Review these High-Risk Medications, Administration & Clinical Traps – Quiz 5 nursing practice questions with answer choices and explanations.
A nurse is administering alendronate. Which instruction is correct?
Correct answer:
Explanation: Alendronate must be taken with water and the client must remain upright to prevent esophageal irritation.
A nurse should hold metoprolol for which finding?
Correct answer:
Explanation: Beta blockers should be held if heart rate is below 60/min.
Which medication should not be given with antacids?
Correct answer:
Explanation: Antacids decrease tetracycline absorption.
A nurse should monitor for which adverse effect of rifampin?
Correct answer:
Explanation: Rifampin causes orange discoloration of body fluids.
Which medication is taken weekly instead of daily?
Correct answer:
Explanation: Methotrexate is often taken weekly for rheumatoid arthritis.
A nurse should monitor for which adverse effect of heparin?
Correct answer:
Explanation: Heparin increases bleeding risk.
Which medication requires rotating injection sites?
Correct answer:
Explanation: Rotating insulin sites prevents lipodystrophy.
A nurse should instruct a client taking iron supplements to take the medication with:
Correct answer:
Explanation: Vitamin C enhances iron absorption.
Which medication should be avoided in clients with peptic ulcer disease?
Correct answer:
Explanation: NSAIDs increase risk of GI bleeding.
Which medication requires monitoring for nephrotoxicity?
Correct answer:
Explanation: Aminoglycosides can damage kidneys.
Which medication should be taken at bedtime?
Correct answer:
Explanation: Amitriptyline causes sedation.
Which medication should be taken in the morning?
Correct answer:
Explanation: Levothyroxine is taken in the morning before meals.
A nurse should monitor for which adverse effect of opioids?
Correct answer:
Explanation: Constipation is a common opioid effect.
Which medication requires monitoring for photosensitivity?
Correct answer:
Explanation: Tetracycline increases sensitivity to sunlight.
Which medication should not be used during pregnancy?
Correct answer:
Explanation: ACE inhibitors can harm the fetus.
Which medication requires monitoring for hypoglycemia?
Correct answer:
Explanation: Insulin lowers blood glucose.
Which medication is used to treat hyperthyroidism?
Correct answer:
Explanation: Methimazole reduces thyroid hormone production.
Which medication is used to treat hypothyroidism?
Correct answer:
Explanation: Levothyroxine replaces thyroid hormone.
Which medication requires avoiding alcohol due to CNS depression?
Correct answer:
Explanation: Alcohol increases sedation with benzodiazepines.
Which medication may cause orthostatic hypotension?
Correct answer:
Explanation: Blood pressure medications can cause dizziness when standing.
Which medication requires monitoring for bleeding gums?
Correct answer:
Explanation: Bleeding is a sign of anticoagulant effect.
Which medication is used to reverse heparin?
Correct answer:
Explanation: Protamine reverses heparin.
Which medication should not be crushed?
Correct answer:
Explanation: Crushing ER tablets alters drug release.
Which medication requires monitoring for muscle pain?
Correct answer:
Explanation: Statins can cause rhabdomyolysis.
Which medication is used for acute angina?
Correct answer:
Explanation: Nitroglycerin relieves chest pain.
Which medication requires monitoring for dry mouth?
Correct answer:
Explanation: Anticholinergics reduce secretions.
Which medication may cause sedation?
Correct answer:
Explanation: Antihistamines cause drowsiness.
Which medication should be taken for long-term asthma control?
Correct answer:
Explanation: Salmeterol is long-acting.
Which medication is used for acute asthma attack?
Correct answer:
Explanation: Albuterol is a rescue inhaler.
Which medication requires monitoring for liver toxicity?
Correct answer:
Explanation: High doses can damage the liver.