NR 565 VERIFIED MIDTERM EXAM QUESTIONS AND
ANSWERS
A nurse is teaching a drug prevention class to a group of parents of adolescents.
Which statement by a parent indicates understanding of the teaching?
a. "Compared with alcohol, marijuana has little or no long-term adverse effects."
b. "Ecstasy causes reversible damage to serotonergic neurons."
c. "LSD does not cause an abstinence syndrome when it is withdrawn."
d. "Most individuals who abuse opioids began using them therapeutically."
c.
A nurse is caring for a patient who is addicted to barbiturates and who will begin
receiving phenobarbital. The nurse discusses the care of this patient with a
nursing student. Which statement by the student indicates understanding of the
teaching?
a. "Phenobarbital acts as an antagonist to barbiturates and prevents toxicity."
b. "Phenobarbital has a long half-life and can be tapered gradually to minimize
abstinence
symptoms."
c. "Phenobarbital can be administered on an as-needed basis to treat withdrawal
symptoms."
d. "Phenobarbital prevents respiratory depression associated with barbiturate
withdrawal."
b.
Which factors make meperidine an opioid of choice among nurses and
physicians who abuse opioids?
Select all that apply.
a. Easy access to syringes for administration of the drug
b. Highly effective oral dosing
Increased effects on smooth muscle function
c. Less pupillary constriction than other opioids
d. Shorter half-life than other opioids
b.
d.
,A college student is brought to the emergency department by a group of friends
who report that they had been dancing at a nightclub when their friend collapsed.
The patient has a temperature of 105° F and shows jaw clenching and confusion.
The nurse will expect to administer which medication?
a. Dantrolene [Dantrium]
b. Haloperidol [Haldol]
c. Methadone
d. Naloxone [Narcan]
a.
A patient arrives in the emergency department acutely intoxicated and difficult to
arouse. The patient's friends tell the nurse that the patient took a handful of
diazepam [Valium] pills while at a party several hours ago. The nurse will expect
to administer which drug?
a. Buprenorphine [Subutex]
b. Flumazenil [Romazicon]
c. Nalmefene [Revex]
d. Naloxone [Narcan]
b.
A patient who has a long-term addiction to opioids takes an overdose of
barbiturates. The nurse preparing to care for this patient will anticipate:
a. a severe abstinence syndrome when the effects of the barbiturates are
reversed.
b. minimal respiratory depression, because the patient has developed a tolerance
to opioids.
c. observing pinpoint pupils, respiratory depression, and possibly coma in this
patient.
d. using naloxone [Narcan] to reverse the effects of the barbiturates, because
cross-tolerance is likely.
c.
A college student admits frequent use of LSD to a nurse and reports plans to stop
using it. What will the nurse tell this student?
,a. Flashback episodes and episodic visual disturbances are common.
b. Tolerance to the effects of LSD will fade quickly once use of the drug has
stopped.
c. Withdrawal symptoms can be mitigated with haloperidol [Haldol].
d. Withdrawal from LSD is associated with a severe abstinence syndrome.
b.
A school nurse is teaching a high school health class about the effects of
marijuana use. Which statement by a student indicates a need for further
teaching?
a. "Chronic use of marijuana can result in irreversible brain changes."
b. "Higher doses of marijuana are likely to produce increased euphoria."
c. "Marijuana is unique in that it produces euphoria, sedation, and
hallucinations."
d. "Marijuana has more prolonged effects when it is ingested than when it is
smoked."
b.
A pregnant patient reports using marijuana during her pregnancy. She asks the
nurse whether this will affect the fetus. What should the nurse tell her?
a. Children born to patients who use marijuana will have smaller brains.
b. Neonates born to patients who use marijuana will have withdrawal syndromes.
c. Preschool-aged children born to patients who use marijuana are more likely to
be
hyperactive.
d. School-aged children born to patients who use marijuana often have difficulty
with
memory.
d.
A patient who is a heroin addict is admitted to a methadone substitution program.
After administering the first dose of methadone, the nurse notes that the patient
shows signs of euphoria and complains of nausea. What will the nurse do?
a. Administer nalmefene [Revex].
, b. Contact the provider to obtain an order for naloxone [Narcan].
c. Question the patient about heroin use that day.
d. Suspect that the patient exaggerated the amount of heroin used
d.
A nurse is teaching a nursing student how blood can return to the heart when
pressure in the venous capillary beds is very low. Which statement by the student
indicates a need for further teaching?
a. "Constriction of small muscles in the venous wall increases venous pressure."
b. "Negative pressure in the left atrium draws blood toward the heart."
c. "Skeletal muscles relax to allow the free flow of blood."
d. "Venous valves help prevent the backflow of blood."
c.
A nurse is caring for a patient who is receiving a drug that causes constriction of
arterioles. The nurse expects to observe which effect from this drug?
a. Decreased stroke volume
b. Increased stroke volume
c. Decreased myocardial contractility
d. Increased myocardial contractility
a.
A patient with hypertension is admitted to the hospital. On admission the
patient's heart rate is 72 beats/minute, and the blood pressure is 140/95 mm Hg.
After administering an
antihypertensive medication, the nurse notes a heart rate of 85 beats/minute and
a blood pressure of 130/80 mm Hg. What does the nurse expect to occur?
a. A decrease in the heart rate back to baseline in 1 to 2 days
b. An increase in the blood pressure within a few days
c. An increase in potassium retention in 1 to 2 days
d. A decrease in fluid retention within a week
a.
