1.A client has been receiving intravenous theophylline and the physician writes new orders to discontinue the IV medication and begin an immediate release oral form of the medication.When should the nurse schedule the first dose of the oral medication to be administered? A) Immediately after stopping the intravenous medication of theophylline? B) Four to six hours after stopping the intravenous infusion of theophylline C) Begin the initial dose at bedtime D) Start the oral dose with the morning medications and breakfast ANSWER: B 2.A client with acute asthma is treated for inspiratory and expiratory wheezes and a decreased forced expiratory volume. Which of prescribed drugs should the nurse administer first to this client? A) Oral steroids B) Bronchodilators C) Inhaled steroids D) Mucolytics ANSWER: B 3.The nurse is admitting a client with asthma who is to be started on theophylline.which of the following questions would be appropriate to ask this client? A) Are you diabetic and taking insulin? B) Do you take cimetidine? C) Do you use aspirin on a daily basis? D) Do you exercise routinely? ANSWER: B 4.After instructing a client to use beclomethasone inhaler,which of the following statements by the client indicates to the nurse that the teaching has been successful? A) I will limit myself to two cups of coffee per day B) I will take it before bed each night C) I will take it with meals to mask the taste D) I will rinse my mouth after each use ANSWER: D 5.Which of the following statements made by the client indicates to the nurse that the client does not understand how to use cromolyn sodium and is need for further instructions? A) If I don’t feel better in two to three weeks,I should stop tsking the medication B) I will call my doctor if this medicstion causes severe coughing C) I have to take this medication routinely, even when I feel good D) I do not stop my other medications just because im taking this one ANSWER: A 6.When instructing a client to use a metered dose inhaler,it would be essential for the nurse to include which of the following aspects? Instruct the client to A) Hold the breath for three seconds after using the inhLER B) Take a quick deep breath after activating the canister C) Activate the canister at the beginning of a slow deep breath D) Place the canister six inches in front of an open mouth ANSWER: C 7.A client who has asthma asks the nurse why the preferred route of administration for corticosteroids is inhLtion. The appropriate response by the nurse is A) Inhaled medication are easier to take B) The systemic adverse reactions are reduced C) No weaning is required when stopping the drug D) Oral care is not required ANSWER: B 8.A client with asthma awakens in the middle of the night with an asthma attack. Which of the following inhaler medications should the nurse administers first? A) Albuterol B) Triamcinolone Acetonamide C) Fluticasone propionate D) Cromolyn ANSWER: A 9.After a client diagnosed with pneumonia has an episode of respiratory distress, the client is intubated and placed on a ventilator.The breath sounds are diminished and the chest x-ray shows left lower lobe consolidation.The physician orders respiratory treatments with acetylcycteine. The nurse should monitor the client for which of the following results from this treatment? A) Bronchodilation B) Increased sputum, remove with suctioning C) Decreased level of consciousness D) Hypotyension ANSWER: B 10.The nurse is caring for a client with lung cancer who has an intractable cough and is exhausted from the effort of coughing.which of the following drugs should the nurse administer to this client? A) Rifampicin B) Acetylcysteine C) Fluticasone D) Codeine ANSWER: D 11.Which of the following treatments is the priority for the nurse to administer to a client who has positive tuberculosis skin test but has no other evidence of active disease? A) No treatment and repeat skin test in 6 months B) Isoniazid for 12 months C) Multidrug therapy for at least 12 months D) Streptomycin for 12 months ANSWER: B 12.The nurse is developing a medication schedule for a client who is receiving isoniaziD) To promote the best absorption,the medication would be administered nurse administer to the client A) On an empty stomach B) With antacids to relieve stomach upset C) With food D) 30 minutes after meals ANSWER: A 13.Which of the following is the priority for the nurse to monitor in a client who has been on a ventilator and on 70% FIO2 for the past 72 hours? A) Atelectasis B) Pulmonary fibrosis C) Expense to client D) Oxygen dependence ANSWER: B 14.The nurse is caring for a client who has chronic obstructive lung disease and pneumoniA) Afyer being extubated, which of the following orders should the nurse question? A) Continuation of the current antibiotics B) O2 per nasal canula at 6L per min C) Out of bed with assistance D) Continuation of current nebuliozer treatments ANSWER: B 15.The nurse is preparing to teach a class on the appropriate use of nebulizers and metered dose inhalers.Which of the following should the nurse include in the class A) Metered dose inhalers require gas flow rate of 6 to 10 L/min B) Nebulizers deliver medication