NU 150 Exam 4 Review 2026 | Verified Q&A | Graded A+| Galen
1. What condition does Allopurinol primarily help to manage?
Dementia
Rheumatoid arthritis
Gout
Hypertension
2. In a patient with gouty arthritis, the best investigation to detect is:
Serum uric acid
Uric acid in urine
Urate crystal in synovial fluid
Serum calcium level
3. A client was prescribed citalopram and is in the emergency department with
mental changes and hyperreflexia. The vital signs are provided in the table
below, along with the client's home medication list. What item on the home-
medication list may be causing these symptoms?
, garlic
Alprazolam
St. John's Wort
ibuprofen
4. Why is it important to monitor for side effects when taking Cyclobenzaprine?
Monitoring for side effects is crucial to ensure patient safety and to
manage any adverse reactions effectively.
Patients should only monitor for side effects if they feel unwell.
Monitoring is unnecessary as side effects are rare.
Side effects do not affect the overall treatment outcome.
5. Describe how DMARDs contribute to the management of autoimmune
diseases.
DMARDs slow down disease progression and reduce inflammation
in autoimmune diseases.
DMARDs are used exclusively for treating infections.
, DMARDs primarily focus on pain relief without affecting disease
progression.
DMARDs enhance the absorption of nutrients in the body.
6. Describe the role of cholinesterase inhibitors in the management of
dementia.
Cholinesterase inhibitors enhance the production of serotonin.
Cholinesterase inhibitors reduce inflammation in the joints.
Cholinesterase inhibitors are used to treat anxiety disorders.
Cholinesterase inhibitors help improve cognitive function by
increasing levels of acetylcholine in the brain.
7. What is a common dietary recommendation for alleviating constipation?
Reduce protein consumption
Eliminate carbohydrates
Increase fiber intake
Increase sugar intake
8. Discuss why St. John's Wort can be problematic when taken with certain
medications.
St. John's Wort has no known interactions with other medications.
St. John's Wort is only safe to take with over-the-counter pain relievers.
St. John's Wort increases the effectiveness of all medications, making
them work faster.
St. John's Wort can reduce the effectiveness of certain medications,
particularly antidepressants, due to its influence on liver enzymes.
, 9. To make a definitive diagnosis of gout, there must be:
joint aspirate showing uric acid crystals
tophi present on the surface of the great toe
a blood test showing elevated uric acid levels
a swollen great toe
10. Describe the implications of heavy alcohol consumption for patients
prescribed sedatives.
Heavy alcohol consumption only affects non-prescription
medications.
Heavy alcohol consumption has no effect on sedative medications.
Heavy alcohol consumption can reduce the effectiveness of
sedatives.
Heavy alcohol consumption can exacerbate the sedative effects of
medications, leading to dangerous levels of sedation and
respiratory issues.
11. To evaluate the effectiveness of Levodopa/Carbidopa, a nurse would
observe for which of the following results?
Lessened rigidity and tremors.
Improved visual acuity.
Decreased level of energy.
Reduction in short-term memory.
12. Antipsychotic drugs are used to treat:
schizophrenia and related disorders.
1. What condition does Allopurinol primarily help to manage?
Dementia
Rheumatoid arthritis
Gout
Hypertension
2. In a patient with gouty arthritis, the best investigation to detect is:
Serum uric acid
Uric acid in urine
Urate crystal in synovial fluid
Serum calcium level
3. A client was prescribed citalopram and is in the emergency department with
mental changes and hyperreflexia. The vital signs are provided in the table
below, along with the client's home medication list. What item on the home-
medication list may be causing these symptoms?
, garlic
Alprazolam
St. John's Wort
ibuprofen
4. Why is it important to monitor for side effects when taking Cyclobenzaprine?
Monitoring for side effects is crucial to ensure patient safety and to
manage any adverse reactions effectively.
Patients should only monitor for side effects if they feel unwell.
Monitoring is unnecessary as side effects are rare.
Side effects do not affect the overall treatment outcome.
5. Describe how DMARDs contribute to the management of autoimmune
diseases.
DMARDs slow down disease progression and reduce inflammation
in autoimmune diseases.
DMARDs are used exclusively for treating infections.
, DMARDs primarily focus on pain relief without affecting disease
progression.
DMARDs enhance the absorption of nutrients in the body.
6. Describe the role of cholinesterase inhibitors in the management of
dementia.
Cholinesterase inhibitors enhance the production of serotonin.
Cholinesterase inhibitors reduce inflammation in the joints.
Cholinesterase inhibitors are used to treat anxiety disorders.
Cholinesterase inhibitors help improve cognitive function by
increasing levels of acetylcholine in the brain.
7. What is a common dietary recommendation for alleviating constipation?
Reduce protein consumption
Eliminate carbohydrates
Increase fiber intake
Increase sugar intake
8. Discuss why St. John's Wort can be problematic when taken with certain
medications.
St. John's Wort has no known interactions with other medications.
St. John's Wort is only safe to take with over-the-counter pain relievers.
St. John's Wort increases the effectiveness of all medications, making
them work faster.
St. John's Wort can reduce the effectiveness of certain medications,
particularly antidepressants, due to its influence on liver enzymes.
, 9. To make a definitive diagnosis of gout, there must be:
joint aspirate showing uric acid crystals
tophi present on the surface of the great toe
a blood test showing elevated uric acid levels
a swollen great toe
10. Describe the implications of heavy alcohol consumption for patients
prescribed sedatives.
Heavy alcohol consumption only affects non-prescription
medications.
Heavy alcohol consumption has no effect on sedative medications.
Heavy alcohol consumption can reduce the effectiveness of
sedatives.
Heavy alcohol consumption can exacerbate the sedative effects of
medications, leading to dangerous levels of sedation and
respiratory issues.
11. To evaluate the effectiveness of Levodopa/Carbidopa, a nurse would
observe for which of the following results?
Lessened rigidity and tremors.
Improved visual acuity.
Decreased level of energy.
Reduction in short-term memory.
12. Antipsychotic drugs are used to treat:
schizophrenia and related disorders.
