NSG 318 EXAM 2 LATEST 2025
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+ GRADED STUDY
RESOURCE
RN is teaching pt about an anxiolytic for grief-related
anxiety. Which statement by the patient indicates
understanding? Correct Answer "I should try
psychotherapy or a support group with the medication."
Student-RN asks about the role of cyclooxygenase-2
(COX-2) and its role in inflammation. RN will explain that
COX-2 Correct Answer converts arachidonic acid into a
chemical mediator for inflammation
Pt asks how non steroidal anti-inflammatory drugs
(NSAIDs) work to suppress inflammation, reduce pain.
How will RN explain? Correct Answer inhibit
cyclooxyrgenase that is necessary for prostaglandin
synthesis.
*prostaglandins play a role in pain so by inhibiting those it
can help relieve the pain.
A pt taking aspirin for arthritis asks the RN why it also
causes gastrointestinal (GI) upset. The RN understands
that Correct Answer aspirin inhibits both COX-1 and COX-
2
,*COX-1 protects stomach lining
A pt taking aspirin to help prevent Myocardial infarction
(MI) is experiencing moderate gastrointestinal upset. What
can change that? Correct Answer Enteric-coated aspirin
*aspirin works as anticoagulant
The RN is caring for a postop pt whom received atropine
sulfate preop. Which will the RN report promptly? Correct
Answer absent bowel sounds
*Atropine is an anticholinergic so its going to block those
parasympathetic responses, diminished bowel sounds we
would expect but not absent.
The RN is teaching patient who will begin taking
indomethacin (Inderal) r/t rheumatoid arthritis. Which of
the following would indicate the need for further teaching?
-"I should limit sodium intake while taking this drug."
-"I will need to check my blood pressure frequently."
-"I should take indomethacin on an empty stomach."
-"I will take the medication twice daily." Correct Answer "I
should take indomethacin on an empty stomach."
*r/t = "Related to"
*indomethacin is an NSAID & with NDAIDs for the
most part we want to take them with food to help
alleviate any GI upset.
,A post partum pt is refusing opioid analgesics but rates
pain as 8/10. The RN will call provider to request an order
for which of the following? Correct Answer Ketorolac
(Toradol)
The RN is admitting a pt who reports taking
acetaminophen (Tylenol) daily for headaches. What order
will the RN anticipate? Correct Answer liver enzyme tests
*with acetaminophen (Tylenol) we are concerned with
hepatic toxicity. another very common OTC NSAID is
ibuprofen and with ibuprofen were going to be looking at
nephron toxicity, so we would want to look at BUN and
creatinine.
The ER RN has pt who got morphine for severe pain. Pt
med hx includes St. John's Wort. What will the nurse
watch for? Correct Answer Sedation
Pt had sumatriptan (Imitrex) for migraine headache. Pt
reports moderate improvement, dizzy. BP is 160/85. What
should the RN do? Correct Answer Notify the provider of
the increased blood pressure.
6-year-old post surgery. The child is awake and lying very
still, won't respond when the RN asks about pain. What
should the RN do? Correct Answer Evaluate the child's
pain using an "ouch scale"
*could use faces pain scale, want to use something
relatable to the child
, The RN is assessing a pt with gout who will begin taking
allopurinol (Zyloprim). The RN will be concerned about
what lab? Correct Answer elevated BUN and creatinine
*Gout is a form of arthritis characterized by severe pain,
redness, and tenderness in joints.
Pain and inflammation occur when too much uric acid
crystallizes and deposits in the joints.
*Zyloprim is used to prevent gout attacks by reducing uric
acid production
The RN teaching pt who will begin taking allopurinol.
Which statement by the patient indicates understanding?
Correct Answer "I will get yearly eye exams."
*vision changes is a rare side effect of allopurinol
The RN is discussing celecoxib (Celebrex) with a pt who
takes the drug for dysmenorrhea. What info will the nurse
include? Correct Answer "The initial dose will be twice that
amount of subsequent doses."
*dysmenorrhea= painful menstruation, typically involving
abdominal cramps.
