,TESTBANK for Davis's Drug Guide for Nurses 19th
Edition April Hazard Vallerand
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel
sheet if it exists.
4- We have all what you need, we make
update at every time. There are many
new editions waiting you.
5- If you think you purchased the wrong file
You can contact us at every time, we can
replace it with true one.
Our email:
,Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-1
Drug Guide Test Bank
MULTIPLE CHOICE
1. A nurse is caring for a 14-yr-old patient with epilepsy. The child takes phenytoin (Dilantin) and began
taking lamotrigine (Lamictal) 50 mg/day approximately 10 days ago. The child’s mother calls to report a
newly noted rash across the girl’s face and arms. Which of the following responses by the nurse is best?
A. “Did your daughter use a new soap?”
B. “Has your daughter been exposed to poison ivy or other plant irritants?”
C. “Do not give her Lamictal; your daughter will need to be seen by the doctor today.”
D. “This is commonly seen with Lamictal. A mild soap and calamine lotion may reduce any itching.”
ANS: C
See Nursing Implications/Assessment for lamotrigine: Assess patient for skin rash frequently during
therapy. Discontinue lamotrigine at first sign of rash; it may be life-threatening. Stevens-Johnson
syndrome or toxic epidermal necrolysis may develop. The rash usually occurs during the initial 2–8 wk of
therapy, is more frequent in patients taking multiple antiepileptic agents, especially valproic acid, and is
much more frequent in patients <16 yr.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Anticonvulsants
REF: Page 749
2. The nurse receives a call from an 82-yr-old patient with advanced prostate cancer who is being treated
with leuprolide (Eligard) therapy. Which of the following questions requires immediate notification of the
physician?
A. “I’ve been having hot flashes lately. What should I do?”
B. “The pain in my bones seems worse since I started this medication. Is that normal?”
C. “I forgot to get my shot 3 hours ago like I usually do, so I was going to take it now. Is that okay?”
D. “My legs feel numb and weak. Is that normal with this medication?”
ANS: D
See Patient/Family Teaching for leuprolide: Instruct patient to notify a health care professional promptly
if difficulty urinating, weakness, or numbness occurs. Advise patient that medication may cause hot
flashes. Advise patient that bone pain may increase at initiation of therapy. This will resolve with time.
Instruct patient to take medication exactly as directed. If a dose is missed, take as soon as remembered
unless not remembered until next day.
KEY: Cognitive Level: Analysis
DIF: Moderate
TOP: Therapeutic Classification: Antineoplastics
REF: Page 771
,Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-2
3. The nurse is caring for a woman with metastatic breast cancer who was recently admitted with
hypercalcemia. Which of the following medications does the nurse anticipate would be included in the
treatment plan?
A. Zoledronic acid (Zometa)
B. Calcium carbonate (Os-Cal)
C. Octreotide (Sandostatin)
D. Aprepitant (Emend)
ANS: A
See Indications and Actions for zoledronic acid: Zometa is used in the treatment of hypercalcemia of
malignancy. It inhibits bone resorption by inhibiting increased osteoclast activity and skeletal calcium
release induced by tumors. Therapeutic effects include decreased serum calcium. Os-Cal is a calcium
supplement and should be avoided if the patient’s serum calcium level is too high. Sandostatin is used in
the treatment of severe diarrhea, including that caused by carcinoid tumors. Emend is used in the
treatment of nausea/vomiting during chemotherapy.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Bone resorption inhibitors, Electrolyte modifiers, Hypocalcemics
REF: Page 1297
4. The nurse is providing care for a 92-yr-old patient who has a standing order for zolpidem (Ambien) prn
for insomnia. When providing the medication for the patient as requested, which of the following actions
by the nurse is best?
A. Inform the patient the medication will work within 10 min.
B. Ensure the patient is in bed and ready for sleep, then raise the bed side rails.
C. Instruct the patient to eat some crackers to reduce stomach irritation caused by the medication.
D. Suggest the patient take the medication routinely every night.
ANS: B
See Patient/Teaching for zolpidem: Because of rapid onset, advise patient to go to bed immediately after
taking zolpidem. Onset of action is 30 min or more and is increased in geriatric patients and patients with
hepatic impairment. Do not administer with or immediately after a meal, as food slows absorption. Due to
the habit-forming nature of this medication it should not be used for more than 7–10 days.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Sedative/Hypnotics
REF: Page 1303
5. The nurse is caring for a patient with multiple medications, including carbidopa/levodopa (Sinemet)
qid. The nurse knows this medication is effective by which of the following signs or symptoms?
