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1. What is/are the action(s) of the drug metformin? d. Both A and B

a. Decreases Hepatic glucose production and intesti-
nal glucose absorption a. Decreases He-
b. Increases sensitivity to insulin patic glucose pro-
c. Short term sedation duction and intesti-
d. Both A and nal glucose ab-
sorption
b. Increases sensi-
tivity to insulin

2. When administering the drug senna to a patient, a b. This drug is not

health care provider must intended for long
inform the patient of which of the following term use
A. This drug is intended to lower blood pressure and
is best used in
combination
with other antihypertensives
b. This drug is not intended for long term use
c. The patient must limit his/her fiber intake
d. Advise patient to change positions slowly to limit
the risk of
orthostatic hypotension -

3. When giving digoxin (Lanoxin) to a patient, the health c. Digibind

care provider notices
various signs and symptoms of an overdose. The
health care provider knows to
give which of the following to reverse digoxin toxicity
a. Naloxone
b. Vitamin K
c. Digibind
d. Fluemanzil -

4. While providing an Angiotensin-converting enzyme a. To lower blood

(ACE) inhibitor, the patient pressure by block-
asks ing the conversion
4. what the action of the drug is. As a health care of angiotensin I to
provider, you explain that the vasoconstrictor
action of an ACE inhibitor is angiotensin II
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a. To lower blood pressure by blocking the conversion
of angiotensin I
to vasoconstrictor angiotensin II
b. To inhibit reabsorption of sodium back into the
body, ultimately increasing
urine output and lowering blood pressure
c. To decrease heart rate and blood pressure by com-
peting with Beta1 and
Beta2 receptors in the heart and lungs
d. To lower blood glucose by stimulating the release of
insulin -

5. Which of the following types of insulin is "long-act- d. Glargine (Lan-

ing"? tus)
a. Lispro (Humalog)
b. NPH (Humulin N)
c. Regular insulin (Humulin R)
d. Glargine (Lantus) -

6. What is the therapeutic use of metformin? C. The

A. Lower blood pressure. maintenance of a
B. To diminish seizure activity. person's blood glu-
C. The maintenance of a person's blood glucose. cose.
D. Increase heart rate and decrease gastrointestinal
secretions. -

7. What is the correct definition for absorption of a drug? - A.

A. Movement of drug from site of administration to Movement of drug
various tissues of the from site of admin-
body. istration to various
B. Describes the absorption, distribution, metabolism tissues of the
& excretion of drugs. body
C. These types of drugs can be taken over the counter.
D. This addresses how various drugs affect different
forms of the body

8. What do you assess for in a patient who is on Val- A. Suicidal

proate? Select all that apply. thoughts
A. Suicidal thoughts B. Monitor for
B. Monitor for seizures. seizures. C. Bipo-
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C. Bipolar disorder. lar disorder.
D. Migraines. E. Migraine
E. Anorexia -

9. What is true about food and drug precautions? Select B. Certain com-
all that apply. binations of food
A. You must limit certain types of food or concurrent and drugs can
administration cause adverse re-
of certain types of drugs. actions.
B. Certain combinations of food and drugs can cause C. Precautions
adverse may require limit-
reactions. C. Precautions may require limiting certain ing certain types of
types of food or concurring
food or concurring drugs rather than restricting the drugs rather
drug itself. than restricting the
C. When one drug changes the way, another drug drug itself.
affects that drug. -
A. You must limit certain types of food or concurrent
administration of certain types of drugs.

10. ACE Inhibitors are used in the treatment of all EX- c. Hypotension
CEPT:
a. Hypertension
b. Heart Failure
c. Hypotension
d. Diabetic nephropathy -

11. Which of the following is used to treat migraine a. Beta-blockers

headaches?
a. Beta-blockers
b. Cholinesterase Inhibitors
c. ACE inhibitors
d. Anti-epileptic drugs (AEDs) -

12. When administering a Serotonin Antagonist it is im- b. Mental status

portant to monitor for changes
a. Intake and output
b. Mental status changes
c. Respiratory rate
d. Anorexia -
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13. Which of the following is the antidote for Heparin? a. Protamine sul-
a. Protamine sulfate fate
b. Vitamin K
c. Naloxone
d. Toradol -

