal reflux disease (GERD) with metoclopramide?

A patient who is taking NSAIDs to treat arthritis asks the nurse why misoprostol has also been prescribed. Which explanation by the nurse is accurate?

Which organism or disorder is responsible for many cases of PUD?

A patient with PUD asks the nurse about the action of prokinetic medications. Which explanation by the nurse is accurate?

Which is considered an acceptable time frame for a patient with gastric distress to self-medicate with over-the-counter antacids?

The nurse is instructing a patient recently diagnosed with GERD. Which statement by the patient indicates a need for further teaching?

The nurse is planning to administer an antacid to a patient diagnosed with PUD who will receive an H2 antagonist at 8:00 AM. When is the most appropriate time for the nurse to provide the antacid to this patient?

A patient taking misoprostol (Cytotec) to treat a gastric ulcer reports recurrent diarrhea. The nurse should encourage this patient to:

Which factor(s) prevent(s) breakdown of the body’s normal defense barriers that protect against ulcer formation? (Select all that apply.)

Which are important nursing considerations when administering prokinetic agents? (Select all that apply.)

Which factor(s) contribute(s) to the development of PUD? (Select all that apply.)

Which drug therapy is aimed at reducing gastric acid secretions? (Select all that apply.)

Which information will the nurse include when teaching a patient with renal failure about antacid therapy for treatment of heartburn? (Select all that apply.)

The nurse is discussing dietary and lifestyle changes with a patient diagnosed with GERD. When reviewing necessary modifications, the nurse will include information regarding: (Select all that apply.)

A patient allergic to penicillin is being evaluated for a gram-negative infection. Which antimicrobial drug class would the healthcare provider be cautious in prescribing because of a possible cross sensitivity and/or allergic reaction?

The healthcare provider has prescribed penicillin and probenecid for a patient with a sexually transmitted disease. What is the purpose of combining these medications?

An older adult who has septicemia is receiving IV aminoglycoside therapy. Which symptom is most important for the nurse to monitor?

On what is the selection of an antimicrobial agent based?

A patient is scheduled to take tetracycline and aluminum hydroxide (Amphojel) at the same time. When will the nurse administer the medications to achieve the optimal effects?

Which conditions may occur with the administration of broad-spectrum antibiotics over an extended period of time?

A patient is admitted with glomerulonephritis. IV gentamicin therapy is started after cultures indicate gram-negative bacilli in the blood. The patient also receives IV furosemide (Lasix). The nurse will monitor for signs and symptoms of toxicity related to which organ?

Which drug is the cornerstone of treatment for prophylaxis and treatment of tuberculosis (TB)?

Which drug is incompatible with heparin?

What adverse effect may manifest as dizziness, tinnitus, and progressive hearing loss?

The nurse will monitor patients on cephalosporins and loop diuretics for which adverse effect?

The nurse is caring for a patient being treated with an antimicrobial agent for the diagnosis of a sexually transmitted infection. Which statement made by the patient shows a need for further education?

Which patient can safely be treated with a fluoroquinolone medication?

An older adult with a history of asthma, rhinitis, and no known drug allergies has been admitted to receive IV antimicrobial therapy for bronchitis. The patient has received the oral form of the antimicrobial agent in the past. Which factors increase the risk for an allergic reaction? (Select all that apply.)

A patient has been receiving home healthcare and IV antimicrobial therapy for osteomyelitis (infection of the bone) of the lower right leg for the past 4 weeks. What will the nurse assess to evaluate the effectiveness of the antimicrobial agent? (Select all that apply.)

Which drugs may reach toxic blood levels if administered with macrolide antibiotics? (Select all that apply.)

The nurse is planning to administer an ertapenem IV to a patient in the intensive care unit. When preparing this medication, the nurse will consider reconstituting it with: (Select all that apply.)

A patient received the evening dose of Lispro subcutaneously at 16:30 PM. What time will symptoms of hypoglycemia likely occur?

It is 2:00 PM and a patient who has been NPO since 12:00 AM for a bronchoscopy is complaining of a headache and shakiness and is extremely irritable. Vital signs are within normal limits, and a one touch glucose reads 5.0mg/dL. Which action is most important for the nurse to take?

