D027 REVIEW EXAM QUESTIONS WITH
CORRECT ANSWERS 100% 2025-2026
A patient who takes daily doses of aspirin is scheduled for surgery next week.
The nurse should advise the patient to do what?
Reduce the aspirin dosage by half until after surgery
Stop using aspirin immediately
Continue to use aspirin as scheduled
Stop using aspirin three days before surgery - CORRECT ANSWERS-Stop using
aspirin immediately
Correct! Aspirin at therapeutic levels may double bleeding time for up to one
week and should be discontinued at least one week prior to any surgery.
A 60-year-old female patient is about to begin long-term therapy with a
glucocorticoid. Which of the following will be important for minimizing the
risk of osteoporosis?
Skeletal x-rays before treatment
Estrogen therapy
Calcium and vitamin D supplements
Baseline vitamin D level - CORRECT ANSWERS-Calcium and vitamin D
supplements
! Glucocorticoids suppress bone creation, accelerate bone loss, and decrease
absorption of dietary calcium. Vitamin D and calcium supplementation should
,be prescribed for all individuals on long-term glucocorticoid treatment to
prevent bone loss and facilitate sufficient serum calcium and vitamin D levels.
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A patient who has been diagnosed with rheumatoid arthritis (RA) for one
month and who has generalized symptoms is taking high-dose nonsteroidal
anti-inflammatory drugs (NSAIDs) and an oral glucocorticoid. The provider
has ordered methotrexate (Rheumatrex). The patient asks the nurse why
methotrexate is necessary since pain and swelling have been well controlled
with the other medications. The nurse will tell the patient that _____________.
a methotrexate regimen can reduce the overall costs and side effects of
treatment
starting methotrexate now will help increase life expectancy
with methotrexate, doses of NSAIDs can be reduced to less toxic levels
starting methotrexate early can help delay joint degeneration - CORRECT
ANSWERS-starting methotrexate early can help delay joint degeneration
Correct! Methotrexate helps delay B and T lymphocytic joint destruction
caused by RA in 80% of patients taking the drug.
A patient has had three gout flare-ups in the past year. Which drug class will
the nurse expect the provider to order for this patient?
Nonsteroidal anti-inflammatory drugs
Glucocorticoids
Urate lowering drugs
Colchicine - CORRECT ANSWERS-Urate lowering drugs
,Patients with frequent recurrent gout require preventive treatment with a
urate-lowering drug. Glucocorticoids, NSAIDs, and conchacine are used to
treat gout flares.
A nurse provides teaching to a group of nursing students about the risks and
benefits of hormone therapy (HT), including estrogen therapy (ET) and
combination estrogen and progestin therapy (EPT). Which statement by a
student indicates an understanding of the teaching?
"ET can provide protection against coronary heart disease and reverse
osteoporosis."
"The principal benefits of ET are the suppression of menopausal symptoms
and prevention of bone loss."
"In women with established coronary heart disease, EPT can protect against
myocardial infarction."
"EPT is generally safer than ET, especially in women who have undergone
hysterectomies." - CORRECT ANSWERS-"The principal benefits of ET are the
suppression of menopausal symptoms and prevention of bone loss."
ET is prescribed to counteract the symptoms of menopause and prevent
osteoporosis. Progestin is included in EPT to prevent uterine cancer. Women
who have undergone a hysterectomy should only receive ET. HT may increase
the risk of coronary heart disease and has no preventive effect.
Which of the following is not a cellular function?
, Reproduction
Combustion
Absorption
Excretion - CORRECT ANSWERS-combustion
Which if the following can cause edema?
Decreased capillary hydrostatic pressure
Increased lymphatic pressure
Increased plasma pressure
Decreased capillary permeability - CORRECT ANSWERS-Increased lymphatic
pressure
Which of the following best describes the result of cellular reproduction?
During anaphase, the centromeres come together.
During telophase, a nuclear membrane is formed around 23 chromosomes.
Two diploid cells, called daughter cells, are produced.
Cellular reproduction has a long interphase. - CORRECT ANSWERS-Two
diploid cells, called daughter cells, are produced.
What is an example of both hyperplasia and hypertrophy?