A. The patient has fewer hand tremors.
B. The patient’s apical pulse is regular.
C. The patient has less edema in the ankles bilaterally.
D. The patient’s cough is well controlled.
,Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-3
ANS: A
See Evaluation/Therapeutic Effect for carbidopa/levodopa: Effects include resolution of parkinsonian
signs and symptoms. Therapeutic effects usually become evident after 2–3 wk of therapy but may require
up to 6 mo.
KEY: Cognitive Level: Evaluation
DIF: Moderate
TOP: Therapeutic Classification: Antiparkinsonian agents
REF: Page 288
6. While caring for a patient who is taking levofloxacin po 750 mg daily, the nurse would be most
concerned by which of the following symptoms?
A. Patient has edema of ankles.
B. Patient complains of a headache.
C. Patient has had two loose bowel movements.
D. Patient has a severe, widespread cutaneous rash.
ANS: D
See Adverse Reactions/Side Effects for levofloxacin: Severe widespread cutaneous rash may be a
warning of Stevens-Johnson syndrome. If it is accompanied with fever, fatigue, blisters, oral lesions, etc.,
the medication should be discontinued. Diarrhea and headache may be experienced but would not be of
greatest concern. Edema is not an adverse reaction of levofloxacin.
KEY: Cognitive Level: Analysis
DIF: Difficult
TOP: Therapeutic Classification: Anti-infectives
REF: Page 590
7. The nurse prepares to provide ondansetron (Zofran) in an orally disintegrating tablet form. Which of
the following instructions should the nurse provide?
A. “Simply suck on the pill like a lozenge and it will dissolve over a few minutes.”
B. “Place the tablet on your tongue. It will melt in seconds and then you can swallow.”
C. “Take this with a full glass of water.”
D. “I will dissolve this in some water and you can drink it in one sip.”
ANS: B
See Implementation for ondansetron: Immediately place tablet on tongue. It will dissolve in seconds, then
can be swallowed with saliva.
KEY: Cognitive Level: Application
DIF: Easy
TOP: Therapeutic Classification: Antiemetics
REF: Page 945
,Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-4
8. The nurse is caring for a patient who is to receive oxcarbazepine (Trileptal). The nurse recognizes this
patient most likely has a history of which of the following?
A. Diabetes mellitus
B. Depression
C. Seizures
D. Hypothyroidism
ANS: C
See Indications for oxcarbazepine: Used as monotherapy or adjunctive therapy of partial seizures in adults
and children 4 yr and older with epilepsy.
KEY: Cognitive Level: Knowledge
DIF: Moderate
TOP: Therapeutic Classification: Anticonvulsants
REF: Page 956
9. The nurse is caring for a patient receiving pamidronate (Aredia) for the treatment of Paget’s disease.
Which of the following symptoms would be most concerning to the nurse?
A. Anorexia
B. Bone pain
C. Constipation
D. Muscle twitching
ANS: D
See Side Effects and Assessment for pamidronate: Observe for evidence of hypocalcemia (paresthesia,
muscle twitching, laryngospasm, and Chvostek’s or Trousseau’s sign).
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Bone resorption inhibitors
REF: Pages 977 and 978
10. A student nurse caring for a patient who is taking pancrelipase (Creon) would include which of the
following statements when reviewing medications with the instructor?
A. “This reduces inflammation of the pancreas seen with pancreatitis.”
B. “This increases absorption of fats since the pancreas is not excreting normal enzymes.”
C. “This is used to bind with proteins and reduce protein excretion in the urine.”
D. “This helps relieve abdominal pain caused by liver damage in patients with a history of alcohol abuse.”
ANS: B
See Action/Therapeutic Effect for pancrelipase: Effects include increased digestion of fats, carbohydrates,
and proteins in the GI tract.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Digestive agents
REF: Page 979
,Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-5
11. Which of the following would cause the nurse to intervene for a patient taking po pantoprazole
(Protonix)?
A. The patient takes the medication an hr before breakfast.
B. The patient orders eggs and bacon for breakfast.
C. The patient drinks a glass of orange juice when taking the medication.
D. The patient chews the medication before swallowing.
ANS: D
See Implementation for pantoprazole: The drug may be taken with or without food, but do not break,
crush, or chew tablets.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Anti-ulcer agents
REF: Page 983
12. Which of the following lab values should be followed periodically for a patient taking paroxetine
(Paxil)?
