NURS 3550 H exam with precise answers
| | | | | |
The |nurse |is |caring |for |a |patient |who |begins |to |complain |of |shortness |of |breath. |The |nurse |assesses |
the |patient |and |notes |3+ |pitting |edema |bilaterally |in |the |lower |extremities. |Which |medication |taken |
by |the |patient |causes |the |most |concern?
a.
Epoetin |alfa
b.
Filgrastim |(granulocyte |colony-stimulating |factor)
c.
Oprelvekin |(interleukin-11)
d.
Sargramostim |(granulocyte-macrophage |colony-stimulating |factor)
c.
Oprelvekin |(interleukin-11) |- |VERIFIED |ANSWER✔✔-c
A |patient |asks |the |nurse |what |type |of |medications |would |be |most |effective |for |treating |seasonal |and |
perennial |rhinitis. |Which |response |by |the |nurse |is |correct?
a.
Pseudoephedrine |[Sudafed]
b.
Fluticasone |propionate |[Fluticasone]
c.
Loratadine |[Claritin]
d.
Intranasal |cromolyn |sodium |[Atrovent] |- |VERIFIED |ANSWER✔✔-B
,A |patient |who |has |a |viral |upper |respiratory |infection |reports |having |a |runny |nose |and |a |cough |that |
prevents |sleep |and |asks |the |nurse |to |recommend |an |over-the-counter |medication. |Which |medication |
will |the |nurse |recommend?
a.
Diphenhydramine |[Benadryl]
b.
Fexofenadine/pseudoephedrine |[Allegra-D]
c.
Guaifenesin |[Mucinex]
d.
Phenylephrine |drops |- |VERIFIED |ANSWER✔✔-a
A |patient |who |is |receiving |intravenous |ciprofloxacin |for |pneumonia |develops |diarrhea. |A |stool |culture
|is |positive |for |Clostridium |difficile. |The |nurse |will |expect |the |provider |to:
a.
add |metronidazole |[Flagyl].
b.
increase |the |dose |of |ciprofloxacin.
c.
restrict |dairy |products.
d.
switch |to |gemifloxacin. |- |VERIFIED |ANSWER✔✔-a
The |nurse |is |caring |for |an |older |adult |patient |after |a |right |hip |open |reduction |internal |fixation |(ORIF). |
The |patient |is |taking |an |opioid |every |6 |hours |as |needed |for |pain. |The |nurse |discusses |obtaining |an |
order |from |the |prescriber |for |which |medication?
a.
Docusate |sodium |[Colace]
b.
GoLYTELY
,c.
Lactulose
d.
Polyethylene |glycol |[MiraLax] |- |VERIFIED |ANSWER✔✔-a
A |patient |with |a |history |of |chronic |alcohol |abuse |has |been |admitted |to |the |unit |with |cirrhosis. |Upon |
review |of |the |patient's |laboratory |test |results, |the |nurse |notes |that |the |patient's |ammonia |level |is |
elevated |at |218 |mcg/dL. |What |medication |should |the |nurse |prepare |to |administer?
a.
0.9% |NS
b.
Docusate |sodium |[Colace]
c.
Lactulose
d.
Polyethylene |glycol |[MiraLax] |- |VERIFIED |ANSWER✔✔-c
A |patient |asks |the |nurse |what |can |be |given |to |alleviate |severe, |chronic |pain |of |several |months' |
duration. |The |patient |has |been |taking |oxycodone |[OxyContin] |and |states |that |it |is |no |longer |effective.
|The |nurse |will |suggest |discussing |which |medication |with |the |provider?
a.
Fentanyl |[Duragesic] |transdermal |patch
b.
Hydrocodone |[Vicodin] |PO
c.
Meperidine |[Demerol] |PO
d.
Pentazocine |[Talwin] |PO |- |VERIFIED |ANSWER✔✔-a
, A |patient |with |moderate |to |severe |chronic |pain |has |been |taking |oxycodone |[OxyContin] |60 |mg |every |
6 |hours |PRN |for |several |months |and |tells |the |nurse |that |the |medication |is |not |as |effective |as |before. |
The |patient |asks |if |something |stronger |can |be |taken. |The |nurse |will |contact |the |provider |to |discuss:
a.
administering |a |combination |opioid |analgesic/acetaminophen |preparation.
b.
changing |the |medication |to |a |continued-release |preparation.
c.
confronting |the |patient |about |drug-seeking |behaviors.
d.
withdrawing |the |medication, |because |physical |dependence |has |occurred. |- |VERIFIED |ANSWER✔✔-b
A |patient |who |takes |nonsteroidal |anti-inflammatory |drugs |(NSAIDs) |for |arthritis |asks |a |nurse |what |can
|be |done |to |prevent |ulcers. |The |nurse |will |recommend |asking |the |provider |about |using |which |
medication?
a.
Antibiotics
b.
Histamine-2 |receptor |antagonists
c.
Proton |pump |inhibitors
d.
Mucosal |protectants |- |VERIFIED |ANSWER✔✔-c
A |patient |who |reports |regular |consumption |of |two |or |three |alcoholic |beverages |per |day |asks |about |
taking |acetaminophen |when |needed |for |occasional |recurrent |pain. |What |will |the |nurse |tell |the |
patient?
a.
"Do |not |take |more |than |2 |gm |of |acetaminophen |a |day."
b.