through a face mask or mouth piece C) Nebulizers deliver doses in puffs D) Metered dose inhalers require refrigeration ANSWER: B 16.The nurse is instructing a client on the proper use of the pump for nasal spray administration.which of the following statements by the client indicates a need for further instruction? A) I should clear my nasal pharynges gently before using the pump B) I should inhale deeply during administration of the medication C) I should prime the pump if it hasn’t been used for more than 24 hours D) I should not inhale during administration of medication ANSWER: B 17.The nurse is admitting a client who has been taking longacting theophylline. After reviewing the client's history, the nurse discovered that the client has a manic disorder controlled by lithium.which of the following is the priority for the nurse to include in this client's treatment plan? A) Increase the dose of the lithium B) Obtain a serum lithium level C) Increase the dose of theophylline D) Obtain a consult for a psychiatric consultation ANSWER: B 18.A client questions a prescription for pyridoxine after being started on the triple drug therapy for tuberculosis. The nurse explains that pyridoxine will A) Prevent skin rash from the ethambutol B) Reduce the time the other drugs must be taken C) Counter the peripheral neuritis of isoniazid D) Prevent damage to the 8th cranial nerve from the streptomycin ANSWER: C 19.The nurse is collecting a medicsation history on a client admitted with asthma who has been taking theophylline. Which of the following drugs is the priority for the nurse to notify the physician that the client has also been taking for her urinary tract infection? A) Cephradin B) Cephapirin sodium C) Cotrimoxazole D) Ciprofloxacin ANSWER: D 20.A client arrives at the emergency room in status asthmaticus. Which of the following is the priority nursing action? A) Administer aminophylline intravenously as ordered B) Monitor the respiratory status and for signs of hypoxia C) Administer inhaled bronchodilator therapy as ordered D) Provide emotional support ANSWER: C 21.The nurse evaluates which of the following as the appropriate method of improving oxygenation in a client with chronic airway limitation who is lethargic, sleps with mouth open, is receiving 2 L/min of oxygen per nasal canula, and has a pulse oximetry check of 88% A) Keep the client awake more so deeper breaths can be taken B) Turn the oxygen up to 4 L/min C) Obtain an order for a face mask and use nasal canula during meals D) Intubate the client and place the client in a ventilator ANSWER: C 22.The nurse is preparing to deligate the nursing tasks for the day. Which of the following tasks should the nurse delegate to a licensed practical nurse? A) Moniotr a client using a decongestant for the effectiveness of the drug B) Develop a teaching plan for effective coughing techniques for a client taking an expectorant C) Increase the oxygen flow rate to a client receiving oxygen flow rate to a client receiving oxygen by a simple face mask D) Administer a nasal spray to a client with rhinitis ANSWER: D 23.Which of the following drugs given for allergic symptoms can cause cardiac arrhythmias when given with macrolide antibiotics? A) Clarithromycin B) Quinidine C) Terfenadine D) Theophylline ANSWER: C 24.A client taking antihistamines should be given the following instructions? A) Avoid ingesting alcohol B) Be aware that you may need to take a decongestant C) Be aware that you may have an increased in saliva D) Expect relief for 24 hours ANSWER: A 25.Which antihistamine is administered for vertigo A) Terfenadine B) Meclizine C) Hydrocodone D) Guaifenesin ANSWER: B 26.Which of the following statements best describes the danger of self medication with over the counter drugs? A) Clients are not aware of the action of over-the-counter drugs B) Clients are not aware of the side effects of over the counter drugs C) Clients minimize the effects of over-the -counter drugs because they are available without prescription D) Clients do not realize the effects of over-the-counter drugs ANSWER: C 27.An antitussive is indicated to A) encourage removal of secretions through coughing B) relive rhinitis C) control a productive cough D) relieve a dry cough ANSWER: D 28.Which of the following drugs is indicated for a client whose sleep is interrupted by an unproductive cough? A) Ephedrine B) Hydrocodone C) Guaifenessin D) Chlorpheniramine ANSWER: B 29. A client who is taking an expectorant should be instructed to A) Restrict fluids B) Increase fluids C) Avoid vaporizers D) Take antihistamines ANSWER: B 30.When administering the methyxanthine theophylline, you can expect: A) Decreased pulmonary function B) Increased pulmonary function C) Increased residual volume D) Decreased tidal volume ANSWER: B 31.A client with which of the following conditions may experience a dangerous or fatal side effect of theophylline? A) Caediac disorder B) Diabetes C) Renal disease D) Hepatic disease ANSWER: A 32.To evaluate the effectiveness of theophylline therapy, which of the following values must be drawn? A) Glucose B) Hematocrit C) Potassium D) Theophylline levels ANSWER: D 33.The