Question

1. A patient with benign prostatic hypertrophy is receiving tamsulosin, a selective alpha₁ blocker, to help improve urine flow. Which of the following health factors would the LPN/VN report to the healthcare provider before giving the drug?

1. The patient reports a history of allergy to sulfa antibiotics.

2. The patient had a history of smoking 15 years ago.

3. The patient is exercising three times a week.

4. The patient's potassium level is 4.0 mEq/mL.

2. The LPN/VN is teaching a patient about his sublingual NTG tablets for an onset of chest pain. Which of the following statements by the patient shows that he or she understands the teaching?

1. “I need to chew the NTG tablet thoroughly.”

2. “I will swallow the pill like all of my other heart pills.”

3. “I will place the NTG under my tongue when I have chest pain.”

4. “I like to take my NTG with applesauce so it tastes better.”

3. The patient has a history of acute angina. Which of the following should the LPN/VN teach the patient regarding taking NTG tablets for chest pain? (Select all that apply.)

1. Take one dose of NTG immediately at the onset of the pain. If the symptoms get a little better but do not go away, take the second dose 5 minutes later. You can even take a third dose 5 minutes after the second dose.

2. Take no more than three doses in 15 minutes.

3. Call emergency services if your symptoms do not improve or if they worsen after the first dose.

4. You may feel a slight burning under the tongue when you take the NTG.

5. Common side effects include light-headedness, muscle aches, and seizures.

6. The NTG will work better if you also dissolve an aspirin under your tongue at the same time.

4. The patient has started taking niacin for her high cholesterol. Which of the following side effects is common in patients taking niacin?

1. Hyperuricemia

2. Glucose tolerance

3. Flushing

4. Constipation

5. The patient is taking digoxin 0.125 mg every morning with breakfast for atrial fibrillation. The LPN/VN checks the apical pulse and determines the rate to be 58 beats/min. Which of the following actions is appropriate by the LPN/VN?

1. Ask the patient to drink a cup of coffee and return to the room in 1 hour to give the drug.

2. Hold the drug and notify the healthcare provider.

3. Give the drug and document in the medical record.

4. Give the drug and notify the healthcare provider.

6. Which of the following laboratory tests must be carefully monitored in a patient taking a loop diuretic?

1. Potassium level

2. Liver function studies

3. Arterial blood gases

4. Cholesterol level

7. Which of the following symptoms are associated with digoxin toxicity? (Select all that apply.)

1. Nausea

2. Anorexia

3. Blurred vision

4. Constipation

5. Enlarged liver

6. Diarrhea

8. A patient is receiving a new statin drug for elevated cholesterol level. Which of the following statements by the patient indicates a need for additional teaching?

1. “I can eat anything I want since I am now taking this drug.”

2. “I will notify my healthcare provider if I have any severe muscle aches or changes in my urine.

3. “I will need to have tests to make sure my liver is functioning properly as my doctor recommends.”

4. “I have to monitor my blood sugar daily because the drug can increase my blood sugar.”

10. Which of the following types of food should be avoided in patients taking angiotensin-converting enzyme inhibitors?

1. Foods high in folic acid, such as lentils and avocado

2. Foods high in vitamin K, such as green leafy vegetables

3. Foods high in iron, such as red meat and salmon

4. Foods high in potassium, such as bananas and orange juice

11. Match the drug action with the drug class.

1. Slows the sodium pump in the distal tubule of the nephron

2. Decreases heart rate and decreases contractility of the heart

3. Blocks active transport of sodium, chloride, and potassium in the loop of Henle

4. Blocks the formation of angiotensin II

5. Causes vasodilation centrally by affecting receptors in the brain

a. Angiotensin-converting enzyme inhibitor

b. Loop diuretic

c. Beta blocker

d. Alpha₂-adrenergic agonist

e. Potassium-sparing diuretic

Answer 1

QUESTION 1 : A patient with benign prostatic hypertrophy is receiving tamsulosin, a selective alpha 1 blocker, to improve urine flow. which of the following health factors would the LPN/VN report to the healthcare provider before giving the drug?

ANSWER: (1) The patient reports a history of allergy to sulfa antibiotics

• Tamsulosin is a type of drug which is used to reduce the symptoms of an enlarged prostate gland by relaxing the muscles in the bladde.

QUESTION 2 : The LPN/VN is teaching a patient about his sublingual NTG tablets for an onset of chest pain.Which of the following statements by the patient shows that he or she understands the teaching?

ANSWER: (3) "I will place the NTG under my tongue when i have chest pain"

• NTG is a type of tablet which is used to treat chest in people having coronary artery disease.
• Nitroglycerin is a type of class of medication which is known as vasodilators.

QUESTION 3: The patient has a history of acute angina.Which of the following should the LPN/VN teach the patien regarding taking NTG tablets for chest pain?

ANSWER: 1. Take one dose of NTG immediately at the onset of the pain.If symptoms get a little better but do not go away, take the second dose 5 min later.You can even take a third dose 5 min after the second dose.

2. Take no more than 3 doses in 15 minutes

3. call emergency services, if your symptoms do not improve or if they worsen after the 1st dose

4. You may feel a slight burning under the tounge when you take the NTG.

QUESTION 4: The patient has started taking niacin for her high cholesterol.Which of the following side effects is common in patients taking niacin?

ANSWER: (3) Flushing

• Flushing is the coomon side effect in patient taking niacin.
• Generally flushing occurs when there is increasing in blood flow to the skin's surface.

QUESTION 5: The patient is taking digoxin 0.125mg every morning with breakfast for atrial fibrilation.The LPN/VN checks the apical pulse and determines the rate to be 58 beats/min.Which of the following action is appropriate by the LPN/VN?

ANSWER: (2) Hold the drug and notify the healthcare

QUESTION 6: Which of the following laboratory tests must be carefully monitored in a patient taking a loop diuretic?

ANSWER: (1) Potassium level

• Loop diuretics are the type of diuretic which is usually acts at the ascending limb of the loop of henle in the kidney.

QUESTION 7: Which of the following symptoms are associated with digoxin toxicity?

ANSWER: (1) Nausea

(2) Anorexia

(3) Blurred vision

(4) Diarrhea

• Digoxin toxicity ocuurs only when the serum digoxin concentration is within the therapeutic drug.

QUESTION 8: A Patient is receiving a new statin drug for elevated cholesterol level.Which of the following statements by patients indicates a need for additional teaching?

ANSWER: (1) " I can eat anything i want since i am now taking this drug.

• Statin drug is used to lower the level of cholesterol in the body.
• It help to reduce the production of cholesterol by the liver.

QUESTION 10: Which of the following types of food should be avoided in patients taking angiotensin-converting enzyme inhibitors?

ANSWER: (4) Foods high in potassium, such as bananas and orange juice.

• Angiotensin-converting enzyme inhibitors or ACE is used to relax patients arteries and veins to lower the blood pressure.

QUESTION 11: