nurs6521 all week quizzes latest 2018 april

Week 1 quiz

Question 1

30 ml = _______________tbsp

Question 2

Tylenol 325 mg/tablet, patient needs 650 mg; how many tables
should patient take?

Question 3

A nurse is caring for a postsurgical patient who has small
tortuous veins and had a difficult IV insertion. The patient is now receiving
IV medications on a regular basis. What is the best nursing intervention to
minimize the adverse effects of this drug therapy?

Question 4

A nurse has been administering a drug to a patient
intramuscularly (IM). The physician discontinued the IM dose and wrote an order
for the drug to be given orally. The nurse notices that the oral dosage is
considerably higher than the parenteral dose and understands that this due to

Question 5

5 ml = _______________tsp

Question 6

The nurse’s assessment of a community-dwelling adult
suggests that the client may have drug allergies that have not been previously
documented. What statement by the client would confirm this?

Question 7

Talwin given in combination with Vistaril diminishes the
adverse effects of nausea caused by the Talwin. This drug interaction affecting
the pharmacodynamics of the Talwin is

Question 8

Which of the following statements best defines how a
chemical becomes termed a drug?

Question 9

A patient has been prescribed several drugs and fluids to be
given intravenously. Before the nurse starts the intravenous administration, a
priority assessment of the patient will be to note the

Question 10

In light of her recent high blood pressure readings, a
patient has been started on a thiazide diuretic and metoprolol (Lopressor),
which is a beta-adrenergic blocker. What is the most likely rationale for using
two medications to address the patient’s hypertension?

Week 2 quiz

Question 1

A nurse has just completed a medication history on a newly
admitted patient. In order to complete medication reconciliation for this
patient the nurse will

Question 2

The nurse practitioner orders Amoxicillin 500 mg tid? What
is the total amount of medication patient will take per day?

Question 3

A nurse is admitting a Mexican woman to the hospital who
cannot speak or understand English. The patient is alone, and there is no
interpreter available. When trying to communicate with the patient the nurse
will

Question 4

A nurse is providing care for a 71-year-old woman who was
sponsored to emigrate from Mexico to the United States 6 months ago. Earlier
this week, the woman slipped while getting off a bus and fractured her hip. How
should the woman’s nurse best exemplify cultural competence in the care of this
patient?

Question 5

A Native American man who lives a traditional lifestyle is
scheduled to have heart surgery. The tribal chief has requested that the
tribe’s medicine man perform a ritual before the patient goes to surgery. The
nurse’s response to this request should be

Question 6

A patient comes to primary clinic for strep throat. A throat
swab culture is sent to lab. What information is required for the nurse
practitioner to disclose on lab transmittal?

Question 7

A 46-year-old white American has been prescribed a drug that
binds to acid glycoproteins. The nurse understands that white Americans usually
receive

Question 8

The nurse practitioner orders Amoxicillin 250 mg/5 ml tid
for 10 days? The nurse practitioner would expect the pharmacist to fill the
prescription bottle with how many ml?

Question 9

A nurse works in a private hospital and needs to administer
some narcotic drugs to one of her patients. Which of the following should the
nurse consider when administering narcotics to patients in a hospital setting?

Question 10

A nurse who provides care in a long-term care facility is
documenting a new resident’s medication regimen on the resident’s intake
admission. The nurse is documenting the generic, rather than proprietary, names
of the resident’s current drugs because

Week 3 quiz

Question 1

A normal maintenance dose for digoxin is 0.125 to 0.5
mg/day. In which of the following patients would the nurse most likely
administer a lower-than-normal maintenance dose of digoxin?

Question 2

A 55-year-old man’s hypertension has not responded
adequately to his current medication regimen consisting or an ACE inhibitor, a
beta-blocker and a thiazide diuretic. As a result, he will soon begin taking
hydralazine (Apresoline) in addition to his existing antihypertensives. The
addition of this medication to his regimen means that the nurse must prioritize
which of the following nursing actions?

Question 3

A nurse is caring for a patient with chronic angina. The
patient is receiving ranolazine (Ranexa) 500 mg PO bid. Which of the following
signs or symptoms would the nurse attribute to being a common adverse effect of
this medication?

Question 4

The nurse is performing patient education for a woman who
will soon begin treatment of hyperlipidemia with simvastatin (Zocor). The
patient has asked the nurse if there are any “bad side effects” that she should
be aware of. Which of the following statements should underlie the nurse’s
response?

