RNSG 1301 CORE EXAMS MAIN ALL QUESTIONS
AND ANSWERS SURE A+
✔✔Match the drug or drug class requiring special monitoring to the condition. -
✔✔Bladder flow obstruction - Anticholinergics
Clotting disorders - Nonsteroidal antiinflammatory drugs (NSAIDs)
Hypertension - Over-the-counter cold products
Falls - Opioids
✔✔To reduce the incidence of polypharmacy, on which factors would the nurse educate
an older adult?
Side effects of their drugs
Interactions of each drug
The name and appearance of their drugs
Therapeutic effects of their drugs
Altering drug therapy based on symptoms - ✔✔Side effects of their drugs - Older adults
should be educated on the name, appearance, therapeutic effects, and side effects of
each drug.
,Interactions of each drug - Older adults should be educated on potential adverse effects
and interactions of each drug.
The name and appearance of their drugs - Older adults should be educated about the
name and appearance of their drugs.
Therapeutic effects of their drugs - Older adults should be educated on the name,
appearance, therapeutic effects, and side effects of each drug.
✔✔Which considerations would the nurse use to promote drug adherence in older
adults?
Recommend simple drug regimens
Speak in a sharp tone of voice
Use a font with sanserif, or "no feet and tails
Recommend keeping a drug list in purse or wallet
Ask the pharmacy to provide containers that are easy to open - ✔✔Recommend simple
drug regimens - The nurse would recommend the health care provider simplify the drug
regimen for the older adult (i.e., use combination drugs to reduce the number of pills the
patient takes or use long-acting formulations to reduce the number of doses per day).
Recommend keeping a drug list in purse or wallet - The nurse would instruct the patient
to keep a list of all drugs and bring it to all health appointments; the nurse would also
advise the older adult to keep a copy of the list in their wallet or purse.
Ask the pharmacy to provide containers that are easy to open - The nurse would ask
the pharmacist to label drug containers using a large print size and provide containers
that are easy to open by patients with impaired strength and dexterity (e.g., those with
arthritis).
✔✔Which statement accurately describes the glucocorticoid that is secreted from the
adrenal cortex along with its effect in the body?
Cortisol, which impacts carbohydrate metabolism
Aldosterone, which impacts carbohydrate metabolism
Cortisol, which maintains sodium levels and blood pressure
Aldosterone, which maintains sodium levels and blood pressure - ✔✔Cortisol, which
impacts carbohydrate metabolism - Cortisol is a glucocorticoid that is secreted from the
adrenal cortex. It affects carbohydrate, fat, and protein metabolism.
✔✔Which statements accurately describe the actions glucocorticoids exert in the
inflammatory process?
Stimulation of erythroid cells
Maintenance of sodium levels in the blood
Reduction of interleukin-1 release from white blood cells
, Promotion of protein metabolism, glycogen production, and fat redistribution
Stabilization of lysosomal cell membranes to reduce capillary permeability and
leukocyte migration - ✔✔Stimulation of erythroid cells - Glucocorticoids are able to
stimulate the erythroid cells that eventually become red blood cells.
Reduction of interleukin-1 release from white blood cells - Glucocorticoids modulate the
inflammatory response by reducing interleukin-1 release from white cells to decrease
fever.
Promotion of protein metabolism, glycogen production, and fat redistribution - They
promote protein metabolism, glycogen production, and fat redistribution from peripheral
to central areas of the body.
Stabilization of lysosomal cell membranes to reduce capillary permeability and
leukocyte migration - Glucocorticoids stabilize the cell membranes of lysosomes to
reduce capillary permeability and cell migration.
✔✔Which statement about fludrocortisone is accurate?
Fludrocortisone is a glucocorticoid that is used in the management of inflammatory
conditions such as rheumatoid arthritis.
Fludrocortisone possesses both mineralocorticoid and glucocorticoid activity.
The anticipated onset of action of fludrocortisone is 1 to 2 hours.
When given orally, it is minimally protein bound. - ✔✔Fludrocortisone possesses both
mineralocorticoid and glucocorticoid activity. - Fludrocortisone possesses potent
mineralocorticoid activity but also has significant glucocorticoid activity.
✔✔Which patients does a nurse determine cannot safely receive prednisone?
A 33-year-old patient with active tuberculosis
A 48-year-old patient with hypothyroidism
A 55-year-old patient with type 2 diabetes
A 59-year-old patient with dyslipidemia
A 61-year-old patient with benign prostatic hyperplasia
A 78-year-old patient with cataracts - ✔✔A 33-year-old patient with active tuberculosis -
Patients with an active infection like tuberculosis should not receive glucocorticoids.
Given prednisone's effect on the immune system, the body may not be able to clear the
infection.
A 78-year-old patient with cataracts - Patients with cataracts should not receive
glucocorticoids because they can worsen the cataracts.
✔✔A patient has been prescribed prednisone 10 mg PO daily for worsening systemic
lupus erythematous (SLE). The patient is also on hydroxychloroquine (for SLE) and
warfarin (for venous thromboembolism). Which effect does the nurse anticipate will
occur if prednisone is administered to this patient?
