NURS 330 Exam 1 Notes, Exam 2 Class notes, neuro
UPDATED ACTUAL Questions and CORRECT Answers
C 1.. While providing care for an adolescent patient newly prescribed Elavil
(amitriptyline), the nurse should be most concerned by which of the following
patient statements?
A. "My mouth seems really dry and I'm thirsty all the time."
B. "I take a nap most afternoons now because I feel sleepy sometimes."
C. "I'm not sure why we should even bother anymore; everything seems so
pointless."
D. "I drink a cup of coffee most days with breakfast."
D 2. The nurse is caring for a patient with a history of Parkinson disease who recently
started taking Comtan (entacapone). The nurse notes the patient's urine has a
brownish-orange discoloration. Which of the following actions should the nurse
take next?
A. Notify the physician.
B. Determine the patient's current weight.
C. Ask the patient what he or she ate for breakfast.
D. Note the assessment finding in the chart.
D A student nurse is taking care of patients on a medical unit and receives new
orders for Lunesta (eszopiclone) 2 mg orally each evening. In transcribing this
order, the student should take which of the following actions?
A. Schedule the medication routinely at 6 p.m.
B. Schedule the medication 1 hr prior to the evening meal.
C. Call the pharmacy to ask what time the medication should be given.
D. Schedule the medication at bedtime.
B, D, E, F As part of a new treatment regimen for migraine headaches, an 18-year-old girl is
prescribed sumatriptan. The nurse should include which of the following
statements in the patient teaching? Select all that apply.
A. "You will take this medication daily to help prevent the onset of migraines."
B. "You should avoid alcohol when you are taking this medication."
C. "You can take this medication every 2-4 hr as needed for up to eight doses per
day."
D. "Take the medication as soon as you notice the onset of a migraine headache."
E. "Avoid taking over-the-counter medications that have not been prescribed by
your doctor while taking this medication."
F. "If taking this medication causes any pain or tightness in your chest, you should
notify the physician immediately."
B While working with a patient who takes Dalmane (flurazepam), the nurse should
be most concerned by which of the following patient statements?
A. "I usually take the medication at 10 P.M."
B. "I have to take it every night or I won't get any sleep."
C. "I work out at the gym three to four times per week."
D. "I stopped drinking coffee at dinner now."
, B 6. A nurse caring for a patient who takes Tofranil (imipramine) 150 mg orally at
bedtime would be most concerned by which of the following observations?
A. The patient's urine has a blue-green tinge.
B. The patient reports fuzzy vision and difficulty seeing.
C. The patient reports feeling dizzy when getting out of bed.
D. The patient reports she has gained 2 pounds in the last 3 weeks.
B The nurse is caring for a patient recently started on Seroquel (quetiapine). Which
assessment finding would indicate that treatment was effective?
A. BP = 178/82
B. Patient denies hearing voices in his head.
C. Urine output was 350 mL in 8 hr.
D. Patient reported pain was a 2 on a 1-10 scale.
C The nurse is caring for a patient who is to receive 1 mg of Ativan (lorazepam)
intravenously as conscious sedation prior to a bedside procedure. Which of the
following actions should the nurse take?
A. Infuse the medication using an insulin syringe directly into the nearest Y port of
the IV.
B. Dilute the medication with 10 mL of Lactated Ringer's solution prior to
administration.
C. Administer the medication over at least 1 min.
D. Monitor the patient for hypertension immediately following administration.
A The nurse receives a call from a client who recently started taking Paxil
(paroxetine). The parent reports the child has lost 6 pounds in the past 10 days.
Which of the following statements by the nurse is best?
A. "Are you able to come into the clinic today?"
B. "That's great news, the treatment must be working."
C. "Weight loss is expected with this medication, so there is no reason for
concern."
D. "Has your child had any vomiting?"
C While working on a medical unit, the nurse answers a call light for a woman who
asks to take her Ambien (zolpidem) 10 mg orally as ordered before going to sleep.
After providing the medication, which of the following actions should the nurse
take next?
A. Instruct the patient to drink at least two full glasses of water in the next 30 min.
B. Instruct the patient to wear her slippers if she gets up during the night.
C. Raise the patient's bed side rail.
D. Document the medication provision in the patient's chart.
A The nurse immediately notifies the doctor of a reaction to Lyrica (pregabalin)
based on which of the following assessments?