Question 5

0 out of 1 points

A nurse is caring for a male patient who has a diagnosis of
coronary artery disease (CAD). His drug therapy includes lovastatin. Because
the patient has a history of severe renal disease, the nurse will assess for
which of the following?

Question 6

A 77-year-old man’s chronic heart failure is being treated
with a regimen of quinapril (Accupril) and furosemide (Lasix). Which of the
following assessment findings would suggest that the loop diuretic is contributing
to a therapeutic effect?

Question 7

A 62-year-old man has been prescribed extended-release
lovastatin. The nurse will instruct the patient to take the medication

Question 8

A nurse is caring for a patient who is diabetic and has been
diagnosed with hypertension. An angiotensin-converting enzyme inhibitor,
captopril, has been prescribed for her. Which of the following should the nurse
assess before beginning drug therapy?

Question 9

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 patient and notices that she has gained 10 pounds
since the digoxin therapy was started. The patient is concerned that the
additional weight will necessitate an increase in the medication. Which of the
following is an appropriate response by the nurse?

Question 10

A patient has been prescribed lovastatin for a high cholesterol
level. The nurse’s teaching plan will include a basic explanation of how the
drug produces its therapeutic effect. The nurse will explain that lovastatin
lowers cholesterol levels because it

Week 4 quiz

Question 1

A female patient has been taking prednisone for her asthma
for 1 month. The nurse will teach her to gradually decrease her dose of
prednisone to avoid

Question 2

A woman has a long history of seasonal allergies that are
typically accompanied by rhinorrhea, red eyes, and frequent sneezing. Sneezes
are a result of

Question 3

A 72-year-old man is prescribed theophylline for symptomatic
relief of bronchial asthma. Which of the following findings would alert the
nurse to the need for close monitoring?

Question 4

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

Question 5

The parents of a 7-year-old boy who has just been diagnosed
with allergic asthma are being taught about their son’s medication regimen by
the nurse. The nurse is currently teaching the parent’s about the appropriate
use of a “rescue drug” for acute exacerbations of their son’s asthma. What drug
should the nurse suggests the parents to use in these situations?

Question 6

A patient with bronchial asthma is prescribed a
sustained-release preparation of theophylline. To help minimize the adverse
effects of the drug, which of the following should the nurse suggest?

Question 7

A nurse is providing discharge planning for a 45-year-old
woman who has a prescription for oral albuterol. The nurse will question the
patient about her intake of which of the following?

Question 8

A 57-year-old male patient who has been prescribed
doxorubicin for small-cell lung cancer is advised by the nurse to avoid taking
aspirin or drugs that contain aspirin because it may

Question 9

A high school student was diagnosed with asthma when he was
in elementary school and has become accustomed to carrying and using his
“puffers”. In recent months, he has become more involved in sports and has
developed a habit of administering albuterol up to 10 times daily. The nurse
should teach the student that overuse of albuterol can lead to

Question 10

A 70-year-old woman has a complex medical and a current drug
regimen that includes calcium and vitamin D supplements for osteoporosis, metformin
(Glucophage) for type 2 diabetes, phenelzine (Nardil) for depression, and
metoprolol (Lopressor) and furosemide (Lasix) for hypertension. The woman is
requesting dextromethorphan for the treatment of a recurrent cough. What
component of her drug regimen contraindicates the use of dextromethorphan?

Week 5 quiz

Question 1

A nurse is providing care for a patient who suffered
extensive burns to his extremities during a recent industrial accident. Topical
lidocaine gel has been ordered to be applied to the surfaces of all his burns
in order to achieve adequate pain control. When considering this order, the
nurse should be aware that

Question 2

A patient who has been taking buspirone (BuSpar) for 1 week
calls the clinic and reports to the nurse that the drug is not working. The
patient informs the nurse that she is still having symptoms of anxiety. The
nurse will tell the patient that

Question 3

A patient with mild low back pain has been advised to take
acetaminophen. The nurse will inform him that excessive intake of acetaminophen
may result in

Question 4

A nurse who provides care on an acute medicine unit has
frequently recommended the use of nicotine replacement gum for patients who
express a willingness to quit smoking during their admission or following their
discharge. For which of the following patients would nicotine gum be
contraindicated?

