Question 1 A nurse is working in a women’s hospital where she is caring for a new mother who is experiencing postpartum urinary retention. Bethanechol (Urecholine) has been ordered. The nurse will observe for which of the following?

A) Bradycardia

B) Hypertension

C) Hypotension

D) Decreased salivation

Question 2 A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as

A) common adverse effects of magnesium sulfate

B) magnesium sulfate toxicity

C) a hypersensitivity reaction to magnesium sulfate

D) an idiosyncratic reaction from the magnesium sulfate

Question 3 A male patient is taking finasteride for BPH.Which of the following will the nurse evaluate at each clinic visit?

A) Serum cholesterol levels

B) Bone growth

C) Hemoglobin levels

D) Urinary elimination patterns

Question 4 A 71-year-old man has just been prescribed finasteride (Proscar). Which of the following complaints by this patient most likely indicated a need for this drug?

A) “My urine is extremely concentrated lately and it smells strong.”

B) “To be honest, I find that I can’t get an erection for the past few months.”

C) “My urine’s been cloudy for the last little while and it burns when I go to the bathroom.”

D) “Lately, I have to get up three or four times a night to go to the bathroom.”

Question 5 After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a referral to a fertility specialist in order to explore their options. A nurse at the clinic should recognize that the woman may benefit from

A) clomiphene

B) conjugated estrogen

C) progesterone

D) mifepristone

Question 6 A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following?

A) “You might find that your face becomes flushed or you get a headache after you take Viagra.”

B) “You should take your Viagra at the same time each morning, ideally on an empty stomach.”

C) “Make sure that you don’t take any other prescription medications while you’re using Viagra.”

D) “If you get some heart palpitations or dizziness after you take Viagra, know that this is normal and will pass with time.”

Question 7 A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED?

A) The patient takes allopurinol for the treatment of gout

B) The patient has a family history of osteoporosis and has undergone bone density testing

C) The patient has unstable angina and uses a nitroglycerin patch

D) The patient often takes ginseng when he gets a common cold

Question 8 A pregnant patient who has diabetes has been admitted to the hospital to begin labor.Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor contractions. When talking to the patient about the adverse effects of the drug, the nurse should understand that the most common adverse effects of the drug include

A) metabolic alkalosis

B) uterine tachysystole

C) electrolyte imbalances

D) water intoxication

Question 9 A 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise the patient to also

A) include adequate amounts of vitamin C in the diet

B) drink at least 6 to 8 oz of milk daily

C) stop using artificial sweeteners while taking alendronate

D) perform light-weight exercises and go for walks

Question 10 A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient is?

A) Injury, Risk to the fetus related to adverse effects of maternal drug therapy

B) Injury, Risk to the patient related to failure to receive needed drug therapy

C) Anxiety related to perceived danger of drug therapy to fetus or infant

D) Noncompliance with Drug Therapy

Question 11 The nurse practitioner has recommended that a breast-feeding woman take her prescribed medications just before her infant takes his longest nap of the day. The woman does not understand and asks the nurse to explain. The nurse will tell the woman that the recommendation was made to

A) increase the blood concentrations of the drug in the breast-feeding infant

B) reduce neonatal drug exposure

C) reduce the half-life of the drug

D) evaluate the drug’s potential adverse effects on the neonate

Question 12 A nurse is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to

A) take an antiemetic or antidiarrheal for adverse GI effects

B) use an alternative form of birth control, if taking an oral contraceptive

C) use an aspirin for relief of minor discomforts

D) take the drug with food

Question 13 A pregnant patient asks the nurse what over-the-counter medication she can take for recurring headaches. The nurse should recommend

A) aspirin

B) advil

C) tylenol

D) motrin

Question 14 A 38-year-old pregnant patient admits to the nurse that she is an alcoholic and has been consuming alcohol during her pregnancy. The nurse knows that using alcohol during pregnancy may result in a child who presents with

A) a high-pitched cry

B) microcephaly.

C) an electrolyte imbalance

D) thrombocytopenia

Question 15 A 68-year-old man is being treated for benign prostatic hypertrophy (BPH) and began treatment with finasteride (Proscar) 3 months ago. When planning the care of this patient, what desired outcome should the nurse prioritize?

A) The patient will remain free of sexual side effects related to drug therapy

B) The patient will experience complete bladder emptying

C) The patient will remain free of urethral pain

D) The patient will not experience hematuria

Question 16 A male patient with a medical background tells the nurse that he is not satisfied with the oral synthetic testosterone that has been prescribed for him and he would like to try a natural form of oral testosterone. Which of the following would be an appropriate response by the nurse?

A) “Natural testosterone undergoes a high first-pass effect and is not used orally.”

B) “Natural testosterone poses a higher risk of gynecomastia.”

C) “Natural testosterone undergoes a short first-past effect and is less extensively metabolized than what has been prescribed for you.”

D) “Natural testosterone would be more effective for you.”

Question 17 A nurse is caring for a patient who is at 28 weeks’ gestation and is receiving terbutaline (Brethine) to control preterm labor. Which of the following assessment parameters should the nurse prioritize?

A) Maternal body temperature

B) Fetal heart rate (FHR)

C) Correct fetal position

D) Fetal blood pressure

Question 18 A nurse is working with a patient in the clinic who has erectile dysfunction. The patient has been prescribed sildenafil (Viagra). The patient wants to do everything he can to promote effectiveness of the drug. The nurse will instruct him to

A) avoid taking the drug with a high-protein meal

B) avoid taking the drug with a high-fat meal

C) drink plenty of fluids

D) take a double dose of the drug

Question 19 A patient is being discharged from the hospital and will be taking oxybutynin (Ditropan) for overactive bladder. The nurse will instruct the patient that she will be taking a medication

A) that will be provided in pill form and which may cause lightheadedness

B) that will be administered as a weekly IM injection in an outpatient setting

C) that may be prescribed as a patch and which may cause dry mouth

D) that can be inhaled and that may cause occasional heart palpitations

Question 20 A nurse is discussing with a 58-year-old male patient the causes of erectile dysfunction in men over 50 years of age. Which of the following will the nurse inform the patient is the primary physical cause of erectile dysfunction of men in this age group?

A) Emotional stress

B) Atherosclerosis of the penile artery

C) Diabetes mellitus

D) Decrease in testosterone levels