NURS3110 Final – MyLab Exam Questions
With Accurate Answers
The client confides in the nurse that he or she is drawn to complementary
and alternative medicine because it promotes the "whole person." The
client would like spirituality and prayer included in his or her plan of care.
What is the best response by the nurse?
A. "We usually do not pray with clients; is there something you are worried
about?"
B. "What exactly do you mean by spirituality and prayer?"
C. "We will include spirituality in your plan. Would you like to say a prayer?"
D. "I think your spiritual concerns are best left up to you and your minister."
- ANSWER C. "We will include spirituality in your plan. Would you like to
say a prayer?"
The nurse plans to teach clients about the difference between herbal
preparations and prescription medications. Which statement describes the
best plan by the nurse?
A. "Herbs are considered to be safer than prescription medications as they
are natural."
B. "Herbs, like prescription drugs, usually only contain one active
ingredient."
C. "Most herbs, like prescription drugs, are standardized and regulated by
the Food and Drug Administration (FDA)."
D. "The active ingredients in an herb, unlike prescription drugs, may be
present in just one part or many parts." - ANSWER D. "The active
ingredients in an herb, unlike prescription drugs, may be present in just one
part or many parts."
,The client tells the nurse that he or she plans to take St. John's wort to treat
his or her depression. What is the best response by the nurse?
Select all that apply.
A. "That should be fine as long as you are not suicidal."
B. "St. John's wort is successfully used in Europe for minor depression."
C. "It would be a good idea to try this before paying for a prescription
medication."
D. "It would be better to have a psychiatric assessment first."
E. "Herbal preparations can interact with many other medications." -
ANSWER D, E
The client tells the nurse that he or she has been taking herbal
preparations to boost his or her immune system functioning. He or she
does not know the names of the preparations. What is the best assessment
question for the nurse to ask?
A. "Would you please have your wife or husband bring the bottles to the
hospital?"
B. "Would you please tell your doctor about the herbs during the next visit?"
C. "Would you please ask your wife or husband to call the hospital
pharmacist with the names?"
D. "Would you please ask your wife or husband to discuss this with me
during her next visit?" - ANSWER A. "Would you please have your wife or
husband bring the bottles to the hospital?"
The nurse is teaching a class on dietary supplements. The nurse
determines that learning has occurred when the patients make which
statement?
A. "Products can make claims based on body structure and function like
'promotes healthy urinary tract.'"
B. "Dietary supplements must go through rigorous testing prior to being
marketed by the manufacturer."
C. "The manufacturer of the dietary supplement has the burden of proof for
the safety of the supplement."
D. "The Food and Drug Administration (FDA) is not involved with the
approval of the dietary supplement and cannot remove it from the market."
- ANSWER A. "Products can make claims based on body structure and
function like 'promotes healthy urinary tract.'"
,Ex: "promote healthy immune system"
The client uses Ginkgo biloba to enhance memory functioning but has not
told the nurse about this herb. The healthcare provider orders warfarin
(Coumadin) for this client. Which findings may the nurse find upon
assessment?
A. A blood glucose of 56.
B. Headache, dizziness, sweating, and agitation.
C. Petechiae and bleeding from the gums.
D. An international normalized ratio (INR) of 3.0. - ANSWER C. Petechiae
and bleeding from the gums.
Which client would be most likely to seek complementary and alternative
therapies as a treatment modality?
A. A 48-year-old male who wants to boost his immune system.
B. A 22-year-old male athlete who is preparing for the Olympics.
C. A 50-year-old female going through menopause.
D. A 58-year-old male with prostate problems.
E. None of these clients would be wise to seek these therapies. - ANSWER
A, B, C, D
Clients at a senior citizen center have asked the nurse to do a presentation
on herbal preparations. Which statement would be included in the best plan
by the nurse?
A. "Herbal preparations actually are drugs; you must be careful with them."
B. "Herbal preparations are safe as long as you carefully read the label."
C. "As long as the herbal preparation has been tested in the clinical setting,
it is safe."
D. "Herbal preparations can be dangerous if you are allergic to them." -
ANSWER A. "Herbal preparations actually are drugs; you must be careful
with them."
Herbal preparations are nonprescription drugs that have side effects and
can interact with many other drugs.
, The older adult asks the nurse how dietary supplements will help support
health. What is the best response by the nurse?
A. "Fish oil will help to enhance your brain function."
B. "Chromium will help you achieve and maintain optimum weight."
C. "Soy isoflavone will help prevent Alzheimer's disease."
D. "Dietary supplements will help support and maintain hydration." -
ANSWER A. "Fish oil will help to enhance your brain function."
Omega-3 fatty acids are neuroprotective and will enhance brain function.
The client takes St. John's wort for depression but does not tell the
healthcare provider. The provider prescribes an SSRI. The nurse should
monitor for which of the following?
A. Sedation
B. Serum glucose level of 340
C. Serum potassium of 6.0
D. Dizziness - ANSWER D. Dizziness
Dizziness is associated with serotonin syndrome, which may occur when
St. John's wort and SSRIs are given concurrently.
The client is being treated for a cardiac dysrhythmia with amiodarone
(Cordarone). The client has elevated liver function tests (LFTs). Which
assessment finding would the nurse suspect as contributing to the elevated
LFTs?
A. The client was taking gingko biloba for memory problems.
B. The client was taking Kava-Kava for anxiety.
C. The client was taking St. John's wort for depression.
D. The client was taking Echinacea to treat cold symptoms. - ANSWER D.
The client was taking Echinacea to treat cold symptoms.
Echinacea and amiodarone (Cordarone) can lead to hepatotoxicity.
The nurse has been teaching a client about herbal preparations and
determines that additional teaching is required when the client makes
which statement?
