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Read the above instructions. The Prompt will be displayed on the projector. Be sure to “ENTER” twice at the end of each paragraph to create space between each.

Your patient is receiving heparin 5000 units subcutaneous BID for Deep Vein Thrombosis (DVT) prophylaxis (before a clot occurs).  What priority lab level would you check prior to administering the medication in addition to the Hemoglobin (Hgb) level?

A 23 year-old-female presents to urgent care with three days of fatigue and body aches. She states that she has been unable to sleep due to a cough and has not felt like eating much.  She denies any allergies to medications and is allergic to shellfish.  Vital Signs: Temperature: 102 F (97.5-99.5 F) Pulse: 90 bpm (60-100 bpm) Respiratory Rate: 16 (12-20) Blood Pressure: 132/82 (

True or False:  A patient that is newly prescribed apixaban (Eliquis) should be educated to not take naproxen (Aleve).

A patient presents to the emergency room (ER) after taking 3 doses of nitroglycerin sublingual (Nitrostat) for angina (chest pain).  You know that one of the expected side effects of this medication is hypotension.  You decide to ask the pharmacist, who is at the patient’s bedside, if they are aware of the three early symptoms of hypotension.  They respond correctly by stating:  Note: Full credit can only be obtained by selecting only all correct choices.

A patient is receiving mannitol (Osmitrol) due to the diagnosis of increased intracranial pressure (IOP).  The patient’s family member asks the nursing student to discuss the medication mannitol (Osmitrol).  Which statement by the nursing student would warrant the nurse to intervene and provide correction?

A patient was prescribed ipratropium (Atrovent) two weeks ago. She contacts her primary care office and notifies the nurse that she is going to stop it because of the bitter taste in her mouth after using the medication. What is the best response by the nurse?

A young patient that was recently diagnosed with severe asthma is being seen in your clinic for a follow-up appointment.  You review the patient’s medications:  salmeterol (Serevent Diskus) 2 puffs BID albuterol (Proair, Ventolin) 2-4 puffs q 20 mins X 3 PRN ipratropium (Atrovent) 1 puff daily budesonide (Pulmicort) 1 puff daily What statement by the patient would be most concerning to the nurse and warrant further patient education?

A patient was diagnosed with tuberculosis (TB) two months ago, and prescribed rifampin (Rifadin), isoniazid (INH), and pyrazinamide (PZA).  The Directly Observed Therapy (DOT) Healthcare Nurse is at the patient’s home to monitor the daily administration of the antitubercular medications.  The patient asks if the nurse can provide more education regarding the antitubercular medications that they are taking.  What is/are the best response(s) by the nurse? (Select all that apply). Note: Full credit can only be obtained by selecting only all correct choices.

While completing your patient’s physical assessment, you notice cola-colored urine in your patient’s urinary catheter (Foley) bag.  Your patient also describes discomfort in their bilateral lower extremities (calves) when completing the musculoskeletal assessment.  You review your patient’s Medication administration record (MAR).  Which medication do you anticipate your patient is currently taking based on these findings?