Going over Test Questions with Rieneke

Question 1

dopamine potential adverse effect

a. slurred speech
b. extra-pyramidal symtpoms (Parkinson’s)
c. lower extremity paralysis
d. cerebral edema

Answer 1

extra-pyramidal symptoms (Parkinson’s)

Question 2

what laxatives possibly cause dehydration with regular use

a. saline laxatives
b. bulk forming
c. surfactants
d. lubricant suppository

Answer 2

a. saline laxatives

Question 3

Which drug groups have anti-emetic properties

a. adrenergics
b. antihistamines
c. phenothiazines
d. serotonin receptor antagonists

Answer 3

b. antihistamines
c. phenothiazines
d. serotonin receptor antagonists

Question 4

the nurse tells the pt. the laxatives is safe to take every day and that pt. needs to increase fluid intake while taking the laxative to avoid harm

Answer 4

psyllium

Question 5

Which types of side effects is pt likely to experience with anti-emetics.

a. constipation
b. dry mouth
c. dyskinesia
d. lip-smacking

Answer 5

a. constipation

b. dry mouth

Question 6

treated for peptic ulcer =

a. duodenal
b. esophogeal
c. gastric
d. all of the above

Answer 6

d. all of the above

anywhere from mouth to small intestine

Question 7

Peptic ulcer disease teaching:

a. avoid salt
b. avoid use of NSADS
c. increase acidic food
d. smoking cessation

Answer 7

b. avoid use of NSADS (protective lining)

d. smoking cessation

Question 8

side effects expected with ondansetron (serotoning antagonist)

a. headache
b. drowsiness
c. increase uric acid
d. decreased WBS

Answer 8

a. headache

b. drowsiness

Question 9

which drug would be a contraindication for Sildenefil

a. PPI
b. Nitroglycerine
c. opioids
d. insulin

Answer 9

b. Nitroglycerine (prevent body from braking down nitric oxide = when taken nitric oxide that normally would shut down isn’t allowed to be broken down = stay open longer and provide more blood flow)

Question 10

how do estrogen-progestin combination work

a. prevent ovulation
b. stop menstruation
c. it kills sperm
d. it decreases libido

Answer 10

a. prevent ovulation

Question 11

which health problem should the nurse teach the client to report to the health care provider with medroxyprogesterone

a. breast tenderness
b. spotting
c. lower extremity pain & swelling
d. inability to conceive

Answer 11

c. lower extremity pain & swelling

Question 12

which of the following hormones undergo surge, which responsible for ovulation

Answer 12

…

Question 13

advantages of using progestin-only oral contraceptives (the “minipill”)

a. the don’t have any adverse effects
b. more effective than combined oral contraceptives
c. they have decreased risk of blood clots
d. they can be used in women who are breastfeeding

Answer 13

c. they have decreased risk of blood clots

d. they can be used in women who are breastfeeding

Question 14

which of the following statements indicates a need for additional pt. teaching regarding anticoagulants

a. care medic alert card
b. i will use an electric razor
c. i will use aspirin for arthritis pain
d. i will report to the lab once a month

Answer 14

c. i will use aspirin for arthritis pain

Question 15

which of the following interventions should the nurse initiate for a pt. on heparin

a. dental floss
b. electric razor

Answer 15

b. electric razor (doesn’t have a blade)

Question 16

which med is not a first line drug for treatment of early HF

a. digoxin
b. lisinopril
c. metropol
d. furosemide

Answer 16

a. digoxin

Question 17

which of the following are pharmacologic treatment goals for pt. with HF

Answer 17

…

Question 18

which blood glucose readings should the nurse be concerned about

a. 30
b. 70
c. 100
d. 120

Answer 18

30 mg/dL

Question 19

which adverse effects of the corticosteroid, prednisone, are expected with long-term therapy

a. gastric ulcers
b. hypotension
c. increased risk for infection
d. osteoporosis
e. weight loss

Answer 19

a. gastric ulcers
c. increased risk for infection
d. osteoporosis

• you have hypertension & weight gain

Question 20

adverse effects of ACE inhibitor therapy (lisinopril)

a. dry cough
b. sedation
c. rash

Answer 20

a. dry cough

Question 21

which drugs cause drowsiness

Answer 21

anticholinergic & antihistamines

Question 22

assessment finding would nurse expect to observe in adult pt experiencing therapeutic effects from levothyroxine

a. decreased reports of fatigue
b. decreased reports of intolerance to cold
c. constipation and weight gain
d. palpitations and nervousness
e. pulse rate between 60-100 bpm