effectiveness of theophylline may be increased by A) Phenobarbital B) Phenytoin C) Rifampicin D) Cimetidine ANSWER:D 34. Which of the following statements describes the action of antacids? A) Antacids neutralized gastric acid B) Antacid block the production of gastric acid C) Antacids block dopamine D) Antacids enhance action of acetylcholine ANSWER: A 35. When choosing antacids, which of the following parameters is most important to keep in mind? A) Determined fluid composition of the antacid B) Asses food intake C) Determined electrolyte composition of the antacids D) Identify pain patterns. ANSWER: C 36.Blocking of the neurotransmitter dopamine will: A) Block acetylcholine B) Reduce GI motility C) Increased gastric emptying D) Alter pancreatic secretions ANSWER: C 37.Which of the following drug is indicated to prevent nausea associated with chemotherapy? A) metoclopramide B) cimetidine C) Tagamet D) famotidine ANSWER: A 38.Which of the following drugs will reduce the effectiveness of sucralfate? A) ranitidine B) carafate C) metoclopramide D) meclizine ANSWER: A 39.Extrapyramidal symptoms are a side effect of which of the following drugs? A) ranitidine B) omeprazole C) famotidine D) metoclopramide ANSWER: D 40. Which histamine-2 antagonist is associated with the most drug interactions? A) ranitidine B) cimetidine C) Prilosec D) nizatidine ANSWER: B 41. Hydrochloric acid secretion is blocked by which of the following category of drugs? A) antacids B) gastric stimulants C) histamine 2 antagonists D) antihistamines ANSWER: C 42.The nurse evaluates the medication teaching has been effective when the client states that ranitidine A) Decrease gastric acid levels B) Changes hormonal levels C) Increases papin levels D) Decreases pH levels ANSWER: A 43.Which of the following should the nurse include in the teaching plan the nurse is a client preparing taking sucralfate? A) Sucralfate reduces gastric acid secretion B) Administer sucralfate with breakfast C) Separate administration of sucralfate with other drugs for two hours D) Sucralfate works against H. pylori ANSWER: C 44.Which of the following is a priority for the nurse to administer to a client with gastroesophageal reflux disease(GERD) A) Cytoprotectors B) Antibiotics C) Proton pump inhibitors D) Anticholinergics ANSWER: C 45.The nurse should assess which of the following body systems while administering intravenous cimetidine in a client? A) Urinary B) Immune C) Respiratory D) Cardiovascular ANSWER: D 46. The nurse should monitor a client taking lansopraxole for all of the following adverse reactions except? A) Headache B) Oliguria C) Anxiety D) Dry mouth ANSWER: B 47. A client is experiencing peptic ulcer disease caused by H. Pylori. The nurse should plan to administer which of the following oral drug combinationa? Clarithromycin with A) Tetracycline with sodium bicarbonate B) Metronidazole and aluminum hydroxide C) Amoxicillin and omeprazole D) Penicillin and nizatidine ANSWER: C 48.The nurse should instruct which of the following clients that taking which anacid may result in constipation? A client taking A) Magaldrate B) Magnesium and aluminum C) Aluminum carbonate D) Magnesium hydroxide ANSWER: C 49.The nurse is caring for a client who admits to a 15-year history of gastric ulcers. The nurse instructs this client to take which of the following drugs for minor aches and pains? A) Acetaminophen B) Buffered aspirin C) Plain aspirin D) Ibuprofen ANSWER: A 50.Which of the following antacids should the nurse question administering to the client with a gastric ulcer and congestive heart failure? A) Magaldate B) Calcium carbonate C) Magnesium hydroxide D) Sodium bicarbonate ANSWER: D 50.The nurse is developing a medication schedule for client who is receiving magnesium and aluminum for gastritis.To promote the best absorption.This drug should be administered A) At bedtime B) Immediately after meals C) Upom rising in the morning D) 30 minutes after meals ANSWER: A 51.After obtaing a medication history from a client who informs the nurse of her early pregnancy,which of the following drug is a priority for the nurse to obtain an order to discontinue? A) isoprostol B) Docusate C) Magnesium hydroxide D) Bismuth subsalicylate ANSWER: A 52.When administering cimetidine, the nurse assess the client for the following adverse reactions except A) Tinnitus B) Diarrhea C) Mental confusion D) Dizziness ANSWER: A 53.The client is to begin taking methycellulose daily. The nurse will include which of the following instructions in the teaching plan? A) Administer with at least 8 ounces of liquid B) administer at hour of sleep C) Discontinue if no bowel movement in five days D) discontinue if taking docusate ANSWER: A 54.The nurse should include which of the following in the medication instructions given to a client who is being started or antiemetics? A) Take the antiemetic within one hour after activity that promotes nasea B) Stop taking the antiemetic within one hour after activity that promotes nausea ceases C) The urine may turn an orangish color D) Avoid activites that require mental alertness ANSWER: D 55.The nurse informs a student nurse that the loperamide