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210 Exam 3 Mock-Exam 1. What will the nurse teach a patient who is taking isoniazid (INH)? - You will need to take vitamin C to potentiate the action of INH. Multidrug therapy is necessary to prevent the occurrence of resistant bacteria. a b. a You should not be on that Pane | will creck with the health care provider. 2. The nurse is caring for a patient who is taking rifampin. The patient’s heart rate is 90 beats/min, blood pressure of 100/89 mm Hg, and red-orange urine. What is the nurse’s best action? a. Sober a urine culture. | i - the findings and teach ate Cc: Discard the first void and start a 24-hour urine collection. d. Call the health care provider. 3. The patient states that she has been prescribed prophylactic medication for tuberculosis for a period of 4 weeks. What is the nurse’s best response? a. “Let me teach you about the medications.” b. “We do not use medications prophylactically for tuberculosis.” c. “You should be on the medications for only 2 weeks.” You snouic De O tne ar Uugs Tor a ionge perioc OT hime 4. The nurse is caring for a patient who is taking a first-generation antihistamine. What is the most Ha SO information for the nurse to teach the patient? NedIc 0" sis Ve at ie akin pS 8 1s avon a. b. “Make sure you drink a lot of liquids while on this medication.” c. “Take this medication on an empty stomach.” d. “Do not take this medication for more than 2 days.” 5. What is the most important thing for the nurse to teach a patient who is switching allergy medications from diphenhydramine to loratadine? ue dta ain Ne MNds rev Ve sedative etfects b. Loratadine has increased bronchodilating effects. c. Loratadine causes less gastrointestinal upset. d. Loratadine can potentially cause dysrhythmias. 6. Apatient is prescribed an antitussive medication. What is the most important instruction for the nurse to include in the patient teaching? “Watch for diarrhea and abdominal cramping.” eS and hypertension are common side effects. d. This medication may cause tremors and anxiety.” aa Ma Ca a a a Be ok a i Sc et a Ll eet hed ala a he i te i al tin na i Os eee Re ial a ¥ ik ileal ial aaa Ai a ale ee a a Oi dn Ne A ae bn Aa tech Dud and, Shas i nimi fe A STA RT TT OE ETT TOE LOLS PP IIEL TELS CIENT ENTE ITE TREE LT ET CERO IDLER REE YELL ASE STON OE INET BTR TE WIRE NIE She POLITY Yar y we i tn Oh ai it a oan hha Mle ed) bie hh sade ie ‘en dk in ee a ei 7. The nurse is teaching a patient about the use of an expectorant. What is the most important instruction for the nurse to include in the patient teaching? a. “Increase your fiber and fluid intake to prevent constipation.” yy I ise your fluid intake in order to decrease viscosity of sex c. “Restrict your fluids in order to decrease mucus production.” d. “Take the medication once a day only, at bedtime.” 8. The health care provider indicates that the patient will be ordered an expectorant. Which medication does the nurse anticipate the provider will order? a. Brompheniramine maleate b. Dexchlorpheniramine maleate d. Chlorpheniramine maleate 9. In discharge teaching, the nurse will emphasize to a patient receiving a beta-agonist : bronchodilator the importance of reporting which side effect? a) Tachycardia b. Nonproductive cough c. Sedation d. Hypoglycemia 10. The patient is taking a nonselective adrenergic agonist bronchodilator and has a history of coronary artery disease. What is a priority nursing intervention? a. Assessing 12-lead electrocardiogram each shift b. Monitoring blood pressure continuously c. Assessing daily for hyperkalemia Monitoring patient for potential chest pain 11. A patient with a history of asthma is short of breath and says, “I feel like I’m having an asthma attack.” What is the nurse’s priority action? (a) Administering a beta2 adrenergic age b. Administering a long-acting glucocorticoid c. Calling a code d. Asking the patient to describe the symptoms 12. The nurse is caring for multiple patients on the pulmonary unit. The nurse would question the administration of prescribed epinephrine to which patient? a. One witha history of emphysema b. Apatient who is 16 years old CC. \K nahent with atria Abrillatior with ar. t } Jatlicil j i AU d. One witha history of type 2 diabetes ! 