Answer 22

a. decreased reports of fatigue
b. decreased reports of intolerance to cold
e. pulse rate between 60-100 bpm
(weight usually goes down)

Question 23

why would you choose to prescribe metropolol

a. pt. has COPD and metropolol will have minimal effects on lung function
b. pt. has sever htn, and metroprolol is more effective than non-solective beta blockers at treating htn

Answer 23

a. pt. has COPD and metropolol will have minimal effects on lung function

Question 24

adverse effects of ACE inhibitors are caused by which of the following

a. bronchoconstriction in the lungs
b. build up of bradykinin
c. decreased metabolism of the medication
d. build up of angiotensinogen

Answer 24

b. build up of bradykinin (a chemical that causes inflammation and that’s what ACE enzyme breaks down…ace main place is in the lungs, so that’s why cough is a side effect)

Question 25

mechanism of action of prazosin a. prazosin blocks alpha receptors on blood vessels, causing them to dilate b. prazosin blocks beta receptors on blood vessels, causing them to dilate

Answer 25

a. prazosin blocks alpha receptors on blood vessels, causing them to dilate

Question 26

how hydralazine works to lower BP a. acts directly on blood vessels to dilate them b. it makes your kidneys get rid of sodium and water c. it blocks your fight or flight system

Answer 26

a. acts directly on blood vessels to dilate them

Question 27

pt. on morphone sulfate PCA pump. On hourly check, nurse finds pt. RR to be 8, what is the priority of the nurse? a. stop pump & call the doctor b. administer antidote, even though there is no order for it

Answer 27

a. stop pump & call the doctor | if i just did this one thing in the room. what would be the outcome

Question 28

potential problematic side effects of a non-selective adrenergic antagonist a. bronchoconstriction b. decreased gastric motility c. increased heart rate

Answer 28

a. bronchoconstriction

Question 29

which of the following is important teaching point to include for a pt taking alendronate for prevention of osteoporosis a. lie down immediately after taking med b. take med with milk c. take med with an antacid if GI upset occurs d. take med on an empty stomach

Answer 29

d. take med on an empty stomach

Question 30

what beta-adrenergic blocking drugs are administered, which condition might the person be at increased risk for a. hypotension b. heart attack c. tachycardia d. stroke

Answer 30

a. hypotension

Question 31

a pt is complaining about a side effect of cyclobenzaprine, a central-acting muscle relaxor. Which common side effect is the pt most likely complaining about? a. suicidal thoughts b. photophobia c. drowsiness d. increased appetitie

Answer 31

c. drowsiness

Question 32

what conditions are benzodiapzepines used for a. anxiety b. parkinson's disease c. ADHD d. insomnia e. msucle spams

Answer 32

a. anxiety | d. insomnia

Question 33

OTC meds can contain combintations of drug groups. Which of the following drug classes may be used to control cold symptoms OTC a. antibiotics b. decongestants c. antitussives d. expectorants

Answer 33

b. decongestants c. antitussives d. expectorants

Question 34

the nurse teaches a client about the use of corticosteroid nasal sprays for treating seasonal allergies. the nurse advises the client to limit the use of the spray container to one person and one episode of illness. What is the reason for this advice. a. viruses may colonize at the tip of the container and increase the potential for spreading infection b. once the container is opened the medication rapidly loses its effectiveness\c. the pt. will develop a tolerance due to overuse d. all of teh above

Answer 34

a. viruses may colonize at the tip of the container and increase the potential for spreading infection

Question 35

mechanism of action for antitussives

Answer 35

suppress the cough

Question 36

mechanism of action for antitussives

Answer 36

suppress the cough

Question 37

expected warning on a box on pseudoephedrine a. use cautiously if you have osteoporosis b. don't use if you have a viral infection c. use cautiously if you have Parkinson's d. use cautiously if you have high BP

Answer 37

d. use cautiously if you have high BP

Question 38

which of the following statement made by the client indicates a need for further teaching a. i will try to swallow the med and rinse out my mouth afterwards b. i will use the steroid inhalor after use of bronchodilator c. i will use my steroid inhaler when i am havingan asthma attack d. i will watch for white patches in my mouth

