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73) A nurse is preparing to administer 650 mg of acetaminophen syrup to a client. The amount available is
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acetaminophen syrup 160 mg/5 mL. How many tsp should the nurse administer per dose? (Round the answer to the nearest whole number) 1 Point Extra Credit
74) A nurse is preparing to administer amlodipine 10 mg PO once per day to a client. The amount available is
amlodipine 2.5 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
1 Point Extra Credit
75) A nurse is preparing to administer amlodipine 10 mg PO daily. Available is amlodipine 2.5 mg tablets. How many
tablets should the nurse administer per dose? (Round the answer to the nearest whole number)
1 Point Extra Credit
Click the button below to submit your test. You will not be able to change your answer after this.
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70) The antidiarrheal agent that acts to stop secretion of fluids that promote diarrhea into the GI tract is:
1 Point
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O loperamide (Imodium).
opium (Paregoric).
bismuth subsalicylate (Pepto-Bismol).
diphenoxylate (Lomotil).
71) A nurse is preparing to administer a unit–dose medication. Which of the following information should the nurse
expect to find on the medication label? (Select all that apply.)
1 Point Extra Credit
Administration times
Generic name
Storage instructions
Expiration date
Client diagnosis
72) A nurse is administering medications to four clients using an automated dispensing system. Which of the following
actions should the nurse take to prevent medication administration errors? Select all that apply.
1 Point Extra Credit
Remove the medication from the unit-dose package immediately after removing it from the automated dispensing system.
Compare the medication label with the medication administration record.
Document the medication immediately after administering it.
Check the expiration date on the medication label.
Take out medications for more than one client at once.
73) A nurse is preparing to administer 650 mg of acetaminophen syrup to a client. The amount available is
acetaminophen syrup 160 mg/5 mL. How many tsp should the nurse administer per dose? (Round the answer to the nearest whole number)
1 Point Extra Credit
65) Patients with cardiac disease should prevent straining and the Valsalva maneuver by:
1 Point
using diuretics.
reducing fluids.
stool softeners.
digital stimulation.
66) Approximately what portion of the US population experiences heartburn once each month?
1 Point
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one-half
three-fourths
one-third
one-fourth
67) Nausea and vomiting in pregnancy can be controlled by dietary measures in most cases. The patient should be
taught to eat:
1 Point
small, frequent, dry meals.
fatty foods.
only 3 meals a day.
nothing until the nausea subsides.
68) Approximately how many Americans will develop an ulcer at some time in their lives?
1 Point
5%
10%
20%
15%
69) A blister most commonly found at the junction of the mucous membrane and the skin of the lips or nostrils is
called:
1 Point
O a cold sore.
a canker sore.
oral mucositis.
xerostomia.
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65) Patients with cardiac disease should prevent straining and the Valsalva maneuver by:
1 Point
using diuretics.
reducing fluids.
stool softeners.
digital stimulation.
66) Approximately what portion of the US population experiences heartburn once each month?
1 Point
one-half
three-fourths
one-third one-fourth
67) Nausea and vomiting in pregnancy can be controlled by dietary measures in most cases. The patient should be
taught to eat:
1 Point
small, frequent, dry meals.
fatty foods.
only 3 meals a day.
nothing until the nausea subsides.
68) Approximately how many Americans will develop an ulcer at some time in their lives?
1 Point
5%
10%
20%
15%
69) A blister most commonly found at the junction of the mucous membrane and the skin of the lips or nostrils is
called:
1 Point
a cold sore.
a canker sore.
oral mucositis.
xerostomia.
61) Most health care providers order antacids
hour(s) before meals,
hours after meals, and at bedtime.
1 Point
3:1 to 2
1;2 to 3
4;5 to 6
2; 2 to 4
62) Canker sores are recurrent aphthous stomatitis and the exact cause is:
1 Point
unknown.
virus.
trauma.
stress.