20. The nurse notes that the patient is receiving hydrochlorothiazide for hypertension. Which additional medication in the patient's drug regimen would cause concern on the part of the nurse? a. Nitroglycerine c. Maalox d. Albuterol 21. What statement indicates to the nurse that the patient needs additional instruction about antihypertensive treatment? “I will change my position slowly to prevent feeling dizzy. medication when It is Ove: tigue my medicine may ) “lL will check my blood pressure daily and take my c. “Iwill include rest periods during the day to help me tolerate the fa cause.” d. “I will not mow my lawn until | see how this medication makes me feel.” 22. The nurse is reviewing a medication history on a patient taking an ACE inhibitor. The nurse plans to contact the health care provider if the patient is also taking which medication? a. Docusate sodium b. Morphine sulfate c. Furosemide Spironolactone a| ~~ 23. A patient is prescribed a noncardioselective beta1 blocker. What nursing intervention is a priority for this patient? Orthostatic blood pressure assessment ung AUSCL tatior OT Tne c. Teaching about potential tachycardia d. Assessment of blood glucose levels 24. The nurse is caring for several patients who are all being treated for hypertension. Which patient will the nurse assess first? yatient who has been on beta blockers for 1 da The patient wno nas stopped faking a Deta DIOCKEe cue C Ost The patient who is on a beta blocker and a thiazide diuretic d. The patient who is taking a beta blocker and Lasix (furosemide) f 25. A patient taking prazosin has a blood pressure of 140/90 mm Hg and is complaining of swollen feet. What is the nurse’s best action? a. Weigh the patient. b. Call the health care provider to change to an alternative medication. nanient s di Uf VIStOry WIth ‘nis medicatior d, Hold the medication. peep ytarenpunsweessees 26. A calcium channel blocker has been ordered for a patient. Which condition in the patient’s history is a contraindication to this medication? : sypotension ¥ Hypokalemia c. Increased intracranial pressure d. Dysrhythmias 27. What isap mom nursing diagnosis for a patient taking \a Aiter ation in ¢ rdiac output re ciated to eirects on th b. Knowledge deficit related to medication regimen c. Fatigue related to side effects of medication d. Alteration in comfort related to nonproductive cough an antihypertensive medication? tT 1 e 2y DATNe4tic NErVOL 28. Which patient statement demonstrates understanding of the nurse’s teaching for levothyroxine? a. “lcan expect to see relief of my symptoms within 1 week.” b. “It is best to take the medication with food to prevent gastrointestinal upset.” c. “I will double my dose if I gain more than 1 pound/day.” : 4 i a at Fe Ae rat r will take this medicatio! irst thing in the morning. 29. The nurse is caring for a patient who has just started taking levothyroxine. What assessment finding is a priority for the nurse to address? a. Heart rate 55 beats/min b. Weight gain of 3 pounds in the last week d. Intolerance to cold 30. The nurse is caring for a patient who is taking levothyroxine and warfarin. Which intervention is a priority for the nurse? a. Weigh patient daily for excessive weight loss. b. Assess peripheral pulses and Homans sign daily. Monitor the patient for cardiac dysrhythmias. ry Vionito Tne patient ‘or inc reased risk O pieeading. 31, What should the nurse include in the plan of care for the patient beginning prednisone therapy? a. Administer the medication early in the morning to coincide with the natural secretion pattern of adrenal cortex. b. Take the medication only every other day to decrease the risk of adrenal hyperplasia. Plan to keep a strict, unchanging schedule to prevent adverse reactions. - NEGIC ato! WITT (elelemie cin ninisr ine riSK OF gastfric irritano! i a i matuemnaee 38. A nurse is providing teaching for a patient who has to administer a mixed insulin dose of 30 units regular insulin and 70 units NPH insulin. Which technique is most appropriate for the nurse to include in patient teaching? a. Administer these insulins at least 10 min apart, so that you will know when they are working. followec UY Jrav tie th regula nsuilir Into the syringe arst = c. Use the Z-track method for administration. d. Draw the medication into two separate syringes but inject into the same spot. Cc 39. Which is the most appropriate action for the nurse who is told that a patient typically takes his glipizide with food? a. Inform the patient that the medication must be taken 15 min after a meal. b. Immediately check the patient's blood glucose level. Immediately call the health care provider. ntorm the patient that it is better to take the medica 40. What is the nurse’s best action when finding a patient with type 1 diabetes mellitus unresponsive, cold, and clammy? a. Administer subcutaneous regular insulin immediately. b. Start an insulin drip. c. Draw blood glucose level and send to the laboratory. Aaminister giucagon AGHTMIMSLET BIUCAEO Match the right column to the left drug class, some may be used twice 41. Leukotriene Modifier_+ /A. Propranolol 42. Antitubercular_L _& 8B. Guaifenesin 43. Intranasal Glucocorticoid___!\\ €- Diphenhydramine 44. ARB_N -B. Amlodipine 45. ACE-I__ £. Rifampin 46. Selective beta blocker___ =*- : , Prophylthiouricil 47. Antihistamine + a -G.HCTZ 48. Expectorant___ H. Lisinopril 49. Thiazide Diuretic__ i Metoprolol 50. Thyroid Replacement i? +. Loratadine 51. Vitamin D Analog _© 4. Montelukast 52. Nonselective beta blocker__ A. Isoniazid 53. Antithyroid__ * M. Fluticasone 54, Calcium Channel Blocker “) N. Valsartan 55. Biguanide_ 0. Calcitriol P, Levothyroxine Q. Metformin 