A. Complete blood count (CBC)
B. Electrolytes
C. Thyroxine
D. Creatinine
ANS: A
See Assessment/Lab Test Considerations for paroxetine: Lab Test Considerations: Monitor CBC and
differential periodically during therapy. Report leukopenia or anemia.
KEY: Cognitive Level: Knowledge
DIF: Difficult
TOP: Therapeutic Classification: Antianxiety agents, Antidepressants
REF: Page 986
13. While caring for a patient who uses oral birth control pills and is taking po penicillin V, which of the
following instructions should the nurse include in the patient teaching?
A. “You should stop taking your birth control pills for at least 3 months because you have to take this
medication.”
B. “You will need to use a barrier method of birth control through this therapy and until your next
menstrual cycle.”
C. “The doctor will want to give you a hormone patch in addition to the birth control pills for the next 30
days.”
D. “There is no need to alter your method of birth control while you are taking this medication.”
ANS: B
,Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-6
See Patient/Family Teaching for penicillin V: Advise patient taking oral contraceptives to use an
additional nonhormonal method of contraception during therapy with penicillin and until next menstrual
period.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Anti-infectives
REF: Page 1004
14. The nurse is caring for a 32-yr-old female patient with cystic fibrosis who will be discharged today
with a prescription for elexacaftor/tezacaftor/ivacaftor (Trikafta). Which of the following information
should the nurse provide concerning this drug?
A. Have regular eye examinations.
B. Be aware of the risk of DVT.
C. Avoid fat-containing foods with medication.
D. Notify health care professional of bloody stools.
ANS: A
See Assessment and Patient/Family Teaching for elexacaftor/tezacaftor/ivacaftor: Eye exams will be
important to assess for cataracts/opacities prior to and periodically during therapy. The medication should
be administered with fat-containing food. There are no indicators for DVT or bloody stools.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Cystic fibrosis therapy adjuncts
REF: Pages 496 and 497
15. The nurse would be most concerned if a patient taking phenobarbital reported daily consumption of
which of the following?
A. Grapefruit juice
B. Beer
C. Milk
D. Coffee
ANS: B
See Patient/Family Teaching for phenobarbital: Caution patient to avoid taking alcohol or other central
nervous system depressants concurrently with this medication.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Anticonvulsants
REF: Page 1014
16. A student nurse caring for a patient with a history of anxiety disorder would expect which of the
following medications to be included in the patient’s treatment plan?
,Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-7
A. Eszopiclone (Lunesta)
B. Meclizine (Bonine)
C. Lorazepam (Ativan)
D. Nifedipine (Procardia XL)
ANS: C
See Indications for lorazepam: Ativan is an antianxiety agent. Lunesta is a sedative/hypnotic. Bonine is
provided for vertigo. Procardia XL is provided for hypertension.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Antianxiety agents
REF: Page 794
17. The nurse is caring for a patient who is NPO after midnight for a cardiac catheterization scheduled for
1 PM. The patient normally receives metformin (Glucophage) 1000 mg po bid, and the morning dose is
due at 8:30 AM. The patient’s blood glucose result was 115. Which of the following actions should the
nurse take?
A. Hold the medication.
B. Give the medication with a glass of juice.
C. Give the medication with a sip of water.
D. Call the physician for direction.
ANS: A
See Implementation for metformin: Because the patient is NPO, the medication should be held and blood
sugars should be monitored frequently. Patients stabilized on a diabetic regimen who are exposed to
stress, fever, trauma, infection, or surgery may require administration of insulin. Withhold metformin and
reinstitute after resolution of an acute episode.
KEY: Cognitive Level: Analysis
DIF: Moderate
TOP: Therapeutic Classification: Antidiabetics
REF: Page 827
18. The nurse is caring for a patient with a known history of narcotic abuse. The patient is started on
methadone 30 mg po daily during detoxification. Which of the following assessments would indicate the
patient’s dose may need to be decreased?
A. Chills
B. Irritability
C. Respirations = 8 breaths per min
D. Diaphoresis
ANS: C
See Assessment for methadone: If respiratory rate is less than 10 breaths per min, assess level of sedation.
