NUR 2474 FINAL EXAM PHARMACOLOGY FOR PROFESSIONAL
NURSING EXAM
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR JUST RELEASED
Question 1: An older male patient with an increased risk of MI is
taking furosemide (Lasix) and low-dose aspirin. The patient is
admitted to the hospital, and the nurse notes an initial blood
pressure of 140/80 mm Hg. The patient has had a 10-pound weight
gain since a previous admission 3 months earlier. The patient has
voided only a small amount of concentrated urine. The serum
creatinine and blood urea nitrogen (BUN) levels are elevated. The
nurse will contact the provider to discuss:
A. adding an antihypertensive medication.
B. obtaining serum electrolytes.
C. ordering a potassium-sparing diuretic.
D. withdrawing the aspirin.
Answer:
D) withdrawing the aspirin.
Question 2: A pregnant patient in her third trimester asks the nurse
whether she can take aspirin for headaches. Which response by the
nurse is correct?
A. "Aspirin is safe during the second and third trimesters of
pregnancy."
B. "Aspirin may cause premature closure of the ductus arteriosus in
your baby."
C. "Aspirin may induce premature labor and should be avoided in the
third trimester."
, D. "You should use a first-generation nonsteroidal anti-inflammatory
medication."
Answer:
B) "Aspirin may cause premature closure of the ductus arteriosus in your
baby."
Question 3: A nurse is caring for a patient who has been taking
low-dose aspirin for several days. The nurse notes that the patient
has copious amounts of watery nasal secretions and an urticarial
rash. The nurse will contact the provider to discuss:
A. administering epinephrine.
B. changing to a first-generation NSAID.
C. reducing the dose of aspirin.
D. giving an antihistamine.
Answer:
A) administering epinephrine.
Question 4: A nurse is teaching a nursing student who wants to
know how aspirin and nonaspirin first-generation NSAIDs differ.
Which statement by the student indicates a need for further
teaching?
A. "Unlike aspirin, first-generation NSAIDs cause reversible inhibition
of cyclooxygenase."
B. "NSAIDs do not increase the risk of MI and stroke; however, unlike
ASA, they do not provide protective benefits against those
conditions."
C. "Unlike aspirin, first-generation NSAIDs do not carry a risk of
hypersensitivity reactions."
D. "Unlike aspirin, first-generation NSAIDs cause little or no
suppression of platelet aggregation."
,Answer:
C) "Unlike aspirin, first-generation NSAIDs do not carry a risk of
hypersensitivity reactions."
Question 5: A nurse is providing teaching for an adult patient with
arthritis who has been instructed to take ibuprofen (Motrin) for
discomfort. Which statement by the patient indicates a need for
further teaching?
A. "I may experience tinnitus with higher doses of this medication."
B. "I may take up to 800 mg 4 times daily for pain."
C. "I should limit alcohol intake to fewer than three drinks a day."
D. "I will take this medication with meals to help prevent stomach
upset."
Answer:
A) "I may experience tinnitus with higher doses of this medication."
Question 6: A patient with arthritis asks a nurse which nonsteroidal
anti-inflammatory medication is best to take. The nurse learns that
this patient has a family history of cardiovascular disease. The
nurse will recommend which NSAID?
A. Celecoxib (Celebrex)
B. Diclofenac (Voltaren)
C. Ketorolac intranasal (Sprix)
D. Naproxen (AIeve)
Answer:
B) Diclofenac (Voltaren)
, Question 7: A nurse is providing medication teaching for a patient
who will begin taking diclofenac (Voltaren) gel for osteoarthritis in
both knees and elbows. Which statement by the patient indicates
understanding of the teaching?
A. "Because this is a topical drug, liver toxicity will not occur."
B. "I should cover areas where the gel is applied to protect them from
sunlight."
C. "I will apply equal amounts of gel to all affected areas."
D. "The topical formulation has the same toxicity as the oral
formulation."
Answer:
B) "I should cover areas where the gel is applied to protect them from
sunlight."
Question 8: A patient has been receiving intravenous ketorolac 30
mg every 6 hours for postoperative pain for 4 days. The patient will
begin taking oral ketorolac 10 mg every 4 to 6 hours to prepare for
discharge in 1 or 2 days. The patient asks the nurse whether this
drug will be prescribed for management of pain after discharge.
The nurse will respond by telling the patient that the provider will
prescribe a(n):
A. different nonsteroidal anti-inflammatory drug for home
management of pain.
B. fixed-dose opioid analgesic/nonsteroidal anti-inflammatory
medication.
C. lower dose of the oral ketorolac for long-term pain management.
D. intranasal preparation of ketorolac for pain management at home.
Answer:
A) different nonsteroidal anti-inflammatory drug for home management of pain.
