1. The nurse is caring for a patient taking cimetidine (Tagamet) orally. Which should the nurse consider
about administering this drug?
A) Administer the drug with the first bit of food
B) Administer the drug immediately after meals
C) Administer the drug 30 minutes after meals
D) Administer the drug 30 minutes before meals
2. The nurse is discharging a patient with a new patient for ranitidine (Zantac). Which information would be
important to include in the discharge teaching?
A) Thrombolytic thrombocytopenic purpura (TTP) may occur
B) Aspirin may be taken with this medication
C) The patient may experience iron deficiency anema
D) The patient may experience restlessness
3. A patient is prescribed sucralfate (Carafate) and asks the nurse what the purpose of taking this medication
is. Which is the nurse’s best response?
A) The medication helps reduce bacteria levels in the stomach
B) The medication helps neutralize gastric acid in the stomach
C) The medication is used to protect the gastrointestinal mucosa
D) The medication can reduce the patient’s constipation
4. The nurse is creating a class for older adults in the community. Which information about laxative use in
older adults would be important to include?
A) Laxative are not effective in older adults
B) All laxative are exactly the same
C) Over-the-counter laxatives are misused
D) Laxatives can cause potassium retention
5. The nurse is caring for a patient with a new order for an oral laxative. Which is a contraindication in
administering an oral laxative?
A) Cardiac problems
B) Abdominal pain of unknown origin
C) Several hemorrhoids
D) Chronic constipation
6. The nurse is studying antacids that contain magnesium and calcium for the pharmacology exam. The
student nurse remembers that these antacids should be used with caution in patients with which
condition?
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, A) Hypertension
B) Renal failure
C) Heart failure
D) Peptic ulcer disease
7. A patient asks the nurse how to best prevent constipation. Which class of laxative would the nurse
recommend to this patient?
A) Stimulant laxatives
B) Bulk-forming laxatives
C) Amollient laxatives
D) Hyperosomatic laxatives
8. The nurse is caring for patient with short term persistent diarrhea. Which class of medication would the
nurse anticipate giving?
A) Lubricants
B) Probiotics
C) Adsorbents
D) Anticholinergics
9. The nurse is creating community education about over-the-counter (OTC) antacids. Which information
about calcium antacids would be important to include?
A) They cause decreased gastric acid production
B) Long-term use may result in kidney stones
C) Long-term use may result in fluid retention
D) They may cause severe bouts of diarrhea
10. The nurse is administering an aluminum-based antacid to a patient. Which side effect of this drug should
the student consider?
A) Rebound hyperacidity
B) Acute constipation
C) Chronic indigestion
D) Dumping syndrome
11. The nurse is caring for a patient who has been taking bismuth subsalicylate (Pepto-Bismol) at home for
several weeks. During the morning assessment, the nurse notices the patient has blue gums while doing
the oral assessment. Which action would the nurse take?
A) Ask the patient what he had to drink with breakfast
B) This is a common side effect; nothing needs to be done
C) Ask the patient if he has been eating blur-colored fruits
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