unit 2 quiz

Question 1

Use of an opioid would be indicated in which of the following?
A) Mild pain
B) Severe pain
C) Nausea
D) Diarrhea

Answer 1

B) Severe pain

Question 2

Which of the following are potential adverse effects of opioids?
A) Nausea
B) Diarrhea
C) Respiratory depression
D) Urinary retention
E) Constipation

Answer 2

A) Nausea
C) Respiratory depression
D) Urinary retention
E) Constipation

Question 3

Which drug is considered most potent?
A) Acetaminophen
B) Hydrocodone
C) Hydromorphone
D) Morphine

Answer 3

C) Hydromorphone

Question 4

The maximum daily dose of acetaminophen in a healthy adult is 5 grams.
A) True
B) False

Answer 4

B) False

Question 5

The nurse is educating a client on their upcoming surgery using general anesthesia. Which of the following anesthetic agents would the nurse educate the client on?
A) Propafol
B) Lidocaine
C) Nitrous Oxide
D) Metoprolol

Answer 5

A) Propafol
C) Nitrous Oxide

Question 6

The nurse working in the OR is concerned the client is experiencing malignant hyperthermia. What would alert the nurse to this possibility?
A) Respiratory rate of 12
B) Blood pressure of 105/78
C) Temperature 102
D) Heart rate of 68

Answer 6

C) Temperature 102

Question 7

The ICU nurse is caring for a client on Rocuronium. The nurse should plan to administer a sedative along with this medication.
A) True
B) False

Answer 7

A) True

Question 8

The nurse is preparing for a procedure using conscious sedation. Which should the nurse ensure is present during the procedure?
A) BLS
B) ACLS
C) IV team
D) Anesthesiologist

Answer 8

B) ACLS

Question 9

The nurse realizes the rationale for administering a sedative to a client is to induce sleep?
A) True
B) False

Answer 9

B) False

Question 10

The nurse would instruct the client to avoid which of the following when taking a benzodiazepine?
A) Opioid
B) Alcohol
C) Acetaminophen
D) Grapefruit

Answer 10

C) Acetaminophen

Question 11

The nurse is caring for a 42-year-old female client and has received an order for Zolpidem 10mg po at bedtime. What is the nurse’s best action?
A) Administer the medication once the client is ready for bed
B) Give the medication with a full glass of water
C) Give medication in an IV dosage form
D) Call the ordering provider

Answer 11

D) Call the ordering provider

Question 12

The nurse is discharging a client on Cyclobenzaprine 10mg by mouth three times daily. Which of the following is critical to teach the client?
A) Take with food
B) Avoid drinking
C) Only take is needed
D) Avoid heavy lifting

Answer 12

B) Avoid drinking

Question 13

The nurse is educating a client that is being placed on methylphenidate. What adverse effects would the nurse teach the client to be alert for?
A) Decrease in heart rate
B) Anxiety
C) Double vision
D) Constipation

Answer 13

B) Anxiety

Question 14

The nurse is preparing to administer sumatriptan to a client with an acute migraine headache. The nurse plans to administer which dosage form because it has the most rapid onset of action?
A) By mouth
B) Nasal spray
C) Subcutaneous

Answer 14

C) Subcutaneous

Question 15

The nurse is preparinf to administer caffeine to a premature neonate. The appropriate for to administer is caffeine sodium benzoate.
A) True
B) False

Answer 15

B) False

Question 16

The nurse is educating the parent of a child placed on a stimulant for ADHD. The child typically goes to bed at 9:00pm. What would the nurse tell the parent is the latest tiem a dose of the medication can be administered?
A) 1:00pm
B) 2:00pm
C) 3:00pm
D) 5:00pm

Answer 16

D) 5:00pm

Question 17

The nurse is caring for a client that just experienced their first seizure. The nurse anticipates the client will be placed on a maintenance medication for the prevention of seizures.
A) True
B) False

