NUR 316 Quiz 2 Practice Questions and
Correct Answers
A 30-year old client with depression has attempted suicide by overdosing on
acetaminophen (Tylenol). The nurse in the emergency department anticipates that the
client's treatment will consist of:
A: An intravenous infusion with normal saline to infuse at 1000mL per hour
B: The administration of acetylcysteine (Mucomyst) by intravenous infusion
C: Preparation for cardioversion due to the impending arrythmia
D: The assessment of liver hepatic enzymes to determine hepatotoxicity ✅B: The
administration of acetylcysteine (Mucomyst) by intravenous infusion
Acetaminophen overdose is treated with PO or IV acetylcysteine (Mucomyst). For
maximum effectiveness, the antidote should be administered within 8 hours of
acetaminophen ingestion. Options A, C, and D are incorrect. The administration of
1000mL per hour of normal saline IV would place the client at risk for fluid volume
overload. The client will not require cardioversion to treat acetaminophen poisoning.
The client's hepatic enzymes will be assessed; however, these enzymes only provide
information as to the extent of liver damage. They do not treat acute acetaminophen
overdose; they merely monitor for the effectiveness of the treatment and any effects of
the overdose itself.
A client has a fever and is allergic to aspirin. Which medication does the nurse
anticipate administering to reduce the client's fever?
A: Ibuprofen (Motrin, Advil)
B: Ketorolac (Toradol)
C: Acetaminophen (Tylenol)
D: Celecoxib (Celebrex) ✅C: Acetaminophen (Tylenol)
Acetaminophen is the drug of choice for reduction of fever in the event that the client
has a hypersensitivity to aspirin. Options A, B, and D are incorrect. A client who has
hypersensitivity to aspirin should not be administered ibuprofen or celecoxib due to the
risk of hypersensitivity with the NSAIDs. Ketorolac is not administered or reduction of
fever; it is administered for pain control.
An 80-year old woman who is scheduled for a total knee replacement next month
currently takes ibuprofen (Motrin, Advil) 600mg three times per day. Which client
teaching intervention is most important?
A: Continue ibuprofen (Motrin, Advil) until surgery
B: Stop ibuprofen (Motrin, Advil) today
, C: Decrease ibuprofen (Motrin, Advil) to two times per day
D: Stop ibuprofen (Motrin, Advil) 7-14 days before surgery ✅D: Stop ibuprofen (Motrin,
Advil) 7-14 days before surgery
Ibuprofen should be discontinued 7-14 days before surgery to reduce the risk for
bleeding. Options A, B, and C are incorrect. Ibuprofen should not be continued until
surgery and the client should continue her inflammatory agent until 7-14 days before
surgery to maintain its anti arthritis effects.
The nurse should question the order of acetaminophen (Tylenol) for which of the
following clients?
A: A client with cirrhosis of the liver
B: A client with chronic obstructive pulmonary disorder (COPD)
C: A client with breast cancer
D: A client who is taking warfarin (Coumadin) ✅A: A client with cirrhosis of the liver
Acetaminophen is metabolized in the liver. The client with cirrhosis of the liver has
impaired liver function and should not receive acetaminophen for the pain or fever
reduction. Options B, C, and D are incorrect. A client who has COPD has breast cancer,
or is taking warfarin (exercise caution when warfarin and acetaminophen are combined
together as it can affect the INR) can be administered with acetaminophen for fever and
analgesia.
A client takes aspirin (acetylsalicylic acid) daily for pain in the right knee. Which toxic
effects may be present with aspirin overdosage? Select all that apply.
A: Tinnitus
B: Hyperventilation
C: Gastrointestinal bleeding
D: Decreased urinary output
E: Peripheral neuropathy ✅A: Tinnitus, B: Hyperventilation, C: Gastrointestinal
bleeding, D: Decreased urinary output
A client who is experiencing toxic effects from aspirin (acetylsalicylic acid) may
experience tinnitus, hyperventilation, GI bleeding, or decreased urine output related to
renal impairment. Option E is incorrect. A client with salicylate toxicity does not tend to
experience peripheral neuropathy.
A client has been ordered methylprednisolone (Medrol Dosepak) for treatment of a
significant poison ivy rash. The nurse will teach the client to report which adverse
effects to the healthcare provider? Select all that apply.