63) An increase in the frequency or fluid content of bowel movements is called:
1 Point
diarrhea.
flatulence.
constipation. impaction.
64) One of the advantages of famotidine is that it is administered
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weekly.
every other week.
monthly.
daily.
65) Patients with cardiac disease should prevent straining and the Valsalva maneuver by:
1 Point
using diuretics. reducing fluids.
stool softeners. digital stimulation.
Sharing desktop with: admin – a
57) A woman with severe persistent vomiting that interferes with nutrition, fluid, and electrolyte balance may be
experiencing:
1 Point
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hyperhidrosis.
primigravida.
hyperemesis gravidarum. multigravida.
58) Which type of fungal infection is often called the “disease of the diseased” because it appears in debilitated
patients?
1 Point
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fever blister
canker sore
cold sore candidiasis
59) Intestinal infections are most frequently associated with ingestion of food contaminated with:
1 Point
OOOO
viruses.
pesticides.
bacteria.
fungus.
60) The most effective treatment for halitosis is:
1 Point
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mouthwash.
saline rinse.
breath mints. brushing teeth.
53) A nurse is teaching a client who recently had a myocardial infarction and has a new prescription for docusate
sodium. The nurse should inform the client that docusate sodium has which of the following therapeutic effects? 1.55 Points
Reduces gastric acid
Prevents straining
Prevents diarrhea
Reduces inflammation
54) A nurse is caring for a patient who has a new prescription for famotidine to treat GERD. The nurse should instruct
the client to wait al least 1 hr between famotidine and which of the following over–the–counter drugs? 1.55 Points
St. John’s wort
Antacids
Antidiarrheals
Ginkgo biloba
55) A nurse is planning teaching to a client who has been prescribed loperamide to treat diarrhea. Which of the
following statements should the nurse plan to include?
1.55 Points
“If you miss a dose, double the next dose.”
“Rinsing the mouth with alcohol-based mouthwash can reduce dryness.”
“Avoid driving or activities requiring alertness.”
“Having one glass of wine each night can improve medication effectiveness.”
56) Which type of inactive enzyme do chief cells secrete?
1 Point
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pepsinogen
hydrochloric acid
intrinsic factor
mucus
49) Which of the following is the most frequent side effect produced by antidiarrheal drugs?
1.55 Points
Renal failure
Constipation
Vomiting Hypertension
50) What is the action of saline laxatives?
1.55 Points
Promoting peristalsis by drawing water from blood plasma to increase the volume of the intestinal contents Absorbing water into the stool mass and then expanding, promoting peristalsis
Stimulating peristalsis through contact with the intestinal mucosa
Softening the fecal mass, allowing for easier passage of contents
51) A nurse is reviewing the medical record of a client who has a new prescription for famotidine. The nurse should
recognize that which of the following drug interacts with famotidine?
1.55 Points
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Ketoconazole
Lisinopril
Hydrochlorothiazide Phenobarbital sodium
52) A female client of childbearing age is starting therapy with misoprostol taking omeprazole to prevent a gastric
ulcer. Which of the following instructions should you include when talking with the client about this drug? Select all that apply.
1.55 Points
10000
Report excessive menstrual pain.
Mid-cycle spotting can occur.
Avoid taking the drug a bedtime.
Use effective contraception.
Take pregnancy test prior to therapy.
45) A client is about to start taking alosetron to treat diarrhea. You should instruct the client to watch for and report
which of the following adverse reactions of this drug?
1.55 Points
1000
Confusion
Difficulty swallowing
Constipation
Blurred vision
46) A patient reports severe abdominal pain that occurs approximately 45 to 60 minutes after eating. The patient
notes that eating dairy products or drinking milk alleviates the pain but eating Mexican food or drinking alcohol worsens the condition. The health care provider orders x–rays to be done in several days, but in the meantime, which type of drug will likely be recommended?
