Science Test 2

69 Questions  I  By RNSTUDENT29 on February 12, 2012
Chapter 38

  
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1.  When reviewing the allergy history of a patient, the nurse notes that the patient is allergic to penicillin. Based on this finding, the nurse would question an order for which class of antibiotics?
A.
B.
C.
D.
2.  When teaching a patient who will be taking tetracycline, which of the following instructions should the nurse share?
A.
B.
C.
D.
3.  When reviewing the medication orders for a patient who is taking penicillin, the nurse notes that the patient is also taking the oral anticoagulant warfarin (Coumadin). What possible effect may occur as the result of an interaction between these drugs?
A.
B.
C.
D.
4.  A patient is receiving his third intravenous dose of a penicillin drug. He calls the nurse to report that he is feeling “anxious” and is having trouble breathing. What will the nurse do first?
A.
B.
C.
D.
5.  A patient is admitted with a fever of 102.8° F (39.3 ° C), origin unknown. Assessment reveals cloudy, foul-smelling urine that is dark amber in color. Orders have just been written to obtain urine and blood cultures and to administer an antibiotic intravenously stat (now). The nurse will complete these orders in which sequence?
A.
B.
C.
D.
6.  During drug therapy with a tetracycline antibiotic, a patient complains of some nausea and anorexia. The nurse’s best advice to the patient would be which of the following?
A.
B.
C.
D.
7.  The nurse is reviewing the medication history of a patient who will be taking an antibiotic. During antibiotic therapy, a significant drug interaction may occur with which drug group?
A.
B.
C.
D.
8.  The nurse is monitoring for therapeutic results of antibiotic therapy in a patient with an infection. Which laboratory value would indicate therapeutic effectiveness of this therapy?
A.
B.
C.
D.
9.  The nurse is reviewing the sputum culture results of a patient with pneumonia and notes that the patient has a gram-positive infection. Which type of cephalosporin is most appropriate for this infection?
A.
B.
C.
D.
10.  A patient has received an antibiotic to take for a week before planned oral surgery. The nurse knows that this is an example of which type of therapy?
A.
B.
C.
D.
11.  A patient has a urinary tract infection. The nurse knows that which class of drugs is especially useful for such infections?
A.
B.
C.
D.
12.  During drug therapy for pneumonia, a female patient develops a superinfection. The nurse explains that this infection is caused by
A.
B.
C.
D.
13.  The nurse is preparing to use an antiseptic. Which statement is correct regarding how antiseptics differ from disinfectants?
A.
B.
C.
D.
14.  A patient with a long-term intravenous catheter is going home. The nurse knows that if he is allergic to seafood, which antiseptic agent is contraindicated?
A.
B.
C.
D.
15.  During antibiotic therapy, the nurse should monitor closely for signs and symptoms of a hypersensitivity reaction. Which of the following may be an indication of a hypersensitivity reaction? Select all that apply.
A.
B.
C.
D.
E.
F.
16.  When a patient is on aminoglycoside therapy, the nurse will monitor the patient for which indicators of potential toxicity?
A.
B.
C.
D.
17.  The nurse is administering a vancomycin (Vancocin) infusion. Which measure is appropriate for the nurse to implement in order to reduce complications that may occur with this drug’s administration?
A.
B.
C.
D.
18.  Which of the following nursing diagnoses is appropriate for a patient who has started aminoglycoside therapy?
A.
B.
C.
D.
19.  A patient who has been hospitalized for 2 weeks has developed a pressure ulcer that contains multidrug-resistant Staphylococcus aureus (MRSA). Which drug would the nurse expect to be chosen for his therapy?
A.
B.
C.
D.
20.  A patient is receiving aminoglycoside therapy and will be receiving a beta-lactam antibiotic as well. The patient asks why two antibiotics have been ordered. What is the nurse’s best response?
A.
B.
C.
D.
21.  When reviewing the medication orders for a patient who will be receiving linezolid (Zyvox) therapy, the nurse is aware that this drug may interact with which medications?
A.
B.
C.
D.
22.  The nurse is about to give a dose of vancomycin (Vancocin), but before doing so checks the patient’s lab work and finds that the trough vancomycin level is 24 mcg/mL. What will the nurse do next?
A.
B.
C.
D.
23.  A patient has been diagnosed with Klebsiella pneumoniae carbapenemases. The nurse expects to see orders for which drug?
