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WorksheetsNursing Medication Scenarios Worksheet
Total questions: 60
Worksheet time: 30mins
A nurse is reviewing the medication history of a client who reports urinary retention. The nurse should recognize that which of the following medications can cause this adverse reaction?
Scopolamine
Amoxicillin
Loratadine
Metformin
A nurse is caring for a client who started taking amitriptyline 6 days ago. The client reports that the medication is not helping. Which of the following responses should the nurse make?
You will need to wait a couple of weeks to feel the therapeutic effect of the medication.
You should stop taking the medication if you do not feel better within a week.
The medication should have worked by now; let me notify your provider.
Increase your dose to see if that helps.
A nurse is talking with a client who has been taking levothyroxine to treat hypothyroidism. The nurse should instruct the client to avoid taking which of the following over-the-counter medications within 4 hr of taking levothyroxine?
Calcium supplements
Acetaminophen
Loratadine
Ibuprofen
A nurse is caring for a client who has been taking epoetin alfa for 3 months. Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?
Hgb
BUN
ALT
PTT
A nurse is assisting in the care of a client who is receiving morphine via a continuous epidural infusion. Which of the following findings should the nurse report to the provider immediately?
Respiratory rate 10/min
Temperature 37.2°C (99°F)
Heart rate 88/min
Blood pressure 122/78 mm Hg
A nurse is reviewing the medication list of a client who has a new prescription for tetracycline. The nurse should instruct the client to take which of the following medications 3 hr before or after taking the tetracycline?
Antacid
Acetaminophen
Loratadine
Ibuprofen
A nurse is caring for a client who is receiving acetaminophen for mild pain. The nurse should monitor the client for which of the following adverse effects of this medication?
Jaundice
Constipation
Tinnitus
Hypertension
A nurse is preparing to administer enoxaparin subcutaneously to a client using a prefilled syringe. The nurse should plan to use which of the following techniques when administering this medication?
Inject the medication into abdominal tissue.
Massage the injection site after administration.
Aspirate before injecting the medication.
Inject the medication into the deltoid muscle.
A nurse who is preparing to administer medications to a client is unfamiliar with a medication that the client takes at home. Which of the following resources should the nurse consult?
Nursing drug guide.
Client's family members.
Social media websites.
The hospital cafeteria staff.
A nurse is preparing to administer a levothyroxine 50 mcg tablet PO to a client who is receiving an enteral feeding through an NG tube. Which of the following actions should the nurse take?
Dissolve the medication in 30 mL of water.
Crush the tablet and mix it with applesauce.
Administer the tablet whole through the NG tube.
Mix the medication with enteral feeding formula.
A nurse is collecting data from a client who has been taking diazepam several times per day but recently ran out of the medication. Which of the following findings should the nurse recognize as a manifestation of withdrawal from diazepam?
Tremors
Bradycardia
Increased appetite
Constipation
A nurse is preparing to administer digoxin to a client. For which of the following findings should the nurse withhold the medication?
Apical pulse 54/min.
Blood pressure 120/80 mm Hg.
Respiratory rate 18/min.
Temperature 37°C (98.6°F).
A nurse is collecting data from a client who is taking aspirin. Which of the following findings should the nurse report to the provider?
Rhinitis
Headache
Mild nausea
Drowsiness
A nurse is preparing to administer an enteric-coated oral medication to a client who is having difficulty swallowing. Which of the following actions should the nurse take?
Place the medication on the client's tongue.
Crush the medication and mix it with applesauce.
Dissolve the medication in water before administering.
Break the medication in half to make it easier to swallow.
A nurse is collecting data from a client who has taken an overdose of oxycodone. Which of the following findings should the nurse expect?
Sedation
Hypertension
Increased respiratory rate
Agitation
A nurse is planning to administer medications to a client who has trigeminal neuralgia. Which of the following medications should the nurse plan to administer to manage the client's pain?
