A client tells the nurse that he has leftover medications that he doesn’t know how to or where to dispose of them. Which instructions should the nurse give this client about proper disposal of medications? Select all that apply.

Upon admission to the hospital for depression, a client tells the nurse that he has been taking ma huang for energy. Which of the following side effects are associated with this supplement? Select all that apply.

The client is receiving ergotamine for a migraine headache. For what side effects does the nurse instruct the client to be aware? Select all that apply.

A nurse is reviewing drug information for a newly prescribed medication order. The drug information states that the drug causes therapeutic incompatibility when combined with other types of medications. Which of the following are examples of therapeutic incompatibility of a drug? Select all that apply.

A client is being admitted to the hospital from a nursing home and has several medications with him. Which of the following are steps in the medication reconciliation process? Select all that apply.

A client complains of severe pain following knee surgery. The nurse provides a dose of hydrocodone to help control this client’s pain. Which of the following gastrointestinal conditions may develop as side effects to using this type of drug? Select all that apply.

A nurse has been given an order by a provider to administer a specific type of medication STAT. Which of the following is associated with administering STAT medications? Select all that apply.

A client with a nasogastric tube has an order for an oral medication but he is unable to swallow any tablets. Which of the following principles would the nurse consider when administering a drug through a client’s nasogastric tube? Select all that apply.

A client tells the nurse that he cannot take Percocet because he thinks he has an increased risk of having an allergic reaction to the drug. Which of the following factors are associated with an increased risk of having an allergic reaction to this drug? Select all that apply.

A nurse is working in an outpatient clinic caring for clients who are recovering from minor surgical procedures. Which of the following must the nurse consider when documenting PRN pain medications that are frequently administered? Select all that apply.

A nurse is caring for a client requiring an antibiotic and the healthcare provider wants to prescribe a carbapenem drug. The nurse knows that which of the following drugs is not a carbapenem antibiotic?

A client has been prescribed atenolol for high blood pressure. The nurse talks to the client to assess his condition and the reason for the medication. Based on the nurse’s knowledge of this drug type, the nurse understands that atenolol may also be prescribed for treatment of which of the following?

The nurse recognizes that which of the following drugs is a first-generation sulfonylurea in the treatment of diabetes? Select all that apply.

A nurse is preparing medications for a client with swallowing difficulties. The nurse must crush the pills before administration. Which of the following suffixes would the nurse question for crushing? Select all that apply.

A student nurse is studying pharmacology and knows that macrolides end is which of the follow suffix?

A nurse is assembling a client’s daily medications and notes that one of the medications is a benzodiazepine. Which of the following medications is in this class of drugs?

A nursing student knows that fluoroquinolones have which of the following types of suffix ending?

Which of the following drugs is an example of an antitumor antibiotic that may be given to a client with cancer?

Which of the following medications is an example of a drug that a client might receive as a muscle relaxant during surgery?

A nurse is caring for a client with allergies to penicillins, NSAIDs, and sulfa drugs. The nurse withholds which medication for clarification from the provider?

The nurse is caring for a client who is receiving IV vancomycin. The nurse reviews the vancomycin trough level prior to administering the next dose. The lab result is 12 mcg/mL. What is the nurse’s next priority?

The nurse is caring for a client who is receiving IV vancomycin. The nurse reviews the trough level before administering the next dose. the lab result is 47 mcg/mL. Which action is appropriate by the nurse?

The nurse is reviewing a client’s lab results. Which result for digoxin would the nurse correctly interpret as within the therapeutic range?

A client with bipolar disorder is taking prescribed lithium while in the hospital. Which information would the nurse need to document while the client takes this drug? Select all that apply.

The nurse is receiving report on a client who has overdosed on aspirin. Which lab does the nurse expect to monitor? Select all that apply.

The nurse is reviewing a clients lab results. Which of the following results for vancomycin would the nurse recognize as within the therapeutic range?

The nurse is preparing to administer a dose of IV vancomycin to a client. The phlebotomist enters the room and states a peak needs to be drawn. Which action by the nurse is appropriate?

The nurse is reviewing a client’s lab results. Which result for theophylline would the nurse correctly interpret as being in the therapeutic range?

The nurse caring for a child experiencing heart failure knows that which of the following medications has a narrow therapeutic window?