A.
B.
C.
D.
24.  A 79-year-old patient is receiving a quinolone as treatment for a complicated incision infection. The nurse will monitor for which adverse effect that is associated with these drugs?
A.
B.
C.
D.
25.  The nurse who is administering aminoglycoside therapy must monitor the patient closely for signs of toxicity as manifested by which of the following? Select all that apply.
A.
B.
C.
D.
E.
F.
26.  The nurse is administering intravenous vancomycin (Vancocin) to a patient who has had gastrointestinal surgery. Which nursing measures are appropriate? Select all that apply.
A.
B.
C.
D.
E.
F.
27.  A patient diagnosed with shingles is taking topical acyclovir and the nurse is providing instructions about adverse effects. Which are adverse effects of topical acyclovir that should be discussed with the patient?
A.
B.
C.
D.
28.  A patient who has undergone bone marrow transplantation has contracted cytomegalovirus (CMV) retinitis. The nurse expects which drug to be ordered for this patient?
A.
B.
C.
D.
29.  An infant has been hospitalized with a severe lung infection caused by the respiratory syncytial virus (RSV). The nurse expects which drug to be administered via the inhalation route?
A.
B.
C.
D.
30.  A patient with AIDS has been taking zidovudine (Retrovir) therapy for almost 1 year. At this time, the physician decides to switch her medication to didanosine. The patient is very concerned about this change. What will the nurse explain to her?
A.
B.
C.
D.
31.  The nurse is administering intravenous acyclovir (Zovirax) to a patient with a viral infection. Which administration technique is correct?
A.
B.
C.
D.
32.  A patient is receiving cidofovir as part of the treatment for a viral infection, and the nurse is preparing to administer probenecid, which is also ordered. The nurse understands that the probenecid is given for which reason?
A.
B.
C.
D.
33.  A patient is taking a combination of antiviral drugs as treatment for early stages of HIV infection. While discussing the drug therapy, he asks the nurse if the drugs will kill the virus. When answering him, the nurse keeps in mind the fact that antiviral drugs
A.
B.
C.
D.
34.  A young adult calls the clinic to ask for a prescription for “that new flu drug.” He says he has had the flu for almost 4 days and just heard about a drug that can reduce the symptoms. Based on knowledge of antiviral therapy for influenza, what is the nurse’s best response to his request?
A.
B.
C.
D.
35.  A patient diagnosed with genital herpes is taking topical acyclovir. What teaching is important for this patient? Select all that apply.
A.
B.
C.
D.
E.
F.
G.
H.
36.  A patient is in the HIV clinic for a follow-up appointment. He has been on antiretroviral therapy for HIV for more than 3 years. The nurse will assess for which potential adverse effects of long-term antiretroviral therapy? Select all that apply.
A.
B.
C.
D.
E.
37.  The nurse is discussing adverse effects of antitubercular drugs. Which potential adverse effect should the patient report to his or her prescriber?
A.
B.
C.
D.
38.  A patient who has been taking isoniazid (INH) has a new prescription for pyridoxine. She is wondering why she needs this medication. The nurse explains that pyridoxine is given concurrently with the isoniazid to prevent
A.
B.
C.
D.
39.  When assessing patients who are to receive antitubercular therapy, the nurse should assess for which potential contraindication?
A.
B.
C.
D.
40.  When monitoring patients on antitubercular drug therapy, the nurse knows that which drug may cause a decrease in visual acuity?
A.
B.
C.
D.
41.  A patient has been taking antitubercular therapy for 3 months. The nurse notes a therapeutic response to these drugs with which assessment findings?
A.
B.
C.
D.
42.  The nurse is counseling a woman who will be starting rifampin. The patient is on oral contraceptives. Which statement is true regarding rifampin therapy for this patient?
A.
B.
C.
D.
43.  The nurse is reviewing the medication record of a patient who is taking isoniazid (INH). Which drug or drug class has a significant drug interaction with isoniazid?
A.
B.
C.
D.
44.  A patient who has started drug therapy for tuberculosis wants to know how long he will be on the medications. What is the nurse’s best response?
A.
B.
C.
D.
45.  The nurse is preparing to administer morning medications to a patient who has been newly diagnosed with tuberculosis. The patient asks, “Why do I have to take so many different drugs?” Which answer by the nurse is correct?
