A)

B)
C)
D)

1.A high school student starts vomiting and goes to the school nurse. The student asks the
nurse what part of his brain makes him vomit. What will the nurse tell the student must
be stimulated in order for vomiting to occur?
Chemoreceptor trigger zone
Forebrain
Hypothalamus
Thalamus

A)
B)
C)
D)

2.A child weighing 25 pounds is in the clinic for vomiting the last 24 hours. The nurse is to
administer trimethobenzamide (Tigan). What dose and route will the nurse administer?
0.25 mg IV
1.1 mg/kg IM
100 mg PR
200 mg PO

A)
B)
C)
D)

3.You are the clinic nurse caring for a 55-year-old farmer who has been prescribed an
antiemetic for an inner ear problem The patient states I need to get back to work. With
this patient especially, what will the nurse caution him about the possibility of?
Weight gain
Feelings of suicide
Diarrhea
Photosensitivity

A)
B)
C)
D)

4.A female college student with migraine headaches that cause nausea and vomiting has
been prescribed trimethobenzamide (Tigan). It is important for the nurse to caution the
student to avoid using what?
St. John's wort
Calcium channel blockers
Selective serotonin reuptake inhibitors (SSRIs)
Alcohol

A)
B)
C)
D)

5.A chemotherapy patient is in the outpatient to receive their chemotherapy. The nurse
administers prochlorpenazine (Compazine) prophylactically prior to the infusion. What
will teaching for this patient include?
Avoid driving or dangerous activities if dizziness or drowsiness occurs
Cover the head with extremes of temperature
Take extra precautions to avoid heat stroke
Check blood pressure at home on a regular basis

A)
B)

6.Which of the following is an appropriate nursing action for a patient in the hospital
receiving aprepitant (Emend)?
Elevate the head of the bed
Encourage fluids
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C)
D)

Take the patient's temperature

Place an NPO sign on the door

A)
B)
C)
D)

7.You are the nurse working in the medical station at a local amusement park. An adult is
being seen complaining of dizziness and feelings of seasickness after going on several
rides. What would you suspect the patient may benefit from?
An anticholinergic
A histamine H2 Blocker
Substance p/neurokinin 1 receptor antagonist
Cannabis

A)
B)
C)
D)

8.A community group of women is attending a class you are teaching about first aid.
You will instruct the women to do which of the following if a child ingests a potential
overdose of medication or other potential poison?
Call an ambulance
Make an appointment to see their health care provider
Induce vomiting by sticking their finger down the child's throat
Call the local poison control center and follow their directions

A)
B)
C)
D)

9.You are caring for a child who has been vomiting for 24 hours. What is the drug of choice
for children who need an antiemetic?
Dronabinol (Marinol)
Metoclopramide (Reglan)
Meclizine (Antivert)
Prochlorphenazine (Compazine)

A)
B)
C)
D)

10.You are caring for a patient who has begun vomiting related to barriatric surgery. When
including this complication in the plan of care what would be an appropriate nursing
diagnosis related to the adverse effects of drowsiness and weakness associated with an
antiemetic?
Acute pain related to CVS, skin, and GI effects
Risk for injury related to CNS effects
Decreased cardiac output related to cardiac effects
Deficient knowledge regarding drug therapy

A)
B)
C)
D)

11.What is a medication, given with aprepitant (Emend) that is used to effectively manage
chemotherapy-induced emesis?
Bonamine
Dexamethasone
Phenergan
Ativan

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A)
B)
C)
D)

12.Which of the following symptoms may be related to the use of dronabinol (Marinol)?
Bradycardia
Hypertension
Rash
Anxiety

A)
B)
C)
D)

13.People taking phenothiazines need to be assessed for extrapyramidal symptoms. What

effects are considered adverse effects of the phenothiazines?
Dysphoria, anxiety, and dizziness
Drowsiness, dystonia, and blurred vision
Dry mouth, blurred vision, and urinary retention
Hypertension, confusion, and shuffling gait

A)
B)
C)
D)

14.Your 57-year-old client is to receive metoclopramide (Reglan) for nausea. Which of the
following statements by your client leads you to believe that they have understood the
teaching that you have done?
During episodes of nausea, I will drink clear liquids.
I may be drowsy as a result of taking this medication.
This medication should be taken on a full stomach.
I will need to take supplemental potassium while I am taking this medication.

A)
B)
C)
D)

15.Prochlorperazine (Compazine) is contraindicated in which population?