1.55 Points
0000
Antacid
Laxative
Antiflatulent Anticholinergic
47) Which of the following drugs has protocols that require clients to meet specific risk-management criteria and sign
a treatment agreement before the nurse can administer the drug?
1.55 Points
Azathioprine
Alosetron
Lubiprostone
Sulfasalazine
48) A patient who is suffering from postoperative nausea vomited 20 minutes after arriving in the recovery room and
now is retching. Additionally, the patient is dizzy and lightheaded and has a very slow pulse. What is the patient experiencing?
1.55 Points
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Anticipatory nausea and vomiting
Motion sickness
Autonomic nervous system response
Vasovagal response
41) A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. Which of the
following instructions should the nurse include? Select all that apply.
1.55 Points
Expect results in 6 to 12 hr.
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Urinate every 4 hr.
Take the drug with at least 8 oz (237 mL) of fluid.
Avoid activities that require alertness.
Increase fluid and fiber intake.
42) Which oral disorder is contagious?
1.55 Points
Mucositis
Xerostomia
Fever blisters
Canker sores
43) A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of
the following conditions?
1.55 Points
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Inflammatory bowel disease
Agranulocytosis
Thrombophlebitis
Immunization with a live virus vaccine within the last 6 weeks
44) A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following
conditions?
1.55 Points
Aspirin sensitivity
Pancreatitis
Bronchitis
GERD
36) A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following statements should
the nurse make?
1.55 Points
“Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn.”
“The medication can color your urine dark brown.”
“Take an iron supplement when you take sulfasalazine to prevent anemia.”
“The medication can stain your contact lenses green.”
37) In the context of the treatment of peptic ulcer caused by H. pylori, triple therapy refers to using
1.55 Points
two antibiotics and a bismuth compound
an antibiotic, a bismuth compound, and a proton pump inhibitor
two antibiotics and a proton pump inhibitor
an antibiotic, an antifungal, and a bismuth compound
38) What is the therapeutic role of bismuth in triple therapy that is used to treat peptic ulcers?
1.55 Points
Bismuth eradicates the bacterial infection by selectively killing H. pylori.
Bismuth inhibits the adhesion of bacteria to the gastric mucosa.
Bismuth permeates the bacterial cell wall and weakens it. Bismuth neutralizes the acid present in the stomach.
39) Toxic doses of diphenoxylate could produce respiratory depression and coma similar to overdose.
1.55 Points
barbiturate
opiate
ephedrine
psychogenic
40) Oral H2-receptor antagonists
1.55 Points
must be taken on an empty stomach
interact with citrus juices
O can be taken with food
do not interact with other medications
32) The nurse practitioner is caring for a patient who is experiencing xerostomia. Which type of treatment does the
nurse prescribe for the patient?
1.55 Points
Surgical removal
Antibiotics
Saliva substitute
Antiviral ointment
33) The nurse administers an antidiarrheal medication to a patient who is experiencing significant diarrhea. Which
other measure may be taken to improve the patient’s condition?
1.55 Points
Increase fiber in the patient’s diet. Increase the patient’s fluid intake. Increase the patient’s level of activity. Encourage the use of a laxative.
34) A nurse is caring for a client who is taking allopurinol to treat gout and has anew prescription to treat ulcerative
colitis. For which of the following reasons should the nurse clarify these prescriptions with the provider? 1.55 Points
0000
Azathioprine decreases the effectiveness of allopurinol.
Azathioprine increases the effectiveness of allopurinol.
Allopurinol delays the conversion of azathioprine and can lead to toxicity.
Allopurinol increases the metabolism of azathioprine and can require an increased dosage.
35) What percentage of the North American population experiences chronic constipation?
1.55 Points
10%
15%
20%
25%
28) Ray is prescribed sucralfate for the treatment of peptic ulcers. Which of the following side effects can Ray expect
from this medication?
