NSG 320 ADULT HEALTH NURSING FINAL EXAM PREP QUESTIONS AND ANSWERS
GRADED A+
CHAPTER 5 - (ANSWER)
The nurse is planning care for an alert and active 85-year-old patient who takes multiple medications for
chronic cardiac and respiratory disease and lives with a daughter who works during the day. Which
nursing diagnosis is most appropriate? - (ANSWER)risk for injury related to drug-drug interactions
When caring for an older patient with hypertension who has been hospitalized after a transient ischemic
(TIA), which topic is the most important for the nurse to include in the discharge teaching? -
(ANSWER)symptoms indicating that the patient should contact the health care provider
Which action will the nurse take when planning for discharge of a 68-year-old patient who will need
daily assistance with activities such as shopping and transportation? - (ANSWER)contact the area agency
of aging
The nurse performs a comprehensive geriatric assessment of a patient who is being assessed for
admission to an assisted living facility. Which question is the most important for the nurse to ask? -
(ANSWER)are you able to prepare your own meals?
The nurse is planning discharge for an alert, homeless 70-year-old with a chronic foot infection. The
most appropriate intervention by the nurse is to - (ANSWER)refer to social services for further
assessment of patient needs.
A patient who is receiving sustained-release morphine sulfate (MS Contin) every 12 hours for chronic
pain experiences level 9 (0 to 10 scale) breakthrough pain and anxiety. Which action by the nurse is
best?
Provide amitriptyline (Elavil) 10 mg orally.
Administer lorazepam (Ativan) 1 mg orally.
Offer ibuprofen (Motrin) 400 to 800 mg orally.
Give immediate-release morphine 30 mg orally. - (ANSWER)give immediate-release morphine 30 mg
orally
,NSG 320 ADULT HEALTH NURSING FINAL EXAM PREP QUESTIONS AND ANSWERS
GRADED A+
A patient with second-degree burns has been receiving hydromorphone through patient-controlled
analgesia (PCA) for a week. The patient wakes up frequently during the night complaining of pain. What
action by the nurse is most appropriate? - (ANSWER)consult with the health care provider about using a
different treatment protocol to control the patients pain
The nurse is completing the medication reconciliation form for a patient admitted with chronic cancer
pain. Which medication is of most concern to the nurse?
Amitriptyline (Elavil) 50 mg at bedtime
Ibuprofen (Advil) 800 mg 3 times daily
Oxycodone (OxyContin) 80 mg twice daily
Meperidine (Demerol) 25 mg every 4 hours - (ANSWER)Meperidine 25 mg every 4 hours
The nurse reviews the medication administration record in order to choose the most appropriate pain
medication for a patient with cancer who describes the pain as deep, aching and at a level 8 on a 0 to 10
scale. Which medication should the nurse administer?
Fentanyl (Duragesic) patch
Ketorolac (Toradol) tablets
Hydromorphone (Dilaudid) IV
Acetaminophen (Tylenol) suppository - (ANSWER)hydromorphone IV
The nurse is caring for a patient who has diabetes and complains of chronic burning leg pain even when
taking oxycodone (OxyContin) twice daily. When reviewing the orders, which prescribed medication is
the best choice for the nurse to administer as an adjuvant to decrease the patients pain?
Aspirin (Ecotrin)
Celecoxib (Celebrex)
Amitriptyline (Elavil)
, NSG 320 ADULT HEALTH NURSING FINAL EXAM PREP QUESTIONS AND ANSWERS
GRADED A+
Acetaminophen (Tylenol) - (ANSWER)amitriptyline
The home health nurse visits an older patient with mild forgetfulness. The nurse is most concerned if
which information is obtained? - (ANSWER)the patient has lost 10 pounds (4.5 kg) during the last month
Which patient is most likely to need long-term nursing care management?
72-year-old who had a hip replacement after a fall at home
64-year-old who developed sepsis after a ruptured peptic ulcer
76-year-old who had a cholecystectomy and bile duct drainage
63-year-old with bilateral knee osteoarthritis who weighs 350 lb (159 kg) - (ANSWER)63-year-old with
bilateral knee OA who weighs 350 pounds (159 kg)
The family of an older patient with chronic health problems and increasing weakness is considering
placement in a long-term care (LTC) facility. Which action by the nurse will be most helpful in assisting
the patient to make this transition? - (ANSWER)obtain the patients input about the choice of a LTC
facility
The following medications are prescribed by the health care provider for a middle-aged patient who
uses long-acting morphine (MS Contin) for chronic back pain, but still has ongoing pain. Which
medication should the nurse question?
