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Nursing Medication Administration and Patient Care Questions

Total questions: 51

Worksheet time: 26mins

Name
Class
Date
1.

A laxative has been ordered for a patient. The nurse checks the patient's medical history and would be concerned if which condition is present?

a)

High ammonia levels due to liver failure

b)

Diverticulosis

c)

Abdominal pain of unknown origin

d)

Chronic constipation

2.

A patient is severely constipated and needs immediate relief. The nurse knows that which class of laxative will provide the most rapid results?

a)

Bulk-forming laxative, such as psyllium (Metamucil)

b)

Stool softener, such as docusate salts (Colace)

c)

Magnesium hydroxide (MOM)

d)

Magnesium oxide tablets

3.

A patient is receiving lactulose (Enulose) three times a day. The nurse knows that the patient is not constipated and is receiving this drug for which reason?

a)

High ammonia levels due to liver failure

b)

Prevention of constipation

c)

Chronic renal failure

d)

Chronic diarrhea

4.

A patient is taking linaclotide (Linzess) to treat irritable bowel syndrome (IBS). The nurse will monitor this patient for which adverse effect?

a)

Chest pain

b)

Chronic constipation

c)

Abdominal pain

d)

Elevated blood glucose levels

5.

The nurse is preparing to administer methylnaltrexone (Relistor), a peripherally acting opioid antagonist. This drug is appropriate for which patient?

a)

A patient with diarrhea

b)

A terminally ill patient who has opioid-induced constipation

c)

A patient who is scheduled for a colonoscopy

d)

A patient who will be having colon surgery in the morning

6.

A patient has been treated with alosetron (Lotronex) for severe irritable bowel syndrome (IBS) for 2 weeks. She calls the clinic and tells the nurse that she has been experiencing constipation for 3 days. The nurse will take which action?

a)

Advise the patient to increase intake of fluids and fiber.

b)

Advise the patient to hold the drug for 2 days.

c)

Instruct the patient to stop taking the drug and to come to the clinic right away to be evaluated.

d)

Instruct the patient to continue the alosetron and to increase fiber to manage the constipation.

7.

A patient is receiving a tube feeding through a gastrostomy. The nurse expects that which type of drug will be used to promote gastric emptying for this patient?

a)

Prokinetic drugs, such as metoclopramide (Reglan)

b)

Serotonin blockers, such as ondansetron (Zofran)

c)

Anticholinergic drugs, such as scopolamine (Transderm-Scop)

d)

Neuroleptic drugs, such as chlorpromazine (Thorazine)

8.

A patient who has AIDS has lost weight and is easily fatigued because of his malnourished state. The nurse anticipates an order for which antinausea drug to stimulate his appetite?

a)

Metoclopramide (Reglan), a prokinetic drug

b)

Dronabinol (Marinol), a tetrahydrocannabinol

c)

Ondansetron (Zofran), a serotonin blocker

d)

Aprepitant (Emend), a substance P/NK1 receptor antagonist

9.

A patient on chemotherapy is using ondansetron (Zofran) for treatment of nausea. The nurse will instruct the patient to watch for which adverse effect of this drug?

a)

Dizziness

b)

Diarrhea

c)

Dry mouth

d)

Blurred vision

10.

A patient who has severe nausea and vomiting following a case of food poisoning comes to the urgent care center. When reviewing his medication history, the nurse notes that he has an allergy to procaine. The nurse would question an order for which antiemetic drug if ordered for this patient?

a)

Metoclopramide (Reglan)

b)

Promethazine (Phenergan)

c)

Phosphorated carbohydrate solution (Emetrol)

d)

Palonosetron (Aloxi)

11.

A mother calls the pediatrician's office to report that her 18-month-old child has eaten half of a bottle of baby aspirin. She says, "I have a bottle of syrup of ipecac. Should I give it to him? He seems fine right now. What do I do?" What is the nurse's best response?

a)

Go ahead and give him the ipecac, and then call 911.

b)

Don't give him the ipecac. Call the Poison Control number immediately for instructions.

12.

