1. The nurse is talking with a new mother about medications that can be safely resumed
now that she is no longer pregnant. All the following medications are contraindicated during
pregnancy, but which one may be ingested while breastfeeding without causing known in-
fant harm?
A) Lithium
B) Methotrexate
C) Ibuprofen
D) Nicotine - ANSWER C) Ibuprofen
2. Which statement by a client indicates an understanding of self-care precautions when tak-
ing warfarin?
A) "My warfarin dose may need to be readjusted when I take a course of antibiotics."
B) "I should expect pink urine due to metabolic bi-products of the dye used in this medica-
tion."
C) "Herbal remedies are fine, but I shouldn't take aspirin without consulting my provider."
D) "I should eat spinach to increase my iron count if my INR goes below two." - ANSWER
A) "My warfarin dose may need to be readjusted when I take a course of antibiotics."
3. Male client tells the nurse he awakens once or twice each night to video and has difficulty
starting his stream of urine. He describes these symptoms as " annoying." The client pro-
vider examines him and notes that the prostate is moderately enlarged. The client is sexually
active and tells the nurse that he doesn't want to take any medication that will interfere with
sexual function. THe nurse anticipates the provider will order which of the following?
A) Silodosin
B) A transurethral prostatectomy
C) Finasteride
D) Doxazosin - ANSWER D) Doxazosin
1
,4.A 50-year-old postmenopausal cleint who has had a hysterectomy has moderate to severe
hot flashes and is discussing estrogen therapy with the nurse. What will the nurse tell the cli-
ent regarding the side effect of estrogen therapy?
A) An estrogen progesterone product will increase side effects
B) Transdermal preparations of estrogen therapy have reduced side effects.
C) Side effects of estrogen therapy are uncommon among women of her age.
D) An intravaginal preparation may be best. - ANSWER B) Transdermal preparations of es-
trogen therapy have reduced side effects.
5. A Client has an infection caused by pseudomonas aeruginosa, and the prescriber has or-
dered intravenous piperacillin and tobramycin. Why might the nurse question this combina-
tion of antibiotics?
A) This combination causes tendon rupture.
B) Aminoglycosides are inactivated by penicillins.
C) Aminoglycosides alone are adequate against pseudomonas. There is no need to risk peni-
cillin allergy.
D) Aminoglycosides increase the risk of penicillin allergy. - ANSWER B) Aminoglycosides
are inactivated by penicillins.
6. A client with bronchitis is taking trimethoprim/sulfamethoxazole 160/800 mg orally, twice
daily. Before administering the third dose, the nurse observes the client has a widespread
rash, a temperature and a heart rate of 100 beats/min. The client looks ill and reports not
feeling well. What is the nurse's response?
A) Request an order for intravenous trimethoprim/ sulfamethoxazole.
B) Initiate probiotics.
C) Withhold the treatment and notify the provider of the symptoms.
D) Administer the dose and request an order for an antipyretic medication. - ANSWER C)
Withhold the treatment and notify the provider of the symptoms.
2
, 7. A client with cancer has been taking an opioid analgesic four times daily for chronic pain
and reports needing increased doses for pain. What will the nurse tell the client?
A- Over time, people can develop tolerance to opioids. We can discuss increasing your dose
with the provider.
B- Take your medication more often to help control the pain
C- You are addicted and should take a different medication. We can discuss this with your
provider.
D- The risk of respiratory depression increases over time - ANSWER A- Over time, people
can develop tolerance to opioids. We can discuss increasing your dose with the provider.
8) A client who is suffering from an acute gout attack wants to know how colchicine differs
from probenecid and allopurinol in its actions. Which of these statements shows the need
for further teaching regarding purpose and use of medications?
A- Allopurinol prevents the synthesis of uric acid.
B- All of these medications should be taken concurrently during an acute attack, and NSAIDS
should be added for pain control.
C- Colchicine reduces inflammation caused by uric acid
D- Probenecid facilitates the elimination of uric acid in the nephrons - ANSWER B) All of
these medications should be taken concurrently during an acute attack, and NSAIDS should
be added for pain control.
9. The nurse understands that a bronchodilator would be most therapeutic in which situa-
tion?
A- Irregular respiration, snoring, and intermittent episodes of apnea
B- fine, scattered crackles heard bilaterally in the bases
C- course crackles in the right lower lobe
D- Shallow breath sounds with wheezing sounds in the upper lobes - ANSWER D- Shallow
breath sounds with wheezing sounds in the upper lobes
10. The parents of a child with asthma ask the nurse why their child cannot use oral cortico-
steroids more often because they are so effective. What is the correct response by the
nurse?
