NSG3022 exam 3 prep test bank QUESTIONS |\ |\ |\ |\ |\ |\ |\
WITH ANSWERS |\
A nursing student asks the nurse to explain the role of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cyclooxygenase-2 (COX-2) and its role in inflammation. The nurse |\ |\ |\ |\ |\ |\ |\ |\
will explain that COX-2:
|\ |\ |\ |\ |\
a. converts arachidonic acid into a chemical mediator for
|\ |\ |\ |\ |\ |\ |\ |\ |\
inflammation. |\
b. directly causes vasodilation and increased capillary
|\ |\ |\ |\ |\ |\ |\
permeability. |\
c. irritates the gastric mucosa to cause gastrointestinal upset.
|\ |\ |\ |\ |\ |\ |\ |\
d. releases prostaglandins, which cause inflammation and pain in
|\ |\ |\ |\ |\ |\ |\ |\
tissues - CORRECT ANSWERS ✔✔a. converts arachidonic acid
|\ |\ |\ |\ |\ |\ |\ |\ |\
into a chemical mediator for inflammation
|\ |\ |\ |\ |\
A nursing student asks how nonsteroidal anti-inflammatory drugs
|\ |\ |\ |\ |\ |\ |\
(NSAIDs) work to suppress inflammation and reduce pain. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse will explain that NSAIDs:
|\ |\ |\ |\ |\
a. exert direct actions to cause relaxation of smooth muscle.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
b. inhibit the enzyme cyclooxygenase that is necessary for
|\ |\ |\ |\ |\ |\ |\ |\ |\
prostaglandin synthesis. |\ |\
c. interfere with neuronal pathways associated with prostaglandin
|\ |\ |\ |\ |\ |\ |\
action.
|\
d. suppress prostaglandin activity by blocking tissue receptor
|\ |\ |\ |\ |\ |\ |\ |\
sites. - CORRECT ANSWERS ✔✔b. inhibit the enzyme
|\ |\ |\ |\ |\ |\ |\ |\
cyclooxygenase that is necessary for prostaglandin synthesis. |\ |\ |\ |\ |\ |\
,A patient is taking ibuprofen 400 mg every 4 hours to treat
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
moderate arthritis pain and reports that it is less effective than
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
before. What action will the nurse take?
|\ |\ |\ |\ |\ |\ |\
a. Counsel the patient to discuss a change in dose or changing to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a prescription NSAID with the provider.
|\ |\ |\ |\ |\ |\ |\
b. Recommend adding aspirin to increase the anti-inflammatory
|\ |\ |\ |\ |\ |\ |\ |\
effect. |\
c. Suggest asking the provider about a short course of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
corticosteroids. |\
d. Tell the patient to increase the dose to 800 mg every 4 hours.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔a. Counsel the patient to discuss a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
change in dose or changing to a prescription NSAID with the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provider.
A patient who is taking aspirin for arthritis pain asks the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
why it also causes gastrointestinal
|\ |\ |\ |\ |\
upset. The nurse understands that this is because aspirin:
|\ |\ |\ |\ |\ |\ |\ |\
a. increases gastrointestinal secretions.
|\ |\ |\
b. increases hypersensitivity reactions.
|\ |\ |\
c. inhibits both COX-1 and COX-2.
|\ |\ |\ |\ |\
d. selectively inhibits COX-2. - CORRECT ANSWERS ✔✔c. inhibits
|\ |\ |\ |\ |\ |\ |\ |\ |\
both COX-1 and COX-2.|\ |\ |\
5. A patient is taking aspirin for secondary prevention of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
myocardial
infarction and is experiencing moderate gastrointestinal upset.
|\ |\ |\ |\ |\ |\ |\
The nurse will contact the patient's
|\ |\ |\ |\ |\ |\
,provider to discuss changing from aspirin to which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following?
a. A COX-2 inhibitor
|\ |\ |\
b. Celecoxib (Celebrex)
|\ |\
c. Enteric-coated aspirin
|\ |\
d. Ibuprofen - CORRECT ANSWERS ✔✔c. Enteric-coated aspirin
|\ |\ |\ |\ |\ |\ |\
The nurse is performing a health history on a patient who has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
arthritis. The patient reportstinnitus. Suspecting a drug adverse
|\ |\ |\ |\ |\ |\ |\ |\
effect, the nurse will ask the patient about which medication?
|\ |\ |\ |\ |\ |\ |\ |\ |\
a. . Aspirin (Bayer)
|\ |\ |\
b. Acetaminophen (Tylenol)
|\ |\
c. Anakinra (Kineret)
|\ |\
d. Prednisone (Deltasone) - CORRECT ANSWERS ✔✔a. . Aspirin
|\ |\ |\ |\ |\ |\ |\ |\ |\
(Bayer)
The nurse is teaching a patient about using high-dose aspirin to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
treat arthritis. Whatinformation
|\ |\ |\
will the nurse include when teaching this patient?
