Test Bank for Davis's Drug Guide for Nurses, 19th Edition by Vallerand, Sanoski
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Course
Practical nursing
Institution
Practical Nursing
Test Bank for Davis's Drug Guide for Nurses, 19e 19th Edition by April Hazard Vallerand, Cynthia A. Sanoski. Complete guide with Next Gen NCLEX Type questions included.
How To Use Davis’s Drug Guide For Nurses
Evidence-Based Practice And Pharmacotherapeutics: Implications For Nurses
Pharmac...
Test Bank for Davis's Drug Guide for Nurses 19th Edition by Vallerand, Sanoski
Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-1
Drug Guide Test Bank
Complete Guide ✅
MULTIPLE CHOICE
Next Gen NCLEX Type Questions Included ✅
1. A nurse is caring for a 14-yr-old patient with epilepsy. The child takes phenytoin (Dilantin) and began
taking lamotrigine (Lamictal) 50 mg/day approximately 10 days ago. The child’s mother calls to report a
newly noted rash across the girl’s face and arms. Which of the following responses by the nurse is best?
A. “Did your daughter use a new soap?”
B. “Has your daughter been exposed to poison ivy or other plant irritants?”
C. “Do not give her Lamictal; your daughter will need to be seen by the doctor today.”
D. “This is commonly seen with Lamictal. A mild soap and calamine lotion may reduce any itching.”
ANS: C
See Nursing Implications/Assessment for lamotrigine: Assess patient for skin rash frequently during
therapy. Discontinue lamotrigine at first sign of rash; it may be life-threatening. Stevens-Johnson
syndrome or toxic epidermal necrolysis may develop. The rash usually occurs during the initial 2–8 wk of
therapy, is more frequent in patients taking multiple antiepileptic agents, especially valproic acid, and is
much more frequent in patients <16 yr.
2. The nurse receives a call from an 82-yr-old patient with advanced prostate cancer who is being treated
with leuprolide (Eligard) therapy. Which of the following questions requires immediate notification of the
physician?
A. “I’ve been having hot flashes lately. What should I do?”
B. “The pain in my bones seems worse since I started this medication. Is that normal?”
C. “I forgot to get my shot 3 hours ago like I usually do, so I was going to take it now. Is that okay?”
D. “My legs feel numb and weak. Is that normal with this medication?”
ANS: D
See Patient/Family Teaching for leuprolide: Instruct patient to notify a health care professional promptly
if difficulty urinating, weakness, or numbness occurs. Advise patient that medication may cause hot
flashes. Advise patient that bone pain may increase at initiation of therapy. This will resolve with time.
Instruct patient to take medication exactly as directed. If a dose is missed, take as soon as remembered
unless not remembered until next day.
,Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-2
3. The nurse is caring for a woman with metastatic breast cancer who was recently admitted with
hypercalcemia. Which of the following medications does the nurse anticipate would be included in the
treatment plan?
A. Zoledronic acid (Zometa)
B. Calcium carbonate (Os-Cal)
C. Octreotide (Sandostatin)
D. Aprepitant (Emend)
ANS: A
See Indications and Actions for zoledronic acid: Zometa is used in the treatment of hypercalcemia of
malignancy. It inhibits bone resorption by inhibiting increased osteoclast activity and skeletal calcium
release induced by tumors. Therapeutic effects include decreased serum calcium. Os-Cal is a calcium
supplement and should be avoided if the patient’s serum calcium level is too high. Sandostatin is used in
the treatment of severe diarrhea, including that caused by carcinoid tumors. Emend is used in the
treatment of nausea/vomiting during chemotherapy.
4. The nurse is providing care for a 92-yr-old patient who has a standing order for zolpidem (Ambien) prn
for insomnia. When providing the medication for the patient as requested, which of the following actions
by the nurse is best?