Morphine (Roxanol)
Pentazocine (Talwin)
Celecoxib (Celebrex)
Dexamethasone (Decadron) - (ANSWER)pentazocine
GRADED A+
CHAPTER 5 - (ANSWER)
The nurse is planning care for an alert and active 85-year-old patient who takes multiple medications for
chronic cardiac and respiratory disease and lives with a daughter who works during the day. Which
nursing diagnosis is most appropriate? - (ANSWER)risk for injury related to drug-drug interactions
When caring for an older patient with hypertension who has been hospitalized after a transient ischemic
(TIA), which topic is the most important for the nurse to include in the discharge teaching? -
(ANSWER)symptoms indicating that the patient should contact the health care provider
Which action will the nurse take when planning for discharge of a 68-year-old patient who will need
daily assistance with activities such as shopping and transportation? - (ANSWER)contact the area agency
of aging
The nurse performs a comprehensive geriatric assessment of a patient who is being assessed for
admission to an assisted living facility. Which question is the most important for the nurse to ask? -
(ANSWER)are you able to prepare your own meals?
The nurse is planning discharge for an alert, homeless 70-year-old with a chronic foot infection. The
most appropriate intervention by the nurse is to - (ANSWER)refer to social services for further
assessment of patient needs.
A patient who is receiving sustained-release morphine sulfate (MS Contin) every 12 hours for chronic
pain experiences level 9 (0 to 10 scale) breakthrough pain and anxiety. Which action by the nurse is
best?
Provide amitriptyline (Elavil) 10 mg orally.
Administer lorazepam (Ativan) 1 mg orally.
Offer ibuprofen (Motrin) 400 to 800 mg orally.
Give immediate-release morphine 30 mg orally. - (ANSWER)give immediate-release morphine 30 mg
orally
,NSG 320 ADULT HEALTH NURSING FINAL EXAM PREP QUESTIONS AND ANSWERS
GRADED A+
A patient with second-degree burns has been receiving hydromorphone through patient-controlled
analgesia (PCA) for a week. The patient wakes up frequently during the night complaining of pain. What
action by the nurse is most appropriate? - (ANSWER)consult with the health care provider about using a
different treatment protocol to control the patients pain
The nurse is completing the medication reconciliation form for a patient admitted with chronic cancer
pain. Which medication is of most concern to the nurse?
Amitriptyline (Elavil) 50 mg at bedtime
Ibuprofen (Advil) 800 mg 3 times daily
Oxycodone (OxyContin) 80 mg twice daily
Meperidine (Demerol) 25 mg every 4 hours - (ANSWER)Meperidine 25 mg every 4 hours
The nurse reviews the medication administration record in order to choose the most appropriate pain
medication for a patient with cancer who describes the pain as deep, aching and at a level 8 on a 0 to 10
scale. Which medication should the nurse administer?
Fentanyl (Duragesic) patch
Ketorolac (Toradol) tablets
Hydromorphone (Dilaudid) IV
Acetaminophen (Tylenol) suppository - (ANSWER)hydromorphone IV
The nurse is caring for a patient who has diabetes and complains of chronic burning leg pain even when
taking oxycodone (OxyContin) twice daily. When reviewing the orders, which prescribed medication is
the best choice for the nurse to administer as an adjuvant to decrease the patients pain?
Aspirin (Ecotrin)
Celecoxib (Celebrex)
Amitriptyline (Elavil)
, NSG 320 ADULT HEALTH NURSING FINAL EXAM PREP QUESTIONS AND ANSWERS
GRADED A+
Acetaminophen (Tylenol) - (ANSWER)amitriptyline
The home health nurse visits an older patient with mild forgetfulness. The nurse is most concerned if
which information is obtained? - (ANSWER)the patient has lost 10 pounds (4.5 kg) during the last month
Which patient is most likely to need long-term nursing care management?
72-year-old who had a hip replacement after a fall at home
64-year-old who developed sepsis after a ruptured peptic ulcer
76-year-old who had a cholecystectomy and bile duct drainage
63-year-old with bilateral knee osteoarthritis who weighs 350 lb (159 kg) - (ANSWER)63-year-old with
bilateral knee OA who weighs 350 pounds (159 kg)
The family of an older patient with chronic health problems and increasing weakness is considering
placement in a long-term care (LTC) facility. Which action by the nurse will be most helpful in assisting
the patient to make this transition? - (ANSWER)obtain the patients input about the choice of a LTC
facility
The following medications are prescribed by the health care provider for a middle-aged patient who
uses long-acting morphine (MS Contin) for chronic back pain, but still has ongoing pain. Which
medication should the nurse question?
Morphine (Roxanol)
Pentazocine (Talwin)
Celecoxib (Celebrex)
Dexamethasone (Decadron) - (ANSWER)pentazocine
