Mock Exam 1

Question 1

A nurse has received a new pt. and is taking a patient’s vitals. Which of the following would be the next step the nurse would take?

a. Develop goals for the pt.
b. Form a nursing diagnosis.
c. Administer the prescribed medication.
d. Revise treatment based on what was effective.

Answer 1

b. Form a nursing diagnosis

Question 2

Which of the following would be the nurse’s priority action?

a. Assessing baseline vitals.
b. Changing blood tinged bedsheets.
c. Administering the ordered dose of morphine.
d. Getting the pt.’s breakfast order in before 0730.

Answer 2

a. Assessing baseline vitals

Question 3

A nurse has a patient who is starting medication therapy for their new diagnosis of HIV. The patient asks, “why do I have to take multiple drugs for this treatment?” What is the nurse’s best response to this statement?

a. “Taking multiple drugs makes shortens your treatment time”
b. “Taking multiple drugs covers resistance”
c. “There is no reason to take multiple drugs, we can change that”
d. “Taking multiple drugs helps protect you and your family better”

Answer 3

b. “Taking multiple drugs covers resistance”

Question 4

When teaching a client with a new diagnosis of HIV about the treatment of the disease, it is important for the nurse to include which of the following statements?

a. ‘These medications will cure your disease within the next year.’
b. ‘These medications will increase your viral load.’
c. ‘These medications will not cure you, but will limit your symptoms.’
d. ‘These medications will only help prevent you from spreading the disease to others.’

Answer 4

c. ‘These medications will not cure you, but will limit your symptoms.’

Question 5

A nurse is educating a patient about the effectiveness of antiretroviral therapy. The nurse notes that the teaching was effective when the patient states which of the following?

a. ‘These medications will help me control my seizures when they occur.’
b. ‘These medications are only used to help me prevent the spread of my disease.’
c. ‘These medications will reduce my viral load and increase my T cell counts.’
d. ‘These medications are most effective when they are taken within 48 hours of exposure.’

Answer 5

c. ‘These medications will reduce my viral load and increase my T cell counts.’

Question 6

Which of the following is most likely to interact with anti-tubercular drugs?

a. Metoprolol
b. Docusate Sodium
c. Naproxen
d. Vitamin B6

Answer 6

a. Metoprolol (anti-hypertensive medication)

Question 7

A nurse would understand that which of the following labs is the most important to monitor when your patient is taking isoniazid (INH)?

a. Serum Protein
b. BUN
c. Albumin-can also be correct
d. RBC’s

Answer 7

b. BUN - b/c is super damaging to kidney’s

Question 8

A patient has been taking their antitubercular medication for a couple of weeks. The nurse would understand which of the following is a therapeutic response to monitor for?

a. Pyrexia
b. Increased coughing
c. Pos. sputum culture
d. Wt. gain

Answer 8

d. Wt. gain - you want them to gain weight after medication starts b/c they’ll start to lose weight & their body is working very hard.

Question 9

A patient comes into the ED with a serious fungal infection. The patient states they are allergic to penicillin, amphotericin B, shellfish. The doctor puts in a stat order for amphotericin B. Knowing about the allergy to amphotericin B what is the next step the
nurse should take?
a. Hold the medication
b. Call the doctor to verify the order
c. Administer the medication, and give an antihistamine and anti-pyretic prior
d. Administer the medication right away, the allergy is not a severe reaction

Answer 9

c. Administer the medication, and give an antihistamine and anti-pyretic prior - amphotericin is super harmful & if you are prescribed it, you really need it! So they’ll give anti-pyretic prior (risk vs. benefit)

Question 10

A nurse has a patient who was just admitted for a fungal infection. The doctor prescribed ketoconazole (Nizoral) 10mg/kg BID. The nurse should be concerned if the patient is taking which of the following medications? (Select all that apply)

a. Quinidine
b. Morphine
c. Methadone
d. Captopril
e. Ibuprofen

Answer 10

a. Quinidine

c. Methadone

Question 11

A nurse has just administered a patient’s first dose of amoxicillin. Which of the following orders would the nurse question giving?

a. Acetaminophen 325 mg
b. Propofol 0.5 mg
c. Ibuprofen 50 mg
d. Normal saline 1000 mL

Answer 11

c. Ibuprofen 50 mg - amoxicillin & ibuprofen interact

Question 12

A patient comes up to the labor and delivery floor being GBS positive. The doctor puts in an order to start receiving a cephalosporin for treatment. They are allergic to penicillin, and morphine. Why would the nurse be concerned with this order?

a. Because of the increased risk for bleeding
b. Because this medication could harm the baby
c. Because the antibiotics won’t help with this type of infection
d. Because of the risk for cross sensitivity

Answer 12

d. Because of the risk for cross sensitivity

Question 13

A patient is on an ortho floor receiving erythromycin an infection. The nurse would understand which of the following should not be given with this medication?

