Practice Questions

Question 1

As the nurse, you are educating your patient, Mr. Smith, on his new medication for asthma. Which of the following statements indicates Mr. Smith knows how Albuterol works in his body?

Answer 1

As the nurse, you are educating your patient, Mr. Smith, on his new medication for asthma. Which of the following statements indicates Mr. Smith knows how Albuterol works in his body?

Question 2

Which of the following adverse drug reactions should you educate your patient taking Albuterol on?

Answer 2

Chest pain, agitation, palpitations, restlessness, tremors

Question 3

You are the nurse at a doctor’s office in charge of answering patient calls. Sandy Patterson calls the triage line and says she thinks she is having an acute asthma attack. You will instruct her to use her long-acting bronchodilator in this situation, not her short-acting bronchodilator.

Answer 3

False

Question 4

Sandy Patterson comes into the doctor’s office asking for education on how to use her meter dose inhaler. Which of the following statements will you tell Sandy?

Answer 4

Use your lips to form a tight seal on the mouthpiece, take a slow deep breath in for 3-5 seconds, hold the breath for 10 seconds, and exhale slowly, wait 5 minutes before taking a second inhalation

Question 5

You are studying with a group of nursing students and are talking about how inhaled anticholinergics (ipratropium) work in the body. Which of the following statements describes the correct EPA?

Answer 5

It blocks acetylcholine receptors in the smooth muscle of the bronchi so that bronchoconstriction and mucus secretion do not occur

Question 6

Which of the following are adverse drug reactions for ipratropium (Atrovent)?

Answer 6

Dry mouth, urinary retention, increased intraocular pressure

Question 7

Your patient on Miller 4 is taking Captopril, an ACE inhibitor. Which of the following statements indicates that more education needs to be provided?

Answer 7

“I do not need to watch my salt intake for this medication”

Question 8

You have just given your patient his morning dose of Losartan (Cozaar). You know that you will need to monitor his blood pressure before, during, and after administration but what else should you monitor for?

Answer 8

Angioedema, dizziness, headache

Question 9

Patty Smith is taking Eperenone for hypertension. What medications should she avoid while taking Eplerenone?

Answer 9

Spironolactone, captopril

Question 10

A woman comes into the Emergency Department at UVMMC with the following symptoms: palpitations, muscle twitching, and diarrhea. She tells the triage nurse that the only medication she took today was Aliksiren for her hypertension. As the nurse, what do you suspect is going on?

Answer 10

She is experiencing hyperkalemia

Question 11

Johnny Jones is getting ready to be discharged from the hospital after having really high blood pressure. He is taking Doxazosin (Cardura). Which of the following patient statements requires the nurse to provide further education?

Answer 11

“I can still take my Viagra with this medication”

Question 12

Which of the following blood pressure readings would cause you to hold a morning dose of Atenolol?

Answer 12

80/67

Question 13

What hypertension medication is given during a hypertensive crisis?

Answer 13

Hydralazine

Question 14

What is the overall goal of heart failure medications?

Answer 14

To increase cardiac output

Question 15

You are a nurse working the night shift at UVMMC Emergency Department. A patient comes in with the following symptoms: pulmonary congestion, cough, fatigue, cyanosis, and restlessness. He also discloses that he has a history of heart failure. As the nurse, what do you suspect is going on?

Answer 15

Left-sided heart failure

Question 16

Your patient is on a Dobutamine drip. Which of the following nursing considerations would you follow while the drip is running?

Answer 16

Cardiac monitoring, continuous vital signs, monitor urinary output

Question 17

You walk into one of your patient’s rooms and find that he is having terrible chest pain and is feeling dizzy. You quickly check the MAR and see that he was given an IV dose of Milrinone today. As the nurse, what would you do first in this situation?

Answer 17

Take his blood pressure and call the provider

Question 18

What are important nursing considerations for patients taking diuretics?

Answer 18

Daily weights, strict I&Os, monitor electrolytes (potassium), take blood pressure before, during, and after administration

Question 19

Where does Furosemide (Lasix) work within the nephron?

Answer 19

Loop of Henle

Question 20

A nurse asks you why we have to administer IV Lasix slowly. She says “It seems like such a waste of time, I can’t stand there for 5 minutes and give a medication!” How would you respond to her?

