DHA MCQs 5.1
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A. Schilling
B. Erythropoietin
C. Folic acid levels
D. Vitamin B12 levels
2. A mother of a patient who is on antipsychotic drug asked a doctor about some more detail about the drug. The doctor told the mother that her son is taking an atypical antipsychotic drug. Which of the following is an examples of this type of drug?
A. Thioridazine
B. Clozapine
C. Chlorpromazine
D. Haloperidol
3. A nurse is preparing scheduled medications due at 6 pm. If a doctor orders paracetamol tab 1g QID, and it was supplied from the pharmacy in 250 mg tablets. Which of the following is the most appropriate nursing actions?
A. Ask the pharmacy to provide 1g tablets
B. Give the patient four 250 mg tablets
C. Hold the medication and document in nursing notes
4. A patient with a history of atrial fibrillation has an order for 25 milligrams of drug (X), the available supply/dose is 0.25 milligrams.
Which of the following doses in correct?
A. Dispense two tablets to the patient
B. Administer one tablet twice daily
C. Dispense one half tablet to the patient
D. Return tablets to the pharmacy and re-order
5. 13-year-old patient is admitted for diarrhea and vomiting. He looks pale and lethargic. A nurse is preparing to give IV hypotonic solution.
Blood pressure 110/70 mmHg
Heart rate 76 /min
Respiratory rate 18 /min
Temperature 36.1°C Which IV solution is most appropriate?
A. 0.9% saline
B. Lactated ringers
C. 10% dextrose in water
D. 0.45% sodium chloride
6. A nurse is assigned to care for a group of patient in the medion expected to review the medical records of these patient. What patient is at risk for excess fluid volume?
A. Patient with ileostomy
B. Patient taking a loop diuretic
C. Patient with chronic renal failure
D. Patient hooked to gastrointestinal
7. physician orders an intravenous fluid of D5NS at 100cc/hr. This is an example of which of the solution?
A. hyper alimentation
B. hypertonic
C. hypotonic
D. isotonic
8. When a patient was first diagnosed with schizophrenia, one of his family members asked the nurse about the possible causes. The nurse said that one reason is that he may have had an excess secretion of a neurotransmitter. Which of the following neurotransmitters?
A. serotonin
B. dopamine
C. glutamate
9. The nurse administered a dose of morphine sulfate as prescribed to a patient who is in the post anesthesia care unit (PACU). The patient appears to be resting comfortably, the respiratory rate is 8 and the O2saturation is 21 oxygen via cannula is 86%. The nurse should IMMEDIATELY administer:
A. Flumazenil(Romazicon)
B. Medazolum(versed)
C. Naloxone (Narcan)
10. Digoxin not given to pà tient who has which of the following ?
A. tachycardiÃ
B. hypertension
C. tachypnea
D. bradycardia
11. Atropine is indicated for increase
A. Heart rate
B. Respiratory rate
12. Morphine side effect ?
A. tachycardiÃ
B. hypertension
C. tachypnea
D. bradypnea
13. patient with ongoing magnesium sulfate the nurse should be alert to ?
A. temperature
B. respiratory rate
C. heart rate
14. Soldier was brought to triage area after being exposed to chemical weapons. Signs and symptoms of nerve gas exposure were noticed. A nurse prepares for medical management. Which medication should the nurse prepare for the patient?
A. Atropine
B. Adrenaline
C. Sodium nitrate
D. Sodium thiosulphate
15. Nitroglycine administration route :
A. Intramuscular
B. Sublingual
C. Subcutaneous
D. Oral
16. A nurse checks the medication chart of a part, which has the following order; Nitroglycerin tab Buccal at stat. Which of the following medication administration routes should the nurse use?
A. In the ear
B. Intravenous
C. Under the skin
D. Between cheek and gum
17. A nurse is caring for a patient who had Coronary Artery bypass Graft Surgery (CABG) four hours ago. The nurse notices that the patient has increased confusion and is restless. The patient reports nausea, weakness and paresthesia in the extremities (see lab results)
Normal Values Result Test
134-146 mmol/L
145 Sodium
2.15-2.62 mmol/L 2.50 Calcium
Which of the following is the best medication?