A patient is taking chemotherapy with a drug that has a high potential for causing nausea and vomiting. The nurse is preparing to administer an antiemetic drug. Which class of antiemetic drugs is most commonly used to prevent nausea and vomiting for patients receiving chemotherapy?

a)

Prokinetic drugs, such as metoclopramide (Reglan)

b)

Serotonin blockers, such as ondansetron (Zofran)

c)

Anticholinergic drugs, such as scopolamine

d)

Neuroleptic drugs, such as promethazine (Phenergan)

13.

A patient who has been newly diagnosed with vertigo will be taking an antihistamine antiemetic drug. The nurse will include which information when teaching the patient about this drug?

a)

The patient may skip doses if the patient is feeling well.

b)

The patient will need to avoid driving because of possible drowsiness.

c)

The patient may experience occasional problems with taste.

d)

It is safe to take the medication with a glass of wine in the evening to help settle the stomach.

14.

A patient with motion sickness is planning a cross-country car trip and has a new prescription for a scopolamine transdermal patch (Transderm-Scop). The nurse provides teaching for the use of this patch medication. The patient shows a correct understanding of the teaching with which statement?

a)

I will change the patch every day.

b)

I will change the patch every other day.

c)

I will change the patch every 3 days.

d)

I will remove the patch only if it stops working.

15.

A woman who is in the first trimester of pregnancy has been experiencing severe morning sickness. She asks, "I've heard that ginger tablets may be a natural way to ease the nausea and vomiting. Is it okay to try them?" What is the nurse's best response?

a)

They are a safe and natural remedy for nausea when you are pregnant.

b)

Go ahead and try them, but stop taking them once the nausea is relieved.

c)

Some health care providers do not recommend ginger during pregnancy. Let's check with your provider.

d)

You will need to wait until after the first trimester to try them.

16.

The nurse is reviewing new postoperative orders and notes that the order reads, "Give hydroxyzine (Vistaril) 50 mg IV PRN nausea or vomiting." The patient is complaining of slight nausea. Which action by the nurse is correct at this time?

a)

Hold the dose until the patient complains of severe nausea.

b)

Give the dose orally instead of intravenously.

c)

Give the patient the IV dose of hydroxyzine as ordered.

d)

Call the prescriber to question the route that is ordered.

17.

Infantile rickets, tetany, and osteomalacia are caused by a deficiency in which vitamin or mineral?

a)

Vitamin D

b)

Vitamin C

c)

Zinc

d)

Cyanocobalamin (vitamin B12)

18.

The nurse is preparing a plan of care for a patient undergoing therapy with vitamin A. Which nursing diagnosis is appropriate for this patient?

a)

Impaired tissue integrity related to vitamin deficiency

b)

Risk for injury related to night blindness caused by vitamin deficiency

c)

Impaired physical mobility (muscle weakness) related to vitamin deficiency

d)

Acute confusion related to vitamin deficiency

19.

A patient is on vitamin D supplemental therapy. The nurse will monitor for which signs of toxicity during this therapy?

a)

Tinnitus

b)

Anorexia

c)

Diarrhea

d)

Hypotension

20.

The nurse is counseling a patient about calcium supplements. Which dietary information is appropriate during this teaching session?

a)

Take oral calcium supplements with meals.

b)

There are no drug interactions with calcium products.

c)

Avoid foods that are high in calcium, such as beef, egg yolks, and liver.

d)

Be sure to eat foods high in calcium, such as dairy products and salmon.

21.

The nurse will prepare to give which preparation to a newborn upon arrival in the nursery after delivery?

a)

Vitamin B1 (thiamine)

b)

Vitamin D (calciferol)

c)

Folic acid

d)

Vitamin K (AquaMEPHYTON)

22.

A patient with a history of alcohol abuse has been admitted for severe weakness and malnutrition. The nurse will prepare to administer which vitamin preparation to prevent Wernicke's encephalopathy?

a)

Vitamin B3 (niacin)

b)

Vitamin B1 (thiamine)

c)

Vitamin B6 (pyridoxine)

d)

Folic acid

23.

Niacin is prescribed for a patient who has hyperlipidemia. The nurse checks the patient's medical history, knowing that this medication is contraindicated in which disorder?

a)

Renal disease

b)

Cardiac disease

c)

Liver disease

d)

Diabetes mellitus

24.

A patient will be starting vitamin D supplements. The nurse reviews his medical record for contraindications, including which condition?

a)

Renal disease

b)

Cardiac disease

c)

Hypophosphatemia

d)

There are no contraindications to vitamin D supplements

25.