Answer 38

c. i will use my steroid inhaler when i am havingan asthma attack

Question 39

mechanism of action of decongestants a. they block the cough reflex by inhibiting CNS b. the constrict blood vessels and decrease edema in the nasal mucosa c. they increase productive cough to clear the airways

Answer 39

b. the constrict blood vessels and decrease edema in the nasal mucosa

Question 40

which type of inhaler is the only type of inhlaed drug that is immediately effective during acute episodes of asthma a. steroid b. antichoilinergic c. sympathomimetic d. saline

Answer 40

c. sympathomimetic

Question 41

which diet is most desriable for a client receiving cardiac glycoside

Answer 41

lo sodium, potassium, & fat

Question 42

how do meds for heart failure improve the workload of heart a. reducing preload with diuretics b. encourage heart to beat faster c. encourage RAAS & the SNS d. reducing afterload with beat-blockers and ACE inhibitors

Answer 42

a. reducing preload with diuretics c. encourage RAAS & the SNS d. reducing afterload with beat-blockers and ACE inhibitors

Question 43

which of the following statements indicate that client has a good understanding of why warfarin is being used a. it dissolves arterial thrombi & emboli b. increases the synthesis of vitamin K c. it inhibits or slows clot formation

Answer 43

c. it inhibits or slows clot formation

Question 44

the physician prescribes metformin. What is the main action of this drug? a. it decreases glucose production in liver b. it promotes insulin release from the pancreas

Answer 44

a. it decreases glucose production in liver

Question 45

glucocorticoids are prescribed for their anti-inflammatory effects. what other effects are glucocorticoids commonly prescribed for? a. immunosuppressive effects b. antidepressent effects c. hypoglycemic effects

Answer 45

a. immunosuppressive effects

Question 46

common adverse effect of CE inhibitor therapy should nurse inform pt about

Answer 46

cough

Question 47

what is the best explanation to the children of a pt. with Alzheimer's disease regarding treatment of the disease a. we have meds that may decrease the symptoms for a time b. the medications help in controlling the disease for the rest of the pt's life

Answer 47

a. we have meds that may decrease the symptoms for a time

Question 48

which are NSAIDS a. acetominophen b. aspirin c. ibuprofen d. morphine e. tramadol

Answer 48

b. aspirin | c. ibuprofen

Question 49

statement best decribes colchine affects the comfort of pt. experiencing an acute gout attack a. in inhibits the inflammatory process of gout

Answer 49

a. in inhibits the inflammatory process of gout

Question 50

why is allupurinol given daily

Answer 50

to decrease uric acid synthesis

Question 51

which of following are indications of acetominophen overdose within first 24 hours of ingestion a. constipation b. hemorrhage c. nausea, vomiting, malaise

Answer 51

c. nausea, vomiting, malaise

Question 52

if pt. complains of GI upset with the use of regular aspirin tablets, which of the following would be appropriate advice to give a. take aspirin in a liquid form b. take enteric coated aspirin c. take aspirin on an empty stomach

Answer 52

b. take enteric coated aspirin

Question 53

common adverse effects of long-term high dose aspirin use

Answer 53

tinnitus & GI bleeding

Question 54

when beta-adrenergic blocking drugs are administered, they may increase the person's risk of which adverse effects a. heart attack b. hypotension c. stroke d. tachycardia

Answer 54

b. hypotension

Question 55

which of the following instruction should be included when the nurse discharges a pt who is taking an antiadrenergic med like metropolol a. change positions slowly to minimize drop in BP b. report a weight loss of more than 2 pounds in a week

Answer 55

a. change positions slowly to minimize drop in BP

Question 56

use of adrenergic drugs is contraindicate din person with which condition a. heart dysrhythmias b. hypovolemic shock c. severe bradycardia d. asthma

Answer 56

a. heart dysrhythmias

Question 57

primary therapeutic action of the direct acting cholinergic drug bethanechol chloride? a. increase BP b. decrease HR c. decrease oral secretions d. increase urination

Answer 57

d. increase urination

Question 58

which section of the drug guide should the nurse use when she wants to know how a drug works

Answer 58

mechanism of action

Question 59

how the drug moves through your body

Answer 59

pharmacokinetics