NUR 311 FINAL QUESTIONS WITH COMPLETE
SOLUTIONS
1. A 62-year-old woman has a reduced thyroid- stimulating
hormone level of 0.07 microunit/L and a normal T3 and T4.
Which of the following symptoms is she at risk for developing?
A. sinus bradycardia
B. premature ventricular contractions
C. atrial fibrillation
D. prolong QT interval Correct Answers C
1. A male patient is being treated for Hodgkin's lymphoma with
vincristine. He also takes phenytoin daily in the morning for a
seizure disorder. How will these two medications interact?
A. Vincristine, when combined with phenytoin, will increase
sedation.
B. Phenytoin and vincristine are metabolized by CYP3A4,
increasing vincristine toxicity.
C. Phenytoin administered with vincristine will decrease
cytotoxic drug effects.
D. Vincristine will increase the patient's risk of having a seizure.
Correct Answers A
1. A man arrives in the emergency department with a swollen
right ankle from a fall. He is complaining of pain and limited
mobility. What factor is contributing to the pain in the right
ankle? (Select all that apply.)
A. blocking of cyclooxygenase-1 (COX-1)
B. blocking of COX-1 and COX-2
C. release of prostaglandin E2
D. release of cytochrome P450
,E. release of arachidonic acid Correct Answers C and E
1. A nursing student is reviewing a 72-year-old man's chart. In
the diagnostic section of the chart, the student notices that the
man's intraocular pressure is 23 mm Hg. What should the
student suspect regarding this pressure?
A. glaucoma
B. blepharitis
C. diminished vision
D. macular degeneration Correct Answers A
1. A patient presents with a blood pressure of 162/88 mm Hg,
heart rate of 100 bpm, triglycerides of 378 mg/dL, and HDL of
25 mg/dL. Which of the following are characteristics of
metabolic syndrome? (Select all that apply.)
A. blood pressure of 162/88 mm Hg
B. heart rate of 100 bpm
C. triglycerides of 378 mg/dL
D. HDL of 25 mg/dL Correct Answers A, C, and D
1. The nurse who is caring for a patient who has been abusing
alcohol may expect to see what symptom as the patient enters
withdrawal?
A. sleep
B. muscle relaxation
C. euphoria
D. agitation Correct Answers D
10. A 14-year-old girl visits the school nurse's office. The girl
wants longer eyelashes after watching a commercial for Latisse.
, What information should the school nurse provide the girl
regarding this form of bimatoprost?
A. "This medication is only given to patients with glaucoma."
B. "This medication is not recommended for anyone under the
age of 16."
C. "You do not need this medication—your eyelashes are long
enough."
D. "You should talk to your guidance counselor about ways to
build your self-esteem." Correct Answers B
10. A 21-year-old woman is taking levothyroxine for
hypothyroidism. She has recently become sexually active and
would like to take an oral contraceptive. Which of the following
aspects of patient teaching is most accurate?
A. A low-dose oral contraceptive agent is permissible with
levothyroxine.
B. Oral contraceptive agents increase the amount of thyroid
hormone.
C. For protection from pregnancy, it is necessary to use an oral
contraceptive and an alternative form of birth control.
D. Oral contraceptive agents result in diminished levothyroxine
levels due to inactivation. Correct Answers D
10. A nurse working in the emergency department is caring for a
patient who has been brought in with suspected opioid overdose.
What is the appropriate treatment to administer?
A. disulfiram
B. naloxone
C. amitriptyline
D. chlordiazepoxide Correct Answers B
SOLUTIONS
1. A 62-year-old woman has a reduced thyroid- stimulating
hormone level of 0.07 microunit/L and a normal T3 and T4.
Which of the following symptoms is she at risk for developing?
A. sinus bradycardia
B. premature ventricular contractions
C. atrial fibrillation
D. prolong QT interval Correct Answers C
1. A male patient is being treated for Hodgkin's lymphoma with
vincristine. He also takes phenytoin daily in the morning for a
seizure disorder. How will these two medications interact?
A. Vincristine, when combined with phenytoin, will increase
sedation.
B. Phenytoin and vincristine are metabolized by CYP3A4,
increasing vincristine toxicity.
C. Phenytoin administered with vincristine will decrease
cytotoxic drug effects.
D. Vincristine will increase the patient's risk of having a seizure.
Correct Answers A
1. A man arrives in the emergency department with a swollen
right ankle from a fall. He is complaining of pain and limited
mobility. What factor is contributing to the pain in the right
ankle? (Select all that apply.)
A. blocking of cyclooxygenase-1 (COX-1)
B. blocking of COX-1 and COX-2
C. release of prostaglandin E2
D. release of cytochrome P450
,E. release of arachidonic acid Correct Answers C and E
1. A nursing student is reviewing a 72-year-old man's chart. In
the diagnostic section of the chart, the student notices that the
man's intraocular pressure is 23 mm Hg. What should the
student suspect regarding this pressure?
A. glaucoma
B. blepharitis
C. diminished vision
D. macular degeneration Correct Answers A
1. A patient presents with a blood pressure of 162/88 mm Hg,
heart rate of 100 bpm, triglycerides of 378 mg/dL, and HDL of
25 mg/dL. Which of the following are characteristics of
metabolic syndrome? (Select all that apply.)
A. blood pressure of 162/88 mm Hg
B. heart rate of 100 bpm
C. triglycerides of 378 mg/dL
D. HDL of 25 mg/dL Correct Answers A, C, and D
1. The nurse who is caring for a patient who has been abusing
alcohol may expect to see what symptom as the patient enters
withdrawal?
A. sleep
B. muscle relaxation
C. euphoria
D. agitation Correct Answers D
10. A 14-year-old girl visits the school nurse's office. The girl
wants longer eyelashes after watching a commercial for Latisse.
, What information should the school nurse provide the girl
regarding this form of bimatoprost?
A. "This medication is only given to patients with glaucoma."
B. "This medication is not recommended for anyone under the
age of 16."
C. "You do not need this medication—your eyelashes are long
enough."
D. "You should talk to your guidance counselor about ways to
build your self-esteem." Correct Answers B
10. A 21-year-old woman is taking levothyroxine for
hypothyroidism. She has recently become sexually active and
would like to take an oral contraceptive. Which of the following
aspects of patient teaching is most accurate?
A. A low-dose oral contraceptive agent is permissible with
levothyroxine.
B. Oral contraceptive agents increase the amount of thyroid
hormone.
C. For protection from pregnancy, it is necessary to use an oral
contraceptive and an alternative form of birth control.
D. Oral contraceptive agents result in diminished levothyroxine
levels due to inactivation. Correct Answers D
10. A nurse working in the emergency department is caring for a
patient who has been brought in with suspected opioid overdose.
What is the appropriate treatment to administer?
A. disulfiram
B. naloxone
C. amitriptyline
D. chlordiazepoxide Correct Answers B
