NURSING MSN 571 FINAL EXAM 2026
EXAMINATION TEST COMPLETE Q&A GRADED
A+
◉ A provider is concerned about renal function in an 84-year-old
patient who is taking several medications. What laboratory result
will the provider order? Answer: Creatinine clearance
◉ An older adult patient with a history of forgetfulness will need to
take multiple drugs after discharge from the hospital. What provider
action will most successfully promote medication adherence in a
forgetful patient? Answer: Schedule medications to be taken at the
same times as much as possible
◉ A provider is reviewing an older adult patient's chart during a
routine visit. Which patient information is of most concern
regarding the renewing of medication prescriptions for highly
protein-bound drugs? Answer: Low serum albumin
◉ Four older adult patients are taking multiple medications. For
which patient is the provider most concerned about the risk for
adverse drug effects? Answer: An underweight patient with a
chronically low appetite
,◉ An older adult patient is entering into the immediate
postoperative period after a total hip replacement. The patient's son
concerned about related pain asks meperidine be prescribed since,
"I had it for severe pain when I injured when I was younger." What
action will the provider take to reduce the patient's risk for injury
while addressing the patient's pain? Answer: Prescribe morphine
and discuss the rationale with the patient's son.
◉ An older adult patient is admitted to the hospital for treatment of
an exacerbation of a chronic illness. Admission laboratory work
reveals an extremely low serum drug level of the drug used to treat
this condition. The patient's renal and hepatic function tests are
normal. What might the provider suspect as a likely cause of this
finding? Answer: Nonadherence to the medical regimen
◉ A provider obtains a drug history from an older adult who is a
new patient. Of the multiple medications taken, which two, taken
together, create a reason for concern? Answer: Amitriptyline and
diphenhydramine
◉ A frail older adult patient is admitted to the hospital after several
days of vomiting, diarrhea, poor intake of foods and fluids, and
anuria for 8 hours. What laboratory studies will the provider order
to help guide medication administration? Answer: Creatinine
clearance, Plasma drug levels, Serum albumin
, ◉ A patient has been taking oxycodone to manage severe, chronic
pain for the last 6 months but now reports that it is no longer
effective. The provider will discuss prescribing which medication for
the patient? Answer: Fentanyl transdermal patch
◉ A patient has been taking methadone for 5 months to overcome
an opioid addiction. The provider will monitor the patient for which
electrocardiographic change? Answer: Prolonged QT interval
◉ A patient receives an epidural anesthetic during labor and
delivery. What effect in the newborn in the immediate postpartum
period must the provider be prepared to address? Answer:
Bradycardia
◉ A provider has prescribed the topical anesthetic lidocaine for a
patient who has a second-degree burn on one arm. Which statement
by the patient indicates understanding of the teaching regarding this
treatment? Answer: "I will apply a thin layer of the medication to
only the burned area."
◉ Within a few minutes of administration a local anesthetic, the
patient has a pulse of 54 beats/minute, respirations of 18
breaths/minute, and a blood pressure of 90/42 mm Hg. The
provider should monitor the patient for further signs of what
condition? Answer: Heart block
EXAMINATION TEST COMPLETE Q&A GRADED
A+
◉ A provider is concerned about renal function in an 84-year-old
patient who is taking several medications. What laboratory result
will the provider order? Answer: Creatinine clearance
◉ An older adult patient with a history of forgetfulness will need to
take multiple drugs after discharge from the hospital. What provider
action will most successfully promote medication adherence in a
forgetful patient? Answer: Schedule medications to be taken at the
same times as much as possible
◉ A provider is reviewing an older adult patient's chart during a
routine visit. Which patient information is of most concern
regarding the renewing of medication prescriptions for highly
protein-bound drugs? Answer: Low serum albumin
◉ Four older adult patients are taking multiple medications. For
which patient is the provider most concerned about the risk for
adverse drug effects? Answer: An underweight patient with a
chronically low appetite
,◉ An older adult patient is entering into the immediate
postoperative period after a total hip replacement. The patient's son
concerned about related pain asks meperidine be prescribed since,
"I had it for severe pain when I injured when I was younger." What
action will the provider take to reduce the patient's risk for injury
while addressing the patient's pain? Answer: Prescribe morphine
and discuss the rationale with the patient's son.
◉ An older adult patient is admitted to the hospital for treatment of
an exacerbation of a chronic illness. Admission laboratory work
reveals an extremely low serum drug level of the drug used to treat
this condition. The patient's renal and hepatic function tests are
normal. What might the provider suspect as a likely cause of this
finding? Answer: Nonadherence to the medical regimen
◉ A provider obtains a drug history from an older adult who is a
new patient. Of the multiple medications taken, which two, taken
together, create a reason for concern? Answer: Amitriptyline and
diphenhydramine
◉ A frail older adult patient is admitted to the hospital after several
days of vomiting, diarrhea, poor intake of foods and fluids, and
anuria for 8 hours. What laboratory studies will the provider order
to help guide medication administration? Answer: Creatinine
clearance, Plasma drug levels, Serum albumin
, ◉ A patient has been taking oxycodone to manage severe, chronic
pain for the last 6 months but now reports that it is no longer
effective. The provider will discuss prescribing which medication for
the patient? Answer: Fentanyl transdermal patch
◉ A patient has been taking methadone for 5 months to overcome
an opioid addiction. The provider will monitor the patient for which
electrocardiographic change? Answer: Prolonged QT interval
◉ A patient receives an epidural anesthetic during labor and
delivery. What effect in the newborn in the immediate postpartum
period must the provider be prepared to address? Answer:
Bradycardia
◉ A provider has prescribed the topical anesthetic lidocaine for a
patient who has a second-degree burn on one arm. Which statement
by the patient indicates understanding of the teaching regarding this
treatment? Answer: "I will apply a thin layer of the medication to
only the burned area."
◉ Within a few minutes of administration a local anesthetic, the
patient has a pulse of 54 beats/minute, respirations of 18
breaths/minute, and a blood pressure of 90/42 mm Hg. The
provider should monitor the patient for further signs of what
condition? Answer: Heart block
