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Science Quiz 2.1

66 Questions  I  By RNSTUDENT29
Science Quizzes & Trivia

  
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1.  A patient is receiving an antacid that contains aluminum salts. The nurse will inform the patient to watch for which possible adverse effect?
A.
B.
C.
D.
2.  When reviewing the health history of a patient who will be receiving antacids, the nurse recalls that antacids containing magnesium should be used cautiously in which conditions?
A.
B.
C.
D.
3.  When giving H2 antagonists, the nurse recognizes that these drugs may inhibit the absorption of other drugs, which require an acidic gastrointestinal environment for gastric absorption, such as which drug?
A.
B.
C.
D.
4.  A patient who has been taking cimetidine (Tagamet) for hyperacidity calls the clinic to say that the medication has not been effective. The nurse reviews his history and notes that which factor may be influencing the effectiveness of this drug?
A.
B.
C.
D.
5.  A patient is taking omeprazole (Prilosec) for the treatment of gastroesophageal reflux disease (GERD). Which statement will the nurse include in the teaching plan about this medication?
A.
B.
C.
D.
6.  The nurse notes that a patient has excessive and painful gas. The nurse checks the patient’s medication orders and prepares to administer which drug for this problem?
A.
B.
C.
D.
7.  A 75-year-old woman comes into the clinic with the complaint of indigestion, stomach pain, and frequent belching. She tells the nurse that she has been taking sodium bicarbonate 5 or 6 times a day for the past 3 weeks. The nurse knows that which possible hazard exists with the use of sodium bicarbonate?
A.
B.
C.
D.
8.  The physician has recommended 2 weeks of combination therapy with omeprazole and another drug for a patient diagnosed with a peptic ulcer caused by Helicobacter pylori. Which drug does the nurse expect will be the second drug ordered?
A.
B.
C.
D.
9.  A patient is asking advice about which over-the-counter antacid to choose. The nurse explains that calcium carbonate is not often used as an antacid because
A.
B.
C.
D.
10.  When the nurse is teaching a patient who is taking several medications, including twice-daily dosages of antacids, which instruction is correct?
A.
B.
C.
D.
11.  During an admission assessment, the patient tells the nurse that he has been self-treating his heartburn for a year with over-the-counter antacids. The nurse is aware that this self-treatment may have which result?
A.
B.
C.
D.
12.  An elderly patient had gastric surgery a week ago, and he has been stable since the surgery. This evening, his daughter tells the nurse, “He seems to be more confused this afternoon. He’s never been like this. What could be the problem?” The nurse reviews the medication record and suspects that which drug could be the cause of the patient’s confusion?
A.
B.
C.
D.
13.  The nurse is providing patient teaching about antacids. Which statements about antacids are true? Select all that apply.
A.
B.
C.
D.
E.
F.
14.  The nurse is providing teaching to a patient who will be taking the laxative docusate (Bisocodyl). Which statement by the nurse is appropriate during this teaching session?
A.
B.
C.
D.
15.  The nurse is giving oral mineral oil as an ordered laxative dose. The nurse will take measures to prevent which potential problem that may occur with mineral oil?
A.
B.
C.
D.
16.  When administering a bulk-forming laxative, the nurse instructs the patient to drink the medication mixed in a full 8-ounce glass of water. Which statement best explains the rationale for this instruction?
A.
B.
C.
D.
17.  A patient will be taking bismuth subsalicylate (Pepto-Bismol) to control his diarrhea. When reviewing the patient’s other ordered medications, the nurse recognizes that which medication will interact significantly with the Pepto-Bismol?
A.
B.
C.
D.
18.  A patient is about to undergo a diagnostic bowel procedure. The nurse expects which drug to be used to induce total cleansing of the bowel?
A.
B.
C.
D.
19.  While recovering from surgery, a 74-year-old woman started taking a stimulant laxative, senna (Senokot), to relieve constipation caused by the pain medications. She tells the nurse that she likes how “regular” her bowel movements are now that she is taking the laxative. Which teaching principle is appropriate for this patient?
A.
B.
C.
D.
20.  The nurse knows that the major difference between diphenoxylate with atropine (Lomotil) and the over-the-counter drug loperamide (Imodium) is that
A.
B.
C.
D.
21.  The patient asks advice about which type of laxative is safe to use while at home so as to prevent problems with constipation. The nurse explains that which class of laxative is considered safe to use on a long-term basis?
A.
B.
C.
D.
