Name: Score:
182 Multiple choice questions
Term 1 of 182
A 19-year-old patient presents with a mild concussion and reports a persistent headache. The
patient's guardian requests a medication stronger than acetaminophen. Which response by the
nurse is most appropriate?
"Acetaminophen is the recommended treatment for headaches following a concussion to
avoid masking potential symptoms."
"Ibuprofen can be considered, but it carries risks such as gastrointestinal bleeding and
should be used with caution."
"Opioids can be considered, but it carries risks of obscuring neurological assessments."
"Medications stronger than acetaminophen are not necessary; rest and monitoring are key
for concussion recovery."
Term 2 of 182
Warfarin (Coumadin) affects the formation of certain clotting factors. Select below ALL the
clotting factors this medication affects:
A. I
B. V
C. II
D. VII
E. XI
F. X
G. IX
b,d
a,b,c,d,e
d
c,d,f,g
,Term 3 of 182
A client is brought to the emergency room by her sister experiencing signs of a myocardial
infarction MI). After confirmation that an MI is occurring, the healthcare provider administers t-PA
to the client. Which is the most important action for the nurse to implement after t-PA
administration?
Monitor the client for massive bleeding
Monitor the clients vital signs every 4 hours
Monitor the clients heart sounds every 4 hours
Allow the sister to remain in the intensive care unit (ICU) with the client
Term 4 of 182
Which of the following is the most common pharmacological agent given for mild to moderate
pain?
Naproxen
Acetaminophen
Morphine
Fentanyl
Term 5 of 182
The client with coronary artery disease (CAD) is prescribed cholestyramine. Which intervention
should the nurse implement when administering the medication?
Administer the medication with fruit juice.
Instruct the client to decrease fiber when taking the medication.
Monitor the cholesterol level before giving medication.
Assess the client for upper abdominal discomfort.
,Term 6 of 182
Why should vitamin K not be administered via IM route?
Risk of hepatotoxicity
Lack of absorption
Painful administration
Hypersensitivity reaction risk
Term 7 of 182
You're providing discharge teaching to a patient who will be going home on Warfarin (Coumadin).
Which statements by the patient demonstrate they understood the educational material
provided? Select all that apply:
A. "I will switch and use a hard bristle toothbrush."
B. "When I shave I will be sure to use an electric razor."
C. "I will be sure that I eat a diet rich in spinach, kale, and broccoli."
D. "I will avoid drinking any alcoholic beverages."
b,d
a,c
a,b
a,b,c,d
, Term 8 of 182
The nurse in the ED is preparing to administer alteplase to a client whose initial symptoms of a
stroke began 2 hours ago. Which interventions should the nurse implement? Select all that apply.
1. Check the client’s armband for allergies.
2. Hang the medication via IV piggyback (IVPB) and infuse over 90 minutes.
3. Check the results of the client’s CT scan of the brain.
4. Teach the client this medication dissolves clots.
5. Monitor the client’s partial thromboplastin time (PTT) during drug administration.
a,b,c,d,e
d
1,2,3,4,5
b,d
Term 9 of 182
Which of the following should be avoided while taking rivaroxaban? Select all that apply.
a. Asprin
b. NSAIDS
c. Vitamin E
d. Ginseng, garlic
e. Omega 3
a
c
b
a,b,c,d,e
182 Multiple choice questions
Term 1 of 182
A 19-year-old patient presents with a mild concussion and reports a persistent headache. The
patient's guardian requests a medication stronger than acetaminophen. Which response by the
nurse is most appropriate?
"Acetaminophen is the recommended treatment for headaches following a concussion to
avoid masking potential symptoms."
"Ibuprofen can be considered, but it carries risks such as gastrointestinal bleeding and
should be used with caution."
"Opioids can be considered, but it carries risks of obscuring neurological assessments."
"Medications stronger than acetaminophen are not necessary; rest and monitoring are key
for concussion recovery."
Term 2 of 182
Warfarin (Coumadin) affects the formation of certain clotting factors. Select below ALL the
clotting factors this medication affects:
A. I
B. V
C. II
D. VII
E. XI
F. X
G. IX
b,d
a,b,c,d,e
d
c,d,f,g
,Term 3 of 182
A client is brought to the emergency room by her sister experiencing signs of a myocardial
infarction MI). After confirmation that an MI is occurring, the healthcare provider administers t-PA
to the client. Which is the most important action for the nurse to implement after t-PA
administration?
Monitor the client for massive bleeding
Monitor the clients vital signs every 4 hours
Monitor the clients heart sounds every 4 hours
Allow the sister to remain in the intensive care unit (ICU) with the client
Term 4 of 182
Which of the following is the most common pharmacological agent given for mild to moderate
pain?
Naproxen
Acetaminophen
Morphine
Fentanyl
Term 5 of 182
The client with coronary artery disease (CAD) is prescribed cholestyramine. Which intervention
should the nurse implement when administering the medication?
Administer the medication with fruit juice.
Instruct the client to decrease fiber when taking the medication.
Monitor the cholesterol level before giving medication.
Assess the client for upper abdominal discomfort.
,Term 6 of 182
Why should vitamin K not be administered via IM route?
Risk of hepatotoxicity
Lack of absorption
Painful administration
Hypersensitivity reaction risk
Term 7 of 182
You're providing discharge teaching to a patient who will be going home on Warfarin (Coumadin).
Which statements by the patient demonstrate they understood the educational material
provided? Select all that apply:
A. "I will switch and use a hard bristle toothbrush."
B. "When I shave I will be sure to use an electric razor."
C. "I will be sure that I eat a diet rich in spinach, kale, and broccoli."
D. "I will avoid drinking any alcoholic beverages."
b,d
a,c
a,b
a,b,c,d
, Term 8 of 182
The nurse in the ED is preparing to administer alteplase to a client whose initial symptoms of a
stroke began 2 hours ago. Which interventions should the nurse implement? Select all that apply.
1. Check the client’s armband for allergies.
2. Hang the medication via IV piggyback (IVPB) and infuse over 90 minutes.
3. Check the results of the client’s CT scan of the brain.
4. Teach the client this medication dissolves clots.
5. Monitor the client’s partial thromboplastin time (PTT) during drug administration.
a,b,c,d,e
d
1,2,3,4,5
b,d
Term 9 of 182
Which of the following should be avoided while taking rivaroxaban? Select all that apply.
a. Asprin
b. NSAIDS
c. Vitamin E
d. Ginseng, garlic
e. Omega 3
a
c
b
a,b,c,d,e