Answer 17

B) False

Question 18

The nurse understands that which of the following adverse effects are common in most antiepileptic medications?
A) Nausea
B) Vomiting
C) Constipation
D) Diarrhea
E) Anxiety

Answer 18

A) Nausea
B) Vomiting
D) Diarrhea

Question 19

The nurse is caring for a client that has an order of Gabapentin 400mg to take 3 tablets four times daily. The nurse understands this is a safe dose.
A) True
B) False

Answer 19

B) False

Question 20

The nurse is caring for a client receiving a phenytoin infusion. The nurse checks the client blood pressure and it is 88/60. What is the nurse’s priority action.
A) Call the provider
B) Call a rapid response
C) Stop infusion
D) Recheck the blood pressure in 5 minutes

Answer 20

C) Stop infusion

Question 21

The nurse is caring for a client that is taking Selegiline by mouth. At which total dose would the nurse be concerned that the medication is losing its MSOI-B selectivity
A) 2.5mg daily
B) 5mg daily
C) 10mg daily
D) 20mg daily

Answer 21

D) 20mg daily

Question 22

The nurse is caring for a client on Bromocriptine that has been admitted for pneumonia and placed on erythromycin. What is the nurses best action?
A) Call the healthcare provider
B) Administer the erythromycin
C) Hold the bromocriptine
D) Draw labs for a white blood cell count

Answer 22

A) Call the healthcare provider

Question 23

The nurse is caring for a client receiving an anticholinergic. What potential adverse effects does the nurse expect with this medication?
A) Dry mouth
B) Urinary retention
C) Constricted pupils
D) Blurred vision
E) Bradycardia

Answer 23

A) Dry mouth
B) Urinary retention
D) Blurred vision

Question 24

Which of the following is important for the nurse to implement when caring for a client that is receiving antiparkinson medications?
A) Administer all medications right before bedtime
B) Encourage a high protein diet
C) Increase fluid intake
D) Administer all medications on an empty stomach

Answer 24

C) Increase fluid intake

Question 25

The nurse is caring for a client in the emergency department that presented with a panic attack. The nurse anticipates administering Buspirone 10mg po stat. A) True B) False

Answer 25

B) False

Question 26

The nurse is caring for a client on lithium. Which of the following is crucial in caring for this client? A) Giving the medication on an empty stomach B) Drawing lithium level daily C) Maintaining consistent sodium intake D) Restricting fluid intake to 500ml/day

Answer 26

C) Maintaining consistent sodium intake

Question 27

The nurse is discharging a client on fluoxetine 20mg/day. Which of the following should the nurse include in teaching? A) Weight gain may occur B) You should see improvement in 2-4 weeks C) Sexual dysfunction may occur D) Avoid the use of St. John’s Wort E) If you experience insomnia, stop the medication and notify your provider

Answer 27

A) Weight gain may occur C) Sexual dysfunction may occur D) Avoid the use of St. John’s Wort

Question 28

The nurse is caring for a client recently started on an SSRI. At what point would the nurse be most concerned about suicide potential? A) 7 days after initiation of therapy B) 2 weeks after initiation of therapy C) 4 weeks after initiation of therapy D) 2 months after initiation of therapy

Answer 28

C) 4 weeks after initiation of therapy

Question 29

The nurse caring for a client experiencing a methamphetamine overdose must be alert to which of the following complications associated with excessive drug induced muscular contractions? A) Tachycardia B) Hypertension C) Hyperthermia D) Bradypnea

Answer 29

C) Hyperthermia

Question 30

The nurse is educating a client on the use of disulfiram. Which statement would indicate the need for further teaching? A) I should not drink any alcohol while taking B) I can drink alcohol as long as I wait 8 hours after taking the medication C) I will have nausea & vomiting if I drink alcohol while taking this medication D) This medication is to help me not drink any alcohol

Answer 30

B) I can drink alcohol as long as I wait 8 hours after taking the medication

Question 31

Asking the question, “Do you abuse any substances?” is an appropriate way to gain information form a client about substance abuse A) True B) False

Answer 31

B) False