RNSG 1430 FINAL REVIEW EXAM
Question and Answers Latest Versions
2025 TOP RATED A+
A patient with osteoarthritis has been taking ibuprofen 400 mg every
8 hours. The patient states that the drug does not seem to work as well
as it used to in controlling the pain. The most appropriate response to
the patient is based on what knowledge?
a. Another NSAID may be indicated because of individual variations
in response to drug therapy.
b. It may take several months for NSAIDs to reach therapeutic levels
in the blood and thus be effective.
c. If NSAIDs are not effective in controlling symptoms, systemic
corticosteroids are the next line of therapy.
d. The patient is probably not compliant with the drug therapy, and
therefore the nurse must initially assess the patient's knowledge base
and initiate appropriate teaching. - ANSWER-A
When assessing a patient receiving morphine sulfate 2 mg every 10
minutes via PCA pump, the nurse should take action as soon as the
patient's respiratory rate drops down to or below which parameter?
a. 16 breaths/min
b. 14 breaths/min
c. 12 breaths/min
d. 10 breaths/min - ANSWER-C
Which clinical manifestation should the nurse attribute to adverse
effects of morphine sulfate administered via PCA?
a. Diarrhea
b. Urinary incontinence
c. Nausea and vomiting
d. Increased blood pressure - ANSWER-C
. A patient asks the nurse why a dose of hydromorphone (Dilaudid) by
,IV push is given before starting the medication via PCA. Which
response is most appropriate?
a. "PCA will never be effective unless a loading dose is given first."
b. "The IV push dose will enhance the effects of the PCA for the next
8 hours."
c. "The IV push dose will provide for immediate pain relief, which
can be maintained by using the PCA."
d. "PCA takes at least 2 hours to begin working, so the IV push dose
will provide pain relief in the interim." - ANSWER-C
The nurse should teach a patient to avoid which medication while
taking ibuprofen?
a. Aspirin
b. Furosemide
c. Nitroglycerin
d. Morphine sulfate - ANSWER-A: aspirin and Ibuprofen are both
nsaid and taking both increases risk for negative side effects such as
GI bleeding.
A patient admitted with metastatic lung cancer is ordered to receive
morphine sulfate for pain. Which side effect of this medication should
the nurse try to prevent with oral intake and medication?
a. Diarrhea
b. Agitation
c. Constipation
d. Urinary incontinence - ANSWER-C: Opioids cause constipations
but is managed with medication and nutrition
The patient is receiving fentanyl patch for control of chronic cancer
pain. What should the nurse observe for in the patient as a potential
life-threatening adverse effect of this medication?
a. Hypertension
b. Pupillary dilation
c. Urinary incontinence
d. Decreased respiratory rate - ANSWER-D: Opioids can cause
decreased respirations and is treated with Narcan (Naloxone)
,The patient is a documented abuser of opioids and just had surgery.
The nurse is concerned about the high dose of opioid analgesic
prescribed for this patient. What is the best action for the nurse to
take?
a. Remember that pain can be observed in patients.
b. Relieve this patient's pain to avoid adverse consequences.
c. Be sure the patient is really in pain before giving the analgesic.
d. This patient has the right to appropriate assessment and
management of pain - ANSWER-D: patients report of pain is the best
assessment of pain.
The postoperative patient is receiving epidural fentanyl for pain relief.
For which common side effects should the nurse monitor the patient
(select all that apply.)?
a. Ataxia
b. Itching
c. Nausea
d. Urinary retention
e. Gastrointestinal bleeding - ANSWER-B,C,D
The patient's neuropathic pain is not well controlled with the opioid
analgesic prescribed. What medications may be added for a
multimodal approach to treat the patient's pain (select all that apply.)?
a. Fentanyl
b. Antiseizure drugs
c. β-Adrenergic agonists
d. Tricyclic antidepressants
e. Nonsteroidal anti-inflammatory drugs - ANSWER-B, D
Adjuvents work in combination with opioids to treat Neuropathic
pain.