a. Coumadin
b. Orange Juice
c. Grilled chicken
d. LR

Answer 13

a. Coumadin

Question 14

A black box warning for tendonitis and increased risk for tendon rupture is associated with which medication?

a. Gentamicin
b. Amoxicillin
c. Fluoxetine
d. Ciprofloxacin

Answer 14

d. Ciprofloxacin

Question 15

Which of the following lab values should the nurse monitor closely for a patient receiving gentamicin for meningitis? (Select all that apply.)

a. Bun
b. Creatinine
c. Hematocrit
d. Liver enzyme study
e. Hemoglobin

Answer 15

a. Bun

b. Creatinine

Question 16

A nurse is taking care of a patient who is receiving vancomycin (Vancocin). What is the nurse most likely to do if the patient turns red, and their BP drops during this infusion?

a. Continue to monitor every 1hr as this is a normal side effect
b. Re-assess your patient’s vitals every 15min
c. Call the doctor immediately
d. Stop the infusion

Answer 16

d. Stop the infusion- you don’t want the redman syndrome to happen

Question 17

A nurse educator is teaching a group of students about acyclovir (Zovirax). Which of the following statements by the students indicates a need for further teaching?

a. “Acyclovir is used to prevent chickenpox in children.”
b. “Acyclovir interacts with probenecid.”
c. “Acyclovir is used in the treatment of shingles.”
d. “Acyclovir should be used cautiously in patients with neuro conditions.”

Answer 17

a. “Acyclovir is used to prevent chickenpox in children.”

Question 18

Which of the following is priority patient education for a patient taking metronidazole (Flagyl)?

a. It is important to have a baseline GU exam before giving
b. It is important to avoid alcohol with this medication
c. It is important to take lithium at least an 1hr before this medication
d. It is important to only take this medication when feeling ill

Answer 18

b. It is important to avoid alcohol with this medication

Question 19

A female patient is beginning a prescription of cephalexin (Keflex). A nurse makes sure to include which of the following in the plan of care?

a. The patient needs to use additional contraception while on this medication.
b. The patient only has to take these until she feels better.
c. Tinnitus is an expected outcome with this medication.
d. Give them medication on an empty stomach only.

Answer 19

a. The patient needs to use additional contraception while on this medication.

Question 20

Which of the following would be an example of objective data? (Select all that apply)

a. Temperature of 98.2 degrees Fahrenheit.
b. Pain is a 6/10.
c. Pt. reports worsening cough at night.
d. Edema of 1+ on lower extremities.
e. Urine appears cloudy and has a foul odor

Answer 20

a. Temperature of 98.2 degrees Fahrenheit.
d. Edema of 1+ on lower extremities.
e. Urine appears cloudy and has a foul odor

Question 21

Which of the following pts would have the hardest time metabolizing medications?

a. A 34 year-old male involved in a hit-and-run motorcycle accident
b. A 78 year-old male with cirrhosis of the liver who has been a heavy drinker for 40 years
c. A 55 year-old female with a T2 spinal cord injury
d. A 49 year-old female with end-stage renal failure

Answer 21

b. A 78 year-old male with cirrhosis of the liver who has been a heavy drinker for 40 years

Question 22

What is the best approach for starting older adult patients on new medications?

a. Start with a high dose and slowly decrease if the patient exhibits s/s of toxicity
b. Start with the lowest dose and rapidly increase dose as needed
c. Start with the lowest dose and slowly increase dose as needed
d. Start with the highest dose and rapidly decrease if the patient exhibits s/s of toxicity

Answer 22

c. Start with the lowest dose and slowly increase dose as needed

Question 23

Which of the following is the best strategy for giving a toddler IM injections?

a. Allow the child to play with a needleless syringe prior to medication administration
b. Do not explain anything to the child, as it may scare them
c. Allow the parent to administer the IM injection to the child
d. Use a 2 inch needle to administer the IM injection

Answer 23

a. Allow the child to play with a needleless syringe prior to medication administration

Question 24

You’re a student nurse and you know you made a med error but have not yet administered the medication, what should you do?

a. Administer the medication anyway because there is not time to draw it up again.
b. Administer the medication anyway because you do not want to be embarrassed on your first shift.
c. Do not administer the medication because your nurse could get fired.
d. Do not administer the medication and tell your instructor right away so that you can obtain the correct dose.

Answer 24

d. Do not administer the medication and tell your instructor right away so that you can obtain the correct dose.

Question 25

Which of the following are appropriate practices to prevent med errors? (Select all that apply)

a. Verify the patient three different times
b. You can give any dose as long as it is from the provider
c. Double check the dosage before you give the medication
d. You don’t have to scan the patient’s wristband if they said their name and DOB
e. Be aware of sound-alike/look-alike drugs and double check them before you administer them

Answer 25

a. Verify the patient three different times
c. Double check the dosage before you give the medication
e. Be aware of sound-alike/look-alike drugs and double check them before you administer them