A. Petechiae on legs and back
B. Poor appetite
C. Increased heart rate
D. Vomiting
UPDATED ACTUAL Questions and CORRECT Answers
C 1.. While providing care for an adolescent patient newly prescribed Elavil
(amitriptyline), the nurse should be most concerned by which of the following
patient statements?
A. "My mouth seems really dry and I'm thirsty all the time."
B. "I take a nap most afternoons now because I feel sleepy sometimes."
C. "I'm not sure why we should even bother anymore; everything seems so
pointless."
D. "I drink a cup of coffee most days with breakfast."
D 2. The nurse is caring for a patient with a history of Parkinson disease who recently
started taking Comtan (entacapone). The nurse notes the patient's urine has a
brownish-orange discoloration. Which of the following actions should the nurse
take next?
A. Notify the physician.
B. Determine the patient's current weight.
C. Ask the patient what he or she ate for breakfast.
D. Note the assessment finding in the chart.
D A student nurse is taking care of patients on a medical unit and receives new
orders for Lunesta (eszopiclone) 2 mg orally each evening. In transcribing this
order, the student should take which of the following actions?
A. Schedule the medication routinely at 6 p.m.
B. Schedule the medication 1 hr prior to the evening meal.
C. Call the pharmacy to ask what time the medication should be given.
D. Schedule the medication at bedtime.
B, D, E, F As part of a new treatment regimen for migraine headaches, an 18-year-old girl is
prescribed sumatriptan. The nurse should include which of the following
statements in the patient teaching? Select all that apply.
A. "You will take this medication daily to help prevent the onset of migraines."
B. "You should avoid alcohol when you are taking this medication."
C. "You can take this medication every 2-4 hr as needed for up to eight doses per
day."
D. "Take the medication as soon as you notice the onset of a migraine headache."
E. "Avoid taking over-the-counter medications that have not been prescribed by
your doctor while taking this medication."
F. "If taking this medication causes any pain or tightness in your chest, you should
notify the physician immediately."
B While working with a patient who takes Dalmane (flurazepam), the nurse should
be most concerned by which of the following patient statements?
A. "I usually take the medication at 10 P.M."
B. "I have to take it every night or I won't get any sleep."
C. "I work out at the gym three to four times per week."
D. "I stopped drinking coffee at dinner now."
, B 6. A nurse caring for a patient who takes Tofranil (imipramine) 150 mg orally at
bedtime would be most concerned by which of the following observations?
A. The patient's urine has a blue-green tinge.
B. The patient reports fuzzy vision and difficulty seeing.
C. The patient reports feeling dizzy when getting out of bed.
D. The patient reports she has gained 2 pounds in the last 3 weeks.
B The nurse is caring for a patient recently started on Seroquel (quetiapine). Which
assessment finding would indicate that treatment was effective?
A. BP = 178/82
B. Patient denies hearing voices in his head.
C. Urine output was 350 mL in 8 hr.
D. Patient reported pain was a 2 on a 1-10 scale.
C The nurse is caring for a patient who is to receive 1 mg of Ativan (lorazepam)
intravenously as conscious sedation prior to a bedside procedure. Which of the
following actions should the nurse take?
A. Infuse the medication using an insulin syringe directly into the nearest Y port of
the IV.
B. Dilute the medication with 10 mL of Lactated Ringer's solution prior to
administration.
C. Administer the medication over at least 1 min.
D. Monitor the patient for hypertension immediately following administration.
A The nurse receives a call from a client who recently started taking Paxil
(paroxetine). The parent reports the child has lost 6 pounds in the past 10 days.
Which of the following statements by the nurse is best?
A. "Are you able to come into the clinic today?"
B. "That's great news, the treatment must be working."
C. "Weight loss is expected with this medication, so there is no reason for
concern."
D. "Has your child had any vomiting?"
C While working on a medical unit, the nurse answers a call light for a woman who
asks to take her Ambien (zolpidem) 10 mg orally as ordered before going to sleep.
After providing the medication, which of the following actions should the nurse
take next?
A. Instruct the patient to drink at least two full glasses of water in the next 30 min.
B. Instruct the patient to wear her slippers if she gets up during the night.
C. Raise the patient's bed side rail.
D. Document the medication provision in the patient's chart.
A The nurse immediately notifies the doctor of a reaction to Lyrica (pregabalin)
based on which of the following assessments?
A. Petechiae on legs and back
B. Poor appetite
C. Increased heart rate
D. Vomiting