AND ANSWERS SURE A+
✔✔Match the drug or drug class requiring special monitoring to the condition. -
✔✔Bladder flow obstruction - Anticholinergics
Clotting disorders - Nonsteroidal antiinflammatory drugs (NSAIDs)
Hypertension - Over-the-counter cold products
Falls - Opioids
✔✔To reduce the incidence of polypharmacy, on which factors would the nurse educate
an older adult?
Side effects of their drugs
Interactions of each drug
The name and appearance of their drugs
Therapeutic effects of their drugs
Altering drug therapy based on symptoms - ✔✔Side effects of their drugs - Older adults
should be educated on the name, appearance, therapeutic effects, and side effects of
each drug.
,Interactions of each drug - Older adults should be educated on potential adverse effects
and interactions of each drug.
The name and appearance of their drugs - Older adults should be educated about the
name and appearance of their drugs.
Therapeutic effects of their drugs - Older adults should be educated on the name,
appearance, therapeutic effects, and side effects of each drug.
✔✔Which considerations would the nurse use to promote drug adherence in older
adults?
Recommend simple drug regimens
Speak in a sharp tone of voice
Use a font with sanserif, or "no feet and tails
Recommend keeping a drug list in purse or wallet
Ask the pharmacy to provide containers that are easy to open - ✔✔Recommend simple
drug regimens - The nurse would recommend the health care provider simplify the drug
regimen for the older adult (i.e., use combination drugs to reduce the number of pills the
patient takes or use long-acting formulations to reduce the number of doses per day).
Recommend keeping a drug list in purse or wallet - The nurse would instruct the patient
to keep a list of all drugs and bring it to all health appointments; the nurse would also
advise the older adult to keep a copy of the list in their wallet or purse.
Ask the pharmacy to provide containers that are easy to open - The nurse would ask
the pharmacist to label drug containers using a large print size and provide containers
that are easy to open by patients with impaired strength and dexterity (e.g., those with
arthritis).
✔✔Which statement accurately describes the glucocorticoid that is secreted from the
adrenal cortex along with its effect in the body?
Cortisol, which impacts carbohydrate metabolism
Aldosterone, which impacts carbohydrate metabolism
Cortisol, which maintains sodium levels and blood pressure
Aldosterone, which maintains sodium levels and blood pressure - ✔✔Cortisol, which
impacts carbohydrate metabolism - Cortisol is a glucocorticoid that is secreted from the
adrenal cortex. It affects carbohydrate, fat, and protein metabolism.
✔✔Which statements accurately describe the actions glucocorticoids exert in the
inflammatory process?
Stimulation of erythroid cells
Maintenance of sodium levels in the blood
Reduction of interleukin-1 release from white blood cells
, Promotion of protein metabolism, glycogen production, and fat redistribution
Stabilization of lysosomal cell membranes to reduce capillary permeability and
leukocyte migration - ✔✔Stimulation of erythroid cells - Glucocorticoids are able to
stimulate the erythroid cells that eventually become red blood cells.
Reduction of interleukin-1 release from white blood cells - Glucocorticoids modulate the
inflammatory response by reducing interleukin-1 release from white cells to decrease
fever.
Promotion of protein metabolism, glycogen production, and fat redistribution - They
promote protein metabolism, glycogen production, and fat redistribution from peripheral
to central areas of the body.
Stabilization of lysosomal cell membranes to reduce capillary permeability and
leukocyte migration - Glucocorticoids stabilize the cell membranes of lysosomes to
reduce capillary permeability and cell migration.
✔✔Which statement about fludrocortisone is accurate?
Fludrocortisone is a glucocorticoid that is used in the management of inflammatory
conditions such as rheumatoid arthritis.
Fludrocortisone possesses both mineralocorticoid and glucocorticoid activity.
The anticipated onset of action of fludrocortisone is 1 to 2 hours.
When given orally, it is minimally protein bound. - ✔✔Fludrocortisone possesses both
mineralocorticoid and glucocorticoid activity. - Fludrocortisone possesses potent
mineralocorticoid activity but also has significant glucocorticoid activity.
✔✔Which patients does a nurse determine cannot safely receive prednisone?
A 33-year-old patient with active tuberculosis
A 48-year-old patient with hypothyroidism
A 55-year-old patient with type 2 diabetes
A 59-year-old patient with dyslipidemia
A 61-year-old patient with benign prostatic hyperplasia
A 78-year-old patient with cataracts - ✔✔A 33-year-old patient with active tuberculosis -
Patients with an active infection like tuberculosis should not receive glucocorticoids.
Given prednisone's effect on the immune system, the body may not be able to clear the
infection.
A 78-year-old patient with cataracts - Patients with cataracts should not receive
glucocorticoids because they can worsen the cataracts.
✔✔A patient has been prescribed prednisone 10 mg PO daily for worsening systemic
lupus erythematous (SLE). The patient is also on hydroxychloroquine (for SLE) and
warfarin (for venous thromboembolism). Which effect does the nurse anticipate will
occur if prednisone is administered to this patient?
