NURSING MEDICATION MANAGEMENT EXAM 2025 WITH ACCURATE SOLUTIONS
What is the primary therapeutic effect that a nurse should monitor when
a child with cerebral palsy is prescribed Baclofen?
Increased urine output
Increased energy
Decreased anxiety
Decreased spasticity
1. Why is it important for a patient taking lithium to report hand tremors
to their doctor?
Hand tremors are a sign of dehydration.
Hand tremors may indicate a potential toxicity of the medication.
Hand tremors are a normal side effect that does not require
attention.
Hand tremors suggest the medication is not effective.
2. A client has been on an antibiotic for two weeks for treatment of an
infection. The client asks the nurse why a superinfection has been
caused by this medication. What is the nurse's best response?
"Antibiotics can disrupt the normal bacteria in your body, causing
another infection to occur."
"Antibiotics can disrupt the normal bacteria in your body and cause
them to grow out of control."
"The antibiotics are only effective against some types of bacteria."
"The antibiotics are only effective in killing off some of the bacteria
in the body."
,3. A physician orders diphenhydramine (Benadryl) for a patient to alleviate
a cough and nasal secretions. The nurse will teach the patient about
which major side effect of diphenhydramine (Benadryl)?
Increased blood pressure
Jitteriness
Weight loss
Drowsiness
4. A nurse is caring for a client who has a new prescription for bupropion HCl
(Wellbutrin). Which of the following should the nurse recognize as a
contradiction for the use of this medication?
Bradycardia
Seizure
Xerostomia
GERD
5. A nurse is assessing the client who was started on drug therapy with
carbidopa/levodopa (Sinemet). The nurse would observe for which of the
following adverse effects of this drug?
1. Wheezing
2. Sedation
3.Joint swelling
4. Involuntary movements
6. What is the primary reason a patient who has undergone a total
gastrectomy needs to take Cyanocobalamin (Vitamin B12) supplements?
To prevent anemia due to malabsorption
To enhance digestion of food
To improve appetite after surgery
, To replace lost stomach acid
7. Explain why patients who have had a total gastrectomy are at risk for
Vitamin B12 deficiency and the role of Cyanocobalamin in their treatment.
They cannot absorb Vitamin B12 from food, so they need
injections.
They produce too much Vitamin B12, requiring medication to
balance levels.
Their diet lacks Vitamin B12, necessitating supplementation.
They have increased metabolism, leading to a higher need for
Vitamin B12.
8. The client has MRSA and receives vancomycin (Vancocin) intravenously
(IV).The nurse assesses an upper body rash and decreased urine
output. What is the nurse's priority action?
3.Administer an antihistamine, and notify the physician.
4.Hold the next dose of vancomycin (Vancocin), and notify the
physician.
9. Why is it crucial for a nurse to verify a client's allergies
before administering a medication like Ceftriaxone?
To ensure the medication is effective.
To prevent potential allergic reactions and ensure patient safety.
To comply with hospital policy.
To facilitate quicker medication administration.
10. Which medication should a nurse instruct a client to avoid for up to
4 weeks before undergoing allergy tests?
Acetaminophen
Diphenhydramine
, Albuterol
Pseudoephedrine hydrochloride
11. Why is it important for the nurse to clarify the order for
diazepam administration in relation to the client's current IV
infusion?
To ensure the medication is compatible with the IV solution
To prevent potential drug interactions
To maintain patient comfort during administration
To reduce the risk of adverse effects from the medication
12. A nurse is preparing to administer a new medication to a 6-year-old
patient. The prescribed dose is based on the child's weight. If the
nurse finds that the child's weight is significantly lower than expected
for their age, what should the nurse do next?
Administer the medication as prescribed without concern
Consult the physician to discuss the appropriateness of the
dosage
Increase the dosage to match the average weight for their age
Delay the medication until the child gains weight
13. A 32-year old female has been started on amoxicillin (Amoxil), a
penicillin, for a severe urinary tract infection (UTI). Before sending her
home with the prescription, the nurse will provide which instruction?
