NUR 6011 Exam 4 | Questions with 100% Correct Answers |
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• Question 1
3.34 out of 3.34 points
The provider is educating a patient newly diagnosed with a seizure disorder. The patient
correctly states the goal of pharmacologic therapy as:
Selected C.
Answer: Maximally reducing seizure activity while minimizing side effects of medication
therapy
Answers: A.
Eradicating all seizure activity and then weaning off medication once the patient
is seizure free for 3 months
B.
Reducing seizure occurrence to one per week
C.
Maximally reducing seizure activity while minimizing side effects of medication
therapy
D.
Maximizing drug dosages to control seizure activity
Response Maximally reducing seizure activity while minimizing side effects of medication
Feedback: therapy is the goal of pharmacologic therapy.
• Question 2
3.34 out of 3.34 points
A client who is taking the NSAID naproxen (Naprosyn) for his osteoarthritis recently started
taking a thiazide diuretic for moderate hypertension. Which instruction is the most important for
the nurse to give to this client?
Selected C.
Answer: Have regular blood pressure monitoring.
Answers: A.
Reduce potassium intake.
B.
Watch for GI bleeding.
C.
Have regular blood pressure monitoring.
D.
Increase dietary fiber to avoid constipation
Response NSAIDs taken with thiazide diuretics can cause reduced antihypertensive and
, Feedback: diuretic effects, so blood pressure must be checked regularly and the client should
be alert for signs of fluid retention. Although it’s important for the nurse to
encourage the client to stick to the therapeutic regimen, stressing the importance of
regular blood pressure checks takes priority. Using naproxen with oral
anticoagulants or corticosteroids (not diuretics) may increase the risk of GI
bleeding. Using naproxen with other drugs has no effect on bowel pattern, so the
client need not increase dietary fiber.
• Question 3
3.34 out of 3.34 points
A young female adult who has recently begun taking sumatriptan reports a sensation of chest
pressure, without pain, and arm heaviness. What action will the provider take?
Selected B.
Answer: Reassure the patient that this is a transient, reversible side effect of the
medication.
Answers: A.
Focus on identifying any history of hypertension or coronary artery disease.
B.
Reassure the patient that this is a transient, reversible side effect of the
medication.
C.
Discontinue the sumatriptan.
D.
Determine whether the patient might be pregnant.
Response Some patients taking sumatriptan experience unpleasant chest symptoms, usually
Feedback: described as “heavy arms” or “chest pressure.” These symptoms are transient and
are not related to heart disease. Patients experiencing angina-like pain when
taking sumatriptan, as a result of coronary vasospasm, should be asked about
hypertension or coronary artery disease (CAD); they should not take sumatriptan if
they have a history of either of these. The symptoms this patient describes are not
characteristics of pregnancy. There is no need to stop taking the medication.
• Question 4
3.34 out of 3.34 points
A patient with a history of asthma experiences three or four migraine headaches each month,
uses sumatriptan as an abortive medication but has developed medication-overuse headaches.
When asked what can be done to prevent migraines, the provider suggests prescribing which
medication?
Selected B.
Answer: Topiramate
Answers: A.
Meperidine
B.
Topiramate
, C.
Botulinum toxin
D.
Timolol
Response Topiramate can be used for migraine prophylaxis, and its benefits appear equal to
Feedback: those of the first-line β blockers. Botulinum toxin can be used for migraine
prophylaxis in patients who have 15 or more headaches a month. Meperidine may
be used as abortive therapy, not prophylaxis. Timolol is a β blocker; this patient has
asthma, and because β blockers cause bronchoconstriction, these agents are not
recommended.
• Question 5
3.34 out of 3.34 points
A patient reports stopping baclofen the day before being admitted to the hospital. The provider
instructs the hospital staff to monitor the patient for which withdrawal effects?
Selected A.
Answer: Hallucinations
Answers: A.
Hallucinations
B.
Dyspnea
C.
Fatigue
D.
Dizziness
Response Abrupt discontinuation of baclofen is associated with visual hallucinations,
Feedback: paranoid ideation, and seizures. Adverse effects (not withdrawal effects) of
baclofen include weakness, dizziness, fatigue, and drowsiness. Respiratory
depression is a result of overdose of baclofen.
• Question 6
3.34 out of 3.34 points
The provider has prescribed a vasoconstrictor to be given in combination with a local anesthetic.
What is the expected goal for this action? (Select all that apply.)
Selected D.
Answers: A reduction of the risk of anesthetic toxicity
E.
A prolonging of the anesthesic effect
Answers: A.
Enhanced absorption of the anesthetic
B.
The prevention of bradycardia
C.