The nurse is reviewing a client’s lab results. Which result for lithium would the nurse correctly note as therapeutic?

The nurse is caring for a client receiving an antifungal and knows that which of the following interactions occur with this drug class?

The nurse is caring for a client who needs a medication to decrease the acidity of the stomach. What class of medications would the nurse expect to use? Select all that apply.

A nurse is reviewing appropriate pain medications for a client with heart failure. The nurse reminds the client not to take non-steroidal anti-inflammatory drugs (NSAIDs) with symptomatic heart failure. Which of the following best describes the rationale for this?

A client presented to the emergency department in status epilepticus. The client was given an intravenous anticonvulsant. After stabilization, which medication does the nurse anticipate will most likely be prescribed for maintenance of seizures?

A nurse is caring for a client who was admitted with a broken hip and is awaiting surgery in the morning. The nurse is preparing to administer the first dose of morphine. Which of the following aspects of opioid analgesics should the nurse consider? Select all that apply.

A client being treated for asthma needs to take the next dose of bronchodilator medication. After administering the drug, the nurse notes that the nursing assistant is passing out breakfast trays. Which of the following items on the breakfast tray should the nurse discuss with the client before the client consumes breakfast?

A client is taking Parnate, which is classified as a monoamine oxidase inhibitor (MAOI). Which of the following foods should the nurse counsel the client to avoid?

A nurse who is working in the recovery room is caring for a client who has recently had cardiac surgery. The client has received a significant amount of opioid analgesics for pain control. The nurse is monitoring the client’s vital signs and notes the following: HR 68bpm, RR 6/min, BP 90/60 mmHg. Which of the following medications would the nurse most likely need to administer?

A nurse in the emergency department is caring for a client who has suffered a myocardial infarction. The client tells the nurse that he is feeling worse. The nurse checks his vital signs and notifies the provider, who orders norepinephrine. Based on the nurse’s knowledge of this medication, the nurse would expect to see which of the following client responses after administration?

A nurse is caring for a client who is seeking care for symptoms of serotonin syndrome. The client has a prescription for citalopram. Which of the following substances, when combined with this medication, would most likely lead to serotonin syndrome? Select all that apply.

A nurse is performing chart checks and reviewing medication orders. Which of the following information describes a medication order? Select all that apply.

A nurse is preparing to administer a medication to a 13-year-old client. The nurse follows the six rights of medication administration for a pediatric client. After checking for the right client, the right dose, the right drug, the right time, and the right route, what is the final item the nurse must check for this client?

A nurse is preparing to administer a client’s daily dose of carbamazepine. Which of the following actions would be an example of the “right client” portion of the six rights of medication administration? Select all that apply.

A nurse is preparing a client’s daily oral medication. When the nurse brings the client his medication, he says, “What happened to the pink pill? I’ve never seen this one before!” Which of the following responses from the nurse is most appropriate?

A nurse has gathered medication to administer to a client. Which of the following describes an appropriate way to assess that the medication is being given to the right client?

A nurse is preparing to administer oral verapamil to a client. The nurse gathers supplies and the medication before giving the drug. Which action of the nurse demonstrates that she is considering the right drug as one of the rights of medication administration?

A provider has written the following order: “Give hydromorphone 1 mL IV prn pain.” Which of the following aspects of the order would most likely cause a medication error?

A nurse is preparing to administer a medication that she has never given before. Which of the following actions should the nurse do in order to promote safety for the client and the nurse when giving the medication?

The nurse enters the client’s room with a baby aspirin to administer to the client. The nurse asks the client their name and date of birth, then checks the client’s wrist band. The nurse then tells the client, “This is a baby aspirin, it is used to thin the blood and prevent clots.” The nurse scans the medication and the client into the computer and checks that the name and strength of the drug matches the name and strength of the drug on the computer order. The nurse hands the medication to the client. At this point, the nurse gets a phone call from the charge RN asking the nurse to come to the nurses station immediately. The nurse says, “I will be back in a moment” and leaves the room. Which right of delegation has this nurse violated?

A nurse is planning to give a client a dose of insulin. Out of the 6 rights of medication administration, which of the following actions signifies that the nurse is properly practicing the right (correct) drug? Select all that apply.