14. A patient has been taking hydrocodone, and opioid A. Naloxone

analgesic for their moderate
pain, and they have taken over their prescribed dose.
What should you give as
the antidote if they experience toxicity?
A. Naloxone
B. N-acetylcysteine
C. Atropine
D. Digoxin immune Fab -

15. A patient is being educated on taking levothyroxine, a B. Take this at the

drug used to balance same time every
thyroid activity. What should you include in their edu- day
cation?
A. Don't bother your health care professionals if you
experience side
effects
B. Take this at the same time every day
C. Thyroid tests are unnecessary while taking this
drug
D. It is okay to take this drug if you have recently had
a myocardial
infarction -

16. A patient states he experiences anxiety and has panic C. Alprazolam

attacks at least once a (Xanax)
week. What might be helpful for this patient?
A. Phenytoin (Dilantin)
B. Lithium
C. Alprazolam (Xanax)
D. Spironolactone -

17. D. Acetaminophen
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Which of the following is NOT an opioid or NSAID?
A. Morphine
B. Ibuprofen
C. Hydromorphone
D. Acetaminophen -

18. Why is it important to monitor ins and outs with pa- C. To assess the
tients using ACE inhibitors? patient for poten-
A. To assess for renal impairment tial heart failure
B. You must make sure the patient is receiving ade-
quate fluid intake
C. To assess the patient for potential heart failure
D. You must assess for NSAID use
To assess for decreased blood pressure -

19. Which drug goes through extensive first-pass hepatic - C. Propranolol

metabolism?
A. Heparin
B. Insulin
C. Propranolol
D. Nitroglycerine
Warfarin

20. What nursing interventions should you do when a C. Assess for ab-
patient is on Albuterol (select dominal distention
all that apply) E. Note sputum
A. Assess lung sounds, Pulse, and Blood pressure color and texture
before - A. Assess lung
administering sounds, Pulse,
B. Monitor for changes in behavior C. Observe for and Blood pres-
paradoxical sure before
bronchospasms administering
C. Assess for abdominal distention E. Note sputum
color and texture
- A. Assess lung sounds, Pulse, and Blood pressure
before
administering
D. Observe for paradoxical bronchospasms
Note sputum color and texture

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21. What patient could potentially take the drug Senna? B. A patient who
A. A patient with an eating disorder B. A patient who has not
has not passed passed stool in 5
stool in 5 days days
B. A patient with anal fissures
C. A patient with a history of hemorrhoids
D. A patient who has hypersensitivity -

22. What is the category class of Lithium? B. Mood stabilizers

A. Antidiabetics, biguanides
B. Mood stabilizers
C. Antiarrhythmics, anticonvulsants
D. Vascular headache suppressants -

23. What do you need to teach your patient if they are -A. Laxatives
taking sennosides? Select All should be used for
That Apply. short-term therapy
A. Laxatives should be used for short-term therapy The color of the
B. The medication does not cure hypothyroidism urine may change
C. The color of the urine may change to a pink, red, to a pink, red,
violet, yellow, or brown violet, yellow, or
D. Make sure other forms of bowel regulation are be- brown
ing used Make sure oth-
er forms of bowel
regulation are be-
ing used

24. What is the therapeutic use of Phenytoin? - C. Diminished

A. Replacement in hypothyroidism to restore normal seizure activity,
hormonal termination of
balance ventricular arrhyth-
B. Diminished accumulation of acid in the gastric lu- mias
men with
lessened gastroesophageal reflux
C. Diminished seizure activity, termination of ventric-
ular arrhythmias
D. Prevention of thrombus formation, prevention of
extension of
existing thrombi

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25. At what amount does Acetaminophen stop controlling A. Over 1,000 m
pain?
A. Over 1,000 mg
B. 750 mg
C. Over 1,500 mg
D. 150 mg - A. Over 1,000 m

26. When should the drug Montelukast be taken C. Use two hours
A. Use at least two hours before exercise before exercise or
B. Daily in evening daily in
C. Use two hours before exercise or daily in evening evening
D. None of the above - C. Use two hours before exer-
cise or daily in
evening

27. How should the oral form of albuterol be taken A. Administer with
A. Administer with meals to minimize gastric irritation meals to minimize
B. Administer before meals with water gastric irritation
C. Administer after meals with water
D. Administer in the morning
with milk - A. Administer with meals to minimize gas-
tric irritation

