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WorksheetsExam #2 Mock
Total questions: 54
Worksheet time: 30mins
A nurse is teaching a female client who has a severe UTI about ciprofloxacin. Which of the following information about adverse reactions should the nurse include? (SELECT ALL THAT APPLY)
Observe for pain and swelling of the achilles tendon
Watch for a vaginal yeast infection
Expect excessive nighttime perspiration
Inspect the mouth for cottage cheese like lesions
Take the medication with a dairy product
A nurse is caring for a client who has a UTI and a history of recurrence of this type of infection. The client asks why the provider has not yet prescribed an antibiotic. The nurse should explain that the provider has to wait for the results of which of the following lab tests to identify which antibiotic to prescribe? (Select all that apply)
Gram Stain
Culture
Sensitivity
Specific Gravity
Which assessment is of greatest priority for the nurse to complete before administering penicillin?
Allergy History
BUN
Temperature
Wound Drainage
Your patient is starting Carbamazepine. What will you teach your patient before they are discharged?
“It is okay to stop taking these if your symptoms are improving”
“You may experience pink/red urine”
“You can take this medicine at any time of the day, it is not pertinent to take at the same time every day.”
“This medication may cause mood swings.”
What are adverse effects of Vancomycin? (SATA)
Ototoxicity
Leukocytopenia
Red man syndrome
Hepatotoxicity
Thrombophlebitis
A nurse is infusing IV amphotericin B to a client who has a systemic fungal infection. The nurse should monitor the client for which of the following adverse effects of this medication?
Hypoglycemia
Constipation
Fever
Hyperkalemia
The nurse is caring for a patient who has increased intraocular pressure. The provider has ordered a cholinergic agonist. The nurse will perform a thorough health history to make sure the patient does not have a history of which condition?
Asthma
Diabetes
Hypertension
Renal Disease
Patients prescribed sildenafil (Viagra) should be instructed regarding the potential
life-threatening drug interaction with which medication?
Warfarin
Nitroglycerin
Acetaminophen
Aspirin
What common side effect would the nurse include in the discharge teaching for a patient
receiving finasteride (Proscar)?
Hair loss
increased libido
ejaculatory dysfunction
muscle weakness
The nurse is teaching patients with glaucoma to self-administer their medications. Which
patient teaching should the nurse provide?
Apply an ointment under the upper eyelid
Allow eyedrops to fall on the conjunctival sac
Allow all excess medication to be absorbed slowly
Wipe the eyes with a warm compress after administering eye drops
The nurse is providing education to a patient and the patient's caregiver, who is pregnant, on the medication finasteride for treatment of benign prostatic hyperplasia (BPH). What important teaching would the nurse provide to the patient and the patient's caregiver about this medication?
Instruct to put the drug into a container with other medications
Notify your health care provider for an erection that lasts 2 hours
Take the medication with dairy containing products such as milk or yogurt
emphasize that it should not be handled by pregnant women because of teratogenic effects
What kind of extrapyramidal symptoms might a patient experience when taking haloperidol for an extended period of time?
Dizziness and drowsiness
Muscle twitches and tremors
Dry mouth and constipation
Nausea and vomiting
A patient tells the nurse they have an allergy to penicillin. Which of the following drug classes would raise concern if ordered for this patient?
Cephalosporins
Quinolone
Tetracyclines
Sulfonamides
A patient is taking a tetracycline antibiotic. Which statement by the patient would indicate that further teaching is needed?
“I don’t need to avoid aged cheeses while taking this medication.”
“I should continue taking this medication for the entire prescribed course of therapy.”
“I can lay out in the sun like I do for a couple hours each day to get my Vitamin C.”
“I should avoid taking antacids while on this medication.”
The nurse is giving instructions to a client receiving phenytoin (Dilantin). The nurse concludes that the client has a sufficient knowledge if the client states that:
“Wearing a medical alert tag is not required”.
“Alcohol is permitted while taking this medication”.
“I can take the medicine with milk”.
“Have the serum phenytoin level taken before giving the medication”.
Methylphenidate (Ritalin) is prescribed to an 8-year-old child for the treatment of attention deficit hyperactivity disorder (ADHD). The nurse will most likely monitor which of the following during the medication therapy?