A nurse administers diphenhydramine to a 9 year old client for hives. The client becomes hyperactive, jittery and tachycardic. What type of drug reaction is this client experiencing?

A drug is given that is considered an agonist for a specific receptor. What effect should the nurse expect?

A nurse administers two drugs at the same time to a client. Upon evaluating the client’s response, the nurse notes that one drug doesn’t seem to have produced its effect. What type of drug interaction may this client be experiencing?

Which of the following situations is an example of an adverse drug reaction?

A drug is given that is considered an antagonist for a specific receptor. What effect(s) should the nurse expect? Select all that apply.

If a drug experiences a strong first-pass metabolism, which route is the best for administration?

How does passive absorption of medications occur?

A client is prescribed a topical glucocorticoid. The nurse knows that the absorption of glucocorticoid cream is greater in which of the following areas? Select all that apply.

A nurse is reviewing a medication’s pharmacokinetics. Which of the following is part of a drug’s pharmacokinetics? Select all that apply.

A nurse received report on a client who is receiving aminoglycoside. After reviewing orders the nurse sees an order for a trough level. The nurse knows that trough levels are used to ensure adequate clearance of which of the following?

Which of the following methods of administration would result in the fastest rate of absorption?

The nurse preceptor is discussing drug absorption with a student nurse. The nurse asks which route absorbs medication the fastest when a precise serum drug level increase is desired. Which of the following responses by the student is correct?

Which of the following processes are components of pharmacokinetics? Select all that apply.

The nurse is providing a medication schedule for a client taking aluminum/magnesium antacid for gastritis. To promote the best absorption, this drug should be given when? Select all that apply.

Which of the following clients would likely require a dose adjustment for medications due to improper processing of the medication? Select all that apply.

A nurse is preparing levothyroxine for a client. The ordered dose is 62.5 mcg. The medication comes in the following preparations: 25 mcg, 50 mcg, 75 mcg, and 100 mcg. The pills are scored and able to be cut in half. Which configuration would require the least amount of pills for the client to ingest?

The nurse is discussing medication with the parent of a pediatric client. The nurse asks the parent how much acetaminophen is given to the child when needed, and the parent states, “One tablespoon.” The nurse knows that one tablespoon is the equivalant of how many ounces?

The nurse is preparing the medications for a client. The client has ordered 3.75 mg of prednisone. The medication comes in 2.5 mg tabs. How many tabs will the nurse administer?

While preparing to give medications to the client, the nurse compares the medication in the medication box with the provider’s orders. The nurse finds that the provider ordered prednisone 15 mg orally for a client with cirrhosis and the medication in the box is prednisolone 5 mg. What should the nurse do next?

A new graduate nurse is being oriented to the unit and is learning the procedure for medication administration. Which of the following practices is appropriate to ensure that a high alert drug is given in the correct dosage?

The nurse is preparing the medications for a client. The client has an order for 25 mg of escitalopram. The medication comes in 10 mg tabs. How many tabs will the nurse administer?

A nurse must calculate the dose of dopamine for her client. After calculating the amount to give, the nurse notes that the amount seems much larger than the normal dose. Which of the following are appropriate actions for the nurse to take? Select all that apply.

A pediatric nurse is performing an admission assessment. The mother of the client tells the nurse that she gave the child 2 teaspoons of acetaminophen. The nurse knows this is how many mL?

The nurse removes a tuberculin syringe from the supply cabinet. Which of the following medications is NOT appropriate to give with this type of syringe?

Find which of the following liquid drug measurements are correctly matched with their equivalent. Select all that apply.

A nurse is preparing to administer an IV medication. Which of the following ensure that the correct dose is calculated? Select all that apply.

The nurse is preparing the medications for a client. The client has ordered 112.5 mcg of levothyroxine. The medication comes in 75 mcg tabs. How many tabs will the nurse administer?

The nurse is preparing medications for a client. The client has ordered .25 mg of alprazolam 3 times daily. The medication comes in 0.5 mg tabs. How many tabs will the nurse administer total for the day?

The nurse is preparing the medications for a client who has an order for 0.5 mg of lorazepam. The medication comes in 1 mg tabs. How many tabs will the nurse administer?

The nurse is preparing medications for a client. The client has ordered 30 mg of fluoxetine. The medication comes in 20 mg tabs. How many tabs will the nurse administer?