A patient accidentally took an overdose of the anticoagulant warfarin (Coumadin), and the nurse is preparing to administer vitamin K as an antidote. Which statement about vitamin K is accurate?

a)

The vitamin K dose will be given intramuscularly.

b)

The patient will take oral doses of vitamin K after the initial injection.

c)

The vitamin K cannot be given if the patient has renal disease.

d)

The patient will be unresponsive to warfarin therapy for 1 week after the vitamin K is given.

26.

A newly admitted patient has orders for a zinc supplement. The nurse reviews the patient's medical history and concludes that the zinc is ordered for which reason?

a)

To treat pellagra

b)

To aid in wound healing

c)

To treat osteomalacia

d)

As an antidote for anticoagulant overdose

27.

A patient is to receive iron dextran injections. Which technique is appropriate when the nurse is administering this medication?

a)

Intravenous administration mixed with 5% dextrose

b)

Intramuscular injection in the upper arm

c)

Intramuscular injection using the Z-track method

d)

Subcutaneous injection into the abdomen

28.

A nurse is giving instructions to a patient who will be receiving oral iron supplements. Which instructions will be included in the teaching plan?

a)

Take the iron tablets with milk or antacids.

b)

Crush the pills as needed to help with swallowing.

c)

Take the iron tablets with meals if gastrointestinal distress occurs.

d)

If black tarry stools occur, report it to the doctor immediately.

29.

The nurse will teach a patient who is receiving oral iron supplements to watch for which expected adverse effects?

a)

Palpitations

b)

Drowsiness and dizziness

c)

Black, tarry stools

d)

Orange-red discoloration of the urine

30.

A patient has been taking iron supplements for anemia for 2 months. During a follow-up assessment, the nurse will observe for which therapeutic response?

a)

Decreased weight

b)

Increased activity tolerance

c)

Decreased palpitations

d)

Increased appetite

31.

An oral iron supplement is prescribed for a patient. The nurse would question this order if the patient's medical history includes which condition?

a)

Decreased hemoglobin

b)

Hemolytic anemia

c)

Weakness

d)

Concurrent therapy with erythropoietics

32.

The nurse is reviewing the medical record of a patient before giving a new order for iron sucrose (Venofer). Which statement regarding the administration of iron sucrose is correct?

a)

The medication is given with food to reduce gastric distress.

b)

Iron sucrose is contraindicated if the patient has renal disease.

c)

A test dose will be administered before the full dose is given.

d)

The nurse will monitor the patient for hypotension during the infusion

33.

The nurse is teaching a patient with iron-deficiency anemia about foods to increase iron intake. Which food may enhance the absorption of oral iron forms?

a)

Milk

b)

Yogurt

c)

Oranges

d)

Orange juice

34.

The nurse is administering liquid oral iron supplements. Which intervention is appropriate when administering this medication?

a)

Have the patient take the liquid iron with milk.

b)

Instruct the patient to take the medication through a plastic straw.

c)

Have the patient sip the medication slowly.

d)

Have the patient drink the medication, undiluted, from the unit-dose cup

35.

A woman who is planning to become pregnant should ensure that she receives adequate levels of which supplement to reduce the risk for fetal neural tube defects?

a)

Vitamin B12

b)

Vitamin D

c)

Iron

d)

Folic acid

36.

The nurse is administering folic acid to a patient with a new diagnosis of anemia. Which statement about treatment with folic acid is true?

a)

Folic acid is used to treat any type of anemia.

b)

Folic acid is used to treat iron-deficiency anemia.

c)

Folic acid is used to treat pernicious anemia.

d)

The specific cause of the anemia needs to be determined before treatment.

37.

During therapy with the hematopoietic drug epoetin alfa (Epogen), the nurse instructs the patient about adverse effects that may occur, such as:

a)

anxiety

b)

drowsiness

c)

hypertension

d)

Constipation

38.

The nurse is administering intravenous iron dextran for the first time to a patient with anemia. After giving a test dose, how long will the nurse wait before administering the remaining portion of the dose?

a)

30 minutes

b)

1 hour

c)

6 hours

d)

24 hours

39.

