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PNM300 TEST 3 EXAM PREP
A patient is receiving an anticonvulsant but has no history of seizures. What is the
most likely reason the patient is receiving this drug?
a. Pain associated with peripheral neuropathy
b. Inflammation pain
c. Depression associated with chronic pain
d. Prevention of possible seizures –
- ANSWER: A.
Anticonvulsants are often used as adjuvants for treatment of neuropathic pain to
enhance analgesic efficacy.
Which types of effects are possible therapeutic effects of nonsteroidal anti-
inflammatory drugs (NSAIDs)?
a. Anxiolytic effects
b. Diuretic effects
c. Antipyretic effects
d. Antimicrobial effects –
- ANSWER: C.
A 75-year-old female patient has been given naproxen sodium (Aleve®) for the
treatment of rheumatoid arthritis. Which type of medication will have a possible
interaction with this NSAID?
a. Antibiotics
b. Decongestants
c. Anticoagulants
d. Antihistamines –
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- ANSWER: C. increased bleeding!
An older adult patient tells the nurse that he uses acetylsalicylic acid for "anything
that ails me." What are the most common signs of chronic salicylate intoxication in
adults?
a. Photosensitivity and nervousness
b. Tinnitus and hearing loss
c. Acute gastrointestinal bleeding and anorexia
d. Hyperventilation and central nervous system (CNS) effects –
- ANSWER: B.
A patient is being treated with allopurinol (Zyloprim®) for gout. Which
therapeutic result should the nurse monitor for?
a. Decreased uric acid levels
b. Adequate prothrombin time
c. Increased white blood cell count
d. Increased hemoglobin and hematocrit levels –
- ANSWER: A.
A patient is prescribed colchicine for the treatment of gout. What important
information should the nurse give the patient about this drug?
a. Fluids should be restricted while on colchicine therapy.
b. Colchicine should be taken with meals.
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c. The drug should be discontinued when symptoms are reduced.
d. Report to the health care provider the occurrence of increased pain, blood in
the urine, or excessive fatigue. –
- ANSWER: D.
Colchicine may cause renal effects!
A 55-year-old female patient is being administered ketorolac (Toradol)
intramuscularly after having orthopedic surgery. What information should the
nurse give this patient about this drug?
a. Laboratory work will be monitored weekly.
b. The medication is given slowly intramuscularly into a large muscle mass.
c. The medication is given subcutaneously, and the sites are rotated.
d. Therapeutic blood levels will occur within a month of therapy. –
- ANSWER: B.
Carboxylic acid --> ketorolac dosing is not to exceed a 5- to 7-day time period with
either the oral or intramuscular dosage forms.
A 6-year-old patient has a fever of 39.5°C during a bout of chicken pox. His
mother asks the nurse for advice to help reduce his fever. The nurse will likely
suggest which medication?
a. acetylsalicylic acid (Aspirin)
b. ketorolac (Toradol®)
c. indomethacin
d. ibuprofen (Motrin®) –
- ANSWER: D.
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A patient has used buffered acetylsalicylic acid (Aspirin) for several years as
treatment for osteoarthritis. However, the patient's symptoms are worsening, and
now something stronger is needed. The physician prescribes an NSAID and
misoprostol. The patient asks the nurse why two pills now have to be taken for the
arthritis. Which is the nurse's best response to the patient?
a. Misoprostol will also reduce the symptoms of arthritis.
b. Misoprostol potentiates the action of the NSAID so that it will work better.
c. Misoprostol reduces the mucous secretions in the stomach, which reduces
gastric irritation.
d. Misoprostol may help to prevent gastric ulcers that may occur when taking
NSAIDs. –
- ANSWER: D.
Misoprostol inhibits gastric acid secretions and stimulates mucous secretions!
A patient who has a history of coronary artery disease has been instructed to take
one 81-mg tablet of acetylsalicylic acid (Aspirin) each day. What is the purpose of
this dose of acetylsalicylic acid?
a. To prevent fever
b. To reduce inflammation
c. To relieve pain
d. To prevent thrombus formation - - ANSWER: D.