The nurse is preparing the medications for a client. The client has ordered 5 mg of cetirizine (Zyrtec). The medication comes in 10 mg tabs. How many tabs will the nurse administer?

The nurse is preparing the medications for a client. The client has ordered 324 mg of aspirin. The medication comes in 81 mg tabs. How many tabs will the nurse administer?

A nurse has been ordered to administer Lasix 60 mg po. The medication is available as 20 mg tablets. Which of the following should the nurse give?

A nurse must give a diuretic as an IV bolus to a client with a peripheral IV. Which of the following elements must the nurse consider when administering an IV drug bolus? Select all that apply.

A nurse must administer an emergency dose of IV epinephrine. The epinephrine is labeled 0.1 mg/mL. How many mg of epinephrine would be in 10 mL of this solution?

A nurse is preparing to give Dimetapp elixir to a client. The medication is prepared as 25 mg in a 5 mL solution. The nurse has been ordered to give 100 mg. Calculate the amount in cc (cubic centimeters) to give.

A nurse has an order for liquid acetaminophen 1,000 mg. The bottle is available as 625 mg in 5 mL. How much should the nurse give this client?

The nurse is caring for a newborn and receives an order to have an IV infusion of NS at a KVO (keep vein open) rate. What is the first action the nurse should take?

A client is receiving IV insulin. The container is labeled as 1,000 units of insulin in a 500 mL bag of 0.9% NaCl. The insulin pump is set and infusing at 10 mL/hour. At this rate, how much insulin does the client get per hour?

A physician has ordered that a client receive 1,000 mL of D5LR at a rate of 150 mL/hour. At this rate, how many hours will it take to infuse the entire bag?

A nurse has an order to give paracetamol 20 mg/kg to a 6-year-old child. The nurse weighs the child and finds that he weighs 48 pounds. How much of the medication would the nurse give to this child?

A nurse receives an order to administer norepinephrine IV to a client at a rate of 30 mL/hr. The nurse receives the medication in a 500 mL bag of D5W that contains 40 mg of the drug. How many mcg/min will the client receive?

The provider orders fluid maintenance at a rate of 10 mL/kg/hr. The client weighs 145 lbs. How many mL per minute will the client be receiving?

A client has been prescribed an aminoglycoside antibiotic for an infection. Which of the following information about the side effects of this medication is most appropriate for the nurse to give to this client?

A nurse is admitting a client to the hospital and asks the client about what medication she takes. The client states she takes aspirin. Which of the following conditions are appropriately treated with aspirin? Select all that apply.

A 70-year-old diabetic client is seeking care at a healthcare clinic for treatment of diabetic peripheral neuropathy. The client complains of sharp, stabbing pain in his feet at night when he lies down and pain in his lower legs and feet when he walks. Which of the following medications would most likely be prescribed for treatment of pain associated with this condition?

A client is seeking treatment for osteomyelitis in his right foot. Which medication would most likely be administered first in this situation?

A client has been diagnosed with obsessive-compulsive disorder and is undergoing therapy. Which of the following medications would most likely be prescribed for this condition?

A client is hospitalized for symptoms of chronic bronchopulmonary disease. The physician orders 20% acetylcysteine solution administered via nebulizer. This medication is most likely administered for help with symptoms of which of the following?

A client has been brought into the emergency department after suffering from pulseless cardiac arrest. Which of the following drugs would most likely be ordered as initial management of this condition?

The nurse is caring for a client with a fungal infection. Which of the following medications would the nurse expect to administer to treat this condition?

A client has been ordered to receive a dose of venlafaxine in addition to the pain medication already ordered to help control pain. Which type of conditions does this kind of adjuvant medication normally help to control when given alone? Select all that apply.

The nurse is reviewing medications for the day. A client is taking vancomycin. For which of the following would the nurse be giving a client vancomycin?

A client has overdosed on a benzodiazepine. The nurse has given the client flumazenil as the antidote, and begins to monitor for which type of reaction from the effects of the antidote?

A client with bipolar disorder has been prescribed carbamazepine. Which lab value should the nurse anticipate monitoring?

A client has overdosed on diazepam. Which of the following are signs of an overdose of this medication? Select all that apply.