Children under the age of 12 years
Preoperative patients
Pregnant women
People weighing less than 100 lbs

A)
B)
C)
D)

16.You are a clinic nurse caring for a 5-year-old brought to the clinic with a history of
vomiting for 24 hours. You would know that an antiemetic not recommended for use with
children is what?
Dimenhydrinate
Promethazine
Metoclopramide
Diphenhydramine

17.A 54-year-old patient is going on an ocean cruise. What medication would be most
effective for motion sickness?
A)
Meclizine (Antivert)
B)
Diphenhydramine (Benadryl)

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C)
D)

Hydroxyzine (Atarax)
Metoclopramide (Reglan)

A)
B)
C)
D)

18.What is the best indicator of decreased nausea after administering ondansetron (Zofran)
IV?
Heart rate 64 bpm
Blood pressure 110/64
Client is hungry
Client states, I feel less nauseated.

A)
B)
C)
D)

19.Where is the chemoreceptor trigger zone (CTZ) located in the brain?

Medulla oblongata
Ear
Cerebral cortex
Fourth ventricle

A)
B)
C)
D)

20.What is the therapeutic action of the phenothiazines in reducing nausea?

Increasing gastric motility
Antagonizing dopamine receptors
Blocking histamine receptors
Producing sedation

A)
B)
C)
D)

21.Why is buclizine (Bucladin) an effective antiemetic?

Lowers blood glucose levels
Lowers HA1C
Increases sensitivity to insulin
Promotes anticholinergic effects

A)
B)
C)
D)

22.What is the main action of antiemetics?

Altering CNS actions to decrease perception of nausea
Speeding up the GI tract so the stomach empties rapidly
Depressing hyperactive vomiting reflex
Changing the perception of motion in motion sickness

A)
B)
C)
D)

23.When would you recommend that a traveler should take an oral antiemetic to prevent
motion sickness?
When symptoms first begin
10 minutes prior to trip
30 minutes prior to trip
1 day prior to trip

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A)
B)
C)
D)

24.You are caring for a patient who is vomiting. Which nursing intervention is most
important after they vomit?
Rinse client's mouth with water
Provide a back rub
Offer dry crackers
Wash client's face and hands

A)
B)
C)
D)

25.Several neurotransmitters have been identified with nausea and vomiting. In this capacity
they act as neuromediators. What neuromediator is thought to be involved in the nausea
and vomiting that accompanies chemotherapy?
Serotonin
Dopamine
Acetylcholine receptors
Opioid receptors

A)
B)
C)
D)

26.You are an OB nurse caring for a patient that started vomiting before delivering her son.
The patient is still complaining of nausea and vomiting an hour after her delivery. What
medicine would you expect the physician to order for this patient?
Hydroxyzine (Vistaril)
Trimethobenzamide (Tigan)
Dronabinol (Marinol)
Nabilone (Cesamet)

A)
B)
C)
D)

27.Your patient has begun complaining of nausea and vomiting. What would you assess to
determine the need for therapy?
How well the patient is eating
Color, amount, and frequency of vomiting episodes
Number of times family complains of vomiting episodes
Number of times family tells you patient is nauseated

A)
B)
C)
D)

28.You are caring for an oncology patient who is vomiting. When writing a plan of care for
this patient what would be an appropriate nursing diagnoses?
Risk for injury related to CVS effects
Deficient knowledge regarding motion sickness
Decreased cardiac output related to cardiac effects
Acute pain related to constipation
29.What are non-pharmacologic measures a nurse can use to help a patient who is nauseated
or vomiting? (Mark all that apply.)

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A)
B)
C)
D)
E)

A)
B)

C)
D)

Quiet environment
Visitors
Soft, bland meals (if not contraindicated)
Deep breathing
Carbonated drinks (if not contraindicated)
30.You are discharging a patient being sent home on an antiemetic. How would you evaluate
the plan of care that this patient has had while hospitalized?
Monitor for adverse effects
Provide comfort and safety measures, including mouth care, ready access to
bathroom facilities, assistance with ambulation and periodic orientation, ice chips to
suck, protection from sun exposure, and remedial measures to treat dehydration if it
occurs
Assess the patient carefully for any potential drug-drug interactions
Monitor laboratory test results including liver and renal function tests

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Answer Key
1.A
2.C
3.D
4.D
5.A
6.B
7.A
8.D
9.D
10.B
11.B
12.D
13.B
14.B
15.C
16.C
17.A
18.D
19.D
20.B
21.D
22.C
23.C
24.A
25.A
26.A
27.B
28.C
29.A, D, E
30.A

Page 7