Dose may need to be decreased by 25–50%. Chills, irritability, and diaphoresis are all symptoms of
narcotic withdraw and may be expected during detoxification.
, Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-8
KEY: Cognitive Level: Application
DIF: Easy
TOP: Therapeutic Classification: Opioid analgesics
REF: Page 829
19. A nurse working on the postpartum floor is checking orders and notes the following:
“Methylergonovine (Methergine) 200 mcg po every 6 hr for 48 hr.” Which of the following nursing
interventions should be added to the patient’s plan of care?
A. Assess respiratory rate and rhythm every 2 hr.
B. Monitor for signs of uterine atony or change in menstrual bleeding.
C. Instruct patient to wear a tight-fitting bra and avoid facing the water during shower.
D. Collect urine for protein dipstick every 4 hr.
ANS: B
See Assessment for methylergonovine: Used in the treatment of postpartum hemorrhage. Monitor blood
pressure, heart rate, and uterine response frequently during medication administration.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Oxytocics
REF: Page 838
20. While preparing to discharge a patient who has started taking metoprolol (Lopressor) during
hospitalization, the nurse recognizes further teaching is necessary by which of the following statements?
A. “I should take my pulse every day before taking this medication.”
B. “I need to stay on a low-salt diet to help control my blood pressure.”
C. “I’ll have to have my blood drawn frequently to monitor for toxic levels of this medication.”
D. “I should contact the physician immediately if I notice any wheezing, difficulty breathing, or
dizziness.”
ANS: C
See Patient/Family Teaching for metoprolol: Blood levels are not followed for this medication. Teach
patient and family how to check pulse daily and blood pressure biweekly, and to report significant
changes to a health care professional. Reinforce the need to continue additional therapies for hypertension
(weight loss, sodium restriction, stress reduction, regular exercise, moderation of alcohol consumption,
and smoking cessation). Advise patient to notify health care professional if slow pulse, difficulty
breathing, wheezing, cold hands and feet, dizziness, light-headedness, confusion, depression, rash, fever,
sore throat, unusual bleeding, or bruising occurs.
KEY: Cognitive Level: Analysis
DIF: Moderate
TOP: Therapeutic Classification: Antihypertensives, Antianginals
REF: Page 850
Edition April Hazard Vallerand
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel
sheet if it exists.
4- We have all what you need, we make
update at every time. There are many
new editions waiting you.
5- If you think you purchased the wrong file
You can contact us at every time, we can
replace it with true one.
Our email:
,Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-1
Drug Guide Test Bank
MULTIPLE CHOICE
1. A nurse is caring for a 14-yr-old patient with epilepsy. The child takes phenytoin (Dilantin) and began
taking lamotrigine (Lamictal) 50 mg/day approximately 10 days ago. The child’s mother calls to report a
newly noted rash across the girl’s face and arms. Which of the following responses by the nurse is best?
A. “Did your daughter use a new soap?”
B. “Has your daughter been exposed to poison ivy or other plant irritants?”
C. “Do not give her Lamictal; your daughter will need to be seen by the doctor today.”
D. “This is commonly seen with Lamictal. A mild soap and calamine lotion may reduce any itching.”
ANS: C
See Nursing Implications/Assessment for lamotrigine: Assess patient for skin rash frequently during
therapy. Discontinue lamotrigine at first sign of rash; it may be life-threatening. Stevens-Johnson
syndrome or toxic epidermal necrolysis may develop. The rash usually occurs during the initial 2–8 wk of
therapy, is more frequent in patients taking multiple antiepileptic agents, especially valproic acid, and is
much more frequent in patients <16 yr.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Anticonvulsants
REF: Page 749
2. The nurse receives a call from an 82-yr-old patient with advanced prostate cancer who is being treated
with leuprolide (Eligard) therapy. Which of the following questions requires immediate notification of the
physician?
A. “I’ve been having hot flashes lately. What should I do?”
B. “The pain in my bones seems worse since I started this medication. Is that normal?”
C. “I forgot to get my shot 3 hours ago like I usually do, so I was going to take it now. Is that okay?”
D. “My legs feel numb and weak. Is that normal with this medication?”
ANS: D
See Patient/Family Teaching for leuprolide: Instruct patient to notify a health care professional promptly
if difficulty urinating, weakness, or numbness occurs. Advise patient that medication may cause hot
flashes. Advise patient that bone pain may increase at initiation of therapy. This will resolve with time.