A. Naloxone (Narcan)
B. Hydralazine (Apresoline)
C. Potassium chloride (KCI)
D. Sodium polystyrene sulfonate (Kayexalate
18. Which of the following statement by the nurse about the clomid as an ovulation inducing drug?
A. Given for the first 15 days in each cycle
B. Maximum dose is 50 mg daily for a month
C. It increases the risk of birth defects
D. It increase the risk of multiple pregnancies
19. Clomiphene citrate (Clomid) is prescribed for a 32-year-old infertility treatment. The nurse should understand that this medication is used for following actions?
A. induce ovulation
B. Decrease prolactin level
C. Reduce endometriosis
D. Stimulate the release of Follicle-Stimulating Hormone
20. A nurse is caring for a client with bipolar disorder, who is receiving Lithium carbonate. Before Administration of the next dose, the client complains of nausea and vomiting and the nurse finds that the client’s lithium blood level 1.5mEq/lL. Which of the following actions is considered Apriority?
A. call the client’s physician immediately
B. withhold the next dose.
C. Administer IV fluids
D. Repeat the blood lithium level testing
21. A patient was on a regular dose of lithium carbonate. The nurse noticed he has hand tremor, polyuria, diarrhea and vomiting. What immediate action should be taken by the nurse?
A. Diuretics
B. Withholding lithium
C. Calling the psychiatrist
D. Monitoring serum lithium level
22. A patient was on a course of lithium carbonate drug. During the nurse found that he complained from nystagmus visual hallucination, and oliguria Which of the following drug related complications best symptoms?
A. Overdose
B. Mild toxicity
C. Severe toxicity
D. Moderate toxicity
23. 49-year-old women presented to the Emergency Department complaint of severe chest pain. The ECG showed that the patient myocardial infarction. The doctor ordered the nurse to give the 800 mg of aspirin. What is the primary indication of aspirin in this case?
A. Breaks down the thrombus
B. Decreases the formation of platelet plugs
C. Inhibits the conversion of prothrombine to
D. Interferes with vitamin k to maintain
24. A patient was on a course of lithium carbonate drug. During the nurse found that he complained from nystagmus visual hallucination, and oliguria Which of the following drug related complications best symptoms?
A. Overdose
B. Mild toxicity
C. Severe toxicity
D. Moderate toxicity
25. A 45-year-old distressed and restless patient in the Psychiatric Ward was unable to sleep during the nights for the last two days. He was ordered sleep medication which was to be administered at 10 pm. At the time medicine administration, the patient was found asleep in bed Which of the following action should the nurse take regarding the dictation?
A. Discard medicine and cancel the order
B. Leave it at the bed side for the patient
C. Wake him up and administer
D. Hold, record and report
26. 13- nurse is given health education to the parent how to reduce febrile avulsion in the child at home. Which of the following medication in the safest intervention?
A. Analgesic
B. Antipyretic
C. Antibiotic
D. Antiemetic
27. Doctor order to give Ofloxacin Otic route the nurse understand that medication will be given :
A. Nasal
B. Eye
C. Ear
D. Sublingual.
28. A home care patient with chronic Obstructive reports an upset stomach. The patient is taking and triamcinolone acetonide (azmacort). Which of the following counselling should be given
A. Theo-dur on an empty stomach
B. Theo-dur and azmacort at the same time
C. Theo-dur and azmacort 12 hours apart
D. Theo-dur with milk or crackers
29. Which of the following vitamins is necessary for wound healing process?
A. Vitamin A
B. Vitamin C
C. Vitamin D
D. Vitamin K
30. Which of the following vitamin supplements can decrease the incidence of Neural tube defects such as anencephaly and spina bifida new-borns ?
A. Vitamin A
B. Riboflavin
C. Folic Acid
D. Vitamin K
31. A 78-year-old woman who lives in a long-term care facility has been ving repeated episodes of urinary tract infections. She is prescribed then amine mandelate one gram to be taken by mouth four times per before meals and at bedtime. The nurse advises the patient that she need to remove milk from the diet while taking the medication. What is the primary purpose for this dietary advice?
A. To prevent mal absorption of medication
B. Decrease risk of gastrointestinal upset
C. Reduces effectiveness of medication
D. To make the urine acidic
32. A nurse received the serum digoxin level result for the patient the day and notes that the result is
2.6 ng/mL (see lab result)
Test result normal value
Digoxin (men) 2.6 0.8-2ng/mL Which of following nursing actions is the most important?
