Davis's Drug Guide for Nurses 15th Edition Test Bank by April Hazard Vallerand, Cynthia A. Sanoski
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Davis's Canadian Drug Guide for Nurses 15th Edition Test Bank
Drug Guide Test Bank 1
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is providing care for a patient scheduled to take Precose (acarbose)
25 mg three times daily with meals. The patient reports feeling sweaty, weak,
and tremulous. Which of the following actions by the nurse is best?
a. Reassure the patient that these are common side effects with the medication.
b. Call the pharmacy to report an adverse drug reaction.
c. Check the patient’s blood glucose level.
d. Determine if the patient has a history of anemia.
____ 2. While responding to a rapid response called on fthe cardiac step-down unit, the nurse from intensive
care observes the unit nurse massaging a patient’s neck and instructing the patient to bear down.
Which of the following medications will most likely be used if the patient’s pulse does not return to
normal?
a. Adenocard (adenosine)
b. Adrenaline (epinephrine)
c. Tenormin (atenolol)
d. Saphris (asenapine)
____ 3. The nurse is instructing the parent of a 6-year-old patient recently started on a ProAir HFA (albuterol)
inhaler for exercise-induced asthma. The nurse recognizes that further teaching is necessary by which
of the following client statements?
a. “He may feel like his heart is racing after he takes his inhaler.”
b. “He can use the inhaler as many times during football practice as he needs it.”
c. “He should avoid cola and other caffeinated drinks since they may increase his heart rate.”
d. “He should take two puffs about 15 minutes before gym class.”
____ 4. While providing care for an adolescent patient newly prescribed Elavil (amitriptyline), the nurse
should be most concerned by which of the following patient statements?
a. “My mouth seems really dry and I’m thirsty all the time.”
b. “I take a nap most afternoons now because I feel sleepy sometimes.”
c. “I’m not sure why we should even bother anymore; everything seems so pointless.”
d. “I drink a cup of coffee most days with breakfast.”
____ 5. The nurse is caring for a patient with otitis media who reports an allergy to penicillin. Orders are
received for ampicillin 500 mg every 8 hr. Which of the following actions by the nurse is best?
a. Provide the medication as ordered.
b. Call the pharmacist to request a substitution.
c. Ask the patient if he or she has taken ampicillin in the past.
d. Hold the medication.
, Davis's Canadian Drug Guide for Nurses 15th Edition Test Bank
____ 6. While caring for a patient in hospice who is actively dying, the nurse notes moderate respiratory
distress, copious oral secretion, and a frequent moist cough. Which of the following prn medications
would most promote comfort for the patient?
a. Morphine (morphine sulfate) 2 mg IV bolus
b. Atro-Pen (atropine) 0.4 mg IV bolus
c. Ativan (lorazepam) 0.5 mg IV bolus
d. Benadryl (diphenhydramine) 25 mg IV bolus
____ 7. The nurse is counseling a patient started on Zithromax (azithromycin) for the treatment of an upper
respiratory infection. The nurse recognizes that teaching has been effective by which of the following
patient statements?
a. “The med pack will have five pills, one for each of the next 5 days.”
b. “If I don’t feel better next week, I can get a refill from the pharmacist.”
c. “I only need to take one pill, but my symptoms may not clear for 3 days.”
d. “I can take this medication safely even though I’m allergic to erythromycin.”
____ 8. The home-care nurse is preparing to see a patient being treated for diabetic foot ulcerations with
Regranex (becaplermin). Which of the following instructions will the nurse include in the patient
teaching?
a. “Apply the wound gel three times daily to promote healing.”
b. “Store the gel in the refrigerator.”
c. “Complete healing is expected within 3 days.”
d. “After applying the wound gel, cover with a transparent adhesive dressing.”
____ 9. The nurse is tracking patient symptoms related to acute alcohol intoxication and withdrawal. Which of
the following medications would the nurse expect to provide in the management of these symptoms?
a. Plavix (clopidogrel)
b. Zyban (bupropion)
c. Prilosec (omeprazole)
d. Tranxene (clorazepate)
____ 10. The nurse prepares to provide Colcrys (colchicine) to a patient. The nurse should assess which of the
following prior to administration of the medication?
a. Blood pressure
b. Complete blood count
c. Triglyceride level
d. Oxygen saturation
____ 11. The nurse is transcribing new orders for a patient with multiple sclerosis. Amrix (cyclobenzaprine) 10
mg orally three times daily has been ordered. Which of the following would require an immediate
intervention by the nurse?
a. The patient has a noted allergy to acetaminophen.
b. The patient has a family history of breast cancer.
c. The patient is currently taking Nardil (phenelzine).
d. The patient is diabetic.
____ 12. The nurse is preparing to provide medications for a patient newly admitted with a cerebral vascular
accident who reportedly had difficulty swallowing pills during the previous shift. The nurse plans to
crush the patient’s medications and provide them in applesauce. Which of the following medications
will require an alternative form of administration?
a. Aspirin 81 mg daily
b. Enablex (darifenacin-XR) 15 mg daily
c. Claritin (loratadine) 10 mg daily
d. CalCarb (calcium carbonate) 500 mg daily
, Davis's Canadian Drug Guide for Nurses 15th Edition Test Bank
____ 13. The nurse receives a call from a patient who recently began taking Zyrtec (cetirizine) 5 mg daily. The
patient reports that her mouth frequently feels dry. Which of the following responses by the nurse is
best?
a. “Dry mouth is a common side effect of Zyrtec. Rinse your mouth frequently, and try using
sugarless chewing gum or candy for relief.”
b. “You may be taking too strong of a dose. You should take half a pill each day to reduce the
risk of side effects.”
c. “You might be having an allergic reaction to the medication. Are you able to come to the
doctor’s office today?”
d. “It is important that you take the medication with a full meal and drink at least 12 glasses
of water each day.”