The nurse is providing discharge teaching to a client regarding their new prescription for diazepam. The client asks why he can’t drink while taking this medication. The best response by the nurse is which of the following?

The nurse is caring for a client who has been taking a benzodiazepine. For which of the following conditions is the medication taken? Select all that apply.

A client informs the nurse that she has difficulty falling asleep and is only able to sleep a couple of hours each night while in the hospital. Which of the following describes a difference between sleep and induced sedation through medication? Select all that apply.

The nurse is admitting a client who reports drinking a pint of vodka everyday. What signs or symptoms in this client indicate that the client may require lorazepam? Select all that apply.

The nurse is caring for a client with a history of addiction to alcohol. What medication class should be avoided for chronic treatment of anxiety in the client with an addiction to ETOH?

A nurse is assembling a client’s daily medications and notes that one of the medications is a benzodiazepine. Which of the following medications is in this class of drugs?

Which best describes how benzodiazepines work in the body?

A client has overdosed on alprazolam. Which of the following medication would the nurse expect to give?

The nurse is caring for a client who has become lethargic. A friend at the bedside reports that the client takes alprazolam. The nurse should prepare which medication?

A client with bipolar disorder has been prescribed carbamazepine. Which lab value should the nurse anticipate monitoring?

A client has overdosed on a benzodiazepine. The nurse has given the client flumazenil as the antidote, and begins to monitor for which type of reaction from the effects of the antidote?

A nurse arrives on the unit to receive bedside report on a client. When the nurse enters the room the client is assessed to be in pulseless ventricular tachycardia/ventricular fibrillation (VT/VF). The nurse knows to give which two medications to help the client?

A client is found unresponsive and is connected to the defibrillator and the monitor reveals a rhythm of asystole. The nurse knows that which of the following medications should be given?

A nurse calls the charge nurse and asks for a vial of Epinephrine 1:10,000 to be brought to a client’s room STAT. The charge nurse knows that what situation is likely occurring in the client’s room?

A nurse is caring for a client with asthma and knows which drug could cause bronchospasms for the client?

A nurse is administering Epinephrine during a cardiac arrest. The nurse knows that Epinephrine produces its effects by stimulating which receptors? Select all that apply.

A nurse is caring for a client admitted for NSTEMI who suddenly goes unresponsive. The nurse notes no pulse, calls a code blue, and begins compressions. The provider arrives and orders a dose of epinephrine. What is the appropriate concentration and dose for this situation?

A nurse is caring for a client with pulseless electrical activity (PEA/asystole). The nurse knows that according to the the PEA/asystole algorithm, which of the following actions are expected?

The nurse is administering an anti-platelet drug to a client. The nurse knows it is most important to monitor for which of the following adverse effects?

The nurse is preparing to administer clopidogrel to a client. The nurse knows that the purpose of this medication is which of the following?

A client is being admitted to the intensive care unit following an acute ischemic stroke. The nurse has an order to administer clopidogrel. The nurse knows that in addition to preventing recurrent strokes, which of the following conditions indicate this type of medication?

Types of anti-platelet aggregates include which of the following? Select all that apply.

The nurse is preparing to administer aspirin to a client. Which of the following conditions in the client’s health history would concern the nurse?

The nurse is preparing discharge teaching for a client taking coumadin. Which of the following teaching points should be included?

The nurse is assigned to a client taking coumadin. Prior to giving the client’s dose of coumadin, the nurse notes that the client’s INR is 2.2. Which of the following actions is appropriate?

Which client condition would cause the nurse to question an order for coumadin?

A client asks the nurse why he should avoid large amounts of kale while taking coumadin. Which response is correct?

A nurse is preparing to administer a dose of warfarin to a client. Based on the nurse’s knowledge of this drug, the nurse knows to monitor for which of the following side effects?

The nurse is providing discharge education to a client with a history of atrial fibrillation and a new prescription for dabigatran. Which of the following teaching points should the nurse include?

A client presents to the emergency department with symptoms of a stroke. The nurse prepares the client for a CT of the head. What is the reason for a head CT?

A client is admitted with a history of venous stasis and the lower extremities are edematous and discolored. The healthcare provider orders a doppler of the lower extremities, which shows that the left leg is positive for a clot. The nurse knows to implement which of the following orders first?

