1. The nursery nurse is putting erythromycin ointment in the newborn’s eyes to prevent infection. She places it in the following area of the eye:
   1. under the eyelid

   2. on the cornea.

   3. in the lower conjunctival sac

   4. by the optic disc.

2. The physician orders penicillin for a patient with streptococcal pharyngitis. The nurse administers the drug as ordered, and the patient has an allergic reaction. The nurse checks the medication order sheet and finds that the patient is allergic to penicillin. Legal responsibility for the error is:
   1. only the nurse’s—she should have checked the allergies before administering the medication.

   2. only the physician’s—she gave the order, the nurse is obligated to follow it.

   3. only the pharmacist’s—he should alert the floor to possible allergic reactions.

   4. the pharmacist, physician, and nurse are all liable for the mistake

3. James Perez, a nurse on a geriatric floor, is administering a dose of digoxin to one of his patients. The woman asks why she takes a different pill than her niece, who also has heart trouble. James replies that as people get older, liver and kidney function decline, and if the dose is as high as her niece’s, the drug will tend to:
   1. have a shorter half-life.

   2. accumulate.

   3. have decreased distribution.

   4. have increased absorption.

4. The nurse is administering Augmentin to her patient with a sinus infection. Which is the best way for her to insure that she is giving it to the right patient?
   1. Call the patient by name

   2. Read the name of the patient on the patient’s door

   3. Check the patient’s wristband

   4. Check the patient’s room number on the unit census list

5. The most important instructions a nurse can give a patient regarding the use of the antibiotic Ampicillin prescribed for her are to
   1. call the physician if she has any breathing difficulties.

   2. take it with meals so it doesn’t cause an upset stomach.

   3. take all of the medication prescribed even if the symptoms stop sooner.

   4. not share the pills with anyone else.

6. Mr. Jessie Ray, a newly admitted patient, has a seizure disorder which is being treated with medication. Which of the following drugs would the nurse question if ordered for him?
   1. Phenobarbitol, 150 mg hs

   2. Amitriptylene (Elavil), 10 mg QID.

   3. Valproic acid (Depakote), 150 mg BID

   4. Phenytoin (Dilantin), 100 mg TID

7. Mrs. Jane Gately has been dealing with uterine cancer for several months. Pain management is the primary focus of her current admission to your oncology unit. Her vital signs on admission are BP 110/64, pulse 78, respirations 18, and temperature 99.2 F. Morphine sulfate 6mg IV, q 4 hours, prn has been ordered. During your assessment after lunch, your findings are: BP 92/60, pulse 66, respirations 10, and temperature 98.8. Mrs. Gately is crying and tells you she is still experiencing severe pain. Your action should be to
   1. give her the next ordered dose of MS.

   2. give her a back rub, put on some light music, and dim the lights in the room.

   3. report your findings to the RN, requesting an alternate medication order

   4. be obtained from the physician.

   5. call her daughter to come and sit with her.

8. When counseling a patient who is starting to take MAO (monoamine oxidase) inhibitors such as Nardil for depression, it is essential that they be warned not to eat foods containing tyramine, such as:
   1. Roquefort, cheddar, or Camembert cheese.

   2. grape juice, orange juice, or raisins.

   3. onions, garlic, or scallions.

   4. ground beef, turkey, or pork.

9. The physician orders an intramuscular injection of Demerol for the postoperativepatient’s pain. When preparing to draw up the medication, the nurse is careful to remove the correct vial from the narcotics cabinet. It is labeled
   1. simethicone.

   2. albuterol.

   3. meperidine.

   4. ibuprofen.

10. The nurse is administering an antibiotic to her pediatric patient. She checks the patient’s armband and verifies the correct medication by checking the physician’s order, medication kardex, and vial. Which of the following is not considered one of the five “rights” of drug administration?
    1. Right dose

    2. Right route

    3. Right frequency

    4. Right time

11. A nurse is preparing the client’s morning NPH insulin dose and notices a clumpy precipitate inside the insulin vial. The nurse should:
    1. draw up and administer the dose

    2. shake the vial in an attempt to disperse the clumps

    3. draw the dose from a new vial

    4. warm the bottle under running water to dissolve the clump

12. A client with histoplasmosis has an order for ketoconazole (Nizoral). The nurse teaches the client to do which of the following while taking this medication?
    1. take the medication on an empty stomach

    2. b. take the medication with an antacid

    3. c. avoid exposure to sunlight

    4. d. limit alcohol to 2 ounces per day

13. A nurse has taught a client taking a xanthine bronchodilator about beverages to avoid. The nurse determines that the client understands the information if the client chooses which of the following beverages from the dietary menu?
    1. chocolate milk

    2. cranberry juice

    3. coffee

    4. cola

14. A client is taking famotidine (Pepcid) asks the home care nurse what would be the best medication to take for a headache. The nurse tells the client that it would be best to take:
    1. aspirin (acetylsalicylic acid, ASA)

    2. b. ibuprofen (Motrin)

    3. c. acetaminophen (Tylenol)

    4. d. naproxen (Naprosyn)

15. A nurse is planning dietary counseling for the client taking triamterene (Dyrenium). The nurse plans to include which of the following in a list of foods that are acceptable?
    1. baked potato

    2. b. bananas

    3. c. oranges

    4. d. pears canned in water

16. A client with advanced cirrhosis of the liver is not tolerating protein well, as eveidenced by abnormal laboratory values. The nurse anticipates that which of the following medications will be prescribed for the client?
    1. lactulose (Chronulac)

    2. ethacrynic acid (Edecrin)

    3. folic acid (Folvite)

    4. thiamine (Vitamin B1)

17. A female client tells the clinic nurse that her skin is very dry and irritated. Which product would the nurse suggest that the client apply to the dry skin?
    1. glycerin emollient

    2. aspercreame

    3. myoflex

    4. acetic acid solution

18. A nurse is providing instructions to a client regarding quinapril hydrochloride (Accupril). The nurse tells the client:
    1. to take the medication with food only

    2. to rise slowly from a lying to a sitting position

    3. to discontinue the medication if nausea occurs

    4. that a therapeutic effect will be noted immediately

19. Auranofin (Ridaura) is prescribed for a client with rheumatoid arthritis, and the nurse monitors the client for signs of an adverse effect related to the medication. Which of the following indicates an adverse effect?
    1. nausea

    2. b. diarrhea

    3. c. anorexia

    4. d. proteinuria

20. A client has been taking benzonatate (Tessalon) as ordered. The nurse tells the client that this medication should do which of the following?
    1. take away nausea and vomiting

    2. calm the persistent cough

    3. decrease anxiety level

    4. increase comfort level

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