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 nurse has an order for meclizine PO to give to a client for PRN dizziness. Which factors would the nurse consider before administering this medication? Select all that apply.

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.

Dihydroergotamine (DHE) has been prescribed for a client who suffers from migraine headaches. The nurse understands that this medication can be given via which of the following routes? Select all that apply.

A client has been given a prescription for PRN allergy relief to take at home. Which of the following considerations would the nurse include when teaching this client about taking the drug at home? Select all that apply.

A client who has been admitted to the hospital needs his medications to be administered intravenously because of his condition. Which of the following situations would require administration of intravenous medication?

A client has an order for oral diphenhydramine (Benadryl) capsule to be taken by mouth twice daily. Which of the following principles would the nurse consider when administering this oral medication? Select all that apply.

A client who is recovering from surgery has been pleading with the nurse for more pain medication. The nurse is aware that the client has developed a physical dependence on the drug. Which of the following best describes this condition? Select all that apply.

A home care nurse is visiting a client and notes that there are several medication bottles visible in the house. What information should the nurse give to this client about safe medication storage? Select all that apply.

A nurse is talking with a client about starting a new type of medication. The nurse reviews the absolute contraindications for the medication. Which describes the differences between absolute and relative contraindications? Select all that apply.

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

Which of the following medications would be classified as an antipsychotic medication?

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?

A client in the hospital complains of a headache and asks for pain medication. The nurse may give either an opioid or non-opioid analgesic. Which of the following drugs are examples of non-opioid analgesics for mild to moderate pain? 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 various anti-infectives and understands that carbapenems end in 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.

A 58-year-old client suffered a closed head injury and is experiencing abnormal muscle twitching and tremor. The provider has prescribed medication as part of treatment. Which of the following drugs is an example of a dopamine agonist?

A 37-year-old client with pancreatic cancer is experiencing chemotherapy-induced nausea and vomiting (CINV) after his latest round of medication. Which drug would most likely be prescribed for the control of CINV?

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?

The nurse is caring for a client who has been receiving IV theophylline. The provider discontinues the medication to begin an immediate-release oral route. When should the first dose of the oral medication be given?

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?

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

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

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

The breakfast tray has arrived for a client taking carbamazepine. The nurse notes which of the following items should be removed before giving the tray to the client?

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 working with a client who takes a beta blocker. The nurse understands that beta blockers work on the heart by doing which of the following?

Which of the following oral diabetes agents would be classified as a biguanide medication?

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.

Which of the following medications would be classified as an antipsychotic medication?

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.

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

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?

The nurse is discharging a client with a new prescription for an oral anticoagulant. Which of the following additional medications taken by the client raises concerns for the nurse?

The drug clopidogrel is classified into which of the following categories?

The nurse is caring for a client with asthma who must receive regular breathing treatments. Which of the following are adverse drug reactions for bronchodilators? Select all that apply.

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 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 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 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 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 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 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 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 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 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 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?

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

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.

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

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?

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 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?

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 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?

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 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 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 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?

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 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?

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 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?

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 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?

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.

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

The nurse is caring for a client with Alzheimer’s disease who is taking quetiapine. A family member asks the nurse, “What is the benefit to taking this drug?” Which of the following responses from the nurse is correct? Select all that apply.

A patient with Tourette’s syndrome has been taking haloperidol and has developed tardive dyskinesia. Based on this development, which signs or symptoms would the nurse most likely see in this patient?

A nurse is caring for a patient with sepsis who needs dopamine (Intropin) titrated to keep his systolic blood pressure greater than 100 mmHg. Based on the nurse’s knowledge of this drug, the nurse knows that a side effect associated with dopamine use is:

A 58-year-old client suffered a closed head injury and is experiencing abnormal muscle twitching and tremor. The provider has prescribed medication as part of treatment. Which of the following drugs is an example of a dopamine agonist?

A 79-year-old male client requires a continuous infusion of dopamine for support of hypotension. Which of the following situations is a contraindication for using dopamine?

The nurse is giving the client pyridostigmine. Which of the following is an expected outcome of administering this medication?

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

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

Which best describes how benzodiazepines work in the body?

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.

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?

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?

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?

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.

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?

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?

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?

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.

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 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?

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?

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?