A client is being discharged home from the hospital after being treated for a deep vein thrombosis (DVT). The nurse is preparing to educate the client on the new prescription for an anti-thrombotic medication. Which of the following medications is an anti-thrombotic?

A nurse has an order to administer heparin to a client. Which steps would the nurse take to minimize the risk of the client developing heparin-induced thrombocytopenia (HIT)? Select all that apply.

A client who is receiving heparin for a history of blood clots has developed heparin-induced thrombocytopenia. His platelet count is 90,000/mcL. Which of the following nursing interventions is most appropriate in this situation?

The nurse is admitting a client who states, “Last week I tripped over my grandson’s toys in the living room. I fell face first into the coffee table. I know I am taking blood thinners and am supposed to get checked out but I wasn’t confused afterwards and wasn’t having facial droop or anything like that. But today I was very dizzy and couldn’t keep on my feet. I have fallen about 4 times since then and now I have cuts all over my arms and I can’t lift my right arm up anymore.” Which part of that statement is the most concerning and needs immediate attention?

A nurse is caring for a postpartum client with a suspected deep vein thrombosis (DVT) in one leg. What assessment findings would confirm this diagnosis? Select all that apply.

A client is being prepared in the preoperative department and medications are being reviewed. When the client is asked the last time they took their anticoagulant they answer, “Last night…is that a problem?” The nurse knows that which of the following is a risk?

The nurse is caring for a client at risk for blood clots. The nurse knows that the difference between direct and indirect thrombin inhibitors is which of the following?

The nurse is preparing to administer streptokinase to a client. Which of the following conditions would cause the nurse to hold the dose? Select all that apply.

The nurse knows that a thrombolytic medication depends on the conversion of plasminogen to plasmin. Plasmin performs which of the following functions?

A nurse is reviewing orders for a client on the floor and notes that a thrombolytic drug is ordered. Which of the following medications on the client’s medication record would warrant a call to the provider?

The nurse has an order to administer a thrombolytic to a client. The nurse knows that a thrombolytic medication is indicated for all of the following conditions except which?

Thrombolytic therapy is used for which of the following conditions? Select all that apply.

A client presented to the emergency department in status epilepticus. The client was given an intravenous anticonvulsant. After stabilization, which medication does the nurse anticipate will most likely be prescribed for maintenance of seizures?

The nurse is educating a client on a new prescription for valproic acid. For which of the following signs and symptoms will the nurse instruct the client to monitor?

The nurse is caring for a client who takes gabapentin for seizure control. The client complains of swelling in the lower extremities since starting this medication. Which of the following actions by the nurse is most appropriate?

The nurse is caring for a client with an order for carbamazepine. The nurse knows that this drug is given for which of the following?

A nurse is administering an antidepressant medication. The nurse teaches the client to avoid tyramine-containing foods with the medication. Which of the following types of antidepressant medication is the client taking?

A client with severe depression has been prescribed isocarboxazid, a monoamine oxidase inhibitor, for treatment of symptoms. Which of the following foods would the nurse counsel the client to avoid when taking this medication?

A client is taking Parnate, which is classified as a monoamine oxidase inhibitor (MAOI). Which of the following foods should the nurse counsel the client to avoid?

A nurse is caring for a client who is seeking care for symptoms of serotonin syndrome. The client has a prescription for citalopram. Which of the following substances, when combined with this medication, would most likely lead to serotonin syndrome? Select all that apply.

A client is prescribed a selective serotonin re-uptake inhibitor and the nurse knows that a benefit of taking an SSRI over other anti-depressants is which of the following?

A client is complaining of some symptoms that started when they began taking an antidepressant. The nurse notes that the client is on an SSRI. Which of the following side effects would the nurse associate with SSRIs?

The client is newly prescribed a selective serotonin reuptake inhibitor (SSRI) for depression and needs education on the medication. The nurse is educating the client on serotonin syndrome and knows that the client correctly understands serotonin syndrome when the client states which of the following?

A client has been prescribed paroxetine (Paxil) while in the hospital. Several hours after receiving the first dose, the client becomes confused and agitated. He starts sweating and is having hallucinations. Which of the following best describes the most likely cause of this reaction?

The nurse is caring for a client who has been taking amitriptyline for two months. The client complains that the medication does not relieve symptoms. Which of the following is an accurate response from the nurse?