1.55 Points
0000
Vomiting
Headache
Constipation
Nausea
29) A client is about to start taking omeprazole to treat duodenal ulcer. Which of the following instructions should you
include when talking with the client about this drug?
1.55 Points
0000
Avoid using aluminum–based antacids. Consume adequate amounts of fluids.
Take it with food.
Do not drink grapefruit juice.
30) The suppression of acid secretion is greater with a proton pump inhibitor than with an H2-receptor antagonist
because:
1.55 Points
0000
unlike an H2-receptor antagonist, a proton pump inhibitor stimulates H1-receptors. unlike an H2-receptor antagonist, a proton pump inhibitor blocks the secretion of HCI.
unlike an H2-receptor antagonist, a proton pump inhibitor increases the volume and strength of acid secretion. O unlike an H2-receptor antagonist, a proton pump inhibitor blocks the release of histamine from parietal cells.
31) A nurse is assessing a client who was administered ondansetron (Zofran) IV 1 hr ago. Which of the following
findings should the nurse recognize as an adverse effect of this drug?
1.55 Points
0000
Dyspepsia
O Bradycardia
Tardive dyskinesia
Dizziness
24) Which H2-receptor antagonist should not be prescribed for a patient already taking calcium channel blockers,
metoprolol, and phenytoin?
1.55 Points
0000
Famotidine
Ranitidine
Cimetidine
Nizatidine
25)
are considered to be ulcerogenic because they inhibit the secretion of protective mucus and interfere with the normal production of the mucosal lining.
1.55 Points
Adrenergic drugs
Steroids
Antacids
Antihistamines
26) A nurse is planning care for a client who is receiving chemotherapy and has anew prescription for ondansetron.
Which of the following actions should the nurse plan to take? Select all that apply.
1.55 Points
Infuse the drug 30 min prior to chemotherapy.
Administer the drug immediately following chemotherapy.
Administer the drug when the patient reports nausea.
Repeat the dose 4 hr after chemotherapy.
Infuse the drug slowly over 15 min.
27) Julian is diagnosed with Zollinger-Ellison syndrome and presents with symptoms such as gastric acid hypersecretion.
Which of the following drugs should be used to treat Julian?
1.55 Points
0000
Omeprazole
Metoclopramide
Cimetidine
Antacids
20) To prevent future oral problems in children, when should regular oral care begin?
1.55 Points
0000
When the child enters kindergarten
At infancy, by rubbing the gums with gauze to cleanse When the child is old enough to hold a toothbrush When teeth first erupt
21) A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion
sickness. Which of the following instructions should the nurse include? Select all that apply.
1.55 Points
Avoid activities that require alertness.
Take the drug 30 to 60 min before activities that trigger nausea.
Increase fluid and fiber intake.
Sit upright for 30 min after taking the drug.
Avoid antacids when taking the drug.
22) The mechanism of action of sucralfate has it classified as
1.55 Points
000
an antacid
a prostaglandin
an anticholinergic
none of the above
23) Which population is more prone to long–lasting effects of anesthetic drugs?
1.55 Points
Elderly
Obese
Infants
Toddlers
16) Which antiemetic is especially helpful in treating nausea and vomiting resulting from chemotherapy?
1.55 Points
0000
Prochlorperazine (Compazine)
Ondansetron (Zofran) Trimethobenzamide (Tigan) Chlorpromazine (Thorazine)
17) Krista is suffering from GERD. After various medications fail to improve her condition, Krista is prescribed
metoclopramide as a short-term treatment option. However, the success of the treatment prompts Krista to continue using the medication for over three times the prescribed duration. Krista is at a risk for 1.55 Points
0000
bulimia
O diabetic gastroparesis
tardive dyskinesia
sinus tachycardia
18) A client is about to start taking sulfasalazine to treat inflammatory bowel disease. You should instruct the client to
watch for and report which of the following adverse effects of this drug? Select all that apply.
