1- Which diseases are most likely to be treated by DMARS?

-Crohn disease
- Psoriatic arthritis
- Ankylosis spondylitis

2-Which immunization should be provided to older adult clients?

-Pneumonia vaccine
-Influenza vaccine
-Shingles

3-Nurse reinforcing teaching with client who has transdermal nitroglycerin prescription to
treat angina pectoris. The nurse should include which of the following in the teaching?
- New patch every morning
- Patch on hairless area
- Remove patches every 10-12hrs

4- Patient taking Tylenol which precaution is important for the nurse to teach the patient?
-4 Tylenol 1000 mg a day
- Yellow sclera, vomiting, dark urine are signs for liver toxicity

5- Nurse caring for an infant who has been diagnosed with primary hypothyroidism. Nurse
reviewing the result of laboratory test. He is expected to know which of the following?
- Elevated TSH
- Decreased T3

6- Which instruction is important to teach a patient prescribed Alendronate 10mg daily?

-Contact your provider if any difficulty swallowing
-Remain upright for at least 30mn
- If a dose is missed wait until next day before eating breakfast

7- What actions are performed when giving a subcutaneous injection of low molecular weight
heparin?
-Give the medication while lying down
-Insert the needle to the skin fold

8- What is the purpose of using Z track for intramuscular injection?

- Prevent staining
- Z track is less painful

9- Which changes are intended response of a first line anti tuberculosis drugs?
- Sputum is decreased
- Cough is decreased
- Weight is gained
- Sputum culture is negative
10-A nurse caring for patient who is newly pregnant and tell the nurse that she has been
taking Levothyroxine for the past 12 years for hypothyroidism. She asked you whether she
should take this drug during pregnancy or while breastfeeding. What is your best response?
This Med can be taken during pregnancy but not for breastfeeding.

11- The nurse is preparing to administer oxycodone 100mg suppository to a client . Which of
the following actions should the nurse take?
- Lubricate the index finger
-Insert the suppository just beyond the internal sphincter.

12- A nurse is caring for a client who is post operative following Thyroidectomy. Which of the
following is the priority for the nurse to monitor during the first 24 hrs. care for client?
-Airway patency.

13- A nurse is caring for a client who is exposed to anthrax. Which of the following antibiotic
should the nurse plan to administer?
- Ciproflaxin

14- Nurse is preparing to administer Lispro 25mg Po available 10mg/tab . How many tab
should the nurse plan to administer?
3 tabs

15-Which condition is the common complication of Atropine?

- Urinary retention

16- A nurse is caring for a client who has been newly diagnosed with thyroidism and is on
insulin reduction. Which of the following info should the nurse teach when caring for the
client?
-Rotate the insulin site systematically.

17- A nurse is teaching a group of patients about self-administration of insulin which...........

- Clear insulin draw in the string first.

18- A nurse is caring for client after Thyroidectomy and notice that calcium gluconate is been
prescribed for which of the following reason?
- Hypocalcemia

19- The client has a PRN prescription for Zofran. Which condition should this medication be
administered to post operative client?
- Nausea and vomiting

20- patient who has received Vancomycin should be assess before and after the
administration?
- Hearing damage
21- A nurse is preparing to administer Amoxicillin 500mg PO. Available 250mg/tab . How
many tabs should the nurse administer?
- 2 tab

22-A nurse is preparing to administer IV Vancomycin to a client who has MRSA. Which of the
following action should the nurse take?
- Infuse the medication over at least 60min.

