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nur210 pharm > Exam 1 NCLEX Practice Questions > Flashcards

Exam 1 NCLEX Practice Questions Flashcards

1
Q

A client is prescribed Allopurinol. The nurse recognizes that the client needs further teaching when….
A. stop drinking caffeine
B. maintain my diet with beans and salmon
C. schedule annual eye exams.
D. take with food

A

B. maintain my diet with beans and salmon

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2
Q

A client is prescribed Allopurinol. The nurse recognizes that the client understands the drug when….
A. Increase orange juice
B. Report painful urination
C. Continue taking aspirin
D. Take on an empty stomach

A

B. Report painful urination

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3
Q

A client is prescribed Aspirin. The nurse recognizes that the client needs further teaching when…

A. taken when a child is experiencing flu
B. taken when a patient is experiencing pain due to rheumatoid arthritis.
C. taken with plenty of water
D. Taken with food

A

A. taken when a child is experiencing flu

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4
Q

A client is prescribed Aspirin. The nurse recognizes that the client understands the drug when…

A. Ringing of the ear is a side effect
B. The patient stops aspirin 7 days before surgery.
C. Bruising is considered a side effect
D. Blood in my stool indicates hemorrhoids

A

B. The patient stops aspirin 7 days before surgery.

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5
Q

A client is prescribed Venlafaxine. The nurse recognizes that the client needs further teaching when…

A. I will take this drug at bedtime.
B. I will avoid driving.
C. I will stay away from herbs
D. I will have my nightcap prior to going to bed

A

D. I will have my nightcap prior to going to bed

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6
Q

A client is prescribed Venlafaxine. The nurse recognizes that the client understands the drug when…

A. I understand that this drug may take 1 to 2 weeks to take full effect.
B. I can abruptly stop taking this drug.
C. I can take this drug on an empty stomach.
D. I can have pizza

A

I understand that this drug may take 1 to 2 weeks to take full effect.

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7
Q

The patient is prescribed Alprazolam. The nurse recognizes that the patient needs further teaching when _________.
A. Patient states they cannot take it with alcohol.
B. Patient states that they cannot drive or operate machinery.
C. The patient explains why abrupt cessation is not appropriate.
D. Patient states hypotension is expected

A

D. Patient states hypotension is expected

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8
Q

The patient is prescribed Alprazolam. The nurse recognizes that the patient understands the drug when _________.
A. Signing legal documents is appropriate.
B. Taking antacid help increase absorption
C. This drug helps them stay awake to study at night.
D. The patient states that they must stop drinking Kava Kava tea.

A

D. The patient states that they must stop drinking Kava Kava tea.

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9
Q

A client is prescribed valproate acid. The nurse recognizes that the client needs further teaching when…
A. “I’ll take this right after I take my Aspirin.”
B. “I’ll take this with food”
C. “I will be sure to remember that it may take 2-3 weeks to feel the effects.”
D “I will report any abnormal bruising on my skin”

A

A. “I’ll take this right after I take my Aspirin.”

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10
Q

A client is prescribed valproate acid. The nurse recognizes that the client understands the drug when…
A. They acknowledge having their liver enzymes monitored more frequently.
B. “the yellowing of my eyes is due to not sleeping.”
C. “I’m 8 weeks pregnant, which means I will continue to take this.”
D. I will call my doctor if my dizziness continues

A

A. They acknowledge having their liver enzymes monitored more frequently.

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11
Q

A client is prescribed Haloperidol. The nurse recognizes that the client needs further teaching when…
A. The patient brushes their teeth twice per day.
B. The nurse learns that the patient swallows the pill with their morning coffee.
C. The patient takes the medication with food.
D. The patient urinates before taking the medication.

A

B. The nurse learns that the patient swallows the pill with their morning coffee.

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12
Q

A client is prescribed LORAZEPAM. The nurse recognizes that the client needs further teaching when…
A. Patient states he or she will not drink alcohol while taking Lorazepam.
B. Patient states he or she will not take other CNS depressants while taking Lorazepam.
C. Patient states he or she will gradually withdraw when discontinuing Lorazepam.
D. Patient states he/she has had suicidal thoughts for the last month but didn’t want to discuss them.

A

D. Patient states he/she has had suicidal thoughts for the last month but didn’t want to discuss them.

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13
Q

A client is prescribed fluoxetine. The nurse recognizes that the client understands the drug when…

A. Patient understands that he or she cannot drive while taking this medication.
B. Patient still feels anxious two days after taking medication.
C. Patient understands that taking antacids at the same time is ok.
D. Patient will continue smoking and drinking mountain dew while taking this medication

A

A. Patient understands that he or she cannot drive while taking this medication.

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14
Q

A client is prescribed FLUOXETINE. The nurse recognizes that the client understands the drug when…

A. The medication will take 1-2 weeks to begin taking effect.
B. I can take it on an empty stomach.
C. I’m expecting twins, I will be fine.
D. Hispanics tend to need higher doses.

