TEST QUESTIONS AND ANSWERS SURE A+
✔✔Which clients should not receive ibuprofen? Select all that apply. - ✔✔A middle-
aged adult who smokes and has bleeding gastric ulcers
A teen living with phenylketonuria
A 2-month-old with a temperature of 102.9 °F (39.4 °C)
✔✔What is the main action of ibuprofen? - ✔✔Inhibiting prostaglandin synthesis
✔✔Complete the chart with the onset, peak, and duration for ibuprofen PO and IV
routes. - ✔✔Route: PO
Onset: 0.5-2.5 hours
Peak: 1-4 hours
Duration: 4-8 hours
Route: IV
Onset: 0-2 hours
Peak: 10-12 hours
Duration: 4-6 hours
, ✔✔A client at high risk for an embolic stroke tells the nurse that they are starting a new
medication to decrease blood clotting but cannot recall the name. When asked to name
the drug, which answer provided by the nurse is best? - ✔✔Acetylsalicylic acid
✔✔The nurse confirms that a client taking a nonsteroidal anti-inflammatory drug
(NSAID) for the first time understands its therapeutic uses when they mention which
actions of the medication? Select all that apply. - ✔✔Anti-inflammatory
Analgesic
Antipyretic
✔✔The nurse should contact the prescribing healthcare provider before administering
naproxen to a client who is already taking which medication? - ✔✔Warfarin
✔✔A client is prescribed celecoxib. Review the client's health record and select the
documented findings that should prevent the client from receiving this medication.
Melissa (pronouns: she/her/hers) is a 78-year-old female admitted with pneumonia. She
has a history of chronic obstructive pulmonary disease (COPD) and has been a smoker
for 25 years. She has allergies to sulfa, codeine, and pollen. - ✔✔Sulfa
✔✔Sixty minutes after administering naproxen 250 mg po to a client experiencing pain
and limited function in their left knee related to osteoarthritis, what should the nurse
assess and document? Select all that apply. - ✔✔Swelling of knee
Joint movement
Level of pain
✔✔Drag and drop the appropriate client discharge teaching related to nonsteroidal anti-
inflammatory drugs (NSAIDs). - ✔✔*Correct:*
• Monitor for bleeding in stool or any other unusual bleeding.
• Do not crush or chew enteric-coated tablets.
• Take NSAIDs with a full glass of water and remain upright for 30 minutes after
administration.
• Take after or with food to help alleviate gastrointestinal (GI) irritation.
• Therapeutic effects may take 3-4 weeks to occur for inflammatory conditions.
• Notify the healthcare provider if severe bleeding or gastrointestinal (GI) pain occurs.
*Incorrect:*
• Take on an empty stomach.
• GI pain may occur, but that is normal.
✔✔A client living with rheumatoid arthritis asks the nurse how long it will take for the
medication to work. Which time frame should the nurse provide? - ✔✔3-4 weeks