After a blood glucose reading, it is determined that the patient should receive 4 units of Lispro and 8 units of NPH. Which action will the nurse take to administer these medications?

A patient with type 2 diabetes mellitus, which was previously controlled with an oral antidiabetic agent, is hospitalized for treatment of a leg ulcer. The healthcare provider has ordered sliding scale insulin coverage with regular insulin for hyperglycemia. The nurse brings the injection into the room, and the patient becomes upset, stating “I don’t want to start taking that drug! I’ll need it the rest of my life.” What is the nurse’s best response?

What test determines glycemic control over the previous 8 to 10 weeks?

When is the best time for the nurse to administer Lispro?

Which is most important for the successful management of diabetes mellitus?

What laboratory test is the preferred screening test for diabetes in children and nonpregnant adults?

The patient asks the nurse how sulfonylureas normalize glucose levels. Which response by the nurse is correct?

The nurse is instructing a patient about insulin administration. Which statement by the patient indicates a need for further teaching?

Which instruction by the nurse is accurate to include when providing teaching to a patient recently diagnosed with diabetes who has been prescribed insulin?

Which instruction is most important for the nurse to teach a patient with diabetes who is receiving metformin?

The nurse is caring for a patient with a new diagnosis of type 1 diabetes mellitus. When assisting with the plan of care, which goal set by the patient will require revision?

The nurse is administering sulfonylurea drugs to four different patients diagnosed with type 2 diabetes. Which patient should not receive the medication as ordered?

A third subclass of diabetes mellitus includes additional types of diabetes that are part of other diseases having features not generally associated with the diabetic state. Which disorder(s) may have an associated diabetic component? .(Select all that apply.)

A 65-year-old man is diagnosed with type 2 diabetes mellitus. Which patient symptom(s) would indicate type 1 diabetes mellitus and not type 2? (Select all that apply.)

Which dietary control measures are used in the management of diabetes mellitus? (Select all that apply.)

Which statement(s) regarding type 2 diabetes mellitus would be correct? (Select all that apply.)

Which statement(s) regarding gestational diabetes would be true? (Select all that apply.)

The nurse is educating a patient with diabetes mellitus regarding urine testing for ketones. Information provided will include that ketone testing should be done: (Select all that apply.)

A nurse is teaching a patient about medications. Which statement from the patient indicates teaching is effective?

A nurse is preparing to administer an injection to a patient. Which statement made by the patient is an indication for the nurse to use the Z-track method?

A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?

A patient has an order to receive 0.3 mL of U-500 insulin. Which syringe will the nurse obtain to administer the medication?

A patient has an order to receive 12.5 mg of hydrochlorothiazide. The nurse has on hand a 25 mg tablet of hydrochlorothiazide. How many tablet(s) will the nurse administer?

The patient is to receive phenytoin (Dilantin) at 0900. When will be the ideal time for the nurse to schedule a trough level?

A patient is receiving vancomycin. Which function is the priority for the nurses to assess?

A health care provider orders lorazepam (Ativan) 1 mg orally 2 times a day. The dose available is 0.5 mg per tablet. How many tablet(s) will the nurse administer for each dose?

The nurse is preparing to administer an injection into the deltoid muscle of an adult patient. Which needle size and length will the nurse choose?

When the nurse administers an IM corticosteroid injection, the nurse aspirates. What is the rationale for the nurse aspirating?

The nurse is giving an IM injection. Upon aspiration, the nurse notices blood return in the syringe. What should the nurse do?

The nurse is planning to administer a tuberculin test with a 27-gauge, -inch needle. At which angle will the nurse insert the needle?

The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse’s action?

A registered nurse interprets that a scribbled medication order reads 25 mg. The nurse administers 25 mg of the medication to a patient and then discovers that the dose wasincorrectly interpreted and should have been 15 mg. Who is ultimately responsible for the error?

A patient is to receive a proton pump inhibitor through a nasogastric (NG) feeding tube. Which is the most important nursing action to ensure effective absorption?

