1. What is the best response by a woman who is taking oral contraceptives and is
prescribed an antibiotic ?
A. While taking the antibiotic, she should use another form of contraception.
B. There is nothing extra that she should do regarding oral contraception
C. Stop taking oral contraception while taking the antibiotic.
D. Refuse to take the antibiotic.
2. What is a critical task to complete after administering a medication ?
A. Document the medication administration.
B. Go immediately to get a blanket the client asked for 15 minutes before the
C. Verify a client’s blood type.
D. Make sure the client has water at the bedside.
3. Which substance is the preferred source for energy in the body’s cells ?
4. What approaches to client education are essential to consider when reinforcing client
teaching ? Select all that apply
A. Identify teaching strategies considering age, level of education and preferred
method of learning.
B. Choose a method to evaluate the effectiveness of teaching.
C. Provide privacy and confidentiality.
D. Speak only to the client regardless of cultural background.
E. Assess client readiness to learn.
5. Which lab test helps reflect nutritional status ?
6. What is the best natural source for vitamin D ?
A. Multigrain bread
B. Fortified cereals
7. Aminoglycosides can result in which of the following serious side effects ?
A. Nephrotoxicity and ototoxicity
B. C.difficile pseudomembranous colitis
C. Cardiotoxicity and left heart failure
D. CNS infection and meningitis
8. Which is a common side effect of opioid use ?
B. Decreased pupil size
D. Increased blood pressure
9. What is the medication cyclobenzaprine prescribed to treat ?
A. Pain associated with diabetes
B. Nervous system pain
C. Acute surgical pain
D. Pain from muscle spasms
10. What is a client’s nutritional requirement when in the hospital ?
A. Higher because the body requires nutrition for healing maintenance.
B. Much lower because they are sick
C. Adherence to daily recommended calories based on height and weight
D. Only calculated by registered dieticians
11. What unexpected substance is found in many cough syrups, cold drugs and
12. Which medication is a common antiviral drug ?
13. Why is it important to monitor the duration of aminoglycoside antibiotic
A. Excessive long treatment causes bacteria to re-infect the client.
B. Because these antibiotics cause sterility in men and women if not carefully
C. Over exposure can result in permanent hearing loss.
D. Longer treatment times result in allergic responses.
14. What does S stand for SBAR ?
15. What type of pain can be hard to locate and may be referred ?
16. Medication for influenza works best when following which guidelines ?
A. Combine with an antibiotic
B. Administer with 48 hours of symptom presentation.
C. Taken with iron supplementation
D. Administer at any time during the infection
17. Which is the best way to treat vaginal candidiasis ?
B. One dose of vancomycin
C. One dose of fluconazole
18. What is the most severe side effect of morphine sulfate ?
B. Respiratory depression
D. Low blood pressure
19. When is the optimal time for a client to begin antiviral medications after
exposure to influenza ?
A. As soon as possible. After confirmed exposure.
B. Wait for the incubation period to end and start only if symptoms occur
C. Begin prophylactically during flu season when immunocompromised.
D. Three days after exposure
20. What is a good choice for non-pharmacologic treatment for pain ?
21. If a client weighs 230 lbs and the nurse needs to administer medication
based on the weight in kg, what is the client’s weight in kg ?
A. 105 kg
B. 103 kg
C. 115 kg
D. 100 kg
23. Which of the following describes pain that is present in a specific area of the
body, is considered aching and throbbing, and does not resolve within an expected time
24. What is the effect on host flora when antibiotics are administered ?
A. Host flora are increased and become more potent.
B. Host flora otherwise known as normal flora do not affect antibiotic activity.
C. Host flora protects the body from the damage caused by antibiotics
D. Host flora are typically negatively impacted, which can lead to yeast or
25. How do sulfonamides work in the body ?
A. Best choice for superficial skin infections
B. Bacteriostatic, prevent bacterial growth and function
C. Bactericidal , destroys the outer membrane of infectious organisms.
D. Works only in the bacterial in the bladder
26. In a healthcare setting institution which is the best way to communicate past
and current information regarding clients ?