The nurse is preparing to administer celecoxib 200 mg PO for pain
relief. Available are capsules containing 100 mg. How many capsules
should the nurse administer? ________ capsule (fill in the blank) -
ANSWER-2 capsules ( dont miss easy math pls)
The nurse is assessing a patients functional performance. What
, assessment parameters will be most important in this assessment?
a. Continence assessment, gait assessment, feeding assessment,
dressing assessment, transfer assessment
b. Height, weight, body mass index (BMI), vital signs assessment
c. Sleep assessment, energy assessment, memory assessment,
concentration assessment
d. Health and well-being, amount of community volunteer time,
working outside the home, and ability to care for family and house -
ANSWER-A
The nurse is assessing a patient with a mobility dysfunction and wants
to gain insight into the patients functional ability. What question
would be the most appropriate?
a.Are you able to shop for yourself?
b. Do you use a cane, walker, or wheelchair to ambulate?
c. ³Do you know what todays date is?
d.Were you sad or depressed more than once in the last 3 days?´ -
ANSWER-B
The nurse is developing an interdisciplinary plan of care using the
Roper-Logan-Tierney Model of Nursing for a patient who is currently
unconscious. Which interventions would be most critical to
developing a plan of care for this patient?
a. Eating and drinking, personal cleansing and dressing, working and
playing
b. Toileting, transferring, dressing, and bathing activities
c. Sleeping, expressing sexuality, socializing with peers
d. Maintaining a safe environment, breathing, maintaining
temperature - ANSWER-d. Maintaining a safe environment,
breathing, maintaining temperature
The home care nurse is trying to determine the necessary services for
a 65-year-old patient who was admitted to the home care service after
left knee replacement. Which tool is the best for the nurse to utilize?
a. Minimum Data Set (MDS)
b. Functional Status Scale (FSS)
c. 24-Hour Functional Ability Questionnaire (24hFAQ)
Question and Answers Latest Versions
2025 TOP RATED A+
A patient with osteoarthritis has been taking ibuprofen 400 mg every
8 hours. The patient states that the drug does not seem to work as well
as it used to in controlling the pain. The most appropriate response to
the patient is based on what knowledge?
a. Another NSAID may be indicated because of individual variations
in response to drug therapy.
b. It may take several months for NSAIDs to reach therapeutic levels
in the blood and thus be effective.
c. If NSAIDs are not effective in controlling symptoms, systemic
corticosteroids are the next line of therapy.
d. The patient is probably not compliant with the drug therapy, and
therefore the nurse must initially assess the patient's knowledge base
and initiate appropriate teaching. - ANSWER-A
When assessing a patient receiving morphine sulfate 2 mg every 10
minutes via PCA pump, the nurse should take action as soon as the
patient's respiratory rate drops down to or below which parameter?
a. 16 breaths/min
b. 14 breaths/min
c. 12 breaths/min
d. 10 breaths/min - ANSWER-C
Which clinical manifestation should the nurse attribute to adverse
effects of morphine sulfate administered via PCA?
a. Diarrhea
b. Urinary incontinence
c. Nausea and vomiting
d. Increased blood pressure - ANSWER-C
. A patient asks the nurse why a dose of hydromorphone (Dilaudid) by
,IV push is given before starting the medication via PCA. Which
response is most appropriate?
a. "PCA will never be effective unless a loading dose is given first."
b. "The IV push dose will enhance the effects of the PCA for the next
8 hours."
c. "The IV push dose will provide for immediate pain relief, which
can be maintained by using the PCA."
d. "PCA takes at least 2 hours to begin working, so the IV push dose
will provide pain relief in the interim." - ANSWER-C
The nurse should teach a patient to avoid which medication while
taking ibuprofen?
a. Aspirin
b. Furosemide
c. Nitroglycerin
d. Morphine sulfate - ANSWER-A: aspirin and Ibuprofen are both
nsaid and taking both increases risk for negative side effects such as
GI bleeding.
