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NUR 321 Final Review

Total questions: 35

Worksheet time: 18mins

Name
Class
Date
1.

Which one is NOT part of the sympathetic nervous system?

a)

Bradycardia

b)

Bronchoconstriction

c)

Pupil constriction

d)

Diarrhea

2.

Which is a side effect of nitroglycerin?

a)

HR 52 bpm

b)

Urinary retention

c)

BP 90/54 mmHg

d)

Green halos

3.

A client is receiving pyridostigmine for myasthenia gravis. Which medication would block the effects of pyridostigmine?

a)

Acetaminophen

b)

Promethazine

c)

Docusate

d)

Black cohosh

4.

What finding would you be concerned about if the client is receiving an IV infusion of potassium?

a)

Diarrhea

b)

Urinary retention

c)

LIver failure

d)

Headache

5.

Which eye drop for POAG can be used for someone with COPD?

a)

Betaxolol

b)

Careolol

c)

Levobunolol

d)

Metipranolol

6.

Which medication would help a client cough up secretions?

a)

montelukast

b)

guaifenesin

c)

albuterol

d)

loratadine

7.

Which is a sign of baclofen withdrawal?

a)

muscle weakness

b)

seizures

c)

fatigue

d)

respiratory depression

8.

Which insulin is considered rapid-acting?

a)

Lantus

b)

Novolin

c)

Humulin-R

d)

Humalog

9.

Which vitamin should never be given to a client who is pregnant?

a)

Vitamin A

b)

Vitamin E

c)

Vitamin B12

d)

Vitamin C

10.

Which finding would prevent the client from receiving Methylergonovine?

a)

Hypertension

b)

Bleeding

c)

Tachycardia

d)

Decreased LOC

11.

Which medication would concern the nurse for a client with asthma or COPD?

a)

Docusate

b)

Albuterol

c)

Magnesium sulfate

d)

Rivastigmine

12.

Which lab do you need to monitor for a client receiving vincristine?

a)

Kidney function

b)

Liver enzymes

c)

Hematocrit and Hemaglobin

d)

White blood cells

13.

What effects are expected with cholinergic meds?

a)

Diarrhea

b)

Urinary retention

c)

Tachycardia

d)

Dry mouth

14.

A nurse is asking a client how the medication helped with their pain. What part of the nursing process is the nurse doing?

a)

Assessment

b)

Diagnosis

c)

Evaluation

d)

Implementation

15.

An uncommon response to a drug by a patient that is related to their genetic predisposition.

a)

Idiosyncratic effect

b)

Additive effect

c)

Iatrogenic effect

d)

Paradoxical effect

16.

What is a safety concern with the administration of hydralazine?

a)

Bradycardia

b)

Respiratory depression

c)

Orthostatic hypotension

d)

Decreased LOC

17.

Which insulin is given in the IVPB for IV infusions?

a)

Glargine

b)

Humalog

c)

NPH

d)

Regular

18.

Which nebulizer can cause anticholinergic effects?

a)

Ipratropium

b)

Albuterol

c)

Theophylline

d)

Beclomethasone

19.

Which medication is used to help treat allergic conjunctivitis?

a)

Glucocorticoids

b)

Antihistamines

c)

Beta-blockers

d)

Prostaglandins

20.

Which side effect is related to the administration of methotrexate?

a)

Hemorrhagic cystitis

b)

Cardiotoxicity

c)

Pulmonary Fibrosis

d)

Peripheral neuropathy

21.

Which is a good description of keeping medication on a narrow therapeutic level?

a)

Checking drug levels

b)

Monitoring the client reactions

c)

Administering medications on time

d)

Monitoring renal function

22.

What is important to obtain prior to administration of a broad-spectrum antibiotic?

a)

Vital signs

b)

Culture

c)

Obtain kidney function

d)

Obtain a CBC

23.

Which IVF would be most appropriate to administer for a client initially who is dehydrated?

a)

NS

b)

3% NS

c)

1/2 NS

d)

D5 NS

24.

Which medication would be appropriate to administer to a client to decrease intracranial pressure?

a)

Hydrochlorothiazide

b)

Furosemide

c)

NS

d)

Mannitol

25.

Which side effect would be the most concerning for a client who is receiving ondansetron?

a)

Headache

b)

Palpitations

c)

Constipation

d)

Dizziness

26.

Which lab monitors the warfarin level?

a)

PTT

b)

PT/INR

27.

If the INR came back 5.1, what would be your next action?

a)

Monitor the client

b)

Notify the physician

c)

Nothing, this is normal for warfarin

d)

Repeat the lab

28.

This describes the amount of active drug that reaches the systemic circulation from the site of administration.

a)

Patient factors

b)

Bioavailability

c)

Pharmacogenetics

d)

Individual variations

29.

Which organ affects excretion?

a)

kidneys

b)

brain

c)

liver

d)

heart

30.

A mother is in pre-term labor and is receiving terbutaline. Which finding would concern the nurse?

a)

HR 132 bpm

b)

RR 22/min

c)

BP 112/68 mmHg

d)

Temp 100.1 F

31.

Which antifungal can cause a disulfiram reaction?

a)

Metronidazole

b)

Acyclovir

c)

Nystatin

d)

Pyrazinamide

32.

Which teaching is important to someone who has Addison's disease?

a)

Stop the dose when you feel better

b)

You may need extra doses when you are sick

c)

There are no side effects

d)

Take with food.

33.

Which medication would you be concerned about if the client had a sulfa allergy?

a)

Ibuprofen

b)

Acetylcysteine

c)

Clopidogrel

d)

Methylcellulose

34.

A client is on antiepileptics but is asking about contraceptives. Which type of contraceptive would not be recommended?

a)

Oral contraceptives

b)

Condoms

c)

Diaphragm

d)

Cervical cap

35.

Who should always be treated for otitis media?

a)

Adults > 65 years

b)

Anyone who complains of an earache

c)

Children under 2 years of age

d)

Infants 6 months and under