Carbamazepine
Ibuprofen
Atenolol
Amoxicillin
A nurse is obtaining a medication history from a client who has systemic lupus erythematosus (SLE) and reports taking several herbal supplements daily. The nurse should identify that SLE is a contraindication for taking which of the following herbal supplements?
Echinacea
Ginkgo biloba
St. John's Wort
Ginger
A nurse is collecting data from a client who received diphenhydramine 1 hr ago after developing an allergic reaction to trimethoprim-sulfamethoxazole. Which of the following statements by the client should indicate to the nurse that the medication is effective?
My voice is no longer hoarse.
I feel more sleepy now.
My skin feels dry and itchy.
I have a mild headache.
A nurse is reinforcing teaching with a client who has a new prescription for fexofenadine tablets to treat seasonal allergies. Which of the following information should the nurse include?
Avoid taking antacids within 2 hours of fexofenadine.
Take fexofenadine with grapefruit juice for better absorption.
Fexofenadine may cause drowsiness, so take it at bedtime.
Double the dose if a dose is missed.
A nurse is administering the first dose of ramipril to a client who has hypertension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer?
IV fluid bolus.
Oral glucose tablet.
Oxygen via nasal cannula.
Acetaminophen tablet.
A nurse is collecting data from a client following his first dose of captopril. The client's blood pressure is 88/60 mm Hg. Which of the following actions should the nurse take first?
Place the client in a supine position.
Administer another dose of captopril.
Encourage the client to ambulate.
Notify the dietary department to provide a high-sodium diet.
A nurse is preparing to mix NPH insulin and regular insulin for administration. Which of the following actions should the nurse take?
Inject air into each vial.
Draw up NPH insulin before regular insulin.
Shake both vials vigorously before use.
Mix the insulins in the syringe and let it stand for 30 minutes.
A nurse is caring for a client who is receiving treatment for chronic alcohol use disorder. Which of the following medications should the nurse plan to administer to assist the client in maintaining abstinence by aversion therapy?
Disulfiram.
Naltrexone.
Acamprosate.
Methadone.
A nurse is reinforcing teaching about the varicella vaccine with the guardian of a toddler. Which of the following statements should the nurse include in the teaching?
The vaccine should be avoided in children who have leukemia.
The vaccine is given as a single dose at birth.
The vaccine is only for adults.
The vaccine can be given to children with severe egg allergies.
A nurse in an acute care facility is collecting data from a client who has received the meningococcal conjugate vaccine. The nurse should monitor the client for which of the following findings as an adverse effect of the vaccine?
Headache.
Increased appetite.
Improved vision.
Weight gain.
A nurse working in an urgent care clinic is collecting data from a client who takes montelukast. Which condition is montelukast primarily prescribed to manage?
Asthma
Hypertension
Diabetes mellitus
Hyperthyroidism
Which of the following is an expected therapeutic effect of this medication?
Reduction of symptoms
Development of side effects
Increase in disease severity
Onset of allergic reaction
A nurse is caring for an older adult client who has heart failure and a prescription for a repeat dose of furosemide 40 mg orally. Which of the following actions is the nurse's priority?
Monitor the client's serum potassium level.
Encourage the client to increase fluid intake.
Administer the medication with food to prevent GI upset.
Assess the client's blood glucose level before administration.
A nurse is reinforcing teaching with the family of a client who has a new prescription for donepezil. Which of the following therapeutic effects should the nurse inform the family to expect?
Improved cognitive function
Decreased blood pressure
Increased appetite
Reduced joint pain
A nurse is planning care for a client who has angina and a new prescription for nitroglycerin ointment. Which of the following actions should the nurse plan to take?
Apply the ointment to a hairless area of the client's skin.
Massage the ointment into the client's skin thoroughly.
Apply the ointment to an open wound for faster absorption.
Remove the previous dose after applying the new ointment.
A nurse is preparing to administer an IM injection to a client who has gonorrhea. Which of the following actions should the nurse take?
Use the ventrogluteal site for the injection
Massage the injection site vigorously after administration
Use a 1/2 inch needle for the injection
Administer the injection in the deltoid muscle only
A nurse is administering spironolactone at 0800 to a client who has heart failure. The nurse should monitor the client for which of the following adverse effects?
