PROCTORED EXAM AND PRACTICE
EXAM QUESTIONS AND ANSWERS
A nurse gathering health history on a pt without any known diseases. The pt
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informs the nurse he takes Glimepiride. The nurse should question the pt about
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the presence of what disease? - ANSWER: type 2 diabetes
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stimulates the release of insulin of beta cells - ANSWER: sulfonylureas
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An elderly pt is is prescribed Ciproflaxin for the treatment of a UTI. The nurse
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should inform the pt of which potentially serious adverse side effects? - ANSWER:
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tendon rupture
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A pt is taking spironolactone for the treatment of hypertension. The nurse notices
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EKG changes on the patient's heart monitor. What blood abnormality should the
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nurse suspect as the cause of such changes?
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hypokalemia
leukocytosis
hyperkalemia
hypocalcemia - ANSWER: hyperkalemia RR RR RR
potassium-sparing diuretic that can cause hyperkalemia, potentially resulting in
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cardiac arrhythmias - ANSWER: spironolactone
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A pt is admitted to the hospital after a severe hypersensitivity reaction to penicillin.
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Which of the following classes of antibiotics should the pt avoid in the future?
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Tetracyclines
Macrolides
Cephalosporins
Fluroquinolones - ANSWER: Cephalosporins RR RR RR
A nurse is obtaining med history from a pt with GERD. The pt claims to take
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omeprazole and warfarin at bedtime. The nurse should be concerned because: -
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ANSWER: omeprazole magnifies the effects of coumadin
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,Diltiazem is used for the treatment of: - ANSWER: arrhythmias/hypertension
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A pt has been prescribed nateglinide for the treatment of hyperglycemia. The
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patient should take this medication:
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Before bedtime RR
30 min - ANSWER:
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A pt diagnosed with atrial fibrillation is prescribed warfarin. Which of the following
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can interact with the effects of warfarin?
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Carrots
Ferrous sulfate RR
Furosemide
Dark leafy green veggies - ANSWER: dark leafy green veggies
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The pt tells the nurse he takes antacids after every meal. What should the nurse
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tell the pt regarding antacid administration?
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Do not take antacids within 2 hrs of other meds
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Do not take more than once per day
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Take antacids before meals
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Do not take at bedtime - ANSWER: do not take within 2 hrs of other meds
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A 64 y/o pt is found unresponsive. After attaching a heart monitor, his EKG reveals
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ventricular fibrillation. What drug should the nurse prepare to administer?
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Epinephrine
Dobutamine
Dopamine
Atropine - ANSWER: Epinephrine RR RR RR
Drug used for v-fib, flutter, unstable tachycardia - ANSWER: Epinephrine
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Drug used to increase cardiac output in heart failure - ANSWER: dobutamine
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Drug used to maintain adequate blood pressure during shock and to maintain
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kidney perfusion - ANSWER: dopamine
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Drug used for symptomatic bradycardia - ANSWER: atropine
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A pt taking prednisone for immunosupression after a kidney transplant wants to
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know what lifestyle changes he needs to make. The nurse instructs him to eat a
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diet low in what nutrient while taking prednisone?
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Protein
Potassium
, Calcium
Sodium - ANSWER: Sodium RR RR RR
Fluid retention, edema, hyperglycemia, osteoporosis, protein catabolism, and
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hypokalemia are side effects of what type of drug? - ANSWER: corticosteroids
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A pt has suffered from a traumatic brain injury and is scheduled to undergo
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surgery. The physician requests that the pt be coma-induced. The nurse would
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expect to administer which of the following meds for an induced coma of a
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neurosurgery pt?
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Diazepam
Pentobarbital
Lorazepam
Propofol - ANSWER: pentobarital RR RR RR
An elderly man is prescribed morphine sulfate for acute pain management. The pt
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is on bed rest and is NPO. Which of the following side effects is the nurse most
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concerned about?
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Dizziness
Constipation
Hypertension
Nausea - ANSWER: constipation RR RR RR
A pt receiving triamterene is admitted to the hospital due to severe metabolic
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imbalances. Which of the following abnormal findings would the nurse most expect
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due to a side effect of this med?
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Hypokalemia
Hyperkalemia
Hypocalcemia
Hypercalcemia - ANSWER: hyperkalemia RR RR RR
A pt prescribed furosemide 60 mg PO bid, is being instructed on admin and side
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effects. The nurse should instruct the pt to eat which foods while taking
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furosemide? (multiple answers)
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Beans and bananas RR RR
Vanilla and bread RR RR
spinach and potatoes RR RR
Appleauce and rice RR RR
Tomatoes and squash RR RR
Dried apricots and raisins - ANSWER: beans, bananas, spinach, potatoes,
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tomatoes, squash, dried apricots and raisins
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