A high school student starts vomiting and goes to see

the school nurse. The student asks the nurse what

part of his brain makes him vomit. What area of the
brain will the nurse tell the student must be
stimulated for vomiting to occur?
A) Chemoreceptor trigger zone (CTZ)
B) Forebrain
C) Hypothalamus
D) Thalamus

A 25-pound child is in the clinic because of

vomiting the last 24 hours. The nurse is to
administer trimethobenzamide (Tigan). What
dose will the nurse administer by what route?
A) 0.25 mg IV
B) 1.1 mg/kg IM
C) 100 mg rectally
D) 200 mg orally
The clinic nurse is 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?
A) Weight gain
B) Suicidal ideation
C) Diarrhea
D) Photosensitivity

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?
A) St. John's wort
B) Calcium channel blockers
C) Selective serotonin reuptake inhibitors (SSRIs)
D) Alcohol

A cancer patient is in the outpatient department to

receive chemotherapy. The nurse administers
prochlorperazine (Compazine) prophylactically before
the infusion. What will the nurse's teaching for this
patient include?
A) Avoid driving or any dangerous activities if dizziness
or drowsiness occurs.
B) Cover the head in extreme of temperatures.
C) Take extra precautions to avoid heat stroke.
D) Check blood pressure at home on a regular basis.

Ans: A) Chemoreceptor trigger

zone (CTZ)

Ans: C) 100 mg rectally

Ans: D) Photosensitivity

Ans: D) Alcohol

Ans: A) Avoid driving or any

dangerous activities if dizziness or
drowsiness occurs.

What is an appropriate nursing action for

a hospitalized patient receiving
aprepitant (Emend)?
A) Elevate the head of the bed.
B) Encourage fluids.
C) Take the patient's temperature.
D) Place an NPO sign on the door.
The nurse is 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 the nurse suspect the
patient may benefit from?
A) An anticholinergic
B) A histamine H2 blocker
C) Substance P/neurokinin 1 receptor antagonist
D) Cannabis
A women's community group is attending the first-aid
class the nurse is teaching. The nurse will instruct the
women to do what if a child ingests a possible overdose of
medication or other potential poison?
A) Call an ambulance.
B) Make an appointment to see the health care provider.
C) Induce vomiting by sticking a finger down the child's
throat.
D) Call the local poison control center and follow their
directions.

The nurse is caring for a child who has been

vomiting intermittently for 24 hours. What is the
drug of choice for children who need an
antiemetic?
A) Dronabinol (Marinol)
B) Metoclopramide (Reglan)
C) Meclizine (Antivert)
D) Prochlorperazine (Compazine)

The nurse is caring for a patient who has begun vomiting after
undergoing bariatric 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?
A) Acute pain related to central nervous system (CNS), skin, and
gastrointestinal (GI) effects
B) Risk for injury related to CNS effects
C) Decreased cardiac output related to cardiac effects
D) Deficient knowledge regarding drug therapy

Ans: B) Encourage fluids.

Ans: A) An anticholinergic

Ans: D) Call the local poison

control center and follow their
directions.

Ans: D) Prochlorperazine
(Compazine)

Ans: B) Risk for injury related to

CNS effects

What medication, given with aprepitant

(Emend), is used to effectively manage
chemotherapy-induced emesis?
A) Bonamine
B) Dexamethasone
C) Phenergan
D) Ativan

What symptom may be related to

the use of dronabinol (Marinol)?
A) Bradycardia
B) Hypertension
C) Rash
D) Anxiety
People taking phenothiazines need to be assessed
for extrapyramidal symptoms. What effects are
considered adverse effects of the phenothiazines?
A) Dysphoria, anxiety, and dizziness
B) Drowsiness, dystonia, and blurred vision
C) Dry mouth, blurred vision, and urinary
retention
D) Hypertension, confusion, and shuffling gait
A 57-year-old patient is to receive metoclopramide
(Reglan) for nausea. What statement by the patient leads
the nurse to believe that the patient has understood the
nurse's teaching?
A) "During episodes of nausea, I will drink clear liquids."
B) "I may be drowsy as a result of taking this
medication."
C) "This medication should be taken on a full stomach."
D) "I will need to take supplemental potassium while I
am taking this medication."

Prochlorperazine (Compazine) is
contraindicated in which population?
A) Children under the age of 12 years
B) Preoperative patients
C) Pregnant women
D) People weighing 100 pounds

Ans: B) Dexamethasone

Ans: D) Anxiety

Ans: B) Drowsiness, dystonia, and

blurred vision

Ans: B) "I may be drowsy as a

result of taking this medication."

Ans: C) Pregnant women

A clinic nurse is caring for a 5-year-old brought to the

clinic with a history of intermittent vomiting for 24
hours. The nurse would recognize that which drug is
not recommended for use in children?
A) Dimenhydrinate
B) Promethazine
C) Metoclopramide
D) Diphenhydramine

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)
C) Hydroxyzine (Atarax)
D) Metoclopramide (Reglan)
What is the best indicator of decreased
nausea after administering ondansetron
(Zofran) IV?
A) Heart rate 64 beats/min
B) Blood pressure 110/64
C) Patient hungry
D) Patient states, "I feel less nauseated."