prescribed for a client who is experiencing diarrhea has which of the following actions? A) Inhibits the peristaltic activity of the intestinal muscles B) Consolidates the stool in the intestine C) Lowers the surface tension,allowing more water into the stool D) Distends the intestine by osmotic retention in the fluid ANSWER: A 56. Which of the following is the priority for the nurse to nclude in the plan of care for a client taking ondansetron for chemotherapy? A) Monitor the client for for fluid and electroluyte imbalance B) Instruct the client to take the ondansetron 30 minutes before chemotherapy C) Instrut the client to take an analgesic for the adverse reaction to a headache D) Encourage the client to avoid activites that may cause drowsiness ANAWER: A 57.which of the following is the priority for the nurse to include in the plan of care for a client receiving metoclopromide with chemotherapy in a clinic? A) Instruct the client to avoid driving home B) Offer gum or hard candy for dry mouth C) Administer half to one hour before chemotherapy in a clinic D) Assess the client for extrapyramidal clinical manifestations ANSWER: A 58.The nurse should question which f the following medication ad ministration orders? A) Cimetidine 300 mg orally four times a day to an 86 year old client with gastroesophageal reflux disease B) Famotidine 20 mg and Maalox 30 mg orally at bedtime to a 23 year old client with peptic ulcer C) Lanzoprazole 15 mg orally daily to a 51 year old client with a duodenal ulcer D) Omeprazole 20 mg orally three times a day to a client with a pathological secretion ANSWER: A 59.The nurse selects the ideal antacid for a client because of which of the following characteristics? A) Sweet to taste,catharctic in nature and effective for a prolonged period of time B) Short acting and readily absorbed C) Not absorbed by the body and acts as laxative D) Decreases acidity without constipating or cathartic properties ANSWER: D 60.After administering ursodiol to the client with gallbladder disease, the nurse evaluation the priority outcome to be; A) Decrease vomiting B) Increased comfort C) Reduced stone formation D) Decreased bile production ANSWER: C 61. The nurse has administered prochlorperazine on several occasions over the past week to the client experiencing severe vomiting.the nurse should assess that this client for which of the following adverse reactions, except? A) Bradycardia B) Akathisia C) Orthostatic hypotension D) Acute dystonia ANSWER: A 62.The nurse is collecting a nursing history from a client admitted on pancreatin.Which of the following diseases should the nurse question in the client's medical history? A) Hepatitis B) Cirrhosis C) Gallbladder cancer D) Cystic fibrosis ANSWER: D 63.When providing care to a client who is on prophantheline, the nurse should assess the client for A) Dry mouth B) Diarrhea C) Hypertension D) Urinary frequency ANSWER: A 64. The nurse has instructed the client about sulfasulazine,which was prescribed for her ulcerative colitis. The nurse evaluates which of the following statements by the client to indicate that the client understood the instructions A) Nausea,vomiting,abdominal pain are adverse reactions of Azulfidine B) I should chew the tablets thoroughly and follow with a sip of water C) I may notice my urine turns blue D) Azulfidine will decrease intestinal gas production ANSWER: A 65. The client was recently diagnosed with chronic hepatitis C The nurse plans to instruct the client about which of the following drugs that is used in combination with oral ribavirin? A) Lamivudine B) Interferon alfa C) Interferon gama D) Ganciclovir ANSWER: B 66.The nurse is preparing to delegate which of the following nursing tasks to a licensed practical nurse? A) Administer IV ondnsetron to a client experiencing nausea from chemotherapy B) Instruct a client on the adverse reactions of propantheline C) Adminster trimethobenzamide Z-track to a client prior to chemotherapy D) Develop a medication schedule for a client taking an antacid and several other drugs ANSWER: C 67.Which category of drugs prevents treats constipation by the osmotic drawing of water from extravascular space to intestinal lumen.? A) Stimulants B) Bulk- forming agents C) Hyperosmotic agents D) Lubricants ANSWER: C 68.Which of the following intestinal stimulants may be habit forming? A) senna B) mineral oil C) lactulose D) psyllium ANSWER: A 69.Which of the following is bulk-forming agents? A) Glycerin B) Lactulose C) FiberCon D) Milk of Magnesia ANSWER: C 70 When rapid cleansing of the bowel is needed, which category is best used? A) Bacid B) Bulk-forming agents C) Saline laxatives with magnesium D) Intestinal flora modifiers ANSWER: C 71. Which of the following drugs contain salicylate? A) senna B) castor oil C) Pepto-Bismol D) Kaopectate ANSWER: C 72.Which of the following categories is used for diarrhea and constipation? A) Bulk-forming agents B) Intestinal flora modifiers C) Cascara B) Milk of Magnesia ANSWER: A 73.Which of the following may be used for a bowel preparation and is not recommended for treatment of constipation? A) Corrrectol B) Fiberall C) Mineral oil D) Castor oil ANSWER: D