Hyperkalemia
Hypoglycemia
Bradycardia
Hypertension
A nurse is reinforcing teaching with a client who is to start therapy with insulin lispro and insulin glargine. Which of the following should the nurse include in the teaching?
Insulin lispro should be administered before meals, and insulin glargine should be administered at the same time each day.
Both insulins should be mixed in the same syringe before administration.
Insulin glargine should be administered only when blood glucose is high.
Insulin lispro should be taken at bedtime.
A nurse is reviewing data for a client who receives clonidine daily. Which of the following findings indicates the nurse should withhold the next dose?
Blood pressure of 88/56 mm Hg
Heart rate of 78 bpm
Respiratory rate of 18 breaths/min
Temperature of 37°C
Which of the following findings should indicate to the nurse that the medication is effective to counteract the effects of an opioid overdose?
Increased respiratory rate.
Decreased level of consciousness.
Pinpoint pupils.
Decreased blood pressure.
A nurse is collecting data from a client who received levalbuterol 30 min ago. Which of the following findings should the nurse identify as a therapeutic effect of the medication?
Wheezing decreases.
Heart rate decreases.
Blood pressure drops significantly.
Cough worsens.
A nurse is preparing to identify a client prior to medication administration. Which of the following questions should the nurse ask to determine the client's identity?
Is your name Sarah Jones?
Are you feeling okay today?
Did you have breakfast this morning?
Do you know what medication this is?
A charge nurse is evaluating a newly licensed nurse caring for a client who is using a PCA device. Which of the following actions by the nurse requires intervention by the charge nurse?
The nurse administers a PCA dose for the client.
The nurse instructs the client to report pain before pressing the PCA button.
The nurse monitors the client's respiratory rate every 2 hours.
The nurse ensures the PCA settings are double-checked with another nurse.
A nurse is reinforcing teaching with a newly licensed nurse about age-related changes that affect medication administration for older adult clients. Which of the following information should the nurse include?
Renal excretion time slows for medication.
Gastric pH becomes more acidic in older adults.
Hepatic metabolism increases with age.
Older adults have increased total body water.
A nurse is reinforcing discharge teaching with a client who has a new diagnosis of type 2 diabetes mellitus and a prescription for exenatide. Which of the following instructions should the nurse include in the teaching?
Inject the medication into the subcutaneous tissue of your abdomen.
Take the medication orally with meals.
Mix the medication with insulin before injecting.
Store the medication at room temperature after opening.
Which of the following information should the nurse include in the teaching?
You should take a calcium supplement while taking this medication.
You should avoid all dairy products while taking this medication.
You should stop taking the medication if you feel better after one dose.
You should take the medication on an empty stomach only.
A nurse is reinforcing discharge teaching with a client who has a new prescription for rifampin. Which of the following information should the nurse include?
Take this medication 2 hr following a meal.
Avoid exposure to sunlight while taking this medication.
Take this medication with dairy products to increase absorption.
Discontinue the medication if urine turns orange.
A nurse is reinforcing teaching with a client who has chronic stable angina and a new prescription for sublingual nitroglycerin. Which of the following instructions should the nurse include in the teaching?
Take one tablet before a strenuous activity.
Swallow the tablet whole with water.
Store the tablets in a warm, moist place.
Take the medication with food to increase absorption.
A nurse is caring for a client who is experiencing an acute asthma attack. The nurse should expect to administer which of the following medications?
Levalbuterol
Metoprolol
Furosemide
Digoxin
A nurse is reinforcing discharge teaching about sublingual nitroglycerin with a client who has angina. Which of the following statements indicates an understanding of the instructions?
I should feel the effects of the medication within 5 minutes.
I should swallow the tablet whole for best results.
I can take as many tablets as I need until the pain stops.
I should store the tablets in a warm, humid place.
A nurse in a long-term care facility is collecting data from a client who has a new prescription for glyburide. The client reports feeling anxious and having profuse sweating. Which of the following findings should the nurse expect?