22.  When administering mineral oil, the nurse recognizes that it can interfere with the absorption of which substance?
A.
B.
C.
D.
23.  The nurse is reviewing the mechanism of action of antidiarrheal drugs. Which type of antidiarrheal medication works by decreasing the intestinal muscle tone and peristalsis of the intestines?
A.
B.
C.
D.
24.  The nurse is discussing the use of adsorbents such as bismuth subsalicylate (Pepto-Bismol) with a patient who has diarrhea. The nurse should warn the patient about which possible adverse effect?
A.
B.
C.
D.
25.  A patient who has been on antibiotic therapy for 2 weeks has developed persistent diarrhea. The nurse expects which medication to be ordered to treat this diarrhea?
A.
B.
C.
D.
26.  A patient will be taking bismuth subsalicylate (Pepto-Bismol) to control his diarrhea. When reviewing the patient’s other ordered medications, the nurse recognizes that which medication will interact significantly with the Pepto-Bismol?
A.
B.
C.
D.
27.  A laxative has been ordered for a patient. The nurse checks the patient’s medical history, knowing that this medication is contraindicated with which condition?
A.
B.
C.
D.
28.  A patient is severely constipated and needs immediate relief. The nurse knows that which type of laxative will provide the most rapid results?
A.
B.
C.
D.
29.  A patient is receiving lactulose (Chronulac) three times a day. The nurse knows that the patient is not constipated and is receiving this drug for which reason?
A.
B.
C.
D.
30.  The nurse notes that a patient is taking tegaserod (Zelnorm) to treat irritable bowel syndrome (IBS).  The nurse will monitor the patient for which adverse effect?
A.
B.
C.
D.
31.  The nurse is considering the uses of oral laxatives. Which conditions are general contraindications to or cautions about the use of oral laxatives? Select all that apply.
A.
B.
C.
D.
E.
F.
32.  A patient is receiving a tube feeding through a gastrostomy. The nurse expects that which type of drug will be used to promote gastric emptying for this patient?
A.
B.
C.
D.
33.  A patient who has AIDS has lost weight and is easily fatigued because of his malnourished state. The nurse anticipates using which antinausea drug to stimulate his appetite?
A.
B.
C.
D.
34.  A patient on chemotherapy is using ondansetron (Zofran) for treatment of nausea. The nurse will instruct the patient to watch for which adverse effect of this drug?
A.
B.
C.
D.
35.  A patient who has severe nausea and vomiting following a case of food poisoning comes to the clinic. When reviewing his medication history, the nurse notes that he has an allergy to procainamide. The nurse would question an order for which antiemetic drug if ordered for this patient?
A.
B.
C.
D.
36.  A mother calls the pediatrician’s office to report that her 18-month-old-child has eaten half of a bottle of baby aspirin. She says, “I have a bottle of syrup of ipecac. Should I give it to him? He seems fine right now. What do I do?” What is the nurse’s best response?
A.
B.
C.
D.
37.  A patient is taking chemotherapy with a drug that has a high potential for causing nausea and vomiting. The nurse is preparing to administer an antiemetic drug. Which class of antiemetic drugs has proven most effective in preventing nausea and vomiting for patients receiving chemotherapy?
A.
B.
C.
D.
38.  A patient who has been newly diagnosed with vertigo will be taking an antihistamine antiemetic drug. The nurse will include which information when teaching the patient about this drug?
A.
B.
C.
D.
39.  A patient with motion sickness is planning a cross-country car trip to attend a family reunion. He has a prescription for a scopolamine transdermal patch. The nurse should instruct the patient that the patch should be changed
A.
B.
C.
D.
40.  A woman who is in the first trimester of pregnancy has been experiencing severe morning sickness. She asks, “I’ve heard that ginger tablets may be a natural way to ease the nausea and vomiting. Is it okay to try them?” What is the nurse’s best response?
A.
B.
C.
D.
41.  A patient is on a chemotherapy regimen in an outpatient clinic and is receiving a drug that is known to be highly emetogenic. The nurse will implement which interventions regarding the pharmacologic management of nausea and vomiting? Select all that apply.
A.
B.
C.
D.
E.
F.
42.  An adult patient is about to receive intravenous (IV) ondanestron (Zofran) during a chemotherapy treatment. A dose of 0.15 mg/kg IV30 minutes before chemotherapy is ordered. The patient weighs 150 pounds. The medication is supplied in a vial marked 2 mg/mL for IV administration. How many milliliters will the nurse administer for this dose? Round answer to the nearest tenth.