What is an example of a locally

acting antiemetic?
A) Phenothiazine
B) Antacid
C) Nonphenothiazine
D) Antihistamine
What is the therapeutic action of the
phenothiazines in reducing nausea?
A) Increasing gastric motility
B) Change responsiveness of the
chemoreceptor trigger zone (CTZ)
C) Blocking histamine receptors
D) Producing sedation

Ans: C) Metoclopramide

Ans: A) Meclizine (Antivert)

Ans: D) Patient states, "I feel less

nauseated."

Ans: B) Antacid

Ans: B) Change responsiveness of

the chemoreceptor trigger zone
(CTZ)

How does buclizine (Bucladin)

function as an effective antiemetic?
A) Lowers blood glucose levels
B) Lowers HA1c
C) Increases sensitivity to insulin
D) Promotes anticholinergic effects

Ans: D) Promotes anticholinergic

effects

What is the main action of antiemetics?

A) Altering central nervous system (CNS) actions
to decrease perception of nausea
B) Speeding up the gastrointestinal (GI) tract so
the stomach empties rapidly
C) Depressing hyperactive vomiting reflex
D) Changing the perception of motion in motion
sickness

Ans: C) Depressing hyperactive

vomiting reflex

When would the nurse recommend that a

traveler take an oral antiemetic to
prevent motion sickness?
A) When symptoms first begin
B) 10 minutes prior to trip
C) 30 minutes prior to trip
D) 1 day prior to trip
The nurse is caring for a patient who is
vomiting. Which nursing intervention is
most important after the patient vomits?
A) Rinse patient's mouth with water
B) Provide a back rub
C) Offer dry crackers
D) Wash patient's face and hands
The nurse is caring for a patient who is receiving
ondansetron (Zofran) for nausea associated with
chemotherapy. The nurse would teach the patient
that what adverse effect may occur with this
medication?
A) Weakness and rash
B) Dysuria and photosensitivity
C) Headache and myalgia
D) Fever and diarrhea

Ans: C) 30 minutes prior to trip

Ans: A) Rinse patient's mouth

with water

Ans: C) Headache and myalgia

The obstetrics nurse is caring for a patient who

started vomiting before delivering her son. The
patient is still complaining of nausea and vomiting an
hour after her delivery. What medicine would the
nurse expect the physician to order for this patient?
A) Hydroxyzine (Vistaril)
B) Trimethobenzamide (Tigan)
C) Dronabinol (Marinol)
D) Nabilone (Cesamet)

Ans: A) Hydroxyzine (Vistaril)

The patient has begun complaining about nausea and

vomiting. What would the nurse assess to determine
the need for therapy?
A) How well the patient is eating
B) Color, amount, and frequency of vomiting episodes
C) Number of times patient's family complains of
vomiting episodes
D) Number of times patient's family reports the
patient is nauseated

Ans: B) Color, amount, and

frequency of vomiting episodes

The nurse is caring for an oncology patient who is

vomiting. When writing a plan of care for this
patient, what would be an appropriate nursing
diagnosis?
A) Risk for injury related to cardiovascular effects
B) Deficient knowledge regarding motion sickness
C) Decreased cardiac output related to cardiac effects
D) Acute pain related to constipation

Ans: C) Decreased cardiac output

related to cardiac effects

What are some nonpharmacologic measures a

nurse can use to help a patient who is nauseated or
vomiting? (Select all that apply.)
A) Quiet environment
B) Visitors
C) Soft, bland meals (if not contraindicated)
D) Deep breathing
E) Carbonated drinks (if not contraindicated)

The nurse is discharging a patient being sent home on antiemetic

therapy. How would the nurse evaluate the plan of care that this patient
has had while hospitalized?
A) Monitor for adverse effects.
B) 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.
C) Assess the patient carefully for any potential drug-drug interactions.
D) Monitor laboratory test results including liver and kidney function
tests.

Ans: A) Quiet environment

D) Deep breathing
E) Carbonated drinks (if not
contraindicated)

Ans: A) Monitor for adverse

effects.

A nursing student correctly identifies which

body system as being associated with most of
the adverse effects of antiemetics?
A) Renal
B) Central nervous system (CNS)
C) Cardiovascular
D) Integumentary

Ans: B) Central nervous system

(CNS)

A patient has received a prescription for nabilone

(Cesamet) for treatment of nausea. The nurse is
aware that this medication is used for what reason?
A) The patient has a substance abuse problem.
B) The patient is under age 18.
C) The patient is experiencing motion sickness.
D) The patient has not responded to other
medications.

Ans: D) The patient has not

responded to other medications

The nurse is performing an admission assessment of

a female teenage patient who has been experiencing
nausea and vomiting. What question would be most
important for the nurse to ask this patient?
A) "What is the date of your last period?"
B) "What makes your nausea worse?"
C) "Have you also had diarrhea?"
D) "When did you last urinate?"

Ans: A) "What is the date of your

last period?"

A patient develops intractable hiccoughs

after surgery. The nurse anticipates that
the physician will order which drug?
A) Metoclopramide (Reglan)
B) Chlorpromazine (Thorazine)
C) Meclizine (Antivert)
D) Granisetron (Kytril)

Ans: B) Chlorpromazine
(Thorazine)

The nurse is aware that patients who

experience motion sickness are experiencing
problems with which body system?
A) Gastrointestinal
B) Peripheral nervous system
C) Vestibular
D) Central nervous system (CNS)

Ans: C) Vestibular