A shortened duration of action
Verified | Latest Update - William Paterson University.
Results
Displayed
• Question 1
3.34 out of 3.34 points
The provider is educating a patient newly diagnosed with a seizure disorder. The patient
correctly states the goal of pharmacologic therapy as:
Selected C.
Answer: Maximally reducing seizure activity while minimizing side effects of medication
therapy
Answers: A.
Eradicating all seizure activity and then weaning off medication once the patient
is seizure free for 3 months
B.
Reducing seizure occurrence to one per week
C.
Maximally reducing seizure activity while minimizing side effects of medication
therapy
D.
Maximizing drug dosages to control seizure activity
Response Maximally reducing seizure activity while minimizing side effects of medication
Feedback: therapy is the goal of pharmacologic therapy.
• Question 2
3.34 out of 3.34 points
A client who is taking the NSAID naproxen (Naprosyn) for his osteoarthritis recently started
taking a thiazide diuretic for moderate hypertension. Which instruction is the most important for
the nurse to give to this client?
Selected C.
Answer: Have regular blood pressure monitoring.
Answers: A.
Reduce potassium intake.
B.
Watch for GI bleeding.
C.
Have regular blood pressure monitoring.
D.
Increase dietary fiber to avoid constipation
Response NSAIDs taken with thiazide diuretics can cause reduced antihypertensive and
, Feedback: diuretic effects, so blood pressure must be checked regularly and the client should
be alert for signs of fluid retention. Although it’s important for the nurse to
encourage the client to stick to the therapeutic regimen, stressing the importance of
regular blood pressure checks takes priority. Using naproxen with oral
anticoagulants or corticosteroids (not diuretics) may increase the risk of GI
bleeding. Using naproxen with other drugs has no effect on bowel pattern, so the
client need not increase dietary fiber.
• Question 3
3.34 out of 3.34 points
A young female adult who has recently begun taking sumatriptan reports a sensation of chest
pressure, without pain, and arm heaviness. What action will the provider take?
Selected B.
Answer: Reassure the patient that this is a transient, reversible side effect of the
medication.
Answers: A.
Focus on identifying any history of hypertension or coronary artery disease.
B.
Reassure the patient that this is a transient, reversible side effect of the
medication.
C.
Discontinue the sumatriptan.
D.
Determine whether the patient might be pregnant.
Response Some patients taking sumatriptan experience unpleasant chest symptoms, usually
Feedback: described as “heavy arms” or “chest pressure.” These symptoms are transient and
are not related to heart disease. Patients experiencing angina-like pain when
taking sumatriptan, as a result of coronary vasospasm, should be asked about
hypertension or coronary artery disease (CAD); they should not take sumatriptan if
they have a history of either of these. The symptoms this patient describes are not
characteristics of pregnancy. There is no need to stop taking the medication.
• Question 4
3.34 out of 3.34 points
A patient with a history of asthma experiences three or four migraine headaches each month,
uses sumatriptan as an abortive medication but has developed medication-overuse headaches.
When asked what can be done to prevent migraines, the provider suggests prescribing which
medication?
Selected B.
Answer: Topiramate
Answers: A.
Meperidine
B.
Topiramate
, C.
Botulinum toxin
D.
Timolol
Response Topiramate can be used for migraine prophylaxis, and its benefits appear equal to
Feedback: those of the first-line β blockers. Botulinum toxin can be used for migraine
prophylaxis in patients who have 15 or more headaches a month. Meperidine may
be used as abortive therapy, not prophylaxis. Timolol is a β blocker; this patient has
asthma, and because β blockers cause bronchoconstriction, these agents are not
recommended.
• Question 5
3.34 out of 3.34 points
A patient reports stopping baclofen the day before being admitted to the hospital. The provider
instructs the hospital staff to monitor the patient for which withdrawal effects?
Selected A.
Answer: Hallucinations
Answers: A.
Hallucinations
B.
Dyspnea
C.
Fatigue
D.
Dizziness
Response Abrupt discontinuation of baclofen is associated with visual hallucinations,
Feedback: paranoid ideation, and seizures. Adverse effects (not withdrawal effects) of
baclofen include weakness, dizziness, fatigue, and drowsiness. Respiratory
depression is a result of overdose of baclofen.
• Question 6
3.34 out of 3.34 points
The provider has prescribed a vasoconstrictor to be given in combination with a local anesthetic.
What is the expected goal for this action? (Select all that apply.)
Selected D.
Answers: A reduction of the risk of anesthetic toxicity
E.
A prolonging of the anesthesic effect
Answers: A.
Enhanced absorption of the anesthetic
B.
The prevention of bradycardia
C.
A shortened duration of action
