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NUR 651 Final Study Guide 2026: Verified Questions & 100% Correct Answers

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Prepare for your NUR 651 final with this comprehensive study guide. Verified questions and 100% correct answers, updated for 2026. Covers pharmacology, patient management, and clinical scenarios.

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Institution
Nurs 651
Course
Nurs 651

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Uploaded on
January 3, 2026
Number of pages
41
Written in
2025/2026
Type
Exam (elaborations)
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NUR 651 FINAL STUDY GUIDE QUESTIONS
WITH 100% CORRECT ANSWERS; VERIFIED;
LATEST UPDATE 2026




22-year-old Annie comes to the clinic complaining of copious
green eye discharge. Gram stain indicates she most likely has
gonococcal conjunctivitis. While awaiting cultures the plan of
care should include: - correct answer- IM ceftriaxone


A child may warrant "watchful waiting" instead of prescribing an
antibiotic for acute otitis media includes patients who: - correct
answer- A. Are low risk with temperature of less than 102.2
B. Have reliable parents with transportation
C. Are older than age 2 years
D. All of the above


Answer: D. All of the above


A nurse teachers a patient about using a high-dose ASA to treat
arthritis. What info will the nurse include when teaching the
patient? - correct answer- You will need to stop taking the
drug a week prior to surgery

,A nursing student asks how NSAIDs work to suppress
inflammation and reduce pain. The nurse will explain that
NSAIDS: - correct answer- Inhibit cyclooxygenase that is
necessary for prostaglandin synthesis


A nursing student asks the nurse to explain the role of COX-2
and its role in inflammation. The nurse will explain that COX-2: -
correct answer- Converts arachidonic acid into chemical
mediator for inflammation


A pain management contract is appropriate for - correct
answer- Patients with chronic pain who will require long-
term use of opiates


A patient is taking ASA to help prevent MI and is experiencing
moderate GI upset. The nurse will contact the provider to
discuss changing from ASA to which drug? - correct answer-
Enteric coated ASA


A patient is taking ibuprofen 400 mg every 4 hours to treat
moderate arthritis pain and reports that it is less effective than
before. What action should the nurse take? - correct answer-

,Counsel the patient to discuss a prescription NSAID with their
provider.


A patient takes high doses of ASA to treat RA and has a serum
salucylate of 35. The nurse will perform which action? - correct
answer- Assess the patient for tinnitus


A patient who has OA with mild to moderate pain asks the nurse
about taking OTC ibuprofen. What will the nurse tell the
patient? - correct answer- It may take several weeks to
achieve therapeutic effects


A patient who is taking ASA for arthritis pain asks the nurse why
it also causes GI upset. The nurse understands that this is
because ASA: - correct answer- Inhibits both COX-1 and
COX-2


A patient with anxiety and depression may respond to: - correct
answer- Buspirone (Buspar) and an SSRI combined


A patient with depression has fatigue and sleeping all the time,
lack of motivation. What is the initial antidepressant? - correct
answer- Cymbalta

, A potentially life-threatening adverse response to ACE inhibitors
is angioedema. Which statement is true about this adverse
response? - correct answer- Swelling of the tongue and
hoarseness are the most common sympotms.


A stepwise approach to the pharmacologic management of
asthma:
1. Begins with determining the severity of asthma and assessing
asthma control
2. Is used when asthma is severe and requires daily steroids
3. Allows for each provider to determine their personal
approach to the care of asthmatic patients
4. Provides a framework for the management of severe
asthmatics, but is not as helpful when patients have intermittent
asthma - correct answer- Begins with determining the
severity of asthma and assessing asthma control


A treatment plan for the management of acute pain is: - correct
answer- Negotiations with the patient to set personal goals
for pain management
Discussion of ways to improve sleep and stress
Exercise program to improve function and fitness
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