A. Inform the patient the medication will work within 10 min.
B. Ensure the patient is in bed and ready for sleep, then raise the bed side rails.
C. Instruct the patient to eat some crackers to reduce stomach irritation caused by the medication.
D. Suggest the patient take the medication routinely every night.
ANS: B
See Patient/Teaching for zolpidem: Because of rapid onset, advise patient to go to bed immediately after
taking zolpidem. Onset of action is 30 min or more and is increased in geriatric patients and patients with
hepatic impairment. Do not administer with or immediately after a meal, as food slows absorption. Due to
the habit-forming nature of this medication it should not be used for more than 7–10 days.
5. The nurse is caring for a patient with multiple medications, including carbidopa/levodopa (Sinemet)
qid. The nurse knows this medication is effective by which of the following signs or symptoms?
A. The patient has fewer hand tremors.
B. The patient’s apical pulse is regular.
C. The patient has less edema in the ankles bilaterally.
D. The patient’s cough is well controlled.
,Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-3
ANS: A
See Evaluation/Therapeutic Effect for carbidopa/levodopa: Effects include resolution of parkinsonian
signs and symptoms. Therapeutic effects usually become evident after 2–3 wk of therapy but may require
up to 6 mo.
6. While caring for a patient who is taking levofloxacin po 750 mg daily, the nurse would be most
concerned by which of the following symptoms?
A. Patient has edema of ankles.
B. Patient complains of a headache.
C. Patient has had two loose bowel movements.
D. Patient has a severe, widespread cutaneous rash.
ANS: D
See Adverse Reactions/Side Effects for levofloxacin: Severe widespread cutaneous rash may be a
warning of Stevens-Johnson syndrome. If it is accompanied with fever, fatigue, blisters, oral lesions, etc.,
the medication should be discontinued. Diarrhea and headache may be experienced but would not be of
greatest concern. Edema is not an adverse reaction of levofloxacin.
7. The nurse prepares to provide ondansetron (Zofran) in an orally disintegrating tablet form. Which of
the following instructions should the nurse provide?
A. “Simply suck on the pill like a lozenge and it will dissolve over a few minutes.”
B. “Place the tablet on your tongue. It will melt in seconds and then you can swallow.”
C. “Take this with a full glass of water.”
D. “I will dissolve this in some water and you can drink it in one sip.”
ANS: B
See Implementation for ondansetron: Immediately place tablet on tongue. It will dissolve in seconds, then
can be swallowed with saliva.
, Vallerand
Davis’s Drug Guide for Nurses, 19e Test Bank-4
8. The nurse is caring for a patient who is to receive oxcarbazepine (Trileptal). The nurse recognizes this
patient most likely has a history of which of the following?
A. Diabetes mellitus
B. Depression
C. Seizures
D. Hypothyroidism
ANS: C
See Indications for oxcarbazepine: Used as monotherapy or adjunctive therapy of partial seizures in adults
and children 4 yr and older with epilepsy.
9. The nurse is caring for a patient receiving pamidronate (Aredia) for the treatment of Paget’s disease.
Which of the following symptoms would be most concerning to the nurse?
A. Anorexia
B. Bone pain
C. Constipation
D. Muscle twitching
ANS: D
See Side Effects and Assessment for pamidronate: Observe for evidence of hypocalcemia (paresthesia,
muscle twitching, laryngospasm, and Chvostek’s or Trousseau’s sign).
KEY: Cognitive Level: Application
DIF: Moderate
TOP: Therapeutic Classification: Bone resorption inhibitors
REF: Pages 977 and 978
10. A student nurse caring for a patient who is taking pancrelipase (Creon) would include which of the
following statements when reviewing medications with the instructor?
A. “This reduces inflammation of the pancreas seen with pancreatitis.”
B. “This increases absorption of fats since the pancreas is not excreting normal enzymes.”
C. “This is used to bind with proteins and reduce protein excretion in the urine.”
D. “This helps relieve abdominal pain caused by liver damage in patients with a history of alcohol abuse.”
ANS: B
See Action/Therapeutic Effect for pancrelipase: Effects include increased digestion of fats, carbohydrates,
and proteins in the GI tract.
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