NURS 615 EXAM 3 TEST PAPER COMPLETE
SOLUTIONS AND ACCURATE RESPONSES
●● Patient education when prescribing colchicine includes: 1.
Colchicine may be constipating. 2. Colchicine always causes some
degree of diarrhea. 3. Mild muscle weakness is normal. 4. Moderate
amounts of alcohol are safe with colchicine.
Answer: 2. Ans: 2 ____
●● Larry is taking allopurinol to prevent gout. Monitoring of a patient
who is taking allopurinol includes: 1. Complete blood count 2. Blood
glucose 3. C-reactive protein 4. BUN, creatinine, and creatinine
clearance
Answer: 3. Ans: 4 ____
●● Phil is starting treatment with febuxostat (Uloric). Education of
patients starting febuxostat includes: 1. Gout may worsen with therapy.
2. Febuxostat may cause severe diarrhea. 3. He should consume a high-
calcium diet. 4. He will need frequent CBC monitoring.
Answer: 4. Ans: 1 ____
●● Sallie has been taking 10 mg per day of prednisone for the past 6
months. She should be assessed for: 1. Gout 2. Iron deficiency anemia 3.
Osteoporosis 4. Renal dysfunction
Answer: 5. Ans: 3 ____
,●● Patients whose total dose of prednisone will exceed 1 gram will most
likely need a second prescription for: 1. Metformin, a biguanide to
prevent diabetes 2. Omeprazole, a proton pump inhibitor to prevent
peptic ulcer disease 3. Naproxen, an NSAID to treat joint pain 4.
Furosemide, a diuretic to treat fluid retention
Answer: 6.Ans: 2 ____
●● Daniel has been on 60 mg of prednisone for 10 days to treat a severe
asthma exacerbation. It is time to discontinue the prednisone. How is
prednisone discontinued? 1. Patients with asthma are transitioned
directly off the prednisone onto inhaled corticosteroids. 2. Prednisone
can be abruptly discontinued with no adverse effects. 3. Develop a
tapering schedule to slowly wean Daniel off the prednisone. 4.
Substitute the prednisone with another anti-inflammatory such as
ibuprofen.
Answer: 7. Ans: 3 ____
●● Patients with rheumatoid arthritis who are on chronic low-dose
prednisone will need co-treatment with which medications to prevent
further adverse effects? 1. A bisphosphonate 2. Calcium supplementation
3. Vitamin D 4. All of the above
Answer: 8.Ans: 4 ____
,●● Patients who are on or who will be starting chronic corticosteroid
therapy need monitoring of: 1. Serum glucose 2. Stool culture 3. Folate
levels 4. Vitamin B12
Answer: 9. Ans: 1 ____
●● Patients who are on chronic long-term corticosteroid therapy need
education regarding: 1. Receiving all vaccinations, especially the live flu
vaccine 2. Reporting black tarry stools or abdominal pain 3. Eating a
high carbohydrate diet with plenty of fluids 4. Small amounts of alcohol
are generally tolerated.
Answer: 10. Ans: 2 ____
●● All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA
Black Box Warning regarding: 1. Potential for causing life-threatening
GI bleeds 2. Increased risk of developing systemic arthritis with
prolonged use 3. Risk of life-threatening rashes, including Stevens-
Johnson 4. Potential for transient changes in serum glucose
Answer: 11. Ans: 1 ____
●● Jamie has fractured his ankle and has received a prescription for
acetaminophen and hydrocodone (Vicodin). Education when prescribing
Vicodin includes: 1. It is okay to double the dose of Vicodin if the pain is
severe. 2. Vicodin is not habit-forming. 3. He should not take any other
acetaminophen-containing medications. 4. Vicodin may cause diarrhea;
increase his fluid intake.
Answer: 12. Ans: 3 ____
, ●● When prescribing NSAIDS, a complete drug history should be
conducted as NSAIDs interact with these drugs: 1. Omeprazole, a proton
pump inhibitor 2. Combined oral contraceptives 3. Diphenhydramine, an
antihistamine 4. Warfarin, an anticoagulant
Answer: 13. Ans: 4 ____
●● Josefina is a 2-year-old child with acute otitis media and an upper
respiratory infection. Along with an antibiotic she receives a
recommendation to treat the ear pain with ibuprofen. What education
would her parent need regarding ibuprofen? 1. They can cut an adult
ibuprofen tablet in half to give Josefina. 2. The ibuprofen dose can be
doubled for severe pain. 3. Josefina needs to be well-hydrated while
taking ibuprofen. 4. Ibuprofen is completely safe in children with no
known adverse effects.
Answer: 14. Ans: 3 ____
●● Henry is 82 years old and takes two aspirin every morning to treat
the arthritis pain in his back. He states the aspirin helps him to "get
going" each day. Lately he has had some heartburn from the aspirin.
After ruling out an acute GI bleed, what would be an appropriate course
of treatment for Henry? 1. Add an H2 blocker such as ranitidine to his
therapy. 2. Discontinue the aspirin and switch him to Vicodin for the
pain. 3. Decrease the aspirin dose to one tablet daily. 4. Have Henry take
an antacid 15 minutes before taking the aspirin each day.