A. Notify the physician
B. Check previous vital signs of patient
C. Record normal value on nursing note
D. Administer scheduled dose of medication
33. A patient is being admitted in medical unit and has orders for fluid restriction of 1400ml / 24 hours. He is receiving IV medications in 50ml solutions QID. How much fluid should the caring nurse allocate for cra intake in 24 hours?
A. 400 ml
B. 800 ml
C. 1000 ml
D. 1200 ml
34. A nurse is preparing an order of Amydramine 30 mg PO BD. The available check is 15 mg /5 ml. What is the correct dosage of the medication to be administered?
A. 5 ML
B. 10 ML
C. 15 ML
D. 20 ML
35. A nurse is preparing a medication order of 100 mg IV stat. The available hydrocortisone is 200mg per 5 ml distilled water for injection. Which of the following is the correct administered?
A. 4.5 ML
B. 3.5 ML
C. 2.5 ML
D. 1.5 ML
36. A nurse is preparing to administer an intravenous infusion of 2000 ml of Ringer's lactate over 12- hours. The administration set has a chamber that delivers 15 drops per ml. How many drops per minute should be administered?
A. 14
B. 24
C. 42
D. 56
37. Doctor order to give medication x 300mg and available is 900mg/6ml how many ml the nurse will give
A. 1.2
B. 2
C. 4
D. 6
38. A 56-year-old man was admitted with complaint working for three days. The nurse is preparing to administer infusion of saline 1000 ml over six hours. What is the hourly infusion rate that the nurse needs to infusion therapy in mL/hour?
A. 155
B. 167
C. 190
D. 217
39. Doctor Order: Heparin 10000 units OD S/C Standard Solution 40000 units/ml How many ml would you administer?
A. 0,25.ml
40. A Physician has ordered clindamycin phosphate 300 mg to be administered intravenously the available stock was labelled . clindamycin phosphate 900mg mg in 6 ml what is the correct dose to be administered by the nurse
?
A. 2 ml
B. 4 ml
C. 6 ml
D. 8 ml
41. A nurse check the medication chart of a patient, which has the following order; Paracetamol 500mg P.O. QID. How many times a day should the nurse administer the medication?
A. Once
B. Twice
C. Three times
D. Four times
42. The following syringe contains 2 gm of morphine sulphate, how many grams are there in 1 ml:
A. 0.5 gm
B. 1 gm
C. 4 gm
43. The following syringe contains morphine sulphate in a concentration of 2 mg/cc, how much total morphine this syringe contains:
A. 0.5 mg
B. 1 mg
C. 2mg
D. 4 mg
44. A nurse is assigned to care for a patient in medical ward who has a physician order of 1500ml of normal saline 0.9% to be administered over 12 hour period. Which of the following is the infusion rate?
A. 75 ml/hr
B. 100ml/hr
C. 125ml/hr
D. 150ml/hr
45. Doctor order to give 75ml per hour over 12hours of normal saline how many ml total should be given?
A. 450ml
B. 600ml
C. 900 ml
D. 1000 ml
46. A 37year old female prevented to the Emergency room with complain of symptomatic bradycardia appropriate nursing intervention include establish intervention access what is the possible drug to be given in the IV solution ?
A. Digoxin
B. Atropine
C. Anticoagulant
D. Calcium channel blocker
47. A 25 year old woman present to the emergency room with decrease reflexes, hypoventilation, hypotension, and fuced pupils, a family member who is accompanying the patient has bottle of diazepam which the label states was recently the family member also indicates that the patient has a depression. What intervention should the nurse expect to administer?
A. Naloxone
B. Active charcoal
C. Tap water enema
D. Magnesium sulfate to reduce the risk seizure
48. Nurse gives health education to patient In outpatient department regarding a medication . she told him "avoid working outdoors in a hot weather, excessive sweating ad during l water daily Which of the following is most likely medication?
A. Diazepam
B. Haloperidol
C. Lithium carbonate
D. Monoamine oxidase inhibitor
49. During CPR of an admitted patient following the cardiac arrest. Two Dc shocks and one dose of epinephrine was given. A third dose was delivered followed by anti arrhythmic medication . what medication is the most likely to be given next?
A. Adenosine
B. Lidocaine 2 mg
C. Epinephrine 1 mg
D. Sodium bicarbonate
50. A nurse is giving discharge planning instructions to the parents of a one year old child acute otitis media which of the following discharge instruction takes priority?
A. Administrate antibiotics as prescribed
B. Administer influenza vaccination
C. Breast feeding as long as possible
D.
Continue using
of pacifier
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