A.
B.
C.
D.
46.  Important points the nurse should emphasize when teaching a patient who will be taking antitubercular therapy include which of the following? Select all that apply.
A.
B.
C.
D.
E.
F.
G.
H.
47.  During an intravenous (IV) infusion of amphotericin B, a patient develops tingling and numbness in his toes and fingers. What will the nurse do?
A.
B.
C.
D.
48.  When reviewing the history of a patient who will be taking an antifungal drug, the nurse knows that which of the following conditions is a contraindication to these drugs?
A.
B.
C.
D.
49.  If a patient is taking an antifungal drug with an oral anticoagulant, the nurse should monitor for which possible interaction?
A.
B.
C.
D.
50.  The nurse is preparing an infusion of amphotericin B for a patient who has a severe fungal infection. Which intervention is appropriate regarding the potential adverse effects of amphotericin B?
A.
B.
C.
D.
51.  The nurse is administering one of the lipid formulations of amphotericin B. When giving this drug, it is important to remember that
A.
B.
C.
D.
52.  The nurse is reviewing instructions for vaginal antifungal drugs with a patient. Which is an appropriate instruction regarding these drugs?
A.
B.
C.
D.
53.  A patient is infected by invasive aspergillosis, and his medical record reveals that he has not been able to tolerate several antifungal drugs. The nurse anticipates an order for which medication to treat this infection?
A.
B.
C.
D.
54.  A patient with a severe fungal infection has orders for voriconazole (Vfend). The nurse is reviewing the patient’s medical record and would be concerned with what assessment finding?
A.
B.
C.
D.
55.  During therapy with amphotericin B, the nurse would monitor for known adverse effects that would be reflected by which lab result?
A.
B.
C.
D.
56.  A patient has received a prescription for a 2-week course of antifungal suppositories for a vaginal yeast infection. She asks the nurse if there is an alternative to this medication, saying, “I don’t want to do this for 2 weeks!” The nurse recognizes that a possible alternative prescription in this situation would be
A.
B.
C.
D.
57.  A patient is taking nystatin (Mycostatin) lozenges because of an oral candidiasis infection resulting from inhaled corticosteroid therapy for asthma. Which instruction by the nurse is appropriate?
A.
B.
C.
D.
58.  When administering amphotericin B, which of the following actions by the nurse are appropriate? Select all that apply.
A.
B.
C.
D.
E.
F.
G.
H.
59.  A patient has a roundworm infestation and will be taking mebendazole. What adverse effects should the nurse include in a teaching plan for this patient?
A.
B.
C.
D.
60.  A patient has an infestation with flukes. The nurse anticipates the use of which drug to treat this infestation?
A.
B.
C.
D.
61.  A patient who is being treated for malaria has started therapy with quinine and tetracycline. He asks the nurse why he is on an antibiotic when malaria is caused by a parasite. What should the nurse tell the patient?
A.
B.
C.
D.
62.  A woman is traveling to a country where she will be at high risk for malarial infection. What will the nurse teach her regarding prophylactic therapy?
A.
B.
C.
D.
63.  A patient with late-stage HIV infection also has Pneumocystis jirovecii pneumonia. The nurse anticipates treatment with which medication for this pneumonia?
A.
B.
C.
D.
64.  A patient with an intestinal infection that is positive for the Giardia lamblia organism will be taking an antiprotozoal drug. Which of the following should the nurse include in the teaching plan for this patient?
A.
B.
C.
D.
65.  The nurse is reviewing anthelmintic drug therapy with a patient and instructs the patient to look for and report which potential adverse reactions?
A.
B.
C.
D.
66.  A patient is being evaluated for a possible helmintic infection. The nurse knows that which of the following statements about anthelmintic therapy is true?
A.
B.
C.
D.
67.  A patient is experiencing the exoerythrocytic phase of malaria. The nurse expects which drug to be used for this patient?
A.
B.
C.
D.
68.  A patient is receiving hydroxychloroquine therapy but tells the nurse that she has never traveled out of her state. The nurse knows that a possible reason for this drug therapy is which condition?
A.
B.
C.
D.
69.  Hydroxychloroquine is prescribed as part of malaria prophylaxis for a patient who will be traveling. The nurse will discuss which potential adverse effects with the patient? Select all that apply.
A.
B.
C.
D.
E.
F.
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