3
now that she is no longer pregnant. All the following medications are contraindicated during
pregnancy, but which one may be ingested while breastfeeding without causing known in-
fant harm?
A) Lithium
B) Methotrexate
C) Ibuprofen
D) Nicotine - ANSWER C) Ibuprofen
2. Which statement by a client indicates an understanding of self-care precautions when tak-
ing warfarin?
A) "My warfarin dose may need to be readjusted when I take a course of antibiotics."
B) "I should expect pink urine due to metabolic bi-products of the dye used in this medica-
tion."
C) "Herbal remedies are fine, but I shouldn't take aspirin without consulting my provider."
D) "I should eat spinach to increase my iron count if my INR goes below two." - ANSWER
A) "My warfarin dose may need to be readjusted when I take a course of antibiotics."
3. Male client tells the nurse he awakens once or twice each night to video and has difficulty
starting his stream of urine. He describes these symptoms as " annoying." The client pro-
vider examines him and notes that the prostate is moderately enlarged. The client is sexually
active and tells the nurse that he doesn't want to take any medication that will interfere with
sexual function. THe nurse anticipates the provider will order which of the following?
A) Silodosin
B) A transurethral prostatectomy
C) Finasteride
D) Doxazosin - ANSWER D) Doxazosin
1
,4.A 50-year-old postmenopausal cleint who has had a hysterectomy has moderate to severe
hot flashes and is discussing estrogen therapy with the nurse. What will the nurse tell the cli-
ent regarding the side effect of estrogen therapy?
A) An estrogen progesterone product will increase side effects
B) Transdermal preparations of estrogen therapy have reduced side effects.
C) Side effects of estrogen therapy are uncommon among women of her age.
D) An intravaginal preparation may be best. - ANSWER B) Transdermal preparations of es-
trogen therapy have reduced side effects.
5. A Client has an infection caused by pseudomonas aeruginosa, and the prescriber has or-
dered intravenous piperacillin and tobramycin. Why might the nurse question this combina-
tion of antibiotics?
A) This combination causes tendon rupture.
B) Aminoglycosides are inactivated by penicillins.
C) Aminoglycosides alone are adequate against pseudomonas. There is no need to risk peni-
cillin allergy.
D) Aminoglycosides increase the risk of penicillin allergy. - ANSWER B) Aminoglycosides
are inactivated by penicillins.
6. A client with bronchitis is taking trimethoprim/sulfamethoxazole 160/800 mg orally, twice
daily. Before administering the third dose, the nurse observes the client has a widespread
rash, a temperature and a heart rate of 100 beats/min. The client looks ill and reports not
feeling well. What is the nurse's response?
A) Request an order for intravenous trimethoprim/ sulfamethoxazole.
B) Initiate probiotics.
C) Withhold the treatment and notify the provider of the symptoms.
D) Administer the dose and request an order for an antipyretic medication. - ANSWER C)
Withhold the treatment and notify the provider of the symptoms.
2
, 7. A client with cancer has been taking an opioid analgesic four times daily for chronic pain
and reports needing increased doses for pain. What will the nurse tell the client?
A- Over time, people can develop tolerance to opioids. We can discuss increasing your dose
with the provider.
B- Take your medication more often to help control the pain
C- You are addicted and should take a different medication. We can discuss this with your
provider.
D- The risk of respiratory depression increases over time - ANSWER A- Over time, people
can develop tolerance to opioids. We can discuss increasing your dose with the provider.
8) A client who is suffering from an acute gout attack wants to know how colchicine differs
from probenecid and allopurinol in its actions. Which of these statements shows the need
for further teaching regarding purpose and use of medications?
A- Allopurinol prevents the synthesis of uric acid.
B- All of these medications should be taken concurrently during an acute attack, and NSAIDS
should be added for pain control.
C- Colchicine reduces inflammation caused by uric acid
D- Probenecid facilitates the elimination of uric acid in the nephrons - ANSWER B) All of
these medications should be taken concurrently during an acute attack, and NSAIDS should
be added for pain control.
9. The nurse understands that a bronchodilator would be most therapeutic in which situa-
tion?
A- Irregular respiration, snoring, and intermittent episodes of apnea
B- fine, scattered crackles heard bilaterally in the bases
C- course crackles in the right lower lobe
D- Shallow breath sounds with wheezing sounds in the upper lobes - ANSWER D- Shallow
breath sounds with wheezing sounds in the upper lobes
10. The parents of a child with asthma ask the nurse why their child cannot use oral cortico-
steroids more often because they are so effective. What is the correct response by the
nurse?
3