Liver enlargement after partial removal
Uterine enlargement due to pregnancy
Cardiac enlargement due to hypertension
CORRECT ANSWERS 100% 2025-2026
A patient who takes daily doses of aspirin is scheduled for surgery next week.
The nurse should advise the patient to do what?
Reduce the aspirin dosage by half until after surgery
Stop using aspirin immediately
Continue to use aspirin as scheduled
Stop using aspirin three days before surgery - CORRECT ANSWERS-Stop using
aspirin immediately
Correct! Aspirin at therapeutic levels may double bleeding time for up to one
week and should be discontinued at least one week prior to any surgery.
A 60-year-old female patient is about to begin long-term therapy with a
glucocorticoid. Which of the following will be important for minimizing the
risk of osteoporosis?
Skeletal x-rays before treatment
Estrogen therapy
Calcium and vitamin D supplements
Baseline vitamin D level - CORRECT ANSWERS-Calcium and vitamin D
supplements
! Glucocorticoids suppress bone creation, accelerate bone loss, and decrease
absorption of dietary calcium. Vitamin D and calcium supplementation should
,be prescribed for all individuals on long-term glucocorticoid treatment to
prevent bone loss and facilitate sufficient serum calcium and vitamin D levels.
Previousquestion
Nextquestion
A patient who has been diagnosed with rheumatoid arthritis (RA) for one
month and who has generalized symptoms is taking high-dose nonsteroidal
anti-inflammatory drugs (NSAIDs) and an oral glucocorticoid. The provider
has ordered methotrexate (Rheumatrex). The patient asks the nurse why
methotrexate is necessary since pain and swelling have been well controlled
with the other medications. The nurse will tell the patient that _____________.
a methotrexate regimen can reduce the overall costs and side effects of
treatment
starting methotrexate now will help increase life expectancy
with methotrexate, doses of NSAIDs can be reduced to less toxic levels
starting methotrexate early can help delay joint degeneration - CORRECT
ANSWERS-starting methotrexate early can help delay joint degeneration
Correct! Methotrexate helps delay B and T lymphocytic joint destruction
caused by RA in 80% of patients taking the drug.
A patient has had three gout flare-ups in the past year. Which drug class will
the nurse expect the provider to order for this patient?
Nonsteroidal anti-inflammatory drugs
Glucocorticoids
Urate lowering drugs
Colchicine - CORRECT ANSWERS-Urate lowering drugs
,Patients with frequent recurrent gout require preventive treatment with a
urate-lowering drug. Glucocorticoids, NSAIDs, and conchacine are used to
treat gout flares.
A nurse provides teaching to a group of nursing students about the risks and
benefits of hormone therapy (HT), including estrogen therapy (ET) and
combination estrogen and progestin therapy (EPT). Which statement by a
student indicates an understanding of the teaching?
"ET can provide protection against coronary heart disease and reverse
osteoporosis."
"The principal benefits of ET are the suppression of menopausal symptoms
and prevention of bone loss."
"In women with established coronary heart disease, EPT can protect against
myocardial infarction."
"EPT is generally safer than ET, especially in women who have undergone
hysterectomies." - CORRECT ANSWERS-"The principal benefits of ET are the
suppression of menopausal symptoms and prevention of bone loss."
ET is prescribed to counteract the symptoms of menopause and prevent
osteoporosis. Progestin is included in EPT to prevent uterine cancer. Women
who have undergone a hysterectomy should only receive ET. HT may increase
the risk of coronary heart disease and has no preventive effect.
Which of the following is not a cellular function?
, Reproduction
Combustion
Absorption
Excretion - CORRECT ANSWERS-combustion
Which if the following can cause edema?
Decreased capillary hydrostatic pressure
Increased lymphatic pressure
Increased plasma pressure
Decreased capillary permeability - CORRECT ANSWERS-Increased lymphatic
pressure
Which of the following best describes the result of cellular reproduction?
During anaphase, the centromeres come together.
During telophase, a nuclear membrane is formed around 23 chromosomes.
Two diploid cells, called daughter cells, are produced.
Cellular reproduction has a long interphase. - CORRECT ANSWERS-Two
diploid cells, called daughter cells, are produced.
What is an example of both hyperplasia and hypertrophy?
Liver enlargement after partial removal
Uterine enlargement due to pregnancy
Cardiac enlargement due to hypertension
