NR 324/ NR324 EXAM 1: (NEW 2025/2026
UPDATE) ADULT HEALTH NURSING GUIDE |
QUESTIONS & ANSWERS | GRADE A | 100%
CORRECT (VERIFIED SOLUTIONS) –
CHAMBERLAIN
The patient's neuropathic pain is not well controlled with the opioid analgesic prescribed. What
medications may be added for a multi modal approach to treat the patient's pain? -
Antiseizure drugs
Tricyclic Antidepressants
Antiseizure drugs, tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors
(SNRIs), transdermal lidocaine, and β2-adrenergic agonists will be used for multimodal
treatment when opioid analgesics alone do not control neuropathic pain. Nonsteroidal
antiinflammatory drugs (NSAIDs), fentanyl, and β-adrenergic blockers are not used as a
multimodal approach to treat pain.
The nurse is reviewing instructions for application of the prescribed fentanyl patch. Which
statement by the patient indicates the need for additional instruction? - ""If the patch falls off,
I will put a new one on."
A transdermal patch cannot be replaced safely if it falls off. This is because the medication is
released slowly through the patch and into the skin. A new patch will increase the patient's risk
for toxicity and overdose, because the medication level on a new patch is higher than the one that
fell off. The patch can be placed on the abdomen and sites should be rotated. The patch should be
placed on intact skin.
A nurse is caring for a patient who has undergone internal fixation surgery for fracture of the
tibial shaft. The patient is on opioid drugs postsurgery to relieve postsurgical pain. On
observation, the nurse finds that the patient's respiratory rate is 7 breaths per minute and the
patient looks extremely drowsy. Which actions should the nurse take to prevent respiratory
failure in this patient? Select all that apply. - Administer oxygen to the patient
Make attempts to arouse the patient
Obtain a prescription to reduce the dosage of opioid medications
, A patient is experiencing an anaphylactic reaction after eating seafood in a restaurant. The blood
pressure is 80/42, heart rate is 116 and weak and thready, with disorientation present. What
medication should the nurse prepare to administer? - Dopamine
A blood pressure of 100/55 mm Hg in a patient with anaphylactic reaction indicates hypotension.
The patient is presently in the decompensated stage of anaphylactic shock, and the vasopressor
may help elevate the blood pressure and improve perfusion to the organs. Dopamine, which is a
vasopressor, would be beneficial for the patient. Albuterol is a bronchodilator, which opens the
patient's airway. Diphenhydramine is an antihistamine, which reduces allergic symptoms like
sneezing and running nose. Methylprednisolone is a steroid that reduces inflammatory reaction.
The nurse is caring for a patient waiting for a transplant. Family members are requesting
information about organ transplant. What information can the nurse provide to the patient and
family? Select all that apply. - Two organs can be transplanted together
Segments of organs can be transplanted instead of the complete organ
on imminent death of a donor or patient, organs can be donated with the consent of the legal next
of kin
Which immunoglobulin has the highest total serum concentration? - IgG (76%)
Which type of immunity occurs when a patient receives a hepatitis B immune globulin injection?
- Passive-artificial
The patient receives passive-artificial immunity when given an immune globulin, because
exposure via blood products is considered passive-artificial. Active-natural immunity occurs
when a patient has natural contact with the antigen. Active-artificial immunity occurs when a
patient is immunized with an antigen, for instance via vaccine.
Allergic rhinitis is a common type I hypersensitivity, which is also known as what type of
reaction? - Atopic reaction
A patient who had a kidney transplant 30 days ago has recorded a low white blood cell (WBC)
count. What explanation should the nurse give to the patient for the decreased WBC count?
Select all that apply. - Acute viral infection
Antirejection medications
The nurse is providing education to a client with an IgE-mediated hypersensitivity reaction.
What statement made by the patient indicates that further education is required? -
"Complement system is involved in IgE-mediated hypersensitivity reactions."
UPDATE) ADULT HEALTH NURSING GUIDE |
QUESTIONS & ANSWERS | GRADE A | 100%
CORRECT (VERIFIED SOLUTIONS) –
CHAMBERLAIN
The patient's neuropathic pain is not well controlled with the opioid analgesic prescribed. What
medications may be added for a multi modal approach to treat the patient's pain? -
Antiseizure drugs
Tricyclic Antidepressants
Antiseizure drugs, tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors
(SNRIs), transdermal lidocaine, and β2-adrenergic agonists will be used for multimodal
treatment when opioid analgesics alone do not control neuropathic pain. Nonsteroidal
antiinflammatory drugs (NSAIDs), fentanyl, and β-adrenergic blockers are not used as a
multimodal approach to treat pain.
The nurse is reviewing instructions for application of the prescribed fentanyl patch. Which
statement by the patient indicates the need for additional instruction? - ""If the patch falls off,
I will put a new one on."
A transdermal patch cannot be replaced safely if it falls off. This is because the medication is
released slowly through the patch and into the skin. A new patch will increase the patient's risk
for toxicity and overdose, because the medication level on a new patch is higher than the one that
fell off. The patch can be placed on the abdomen and sites should be rotated. The patch should be
placed on intact skin.
A nurse is caring for a patient who has undergone internal fixation surgery for fracture of the
tibial shaft. The patient is on opioid drugs postsurgery to relieve postsurgical pain. On
observation, the nurse finds that the patient's respiratory rate is 7 breaths per minute and the
patient looks extremely drowsy. Which actions should the nurse take to prevent respiratory
failure in this patient? Select all that apply. - Administer oxygen to the patient
Make attempts to arouse the patient
Obtain a prescription to reduce the dosage of opioid medications
, A patient is experiencing an anaphylactic reaction after eating seafood in a restaurant. The blood
pressure is 80/42, heart rate is 116 and weak and thready, with disorientation present. What
medication should the nurse prepare to administer? - Dopamine
A blood pressure of 100/55 mm Hg in a patient with anaphylactic reaction indicates hypotension.
The patient is presently in the decompensated stage of anaphylactic shock, and the vasopressor
may help elevate the blood pressure and improve perfusion to the organs. Dopamine, which is a
vasopressor, would be beneficial for the patient. Albuterol is a bronchodilator, which opens the
patient's airway. Diphenhydramine is an antihistamine, which reduces allergic symptoms like
sneezing and running nose. Methylprednisolone is a steroid that reduces inflammatory reaction.
The nurse is caring for a patient waiting for a transplant. Family members are requesting
information about organ transplant. What information can the nurse provide to the patient and
family? Select all that apply. - Two organs can be transplanted together
Segments of organs can be transplanted instead of the complete organ
on imminent death of a donor or patient, organs can be donated with the consent of the legal next
of kin
Which immunoglobulin has the highest total serum concentration? - IgG (76%)
Which type of immunity occurs when a patient receives a hepatitis B immune globulin injection?
- Passive-artificial
The patient receives passive-artificial immunity when given an immune globulin, because
exposure via blood products is considered passive-artificial. Active-natural immunity occurs
when a patient has natural contact with the antigen. Active-artificial immunity occurs when a
patient is immunized with an antigen, for instance via vaccine.
Allergic rhinitis is a common type I hypersensitivity, which is also known as what type of
reaction? - Atopic reaction
A patient who had a kidney transplant 30 days ago has recorded a low white blood cell (WBC)
count. What explanation should the nurse give to the patient for the decreased WBC count?
Select all that apply. - Acute viral infection
Antirejection medications
The nurse is providing education to a client with an IgE-mediated hypersensitivity reaction.
What statement made by the patient indicates that further education is required? -
"Complement system is involved in IgE-mediated hypersensitivity reactions."