A client is complaining that all their signs and symptoms started when they started to take their antidepressant. The nurse notes that the client is on a tricyclic antidepressant. Which of the following complaints would the nurse associate with this class of drugs? Select all that apply.

A client who is severely depressed is being prescribed a tricyclic antidepressant. Which of the following teaching points should the nurse be sure to include when educating this client? Select all that apply.

The nurse is preparing to administer a sulfonylurea to a client. The nurse knows that this drug does which of the following?

The nurse is educating a client on a new prescription for a thiazolidinedione (TZD) to help control the client’s blood glucose. The client asks how this medication works. Which response from the nurse is correct?

An 88-year-old client presents to the emergency department after a fall and receives a head CT with contrast to rule out a brain hemorrhage. The nurse is reviewing the client’s home medications and notes that the client takes metformin. The nurse would be most concerned if the client demonstrated which of the following signs and symptoms?

The nurse is reviewing a client’s lab values and notes an A1C of 7.2%. The nurse understands that this signifies which of the following?

Which medications are most effective when administered just before a meal? Select all that apply.

The nurse is caring for a client who is experiencing an insulin reaction. Which of the following is a nursing priority?

An example of a type of long-acting insulin would be:

A nurse is caring for a diabetic client who uses an insulin pump. The client is in the hospital for diagnostic testing of kidney disease and the provider has ordered an MRI. Which action of the nurse is most appropriate?

Which of the following is an example of a rapid-acting type of insulin?

A nurse is caring for a client that has an order for an insulin drip STAT. What kind of insulin can be safely administered intravenously?

A nurse is assessing a diabetic client at the healthcare clinic who has a log of glucose levels and insulin dosages for the past month. The nurse notes that the client has had high levels of blood glucose every morning, requiring increased dosages of insulin first thing in the morning when compared to other times of day. Which of the following suggestions would most likely assist the client to have better readings of morning blood glucose levels?

A client uses Novolin R, a short-acting insulin, to control his blood glucose levels. The client is reviewing the principles of glucose control with the nurse and asks about when he should take his insulin in relation to meals. Which response from the nurse is most accurate?

The nurse has an order to given insulin to a client with acute renal failure. Which of the following is the purpose of giving insulin in this situation?

The nurse is caring for a diabetic client who takes insulin. Which of the following actions should the nurse take to avoid complications?

A nurse administers diphenhydramine to a 9 year old client for hives. The client becomes hyperactive, jittery and tachycardic. What type of drug reaction is this client experiencing?

The nurse is giving a client cimetidine. Which of the following are adverse reactions for which the nurse should monitor? Select all that apply.

A client has an order for IV cimetidine. The nurse knows to assess which of the following body systems when administering this medication?

A client has a new prescription for propranolol. The client tells the nurse that he is training for a 10K and wants to know if he can still exercise. Which information is true regarding beta-blockers and exercise? Select all that apply.

The nurse is reviewing a client’s medications and notes that the client is taking metoprolol. Which of the following medications would the nurse recognize as causing an interaction with metoprolol?

A nurse is caring for a client receiving metoprolol for migraines as an off-label treatment. Which of the following would be the most important for the nurse to monitor?

A client has been prescribed atenolol for high blood pressure. The nurse talks to the client to assess his condition and the reason for the medication. Based on the nurse’s knowledge of this drug type, the nurse understands that atenolol may also be prescribed for treatment of which of the following?

The nurse has administered atenolol to a client. Which of the following is an intended effect of the medication?

The nurse preceptor on a telemetry floor is reviewing sympatholytics with a student nurse. The student asks the nurse which substance is blocked by a B-adrenergic blocker. Which response by the nurse is correct?

The client is taking an angiotensin II receptor blocker for blood pressure control. You explain to the client that giving this drug helps reduce blood pressure through which mechanism?

The nurse notes a new order for a beta blocker. Which of the following conditions in a client’s health history would cause the nurse to clarify this order? Select all that apply.

The nurse questions an order for a beta-blocker in a client with peripheral vascular disease for which of the following reasons?

A nurse is administering metoprolol to a client. For which of the following signs and symptoms should the nurse monitor the client? Select all that apply.