Instruct patient to take medication exactly as directed. If a dose is missed, take as soon as remembered
unless not remembered until next day.
KEY: Cognitive Level: Analysis
DIF: Moderate
TOP: Therapeutic Classification: Antineoplastics
REF: Page 771
,Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-2
3. The nurse is caring for a woman with metastatic breast cancer who was recently admitted with
hypercalcemia. Which of the following medications does the nurse anticipate would be included in the
treatment plan?
A. Zoledronic acid (Zometa)
B. Calcium carbonate (Os-Cal)
C. Octreotide (Sandostatin)
D. Aprepitant (Emend)
ANS: A
See Indications and Actions for zoledronic acid: Zometa is used in the treatment of hypercalcemia of
malignancy. It inhibits bone resorption by inhibiting increased osteoclast activity and skeletal calcium
release induced by tumors. Therapeutic effects include decreased serum calcium. Os-Cal is a calcium
supplement and should be avoided if the patient’s serum calcium level is too high. Sandostatin is used in
the treatment of severe diarrhea, including that caused by carcinoid tumors. Emend is used in the
treatment of nausea/vomiting during chemotherapy.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Bone resorption inhibitors, Electrolyte modifiers, Hypocalcemics
REF: Page 1297
4. The nurse is providing care for a 92-yr-old patient who has a standing order for zolpidem (Ambien) prn
for insomnia. When providing the medication for the patient as requested, which of the following actions
by the nurse is best?
A. Inform the patient the medication will work within 10 min.
B. Ensure the patient is in bed and ready for sleep, then raise the bed side rails.
C. Instruct the patient to eat some crackers to reduce stomach irritation caused by the medication.
D. Suggest the patient take the medication routinely every night.
ANS: B
See Patient/Teaching for zolpidem: Because of rapid onset, advise patient to go to bed immediately after
taking zolpidem. Onset of action is 30 min or more and is increased in geriatric patients and patients with
hepatic impairment. Do not administer with or immediately after a meal, as food slows absorption. Due to
the habit-forming nature of this medication it should not be used for more than 7–10 days.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Sedative/Hypnotics
REF: Page 1303
5. The nurse is caring for a patient with multiple medications, including carbidopa/levodopa (Sinemet)
qid. The nurse knows this medication is effective by which of the following signs or symptoms?
A. The patient has fewer hand tremors.
B. The patient’s apical pulse is regular.
C. The patient has less edema in the ankles bilaterally.
D. The patient’s cough is well controlled.
,Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-3
ANS: A
See Evaluation/Therapeutic Effect for carbidopa/levodopa: Effects include resolution of parkinsonian
signs and symptoms. Therapeutic effects usually become evident after 2–3 wk of therapy but may require
up to 6 mo.
KEY: Cognitive Level: Evaluation
DIF: Moderate
TOP: Therapeutic Classification: Antiparkinsonian agents
REF: Page 288
6. While caring for a patient who is taking levofloxacin po 750 mg daily, the nurse would be most
concerned by which of the following symptoms?
A. Patient has edema of ankles.
B. Patient complains of a headache.
C. Patient has had two loose bowel movements.
D. Patient has a severe, widespread cutaneous rash.
ANS: D
See Adverse Reactions/Side Effects for levofloxacin: Severe widespread cutaneous rash may be a
warning of Stevens-Johnson syndrome. If it is accompanied with fever, fatigue, blisters, oral lesions, etc.,
the medication should be discontinued. Diarrhea and headache may be experienced but would not be of
greatest concern. Edema is not an adverse reaction of levofloxacin.
KEY: Cognitive Level: Analysis
DIF: Difficult
TOP: Therapeutic Classification: Anti-infectives
REF: Page 590
7. The nurse prepares to provide ondansetron (Zofran) in an orally disintegrating tablet form. Which of
the following instructions should the nurse provide?
A. “Simply suck on the pill like a lozenge and it will dissolve over a few minutes.”
B. “Place the tablet on your tongue. It will melt in seconds and then you can swallow.”
C. “Take this with a full glass of water.”
D. “I will dissolve this in some water and you can drink it in one sip.”
ANS: B
See Implementation for ondansetron: Immediately place tablet on tongue. It will dissolve in seconds, then
can be swallowed with saliva.