43.  The nurse is reviewing conditions caused by nutrient deficiencies. Conditions such as infantile rickets, tetany, and osteomalacia are caused by a deficiency in which vitamin or mineral?
A.
B.
C.
D.
44.  The nurse is preparing a plan of care for a patient undergoing therapy with vitamin A. Which nursing diagnosis is appropriate for this patient?
A.
B.
C.
D.
45.  The nurse will monitor for which signs of toxicity when a patient is on vitamin D supplemental therapy?
A.
B.
C.
D.
46.  When counseling a patient about calcium supplements, the nurse should include which dietary information?
A.
B.
C.
D.
47.  The nurse is administering intravenous calcium and will administer it slowly to avoid which adverse effect?
A.
B.
C.
D.
48.  The nurse will prepare to give which preparation to a newborn upon arrival in the nursery after delivery?
A.
B.
C.
D.
49.  A patient with a history of alcohol abuse has been admitted for severe weakness and malnutrition. The nurse will prepare to administer which vitamin preparation to prevent Wernicke’s encephalopathy?
A.
B.
C.
D.
50.  Niacin is prescribed for a patient who has hyperlipidemia. The nurse checks the patient’s medical history, knowing this medication is contraindicated in which disorder?
A.
B.
C.
D.
51.  A patient will be starting vitamin D supplements. The nurse reviews his medical record for contraindications, which include
A.
B.
C.
D.
52.  A patient has received an overdose of the anticoagulant warfarin (Coumadin) and the nurse is preparing to administer vitamin K as an antidote. Which statement about vitamin K is true?
A.
B.
C.
D.
53.  The nurse is reviewing vitamin therapy. Which statements are true regarding vitamin C? Select all that apply.
A.
B.
C.
D.
E.
F.
G.
54.  A patient asks the nurse about taking megadoses of vitamin C to improve her immunity to colds. “It’s just a vitamin, right? What can happen?” Which responses by the nurse are correct? Select all that apply.
A.
B.
C.
D.
E.
F.
55.  During an intravenous infusion of calcium, the nurse monitors the patient for symptoms of hypercalcemia. Which are symptoms of hypercalcemia? Select all that apply.
A.
B.
C.
D.
E.
F.
56.  When giving nutrition supplements, the nurse keeps in mind that the most common adverse effect is
A.
B.
C.
D.
57.  An elderly patient needs to take an enteral supplement to improve her overall nutrition status. When considering enteral supplements, the nurse notes that which formulation provides complex nutrients?
A.
B.
C.
D.
58.  A woman has been receiving both radiation and chemotherapy for her cancer. Lately, she has developed anorexia caused by the treatments, so she needs short-term nutrition supplementation. The nurse anticipates that the physician will initiate which therapy?
A.
B.
C.
D.
59.  During the night shift, a patient’s total parenteral nutrition (TPN) infusion ran out, and there was no TPN solution on hand to continue the infusion. The nurse will have to implement measures to prevent what consequence of abruptly discontinuing TPN infusions?
A.
B.
C.
D.
60.  When monitoring a patient who has been on peripheral parenteral nutrition (PPN) for more than 3 weeks, the nurse monitors for which possible complication?
A.
B.
C.
D.
61.  A patient has been receiving total parenteral nutrition (TPN). Upon assessment, the nurse notes that his blood pressure is elevated, his pulse is weak and elevated, he seems confused, and he has new pitting edema around his ankles. Which condition does the nurse suspect the patient is experiencing?
A.
B.
C.
D.
62.  The peripheral parenteral nutrition bag that has been infusing into an assigned patient has run dry before a new bag has been ordered. The nurse should immediately hang which of the following available solutions until the new bag arrives?
A.
B.
C.
D.
63.  The nurse is preparing to administer medications to a patient who is receiving a gastric tube feeding. When reviewing the patient’s medication list, the nurse notes a potential concern about a food-drug interaction if which medication is listed?
A.
B.
C.
D.
64.  A patient with type 2 diabetes will be receiving a nasogastric tube feeding for a few days. The nurse expects which type of formula to be used?
A.
B.
C.
D.
65.  The nurse is monitoring a patient who is receiving a parenteral nutrition infusion. What measures are appropriate to prevent infection? Select all that apply.
A.
B.
C.
D.
E.
66.  The TPN order reads: Infuse Bag #2 over 24 hours. Bag #2 of TPN contains 2400 mL. At what rate will the nurse set the infusion pump?
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