NUR 651 Final Study Guide Questions With Complete
Solutions
22-year-old Annie comes to the clinic complaining of copious
green eye discharge. Gram stain indicates she most likely has
gonococcal conjunctivitis. While awaiting cultures the plan of
care should include: Correct Answers IM ceftriaxone
A child may warrant "watchful waiting" instead of prescribing
an antibiotic for acute otitis media includes patients who:
Correct Answers A. Are low risk with temperature of less than
102.2
B. Have reliable parents with transportation
C. Are older than age 2 years
D. All of the above
Answer: D. All of the above
A nurse teachers a patient about using a high-dose ASA to treat
arthritis. What info will the nurse include when teaching the
patient? Correct Answers You will need to stop taking the drug
a week prior to surgery
A nursing student asks how NSAIDs work to suppress
inflammation and reduce pain. The nurse will explain that
NSAIDS: Correct Answers Inhibit cyclooxygenase that is
necessary for prostaglandin synthesis
A nursing student asks the nurse to explain the role of COX-2
and its role in inflammation. The nurse will explain that COX-2:
,Correct Answers Converts arachidonic acid into chemical
mediator for inflammation
A pain management contract is appropriate for Correct Answers
Patients with chronic pain who will require long-term use of
opiates
A patient is taking ASA to help prevent MI and is experiencing
moderate GI upset. The nurse will contact the provider to
discuss changing from ASA to which drug? Correct Answers
Enteric coated ASA
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 should the nurse take? Correct Answers
Counsel the patient to discuss a prescription NSAID with their
provider.
A patient takes high doses of ASA to treat RA and has a serum
salucylate of 35. The nurse will perform which action? Correct
Answers Assess the patient for tinnitus
A patient who has OA with mild to moderate pain asks the nurse
about taking OTC ibuprofen. What will the nurse tell the
patient? Correct Answers It may take several weeks to achieve
therapeutic effects
A patient who is taking ASA for arthritis pain asks the nurse
why it also causes GI upset. The nurse understands that this is
because ASA: Correct Answers Inhibits both COX-1 and COX-
2
, A patient with anxiety and depression may respond to: Correct
Answers Buspirone (Buspar) and an SSRI combined
A patient with depression has fatigue and sleeping all the time,
lack of motivation. What is the initial antidepressant? Correct
Answers Cymbalta
A potentially life-threatening adverse response to ACE
inhibitors is angioedema. Which statement is true about this
adverse response? Correct Answers Swelling of the tongue and
hoarseness are the most common sympotms.
A stepwise approach to the pharmacologic management of
asthma:
1. Begins with determining the severity of asthma and assessing
asthma control
2. Is used when asthma is severe and requires daily steroids
3. Allows for each provider to determine their personal approach
to the care of asthmatic patients
4. Provides a framework for the management of severe
asthmatics, but is not as helpful when patients have intermittent
asthma Correct Answers Begins with determining the severity
of asthma and assessing asthma control
A treatment plan for the management of acute pain is: Correct
Answers Negotiations with the patient to set personal goals for
pain management
Discussion of ways to improve sleep and stress
Exercise program to improve function and fitness
Solutions
22-year-old Annie comes to the clinic complaining of copious
green eye discharge. Gram stain indicates she most likely has
gonococcal conjunctivitis. While awaiting cultures the plan of
care should include: Correct Answers IM ceftriaxone
A child may warrant "watchful waiting" instead of prescribing
an antibiotic for acute otitis media includes patients who:
Correct Answers A. Are low risk with temperature of less than
102.2
B. Have reliable parents with transportation
C. Are older than age 2 years
D. All of the above
Answer: D. All of the above
A nurse teachers a patient about using a high-dose ASA to treat
arthritis. What info will the nurse include when teaching the
patient? Correct Answers You will need to stop taking the drug
a week prior to surgery
A nursing student asks how NSAIDs work to suppress
inflammation and reduce pain. The nurse will explain that
NSAIDS: Correct Answers Inhibit cyclooxygenase that is
necessary for prostaglandin synthesis
A nursing student asks the nurse to explain the role of COX-2
and its role in inflammation. The nurse will explain that COX-2:
,Correct Answers Converts arachidonic acid into chemical
mediator for inflammation
A pain management contract is appropriate for Correct Answers
Patients with chronic pain who will require long-term use of
opiates
A patient is taking ASA to help prevent MI and is experiencing
moderate GI upset. The nurse will contact the provider to
discuss changing from ASA to which drug? Correct Answers
Enteric coated ASA
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 should the nurse take? Correct Answers
Counsel the patient to discuss a prescription NSAID with their
provider.
A patient takes high doses of ASA to treat RA and has a serum
salucylate of 35. The nurse will perform which action? Correct
Answers Assess the patient for tinnitus
A patient who has OA with mild to moderate pain asks the nurse
about taking OTC ibuprofen. What will the nurse tell the
patient? Correct Answers It may take several weeks to achieve
therapeutic effects
A patient who is taking ASA for arthritis pain asks the nurse
why it also causes GI upset. The nurse understands that this is
because ASA: Correct Answers Inhibits both COX-1 and COX-
2
, A patient with anxiety and depression may respond to: Correct
Answers Buspirone (Buspar) and an SSRI combined
A patient with depression has fatigue and sleeping all the time,
lack of motivation. What is the initial antidepressant? Correct
Answers Cymbalta
A potentially life-threatening adverse response to ACE
inhibitors is angioedema. Which statement is true about this
adverse response? Correct Answers Swelling of the tongue and
hoarseness are the most common sympotms.
A stepwise approach to the pharmacologic management of
asthma:
1. Begins with determining the severity of asthma and assessing
asthma control
2. Is used when asthma is severe and requires daily steroids
3. Allows for each provider to determine their personal approach
to the care of asthmatic patients
4. Provides a framework for the management of severe
asthmatics, but is not as helpful when patients have intermittent
asthma Correct Answers Begins with determining the severity
of asthma and assessing asthma control
A treatment plan for the management of acute pain is: Correct
Answers Negotiations with the patient to set personal goals for
pain management
Discussion of ways to improve sleep and stress
Exercise program to improve function and fitness