Teach her to wear sunscreen
Ask her about oral contraceptive use and recommend
an alternative method for the duration of the
antibiotic
Recommend taking the medication with some antacid to prevent
GI upset
Assess for hearing loss
What is the primary therapeutic effect that a nurse should monitor when
a child with cerebral palsy is prescribed Baclofen?
Increased urine output
Increased energy
Decreased anxiety
Decreased spasticity
1. Why is it important for a patient taking lithium to report hand tremors
to their doctor?
Hand tremors are a sign of dehydration.
Hand tremors may indicate a potential toxicity of the medication.
Hand tremors are a normal side effect that does not require
attention.
Hand tremors suggest the medication is not effective.
2. A client has been on an antibiotic for two weeks for treatment of an
infection. The client asks the nurse why a superinfection has been
caused by this medication. What is the nurse's best response?
"Antibiotics can disrupt the normal bacteria in your body, causing
another infection to occur."
"Antibiotics can disrupt the normal bacteria in your body and cause
them to grow out of control."
"The antibiotics are only effective against some types of bacteria."
"The antibiotics are only effective in killing off some of the bacteria
in the body."
,3. A physician orders diphenhydramine (Benadryl) for a patient to alleviate
a cough and nasal secretions. The nurse will teach the patient about
which major side effect of diphenhydramine (Benadryl)?
Increased blood pressure
Jitteriness
Weight loss
Drowsiness
4. A nurse is caring for a client who has a new prescription for bupropion HCl
(Wellbutrin). Which of the following should the nurse recognize as a
contradiction for the use of this medication?
Bradycardia
Seizure
Xerostomia
GERD
5. A nurse is assessing the client who was started on drug therapy with
carbidopa/levodopa (Sinemet). The nurse would observe for which of the
following adverse effects of this drug?
1. Wheezing
2. Sedation
3.Joint swelling
4. Involuntary movements
6. What is the primary reason a patient who has undergone a total
gastrectomy needs to take Cyanocobalamin (Vitamin B12) supplements?
To prevent anemia due to malabsorption
To enhance digestion of food
To improve appetite after surgery
, To replace lost stomach acid
7. Explain why patients who have had a total gastrectomy are at risk for
Vitamin B12 deficiency and the role of Cyanocobalamin in their treatment.
They cannot absorb Vitamin B12 from food, so they need
injections.
They produce too much Vitamin B12, requiring medication to
balance levels.
Their diet lacks Vitamin B12, necessitating supplementation.
They have increased metabolism, leading to a higher need for
Vitamin B12.
8. The client has MRSA and receives vancomycin (Vancocin) intravenously
(IV).The nurse assesses an upper body rash and decreased urine
output. What is the nurse's priority action?
3.Administer an antihistamine, and notify the physician.
4.Hold the next dose of vancomycin (Vancocin), and notify the
physician.
9. Why is it crucial for a nurse to verify a client's allergies
before administering a medication like Ceftriaxone?
To ensure the medication is effective.
To prevent potential allergic reactions and ensure patient safety.
To comply with hospital policy.
To facilitate quicker medication administration.
10. Which medication should a nurse instruct a client to avoid for up to
4 weeks before undergoing allergy tests?
Acetaminophen
Diphenhydramine
, Albuterol
Pseudoephedrine hydrochloride
11. Why is it important for the nurse to clarify the order for
diazepam administration in relation to the client's current IV
infusion?
To ensure the medication is compatible with the IV solution
To prevent potential drug interactions
To maintain patient comfort during administration
To reduce the risk of adverse effects from the medication
12. A nurse is preparing to administer a new medication to a 6-year-old
patient. The prescribed dose is based on the child's weight. If the
nurse finds that the child's weight is significantly lower than expected
for their age, what should the nurse do next?
Administer the medication as prescribed without concern
Consult the physician to discuss the appropriateness of the
dosage
Increase the dosage to match the average weight for their age
Delay the medication until the child gains weight
13. A 32-year old female has been started on amoxicillin (Amoxil), a
penicillin, for a severe urinary tract infection (UTI). Before sending her
home with the prescription, the nurse will provide which instruction?
Teach her to wear sunscreen
Ask her about oral contraceptive use and recommend
an alternative method for the duration of the
antibiotic
Recommend taking the medication with some antacid to prevent
GI upset
Assess for hearing loss