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 patient with lupus needs to take corticosteroids for control of symptoms but has developed an electrolyte deficit as a side effect of the drug. Which nutrition strategy should the nurse recommend for the patient that would help to combat this side effect?

A client with lupus has been using corticosteroids. Which of the following must the nurse consider if this client must undergo surgery? Select all that apply.

A client must take dexamethasone for treatment of adrenal hyperplasia. Which information should the nurse provide to this client about possible complications associated with this drug?

The nurse is caring for a client who needs to have a CT with IV contrast but is allergic to IV contrast. Which medication needs to be given first?

A patient is being discharged from the hospital with a prescription for oral prednisone. Which of the following complications should the nurse counsel this client to look for while taking this drug? Select all that apply.

A 67-year-old client with renal dysfunction has received a prescription for hydrochlorothiazide (Hydrodiuril) tablets. Which condition is considered a contraindication for using this drug?

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 with hyperlipidemia is in for a follow-up appointment. The client has lost some weight, but lab work reveals that the client still has hyperlipidemia. Which of the following changes would help to lower this client’s lipid levels? Select all that apply.

The nurse is reviewing the medication list of a client who is taking atorvastatin. Which of the following medications should concern the nurse?

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

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

During the physical assessment of a comprehensive exam, the nurse tells a diabetic client about the necessity to undergo several tests to determine if the diabetes has caused complications. The nurse performs glucose testing, a foot exam, an ankle-brachial index, and checks the client’s blood pressure. In addition to these tests, which type of exam should also be included to check for complications?

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 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?

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?

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

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 is teaching a newly diagnosed diabetic client about controlling blood glucose levels with short-acting insulin. The nurse is teaching the client how to use an insulin syringe when the client complains “Why do I have to take an injection? Isn’t there any way to take this insulin as a pill?” Which response from the nurse is 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?

A client with high blood pressure during labor has been given magnesium sulfate IV. In addition to the regulation of blood pressure and prevention of seizures, which of the following side effects would the nurse expect to see after administration of this medication?

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 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 has been prescribed sublingual nitroglycerin to use PRN for chest pain. The nurse is teaching the client how to administer the medication. Which of the following statements by the nurse is correct?

An 87-year-old client has a prescription for nitroglycerin that must be applied topically. Which factor must the nurse consider when administering this type of medicine to an older adult?

A 60-year-old client is seeking care for chest pain and the nurse has an order to place a nitroglycerin patch. Which implications must the nurse consider when administering this medication? Select all that apply.

A nurse must administer nitroglycerin 0.4 mg sublingually to a client experiencing chest pain. Which best describes how nitroglycerin works to relieve chest pain?

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?

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

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?

A client complains of a headache and requests ibuprofen for the pain. Based on the nurse’s knowledge of this drug, which of the following is an increased risk associated with ibuprofen use? Select all that apply.

The nurse is working a shift in the emergency department. A client presents in respiratory distress, and the provider orders emergency intubation using rocuronium. Which of the following client conditions will prolong the elimination of rocuronium from the client’s body? Select all that apply.

A client with severe depression is preparing to undergo an ECT. Just prior to the procedure, the provider prepares the client by administering succinylcholine. What response would the nurse expect to see with this medication?

The nurse is caring for a client who must take methotrexate. The client also has an order for penicillin. Which of the following is a reason the nurse should notify the provider in this situation?

The nurse is administering a cephalosporin to a client following a sinus infection. Which of the following are side effects associated with this medication? Select all that apply.

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 an older adult client who is prescribed IV cefazolin for pneumonia. Which of the following labs will be most important for the nurse to monitor due to the client’s age?

The client has an order for penicillin for strep throat. Before giving the medication, the nurse notes some drug-drug interactions and should contact the provider if the client is taking which of the following medications? Select all that apply.

The client has a CT scan with IV contrast ordered. The nurse reviews the client’s allergies and notes the client is allergic to peanuts, penicillin, and sulfa drugs. What should the nurse do next?

The nurse is caring for a client who is receiving penicillin. For which of the following side effects should the nurse monitor? Select all that apply.

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.

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?

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 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 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?

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?

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.

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 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 client is admitted with diabetes insipidus. What assessment data would indicate that client will receive Vasopressin?