RN is caring for a patient who has RA and is receiving
infliximab (Remicade) IV every 8 weeks. Which lab will the
RN anticipate? Correct Answer Complete blood count
(CBC)
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+ GRADED STUDY
RESOURCE
RN is teaching pt about an anxiolytic for grief-related
anxiety. Which statement by the patient indicates
understanding? Correct Answer "I should try
psychotherapy or a support group with the medication."
Student-RN asks about the role of cyclooxygenase-2
(COX-2) and its role in inflammation. RN will explain that
COX-2 Correct Answer converts arachidonic acid into a
chemical mediator for inflammation
Pt asks how non steroidal anti-inflammatory drugs
(NSAIDs) work to suppress inflammation, reduce pain.
How will RN explain? Correct Answer inhibit
cyclooxyrgenase that is necessary for prostaglandin
synthesis.
*prostaglandins play a role in pain so by inhibiting those it
can help relieve the pain.
A pt taking aspirin for arthritis asks the RN why it also
causes gastrointestinal (GI) upset. The RN understands
that Correct Answer aspirin inhibits both COX-1 and COX-
2
,*COX-1 protects stomach lining
A pt taking aspirin to help prevent Myocardial infarction
(MI) is experiencing moderate gastrointestinal upset. What
can change that? Correct Answer Enteric-coated aspirin
*aspirin works as anticoagulant
The RN is caring for a postop pt whom received atropine
sulfate preop. Which will the RN report promptly? Correct
Answer absent bowel sounds
*Atropine is an anticholinergic so its going to block those
parasympathetic responses, diminished bowel sounds we
would expect but not absent.
The RN is teaching patient who will begin taking
indomethacin (Inderal) r/t rheumatoid arthritis. Which of
the following would indicate the need for further teaching?
-"I should limit sodium intake while taking this drug."
-"I will need to check my blood pressure frequently."
-"I should take indomethacin on an empty stomach."
-"I will take the medication twice daily." Correct Answer "I
should take indomethacin on an empty stomach."
*r/t = "Related to"
*indomethacin is an NSAID & with NDAIDs for the
most part we want to take them with food to help
alleviate any GI upset.
,A post partum pt is refusing opioid analgesics but rates
pain as 8/10. The RN will call provider to request an order
for which of the following? Correct Answer Ketorolac
(Toradol)
The RN is admitting a pt who reports taking
acetaminophen (Tylenol) daily for headaches. What order
will the RN anticipate? Correct Answer liver enzyme tests
*with acetaminophen (Tylenol) we are concerned with
hepatic toxicity. another very common OTC NSAID is
ibuprofen and with ibuprofen were going to be looking at
nephron toxicity, so we would want to look at BUN and
creatinine.
The ER RN has pt who got morphine for severe pain. Pt
med hx includes St. John's Wort. What will the nurse
watch for? Correct Answer Sedation
Pt had sumatriptan (Imitrex) for migraine headache. Pt
reports moderate improvement, dizzy. BP is 160/85. What
should the RN do? Correct Answer Notify the provider of
the increased blood pressure.
6-year-old post surgery. The child is awake and lying very
still, won't respond when the RN asks about pain. What
should the RN do? Correct Answer Evaluate the child's
pain using an "ouch scale"
*could use faces pain scale, want to use something
relatable to the child
, The RN is assessing a pt with gout who will begin taking
allopurinol (Zyloprim). The RN will be concerned about
what lab? Correct Answer elevated BUN and creatinine
*Gout is a form of arthritis characterized by severe pain,
redness, and tenderness in joints.
Pain and inflammation occur when too much uric acid
crystallizes and deposits in the joints.
*Zyloprim is used to prevent gout attacks by reducing uric
acid production
The RN teaching pt who will begin taking allopurinol.
Which statement by the patient indicates understanding?
Correct Answer "I will get yearly eye exams."
*vision changes is a rare side effect of allopurinol
The RN is discussing celecoxib (Celebrex) with a pt who
takes the drug for dysmenorrhea. What info will the nurse
include? Correct Answer "The initial dose will be twice that
amount of subsequent doses."
*dysmenorrhea= painful menstruation, typically involving
abdominal cramps.
RN is caring for a patient who has RA and is receiving
infliximab (Remicade) IV every 8 weeks. Which lab will the
RN anticipate? Correct Answer Complete blood count
(CBC)