KEY: Cognitive Level: Application
DIF: Easy
TOP: Therapeutic Classification: Antiemetics
REF: Page 945
,Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-4
8. The nurse is caring for a patient who is to receive oxcarbazepine (Trileptal). The nurse recognizes this
patient most likely has a history of which of the following?
A. Diabetes mellitus
B. Depression
C. Seizures
D. Hypothyroidism
ANS: C
See Indications for oxcarbazepine: Used as monotherapy or adjunctive therapy of partial seizures in adults
and children 4 yr and older with epilepsy.
KEY: Cognitive Level: Knowledge
DIF: Moderate
TOP: Therapeutic Classification: Anticonvulsants
REF: Page 956
9. The nurse is caring for a patient receiving pamidronate (Aredia) for the treatment of Paget’s disease.
Which of the following symptoms would be most concerning to the nurse?
A. Anorexia
B. Bone pain
C. Constipation
D. Muscle twitching
ANS: D
See Side Effects and Assessment for pamidronate: Observe for evidence of hypocalcemia (paresthesia,
muscle twitching, laryngospasm, and Chvostek’s or Trousseau’s sign).
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Bone resorption inhibitors
REF: Pages 977 and 978
10. A student nurse caring for a patient who is taking pancrelipase (Creon) would include which of the
following statements when reviewing medications with the instructor?
A. “This reduces inflammation of the pancreas seen with pancreatitis.”
B. “This increases absorption of fats since the pancreas is not excreting normal enzymes.”
C. “This is used to bind with proteins and reduce protein excretion in the urine.”
D. “This helps relieve abdominal pain caused by liver damage in patients with a history of alcohol abuse.”
ANS: B
See Action/Therapeutic Effect for pancrelipase: Effects include increased digestion of fats, carbohydrates,
and proteins in the GI tract.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Digestive agents
REF: Page 979
,Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-5
11. Which of the following would cause the nurse to intervene for a patient taking po pantoprazole
(Protonix)?
A. The patient takes the medication an hr before breakfast.
B. The patient orders eggs and bacon for breakfast.
C. The patient drinks a glass of orange juice when taking the medication.
D. The patient chews the medication before swallowing.
ANS: D
See Implementation for pantoprazole: The drug may be taken with or without food, but do not break,
crush, or chew tablets.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Anti-ulcer agents
REF: Page 983
12. Which of the following lab values should be followed periodically for a patient taking paroxetine
(Paxil)?
A. Complete blood count (CBC)
B. Electrolytes
C. Thyroxine
D. Creatinine
ANS: A
See Assessment/Lab Test Considerations for paroxetine: Lab Test Considerations: Monitor CBC and
differential periodically during therapy. Report leukopenia or anemia.
KEY: Cognitive Level: Knowledge
DIF: Difficult
TOP: Therapeutic Classification: Antianxiety agents, Antidepressants
REF: Page 986
13. While caring for a patient who uses oral birth control pills and is taking po penicillin V, which of the
following instructions should the nurse include in the patient teaching?
A. “You should stop taking your birth control pills for at least 3 months because you have to take this
medication.”
B. “You will need to use a barrier method of birth control through this therapy and until your next
menstrual cycle.”
C. “The doctor will want to give you a hormone patch in addition to the birth control pills for the next 30
days.”
D. “There is no need to alter your method of birth control while you are taking this medication.”
ANS: B
,Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-6
See Patient/Family Teaching for penicillin V: Advise patient taking oral contraceptives to use an
additional nonhormonal method of contraception during therapy with penicillin and until next menstrual
period.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Anti-infectives
REF: Page 1004
14. The nurse is caring for a 32-yr-old female patient with cystic fibrosis who will be discharged today
with a prescription for elexacaftor/tezacaftor/ivacaftor (Trikafta). Which of the following information
should the nurse provide concerning this drug?
A. Have regular eye examinations.
B. Be aware of the risk of DVT.
C. Avoid fat-containing foods with medication.
D. Notify health care professional of bloody stools.
ANS: A
See Assessment and Patient/Family Teaching for elexacaftor/tezacaftor/ivacaftor: Eye exams will be
important to assess for cataracts/opacities prior to and periodically during therapy. The medication should
be administered with fat-containing food. There are no indicators for DVT or bloody stools.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Cystic fibrosis therapy adjuncts
REF: Pages 496 and 497
15. The nurse would be most concerned if a patient taking phenobarbital reported daily consumption of
which of the following?