A patient with end-stage renal failure has been admitted to the hospital for severe anemia. She is refusing blood transfusions. The nurse anticipates drug therapy with which drug to stimulate the production of red blood cells?

a)

Folic acid

b)

Cyanocobalamin (vitamin B12)

c)

Epoetin alfa (Epogen)

d)

Filgrastim (Neupogen)

40.

A cancer patient is receiving drug therapy with epoetin alfa (Epogen). The nurse knows that the medication must be stopped if which laboratory result is noted?

a)

White blood cell count of 550 cells/mm3

b)

Hemoglobin level of 12 g/dL

c)

Potassium

41.

A patient has been receiving epoetin alfa (Epogen) for severe iron-deficiency anemia. Today, the provider changed the order to darbepoetin (Aranesp). The patient questions the nurse, "What is the difference in these drugs?" Which response by the nurse is correct?

a)

There is no difference in these two drugs.

b)

Aranesp works faster than Epogen to raise your red blood cell count.

c)

Aranesp is given by mouth, so you will not need to have injections.

d)

Aranesp is a longer-acting form, so you will receive fewer injections.

42.

A patient is receiving a nutritional supplement via an enteral feeding tube. The nurse will monitor for which common adverse effect?

a)

Diarrhea

b)

Constipation

c)

Fluid overload

d)

Heartburn

43.

An older adult patient needs to receive an enteral supplement to improve her overall nutritional status. When considering enteral supplements, the nurse notes that which formulation provides complex nutrients?

a)

Ensure Plus

b)

Moducal

c)

Propac

d)

Microlipid

44.

A woman has been receiving both radiation and chemotherapy for her cancer. Lately, she has developed anorexia caused by the treatments, so she needs short-term nutrition supplementation. The nurse anticipates that the physician will initiate which therapy?

a)

Central total parenteral nutrition

b)

Peripheral parenteral nutrition

c)

Oral nutritional supplements with meals

d)

Nasogastric enteral supplementation

45.

During the night shift, a patient's total parenteral nutrition (TPN) infusion ran out, and the nurse discovered that there was no TPN solution on hand to continue the infusion. The pharmacy is closed and will not reopen for 5 hours. The nurse will have to implement measures to prevent which consequence of abruptly discontinuing TPN infusions?

a)

Dehydration

b)

Hyperglycemia

c)

Dumping syndrome

d)

Rebound hypoglycemia

46.

When monitoring a patient who has been receiving peripheral parenteral nutrition for more than 3 weeks, the nurse will watch for which potential complication?

a)

Diarrhea

b)

Phlebitis

c)

Hypernatremia

d)

Hypoglycemia

47.

A patient has been receiving total parenteral nutrition. Upon assessment, the nurse notes these assessment findings: blood pressure 150/92 mm Hg (elevated from previous readings); pulse rate 110 beats/min and weak; pitting edema on both ankles; and new-onset confusion. The nurse suspects that the patient is experiencing which condition?

a)

Infection

b)

Hypoglycemia

c)

Hyperglycemia

d)

Fluid overload

48.

The peripheral parenteral nutrition bag that has been infusing into the patient is empty, and the nurse realizes that the next bag is not ready. The nurse should immediately hang which of these intravenous solutions until the new bag arrives?

a)

10% dextrose in water

b)

20% dextrose in water

c)

0.9% sodium chloride

d)

Lactated Ringer's solution

49.

The nurse is preparing to administer medications to a patient who is receiving a feeding via a gastric tube. When reviewing the patient's medication list, the nurse notes a potential concern about a food-drug interaction if which medication is listed?

a)

Multivitamin solution

b)

Phenytoin (Dilantin)

c)

Metoclopramide (Reglan)

d)

Warfarin (Coumadin)

50.

A patient with type 2 diabetes will be receiving a nasogastric tube feeding for a few days. The nurse expects which type of formula to be used?

a)

Jevity

b)

Ensure Plus

c)

Glucerna

d)

Polycose

51.

A patient with a partial bowel obstruction will be given a 1-week course of enteral tube feeding via a nasogastric tube. Which formulation is appropriate for this patient?

a)

Vivonex Plus, an elemental formulation

b)

Osmolite a polymeric formulation

c)

Glucerna, a formulation for impaired glucose tolerance

d)

Polycose, a modular

formulation that contains carbohydrates