A nurse is assessing a patient who has heart failure. The patient complains of
shortness of breath, and the nurse auscultates crackles in both lungs. The nurse
ANSWERS
A nurse is teaching a drug prevention class to a group of parents of adolescents.
Which statement by a parent indicates understanding of the teaching?
a. "Compared with alcohol, marijuana has little or no long-term adverse effects."
b. "Ecstasy causes reversible damage to serotonergic neurons."
c. "LSD does not cause an abstinence syndrome when it is withdrawn."
d. "Most individuals who abuse opioids began using them therapeutically."
c.
A nurse is caring for a patient who is addicted to barbiturates and who will begin
receiving phenobarbital. The nurse discusses the care of this patient with a
nursing student. Which statement by the student indicates understanding of the
teaching?
a. "Phenobarbital acts as an antagonist to barbiturates and prevents toxicity."
b. "Phenobarbital has a long half-life and can be tapered gradually to minimize
abstinence
symptoms."
c. "Phenobarbital can be administered on an as-needed basis to treat withdrawal
symptoms."
d. "Phenobarbital prevents respiratory depression associated with barbiturate
withdrawal."
b.
Which factors make meperidine an opioid of choice among nurses and
physicians who abuse opioids?
Select all that apply.
a. Easy access to syringes for administration of the drug
b. Highly effective oral dosing
Increased effects on smooth muscle function
c. Less pupillary constriction than other opioids
d. Shorter half-life than other opioids
b.
d.
,A college student is brought to the emergency department by a group of friends
who report that they had been dancing at a nightclub when their friend collapsed.
The patient has a temperature of 105° F and shows jaw clenching and confusion.
The nurse will expect to administer which medication?
a. Dantrolene [Dantrium]
b. Haloperidol [Haldol]
c. Methadone
d. Naloxone [Narcan]
a.
A patient arrives in the emergency department acutely intoxicated and difficult to
arouse. The patient's friends tell the nurse that the patient took a handful of
diazepam [Valium] pills while at a party several hours ago. The nurse will expect
to administer which drug?
a. Buprenorphine [Subutex]
b. Flumazenil [Romazicon]
c. Nalmefene [Revex]
d. Naloxone [Narcan]
b.
A patient who has a long-term addiction to opioids takes an overdose of
barbiturates. The nurse preparing to care for this patient will anticipate:
a. a severe abstinence syndrome when the effects of the barbiturates are
reversed.
b. minimal respiratory depression, because the patient has developed a tolerance
to opioids.
c. observing pinpoint pupils, respiratory depression, and possibly coma in this
patient.
d. using naloxone [Narcan] to reverse the effects of the barbiturates, because
cross-tolerance is likely.
c.
A college student admits frequent use of LSD to a nurse and reports plans to stop
using it. What will the nurse tell this student?
,a. Flashback episodes and episodic visual disturbances are common.
b. Tolerance to the effects of LSD will fade quickly once use of the drug has
stopped.
c. Withdrawal symptoms can be mitigated with haloperidol [Haldol].
d. Withdrawal from LSD is associated with a severe abstinence syndrome.
b.
A school nurse is teaching a high school health class about the effects of
marijuana use. Which statement by a student indicates a need for further
teaching?
a. "Chronic use of marijuana can result in irreversible brain changes."
b. "Higher doses of marijuana are likely to produce increased euphoria."
c. "Marijuana is unique in that it produces euphoria, sedation, and
hallucinations."
d. "Marijuana has more prolonged effects when it is ingested than when it is
smoked."
b.
A pregnant patient reports using marijuana during her pregnancy. She asks the
nurse whether this will affect the fetus. What should the nurse tell her?
a. Children born to patients who use marijuana will have smaller brains.
b. Neonates born to patients who use marijuana will have withdrawal syndromes.
c. Preschool-aged children born to patients who use marijuana are more likely to
be
hyperactive.
d. School-aged children born to patients who use marijuana often have difficulty
with
memory.
d.
A patient who is a heroin addict is admitted to a methadone substitution program.
After administering the first dose of methadone, the nurse notes that the patient
shows signs of euphoria and complains of nausea. What will the nurse do?
a. Administer nalmefene [Revex].
, b. Contact the provider to obtain an order for naloxone [Narcan].
c. Question the patient about heroin use that day.
d. Suspect that the patient exaggerated the amount of heroin used
d.
A nurse is teaching a nursing student how blood can return to the heart when
pressure in the venous capillary beds is very low. Which statement by the student
indicates a need for further teaching?
a. "Constriction of small muscles in the venous wall increases venous pressure."
b. "Negative pressure in the left atrium draws blood toward the heart."
c. "Skeletal muscles relax to allow the free flow of blood."
d. "Venous valves help prevent the backflow of blood."
c.
A nurse is caring for a patient who is receiving a drug that causes constriction of
arterioles. The nurse expects to observe which effect from this drug?
a. Decreased stroke volume
b. Increased stroke volume
c. Decreased myocardial contractility
d. Increased myocardial contractility
a.
A patient with hypertension is admitted to the hospital. On admission the
patient's heart rate is 72 beats/minute, and the blood pressure is 140/95 mm Hg.
After administering an
antihypertensive medication, the nurse notes a heart rate of 85 beats/minute and
a blood pressure of 130/80 mm Hg. What does the nurse expect to occur?
a. A decrease in the heart rate back to baseline in 1 to 2 days
b. An increase in the blood pressure within a few days
c. An increase in potassium retention in 1 to 2 days
d. A decrease in fluid retention within a week
a.
A nurse is assessing a patient who has heart failure. The patient complains of
shortness of breath, and the nurse auscultates crackles in both lungs. The nurse