23- A nurse is caring for a client who has received a dose of IV ampicillin. Which of the
following client reaction require priority intervention by the nurse?
-Wheezing

24- A nurse in a lab unit is reviewing lab result for a client who has A-fib and is taking
Warfarin. Which of the following lab values should the nurse report to the provider?
- PT

25- A nurse is reinforcing teaching a parent about the use of Nystatin for infant who has oral
candidiasis. Which of the following statement by parent indicate understanding of the
administration of Nystatin?
-C

26- A nurse is caring for a patient who is post op and is receiving Synthroid, pain control
analgesic. The client has a prescription of Naloxone. The nurse Understand that the purpose
of Naloxone is for which of the following?
- Respiratory issues

27- A nurse is collecting data from client who had hypothyroidism and need to start taking
Levothyroxine. Which of the following OTC med should the nurse advise to separate by 4
hours?
Calcium and Iron

28- Which statement by a client newly diagnosed by diabetes M indicate need for more
teaching?
- I will keep insulin bottle and syringe in my pocket at all the time

29- What is the direct goal of drug therapy for Diabetes M?

- To keep the blood sugar sighing the normal range

30- A patient who has COPD asked exactly what Mucinex does to help them breathe better?
What's the nurse best response?
- It thins your lungs secretions, making it easier to cough them out.
31- Which question is missing to ask a patient prescribed celecoxib before administering the
first dose?
- Sulfa allergy
32- Complications commonly with antihistamine?
- Dry mouth
- Drowsiness
- Urinary retention

33-Nurse collecting data on client taking cyclobenzaprine what does nurse expect to find?
-Muscle relaxant

34- Nurse is collecting data from client who has salicylate. Which of the following findings
should the nurse report as complication?
- [x] Aspirin are bad for your kidney
- [x] Diarrhea
- [x] Leads to tinnitus
- [x] Vomiting
For question 34 pick all answer except jaundice.

35- A nurse is collecting data from a client who have diabetes. The client is confused, flushed,
and has acetone oral breath. The nurse will anticipate the prescription of which of the
following insulin to treat the client.?
-Regular

36-What precaution is important teaching for an older patient who is prescribed

Methimazole?
- Hyperthyroid

37- A nurse is teaching a newly licensed nurse about insulin storage. Which of the following
statement by new licensed nurse indicate understanding?
- Open bottle of insulin stays in room temperature and unopened one stays in the refrigerator.

38-A nurse is caring for a client who is taking Levothyroxine 500mg. Which of the following
indicates that the client’s dose is too high?
- Tachycardia, tachypnea

39-Patient taking Rifampin. Urine is orange color what is the nurse best action?
- Reassure patient that this is a normal side effect

40- Nurse education client about taking acetaminophen?

- take 4000mg a day

41-Nurse caring for client who has a new prescription of ...... for Arthritis Which of the
following should the nurse plan to monitor?
- Subcutaneous
- Assess site for redness following the injection
42- Nurse is collecting data from client who has hypothyroid and start taking Levothyroxine.
Which of the following OTC med the nurse instructs the client to separate taking by 4 hrs.?
- Calcium carbonate

43-Nurse caring for an older adult client in a long-term care facility who has hypothyroid and
has a new prescription of Levothyroxine. Which of the following dosage schedule should the
nurse expect for this client?
- Client will start with low dose and gradually increase the dose

44-Nurse is reinforcing teaching to a patient who has grace disease and is prescribed
Propranolol. Which of the following response indicate understanding?
- Don't know the answer

45- Nurse is admiring a patient diagnosed with DVT. He starts treatment IV with anticoagulant
therapy. Which of the following substance is important to report to physician?
- Ibuprofen

46- Nurse is caring for client having gentamicin IV. Which of the following should the nurse
monitor as adverse effect of the med?
-A
- Hematuria
- Muscle weakness and vertigo

47- Nurse is reinforcing teaching with a client who is to start self-administering regular insulin.
Which of the following instruction should the nurse provide?
-Discard regular insulin if it appears cloudy.

48- Nurse is collecting data from a client who has being taking Methimazole for
hyperthyroidism. For which of the following findings should the nurse monitor to identify that
the Med is effective?
-Decreased heart rate

49- Nurse is reinforcing teaching with patient who has hypothyroidism and a prescription of
Levothyroxine. Which of the following statement should nurse make to client?
- Tremors, nervousness, and insomnia can indicate that the dose is too high .