Chapter 22 Nursing School Test Banks

 

1.

A 10-year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At each clinic visit, the nurses priority assessment would be:

A)

Height and weight

B)

Vision

C)

Body temperature

D)

Blood pressure

2.

A nurse works at a weight management clinic. To which of the following overweight patients could she safely administer dextroamphetamine?

A)

A 38-year-old Caucasian woman with glaucoma

B)

A 60-year-old African-American man who experiences angina

C)

A 48-year-old Caucasian man who has adult-onset diabetes

D)

A 28-year-old African-American woman with hyperthyroidism

3.

A 72-year-old man is taking Adderall XR for the treatment of narcolepsy. He is currently having problems with not being able to swallow large tablets or capsules. The man also wears dentures, which makes it even more difficult for him to swallow medication. He is in the clinic to talk to the nurse about his problem. The nurse will instruct him to:

A)

Swallow the capsule with 8 ounces of water

B)

Ask his physician to prescribe an alternative drug

C)

Open the capsule and sprinkle the beads in applesauce

D)

Open the capsule and crush the beads

4.

A diabetic patient being treated for obesity tells the nurse that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the nurses immediate attention?

A)

Decreased libido

B)

Increased blood glucose

C)

Dry eyes

D)

Jittery feeling

5.

A nurse is obtaining baseline physical data from a 7-year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an:

A)

Electrocardiogram (ECG)

B)

Electromyelogram (EMG)

C)

Electroencephalogram (EEG)

D)

Electrophysiologic study (EPS)

6.

A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine (Meridia). After baseline physical data are obtained, the nurse will assess the patients childbearing potential. The nurse will inform the patient that during sibutramine therapy she should:

A)

Abstain from sex

B)

Obtain a pap smear

C)

Use adequate contraception

D)

Take a pregnancy test every month

7.

A preterm neonate received caffeine for the treatment of apnea. The nurse should monitor the neonate for which of the following?

A)

Bloody stools

B)

Bradycardia

C)

Constipation

D)

Hypoglycemia

8.

A 49-year-old woman experienced post-surgical respiratory depression and was given caffeine to stimulate the respiratory system. The patient is now irritable, excited, and unable to sleep. She is also complaining of a headache and muscle twitching. Appropriate nursing diagnoses for the patient would include which of the following? (Select all that apply.)

A)

Disturbed Sleep Pattern

B)

Anxiety

C)

Deficient Fluid Volume

D)

Imbalanced Nutrition

E)

Nonadherence to Therapeutic Regimen

9.

To which of the following patients would a medication nurse most likely administer caffeine as part of the treatment plan?

A)

A preterm neonate who has apnea

B)

A 34-year-old woman with a diagnosis of gastric ulcerations

C)

A school-age child with severe ADHD

D)

A 52-year-old man with narcolepsy

10.

A 28-year-old man calls the clinic to report that he is not sleeping. The nurse determines that the patient is taking dextroamphetamine for narcolepsy. The patient reports that he tries to go to bed by 10 PM each night. The nurse will advise the patient that the best time to take the medication would be at:

A)

8 AM

B)

2 PM

C)

6 PM

D)

9 PM

Answer Key

1.

A

2.

C

3.

C

4.

B

5.

A

6.

C

7.

A

8.

A, B

9.

A

10.

A

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