A: Edema
B: Tinnitus
C: Eye pain or vision changes
Correct Answers
A 30-year old client with depression has attempted suicide by overdosing on
acetaminophen (Tylenol). The nurse in the emergency department anticipates that the
client's treatment will consist of:
A: An intravenous infusion with normal saline to infuse at 1000mL per hour
B: The administration of acetylcysteine (Mucomyst) by intravenous infusion
C: Preparation for cardioversion due to the impending arrythmia
D: The assessment of liver hepatic enzymes to determine hepatotoxicity ✅B: The
administration of acetylcysteine (Mucomyst) by intravenous infusion
Acetaminophen overdose is treated with PO or IV acetylcysteine (Mucomyst). For
maximum effectiveness, the antidote should be administered within 8 hours of
acetaminophen ingestion. Options A, C, and D are incorrect. The administration of
1000mL per hour of normal saline IV would place the client at risk for fluid volume
overload. The client will not require cardioversion to treat acetaminophen poisoning.
The client's hepatic enzymes will be assessed; however, these enzymes only provide
information as to the extent of liver damage. They do not treat acute acetaminophen
overdose; they merely monitor for the effectiveness of the treatment and any effects of
the overdose itself.
A client has a fever and is allergic to aspirin. Which medication does the nurse
anticipate administering to reduce the client's fever?
A: Ibuprofen (Motrin, Advil)
B: Ketorolac (Toradol)
C: Acetaminophen (Tylenol)
D: Celecoxib (Celebrex) ✅C: Acetaminophen (Tylenol)
Acetaminophen is the drug of choice for reduction of fever in the event that the client
has a hypersensitivity to aspirin. Options A, B, and D are incorrect. A client who has
hypersensitivity to aspirin should not be administered ibuprofen or celecoxib due to the
risk of hypersensitivity with the NSAIDs. Ketorolac is not administered or reduction of
fever; it is administered for pain control.
An 80-year old woman who is scheduled for a total knee replacement next month
currently takes ibuprofen (Motrin, Advil) 600mg three times per day. Which client
teaching intervention is most important?
A: Continue ibuprofen (Motrin, Advil) until surgery
B: Stop ibuprofen (Motrin, Advil) today
, C: Decrease ibuprofen (Motrin, Advil) to two times per day
D: Stop ibuprofen (Motrin, Advil) 7-14 days before surgery ✅D: Stop ibuprofen (Motrin,
Advil) 7-14 days before surgery
Ibuprofen should be discontinued 7-14 days before surgery to reduce the risk for
bleeding. Options A, B, and C are incorrect. Ibuprofen should not be continued until
surgery and the client should continue her inflammatory agent until 7-14 days before
surgery to maintain its anti arthritis effects.
The nurse should question the order of acetaminophen (Tylenol) for which of the
following clients?
A: A client with cirrhosis of the liver
B: A client with chronic obstructive pulmonary disorder (COPD)
C: A client with breast cancer
D: A client who is taking warfarin (Coumadin) ✅A: A client with cirrhosis of the liver
Acetaminophen is metabolized in the liver. The client with cirrhosis of the liver has
impaired liver function and should not receive acetaminophen for the pain or fever
reduction. Options B, C, and D are incorrect. A client who has COPD has breast cancer,
or is taking warfarin (exercise caution when warfarin and acetaminophen are combined
together as it can affect the INR) can be administered with acetaminophen for fever and
analgesia.
A client takes aspirin (acetylsalicylic acid) daily for pain in the right knee. Which toxic
effects may be present with aspirin overdosage? Select all that apply.
A: Tinnitus
B: Hyperventilation
C: Gastrointestinal bleeding
D: Decreased urinary output
E: Peripheral neuropathy ✅A: Tinnitus, B: Hyperventilation, C: Gastrointestinal
bleeding, D: Decreased urinary output
A client who is experiencing toxic effects from aspirin (acetylsalicylic acid) may
experience tinnitus, hyperventilation, GI bleeding, or decreased urine output related to
renal impairment. Option E is incorrect. A client with salicylate toxicity does not tend to
experience peripheral neuropathy.
A client has been ordered methylprednisolone (Medrol Dosepak) for treatment of a
significant poison ivy rash. The nurse will teach the client to report which adverse
effects to the healthcare provider? Select all that apply.
A: Edema
B: Tinnitus
C: Eye pain or vision changes
