NURS 3550 H EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
A 50-year-old postmenopausal patient who has had a
hysterectomy has moderate to severe vasomotor symptoms and
is discussing estrogen therapy (ET) with the nurse. The patient is
concerned about adverse effects of ET. The nurse will tell her
that:
a.
an estrogen-progesterone product will reduce side effects.
b.
an intravaginal preparation may be best for her.
c.
side effects of ET are uncommon among women her age.
d.
transdermal preparations have fewer side effects. Correct
Answer d
A 65-year-old patient who receives glucocorticoids for arthritis
is admitted to the hospital for treatment of a urinary tract
infection. The prescriber has ordered intravenous ciprofloxacin
[Cipro]. Before administering the third dose of this drug, the
nurse reviews the bacterial culture report and notes that the
causative organism is Escherichia coli. The bacterial sensitivity
report is pending. The patient complains of right ankle pain.
What will the nurse do?
a.
Withhold the dose of ciprofloxacin and notify the provider of the
patient's symptoms.
b.
,Instruct the patient to exercise the right foot and ankle to
minimize the pain.
c.
Question the patient about the consumption of milk and any
other dairy products.
d.
Request an order to increase this patient's dose of
glucocorticoids.
a.
Withhold the dose of ciprofloxacin and notify the provider of the
patient's symptoms. Correct Answer a
A 68-year-old male patient receives a prescription for 25-mg
tablets of sildenafil [Viagra] for erectile dysfunction. When he
asks the nurse how to take the medication, the nurse will tell him
to:
a.
begin taking one tablet twice daily, 12 hours apart.
b.
start with one tablet about 1 hour before anticipated sexual
activity.
c.
take 25 to 100 mg per dose 30 minutes to 4 hours before sexual
activity.
d.
take two tablets 1 hour before sexual activity with a high-fat
meal. Correct Answer b
A 70-year-old client who is taking several cardiac
antidysrhythmic medications has been prescribed simvastatin
,(Zocor) 80 mg/day. What is essential information for the nurse
to teach the client?
a. "This dose may lower your cholesterol too much."
b. "These factors may put you at higher risk for myopathy."
c. "You should not take this drug with cardiac medications."
d. "This combination will cause you to have nausea and
vomiting." Correct Answer b
A calcium channel blocker has been ordered for a client. Which
condition in the client's history is a contraindication to this
medication?
a. Hypokalemia
b. Dysrhythmias
c. Hypotension
d. Increased intracranial pressure Correct Answer a
A client is admitted to the emergency department with an acute
myocardial infarction. Which drug category does the nurse
expect to be given to the client early for the prevention of tissue
necrosis following blood clot blockage in a coronary or cerebral
artery?
a. Anticoagulant agent
b. Antiplatelet agent
c. Thrombolytic agent
d. Low-molecular-weight heparin (LMWH) Correct Answer c
, A client is prescribed enoxaparin (Lovenox). The nurse knows
that low-molecular-weight heparin (LMWH) has what kind of
half-life?
a. A longer half-life than heparin
b. A shorter half-life than heparin
c. The same half-life as heparin
d. A four-times shorter half-life than heparin Correct Answer
a
A client is prescribed losartan (Cozaar). The nurse teaches the
client that an angiotensin II receptor blocker (ARB) acts by
doing what?
a. Inhibiting angiotensin-converting enzyme
b. Blocking angiotensin II from AT1 receptors
c. Preventing the release of angiotensin I
d. Promoting the release of aldosterone Correct Answer b
A client is receiving an intravenous heparin drip. Which
laboratory value will require immediate action by the nurse?
a. Platelet count of 150,000
b. Activated partial thromboplastin time (aPTT) of 120 seconds
c. INR of 1.0
d. Blood urea nitrogen (BUN) level of 12 mg/dL Correct
Answer b. Activated partial thromboplastin time (aPTT) of 120
seconds
*normal therapeutic range is 45-75 secs
SOLUTIONS
A 50-year-old postmenopausal patient who has had a
hysterectomy has moderate to severe vasomotor symptoms and
is discussing estrogen therapy (ET) with the nurse. The patient is
concerned about adverse effects of ET. The nurse will tell her
that:
a.