1.55 Points
00000
Joint pain
Constipation
Sore throat
Fever
Dry mouth
19) The nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following
instructions should the nurse include?
1.55 Points
0000
Dissolve the powder thoroughly in 8 oz of water. Avoid activities that require alertness.
Take 30 min before activities that trigger nausea.
Have diphenhydramine available.
12) Liam consults a doctor as he has been suffering from diarrhea for two days. The doctor prescribes diphenoxylate to decrease peristalsis. Which of the following statements, if true, would indicate that the doctor’s prescription is inappropriate for Liam?
1.55 Points
000
Liam complains of constipation after taking the drug.
Liam’s electrolyte levels have changed. Liam shows symptoms of liver disease.
Liam suffers from lactose intolerance.
13) A client is about to start taking aluminum hydroxide to reduce gastric acid. Which of the following instructions
should you include when talking with the client about this drug? Select all that apply.
1.55 Points
1000
Drink a glass of water after taking it.
Take it once daily.
Chew the tablets thoroughly.
Increase fluid and fiber intake.
Take the drug with a large meal.
14) In which patient would you not use a laxative?
1.55 Points
A patient with a colonoscopy ordered tomorrow
A patient with constipation
A patient with sudden abdominal pain of unknown cause
A patient on bedrest, unable to move his or her bowels for 5 days
15) Identify the mechanism of action by which NSAIDs cause peptic ulcers.
1.55 Points
Blockade of prostaglandins that inhibit gastric secretions
Blockade of receptors that promote the fight-or-flight response
Stimulation of H1-receptors on smooth muscles of the gastrointestinal tract
Stimulation of histamine receptors on parietal cells
8) A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client’s phosphorus levels
when administering which of the following drugs?
1.55 Points
Famotidine
Sucralfate
Aluminum hydroxide
Omeprazole
9) Select the reason why increased dietary fiber is a major component in the management of constipation.
1.55 Points
Fiber increases stool bulk and fluid content and decreases transit time, resulting in an increase in the frequency of defecation.
Fiber affects the fluid and electrolyte supplements in the stomach and inhibits the sympathetic nervous system, resulting in an increase in the frequency of defecation.
Fiber decreases the number of microorganisms in the gastrointestinal (GI) tract, decreases the fluid content, and decreases transit time, resulting in a decrease in the frequency of defecation.
None of these are correct.
10) How long does the breath–freshening action of over–the–counter mouthwashes last?
1.55 Points
10 to 30 minutes
1 to 2 hours
3 hours
30 to 60 minutes
11) The nurse is teaching a patient about metoclopramide (Reglan) therapy. Which patient statement indicates to the
nurse that the patient has a correct understanding of the therapy?
1.55 Points
00
“This drug will slow down the acid being produced in my stomach.” “This medication will make my digestive system move faster.” “I’ll be able to return to my job as a truck driver tomorrow.” “By coating my stomach, this medication will reduce my stomach upset.”
4) Omeprazole works by
1.55 Points
Inhibiting a hydrogen-potassium pump in mucosal cells nhibiting a sodium-potassium pump in parietal cells inhibiting a hydrogen-potassium pump in parietal cells inhibiting a sodium-potassium pump in mucosal cells
5) Famotidine is available as over-the-counter 10-mg tablets. If Kayla takes one tablet every 12 hours over a period of
four days. What is the total dosage of famotidine administered to Kayla?
1.55 Points
40 mg
120 mg
80 mg 48 mg
6) A nurse is caring for an older adult client who has kidney disease and a new prescription for cimetidine. The nurse
should instruct the client to report which of the following manifestations?
1.55 Points
000
Lethargy
O Myalgia
Dry mouth Cellulitis
7)_____results when antacids increase the pH of the stomach and the secretory cells respond by increasing the
secretion of gastric acid.
1.55 Points
0000
Hypercalcemia
Acid rebound
Hypophosphatemia
Acid reflux
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