1. A nurse is caring for a 38-year-old female patient who just started taking lithium for
bipolar disorder. Which of the following outcomes would be most appropriate for this
A) The patient will re-establish and maintain a normal pattern of bowel
1. A 72-year-old woman is on long-term glucocorticoid therapy. It will be most important
for the nurse to instruct the patient to:
A) Avoid direct sunlight.
B) Take measures to minimize the risk of falls.
C) Avoid eating excess red meat.
D) Avoid dairy pr
1. A nurse works in a cardiology clinic and is following an 82-year-old woman who is
prescribed lovastatin to reduce her high cholesterol level. The patient lives with her
daughter and is very thin and frail. Which of the following serious adverse effects
1. A patient located on a medicalsurgical unit has an order to receive ampicillin 500 mg
PO tid ac. Which of the following medication administration schedules would be best
for a medication ordered tid ac?
A) 4 AM, 12 noon, 8 PM
B) 7 AM, 11 AM, 6 PM
1. A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was
told by the surgeon to take aspirin for the pain. The nurse will monitor for which of the
C) Aplastic anemia
1. An 8-year-old child has Lennox-Gastaut syndrome and has been prescribed topiramate.
The nurse will teach the child's parents to observe for which of the following?
A) Dizziness and drowsiness
B) Nausea and vomiting
C) Weight gain
D) Decreased sweating
1. Which of the following patients should be advised by the nurse to avoid over-thecounter cold and allergy preparations that contain phenylephrine?
A) A 47-year-old female with hypertension
B) A 52-year-old male with adult-onset diabetes
C) A 17-year-old
1. A nurse is caring for a patient who has just been diagnosed with Parkinson disease. The
patient does not understand how the medication ordered, carbidopa-levodopa, is going
to help her condition. Which of the following is the correct response by the nu
1. A nurse is working on a presurgical floor and is assessing patients who will receive
isoflurane as part of balanced anesthesia for surgery. For which of the following patients
will the nurse plan for a longer recovery period and a greater incidence of
1. A 57-year-old man is to begin 5-FU therapy for colon cancer. It will be most important
for the nurse to monitor which of the following during the first 72 hours of the initial
B) Cardiac events
C) White blood cell n
1. A nurse is caring for a patient who has a serious respiratory infection. The patient is
being treated with combination therapy of a cephalosporin and an aminoglycoside. The
nurse will be sure to monitor which of the following?
A) Serum BUN and creatini
1. A female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic
visit she reports that since she has been on the drug, she can breathe better and her heart
rate has been around 74 beats per minute. The nurse weighs the patien
1. A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic.
Which of the following would be the nurse's priority assessments?
A) Respiratory rate, seizure activity, and electrolytes
B) Pain intensity, respiratory rate, a
1. The wife of a patient who is taking haloperidol calls the clinic and reports that her
husband has taken the first dose of the drug and it is not having a therapeutic effect. An
appropriate response by the nurse would be:
A) Continue the prescribed dose
1. A 25-year-old woman comes to the clinic because of a chronic, nonproductive cough.
The nurse's assessment reveals that she has a history of asthma. Dextromethorphan,
(Robitussin) is prescribed for her. The nurse will question this order because:
1. A nurse is working with a 57-year-old man who is a former drug abuser. He works at a
local restaurant during the day shift. He has been prescribed a weekly dosage of
methotrexate for his rheumatoid arthritis. Which of the following will the nurse inclu
1. A 43-year-old man has been diagnosed with active TB. He is prescribed a multiple drug
therapy, including INH and rifampin. A priority assessment by the nurse will be to
monitor which combination of laboratory test results?
A) Serum alanine transaminase
1. A patient has been prescribed methocarbamol (Robaxin) for fibromyalgia. The nurse has
spent an hour educating the patient on the use of methocarbamol for muscle pain. Which
of the following statements by the patient indicates that he has an understandi
1. Recently a 40-year-old woman has become interested in alternative therapy as a means
to maintain and enhance her state of health. However, she has developed hypertension
and will be prescribed an antihypertensive agent. The nurse's health history revea
1. It would be critical for a nurse to monitor which of the following patients for ototoxicity
while on gentamicin therapy?
A) A 43-year-old male with Parkinson disease
B) A 32-year-old mother who is breast-feeding
C) A 25-year-old male who has a hearing
1. A 47-year-old woman has been diagnosed with open-angle glaucoma. Pilocarpine drops
are prescribed. The nurse's assessment reveals that the patient has worn soft contact
lenses for 15 years. The nurse will instruct the patient to:
A) Apply the contact l
1. A patient has been prescribed zolpidem (Ambien) for short-term treatment of insomnia.
Which of the following will the nurse include in her teaching plan for this patient?
(Select all that apply.)
A) The drug should not be used for longer than 1 month.
1. A nurse is caring for a patient who is on amphotericin B. On morning rounds the patient
reports weakness, numbness, and a tingling sensation in his feet. What would be a
priority action by the nurse?
A) Encourage the patient to increase fluid intake.
1. A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an
order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following
actions should the nurse do first when he complains of chest pain?
A) Call t
1. A physician has ordered intramuscular injections of morphine, a narcotic, every 4 hours
as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a
high abuse potential for this drug and that it is categorized as a:
1. When planning care for a patient who is receiving filgrastim (Neupogen) for a
nonmyeloid malignancy, the nurse will formulate which of the following patient
outcomes? (Select all that apply.)
A) The patient will not develop an infection.
B) The patient
1. A 24-year-old woman has a severe sinus infection and is being treated with
ciprofloxacin. The nurse will instruct the patient to:
A) Take the drug every 10 hours on an empty stomach.
B) Stop the drug 24 hours after she feels better.
C) Use a backup for
1. A nurse has been assigned to care for a 52-year-old attorney who has hypertension and
peptic ulcer disease. Before administering his medications, the nurse must complete an
initial assessment. Core patient variables will be obtained from which of the f
1. A 39-year-old woman has chronic leukemia. She is receiving cyclophosphamide
(Cytoxan). After each treatment the patient has acute nausea and vomiting, accompanied
by a slightly increased heart rate. The nurse will advise her to:
A) Perform relaxation t