Q.1) Two patients arrive at the clinic; one is a young boy
with sickle cell anemia, and another is a 57 year old
woman with early stages of Hodgkin’s disease. The
nurse notices that both patients need the same vaccine.
What vaccine would that be?
A. A. Varicella virus vaccine
(varivax)
B. B. Herpes zoster vaccine
(zostavax)
C. C. Hepatitis B virus
vaccine, inactivated
(recombivax HB) (Your
Answer)
D. D. Haemophilus influenza
type b (Hib) vaccine (Correct
Answer)
Incorrect
Q.2) A 30 year old woman in the clinic for her yearly gynecologic exam and asks
the nurse about the ‘’ new vaccine that prevents HPV’’ She wants to receive
the papillomavirus vaccine (gardisil). Which response by the nurse is most
appropriate?
A. A. this vaccine is recommended for women 13 to 26 years of age (Correct
Answer)
B. B. we will need to make sure you are not pregnant first (Your Answer)
C. C. there will be a total of three injections
D. D. I will check with your health care provider and then get the first dose of
the vaccine ready
Incorrect
Q.3) A 49-year-old patient is in the clinic for a follow-up
visit 6 months after starting a beta-blocker for
treatment of hypertension. During this visit, his blood
pressure is 169/98 mm Hg, and he eventually confesses
that he stopped taking this medicine 2 months ago
because of an “embarrassing problem.” What problem
did the most likely experience with this medication that
caused him to stop taking it?
A. Urge incontinence
B. Dizziness when standing
up
, C. Excessive flatus (Your Answer)
D. Impotence (Correct Answer)
Incorrect
Q.4) The nurse is administering the phosphodiesterase inhibitor milrinone
(Primacor) recognizes that this drug will have a positive inotropic effect.
Which results reflects this effect?
A. Increased heart
B. Increased blood vessel dilation
C. Increased force of cardiac contraction (Correct Answer)
D. Increase conduction of electrical impulses across the heart (Your Answer)
Incorrect
Q.5) A patient is receiving a dose of edrophonium
(Tensilon). The nurse recognizes that this drug is given
to determine the diagnosis of which disease?
A. Myasthenia Gravis (Correct
Answer)
B. Multiple Sclerosis
C. Parkinson’s disease (Your
Answer)
D. Alzheimer’s Disease
Incorrect
Q.6) 6. A patient who has had a liver transplant is taking mycophenolate (cellcept)
for the prevention of organ rejection. She tells the nurse that she wants
children. The nurse explains that the medication she is currently prescribed
A. A. Can be taken safely with grapefruit juice stirred in a Styrofoam
container
B. B. Can cause multiple births (Your Answer)
C. C. Can cause congenital malformation or spontaneous abortions during
pregnancy. (Correct Answer)
D. D. Can be taken during the first trimester
Incorrect
Q.7) A patient’s blood pressure elevates to 270/150 mm Hg,
and a hypertensive emergency is obvious. He is
transferred to the intensive care unit and started on a
sodium nitroprusside (Nipride) drip to be titrated per
his response. With the medication, the nurse knows that
, the maximum dose of this drug should be infused for
how long?
A. 10 minutes (Correct Answer)
B. 30 minutes
C. 1 hour
D. 24 hours (Your Answer)
Incorrect
Q.8) During interleukin drug therapy, a patient is showing signs of severe fluid
retention, with increasing dyspnea and severe peripheral edema. The next
dose of the interleukin is due now. Which action will the nurse take next?
A. A. Hold the drug, and notify the prescriber (Correct Answer)
B. B. Give the drug, and notify the prescriber
C. C. Give the drug along with acetaminophen and diphenhydramine
(Benadryl)(Your Answer)
D. D. Monitor the patient for 2 hours, and then give the drug if the patients
conditions improves.
Correct
Q.9) A patient is receiving irinotecan (Camptosar), along
with other antineoplastic drugs, as treatment for
ovarian cancer. The nurse will monitor for potentially
life-threatening adverse effect that is associated with
this drug?