A

The medication will take 1-2 weeks to begin taking effect.

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15
Q

A client is prescribed Aripiprazole. The nurse recognizes that the client needs further teaching when…

A. I know the medication may take 7 days to take effect.
B. I need to report malaise or sore throat with this medication
C. I should avoid driving while taking this medication
D. I should not take this drug while pregnant

A

B. I need to report malaise or sore throat with this medication

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16
Q

A client is prescribed Zolpidem. The nurse recognizes that the client needs further teaching when…

A. Patient states taking a warm bath before bed
B. Patient states taking Zolpidem at noon
C. Patient checks with the healthcare provider about OTC sleeping aids
D. Patient report having suicidal ideation

A

B. Patient states taking Zolpidem at noon

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17
Q

A client is prescribed Lithium. The nurse recognizes that the client needs further teaching when…
A.) Patient states they are intaking adequate fluids.
B.) Patient takes medication with a meal.
C.) Patient states she started a low-sodium diet.
D.) Patient has quit drinking coffee.

A

C.) Patient states she started a low-sodium diet.

18
Q

A client is prescribed Phenytoin. The nurse recognizes that the client needs further teaching when…
A. The patient knows not to drive or perform other hazardous activities while on drug.
B. He says that he takes it with aspirin
C. The patient knows not to stop the medication abruptly.
D. brown or pinkish urine is expected

A

B. He says that he takes it with aspirin

19
Q

A client is prescribed Phenytoin. The nurse recognizes that the client understands the drug when…
A. They know to avoid alcohol while on this drug.
B. Patient knows to contact the doctor if there’s weight loss.
C. Patient does not need to worry about oral care
D. Patient knows not to report sore throat, nosebleed, and bruising to the doctor.

A

D. Patient knows not to report sore throat, nosebleed, and bruising to the doctor.

20
Q

A client is prescribed Celecoxib. The nurse recognizes that the client needs further teaching when…
A. The patient states they will report headache and dizziness
B. The patient states they will seek emergency attention when experiencing facial drooping and slurred speech
C. The patient states they will take their medication with herbs in the evenings.
D. The patient states they will not take the medication with other blood thinners

A

C. The patient states they will take their medication with herbs in the evenings.

21
Q

A client is prescribed Alprazolam. The nurse recognizes that the client needs further teaching when…
A. I may operate heavy machinery.
B. I will feel the therapeutic effect in one to two weeks.
C. I cannot stop taking this drug at any time.
D. I should report any ideas of suicide.

A

Rationale: The answer is A. because no operation of heavy machinery, such as driving and/or mowing the lawn, due to the sedative effect of alprazolam. page 292

22
Q

A client is prescribed Alprazolam. The nurse recognizes that the client understands the drug when…

A. I should try other therapeutic relaxation techniques, such as walking.
B. I can take this drug with herbs.
C. I can double dose to make up for a missed dose.
D. I can use this medication for pain due to it is a sedation

A

Rationale: The answer is A because it also helps control stress and anxiety. page 292

23
Q

A client is prescribed Aripiprazole. The nurse recognizes that the client needs further teaching when… (Select all that apply)

A. “I’m able to have my glass of wine at night.”
B. “I can pick my children up from school after taking this medication.”
C. “I need to monitor my blood sugar.”
D. “I can take a dose every other day.”

A

Rationale: A and D

24
Q

A client is prescribed Aripiprazole. The nurse recognizes that the client understands the drug when…
A. “I will report signs of shuffling gait, tremors at rest, and a stooped posture to my health care physician.”
B. “Aripiprazole will cure my schizophrenia.”
C. “I can take my medication with grapefruit juice.”
D “I don’t need to increase my fluids while taking this medication.”

A

Rationale: A: Antipsychotic medications increase the risk of Extrapyramidal Syndrome (EPS); report to PCP to possibly adjust the dose or begin taking anticholinergic drugs, which help to decrease EPS symptoms. Pg. 281, 287

25
Q

A client is prescribed Phenytoin. The nurse recognizes that the client needs further teaching when…

A. When the client says she can take this with her Aspirin.
B. Client reports she has pink/ brown urine.
C. Client states that she visits Dentist every 6 months and practices good hygiene.
D. Client states she uses condoms with prescribed oral contraceptives.

A

Rationale: A and B

26
Q

A client is prescribed Phenytoin. The nurse recognizes that the client understands the drug when…

A. Client states she drives her kid’s carpool after taking the drug.
B. Client states she takes her medication with her Gingko tea.
C. Client states that she flosses her teeth every day.
D. Client states she only takes her meds Monday through Friday and not on vacations.

A

Rationale: C: oral hygiene care and flossing prevent Gingival hyperplasia

27
Q

The client is prescribed Ibuprofen. The nurse recognizes that the client needs further teaching when…

A. I will take this an hour before I eat breakfast.
B. I will not exceed 3200 mg daily.
C. I will report any ringing in my ears.
D. I will avoid taking this medication if I become pregnant.