Question 5

A 62-year-old woman has been prescribed a fentanyl
transdermal patch for chronic cancer pain. The patient asks the nurse how long
it will take for her to experience pain relief. The nurse will instruct the
patient that she should feel pain relief in approximately

Question 6

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

Question 7

A nurse is caring for a patient who abuses marijuana. The
treatment for marijuana abuse consists mainly of

Question 8

A 30-year-old woman is taking phenelzine (Nardil) 30mg PO
tid. The nurse knows that at that dosage, the patient will need to be carefully
monitored for

Question 9

A 59-year-old woman has presented to a clinic requesting a
prescription for lorazepam (Ativan) in order to treat her recurrent anxiety.
Her care provider, however, believes that a selective serotonin reuptake
inhibitor (SSRI) would be more appropriate. What advantage do SSRIs have over
benzodiazepines in the treatment of anxiety?

Question 10

An elderly woman is slated for a hemiarthroplasty (hip
replacement surgery) after falling and breaking her hip on the stairs outside
her home. The woman’s pain in the time since her injury has been severe, and
her care team has been treating it with morphine. Which of the following
administration schedules is most likely to control the patient’s pain?

Week 6 quiz

Question 1

A 65-year-old woman has an advanced form of rheumatoid
arthritis. Her treatment includes a regular dosage of methotrexate. The nurse
will advise her to take which of the following vitamin supplements while taking
the drug?

Question 2

To minimize the risk of adverse effects of glucagon when
given to an unconscious diabetic patient, as the patient regains consciousness,
the nurse should

Question 3

A female patient with a diagnosis of type 1 diabetes
mellitus has been experiencing increasing neuropathic pain in recent months, a
symptom that has not responded appreciably to conventional analgesics. The
patient’s care provider has begun treatment with gabapentin (Neurontin). How is
the addition of this drug likely to influence the management of the patient’s
existing drug regimen?

Question 4

A nurse is caring for a patient who has been diagnosed with
hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug
therapy is started, the nurse will assess for which of the following?

Question 5

A nurse is caring for a male patient who has a spinal cord
injury due to a motorcycle accident. He has been taking dantrolene (Dantrium)
for 2 weeks. The nurse will monitor which of the following?

Question 6

A nurse is assessing a patient who has come to the emergency
department complaining of back spasms. The patient states that he has a history
of opioid addiction and does not want to take any drug that “puts me at risk of
becoming physically dependent.” Which of the following medications would the
nurse question, if ordered?

Question 7

A 40-year-old woman with a diagnosis of fibromyalgia has
been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug
regimen. What nursing diagnosis should the nurse prioritize when updating the
nursing care plan for this patient?

Question 8

A nurse is working with a 57-year-old man who is a former
intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate
for his rheumatoid arthritis. Which of the following will the nurse include in
her teaching plan for this patient?

Question 9

Following an assessment by her primary care provider, a
70-year-old resident of an assisted living facility has begun taking daily oral
doses of levothyroxine. Which of the following assessment findings should
prompt the nurse to withhold a scheduled dose of levothyroxine?

Question 10

A nurse is caring for a 61-year-old man who has had a severe
attack of gout while in the hospital for food poisoning. The nurse administers
colchicine intravenously in order to

Week 7 quiz

Question 1

A 29-year-old female patient has been prescribed orlistat
(Xenical) for morbid obesity. The nurse is providing patient education
concerning the drug. An important instruction to the patient would be to

Question 2

A 22-year-old male college senior has lived with a diagnosis
of Crohn’s disease for several years and has undergone several courses of
treatment with limited benefit. Which of the following targeted therapies has
the potential to alleviate the symptoms of Crohn’s disease?

Question 3

Following an endoscopy, a 66-year-old man has been diagnosed
with a duodenal ulcer resulting from Helicobacter pylori infection. Which of
the following medications will likely be used in an attempt to eradicate the
patient’s H. pylori infection? (Select all that apply.)

Question 4

A woman with an inflammatory skin disorder has begun taking
prednisone in an effort to control the signs and symptoms of her disease. The
nurse who is providing care for this patient should prioritize which of the
following potential nursing diagnoses in the organization of the patient’s
care?

Question 5

A 33-year-old woman has irritable bowel syndrome (IBS). The
physician has prescribed simethicone (Mylicon) for her discomfort. Which of the
following will the nurse monitor most closely during the patient’s drug therapy?

Question 6

A 52-year-old man is suffering from a deficiency of exocrine
pancreatic secretions and is prescribed pancrelipase (Pancrease MT). Before the
medication therapy begins, the nurse will assess for allergies related to

Question 7

A 42-year-old man is being treated for a peptic ulcer with
ranitidine (Zantac) taken PO at bedtime. Even though few adverse effects are
associated with this drug, one common adverse effect that can be severe is

Question 8

A woman with numerous chronic health problems has been
diagnosed with a benign gastric ulcer has begun treatment with ranitidine
(Zantac). Which of the following teaching points should the nurse provide to
this patient?

