NURS 316 Midterm Practice Questions
and Correct Answers
When the nurse administers warfarin, it is expected that the drug will have what effect
on the body? ✅decrease in production of vitamin-K dependent clotting factors
When caring for a patient diagnosed with rheumatoid arthritis, the patient tells the nurse
that he or she has had insufficient response to NSAID drugs and his/her condition
continues to worsen. What drug does the nurse anticipate will be ordered next for this
patient? ✅Auranofin (Ridaura)
The patient receiving epoetin alfa (Procrit) asks the nurse why it has to be administered
IV because he read that it could self-administered subcutaneously. What is the nurse's
best response ? ✅Giving the drug by the IV route makes it begin working sooner.
A client asks "What do these basophils and mast cells do in the body?" The health care
provider responds that they: ✅"[...] are involved when you have an allergic reaction"
A patient asks the nurse what a cancer cell's growth rate is called. What is the nurse's
best response? ✅Cancer cell's growth rate is called proliferation
A client presents to the emergency clinic not feeling well. Which of the following
complaints leads the health care provider to suspect the client may have acute
leukaemia? ✅Bleeding from the gums, not related to brushing the teeth
A nurse is assessing the patient's home medication use. After listening to the patient list
current medications, the nurse asks what priority question? ✅"Do you have any over-
the-counter medications?"
Which of the following facts underlies the concept of replicator senescence?
✅Telomeres become more progressively shorter in successive generations of a cell.
When performing an assessment on a school-aged child, the nurse notes that the
mucous membranes along the gym margins have a noticeable blue-coloured line. At
this point, the nurse should ask the parents about possible: ✅Exposure to lead
The nurse is caring for a patient in end-stage renal failure and anemia. What is the
cause of this patient's anemia? ✅Low erythropoietin levels
The nurse is caring for a patient who is taking bicalutamide (Casodex). For what type of
cancer would the nurse administer this drug? ✅Prostate cancer
, Which of the following trends in the hematologic status of a 6-week old infant (born at
32 weeks' gestation) most clearly warrants medical intervention? ✅Extremely low
hemacrit
A patient diagnosed with a malignancy is receiving an antimetabolite as part of his or
her medication therapy. What would the nurse be sure to teach this patient about his or
her antimetabolite medication. Select one or more: ✅A. Use safety measures due to
possible dizziness, headache, and drowsiness
B. Report all other drugs and alternative therapies he or she is taking.
D. Cover the head at extremes of temperature
The processes involved in dynamic equilibrium are key elements in the nurse's ability to
determine what? ✅Dosage scheduling
Several processes enable a drug to reach a specific concentration in the body. Together
they are called dynamic equilibrium. What are these processes? (Select all that apply.)
A) Distribution to the active site
B) Biotransformation
C) Absorption from the muscle
D) Excretion
E) Interaction with other drugs ✅A, B, D, E
The patient has taken epoetin alfa (Epogen) with good results for several months. On
the visit, the nurse analyses the patient's lab results and finds indications of severe
anemia and cytopenias. What order will the nurse anticipate receiving? ✅Discontinue
Epogen.
A client with history of antiphosholipid syndrome presents to the emergency
department. Which of the following complaints lead the nurse to suspect the client is
experiencing a complication related to the syndrome? Select all that apply. ✅A. Have
developed a cough that produced some bloody sputum.
B. Swelling in the right calf with redness and tenderness.
E. Having respiratory symptoms like shortness of breath and chest pain.
Of the following clients, which would be at highest risk for developing hyperkalemia?
Select one: ✅C. A male admitted for acute renal failure following a drug overdose
Which of the following clients is most likely to be susceptible to developing a neurogenic
fever? A client who has: ✅C. Sustained a head injury in a bicycle crash
Which of the following processes associated with cellular injury is most likely to be
reversible? ✅Cell damage resulting from accumulation of fat in the cytoplasm
and Correct Answers
When the nurse administers warfarin, it is expected that the drug will have what effect
on the body? ✅decrease in production of vitamin-K dependent clotting factors
When caring for a patient diagnosed with rheumatoid arthritis, the patient tells the nurse
that he or she has had insufficient response to NSAID drugs and his/her condition
continues to worsen. What drug does the nurse anticipate will be ordered next for this
patient? ✅Auranofin (Ridaura)
The patient receiving epoetin alfa (Procrit) asks the nurse why it has to be administered
IV because he read that it could self-administered subcutaneously. What is the nurse's
best response ? ✅Giving the drug by the IV route makes it begin working sooner.
A client asks "What do these basophils and mast cells do in the body?" The health care
provider responds that they: ✅"[...] are involved when you have an allergic reaction"
A patient asks the nurse what a cancer cell's growth rate is called. What is the nurse's
best response? ✅Cancer cell's growth rate is called proliferation
A client presents to the emergency clinic not feeling well. Which of the following
complaints leads the health care provider to suspect the client may have acute
leukaemia? ✅Bleeding from the gums, not related to brushing the teeth
A nurse is assessing the patient's home medication use. After listening to the patient list
current medications, the nurse asks what priority question? ✅"Do you have any over-
the-counter medications?"
Which of the following facts underlies the concept of replicator senescence?
✅Telomeres become more progressively shorter in successive generations of a cell.
When performing an assessment on a school-aged child, the nurse notes that the
mucous membranes along the gym margins have a noticeable blue-coloured line. At
this point, the nurse should ask the parents about possible: ✅Exposure to lead
The nurse is caring for a patient in end-stage renal failure and anemia. What is the
cause of this patient's anemia? ✅Low erythropoietin levels
The nurse is caring for a patient who is taking bicalutamide (Casodex). For what type of
cancer would the nurse administer this drug? ✅Prostate cancer
, Which of the following trends in the hematologic status of a 6-week old infant (born at
32 weeks' gestation) most clearly warrants medical intervention? ✅Extremely low
hemacrit
A patient diagnosed with a malignancy is receiving an antimetabolite as part of his or
her medication therapy. What would the nurse be sure to teach this patient about his or
her antimetabolite medication. Select one or more: ✅A. Use safety measures due to
possible dizziness, headache, and drowsiness
B. Report all other drugs and alternative therapies he or she is taking.
D. Cover the head at extremes of temperature
The processes involved in dynamic equilibrium are key elements in the nurse's ability to
determine what? ✅Dosage scheduling
Several processes enable a drug to reach a specific concentration in the body. Together
they are called dynamic equilibrium. What are these processes? (Select all that apply.)
A) Distribution to the active site
B) Biotransformation
C) Absorption from the muscle
D) Excretion
E) Interaction with other drugs ✅A, B, D, E
The patient has taken epoetin alfa (Epogen) with good results for several months. On
the visit, the nurse analyses the patient's lab results and finds indications of severe
anemia and cytopenias. What order will the nurse anticipate receiving? ✅Discontinue
Epogen.
A client with history of antiphosholipid syndrome presents to the emergency
department. Which of the following complaints lead the nurse to suspect the client is
experiencing a complication related to the syndrome? Select all that apply. ✅A. Have
developed a cough that produced some bloody sputum.
B. Swelling in the right calf with redness and tenderness.
E. Having respiratory symptoms like shortness of breath and chest pain.
Of the following clients, which would be at highest risk for developing hyperkalemia?
Select one: ✅C. A male admitted for acute renal failure following a drug overdose
Which of the following clients is most likely to be susceptible to developing a neurogenic
fever? A client who has: ✅C. Sustained a head injury in a bicycle crash
Which of the following processes associated with cellular injury is most likely to be
reversible? ✅Cell damage resulting from accumulation of fat in the cytoplasm