Examples of angiotensin converting enzyme inhibitors include which of the following? Select all that apply.

The nurse is caring for a client taking the medication captopril. Which lab value will the nurse closely monitor?

The nurse is caring for a client taking an ACE inhibitor. The nurse knows that this type of medication is given for which of the following conditions? Select all that apply.

The nurse is caring for a client taking lisinopril. The nurse knows that this medication works by doing which of the following? Select all that apply.

A nurse is caring for a client who has an atrial flutter and has received an order for a diltiazem (Cardizem) infusion. The provider has ordered the following: “Diltiazem bolus 0.25 mg/kg then 10 mg/hr to keep HR between 80 and 110.” Which of the following actions would the nurse perform first?

Upon admission, a client tells the nurse that she takes verapamil. Which of the following additional medications in the client’s medication list would cause concern for the nurse? Select all that apply.

Calcium channel blockers reduce high blood pressure by which of the following mechanisms?

The nurse is preparing to administer lanoxin to a client with heart failure. At which location should the pulse be assessed prior to administration of this drug?

The nurse is caring for a client who is exhibiting signs and symptoms of digoxin toxicity. Which of the following signs is suggestive of digoxin toxicity?

A client with heart failure has a new prescription for digoxin. What should be included as part of teaching this client about digoxin? Select all that apply.

While reviewing a client’s medication list at admission, the nurse notes that the client is taking digoxin. Which of the following medications should the nurse tell the client to avoid?

The nurse is preparing the client’s scheduled medications, one of which is digoxin. For which of the following vital signs would the nurse hold the client’s digoxin dose?

A client who takes digoxin has developed signs of toxicity, including nausea, vomiting, diarrhea, confusion, and cardiac arrhythmias. Once the nurse determines that toxicity is present, what is the first action the nurse should perform?

A client with cardiac dysrhythmia takes digoxin for management of symptoms. When the breakfast trays arrive on the unit, which food should the nurse remove from the client’s tray?

A nurse administers digoxin (Lanoxin) to a client with heart failure. Based on the nurse’s knowledge of this drug, which intervention should the nurse perform before administering it?

The nurse is preparing to give a client digoxin as ordered. The nurse is aware that which of the following is a priority nursing action before administering this drug?

What two adverse effects are common with aminoglycoside use?

The nurse is caring for a client that is receiving aminoglycoside. The nurse knows to assess the client for which of the following adverse effects? Select all that apply.

The nurse is caring for a client receiving aminoglycoside. The nurse knows that which of the following cranial nerve can be damaged by aminoglycoside use?

A client presents to the emergency room with an abscess that was previously treated but is not responding to penicillin. The nurse knows the next line of antibiotics will be which of the following?

A nurse is helping a nursing student to understand aminoglycosides and how to identify which drugs belong to this class. The nurse is correct in saying that aminoglycosides tend to have which of the following suffix?

A nursing student is studying antifungals and knows that antifungals have which of the following suffixes? Select all that apply.

The nurse is caring for a client receiving an antifungal and knows that which of the following interactions occur with this drug class?

A client is prescribed voriconazole and the nurse knows this medication is contraindicated in which of the following client populations?

If a client is taking an antifungal medication and thiazide diuretics, which of the following electrolyte disturbances would the nurse expect to find?

A client is being prescribed an antifungal medication and the nurse knows that a contraindication for this drug includes which of the following?

A client has been prescribed metronidazole for an infection. The nurse should counsel this client not to take this drug if he has which of the following conditions? Select all that apply.

The nurse is assigned to a client with tuberculosis who begins to experience a seizure. Which of the following is a potential reason for this?

The nurse is assigned to a client who is beginning drug treatment for tuberculosis. Which of the following statements by the nurse is correct regarding this condition?

A client undergoing treatment for tuberculosis presents to the emergency department complaining of red-tinged discharge from the eyes. Which of the following actions is most appropriate for the nurse to take?

The preceptee correctly explains to the nurse that the mechanism of action of anti-tubercular medications is which of the following?

The community health nurse is conducting an educational session to teach about tuberculosis in an HIV positive population. Which of the following is accurate regarding extrapulmonary tuberculosis? Select all that apply.

The nurse is reviewing assigned clients. The nurse anticipates administering anti-viral medications to which of the following patients? Select all that apply.