Deep tendon reflex
Intake and output
Temperature and breath sound
Height and weight
Which should you avoid while taking MAOIs? (SATA)
Smoked fish/meats
Avocados
Figs
Most cheeses
Import beers
A patient is taking a newly prescribed anti-epileptic drug. What statement by the patient would require prompt educating and correcting by the nurse?
I will take extra care of my teeth and maintain my really dental appointments while on these medications
I can stop taking these medications when I’m not having seizures
I should not drink while taking these medications
I should take these medications exactly as prescribed without skipping doses
A client is prescribed with carbamazepine (Tegretol) for the treatment of bipolar disorder. Which of the following laboratory results indicates that the client is experiencing a side effect of this medication?
Neutrophil count of 1,200/mm3
Platelet count of 160,000/mm3
Uric acid level of 4mg/dl
SGPT (ALT) level 50 units per liter of serum
A female client who has a history of seizures went to a healthcare facility to ask the nurse regarding the use of birth control pills while on phenytoin therapy. The nurse correctly states to the client that:
Taking phenytoin decreases the effectiveness of birth control pills
Pregnancy is not allowed while taking phenytoin
There is no known interactions between these medicines so there is nothing to worry about
To discontinue phenytoin and proceed with the oral contraceptive
A nurse provides instructions to a client taking fluoxetine (Prozac) a selective serotonin reuptake inhibitor (SSRI) antidepressant. The nurse tells the client to take the medication:
Early in the morning
During lunch time
At snack time
At bedtime
Quinolones are a class of antibiotics known for several significant complications. Which are possible adverse effects with these drugs? (Select all that apply.)
Prolongation of the QT interval
Ototoxicity
Nephrotoxicity
Tendon rupture
When providing instructions to clients on use of antibiotics, which instructions would the nurse include in the teaching? (Select all that apply.)
Wash your hands before and after preparing food
Complete the entire course of therapy
Increase fluid intake up to 3000 mL/day
Save unused medication in a cool dry place for later use
Notify the provider of any possible reactions that occur
What is a common side effect of Phenytoin?
excessive thirst
weight gain
muscle tremors
gingival hyperplasia
The patient has been prescribed amitriptyline as an adjunct to therapy for depression. What information will the nurse include in the health teaching regarding this medication?
"Check your heart rate daily. It may become very slow"
"You should start to feel less depressed within 12 hours"
"Take your medication in the morning because it will make you alert"
"Stand up slowly when you rise out of the bed or chair"
A pregnant client is receiving magnesium sulfate for the management of preeclampsia. The nurse determines that the client is experiencing toxicity from the medication if which finding is noted on assessment?
proteinuria 3+
respirations of 10/min
presence of deep tendon reflexes
serum magnesium level of 6 mEq/L
A client in preterm labor (31 weeks) who is dilated to 4 cm has been started on magnesium sulfate and contractions have stopped. If the client's labor can be inhibited for the next 48 hrs, the nurse anticipates a prescription for which medication?
nalbuphine
betamethasone (Celestone)
Rh (D) immune globulin (RhoGAM)
Dinoprostone (Cercidil vaginal insert)
Methylergonovine is prescribed for a woman to treat postpartum hemorrhage. Before administration of methylergonovine, what is the priority nursing assessment?
uterine tone
blood pressure
amount of lochia
deep tendon reflexes
A nurse is instructing a client regarding carbidopa-levodopa (Sinemet) for the treatment of Parkinson’s disease. The nurse tells the client which of the following indicates an overdose of the medication?
Difficulty performing a voluntary movement
Increased blood pressure
Decreased appetite
Black tarry stools
How do you feel about this exam?
Meh
okay
no idea
I am confident
When someone is STATUS EPILEPETICUS! What will we administer?
Pregabalin
Carbamazepine
Diazepam
Gabapentin
A nurse is infusing IV amphotericin B to a client who has a systemic fungal infection. The nurse should monitor the client for which of the following adverse effects of this medication?
Hypoglycemia
Constipation
Fever
Hyperkalemia
A patient tells the nurse that they are sexually active and on oral contraceptives, which medication in the patients health history probes the nurse to ask about the use of a 2nd form of contraception?
Ciprofloxacin
Erythromycin
Doxycycline
Vancomycin
A patient comes to the emergency department exhibiting signs of an overdose. The patients wife tells the nurse that he usually takes Phenobarbital for seizures. The patient is barely breathing and not responsive to stimuli. What should be the nurses first action of the following?