A. A. Severe stomatitis
B. B. Bone marrow
suppression
C. C. Delayed-onset
cholinergic diarrhea (Your
Answer)
D. D. Immediate and severe
nausea and vomiting
Incorrect
Q.10) 7. A 45 year old man has received a series of immunizing drugs in
preparation for a trip to a developing country. Within hours, his wife brings
him to the emergency department because he has developed edema to the
face, tongue, and throat and is having trouble breathing. The nurse suspects
that based on the patients history and symptoms, he is experiencing which
condition?
, A. A. Serum sickness (Correct Answer)
B. B. Cross-sensitivity (Your Answer)
C. C. Thrombocytopenia purpura
D. D. Adenopathy
Incorrect
Q.11) A female patient is receiving palliative therapy with
androgen hormones as part of treatment for inoperable
breast cancer. The nurse will discuss with the patient
which potential body image changes that may occur as
adverse effects?
A. A. Hirsutism and acne
(Correct Answer)
B. B. Weight gain (Your Answer)
C. C. Flushing and hot flashes
D. D. Alopecia and body odor
Incorrect
Q.12) A patient is to receive iron dextran injections. Which technique is
appropriate when the nurse is administering this medication?
A. A. Intravenous administration mixed with 5% dextrose
B. B. Intramuscular injection in the upper arm (Your Answer)
C. C. Intramuscular injection using the z track method (Correct Answer)
D. D. Subcutaneous injection into the abdomen
Incorrect
Q.13) A patient with motion sickness is planning a cross-
country car trip and has a new prescription for a
scopolamine transdermal patch. The nurse provides
teaching for the use of this patch medication. The
patient shows a correct understanding of the teaching
with which statement?
A. A. I will change the patch
every day (Your Answer)
B. B. I will change the patch
every other day
C. C. I will change the patch
every 3 days (Correct Answer)
D. D. I will change the patch
every hour.
with sickle cell anemia, and another is a 57 year old
woman with early stages of Hodgkin’s disease. The
nurse notices that both patients need the same vaccine.
What vaccine would that be?
A. A. Varicella virus vaccine
(varivax)
B. B. Herpes zoster vaccine
(zostavax)
C. C. Hepatitis B virus
vaccine, inactivated
(recombivax HB) (Your
Answer)
D. D. Haemophilus influenza
type b (Hib) vaccine (Correct
Answer)
Incorrect
Q.2) A 30 year old woman in the clinic for her yearly gynecologic exam and asks
the nurse about the ‘’ new vaccine that prevents HPV’’ She wants to receive
the papillomavirus vaccine (gardisil). Which response by the nurse is most
appropriate?
A. A. this vaccine is recommended for women 13 to 26 years of age (Correct
Answer)
B. B. we will need to make sure you are not pregnant first (Your Answer)
C. C. there will be a total of three injections
D. D. I will check with your health care provider and then get the first dose of
the vaccine ready
Incorrect
Q.3) A 49-year-old patient is in the clinic for a follow-up
visit 6 months after starting a beta-blocker for
treatment of hypertension. During this visit, his blood
pressure is 169/98 mm Hg, and he eventually confesses
that he stopped taking this medicine 2 months ago
because of an “embarrassing problem.” What problem
did the most likely experience with this medication that
caused him to stop taking it?
A. Urge incontinence
B. Dizziness when standing
up
, C. Excessive flatus (Your Answer)
D. Impotence (Correct Answer)
Incorrect
Q.4) The nurse is administering the phosphodiesterase inhibitor milrinone
(Primacor) recognizes that this drug will have a positive inotropic effect.
Which results reflects this effect?
A. Increased heart
B. Increased blood vessel dilation
C. Increased force of cardiac contraction (Correct Answer)
D. Increase conduction of electrical impulses across the heart (Your Answer)
Incorrect
Q.5) A patient is receiving a dose of edrophonium
(Tensilon). The nurse recognizes that this drug is given
to determine the diagnosis of which disease?