Question 9

A patient has been prescribed a histamine-2 (H2) receptor
antagonist for the treatment of GERD. Why are H2RAs more effective than H1
receptor antagonists in the treatment of diseases of the upper GI tract?

Question 10

A patient comes to the clinic asking for help to quit
drinking alcohol. She has a 21-year history of heavy drinking and is worried
about developing cirrhosis of the liver. The patient agrees to take disulfiram
(Antabuse). The nurse will teach the patient that the combination of alcohol
and Antabuse will cause which of the following?

Week 8 quiz

Question 1

A patient has been prescribed daptomycin for a complicated
skin infection. Which of the following will the nurse advise the patient to
report immediately?

Question 2

A patient has been admitted to the critical care unit of the
hospital with bacterial septicemia that has failed to respond to initial
antibiotic treatment. The patient’s most recent blood cultures reveal the
presence of methicillin-resistant Staphylococcus aureus (MRSA) in the patient’s
blood. The nurse will anticipate that this patient will likely require
intravenous administration of what antibiotic?

Question 3

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?

Question 4

The nurse notices a cold sore on a patient’s upper lip and
requests medication; docosanol (Abreva) is ordered. Before applying the
medication, the nurse would first

Question 5

Which of the following is critical to helping prevent
development of resistant strains of microbes in patients?

Question 6

An immunocompromised cancer patient has developed
cryptococcal meningitis and been admitted to the intensive care unit for
treatment with amphotericin B. How should the nurse most safely administer this
drug?

Question 7

A patient with AIDS has developed a number of secondary
infections in recent weeks, including Kaposi’s sarcoma. As a result of this
most recent diagnosis, his care team has opted to begin treatment with
interferon alfa-2a. The nurse is aware that this drug will address the etiology
of Kaposi sarcoma by

Question 8

Mr. Laird is a 49-year-old electrician who experienced
severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago.
Part of his current wound care regimen involves the daily application of silver
sulfadiazine to his wounds. The nurses who are providing care for Mr. Laird in
the burns and plastics unit of the hospital should perform what action when
administering this medication?

Question 9

A 20-year-old female patient is receiving topical
clindamycin for acne vulgaris. She develops a rash and urticaria along with
severe itching where the medication is applied. The nurse will formulate which
of the following nursing diagnoses for the patient?

Question 10

A patient is receiving long-term clindamycin therapy for a
life-threatening infection. The nurse will begin by monitoring this drug
therapy by obtaining

Week 9 quiz

Question 1

An oncology nurse is reviewing the pathophysiology of cancer
and is discussing with a colleague the factors that contribute to the success
or failure of a patient’s chemotherapy. Which of the following cancerous cells
is most susceptible to the effects of chemotherapeutic drugs?

Question 2

Intravenous carmustine has been prescribed for a patient
with cancer. The nurse should help relieve the discomfort of pain and burning
during the infusion by

Question 3

A female patient is taking filgrastim (Neupogen) to decrease
the incidence of infection. The nurse notices a small increase in the
neutrophil count 2 days after starting therapy. The nurse’s evaluation of the
increase is that

Question 4

A nurse has been assigned to a 55-year-old woman who has a
malignant brain tumor. The patient is receiving her first dose of carmustine.
It will be critical for the nurse to observe for which of the following?

Question 5

A female patient is prescribed oprelvekin therapy to treat
thrombocytopenia. Which of the following should the nurse continuously monitor
to determine the efficacy and duration of the oprelvekin therapy?

Question 6

A 60-year-old patient experienced a sudden onset of chest
pain and shortness of breath and was subsequently diagnosed with a pulmonary
embolism in the emergency department. The patient has been started on an
intravenous heparin infusion. How does this drug achieve therapeutic effect?

Question 7

A male patient is receiving rituximab therapy for
non-Hodgkin’s lymphoma. Which of the following would be a priority nursing
intervention to reduce the risk for cytotoxicity and tumor lysis syndrome?

Question 8

A female patient has follicular non-Hodgkin’s lymphoma and
is receiving thalidomide (Thalomid). It will be most important for the nurse to
monitor this patient for which of the following?