Maintain airway and support respiratory system
Administer Lisinopril to decrease BP
Administer Narcan
Start IV fluids
What is the first thing we do when giving an antibiotic through IV infusion and we notice that the patient is presenting with signs of an allergic reaction?
Assess patient's V/S
Stop infusion immediately
Call HCP
Increase IV flow rate
What order do we collect lab work when a patient has an infection? Of the following: blood culture, antibiotic dose, urine culture?
Blood culture, urine culture, and antibiotic dose
urine culture, blood culture, and antibiotic dose
antibiotic dose, blood culture, and urine culture
What is our main concern when a patient that has been taking antibiotics for 2 weeks and complains of watery diarrhea for two days with a temp of 102?
C DIFF
Dysentery
Sepsis
Select all that apply. When assessing for adverse effects of cholinergic-blocking drug therapy, the nurse knows that the patient may experience which drug effect?
Dry mouth
Urinary frequency
Constipation
Dilated pupils
Diaphoresis
The nurse would be concerned about the increased possibility of an allergic reaction when administering which antibiotics if the patient’s allergy record includes penicillin allergy?
Ampicillin
Azithromycin
Carbenicillin
Cephalexin
The nurse is teaching a client who is beginning a course of metronidazole to treat an infection. For which of the following adverse effects should the nurse instruct the client as a priority to stop taking metronidazole and notify the provider?
Metallic taste (In the book)
Nausea
Ataxia
Dark-colored urine
A patient is taking lithium. The nurse should be aware of the importance of which nursing intervention(s)? (Select all that apply.)
Observe the patient for motor tremors
Monitor the patient for hypotension
Draw lithium blood levels immediately after a dose
Advise the patient to avoid caffeinated foods and beverages
Teach the patient to take lithium with meals to decrease gastric irritation
Phenytoin has been prescribed for a patient with seizures. The nurse should include which appropriate nursing intervention in the plan of care?
Report an abnormal phenytoin level of 18 mcg/mL
Monitor complete blood count levels for early detection of blood dyscrasias
Encourage the patient to brush teeth vigorously to prevent plaque buildup
Teach the patient to stop the drug immediately when passing pinkish-red or reddish-brown urine
Changes in visual acuity and color perception are associated with treatment by which of the following agents?
INH (isoniazid)
PZA (pyrazinamide)
ETH (ethambutol)
SM (streptomycin)
Which of the following groups of anti-tubercular agents includes first-line agents?
INH, PZA, RIF
SM, PAS, INH
EMB, PAS, INH
INH, cycloserine, RIF
Alice is using antiviral creams for her genital herpes. Which of the following is a potential side effect of the medication?
Vulvitis
Headache
Dizziness
Staining of the skin
A nurse is providing instructions to a client receiving baclofen (Lioresal). Which of the following would be included in the teaching plan?
Limit fluid intake
Hold the medication if diarrhea occurs
Restrict alcohol intake
Notify the physician if weakness occurs
A nurse is analyzing the laboratory studies on a client receiving dantrolene sodium (Dantrium). Which of the following laboratory tests would identify an adverse effect associated with the use of the medication
Blood urea nitrogen
Creatinine
Liver function test
Triglyceride
Which of the following laboratory tests must be monitored for pregnant patients receiving betamethosone?
Random blood sugar
Serum Calcium
Red blood cell count
Uric Acid
Which group of drugs mimics parasympathetic activity?
Cholinergic agents
Anticholinergic agents
Adrenergic agents
Antiadrenergic agents
Cholinergic agents are used to:
Produce miosis
Facilitate neuromuscular blockade
Synergize neuromuscular blockers
Facilitate tricyclic activity
Cholinergics are contraindicated in:
Tachycardia
Hypothyroidism
Hypotension
Asthma
Adrenergic blockers are contraindicated in:
Hypertension
Pheochromocytoma
Migraines
Obstructive airway disease
A side effect of cholinergic administration is:
Nausea
Diarrhea
Increase salivation
All of the above
What preanesthetic medication does the nurse recognize as being administered primarily to reduce anxiety?
Morphine
Nitrous oxide
Midazolam
Demerol