A health care provider prescribes aspirin 650 mg every 4 hours PO when febrile. For which patient will this order be appropriate?

A patient is in need of immediate pain relief for a severe headache. Which medication will the nurse administer to be absorbed the quickest?

While preparing medications, the nurse knows one of the drug is an acidic medication. In which area does the nurse anticipate the drug will be absorbed?

The nurse administers a central nervous system stimulant to a patient. Which assessment finding indicates to the nurse that an idiosyncratic event is occurring?

An order is written for phenytoin 500 mg IM q3-4h prn for pain. The nurse recognizes that treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that the health care provider meant to write hydromorphone. What should the nurse do?

A patient needs assistance in eliminating an anesthetic gaseous medication (nitrous oxide).Which action will the nurse take?

A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?

A nurse teaches the patient about the prescribed buccal medication. Which statement by the patient indicates teaching by the nurse is successful?

What is the nurse’s priority action to protect a patient from medication error?

The nurse prepares a pain injection for a patient but had to check on another patient and asks a new nurse to give the medication. Which action by the new nurse is best?

A patient is at risk for aspiration. Which nursing action is most appropriate?

A patient refuses medication. Which is the nurse’s first action?

A patient who is being discharged today is going home with an inhaler. The patient is to administer 2 puffs of the inhaler twice daily. The inhaler contains 200 puffs. When should the nurse appropriately advise the patient to refill the medication?

The supervising nurse is watching nurses prepare medications. Which action by one of the nurses will the supervising nurse stop immediately?

Which patient does the nurse most closely monitor for an unintended synergistic effect?

Which patient using an inhaler would benefit most from using a spacer?

The prescriber wrote for a 40-kg child to receive 25 mg of medication 4 times a day. The therapeutic range is 5 to 10 mg/kg/day. What is the nurse’s priority?

The supervising nurse is observing several different nurses. Which action will cause the supervising nurse to intervene?

A nurse is caring for a patient who is receiving pain medication through a saline lock. After obtaining a good blood return when the nurse is flushing the patient’s peripheral IV, the patient reports pain. Upon assessment, the nurse notices a red streak that is warm and tender to the touch. What is the nurse’s initial action?

The nurse is preparing to administer medications to two patients with the same last name. After the administration, the nurse realizes that did not check the identification of the patient before administering medication. Which action should the nurse complete first?

The nurse is caring for two patients with the same last name. In this situation which right of medication administration is the priority to reduce the chance of an error?

A patient prefers not to take the daily allergy pill this morning because it causes drowsiness throughout the day. Which response by the nurse is best?

A nurse is preparing to administer a medication from a vial. In which order will thenurse perform the steps, starting with the first step? 1. Invert the vial. 2. Fill the syringe with medication. 3. Inject air into the airspace of the vial. 4. Clean with alcohol swab and allow to dry. 5. Pull back on the plunger the amount to be drawn up. 6. Tap the side of the syringe barrel to remove air bubbles.

A nurse is attempting to administer an oral medication to a child, but the child refuses to take the medication. A parent is in the room. Which statement by the nurse to the parent is best?

An older-adult patient needs an IM injection of antibiotic. Which site is best for the nurse to use?

A nurse is preparing an intravenous IV piggyback infusion. In which order will the nurse perform the steps, starting with the first one? 1. Compare the label of the medication with the medication administration record at thepatient’s bedside. 2. Connect the tubing of the piggyback infusion to the appropriate connector on the upper Y-port. 3. Hang the piggyback medication bag above the level of the primary fluid bag. 4. Clean the main IV line port with an antiseptic swab. 5. Connect the infusion tubing to the medication bag. 6. Regulate flow.

A nurse is administering oral medications to patients. Which action will the nurse take?

A nurse is performing the three accuracy checks before administering an oral liquid medication to a patient. When will the nurse perform the second accuracy check?

A nurse is preparing to administer an antibiotic medication at 1000 to a patient but gets busy in another room. When should the nurse give the antibiotic medication?

The nurse is administering medications to several patients. Which action should the nurse take?

A nurse is following safety principles to reduce the risk of needlestick injury. Which actions will the nurse take? (Select all that apply.)