Question 9

A patient with a recent diagnosis of chronic myelogenous
leukemia (CML) is discussing treatment options with his care team. What aspect
of the patient’s condition would contraindicate the use of cyclophosphamide for
the treatment of leukemia?

Question 10

A patient has been scheduled to begin treatment with
rituximab for non-Hodgkin’s lymphoma. The nurse who will administer this drug
should understand that it targets

Week 10
quiz

Question 1

A nurse is caring for a 46-year-old female patient who is
taking paclitaxel for ovarian cancer. Two or three days after the infusion of
the drug, the nurse must closely monitor for which of the following?

Question 2

A patient is taking etoposide for a testicular tumor
refractory to treatment. The nursing assessment reveals that he is also taking
warfarin. The nurse must carefully monitor for which of the following?

Question 3

A 20-year-old woman has been prescribed estrogen. As with
all women taking estrogen, the nurse will carefully monitor the patient for
which of the following?

Question 4

The nurse practitioner has recommended that a breast-feeding
woman take her prescribed medications just before her infant takes his longest
nap of the day. The woman does not understand and asks the nurse to explain.
The nurse will tell the woman that the recommendation was made to

Question 5

A nurse practitioner is reviewing the prepregnancy
medication regimen of a patient who has just had a positive pregnancy test. The
nurse should be aware of which of the following changes in pharmacokinetics
that accompanies pregnancy?

Question 6

The nurse recognizes that the potential for teratogenic drug
effects is not static throughout the prenatal and postnatal periods. The
potential for teratogenic effects is highest during

Question 7

A nurse is providing patient education to a 23-year-old
woman who is starting the norelgestromin/ethinyl estradiol transdermal system
(Ortho Evra). Because this is the patient’s first time to use the birth control
patch, the nurse will instruct her to apply the patch

Question 8

A 38-year-old pregnant patient admits to the nurse that she
is an alcoholic and has been consuming alcohol during her pregnancy. The nurse
knows that using alcohol during pregnancy may result in a child who presents
with

Question 9

A female patient is taking oral cyclophosphamide therapy for
breast cancer. Because of possible adverse effects of the drug, the nurse will
instruct the patient to do which of the following?

Question 10

The nurse has established peripheral IV access and begun an
infusion of magnesium sulfate on a 29-year-old antepartum patient who is 35
weeks pregnant. Which of the following assessment findings most likely prompted
the patient’s physician to order magnesium sulfate for this patient?

Week 11
quiz

Question 1

A nurse is obtaining baseline physical data from a
7-year-old patient who is to be started on dextroamphetamine for ADHD. After
obtaining vital signs, height, and weight, the nurse will prepare the patient
for an

Question 2

A 15-year-old boy who has been taking dextroamphetamine for
the treatment of ADHD has been experiencing a depressed mood and a sense of
hopelessness. He confides in the school nurse that he has begun taking his
stepfather’s antidepressant to improve his mood. After immediately phoning the
boy’s stepfather, the nurse learns that the drug in question is phenelzine
(Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should recognize that
this combination of drugs creates a serious risk of what health problem?

Question 3

A patient asks the nurse practitioner about food sources
such as soybeans and soy products. The nurse practitioner understands that
these foods are considered

Question 4

A 21-year-old female has a history of irregular menses. She
recently became sexually active, and would like to begin taking oral
contraceptives (OCs). The nurse practitioner recognizes that most likely this
patient would benefit from taking which category of OCs.

Question 5

A 22-year-old woman has given birth to an infant who
exhibits the signs and symptoms of maternal cocaine use during pregnancy. These
signs and symptoms are a result of what pathophysiological effect of opioid use
during pregnancy?

Question 6

A 16-year-old boy is prescribed cromolyn sodium nasal spray
to treat a nasal allergy. To maximize the therapeutic effects of the drug,
which of the following will the nurse include in instructions to the patient?

Question 7

A nurse is providing patient education to a 13-year-old girl
who was just diagnosed with type 1 diabetes mellitus. Which of the following
statements by the patient will alert the nurse that special instructions
regarding insulin are necessary?

Question 8

A 10-year-old boy is taking dextroamphetamine (Dexedrine)
daily for ADHD. At each clinic visit, the nurse’s priority assessment would be

Question 9

A nurse is explaining to the parents of a 6-year-old child
suffering from angina why nitroglycerin patches for chest pain would not be
appropriate. Which of the following will the nurse include in an explanation?

Question 10

A nurse practitioner orders a single dose of 2 g
Metronidazole orally. How many milligrams will the patient receive in one dose?

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