an estrogen-progesterone product will reduce side effects.
b.
an intravaginal preparation may be best for her.
c.
side effects of ET are uncommon among women her age.
d.
transdermal preparations have fewer side effects. Correct
Answer d
A 65-year-old patient who receives glucocorticoids for arthritis
is admitted to the hospital for treatment of a urinary tract
infection. The prescriber has ordered intravenous ciprofloxacin
[Cipro]. Before administering the third dose of this drug, the
nurse reviews the bacterial culture report and notes that the
causative organism is Escherichia coli. The bacterial sensitivity
report is pending. The patient complains of right ankle pain.
What will the nurse do?
a.
Withhold the dose of ciprofloxacin and notify the provider of the
patient's symptoms.
b.
,Instruct the patient to exercise the right foot and ankle to
minimize the pain.
c.
Question the patient about the consumption of milk and any
other dairy products.
d.
Request an order to increase this patient's dose of
glucocorticoids.
a.
Withhold the dose of ciprofloxacin and notify the provider of the
patient's symptoms. Correct Answer a
A 68-year-old male patient receives a prescription for 25-mg
tablets of sildenafil [Viagra] for erectile dysfunction. When he
asks the nurse how to take the medication, the nurse will tell him
to:
a.
begin taking one tablet twice daily, 12 hours apart.
b.
start with one tablet about 1 hour before anticipated sexual
activity.
c.
take 25 to 100 mg per dose 30 minutes to 4 hours before sexual
activity.
d.
take two tablets 1 hour before sexual activity with a high-fat
meal. Correct Answer b
A 70-year-old client who is taking several cardiac
antidysrhythmic medications has been prescribed simvastatin
,(Zocor) 80 mg/day. What is essential information for the nurse
to teach the client?
a. "This dose may lower your cholesterol too much."
b. "These factors may put you at higher risk for myopathy."
c. "You should not take this drug with cardiac medications."
d. "This combination will cause you to have nausea and
vomiting." Correct Answer b
A calcium channel blocker has been ordered for a client. Which
condition in the client's history is a contraindication to this
medication?
a. Hypokalemia
b. Dysrhythmias
c. Hypotension
d. Increased intracranial pressure Correct Answer a
A client is admitted to the emergency department with an acute
myocardial infarction. Which drug category does the nurse
expect to be given to the client early for the prevention of tissue
necrosis following blood clot blockage in a coronary or cerebral
artery?
a. Anticoagulant agent
b. Antiplatelet agent
c. Thrombolytic agent
d. Low-molecular-weight heparin (LMWH) Correct Answer c
, A client is prescribed enoxaparin (Lovenox). The nurse knows
that low-molecular-weight heparin (LMWH) has what kind of
half-life?
a. A longer half-life than heparin
b. A shorter half-life than heparin
c. The same half-life as heparin
d. A four-times shorter half-life than heparin Correct Answer
a
A client is prescribed losartan (Cozaar). The nurse teaches the
client that an angiotensin II receptor blocker (ARB) acts by
doing what?
a. Inhibiting angiotensin-converting enzyme
b. Blocking angiotensin II from AT1 receptors
c. Preventing the release of angiotensin I
d. Promoting the release of aldosterone Correct Answer b
A client is receiving an intravenous heparin drip. Which
laboratory value will require immediate action by the nurse?
a. Platelet count of 150,000
b. Activated partial thromboplastin time (aPTT) of 120 seconds
c. INR of 1.0
d. Blood urea nitrogen (BUN) level of 12 mg/dL Correct
Answer b. Activated partial thromboplastin time (aPTT) of 120
seconds
*normal therapeutic range is 45-75 secs