A. Write all the information down and present to the shift charge nurse
B. Speak directly to the attending physician
C. Through the medical record
D. Face – to – face
27. If a client speaks a foreign language or signs because they are mute, what
must you provide, to complete education ?
A. Another nurse who speaks the patients language
B. Get a family member to translate
C. Professional translation services
D. Tell the physician that education cannot be completed
28. What is the most cause of concern for a client who takes acetaminophen ?
A. Overdosing in the OTC medication
B. The total amount of acetaminophen in the OtC medication
C. The ingredient in the OTC that stops the cough
D. The impact of any alcohol contained in the OTC remedy
29. What choice is best for treating mild to moderate pain ?
30. What is the best description of an infection ?
A. The activation of the host microbiome against self-proteins.
B. An exaggeration of the inflammatory immune response.
C. A distribution of the pH of the body in reaction to translocated bacteria in
D. Disease causing pathogens are invading healthy tissue and releasing
31. What is a component of the client hand-off ?
A. A verbal accounting of the previous shift’s events of client’s care.
B. Telling the oncoming nurse who the covering physician is for the shift.
C. Telling the family who the oncoming nurse will be.
D. Introducing the client family to the oncoming nurse.
32. Which is a side effect of taking skeletal muscle relaxants ?
33. Which bacteria have a double layer outer cell membrane making them more
difficult to kill ?
A. Aeribuc bacteria
B. Gram negative bacteria
D. Gram – positive bacteria
34. How does opioid medication work to treat pain ?
A. They block the perception of pain at Mu receptors.
B. They block nerve endings at the site of pain.
C. They block the activity of serotonin.
D. They block the activity of substance -p
35. Which vitamins listed are fat soluble vitamins ?
A. Thiamine, riboflavin, A, D
B. Niacin, A,D,C
C. C, A, B1, B3
D. A,D,W and K
36. What is the term for organisms that are resistant to three or more different
A. Resistant organism
B. A secondary infection
D. A superbug or multi drug resistant organisms
37. What is the source of nutrition that supports growth tissue maintenance, and
production of enzymes ?
38. What are penicillinase and beta-lactamase ?
A. These are penicillin antibiotics.
B. These are enzymes that have made some bacterias resistant to penicillin.
C. These are chemical remands that are part of the synthetic components of
D. These are proteins attached to a bacterial cell well synthesis inhibitor that
extends bacterial coverage.
39. Which medication is used to treat oral candidiasis, thrush ?
40. Which antibiotic classification is not a cell wall synthesis inhibitor ?
41. What kind of pain is the client describing when saying “ the pain feels sharp
shooting and burning down both of my legs “ !
A. Acute pain
C. Nociceptive pain
D. Chronic, visceral pain
42. Which of the following statements describes the purpose for the use of
antiviral medication ?
A. Prescribers are reluctant to start antiviral medications due to the severity of
B. Antiviral medication can only be used once
C. If any antiviral is started immediately, treatment will result in a cure.
D. If an antiviral is started immediately, treatment will result in a cure.
43. What kind of vitamins are readily excreted in the ir one and not stored in the
A. Fat-soluble vitamins
C. Organic Vitamins
D. Water soluble vitamins
44. Which of the following is required for bone health and utilization of calcium ?
A. Vitamin C
B. Vitamin D
45. What term relates to fungal infection ?
C. Streptococcus viridans
46. What does SBAR stand for ?
A. Self, Basis, Action, report
B. Situation, background, assessment, recommendation.
C. Safe, benevolent, actuating, relevance
D. Security, blending, action, recording
47. Most clients will learn important points regarding medications through which
A. Written material
B. Oral communication
C. Video recording
D. A variety of approaches
48. What is the most important to determine when the LPN is assisting the registered
nurse with client education ?
A. Can the client read and write ?
B. Is the lighting in the room appropriate ?
C. Does the client have family members in the room ?
D. Does the client have at least a high school education ?
49. Which is a natural opioid in the human body released in response to pain
D. Substance-p antagonist
50. Which one of these terms means that it takes a higher dose of opioid medication
for the client to receive the same pain relief ?
D. Physical addiction
1. What is the best response by a woman who is taking oral contraceptives and is