NURS 2042 Exam 2 Latest 2024 Complete 300+
Accurate Question with Correct Detailed
Answers (Verified Answers) Graded A+
1. A patient is experiencing stomatitis after a round of chemotherapy. Which intervention
by the nurse is correct?
a. Clean the mouth with a soft-bristle toothbrush and warm saline solution.
b. Rinse the mouth with commercial mouthwash twice a day.
c. Use lemon-glycerin swabs to keep the mouth moist.
d. Keep dentures in the mouth between meals. - Correct Answer - a. Clean the mouth
with a soft-bristle toothbrush and warm saline solution.
2. The nurse is caring for a patient who becomes severely nauseated during
chemotherapy. Which intervention is most appropriate?
a. Encourage light activity during chemotherapy as a distraction.
b. Provide antiemetic medications 30 to 60 minutes before chemotherapy begins.
c. Provide antiemetic medications only upon the request of the patient.
d. Hold fluids during chemotherapy to avoid vomiting. - Correct Answer - b. Provide
antiemetic medications 30 to 60 minutes before chemotherapy begins.
3. The nurse monitors a patient who is experiencing thrombocytopenia from severe
bone marrow suppression by looking for
a. severe weakness and fatigue.
b. elevated body temperature.
c. decreased skin turgor.
d. excessive bleeding and bruising. - Correct Answer - d. excessive bleeding and
bruising.
pg. 1
,4. A patient receiving chemotherapy is experiencing severe bone marrow suppression.
Which nursing diagnosis is most appropriate at this time?
a. Activity intolerance
b. Risk for infection
c. Disturbed body image
d. Impaired physical mobility - Correct Answer - b. Risk for infection
5. If extravasation of an antineoplastic medication occurs, which intervention will the
nurse perform first?
a. Apply cold compresses to the site while elevating the arm.
b. Inject subcutaneous doses of epinephrine around the IV site every 2 hours.
c. Stop the infusion immediately while leaving the catheter in place.
d. Inject the appropriate antidote through the IV catheter. - Correct Answer - c. Stop the
infusion immediately while leaving the catheter in place.
6. The nurse is assessing a patient who has experienced severe neutropenia after
chemotherapy and will monitor for which possible signs of infection? (Select all that
apply.)
a. Elevated WBC count
b. Fever
c. Nausea
d. Sore throat
e. Chills - Correct Answer - b. Fever
d. Sore throat
e. Chills
7. A patient with a feeding tube will be receiving risperidone (Risperdal) 8 mg in 2
divided doses via the feeding tube. The medication is available in a 1 mg/mL solution.
How many milliliters will the nurse administer for each dose? - Correct Answer - 4 mL
per dose
pg. 2
,8. A patient who has been taking lithium for 6 months has had severe vomiting and
diarrhea from a gastrointestinal flu. The nurse will assess for which potential problem at
this time?
a. Anxiety
b. Chest pain
c. Agitation
d. Dehydration - Correct Answer - d. Dehydration
9. When providing teaching for a patient who is prescribed an SSRI, which statement
will the nurse include?
a. The SSRI will work faster than the older tricyclic antidepressants.
b. The SSRI will have an immediate beneficial effect on the patient's depression
symptoms.
c. The SSRI will not work well for severe causes of depression.
d. The SSRI may take several weeks to have a beneficial effect. - Correct Answer - d.
The SSRI may take several weeks to have a beneficial effect.
It can take up to 4-6 weeks to see the full response
10. When patients are taking SSRIs for the first time for depression, which is most
important to monitor for during the first few weeks of therapy?
a. Hypertensive crisis
b. Suicidal thoughts
c. Convulsions
d. Orthostatic hypotension - Correct Answer - b. Suicidal thoughts
It takes 4-6 weeks to work, the nurse would continue to assess for suicidal thoughts
11. Before administering lithium to a patient, it is most important for the nurse to assess
which laboratory value?
a. Blood sugar
b. Sodium
pg. 3
, c. Urine osmolality
d. Potassium - Correct Answer - b. Sodium
Lithium may become toxic if the pt has hyponatremia
12. The patient was admitted to the hospital for observation and has now recovered.
Which information will the nurse include in patient teaching about SSRI's?
a. It usually takes 4-6 weeks until you experience benefits from the medication.
b. Avoid all foods containing tyramine.
c. Stop taking the medication if you develop an upset stomach.
d. Take the medication at bedtime to enhance sleep. - Correct Answer - a. It usually
takes 4-6 weeks until you experience benefits from the medication.
SSRI's need 4-6 weeks to reach their max effectiveness. These meds can cause GI
upsent and should be taken w/ food. SSRIs should be taken in the am to prevent sleep
disturbances
13. Several months later, the patient returns to the health care providers office for a
follow-up regarding the use of the SSRI. The patient tells the nurse that he is feeling
better and stopped taking the SSRI yesterday. The patient doesn't plan on taking the
medication again. When talking with the patient, which knowledge should guide the
nurse's response?
a. Drug dependency will develop, so it's appropriate to stop therapy after a few months.
b. Drug therapy must be stopped as soon as the patient feels better to avoid serotonin
syndrome.
c. The patient is the best person to determine when the drug therapy should end.
d. A possible 1–2-month taper period is indicated to prevent adverse effects of abrupt
drug discontinuation. - Correct Answer - d. A possible 1–2-month taper period is
indicated to prevent adverse effects of abrupt drug discontinuation.