A

Correct answer (A) rationale: Ibuprofen should be taken with food, not on an empty stomach. Pg 313,314

28
Q

A client is prescribed Ibuprofen. The nurse recognizes that the client understands the drug when…

A. I will report any cardiac dysrhythmias.
B. I can take this medication with my Warfarin.
C. I will avoid taking this medication 1 to 2 days before menstruation.
D. My inflammatory process will subside within 1 to 3 days of starting this medication.

A

Answer (C) Rationale: Ibuprofen affects platelet aggregation and thins blood, which can cause bleeding. Pg 314

29
Q

A client is prescribed Lithium. The nurse recognizes that the client needs further teaching when…

A. “I understand this will take at least 1-2 weeks to work.”
B. “I need to take this with food.”
C. “I can continue my herbs”
D. “I understand that I need to increase my fluids and sodium intake.”

A

Answer: C. “I can continue my herbs”

30
Q

A client is prescribed Lithium. The nurse recognizes that the client understands the drug when.
A. “I can still take my St John’s Wort.”
B. “If I have a metallic taste, that means I should eat more salt.”
C. “I can stop taking my med if I feel good that day.”
D. “I need to ensure that I have an I.D. band indicating I am taking this med in case I experience NMS symptoms.

A

Answer: D. NMS can impair the pt’s ability to communicate. Pg. 282

31
Q

A client is prescribed lorazepam. The nurse recognizes that the client needs further teaching when…

A. I can drink wine cooler.
B. Smoking decreases the effects of this med.
C. drowsiness may occur
D. This drug may be habit-forming.

A

Rationale: A. Lorazepam is a sedative and should not be taken w alcohol as it is also a CNS depressant

32
Q

A client is prescribed lorazepam. The nurse recognizes that the client understands the drug when…
A. I CANNOT suddenly stop taking this medication due to withdrawal symptoms.
B. I can take this med while working on heavy equipment.
C. I can drink coffee with this med.
D. This drug will not assist w anxiety.

A

Rationale: A: Benzodiazepine should not be abruptly discontinued due to withdrawal symptoms.

33
Q

A client is prescribed Zolpidem Tartrate. The nurse recognizes that the client needs further teaching when…

A. Client takes medication on an empty stomach.
B. Client takes medication with Alcohol
C. Client takes medication before bed.
D. Client drinks warm milk to help with insomnia

A

B: (Rationale pg. 239 Severe respiratory depression may occur).

34
Q

A client is prescribed Zolpidem Tartrate. The nurse recognizes that the client understands the drug when…
A. Client drinks coffee
B. Take with food
C. Avoids taking the drug late
D. Client drives to the store.

A
  1. C; Rationale: pg. 239 Advise patient to report adverse reactions such as lightheaded, dizziness, or confusion to HCP this is a sign of hangover effect).
35
Q

A client is prescribed Celecoxib. The nurse recognizes that the client needs further teaching when…

A. I will take my herbal tea (Ginkgo biloba)
B. I will take my antacid two hours after my celecoxib
C. “I will eat before taking this prescription.”
D. “I will report any fluid retention to my healthcare provider.”

A
  1. A: Gingko Biloba may increase bleeding p.315
36
Q

A client is prescribed Celecoxib. The nurse recognizes that the client understands the drug when…

A. The client takes aspirin with their prescription of celecoxib during their morning meds routine.
B. The client does not report urine retention.
C. The client understands that their recent rash is a common side effect when taking celecoxib.
D. The client does not report hypertension to their healthcare provider.

A

Answer: C. Rationale: A rash can be a side effect when taking celecoxib. p. 315

37
Q

The client is prescribed Antacids (Aluminum & Magnesium), and the nurse recognizes the client understands the medication when they state…
A. I will take my Antacid 3 hours after meals.
B. I will take my Antacid 3 hours before with my medication.
C. I will have milk to help with absorption.
D. Foods high in sodium do not affect Antacids.

A

A. I will take my Antacid 3 hours after meals. page 626

38
Q

The client is prescribed Fluoroquinolones. Which of the following findings would indicate a therapeutic response?
A. Increase WBC
B. palpation of sinuses with no discomfort
C. Decrease in diarrhea
D. Urine output of 1200 ml in 24hrs.

A

B.
for treating sinusitis, therapeutic response is no discomfort or pressure to sinus

39
Q

Which of the following statements would require follow-up by the client while taking nitrofurantoin?
A: I will avoid driving when taking this drug
B: The drug may cause my urine to turn brownish in color
C: I will use sunblock when I go to the beach
D: I will increase my fluid while on this medication

A

C.
Sunblock is not needed for this medication. It does not cause photosensitivity

40
Q

The nurse recognizes that the client needs further teaching on Amoxicillin when the patient states….
A. I should take this medication with food.
B. I should take my oral contraceptive.
C. I should report bruising.
D. I should avoid acidic juice.

A

B. 350

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