____ 14. The nurse is caring for a patient who takes Dexedrine (dextroamphetamine). The nurse should be most
concerned by which of the following patient statements?
a. “I seem to be able to focus better and I’m less distracted now.”
b. “I’ve been having some trouble falling asleep at night lately.”
c. “I started taking St. John’s wort this week to help with my depression.”
d. “I forgot to take my medication in the morning last week so I took it at lunch time.”
____ 15. The nurse receives orders to begin Cardura (doxazosin) 1 mg daily with the first dose to start today.
Which of the following assessments is the highest priority within the first 2 to 4 hr after provision?
a. Urinary output
b. Respiratory rate
c. Pain relief
d. Orthostatic hypotension
____ 16. The nurse is providing care for a patient who returned from surgery 4 hr earlier. The patient reports
adequate pain control with the use of patient-controlled analgesia but states she is having significant
nausea. Which of the following medications should the nurse provide?
a. Inapsine (droperidol) 2.5 mg IV
b. Benadryl (diphenhydramine) 25 mg IV
c. Morphine (morphine sulfate) 2 mg IV
d. Colace 100 mg po
____ 17. The nurse is counseling a patient with diabetes, hypertension, and chronic obstructive pulmonary
disease on his medications. To verify patient understanding of his medications, the nurse states, “You
are taking Cymbalta (duloxetine) 60 mg once a day; do you know why you take that medication?” The
nurse determines the patient has a good understanding of his medications if which of the following
responses is given?
a. “I take that one to keep my blood sugar under control.”
b. “I don’t know honey, is that my little blue pill?”
c. “That helps with the pain in my feet.”
d. “I think that is to lower my blood pressure.”
____ 18. While providing care for patients on a neuroscience unit, which of the following medications should
the nurse provide first?
a. Dantrium (dantrolene) 1 mg/kg IV to a patient with malignant hyperthermia
b. Norpramin (desipramine) 100 mg orally to a patient admitted with syncope
c. Enablex (darifenacin) 15 mg orally to a patient admitted for cerebrovascular accident
d. Cymbalta (duloxetine) 20 mg to a patient with diabetes
____ 19. The nurse is caring for a patient with a history of Parkinson disease who recently started taking
Comtan (entacapone). The nurse notes the patient’s urine has a brownish-orange discoloration. Which
of the following actions should the nurse take next?
a. Notify the physician.
b. Determine the patient’s current weight.
, Davis's Canadian Drug Guide for Nurses 15th Edition Test Bank
c. Ask the patient what he or she ate for breakfast.
d. Note the assessment finding in the chart.
____ 20. A young woman reports to the emergency department with frank vaginal bleeding and a stated history
of being 10 wk pregnant. Ultrasound confirms an incomplete miscarriage, and the woman is scheduled
for a dilatation and curettage. Which of the following medications should the nurse anticipate being
provided after the surgical procedure?
a. Rheumatrex (methotrexate)
b. Methergine (methylergonovine)
c. Magnesium sulfate
d. Terbutaline
____ 21. The nurse is assisting in the discharge of a patient with a peripherally inserted central catheter (PICC)
who will receive antibiotic therapy with Invanz (ertapenem) at home under the direction of a home
health-care agency. The nurse recognizes that teaching has been effective by which of the following
client statements?
a. “The nurses will come out every 6 hours to provide the IV antibiotic.”
b. “If the dressing over the PICC line pulls back, the nurse will change it the next day.”
c. “I will have to get the antibiotic once a day, usually for 2 weeks.”
d. “Since I’m not allergic to penicillin, I won’t be allergic to this medication.”
____ 22. A nursing faculty is observing a student nurse prepare and provide morning medications including
Nexium (esomeprazole) to a patient with a nasogastric (NG) tube. The nurse should intervene if which
of the following is noted?
a. The student asks the patient to state his name and birth date prior to preparing the
medication.
b. The student opens the pellet and mixes the granules with 50 mL of water.
c. The student uses a 60 mL cath-tipped syringe to instill the medication into the NG tube.
d. The student unclamped the NG tube immediately after instilling the medication and
initiates continuous tube feeding.
____ 23. The nurse caring for patients on a gynecological surgery unit would monitor which of the following
women most closely for evidence of a deep vein thrombosis?
a. A 64-year-old patient taking Ascol (mesalamine) who has a history of ulcerative colitis.
b. A 47-year-old patient admitted for lumpectomy with a family history of breast cancer.
c. A 58-year-old patient taking Estrace (estradiol) with a 42-pack-per-year history of
smoking.
d. A 61-year-old patient who had a bladder-sling procedure whose platelet count is 167,000
cells/mm3.
____ 24. A student nurse is taking care of patients on a medical unit and receives new orders for Lunesta
(eszopiclone) 2 mg orally each evening. In transcribing this order, the student should take which of the
following actions?
a. Schedule the medication routinely at 6 p.m.
b. Schedule the medication 1 hr prior to the evening meal.
c. Call the pharmacy to ask what time the medication should be given.
d. Schedule the medication at bedtime.
____ 25. While reviewing medications to be provided by a student nurse, the instructor notes a patient is
scheduled to take Famvir (famciclovir) 500 mg orally every 8 hr. The instructor suspects the patient
most likely has which of the following diagnoses?
a. Methicillin-resistant Staphylococcus aureus (MRSA) infection
b. Hepatic encephalopathy
c. Herpes zoster
d. Bacterial pneumonia
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