A. Grapefruit juice
B. Beer
C. Milk
D. Coffee
ANS: B
See Patient/Family Teaching for phenobarbital: Caution patient to avoid taking alcohol or other central
nervous system depressants concurrently with this medication.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Anticonvulsants
REF: Page 1014
16. A student nurse caring for a patient with a history of anxiety disorder would expect which of the
following medications to be included in the patient’s treatment plan?
,Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-7
A. Eszopiclone (Lunesta)
B. Meclizine (Bonine)
C. Lorazepam (Ativan)
D. Nifedipine (Procardia XL)
ANS: C
See Indications for lorazepam: Ativan is an antianxiety agent. Lunesta is a sedative/hypnotic. Bonine is
provided for vertigo. Procardia XL is provided for hypertension.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Antianxiety agents
REF: Page 794
17. The nurse is caring for a patient who is NPO after midnight for a cardiac catheterization scheduled for
1 PM. The patient normally receives metformin (Glucophage) 1000 mg po bid, and the morning dose is
due at 8:30 AM. The patient’s blood glucose result was 115. Which of the following actions should the
nurse take?
A. Hold the medication.
B. Give the medication with a glass of juice.
C. Give the medication with a sip of water.
D. Call the physician for direction.
ANS: A
See Implementation for metformin: Because the patient is NPO, the medication should be held and blood
sugars should be monitored frequently. Patients stabilized on a diabetic regimen who are exposed to
stress, fever, trauma, infection, or surgery may require administration of insulin. Withhold metformin and
reinstitute after resolution of an acute episode.
KEY: Cognitive Level: Analysis
DIF: Moderate
TOP: Therapeutic Classification: Antidiabetics
REF: Page 827
18. The nurse is caring for a patient with a known history of narcotic abuse. The patient is started on
methadone 30 mg po daily during detoxification. Which of the following assessments would indicate the
patient’s dose may need to be decreased?
A. Chills
B. Irritability
C. Respirations = 8 breaths per min
D. Diaphoresis
ANS: C
See Assessment for methadone: If respiratory rate is less than 10 breaths per min, assess level of sedation.
Dose may need to be decreased by 25–50%. Chills, irritability, and diaphoresis are all symptoms of
narcotic withdraw and may be expected during detoxification.
, Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-8
KEY: Cognitive Level: Application
DIF: Easy
TOP: Therapeutic Classification: Opioid analgesics
REF: Page 829
19. A nurse working on the postpartum floor is checking orders and notes the following:
“Methylergonovine (Methergine) 200 mcg po every 6 hr for 48 hr.” Which of the following nursing
interventions should be added to the patient’s plan of care?
A. Assess respiratory rate and rhythm every 2 hr.
B. Monitor for signs of uterine atony or change in menstrual bleeding.
C. Instruct patient to wear a tight-fitting bra and avoid facing the water during shower.
D. Collect urine for protein dipstick every 4 hr.
ANS: B
See Assessment for methylergonovine: Used in the treatment of postpartum hemorrhage. Monitor blood
pressure, heart rate, and uterine response frequently during medication administration.
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Oxytocics
REF: Page 838
20. While preparing to discharge a patient who has started taking metoprolol (Lopressor) during
hospitalization, the nurse recognizes further teaching is necessary by which of the following statements?
A. “I should take my pulse every day before taking this medication.”
B. “I need to stay on a low-salt diet to help control my blood pressure.”
C. “I’ll have to have my blood drawn frequently to monitor for toxic levels of this medication.”
D. “I should contact the physician immediately if I notice any wheezing, difficulty breathing, or
dizziness.”
ANS: C
See Patient/Family Teaching for metoprolol: Blood levels are not followed for this medication. Teach
patient and family how to check pulse daily and blood pressure biweekly, and to report significant
changes to a health care professional. Reinforce the need to continue additional therapies for hypertension
(weight loss, sodium restriction, stress reduction, regular exercise, moderation of alcohol consumption,
and smoking cessation). Advise patient to notify health care professional if slow pulse, difficulty
breathing, wheezing, cold hands and feet, dizziness, light-headedness, confusion, depression, rash, fever,
sore throat, unusual bleeding, or bruising occurs.
KEY: Cognitive Level: Analysis
DIF: Moderate
TOP: Therapeutic Classification: Antihypertensives, Antianginals
REF: Page 850