"Do |not |take |more |than |3 |gm |of |acetaminophen |a |day."
| | | | | |
The |nurse |is |caring |for |a |patient |who |begins |to |complain |of |shortness |of |breath. |The |nurse |assesses |
the |patient |and |notes |3+ |pitting |edema |bilaterally |in |the |lower |extremities. |Which |medication |taken |
by |the |patient |causes |the |most |concern?
a.
Epoetin |alfa
b.
Filgrastim |(granulocyte |colony-stimulating |factor)
c.
Oprelvekin |(interleukin-11)
d.
Sargramostim |(granulocyte-macrophage |colony-stimulating |factor)
c.
Oprelvekin |(interleukin-11) |- |VERIFIED |ANSWER✔✔-c
A |patient |asks |the |nurse |what |type |of |medications |would |be |most |effective |for |treating |seasonal |and |
perennial |rhinitis. |Which |response |by |the |nurse |is |correct?
a.
Pseudoephedrine |[Sudafed]
b.
Fluticasone |propionate |[Fluticasone]
c.
Loratadine |[Claritin]
d.
Intranasal |cromolyn |sodium |[Atrovent] |- |VERIFIED |ANSWER✔✔-B
,A |patient |who |has |a |viral |upper |respiratory |infection |reports |having |a |runny |nose |and |a |cough |that |
prevents |sleep |and |asks |the |nurse |to |recommend |an |over-the-counter |medication. |Which |medication |
will |the |nurse |recommend?
a.
Diphenhydramine |[Benadryl]
b.
Fexofenadine/pseudoephedrine |[Allegra-D]
c.
Guaifenesin |[Mucinex]
d.
Phenylephrine |drops |- |VERIFIED |ANSWER✔✔-a
A |patient |who |is |receiving |intravenous |ciprofloxacin |for |pneumonia |develops |diarrhea. |A |stool |culture
|is |positive |for |Clostridium |difficile. |The |nurse |will |expect |the |provider |to:
a.
add |metronidazole |[Flagyl].
b.
increase |the |dose |of |ciprofloxacin.
c.
restrict |dairy |products.
d.
switch |to |gemifloxacin. |- |VERIFIED |ANSWER✔✔-a
The |nurse |is |caring |for |an |older |adult |patient |after |a |right |hip |open |reduction |internal |fixation |(ORIF). |
The |patient |is |taking |an |opioid |every |6 |hours |as |needed |for |pain. |The |nurse |discusses |obtaining |an |
order |from |the |prescriber |for |which |medication?
a.
Docusate |sodium |[Colace]
b.
GoLYTELY
,c.
Lactulose
d.
Polyethylene |glycol |[MiraLax] |- |VERIFIED |ANSWER✔✔-a
A |patient |with |a |history |of |chronic |alcohol |abuse |has |been |admitted |to |the |unit |with |cirrhosis. |Upon |
review |of |the |patient's |laboratory |test |results, |the |nurse |notes |that |the |patient's |ammonia |level |is |
elevated |at |218 |mcg/dL. |What |medication |should |the |nurse |prepare |to |administer?
a.
0.9% |NS
b.
Docusate |sodium |[Colace]
c.
Lactulose
d.
Polyethylene |glycol |[MiraLax] |- |VERIFIED |ANSWER✔✔-c
A |patient |asks |the |nurse |what |can |be |given |to |alleviate |severe, |chronic |pain |of |several |months' |
duration. |The |patient |has |been |taking |oxycodone |[OxyContin] |and |states |that |it |is |no |longer |effective.
|The |nurse |will |suggest |discussing |which |medication |with |the |provider?
a.
Fentanyl |[Duragesic] |transdermal |patch
b.
Hydrocodone |[Vicodin] |PO
c.
Meperidine |[Demerol] |PO
d.
Pentazocine |[Talwin] |PO |- |VERIFIED |ANSWER✔✔-a
, A |patient |with |moderate |to |severe |chronic |pain |has |been |taking |oxycodone |[OxyContin] |60 |mg |every |
6 |hours |PRN |for |several |months |and |tells |the |nurse |that |the |medication |is |not |as |effective |as |before. |
The |patient |asks |if |something |stronger |can |be |taken. |The |nurse |will |contact |the |provider |to |discuss:
a.
administering |a |combination |opioid |analgesic/acetaminophen |preparation.
b.
changing |the |medication |to |a |continued-release |preparation.
c.
confronting |the |patient |about |drug-seeking |behaviors.
d.
withdrawing |the |medication, |because |physical |dependence |has |occurred. |- |VERIFIED |ANSWER✔✔-b
A |patient |who |takes |nonsteroidal |anti-inflammatory |drugs |(NSAIDs) |for |arthritis |asks |a |nurse |what |can
|be |done |to |prevent |ulcers. |The |nurse |will |recommend |asking |the |provider |about |using |which |
medication?
a.
Antibiotics
b.
Histamine-2 |receptor |antagonists
c.
Proton |pump |inhibitors
d.
Mucosal |protectants |- |VERIFIED |ANSWER✔✔-c
A |patient |who |reports |regular |consumption |of |two |or |three |alcoholic |beverages |per |day |asks |about |
taking |acetaminophen |when |needed |for |occasional |recurrent |pain. |What |will |the |nurse |tell |the |
patient?
a.
"Do |not |take |more |than |2 |gm |of |acetaminophen |a |day."
b.
"Do |not |take |more |than |3 |gm |of |acetaminophen |a |day."