28. What should a Client taking Omeprazole report to the D. All of the above
Heath Care Provider
A. Black, tarry stools
B. Diarrhea
C. Abdominal pain
D. All of the above -

29. When administering an Antiulcer Agents, you should E. Choices B & C

be more cautious when B. Patient with re-
administering it to nal failure
A. A healthy 27 year old patient C. Elderly patients
B. Patient with renal failure
C. Elderly patients
D. All of the above
E. Choices B & C - E. Choices B & C

30. c. Headache
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What is the common side effect that is normal with the
initial therapy of
Nitroglycerine due to increased vasodilation?
a. Abdominal cramps
b. Calf pain
c. Headache
d. Blurred vision -

31. Two tests should be monitored for a patient currently c. INR

on Warfarin. What are
those two tests? Select ALL that apply.
a. PT
b. aPTT
c. INR
d. BMP - a. PT

32. Which of the following diuretics inhibits sodium reab- - a. Spironolactone

sorption in the kidneys while
saving K+ and Hydrogen ions?
a. Spironolactone
b. Furosemide
c. Hydrochlorothiazide
d. Bumetanide

33. A nurse is about to administer Propanolol to a patient. d. d. Withhold ad-

The nurse takes the ministration of the
patient's apical pulse and documents it as 58 bmp. medication and
How should the nurse notify physician
continue?
a. Administer the medication as normal
b. Cut the tablet in half and administer half of the
normal dose c. Give the XR
form of the medication
c. Withhold administration of the medication and no-
tify physician -
d. d. Withhold administration of the medication and
notify physician

34. Which of the following should be monitored for pa- b. Intake and out-
tients taking diuretics? (select put
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all that apply) c. Amount and lo-
a. Daily weight cation of edema
b. Intake and output Lung sounds
c. Amount and location of edema
d. Appetite Lung sounds - a. Daily weight

35. Which of the following drugs has a therapeutic effect - c. Digoxin

that increases cardiac
output and slows heart rate? .
a. Heparin
b. Alprazolam
c. Digoxin
d. Levothyroxine

36. Which of the following is a potassium-sparing diuret- b. Spironolactone

ic?
a. Furosemide
b. Spironolactone
c. Hydrochlorothiazide
d. Bumetanide -

37. What is the antidote for Warfarin? c. Vitamin K

a. Vitamin D
b. Vitamin C
c. Vitamin K
d. Vitamin B6 -

38. A nurse is completing discharge teaching for a client - C. "I will

who has a new prescription apply the patch to
for transdermal patches. Which of the following state- an area of skin
ments should the nurse with no hair."
identify as an indication that the client understands
the instructions?
A. "I will clean the site with an alcohol swab before I
apply the
patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no
hair."

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D. "I will place the new patch on the site of the old
patch.

39. A nurse is teaching a client who has a prescription for A. Weight Gain
a long-term use of oral
prednisone for chronic asthma. The nurse should in-
struct the client to monitor for
which of the following adverse effects?
A. Weight Gain
B. Nervousness
C. Bradycardia
D. Constipation -

40. A nurse is caring for a patient who is taking Digoxin. A. Fatigue

The nurse should instruct C. Anorexia
the patient to monitor and report which of the follow- E. Diplopia
ing adverse effects? ( select
all the apply)
A. Fatigue
B. Constipation
C. Anorexia
D. RashDiplopia
-

41. What is the antidote for Heparin? - b. Protamine sul-

A. Atropine fate
b. Protamine sulfate
C. Calcium Carbonate
D. Ferrous Sulfate

42. Phenytoin is an antiarrhythmic and anticonvulsant C. neuropathic

that has an unlabeled use for: pain
A. headaches
B. cold remedy
C. neuropathic pain
D. antianxiety -

43. When taking Digoxin, low levels of what can cause A. potassium
toxicity?
A. potassium
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B. calcium
C. sodium
D. magnesium -

44. When taking Nitroglycerine (transdermal), you should D. 10-12 hours

have how many hours
nitrate free each day?
A. 1-2 hours
B. 5-10 hours
C. 3-4 hours
D. 10-12 hours - D. 10-12 hours