|\ |\ |\ |\ |\ |\ |\
a. "A normal serum aspirin level is between 30 and 40 mg/dL."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
b. "You may need to stop taking this drug a week prior to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgery."
c. "You will need to monitor aspirin levels if you are also taking
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
warfarin."
d. "Your stools may become dark, but this is a harmless side
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
effect." - CORRECT ANSWERS ✔✔b. "You may need to stop taking
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
this drug a week prior to surgery."
|\ |\ |\ |\ |\ |\ |\
, A patient who takes high-dose aspirin to treat rheumatoid
|\ |\ |\ |\ |\ |\ |\ |\ |\
arthritis has a serum salicylate level of
|\ |\ |\ |\ |\ |\ |\
35 mg/dL. The nurse will perform which action?
|\ |\ |\ |\ |\ |\ |\
a. Assess the patient for signs of toxicity, such as tinnitus.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
b. Monitor the patient for signs of Reye's syndrome.
|\ |\ |\ |\ |\ |\ |\ |\ |\
c. Notify the provider of severe aspirin toxicity.
|\ |\ |\ |\ |\ |\ |\ |\
d. Request an order for an increased aspirin dose - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔a. Assess the patient for signs of toxicity, such as
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tinnitus.
The nurse provides teaching for a patient who will begin taking
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
indomethacin (Inderal) totreat |\ |\ |\
rheumatoid arthritis. Which statement by the patient indicates a |\ |\ |\ |\ |\ |\ |\ |\ |\
need for further teaching? |\ |\ |\
a. "I should limit sodium intake while taking this drug."
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. "I should take indomethacin on an empty stomach."
|\ |\ |\ |\ |\ |\ |\ |\
c. "I will need to check my blood pressure frequently."
|\ |\ |\ |\ |\ |\ |\ |\ |\
d. "I will take the medication twice daily." - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔b. "I should take indomethacin on an empty stomach."
|\ |\ |\ |\ |\ |\ |\ |\
10. The nurse is caring for a postpartum woman who is refusing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
opioid analgesics but is rating |\ |\ |\ |\ |\
herpain as a 7 or 8 on a 10-point pain scale. The nurse will
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contact the provider to request an order for
|\ |\ |\ |\ |\ |\ |\ |\
which analgesic medication? |\ |\
a. Diclofenac sodium (Voltaren)
|\ |\ |\
WITH ANSWERS |\
A nursing student asks the nurse to explain the role of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cyclooxygenase-2 (COX-2) and its role in inflammation. The nurse |\ |\ |\ |\ |\ |\ |\ |\
will explain that COX-2:
|\ |\ |\ |\ |\
a. converts arachidonic acid into a chemical mediator for
|\ |\ |\ |\ |\ |\ |\ |\ |\
inflammation. |\
b. directly causes vasodilation and increased capillary
|\ |\ |\ |\ |\ |\ |\
permeability. |\
c. irritates the gastric mucosa to cause gastrointestinal upset.
|\ |\ |\ |\ |\ |\ |\ |\
d. releases prostaglandins, which cause inflammation and pain in
|\ |\ |\ |\ |\ |\ |\ |\
tissues - CORRECT ANSWERS ✔✔a. converts arachidonic acid
|\ |\ |\ |\ |\ |\ |\ |\ |\
into a chemical mediator for inflammation
|\ |\ |\ |\ |\
A nursing student asks how nonsteroidal anti-inflammatory drugs
|\ |\ |\ |\ |\ |\ |\
(NSAIDs) work to suppress inflammation and reduce pain. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse will explain that NSAIDs:
|\ |\ |\ |\ |\
a. exert direct actions to cause relaxation of smooth muscle.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
b. inhibit the enzyme cyclooxygenase that is necessary for
|\ |\ |\ |\ |\ |\ |\ |\ |\
prostaglandin synthesis. |\ |\
c. interfere with neuronal pathways associated with prostaglandin
|\ |\ |\ |\ |\ |\ |\
action.
|\
d. suppress prostaglandin activity by blocking tissue receptor
|\ |\ |\ |\ |\ |\ |\ |\
sites. - CORRECT ANSWERS ✔✔b. inhibit the enzyme
|\ |\ |\ |\ |\ |\ |\ |\
cyclooxygenase that is necessary for prostaglandin synthesis. |\ |\ |\ |\ |\ |\
,A patient is taking ibuprofen 400 mg every 4 hours to treat
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
moderate arthritis pain and reports that it is less effective than
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
before. What action will the nurse take?
|\ |\ |\ |\ |\ |\ |\
a. Counsel the patient to discuss a change in dose or changing to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a prescription NSAID with the provider.
|\ |\ |\ |\ |\ |\ |\
b. Recommend adding aspirin to increase the anti-inflammatory
|\ |\ |\ |\ |\ |\ |\ |\
effect. |\
c. Suggest asking the provider about a short course of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
corticosteroids. |\
d. Tell the patient to increase the dose to 800 mg every 4 hours.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔a. Counsel the patient to discuss a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
change in dose or changing to a prescription NSAID with the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provider.
