N191: UNIT 5 EXAM QUESTIONS AND
ANSWERS 100% CORRECT
A patient with a history of hypertension is to start drug therapy for rheumatoid arthritis.
Which drug (s) would be contraindicated, or used cautiously, for this patient? (SATA)
A.) Aspirin
B.) Ibuprofen (Advil, Motrin)
C.) Acetaminophen (Tylenol)
D.) Naproxen (Aleve)
E.) Methylprednisolone (Medrol) - ANSWER B.) Ibuprofen (Advil, Motrin)
D.) Naproxen (Aleve)
E.) Methylprednisolone (Medrol)
The patient has been taking aspirin for several days for headache. During the
assessment, the nurse discovers that the patient is experiencing ringing in the ears and
dizziness. What is the most appropriate action by the nurse?
A.) Question the patient about history of sinus infections.
B.) Determine whether the patient has mixed the aspirin with other medications
C.) Tell the patient not to take any more aspirin
D.) Tell the patient to take the aspirin with food or milk - ANSWER C.) Tell the patient not
to take any more aspirin
While educating the patient about hydrocortisone (Cortef), the nurse would instruct the
patient to contact the healthcare provider immediately if which of the following occurs?
A.) There is a decrease of 1kg (2lb) in weight.
B.) There is an increase in appetite
C.) There is tearing of the eyes
, D.) There is any difficulty breathing - ANSWER D.) There is any difficulty breathing
The nurse is admitting a patient with rheumatoid arthritis. The patient has been taking
prednisone for an extended time. During the assessment, the nurse observes that the
patient has a very round moon-shaped face, bruising, and an abnormal contour of the
shoulders. What does the nurse conclude based on these findings?
A.) These are normal reactions with the illness
B.) These are probably birth defects
C.) These are symptoms of myasthenia gravis
D.) These are symptoms of adverse drug effects from the prednisone - ANSWER D.)
These are symptoms of adverse drug effects from the prednisone
A 24-year-old patient reports taking acetaminophen (Tylenol) fairly regularly for
headaches. The nurse knows that a patient who consumes excessive acetaminophen
per day or regularly consumes alcoholic beverages should be observed for what
adverse effect?
A.) Hepatotoxicity
B.) Renal damage
C.) Thrombotic effects
D.) Pulmonary damage - ANSWER A.) Hepatotoxicity
The nurse is counseling a mother regarding antipyretic choices for her 8-year-old
daughter. When asked why aspirin is not a good drug to use, what should the nurse tell
the mother?
A.) It is not as good as good antipyretic as is acetaminophen
B.) It may increase fever in children under age 10
C.) It may produce nausea and vomiting
D.) It increases the risk of Reye's syndrome in children under 19 with viral infections -
ANSWERS 100% CORRECT
A patient with a history of hypertension is to start drug therapy for rheumatoid arthritis.
Which drug (s) would be contraindicated, or used cautiously, for this patient? (SATA)
A.) Aspirin
B.) Ibuprofen (Advil, Motrin)
C.) Acetaminophen (Tylenol)
D.) Naproxen (Aleve)
E.) Methylprednisolone (Medrol) - ANSWER B.) Ibuprofen (Advil, Motrin)
D.) Naproxen (Aleve)
E.) Methylprednisolone (Medrol)
The patient has been taking aspirin for several days for headache. During the
assessment, the nurse discovers that the patient is experiencing ringing in the ears and
dizziness. What is the most appropriate action by the nurse?
A.) Question the patient about history of sinus infections.
B.) Determine whether the patient has mixed the aspirin with other medications
C.) Tell the patient not to take any more aspirin
D.) Tell the patient to take the aspirin with food or milk - ANSWER C.) Tell the patient not
to take any more aspirin
While educating the patient about hydrocortisone (Cortef), the nurse would instruct the
patient to contact the healthcare provider immediately if which of the following occurs?
A.) There is a decrease of 1kg (2lb) in weight.
B.) There is an increase in appetite
C.) There is tearing of the eyes
, D.) There is any difficulty breathing - ANSWER D.) There is any difficulty breathing
The nurse is admitting a patient with rheumatoid arthritis. The patient has been taking
prednisone for an extended time. During the assessment, the nurse observes that the
patient has a very round moon-shaped face, bruising, and an abnormal contour of the
shoulders. What does the nurse conclude based on these findings?
A.) These are normal reactions with the illness
B.) These are probably birth defects
C.) These are symptoms of myasthenia gravis
D.) These are symptoms of adverse drug effects from the prednisone - ANSWER D.)
These are symptoms of adverse drug effects from the prednisone
A 24-year-old patient reports taking acetaminophen (Tylenol) fairly regularly for
headaches. The nurse knows that a patient who consumes excessive acetaminophen
per day or regularly consumes alcoholic beverages should be observed for what
adverse effect?
A.) Hepatotoxicity
B.) Renal damage
C.) Thrombotic effects
D.) Pulmonary damage - ANSWER A.) Hepatotoxicity
The nurse is counseling a mother regarding antipyretic choices for her 8-year-old
daughter. When asked why aspirin is not a good drug to use, what should the nurse tell
the mother?
A.) It is not as good as good antipyretic as is acetaminophen
B.) It may increase fever in children under age 10
C.) It may produce nausea and vomiting
D.) It increases the risk of Reye's syndrome in children under 19 with viral infections -
