PNM FINAL EXAM NEWES T PNM FINAL

PNM FINAL EXAM NEWES T /PNM FINAL

EXAM PRACTICE QUESTI ONS EXAM

COMPLETE ALL QUESTIO NS AND

CORRECT ANSWERS WITH ANSWERS

Question: The community nurse is visiting a postpartum

mother who is breastfeeding her 2-month-old daughter.Which of following statements by the mother would indicate that the mother requires further teaching?

Correct answer: "I should not take any drugs while

breastfeeding, not even prescription drugs."

Question: 35yrs old patient is started on oral prednisone

(glucocorticoid) for exacerbation of his Crohn's disease and he is very concerned about the medication. What patient teaching should the nurse include? (Select all that apply)

• Mild cold symptoms with fever and sore throat can be

treated at home with over-the-counter medication.

• It is important to take the glucocorticoid with food in the

morning.

• Avoid using H2 antagonists and PPIs to minimize the risk

of gastrointestinal upset and ulcers.

• Avoid stopping the glucocorticoid abruptly.

Correct answer: b. It is important to take the glucocorticoid

with food in the morning.

• Avoid stopping the glucocorticoid abruptly.

Question: The nurse provides teaching to an older couple

about a new medication ordered for the husband. What can the nurse do to ensure that the older couple understands the instructions?

Correct answer: Assess the reading skills and levels and have

the clients repeat the instruction to determine understanding.

Question: Which of the following is not considered a

controlled substance?

Correct answer: methimazole (Tapazole®)

Question: The RPN is preparing to teach an 89-year-old

patient about a multiple drug regimen he must follow upon his discharge from the hospital. To help promote adherence, what will the nurse do?

Correct answer: Cluster medication administration times as

much as possible.

Question: When monitoring a patient on an insulin infusion,

the nurse Wrest that the patient's glucose level is extremely low, and the patient is lethargic and difficult to awaken.Which adverse drug reaction is the nurse observing?

Correct answer: A pharmacological effect

Question: The nurse is reviewing the hepatic function in his

77yr old patient. The patient is ordered a prodrug. What abnormal lab value would alert the nurse to hold the drug and inform the prescriber?

Correct answer: Elevated liver function tests (AST, ALT)

Question: When the nurse is considering the timing of a drug

dose, which of the following factors is most important to assess?

Correct answer: The patient's last meal

Question: Morphine contain is a controlled delivery drug.

The nurse knows the following is true:

Correct answer: Crushing this medication to give to the

patient will affect absorption in the stomach and affects drug kinetics.

Question: What drug pairs are considered bioequivalent?

Correct answer: Diphenhydramine and Benadryl®

Question: The nurse is trying to give a liquid medication to a

2-year-old child, and notes that the medication has a strong taste. Which of the following is the best way for the nurse to give this medication to a child?

Correct answer: Give the medication with a spoonful of

sherbert

Question: A client is receiving multiple medications,

including one drug specifically used to stimulate gastric peristalsis. What influence does this drug have on additional oral medications?

Correct answer: Decreased absorption

Question: The patient has recently experienced a mild

myocardium infarct (MI). The nurse explains that certain medications are prescribed to help reduce stimulation and conduction to the heart. Which drug class will the health care provider order to improve outcomes after an MI?

Correct answer: Beta blocker like metoprolol

Question: A nurse is providing teaching for a patient with

stable angina who will begin taking nitroglycerin. Which statement by the patient indicates they correctly understand the indication for the drug?

Correct answer: "If I take nitroglycerin before exertion, I can

reduce the chance of an anginal attack."

Question: A 65 yr. old male patient has recently been

prescribed the calcium channel blocker, nifedipine (Adalat®). He says he likes to take his medication with fruit juice, especially grapefruit or apple juice. What is the most appropriate response by the nurse?