NUR 342 Exam 2 Questions With Complete Solutions
____ = accumulation of med in the bloodstream Correct
Answers toxic effect
____ = expected or predicted physiological response Correct
Answers therapeutic effect
_____ = minimum blood serum concentration before next
scheduled dose Correct Answers trough
_____ = time it takes for a med to produce a response Correct
Answers onset
_____ = unavoidable secondary effect Correct Answers SE
_____ = unintended, undesirable, often unpredictable Correct
Answers adverse effect
_____ = unpredictable response to a med Correct Answers
allergic reaction
______ = over-reaction or under-reaction or different reaction
from normal Correct Answers idiosyncratic reaction
______ = time med takes to produce greatest result Correct
Answers duration
________ = time @ which med reaches its highest effective
concentration Correct Answers peak
,_________ = point at which blood serum concentration is
reached & maintained Correct Answers plateau
__________ = time for serum med concentration to be halved
Correct Answers biological 1/2 life
______water moves into the cell / cause shift of fluid from
blood vessels into the cells Correct Answers hypotonic
-0.45% NS; 0.33%NS
-used for: free water, replace hypotonic fluid losses,
maintenance solution - no calories or replacement of daily losses
of electrolytes
*0.45% not quite 1/2 but we call in 1/2 normal saline
. A nurse is using the ISBARR physician reporting system to
report the deteriorating mental status of Mr. Sanchez, a male
patient who has been prescribed morphine via a patient-
controlled analgesia pump (PCA) for pain related to pancreatic
cancer. Place the following nursing statements related to this call
in the order in which they should be performed.
a. "I am calling about Mr. Sanchez in Room 202 who is
receiving morphine via a PCA pump for pancreatic cancer."
b. "Mr. Sanchez has been difficult to arouse and his mental
status has changed over the past 12 hours since using the pump."
,c. "You want me to discontinue the PCA pump until you see him
tonight at patient rounds."
d. "I am Rosa Clark, an RN working on the second floor of
South Street Hospital."
e. "Mr. Sanchez was admitted two days ago following a
diagnosis of pancreatic cancer."
f. "I think the dosage of morphine in Mr. Sanchez's PCA pump
needs to b Correct Answers d, a, e, b, f, c.
. A nurse is using the SOAP format of documentation to
document care of a patient who is diagnosed with type 2
diabetes. Which source of information would be the nurse's
focus when completing this documentation?
A patient problem list
Notes describing the patient's condition
Overall trends in patient status
Planned interventions and patient outcomes Correct Answers a
pt problem list
16
28 (751-808)
39 (1470-1554) Correct Answers
A friend of a nurse calls and asks if she is still working at
Memorial Hospital. The nurse replies, "Yes." The friend tells the
nurse that his girlfriend's father was just admitted as a patient
and he wants the nurse to find out how he is. The friend states,
, "Sue seems unusually worried about her dad, but she won't talk
to me and I want to be able to help her." What is the best initial
response the nurse should make?
"You shouldn't be asking me to do this. I could be fined or even
lose my job for disclosing this information."
"Sorry, but I'm not able to give information about patients to the
public—even when my best friend or a family member asks."
"Because of the Health Insurance Portability and Accountability
Act, you shouldn't be asking for this information unless the
patient has authorized you to receive it! This could get you in
trouble!"
"Why do you think Sue isn't talking about her worries?" Correct
Answers "Sorry, but I'm not able to give information about
patients to the public—even when my best friend or a family
member asks."
A medication order reads: "Hydromorphone, 2 mg IV every 3 to
4 hours PRN pain." The prefilled cartridge is available with a
label reading "Hydromorphone 2 mg/1 mL." The cartridge
contains 1.2 mL of hydromorphone. Which nursing action is
correct?
Give all the medication in the cartridge because it expanded
when it was mixed.
Call the pharmacy and request the proper dose.
Refuse to give the medication.
____ = accumulation of med in the bloodstream Correct
Answers toxic effect
____ = expected or predicted physiological response Correct
Answers therapeutic effect
_____ = minimum blood serum concentration before next
scheduled dose Correct Answers trough
_____ = time it takes for a med to produce a response Correct
Answers onset
_____ = unavoidable secondary effect Correct Answers SE
_____ = unintended, undesirable, often unpredictable Correct
Answers adverse effect
_____ = unpredictable response to a med Correct Answers
allergic reaction
______ = over-reaction or under-reaction or different reaction
from normal Correct Answers idiosyncratic reaction
______ = time med takes to produce greatest result Correct
Answers duration
________ = time @ which med reaches its highest effective
concentration Correct Answers peak
,_________ = point at which blood serum concentration is
reached & maintained Correct Answers plateau
__________ = time for serum med concentration to be halved
Correct Answers biological 1/2 life
______water moves into the cell / cause shift of fluid from
blood vessels into the cells Correct Answers hypotonic
-0.45% NS; 0.33%NS
-used for: free water, replace hypotonic fluid losses,
maintenance solution - no calories or replacement of daily losses
of electrolytes
*0.45% not quite 1/2 but we call in 1/2 normal saline
. A nurse is using the ISBARR physician reporting system to
report the deteriorating mental status of Mr. Sanchez, a male
patient who has been prescribed morphine via a patient-
controlled analgesia pump (PCA) for pain related to pancreatic
cancer. Place the following nursing statements related to this call
in the order in which they should be performed.
a. "I am calling about Mr. Sanchez in Room 202 who is
receiving morphine via a PCA pump for pancreatic cancer."
b. "Mr. Sanchez has been difficult to arouse and his mental
status has changed over the past 12 hours since using the pump."
,c. "You want me to discontinue the PCA pump until you see him
tonight at patient rounds."
d. "I am Rosa Clark, an RN working on the second floor of
South Street Hospital."
e. "Mr. Sanchez was admitted two days ago following a
diagnosis of pancreatic cancer."
f. "I think the dosage of morphine in Mr. Sanchez's PCA pump
needs to b Correct Answers d, a, e, b, f, c.
. A nurse is using the SOAP format of documentation to
document care of a patient who is diagnosed with type 2
diabetes. Which source of information would be the nurse's
focus when completing this documentation?
A patient problem list
Notes describing the patient's condition
Overall trends in patient status
Planned interventions and patient outcomes Correct Answers a
pt problem list
16
28 (751-808)
39 (1470-1554) Correct Answers
A friend of a nurse calls and asks if she is still working at
Memorial Hospital. The nurse replies, "Yes." The friend tells the
nurse that his girlfriend's father was just admitted as a patient
and he wants the nurse to find out how he is. The friend states,
, "Sue seems unusually worried about her dad, but she won't talk
to me and I want to be able to help her." What is the best initial
response the nurse should make?
"You shouldn't be asking me to do this. I could be fined or even
lose my job for disclosing this information."
"Sorry, but I'm not able to give information about patients to the
public—even when my best friend or a family member asks."
"Because of the Health Insurance Portability and Accountability
Act, you shouldn't be asking for this information unless the
patient has authorized you to receive it! This could get you in
trouble!"
"Why do you think Sue isn't talking about her worries?" Correct
Answers "Sorry, but I'm not able to give information about
patients to the public—even when my best friend or a family
member asks."
A medication order reads: "Hydromorphone, 2 mg IV every 3 to
4 hours PRN pain." The prefilled cartridge is available with a
label reading "Hydromorphone 2 mg/1 mL." The cartridge
contains 1.2 mL of hydromorphone. Which nursing action is
correct?
Give all the medication in the cartridge because it expanded
when it was mixed.
Call the pharmacy and request the proper dose.
Refuse to give the medication.