A patient who is taking aspirin for arthritis pain asks the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
why it also causes gastrointestinal
|\ |\ |\ |\ |\
upset. The nurse understands that this is because aspirin:
|\ |\ |\ |\ |\ |\ |\ |\
a. increases gastrointestinal secretions.
|\ |\ |\
b. increases hypersensitivity reactions.
|\ |\ |\
c. inhibits both COX-1 and COX-2.
|\ |\ |\ |\ |\
d. selectively inhibits COX-2. - CORRECT ANSWERS ✔✔c. inhibits
|\ |\ |\ |\ |\ |\ |\ |\ |\
both COX-1 and COX-2.|\ |\ |\
5. A patient is taking aspirin for secondary prevention of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
myocardial
infarction and is experiencing moderate gastrointestinal upset.
|\ |\ |\ |\ |\ |\ |\
The nurse will contact the patient's
|\ |\ |\ |\ |\ |\
,provider to discuss changing from aspirin to which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following?
a. A COX-2 inhibitor
|\ |\ |\
b. Celecoxib (Celebrex)
|\ |\
c. Enteric-coated aspirin
|\ |\
d. Ibuprofen - CORRECT ANSWERS ✔✔c. Enteric-coated aspirin
|\ |\ |\ |\ |\ |\ |\
The nurse is performing a health history on a patient who has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
arthritis. The patient reportstinnitus. Suspecting a drug adverse
|\ |\ |\ |\ |\ |\ |\ |\
effect, the nurse will ask the patient about which medication?
|\ |\ |\ |\ |\ |\ |\ |\ |\
a. . Aspirin (Bayer)
|\ |\ |\
b. Acetaminophen (Tylenol)
|\ |\
c. Anakinra (Kineret)
|\ |\
d. Prednisone (Deltasone) - CORRECT ANSWERS ✔✔a. . Aspirin
|\ |\ |\ |\ |\ |\ |\ |\ |\
(Bayer)
The nurse is teaching a patient about using high-dose aspirin to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
treat arthritis. Whatinformation
|\ |\ |\
will the nurse include when teaching this patient?
|\ |\ |\ |\ |\ |\ |\
a. "A normal serum aspirin level is between 30 and 40 mg/dL."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
b. "You may need to stop taking this drug a week prior to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgery."
c. "You will need to monitor aspirin levels if you are also taking
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
warfarin."
d. "Your stools may become dark, but this is a harmless side
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
effect." - CORRECT ANSWERS ✔✔b. "You may need to stop taking
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
this drug a week prior to surgery."
|\ |\ |\ |\ |\ |\ |\
, A patient who takes high-dose aspirin to treat rheumatoid
|\ |\ |\ |\ |\ |\ |\ |\ |\
arthritis has a serum salicylate level of
|\ |\ |\ |\ |\ |\ |\
35 mg/dL. The nurse will perform which action?
|\ |\ |\ |\ |\ |\ |\
a. Assess the patient for signs of toxicity, such as tinnitus.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
b. Monitor the patient for signs of Reye's syndrome.
|\ |\ |\ |\ |\ |\ |\ |\ |\
c. Notify the provider of severe aspirin toxicity.
|\ |\ |\ |\ |\ |\ |\ |\
d. Request an order for an increased aspirin dose - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔a. Assess the patient for signs of toxicity, such as
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tinnitus.
The nurse provides teaching for a patient who will begin taking
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
indomethacin (Inderal) totreat |\ |\ |\
rheumatoid arthritis. Which statement by the patient indicates a |\ |\ |\ |\ |\ |\ |\ |\ |\
need for further teaching? |\ |\ |\
a. "I should limit sodium intake while taking this drug."
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. "I should take indomethacin on an empty stomach."
|\ |\ |\ |\ |\ |\ |\ |\
c. "I will need to check my blood pressure frequently."
|\ |\ |\ |\ |\ |\ |\ |\ |\
d. "I will take the medication twice daily." - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔b. "I should take indomethacin on an empty stomach."
|\ |\ |\ |\ |\ |\ |\ |\
10. The nurse is caring for a postpartum woman who is refusing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
opioid analgesics but is rating |\ |\ |\ |\ |\
herpain as a 7 or 8 on a 10-point pain scale. The nurse will
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contact the provider to request an order for
|\ |\ |\ |\ |\ |\ |\ |\
which analgesic medication? |\ |\
a. Diclofenac sodium (Voltaren)
|\ |\ |\
