Chapter 1 Pain medications (Analgesic)
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<Practice>
<Question 1>
What is the priority for the nurse to do after giving hydromorphone 2 mg IV push to a postoperative patient who becomes hypoxic and is given naloxone 0.4 mg?
(1) Encourage the patient to take alprazolam PO 0.25 mg for increased respiratory effect.
(2) Monitor the respiratory status immediately then reassess in 45 minutes. Then along with
respiratory status obtains oxygen level with pulse oximeter.
(3) Obtain a prescription for a different narcotic.
(4) Encourage the patient to take alprazolam sublingual 250 mg. Then along with respiratory
status obtain oxygen level with pulse oximeter.
Ans:(2)
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Chapter 2 Antibiotics
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<Practice>
<Question 1>
What is the best action for the nurse to take before administering amoxicillin to a patient with allergies to levofloxacin and ceftriaxone?
(1) Clarify the order with pharmacy
(2) Ask the patient about the type of reaction they have to ceftriaxone
(3) Notify the HCP of the allergy to ceftriaxone
(4) Administer meds separately with normal saline in between
Ans:(2)
(1)(3), Always assess client 1st(2), then do (1)(3)
<Question 2>
Which medications can cause yellow sclera and clary colored stools?
Select all that apply
(1) Ciprofloxacin
(2) Erythromycin
(3) Phenazopyridine
(4) Neomycin
(5) Doxycycline
Ans:(2)(3)
<Question 3>
A patient in sepsis is prescribed several antibiotics during the hospital stay.
What patient teaching should be included? Select all that apply
Levofloxacin, Doxycycline, Vancomycin, Azithromycin
(1) Avoid direct sun exposure
(2) Oral birth control ineffective
(3) Take until symptoms subside
(4) Monitor QT interval
(5) Supplement with vitamin B6
(6) Monitor creatinine and BUN
Ans:(1)(2)(4)
(5), This is usually for Isoniazid (INH)
<Question 4>
An adolescent girl is prescribed amoxicillin for an ear infection.
The nurse should teach the adolescent about the risks associated with her concurrent use of:
(1) over-the-counter antihistamines
(2) oral contraceptives
(3) multiple vitamins
(4) ibuprofen
Ans:(2), Instruct the client not to concurrent use of antibiotic and contraceptives,
because antibiotics may decrease the effectiveness of oral contraceptives.
<Question 5>
The primary healthcare provider has prescribed ampicillin and ciprofloxacin piggyback in the same hour, every 6 hours.
How will the nurse administer these medications?
(1) Administer one of the medications every 4 hours and the other every 6 hours.
(2) Administer the medications by combining them into 150 mL of normal saline (NS).
(3) Administer the medications at the same time by connecting the secondary tubing to two separate ports on the primary tubing.
(4) Administer the medications separately, flushing with normal saline (NS) between medications.
Ans:(4), The antibiotics need to be administered one at a time and normal saline is used to flush the remaining medication of the first antibiotic
before the second is administered.
(3), Administering the antibiotic into different parts of the IV tubing is the same as mixing the IVs together.
Only one antibiotic should be administered at a time.
<Question 6>
Which patient statement reflects a need for additional education regarding a new prescription of tedizolid for a recent skin infection of MRSA
(methicillin-resistant Staphylococcus aureus)?
(1) "It is safe to resume taking fluoxetine for my depression."
(2) "It is safe to take ibuprofen for general aches and pains."
(3) "I will stop eating smoked cheese and drinking red wine."
(4) "I will stop taking sertraline for my anxiety while on this medication."
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(4) "I will stop taking sertraline for my anxiety while on this medication."
Ans:(1)
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Chapter 3 Antifungal
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<Practice>
<Question 1>
Which medication does the nurse anticipate when treating a patient for Clostridium difficile (C Diff)?
(1) Metronidazole
(2) Ketoconazole
(3) Omeprazole
(4) Ceftriaxone
Ans:(1)
<Question 2>
A patient with oral candidiasis needs assistance in removing and soaking their dentures is which solution?
(1) Neomycin
(2) Azithromycin
(3) Lovastatin
(4) Nystatin
Ans:(4)
<Question 3>
A patient presents with creatinine of 1.8, urine output of 100 ml in 4 hours, and tinnitus.
Which medications could be most responsible for this? Select all that apply
(1) Amphotericin
(2) Azithromycin
(3) Vancomycin
(4) Doxycycline
(5) Neomycin
Ans:(1)(3)(5)
<Question 4>
Which actions by a student nurse caring for a patient prescribed nystatin for newly diagnosed oral candidiasis would warrant intervention by a precepting nurse?
Select all that apply.
(1) Encouraging the patient to place and soak oral dentures in nystatin suspension.
(2) Remind patient to stop the medication when symptoms are gone for 24 hours.
(3) Teaches the client to avoid shaking the nystatin before administering medication.
(4) Tells the patient to gargle the nystatin a few minutes before swallowing.
(5) Warns the patient that stopping medication abruptly can cause herpes zoster.
Ans:(2)(3)(5)
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Chapter 4 Steroids
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Chapter 5 Anaphylaxis
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<Practice>
<Question 1>
The nurse is instructing a patient with a sever allergy to wasp stings on the proper use of the epinephrine auto-injector.
Which patient statement best demonstrates that teaching has been effective?
(1) I will keep my epi-pen stored in my refrigerator at all times
(2) I will inject the medication into my outer thigh at the first sign of allergic reaction
(3) I will seek follow-up treatment within 24 hours of injecting the medication
(4) I will hold the epi-pen firmly in place at least 5 seconds to ensure full delivery of the medication
Ans:(2)
<Question 2>
A client report itchiness and difficulty breathing after administration of penicillin, what should the nurse do?
Prioritize the options?
(1) Administer epinephrine
(2) Stop the infusion
(3) Auscultate the lungs
Ans:(2)(3)(1)
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Chapter 6 Anticholinergics medications <抗乙醯膽鹼藥>
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<Practice>
<Question 1>
A client diagnosed with schizophrenia who is taking monthly haloperidol injections develops slurred speech, shuffling gait and drooling.
Which prescribed PRN medication would the nurse administer?
(1) Lorazepam
(2) Atropine
(3) Benztropine
(4) Chlorpromazine
Ans:(3)
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Chapter 7 Confusing medications <易搞混藥物>
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