NURSING EXAM
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR JUST RELEASED
Question 1: An older male patient with an increased risk of MI is
taking furosemide (Lasix) and low-dose aspirin. The patient is
admitted to the hospital, and the nurse notes an initial blood
pressure of 140/80 mm Hg. The patient has had a 10-pound weight
gain since a previous admission 3 months earlier. The patient has
voided only a small amount of concentrated urine. The serum
creatinine and blood urea nitrogen (BUN) levels are elevated. The
nurse will contact the provider to discuss:
A. adding an antihypertensive medication.
B. obtaining serum electrolytes.
C. ordering a potassium-sparing diuretic.
D. withdrawing the aspirin.
Answer:
D) withdrawing the aspirin.
Question 2: A pregnant patient in her third trimester asks the nurse
whether she can take aspirin for headaches. Which response by the
nurse is correct?
A. "Aspirin is safe during the second and third trimesters of
pregnancy."
B. "Aspirin may cause premature closure of the ductus arteriosus in
your baby."
C. "Aspirin may induce premature labor and should be avoided in the
third trimester."
, D. "You should use a first-generation nonsteroidal anti-inflammatory
medication."
Answer:
B) "Aspirin may cause premature closure of the ductus arteriosus in your
baby."
Question 3: A nurse is caring for a patient who has been taking
low-dose aspirin for several days. The nurse notes that the patient
has copious amounts of watery nasal secretions and an urticarial
rash. The nurse will contact the provider to discuss:
A. administering epinephrine.
B. changing to a first-generation NSAID.
C. reducing the dose of aspirin.
D. giving an antihistamine.
Answer:
A) administering epinephrine.
Question 4: A nurse is teaching a nursing student who wants to
know how aspirin and nonaspirin first-generation NSAIDs differ.
Which statement by the student indicates a need for further
teaching?
A. "Unlike aspirin, first-generation NSAIDs cause reversible inhibition
of cyclooxygenase."
B. "NSAIDs do not increase the risk of MI and stroke; however, unlike
ASA, they do not provide protective benefits against those
conditions."
C. "Unlike aspirin, first-generation NSAIDs do not carry a risk of
hypersensitivity reactions."
D. "Unlike aspirin, first-generation NSAIDs cause little or no
suppression of platelet aggregation."
,Answer:
C) "Unlike aspirin, first-generation NSAIDs do not carry a risk of
hypersensitivity reactions."
Question 5: A nurse is providing teaching for an adult patient with
arthritis who has been instructed to take ibuprofen (Motrin) for
discomfort. Which statement by the patient indicates a need for
further teaching?
A. "I may experience tinnitus with higher doses of this medication."
B. "I may take up to 800 mg 4 times daily for pain."
C. "I should limit alcohol intake to fewer than three drinks a day."
D. "I will take this medication with meals to help prevent stomach
upset."
Answer:
A) "I may experience tinnitus with higher doses of this medication."
Question 6: A patient with arthritis asks a nurse which nonsteroidal
anti-inflammatory medication is best to take. The nurse learns that
this patient has a family history of cardiovascular disease. The
nurse will recommend which NSAID?
A. Celecoxib (Celebrex)
B. Diclofenac (Voltaren)
C. Ketorolac intranasal (Sprix)
D. Naproxen (AIeve)
Answer:
B) Diclofenac (Voltaren)
, Question 7: A nurse is providing medication teaching for a patient
who will begin taking diclofenac (Voltaren) gel for osteoarthritis in
both knees and elbows. Which statement by the patient indicates
understanding of the teaching?
A. "Because this is a topical drug, liver toxicity will not occur."
B. "I should cover areas where the gel is applied to protect them from
sunlight."
C. "I will apply equal amounts of gel to all affected areas."
D. "The topical formulation has the same toxicity as the oral
formulation."
Answer:
B) "I should cover areas where the gel is applied to protect them from
sunlight."
Question 8: A patient has been receiving intravenous ketorolac 30
mg every 6 hours for postoperative pain for 4 days. The patient will
begin taking oral ketorolac 10 mg every 4 to 6 hours to prepare for
discharge in 1 or 2 days. The patient asks the nurse whether this
drug will be prescribed for management of pain after discharge.
The nurse will respond by telling the patient that the provider will
prescribe a(n):
A. different nonsteroidal anti-inflammatory drug for home
management of pain.
B. fixed-dose opioid analgesic/nonsteroidal anti-inflammatory
medication.
C. lower dose of the oral ketorolac for long-term pain management.
D. intranasal preparation of ketorolac for pain management at home.
Answer:
A) different nonsteroidal anti-inflammatory drug for home management of pain.