A. Myasthenia Gravis (Correct
Answer)
B. Multiple Sclerosis
C. Parkinson’s disease (Your
Answer)
D. Alzheimer’s Disease
Incorrect
Q.6) 6. A patient who has had a liver transplant is taking mycophenolate (cellcept)
for the prevention of organ rejection. She tells the nurse that she wants
children. The nurse explains that the medication she is currently prescribed
A. A. Can be taken safely with grapefruit juice stirred in a Styrofoam
container
B. B. Can cause multiple births (Your Answer)
C. C. Can cause congenital malformation or spontaneous abortions during
pregnancy. (Correct Answer)
D. D. Can be taken during the first trimester
Incorrect
Q.7) A patient’s blood pressure elevates to 270/150 mm Hg,
and a hypertensive emergency is obvious. He is
transferred to the intensive care unit and started on a
sodium nitroprusside (Nipride) drip to be titrated per
his response. With the medication, the nurse knows that
, the maximum dose of this drug should be infused for
how long?
A. 10 minutes (Correct Answer)
B. 30 minutes
C. 1 hour
D. 24 hours (Your Answer)
Incorrect
Q.8) During interleukin drug therapy, a patient is showing signs of severe fluid
retention, with increasing dyspnea and severe peripheral edema. The next
dose of the interleukin is due now. Which action will the nurse take next?
A. A. Hold the drug, and notify the prescriber (Correct Answer)
B. B. Give the drug, and notify the prescriber
C. C. Give the drug along with acetaminophen and diphenhydramine
(Benadryl)(Your Answer)
D. D. Monitor the patient for 2 hours, and then give the drug if the patients
conditions improves.
Correct
Q.9) A patient is receiving irinotecan (Camptosar), along
with other antineoplastic drugs, as treatment for
ovarian cancer. The nurse will monitor for potentially
life-threatening adverse effect that is associated with
this drug?
A. A. Severe stomatitis
B. B. Bone marrow
suppression
C. C. Delayed-onset
cholinergic diarrhea (Your
Answer)
D. D. Immediate and severe
nausea and vomiting
Incorrect
Q.10) 7. A 45 year old man has received a series of immunizing drugs in
preparation for a trip to a developing country. Within hours, his wife brings
him to the emergency department because he has developed edema to the
face, tongue, and throat and is having trouble breathing. The nurse suspects
that based on the patients history and symptoms, he is experiencing which
condition?
, A. A. Serum sickness (Correct Answer)
B. B. Cross-sensitivity (Your Answer)
C. C. Thrombocytopenia purpura
D. D. Adenopathy
Incorrect
Q.11) A female patient is receiving palliative therapy with
androgen hormones as part of treatment for inoperable
breast cancer. The nurse will discuss with the patient
which potential body image changes that may occur as
adverse effects?
A. A. Hirsutism and acne
(Correct Answer)
B. B. Weight gain (Your Answer)
C. C. Flushing and hot flashes
D. D. Alopecia and body odor
Incorrect
Q.12) A patient is to receive iron dextran injections. Which technique is
appropriate when the nurse is administering this medication?
A. A. Intravenous administration mixed with 5% dextrose
B. B. Intramuscular injection in the upper arm (Your Answer)
C. C. Intramuscular injection using the z track method (Correct Answer)
D. D. Subcutaneous injection into the abdomen
Incorrect
Q.13) A patient with motion sickness is planning a cross-
country car trip and has a new prescription for a
scopolamine transdermal patch. The nurse provides
teaching for the use of this patch medication. The
patient shows a correct understanding of the teaching
with which statement?
A. A. I will change the patch
every day (Your Answer)
B. B. I will change the patch
every other day
C. C. I will change the patch
every 3 days (Correct Answer)
D. D. I will change the patch
every hour.