45. Lithium is used to? C. stabilize mood

A. Lower blood glucose
B. slow the heart rate
C. stabilize mood
D. heal ulcers -

46. When administering Phenytoin you should monitor? D. all of the above
A. behavior
B. therapeutic blood levels
C. for Steven Johnson syndrome
D. all of the above - D. all of the above

47. What is the Therapeutic Effects of Lithium? A.) Prevents/de-

A.) Prevents/decreases incidence of acute manic creases the
episodes incidence of acute
B.) Maintenance of blood glucose C.) Control of hyper- manic episodes
glycemia
in diabetic patients
C.) Diminished seizure activity -

48. What is the action of Metformin? D.) All of the above

A.)Decrease intestinal glucose absorption
B.) Increase sensitivity to insulin
C.) Decrease hepatic glucose production
D.) All of the above -

49. What is the medication effectiveness of Propranolol? - A.) Decrease in

Select all that apply. BP
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A.) Decrease in BP B.) Prevention of
B.) Prevention of MI MI
C.) Decrease tremors C.) Decrease
D.) Decrease in GI pain and irritation tremors

50. What is a common side effect of Albuterol? A.)Paradoxical

A.)Paradoxical Bronchospasm Bronchospasm
B.)Diarrhea
C.) Seizures
D.) Vision loss -

51. What is the therapeutic use of Albuterol? • A) Bronchodilation

A) Bronchodilation • •
B) Anti-coagulant •
C) Anti-arrhythmic •
D) Proton-pump inhibitor -

52. What medication is a contraindication to Nitroglycerin D ) Erectile dys-

• function drugs
A) Hydrochloroquinone
B) Methylprednisolone
C) Phenazopyridine
D) Erectile dysfunction drugs -

53. What is the classification of Ondansetron? c. Antiemetic

a. Antihypertensive
b. Antiarrthymia
c. Antiemetic
d. Antiulcer agent

54. Before administering Digoxin, the nurse should com- B. Count apical
plete which task? Pulse for 1 minute
A. Obtain an ECG
B. Count apical Pulse for 1 minute
C. Take temperature
D. Obtain I/O -

55. What serious adverse reaction can occur with the loop A. Stevens-John-
diuretic Furosemide? sons syndrome
A. Stevens-Johnsons syndrome
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B. GI bleeding
C. Hypertension
D. Bradycardia -

56. If a patient is taking an ACE inhibitor, the nurse should B. Dyspnea

monitor for signs of
angioedema which include?
A. Vomiting
B. Dyspnea
C. Constipation
D. Epistaxis -

57. Ace Inhibitors often end in? C) -pril

A) -ale
B) -olol
C) -pril
D) -ide -

58. What is a side effect for Phenytoin? a) Suicidal

a) Suicidal thoughts thoughts
b) Dry mouth
c) Blood in urine
d) Tremor -

59. A patient with_____ should stop taking NSAIDs A. Peptic Ulcers

A. Peptic Ulcers
B. Headaches
C. Cramps
D. Nausea -

60. When administering the opioid Morphine to a patient, a. 2-5 mg every

it is given in doses of 3-4 hours
a. 2-5 mg every 3-4 hours
b. 10-12 mg every 4 hours
c. 1-2mg every 8 hours
d. 25 mg every 6 hours -

61. If you are treating a patient that has renal failure, what b. NSAIDs
type of pain medications
should you avoid?
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a. Opioids
b. NSAIDs
c. Nonopioids
d. Short-acting analgesics -

62. A common side effect of Angiotensin-Converting En- d. cough

zyme (ACE) Inhibitors is
a. Suicidal thoughts
b. Toxic epidermal necrosis
c. Heart failure
d. cough - d. cough

63. How can Ondansetron be administered? Select all B. IV

that apply. D. IM
A. PO
B. IV
C. Subcutaneous
D. IM - A. PO

64. Albuterol can be given in all but which of these forms: - c. intravenously
a. extended-release
b. inhalation
c. intravenously
d. orally

65. A side effect given off by omeprazole is: a. bloody stool

a. bloody stools
b. change in stomach pH
c. thirst
d. constipation

66. The classification of digoxin is: d. cardiac glyco-

a. antithrombic sides
b. nitrates
c. antiplatelet agent
d. cardiac glycosides -

67. 66

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