A patient admitted with metastatic lung cancer is ordered to receive
morphine sulfate for pain. Which side effect of this medication should
the nurse try to prevent with oral intake and medication?
a. Diarrhea
b. Agitation
c. Constipation
d. Urinary incontinence - ANSWER-C: Opioids cause constipations
but is managed with medication and nutrition
The patient is receiving fentanyl patch for control of chronic cancer
pain. What should the nurse observe for in the patient as a potential
life-threatening adverse effect of this medication?
a. Hypertension
b. Pupillary dilation
c. Urinary incontinence
d. Decreased respiratory rate - ANSWER-D: Opioids can cause
decreased respirations and is treated with Narcan (Naloxone)
,The patient is a documented abuser of opioids and just had surgery.
The nurse is concerned about the high dose of opioid analgesic
prescribed for this patient. What is the best action for the nurse to
take?
a. Remember that pain can be observed in patients.
b. Relieve this patient's pain to avoid adverse consequences.
c. Be sure the patient is really in pain before giving the analgesic.
d. This patient has the right to appropriate assessment and
management of pain - ANSWER-D: patients report of pain is the best
assessment of pain.
The postoperative patient is receiving epidural fentanyl for pain relief.
For which common side effects should the nurse monitor the patient
(select all that apply.)?
a. Ataxia
b. Itching
c. Nausea
d. Urinary retention
e. Gastrointestinal bleeding - ANSWER-B,C,D
The patient's neuropathic pain is not well controlled with the opioid
analgesic prescribed. What medications may be added for a
multimodal approach to treat the patient's pain (select all that apply.)?
a. Fentanyl
b. Antiseizure drugs
c. β-Adrenergic agonists
d. Tricyclic antidepressants
e. Nonsteroidal anti-inflammatory drugs - ANSWER-B, D
Adjuvents work in combination with opioids to treat Neuropathic
pain.
The nurse is preparing to administer celecoxib 200 mg PO for pain
relief. Available are capsules containing 100 mg. How many capsules
should the nurse administer? ________ capsule (fill in the blank) -
ANSWER-2 capsules ( dont miss easy math pls)
The nurse is assessing a patients functional performance. What
, assessment parameters will be most important in this assessment?
a. Continence assessment, gait assessment, feeding assessment,
dressing assessment, transfer assessment
b. Height, weight, body mass index (BMI), vital signs assessment
c. Sleep assessment, energy assessment, memory assessment,
concentration assessment
d. Health and well-being, amount of community volunteer time,
working outside the home, and ability to care for family and house -
ANSWER-A
The nurse is assessing a patient with a mobility dysfunction and wants
to gain insight into the patients functional ability. What question
would be the most appropriate?
a.Are you able to shop for yourself?
b. Do you use a cane, walker, or wheelchair to ambulate?
c. ³Do you know what todays date is?
d.Were you sad or depressed more than once in the last 3 days?´ -
ANSWER-B
The nurse is developing an interdisciplinary plan of care using the
Roper-Logan-Tierney Model of Nursing for a patient who is currently
unconscious. Which interventions would be most critical to
developing a plan of care for this patient?
a. Eating and drinking, personal cleansing and dressing, working and
playing
b. Toileting, transferring, dressing, and bathing activities
c. Sleeping, expressing sexuality, socializing with peers
d. Maintaining a safe environment, breathing, maintaining
temperature - ANSWER-d. Maintaining a safe environment,
breathing, maintaining temperature
The home care nurse is trying to determine the necessary services for
a 65-year-old patient who was admitted to the home care service after
left knee replacement. Which tool is the best for the nurse to utilize?
a. Minimum Data Set (MDS)
b. Functional Status Scale (FSS)
c. 24-Hour Functional Ability Questionnaire (24hFAQ)