With Accurate Answers
The client confides in the nurse that he or she is drawn to complementary
and alternative medicine because it promotes the "whole person." The
client would like spirituality and prayer included in his or her plan of care.
What is the best response by the nurse?
A. "We usually do not pray with clients; is there something you are worried
about?"
B. "What exactly do you mean by spirituality and prayer?"
C. "We will include spirituality in your plan. Would you like to say a prayer?"
D. "I think your spiritual concerns are best left up to you and your minister."
- ANSWER C. "We will include spirituality in your plan. Would you like to
say a prayer?"
The nurse plans to teach clients about the difference between herbal
preparations and prescription medications. Which statement describes the
best plan by the nurse?
A. "Herbs are considered to be safer than prescription medications as they
are natural."
B. "Herbs, like prescription drugs, usually only contain one active
ingredient."
C. "Most herbs, like prescription drugs, are standardized and regulated by
the Food and Drug Administration (FDA)."
D. "The active ingredients in an herb, unlike prescription drugs, may be
present in just one part or many parts." - ANSWER D. "The active
ingredients in an herb, unlike prescription drugs, may be present in just one
part or many parts."
,The client tells the nurse that he or she plans to take St. John's wort to treat
his or her depression. What is the best response by the nurse?
Select all that apply.
A. "That should be fine as long as you are not suicidal."
B. "St. John's wort is successfully used in Europe for minor depression."
C. "It would be a good idea to try this before paying for a prescription
medication."
D. "It would be better to have a psychiatric assessment first."
E. "Herbal preparations can interact with many other medications." -
ANSWER D, E
The client tells the nurse that he or she has been taking herbal
preparations to boost his or her immune system functioning. He or she
does not know the names of the preparations. What is the best assessment
question for the nurse to ask?
A. "Would you please have your wife or husband bring the bottles to the
hospital?"
B. "Would you please tell your doctor about the herbs during the next visit?"
C. "Would you please ask your wife or husband to call the hospital
pharmacist with the names?"
D. "Would you please ask your wife or husband to discuss this with me
during her next visit?" - ANSWER A. "Would you please have your wife or
husband bring the bottles to the hospital?"
The nurse is teaching a class on dietary supplements. The nurse
determines that learning has occurred when the patients make which
statement?
A. "Products can make claims based on body structure and function like
'promotes healthy urinary tract.'"
B. "Dietary supplements must go through rigorous testing prior to being
marketed by the manufacturer."
C. "The manufacturer of the dietary supplement has the burden of proof for
the safety of the supplement."
D. "The Food and Drug Administration (FDA) is not involved with the
approval of the dietary supplement and cannot remove it from the market."
- ANSWER A. "Products can make claims based on body structure and
function like 'promotes healthy urinary tract.'"
,Ex: "promote healthy immune system"
The client uses Ginkgo biloba to enhance memory functioning but has not
told the nurse about this herb. The healthcare provider orders warfarin
(Coumadin) for this client. Which findings may the nurse find upon
assessment?
A. A blood glucose of 56.
B. Headache, dizziness, sweating, and agitation.
C. Petechiae and bleeding from the gums.
D. An international normalized ratio (INR) of 3.0. - ANSWER C. Petechiae
and bleeding from the gums.
Which client would be most likely to seek complementary and alternative
therapies as a treatment modality?
A. A 48-year-old male who wants to boost his immune system.
B. A 22-year-old male athlete who is preparing for the Olympics.
C. A 50-year-old female going through menopause.
D. A 58-year-old male with prostate problems.
E. None of these clients would be wise to seek these therapies. - ANSWER
A, B, C, D
Clients at a senior citizen center have asked the nurse to do a presentation
on herbal preparations. Which statement would be included in the best plan
by the nurse?
A. "Herbal preparations actually are drugs; you must be careful with them."
B. "Herbal preparations are safe as long as you carefully read the label."
C. "As long as the herbal preparation has been tested in the clinical setting,
it is safe."
D. "Herbal preparations can be dangerous if you are allergic to them." -
ANSWER A. "Herbal preparations actually are drugs; you must be careful
with them."
Herbal preparations are nonprescription drugs that have side effects and
can interact with many other drugs.
, The older adult asks the nurse how dietary supplements will help support
health. What is the best response by the nurse?
A. "Fish oil will help to enhance your brain function."
B. "Chromium will help you achieve and maintain optimum weight."
C. "Soy isoflavone will help prevent Alzheimer's disease."
D. "Dietary supplements will help support and maintain hydration." -
ANSWER A. "Fish oil will help to enhance your brain function."
Omega-3 fatty acids are neuroprotective and will enhance brain function.
The client takes St. John's wort for depression but does not tell the
healthcare provider. The provider prescribes an SSRI. The nurse should
monitor for which of the following?
A. Sedation
B. Serum glucose level of 340
C. Serum potassium of 6.0
D. Dizziness - ANSWER D. Dizziness
Dizziness is associated with serotonin syndrome, which may occur when
St. John's wort and SSRIs are given concurrently.
The client is being treated for a cardiac dysrhythmia with amiodarone
(Cordarone). The client has elevated liver function tests (LFTs). Which
assessment finding would the nurse suspect as contributing to the elevated
LFTs?
A. The client was taking gingko biloba for memory problems.
B. The client was taking Kava-Kava for anxiety.
C. The client was taking St. John's wort for depression.
D. The client was taking Echinacea to treat cold symptoms. - ANSWER D.
The client was taking Echinacea to treat cold symptoms.
Echinacea and amiodarone (Cordarone) can lead to hepatotoxicity.
The nurse has been teaching a client about herbal preparations and
determines that additional teaching is required when the client makes
which statement?