Answer 20

“If we push it too quickly, the patient is at risk for ototoxicity”

Question 21

A female-identifying client has been taking Atorvastatin 20 mg PO daily for several months to treat mild dyslipidemia. At a clinic appointment, she tells the nurse she is 6 weeks pregnant. The nurse counsels the patient that it is likely the midwife will advise which of the following?

Answer 21

Discontinuing the drug during pregnancy

Question 22

The client diagnosed with coronary artery disease is prescribed atorvastatin (Lipitor). Which statement by the client warrants the nurse notifying the healthcare provider?

Answer 22

“I am feeling pretty good except I am having muscle pain all over my body.”

Question 23

What can HMG-CoA reductase inhibitors cause?

Answer 23

Rhabdomyolysis

Question 24

A client is prescribed fenofibrate. When providing client teaching, which accurately describes the action of fenofibrate?

Answer 24

It increases oxidation of fatty acids in the liver.

Question 25

What medication should not be given with gemfibrozil due to the increased risk for bleeding?

Answer 25

Warfarin

Question 26

You are providing medication education regarding a new prescription for Nitroglycerin for a patient with stable angina. Which statement reflects the patient needs more teaching?

Answer 26

“I will continue taking my sildenafil (Viagra) as needed for erectile dysfunction”

Question 27

The nurse notes that a patient prescribed flecanide (Tambocor) has a recent history of MI. What should the nurse’s next action be?

Answer 27

Contact the provider and discuss alternative medications (black box warning for recent MI)

Question 28

What nursing consideration is consistent across most antiarrhythmic medications?

Answer 28

Avoid OTC cold meds, asthma remedies, and appetite suppressants that could aggravate irregular heartbeats

Question 29

Avoid OTC cold meds, asthma remedies, and appetite suppressants that could aggravate irregular heartbeats

Answer 29

Long term use can cause fatal pulmonary toxicity

Question 30

Which patient would be a candidate for diltiazem (Cardizem) used to treat?

Answer 30

A patient in rapid Atrial Fibrillation

Question 31

A patient with atrial fibrillation is wondering why they are prescribed an antiarrhythmic and a blood thinner. Which answer best explains the rationale to the patient?

Answer 31

“The blood thinner helps prevent the clots that can be caused by blood pooling in the atria during atrial fibrillation while the antiarrhythmic helps treat the atrial fibrillation itself and bring your heart rate back to normal”

Question 32

Your patient is on a Heparin drip. Their UFH level is too low, meaning their drip must be titrated up in order to bring their UFH to a therapeutic level. When changing the rate on the medication pump, what action must the nurse take?

Answer 32

Ask a second nurse to verify the five rights of medication administration and cosign

Question 33

Which statement is true regarding the administration of a Lovenox injection?

Answer 33

The bubble should NOT be pushed out of the syringe prior to injection, the injection should be administered at a 90º angle, the injection should be administered in the subcutaneous tissue about 2 inches from the belly button, it can be taken at home because it does not require close monitoring like Heparin does

Question 34

When providing education on warfarin, which statement by the patient indicates the need for further teaching?

Answer 34

“I will make sure to eat as many green vegetables as I can to stay healthy and strong”

Question 35

In which patient is dabigatran (Pradaxa) most indicated?

Answer 35

A patient who has developed Heparin Induced Thrombocytopenia

Question 36

Which patient is Aspirin MOST contraindicated in?

Answer 36

A child under the age of 18

Question 37

A client who takes Ferrous sulfate (Feosol) calls the clinic concerned about having dark, nearly black, stools. As the nurse, how should you advise this patient?

Answer 37

Tell them dark stools are a common side effect of ferrous sulfate

Question 38

A patient with a history of iron deficiency anemia comes into the ED with severe nausea, vomiting, diarrhea, and progresses into shock. When considering the pathophysiology and treatment of iron deficiency anemia, what prescription should the nurse anticipate an order for to treat the client’s current condition?

Answer 38

Deferoxamine (patient is experiencing iron toxicity and requires the antidote)

Question 38

A patient with a history of iron deficiency anemia comes into the ED with severe nausea, vomiting, diarrhea, and progresses into shock. When considering the pathophysiology and treatment of iron deficiency anemia, what prescription should the nurse anticipate an order for to treat the client’s current condition?

Answer 38

Deferoxamine (patient is experiencing iron toxicity and requires the antidote)

Question 39

Which lab value should be monitored in a patient taking epoetin alfa (Epogen)?

Answer 39

Hemoglobin