Decreased blood glucose level.
Increased blood pressure.
Elevated potassium level.
Decreased heart rate.
Which of the following findings should the nurse expect?
Decreased blood glucose level.
Increased urine output.
Elevated blood pressure.
Increased heart rate.
A nurse is reinforcing discharge teaching with the family of a client who has a new diagnosis of Parkinson's disease and a prescription for levodopa/carbidopa. Which of the following statements made by the client's family indicates an understanding of the teaching?
We should watch for an increase in unusual movements.
We should expect the medication to cure Parkinson's disease.
We should stop the medication if the client feels better.
We should avoid giving the medication with any food.
A nurse is caring for a client who is postoperative following arthroscopy and reports a pain level of 6 on a scale of 0 to 10 after receiving ketorolac 1 hr ago. Which of the following actions should the nurse take?
Administer oxycodone 5 mg orally.
Encourage the client to ambulate.
Apply an ice pack to the surgical site only.
Document the pain level and reassess in 4 hours.
A nurse is reinforcing teaching with a client who has a new prescription for prednisone to treat rheumatoid arthritis. Which of the following statements should indicate to the nurse that the client understands the teaching?
I will report a sore throat to my provider.
I can stop taking the medication if I feel better.
I should take the medication on an empty stomach.
I do not need to monitor for signs of infection.
A nurse is preparing to administer an antibiotic via intermittent IV bolus for a client who has a continuous IV infusion. Which of the following steps should the nurse take first?
Check the IV site for signs of infiltration.
Flush the IV line with normal saline.
Adjust the IV flow rate to KVO (keep vein open).
Verify the client's allergy status.
A nurse administered ketorolac 30 mg IM to a client who is postoperative. Which of the following information should the nurse document?
Gauge and length of needle. Dose of medication administered. Site of injection. Time of administration.
Client's vital signs before and after administration. Family history of allergies. Type of anesthesia used. Length of surgery.
Patient's dietary intake. Amount of fluids consumed. Number of visitors. Room temperature.
Type of surgical procedure. Name of the surgeon. Discharge instructions. Insurance information.
A nurse is collecting data from a client who has hypertension. The nurse should recognize that which of the following over-the-counter medications is contraindicated for this client?
Pseudoephedrine
Acetaminophen
Calcium carbonate
Loratadine
A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection. Which of the following findings is the priority for the nurse to report to the provider?
Creatinine 3.1 mg/dL
Temperature 37.2°C (99°F)
Blood pressure 122/78 mm Hg
Heart rate 88/min
A nurse is preparing to administer medications to a client through an enteral feeding tube. Which of the following actions should the nurse take?
Flush the tube with normal saline following medication administration.
Crush all medications together and mix with enteral formula.
Administer medications without checking tube placement.
Use hot water to dissolve medications before administration.
A nurse is preparing to administer gentamicin to a child who weighs 44 lb. The provider prescribes 6 mg/kg/day IV to be administered in three equal doses. Available is gentamicin 40 mg/mL. How many mL should the nurse administer with each dose?
1
0.5
2
1.5
A nurse is preparing to administer amikacin 5 mg/kg IM to a client who weighs 110 lb. Available is amikacin injection 250 mg/mL. How many mL should the nurse administer?
1
2.5
0.5
3
A nurse is preparing to administer somatropin 0.24 mg/kg/week subcutaneously to be divided into six daily doses to a school-age child who weighs 66 lb. How many mg should the nurse administer per dose?
1.2
0.3
0.6
2.4
A nurse is teaching a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?
Instruct the client's visitors not to operate the PCA pump.
Remind the client to increase the dose if pain persists beyond 30 minutes.
Advise the client to allow family members to adjust the settings if needed.
Tell the client to press the button continuously for faster relief.
A nurse is collecting data from a client who received diphenhydramine for insomnia. Which of the following findings should the nurse identify as an idiosyncratic reaction?
Agitation
Drowsiness
Dry mouth
Urinary retention
