nursing
Question 1
A nurse practitioner is reviewing the prepregnancy medication regimen of a patient who has just
had a positive pregnancy test. The nurse should be aware of which of the following changes in
pharmacokinetics that accompanies pregnancy?
A.
Hepatic metabolism of drugs that are normally metabolized by the kidneys
B.
Decreased excretion rates as a result of decreased glomerular filtration rate during pregnancy
C.
Decreased absorption of inhaled drugs due to decreased tidal volume
D.
Increased drug distribution resulting from hemodynamic changes
Question 2
The nurse recognizes that the potential for teratogenic drug effects is not static throughout the
prenatal and postnatal periods. The potential for teratogenic effects is highest during
A.
the first 2 months of pregnancy.
B.
the second trimester.
C.
breast-feeding of the neonate.
D.
the two to 3 weeks prior to delivery.
Question 3
A nurse is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline
(Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will
the nurse take to decrease the risk of hypotension and promote circulation to the fetus?
A.
Instruct the patient to notify the nurse if she experiences palpitations.
B.
Instruct the patient to lie on her back during the infusion.
C.
Instruct the patient to limit the amount of her fluid intake during the therapy.
D.
Instruct the patient to lie on her left side during the infusion.
Question 4
A patient is being discharged from the hospital and will be taking oxybutynin (Ditropan) for
overactive bladder. The nurse will instruct the patient that she will be taking a medication
A.
that may be prescribed as a patch and which may cause dry mouth.
B.
that will be administered as a weekly IM injection in an outpatient setting.
, C.
that will be provided in pill form and which may cause lightheadedness.
D.
that can be inhaled and that may cause occasional heart palpitations.
Question 5
A woman who is in the second trimester of her first pregnancy has been experiencing frequent
headaches and has sought advice from her nurse practitioner about safe treatment options. What
analgesic can the nurse most safely recommend?
A.
Diflunisal (Dolobid)
B.
Acetaminophen
C.
Ibuprofen
D.
Aspirin
Question 6
A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a
follow-up visit to the clinic, the nurse will question the patient about which of the following?
A.
Headaches
B.
Dental hygiene practices
C.
Chronic diarrhea
D.
Diet
Question 7
A 36-year-old patient comes to the clinic and tells the nurse that she suspects that she is pregnant.
During the initial assessment, the nurse learns that the patient is currently taking medications for
diabetes, hypertension, and a seizure disorder. The nurse would be most concerned about which
of the following medications?
A.
Phenytoin (Dilantin)
B.
Furosemide (Lasix)
C.
Ibuprofen (Advil)
D.
Insulin
Question 8
, The nurse practitioner has recommended that a breast-feeding woman take her prescribed
medications just before her infant takes his longest nap of the day. The woman does not
understand and asks the nurse to explain. The nurse will tell the woman that the recommendation
was made to
A.
increase the blood concentrations of the drug in the breast-feeding infant.
B.
evaluate the drug's potential adverse effects on the neonate.
C.
reduce neonatal drug exposure.
D.
reduce the half-life of the drug.
Question 9
A 38-year-old pregnant patient admits to the nurse that she is an alcoholic and has been
consuming alcohol during her pregnancy. The nurse knows that using alcohol during pregnancy
may result in a child who presents with
A.
microcephaly.
B.
thrombocytopenia.
C.
a high-pitched cry.
D.
an electrolyte imbalance.
Question 10
A 56-year-old woman will soon begin treatment of her overactive bladder with tolterodine
(Detrol). What patient teaching should the nurse provide to this woman?
A.
“You'll likely find that you have scant amounts of blood in your urine for the first few days, but
this is not unusual or problematic.”
B.
“You might find that you get a dry mouth or a headache from this drug, but this does not mean it
has to be discontinued.”
C.
“You'll probably need to stop taking your hormone replacement therapy when you're taking
Detrol.”
D.
“It's good to measure your heart rate before you take your Detrol each day, and withhold it if
your heart rate is below 60 beats/minute.”
Question 11
Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help
prevent gastrointestinal distress, the nurse will advise the patient to
A.