Answer: 15. Ans: 1 ____
SOLUTIONS AND ACCURATE RESPONSES
●● Patient education when prescribing colchicine includes: 1.
Colchicine may be constipating. 2. Colchicine always causes some
degree of diarrhea. 3. Mild muscle weakness is normal. 4. Moderate
amounts of alcohol are safe with colchicine.
Answer: 2. Ans: 2 ____
●● Larry is taking allopurinol to prevent gout. Monitoring of a patient
who is taking allopurinol includes: 1. Complete blood count 2. Blood
glucose 3. C-reactive protein 4. BUN, creatinine, and creatinine
clearance
Answer: 3. Ans: 4 ____
●● Phil is starting treatment with febuxostat (Uloric). Education of
patients starting febuxostat includes: 1. Gout may worsen with therapy.
2. Febuxostat may cause severe diarrhea. 3. He should consume a high-
calcium diet. 4. He will need frequent CBC monitoring.
Answer: 4. Ans: 1 ____
●● Sallie has been taking 10 mg per day of prednisone for the past 6
months. She should be assessed for: 1. Gout 2. Iron deficiency anemia 3.
Osteoporosis 4. Renal dysfunction
Answer: 5. Ans: 3 ____
,●● Patients whose total dose of prednisone will exceed 1 gram will most
likely need a second prescription for: 1. Metformin, a biguanide to
prevent diabetes 2. Omeprazole, a proton pump inhibitor to prevent
peptic ulcer disease 3. Naproxen, an NSAID to treat joint pain 4.
Furosemide, a diuretic to treat fluid retention
Answer: 6.Ans: 2 ____
●● Daniel has been on 60 mg of prednisone for 10 days to treat a severe
asthma exacerbation. It is time to discontinue the prednisone. How is
prednisone discontinued? 1. Patients with asthma are transitioned
directly off the prednisone onto inhaled corticosteroids. 2. Prednisone
can be abruptly discontinued with no adverse effects. 3. Develop a
tapering schedule to slowly wean Daniel off the prednisone. 4.
Substitute the prednisone with another anti-inflammatory such as
ibuprofen.
Answer: 7. Ans: 3 ____
●● Patients with rheumatoid arthritis who are on chronic low-dose
prednisone will need co-treatment with which medications to prevent
further adverse effects? 1. A bisphosphonate 2. Calcium supplementation
3. Vitamin D 4. All of the above
Answer: 8.Ans: 4 ____
,●● Patients who are on or who will be starting chronic corticosteroid
therapy need monitoring of: 1. Serum glucose 2. Stool culture 3. Folate
levels 4. Vitamin B12
Answer: 9. Ans: 1 ____
●● Patients who are on chronic long-term corticosteroid therapy need
education regarding: 1. Receiving all vaccinations, especially the live flu
vaccine 2. Reporting black tarry stools or abdominal pain 3. Eating a
high carbohydrate diet with plenty of fluids 4. Small amounts of alcohol
are generally tolerated.
Answer: 10. Ans: 2 ____
●● All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA
Black Box Warning regarding: 1. Potential for causing life-threatening
GI bleeds 2. Increased risk of developing systemic arthritis with
prolonged use 3. Risk of life-threatening rashes, including Stevens-
Johnson 4. Potential for transient changes in serum glucose
Answer: 11. Ans: 1 ____
●● Jamie has fractured his ankle and has received a prescription for
acetaminophen and hydrocodone (Vicodin). Education when prescribing
Vicodin includes: 1. It is okay to double the dose of Vicodin if the pain is
severe. 2. Vicodin is not habit-forming. 3. He should not take any other
acetaminophen-containing medications. 4. Vicodin may cause diarrhea;
increase his fluid intake.
Answer: 12. Ans: 3 ____
, ●● When prescribing NSAIDS, a complete drug history should be
conducted as NSAIDs interact with these drugs: 1. Omeprazole, a proton
pump inhibitor 2. Combined oral contraceptives 3. Diphenhydramine, an
antihistamine 4. Warfarin, an anticoagulant
Answer: 13. Ans: 4 ____
●● Josefina is a 2-year-old child with acute otitis media and an upper
respiratory infection. Along with an antibiotic she receives a
recommendation to treat the ear pain with ibuprofen. What education
would her parent need regarding ibuprofen? 1. They can cut an adult
ibuprofen tablet in half to give Josefina. 2. The ibuprofen dose can be
doubled for severe pain. 3. Josefina needs to be well-hydrated while
taking ibuprofen. 4. Ibuprofen is completely safe in children with no
known adverse effects.
Answer: 14. Ans: 3 ____
●● Henry is 82 years old and takes two aspirin every morning to treat
the arthritis pain in his back. He states the aspirin helps him to "get
going" each day. Lately he has had some heartburn from the aspirin.
After ruling out an acute GI bleed, what would be an appropriate course
of treatment for Henry? 1. Add an H2 blocker such as ranitidine to his
therapy. 2. Discontinue the aspirin and switch him to Vicodin for the
pain. 3. Decrease the aspirin dose to one tablet daily. 4. Have Henry take
an antacid 15 minutes before taking the aspirin each day.
Answer: 15. Ans: 1 ____