A taper period of 1-2 months may be needed to prevent serotonin discontinuation
syndrome w/ sexes like: dizziness, diarrhea, worsening of the depressive mood
disorder. Serotonin syndrome is a result of taking too much serotonin altering
medication. The pt and provider should work together to determine the optimal time for
discontinuation. There is no evidence of drug dependency Assoc w/ the use of SSRI's
pg. 4
Accurate Question with Correct Detailed
Answers (Verified Answers) Graded A+
1. A patient is experiencing stomatitis after a round of chemotherapy. Which intervention
by the nurse is correct?
a. Clean the mouth with a soft-bristle toothbrush and warm saline solution.
b. Rinse the mouth with commercial mouthwash twice a day.
c. Use lemon-glycerin swabs to keep the mouth moist.
d. Keep dentures in the mouth between meals. - Correct Answer - a. Clean the mouth
with a soft-bristle toothbrush and warm saline solution.
2. The nurse is caring for a patient who becomes severely nauseated during
chemotherapy. Which intervention is most appropriate?
a. Encourage light activity during chemotherapy as a distraction.
b. Provide antiemetic medications 30 to 60 minutes before chemotherapy begins.
c. Provide antiemetic medications only upon the request of the patient.
d. Hold fluids during chemotherapy to avoid vomiting. - Correct Answer - b. Provide
antiemetic medications 30 to 60 minutes before chemotherapy begins.
3. The nurse monitors a patient who is experiencing thrombocytopenia from severe
bone marrow suppression by looking for
a. severe weakness and fatigue.
b. elevated body temperature.
c. decreased skin turgor.
d. excessive bleeding and bruising. - Correct Answer - d. excessive bleeding and
bruising.
pg. 1
,4. A patient receiving chemotherapy is experiencing severe bone marrow suppression.
Which nursing diagnosis is most appropriate at this time?
a. Activity intolerance
b. Risk for infection
c. Disturbed body image
d. Impaired physical mobility - Correct Answer - b. Risk for infection
5. If extravasation of an antineoplastic medication occurs, which intervention will the
nurse perform first?
a. Apply cold compresses to the site while elevating the arm.
b. Inject subcutaneous doses of epinephrine around the IV site every 2 hours.
c. Stop the infusion immediately while leaving the catheter in place.
d. Inject the appropriate antidote through the IV catheter. - Correct Answer - c. Stop the
infusion immediately while leaving the catheter in place.
6. The nurse is assessing a patient who has experienced severe neutropenia after
chemotherapy and will monitor for which possible signs of infection? (Select all that
apply.)
a. Elevated WBC count
b. Fever
c. Nausea
d. Sore throat
e. Chills - Correct Answer - b. Fever
d. Sore throat
e. Chills
7. A patient with a feeding tube will be receiving risperidone (Risperdal) 8 mg in 2
divided doses via the feeding tube. The medication is available in a 1 mg/mL solution.
How many milliliters will the nurse administer for each dose? - Correct Answer - 4 mL
per dose
pg. 2
,8. A patient who has been taking lithium for 6 months has had severe vomiting and
diarrhea from a gastrointestinal flu. The nurse will assess for which potential problem at
this time?
a. Anxiety
b. Chest pain
c. Agitation
d. Dehydration - Correct Answer - d. Dehydration
9. When providing teaching for a patient who is prescribed an SSRI, which statement
will the nurse include?
a. The SSRI will work faster than the older tricyclic antidepressants.
b. The SSRI will have an immediate beneficial effect on the patient's depression
symptoms.
c. The SSRI will not work well for severe causes of depression.
d. The SSRI may take several weeks to have a beneficial effect. - Correct Answer - d.
The SSRI may take several weeks to have a beneficial effect.
It can take up to 4-6 weeks to see the full response
10. When patients are taking SSRIs for the first time for depression, which is most
important to monitor for during the first few weeks of therapy?
a. Hypertensive crisis
b. Suicidal thoughts
c. Convulsions
d. Orthostatic hypotension - Correct Answer - b. Suicidal thoughts
It takes 4-6 weeks to work, the nurse would continue to assess for suicidal thoughts
11. Before administering lithium to a patient, it is most important for the nurse to assess
which laboratory value?
a. Blood sugar
b. Sodium
pg. 3
, c. Urine osmolality
d. Potassium - Correct Answer - b. Sodium
Lithium may become toxic if the pt has hyponatremia
12. The patient was admitted to the hospital for observation and has now recovered.
Which information will the nurse include in patient teaching about SSRI's?
a. It usually takes 4-6 weeks until you experience benefits from the medication.
b. Avoid all foods containing tyramine.
c. Stop taking the medication if you develop an upset stomach.
d. Take the medication at bedtime to enhance sleep. - Correct Answer - a. It usually
takes 4-6 weeks until you experience benefits from the medication.
SSRI's need 4-6 weeks to reach their max effectiveness. These meds can cause GI
upsent and should be taken w/ food. SSRIs should be taken in the am to prevent sleep
disturbances
13. Several months later, the patient returns to the health care providers office for a
follow-up regarding the use of the SSRI. The patient tells the nurse that he is feeling
better and stopped taking the SSRI yesterday. The patient doesn't plan on taking the
medication again. When talking with the patient, which knowledge should guide the
nurse's response?
a. Drug dependency will develop, so it's appropriate to stop therapy after a few months.
b. Drug therapy must be stopped as soon as the patient feels better to avoid serotonin
syndrome.
c. The patient is the best person to determine when the drug therapy should end.
d. A possible 1–2-month taper period is indicated to prevent adverse effects of abrupt
drug discontinuation. - Correct Answer - d. A possible 1–2-month taper period is
indicated to prevent adverse effects of abrupt drug discontinuation.
A taper period of 1-2 months may be needed to prevent serotonin discontinuation
syndrome w/ sexes like: dizziness, diarrhea, worsening of the depressive mood
disorder. Serotonin syndrome is a result of taking too much serotonin altering
medication. The pt and provider should work together to determine the optimal time for
discontinuation. There is no evidence of drug dependency Assoc w/ the use of SSRI's
pg. 4