Question 1
A nurse practitioner is reviewing the prepregnancy medication regimen of a patient who has just
had a positive pregnancy test. The nurse should be aware of which of the following changes in
pharmacokinetics that accompanies pregnancy?
A.
Hepatic metabolism of drugs that are normally metabolized by the kidneys
B.
Decreased excretion rates as a result of decreased glomerular filtration rate during pregnancy
C.
Decreased absorption of inhaled drugs due to decreased tidal volume
D.
Increased drug distribution resulting from hemodynamic changes
Question 2
The nurse recognizes that the potential for teratogenic drug effects is not static throughout the
prenatal and postnatal periods. The potential for teratogenic effects is highest during
A.
the first 2 months of pregnancy.
B.
the second trimester.
C.
breast-feeding of the neonate.
D.
the two to 3 weeks prior to delivery.
Question 3
A nurse is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline
(Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will
the nurse take to decrease the risk of hypotension and promote circulation to the fetus?
A.
Instruct the patient to notify the nurse if she experiences palpitations.
B.
Instruct the patient to lie on her back during the infusion.
C.
Instruct the patient to limit the amount of her fluid intake during the therapy.
D.
Instruct the patient to lie on her left side during the infusion.
Question 4
A patient is being discharged from the hospital and will be taking oxybutynin (Ditropan) for
overactive bladder. The nurse will instruct the patient that she will be taking a medication
A.
that may be prescribed as a patch and which may cause dry mouth.
B.
that will be administered as a weekly IM injection in an outpatient setting.
, C.
that will be provided in pill form and which may cause lightheadedness.
D.
that can be inhaled and that may cause occasional heart palpitations.
Question 5
A woman who is in the second trimester of her first pregnancy has been experiencing frequent
headaches and has sought advice from her nurse practitioner about safe treatment options. What
analgesic can the nurse most safely recommend?
A.
Diflunisal (Dolobid)
B.
Acetaminophen
C.
Ibuprofen
D.
Aspirin
Question 6
A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a
follow-up visit to the clinic, the nurse will question the patient about which of the following?
A.
Headaches
B.
Dental hygiene practices
C.
Chronic diarrhea
D.
Diet
Question 7
A 36-year-old patient comes to the clinic and tells the nurse that she suspects that she is pregnant.
During the initial assessment, the nurse learns that the patient is currently taking medications for
diabetes, hypertension, and a seizure disorder. The nurse would be most concerned about which
of the following medications?
A.
Phenytoin (Dilantin)
B.
Furosemide (Lasix)
C.
Ibuprofen (Advil)
D.
Insulin
Question 8
, The nurse practitioner has recommended that a breast-feeding woman take her prescribed
medications just before her infant takes his longest nap of the day. The woman does not
understand and asks the nurse to explain. The nurse will tell the woman that the recommendation
was made to
A.
increase the blood concentrations of the drug in the breast-feeding infant.
B.
evaluate the drug's potential adverse effects on the neonate.
C.
reduce neonatal drug exposure.
D.
reduce the half-life of the drug.
Question 9
A 38-year-old pregnant patient admits to the nurse that she is an alcoholic and has been
consuming alcohol during her pregnancy. The nurse knows that using alcohol during pregnancy
may result in a child who presents with
A.
microcephaly.
B.
thrombocytopenia.
C.
a high-pitched cry.
D.
an electrolyte imbalance.
Question 10
A 56-year-old woman will soon begin treatment of her overactive bladder with tolterodine
(Detrol). What patient teaching should the nurse provide to this woman?
A.
“You'll likely find that you have scant amounts of blood in your urine for the first few days, but
this is not unusual or problematic.”
B.
“You might find that you get a dry mouth or a headache from this drug, but this does not mean it
has to be discontinued.”
C.
“You'll probably need to stop taking your hormone replacement therapy when you're taking
Detrol.”
D.
“It's good to measure your heart rate before you take your Detrol each day, and withhold it if
your heart rate is below 60 beats/minute.”
Question 11
Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help
prevent gastrointestinal distress, the nurse will advise the patient to
A.