Which natural health product is sometimes used to treat the pain of osteoarthritis?
a. St. John's wort
b. Ginger
PNM300 TEST 3 EXAM PREP
A patient is receiving an anticonvulsant but has no history of seizures. What is the
most likely reason the patient is receiving this drug?
a. Pain associated with peripheral neuropathy
b. Inflammation pain
c. Depression associated with chronic pain
d. Prevention of possible seizures –
- ANSWER: A.
Anticonvulsants are often used as adjuvants for treatment of neuropathic pain to
enhance analgesic efficacy.
Which types of effects are possible therapeutic effects of nonsteroidal anti-
inflammatory drugs (NSAIDs)?
a. Anxiolytic effects
b. Diuretic effects
c. Antipyretic effects
d. Antimicrobial effects –
- ANSWER: C.
A 75-year-old female patient has been given naproxen sodium (Aleve®) for the
treatment of rheumatoid arthritis. Which type of medication will have a possible
interaction with this NSAID?
a. Antibiotics
b. Decongestants
c. Anticoagulants
d. Antihistamines –
,2|Page
- ANSWER: C. increased bleeding!
An older adult patient tells the nurse that he uses acetylsalicylic acid for "anything
that ails me." What are the most common signs of chronic salicylate intoxication in
adults?
a. Photosensitivity and nervousness
b. Tinnitus and hearing loss
c. Acute gastrointestinal bleeding and anorexia
d. Hyperventilation and central nervous system (CNS) effects –
- ANSWER: B.
A patient is being treated with allopurinol (Zyloprim®) for gout. Which
therapeutic result should the nurse monitor for?
a. Decreased uric acid levels
b. Adequate prothrombin time
c. Increased white blood cell count
d. Increased hemoglobin and hematocrit levels –
- ANSWER: A.
A patient is prescribed colchicine for the treatment of gout. What important
information should the nurse give the patient about this drug?
a. Fluids should be restricted while on colchicine therapy.
b. Colchicine should be taken with meals.
,3|Page
c. The drug should be discontinued when symptoms are reduced.
d. Report to the health care provider the occurrence of increased pain, blood in
the urine, or excessive fatigue. –
- ANSWER: D.
Colchicine may cause renal effects!
A 55-year-old female patient is being administered ketorolac (Toradol)
intramuscularly after having orthopedic surgery. What information should the
nurse give this patient about this drug?
a. Laboratory work will be monitored weekly.
b. The medication is given slowly intramuscularly into a large muscle mass.
c. The medication is given subcutaneously, and the sites are rotated.
d. Therapeutic blood levels will occur within a month of therapy. –
- ANSWER: B.
Carboxylic acid --> ketorolac dosing is not to exceed a 5- to 7-day time period with
either the oral or intramuscular dosage forms.
A 6-year-old patient has a fever of 39.5°C during a bout of chicken pox. His
mother asks the nurse for advice to help reduce his fever. The nurse will likely
suggest which medication?
a. acetylsalicylic acid (Aspirin)
b. ketorolac (Toradol®)
c. indomethacin
d. ibuprofen (Motrin®) –
- ANSWER: D.
, 4|Page
A patient has used buffered acetylsalicylic acid (Aspirin) for several years as
treatment for osteoarthritis. However, the patient's symptoms are worsening, and
now something stronger is needed. The physician prescribes an NSAID and
misoprostol. The patient asks the nurse why two pills now have to be taken for the
arthritis. Which is the nurse's best response to the patient?
a. Misoprostol will also reduce the symptoms of arthritis.
b. Misoprostol potentiates the action of the NSAID so that it will work better.
c. Misoprostol reduces the mucous secretions in the stomach, which reduces
gastric irritation.
d. Misoprostol may help to prevent gastric ulcers that may occur when taking
NSAIDs. –
- ANSWER: D.
Misoprostol inhibits gastric acid secretions and stimulates mucous secretions!
A patient who has a history of coronary artery disease has been instructed to take
one 81-mg tablet of acetylsalicylic acid (Aspirin) each day. What is the purpose of
this dose of acetylsalicylic acid?
a. To prevent fever
b. To reduce inflammation
c. To relieve pain
d. To prevent thrombus formation - - ANSWER: D.
Which natural health product is sometimes used to treat the pain of osteoarthritis?
a. St. John's wort
b. Ginger
