NUR 635 FINAL EXAM QUESTIONS AND
ANSWERS A COMPLETE SOLUTION LATEST
UPDATED 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED/DETAILED BEST RATED TO
SCORE A+ FOR SUCCESS
A prescriber has ordered bethanechol [Urecholine] for a postoperative patient who has urinary
retention. The nurse reviews the patient's chart before giving the
drug. Which part of the patient's history would be a contraindication to using this drug?
a.Asthma as a child
b.Gastroesophageal reflux
c.Hypertension
d.Hypothyroidism - CORRECT ANSWERS ANS: A
Bethanechol is contraindicated in patients with active or latent asthma, because activation
of muscarinic receptors in the lungs causes bronchoconstriction. It increases the tone and
motility of the gastrointestinal (GI) tract and is not contraindicated in patients with reflux.
It causes vasodilation and would actually lower blood pressure in a hypertensive patient.
It causes dysrhythmias in hyperthyroid patients.
A patient with a cold used phenylephrine nasal spray, 2 sprays every 4 hours, for a week. Since then it
has become impossible to discontinue the medication because the nasal congestion has increased.
What action will the provider take?
A) Prescribe an oral decongestant to replace the intranasal phenylephrine.
B) Order an intranasal glucocorticoid to be used while the phenylephrine is withdrawn.
C) Increase the dose of phenylephrine to 4 sprays every 4 hours.
D) Stop the phenylephrine and discuss using an intranasal antihistamine. - CORRECT ANSWERS B)
Order an intranasal glucocorticoid to be used while the phenylephrine is withdrawn.
Which medication should be used for asthma patients as part of step 1 management?
a. Combination inhaled glucocorticoids/long-acting beta2 agonists
b. Inhaled low-dose glucocorticoids
c. Long-acting beta2 agonists
,NUR 635 FINAL EXAM QUESTIONS AND
ANSWERS A COMPLETE SOLUTION LATEST
UPDATED 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED/DETAILED BEST RATED TO
SCORE A+ FOR SUCCESS
d. Short-acting beta2 agonists - CORRECT ANSWERS d. Short-acting beta2 agonists
An older adult patient with chronic obstructive pulmonary disease (COPD) develops bronchitis. The
patient has a temperature of 39.5°C. The nurse will expect the provider to:
a. obtain a sputum culture and wait for the results before prescribing an antibiotic.
b. order empiric antibiotics while waiting for sputum culture results.
c. treat symptomatically, because antibiotics are usually ineffective against bronchitis.
d. treat the patient with more than one antibiotic without obtaining culture - CORRECT ANSWERS b.
order empiric antibiotics while waiting for sputum culture results.
Kirk sprained his ankle and is asking for pain medication for his mild-to-moderate pain. The
appropriate first-line medication would be __________.
A. ibuprofen (Advil)
B. acetaminophen with hydrocodone (Vicodin)
C. oxycodone (OxyContin)
D. oral morphine (Roxanol) - CORRECT ANSWERS A. ibuprofen (Advil)
Rabi is being prescribed phenytoin for seizures. Monitoring includes assessing:
1.For phenytoin hypersensitivity syndrome 3 to 8 weeks after starting treatment
2.For pedal edema throughout therapy
3.Heart rate at each visit and consider altering therapy if heart rate is less than 60 bpm
4.For vision changes, such as red-green blindness, at least annually - CORRECT ANSWERS 1.For
phenytoin hypersensitivity syndrome 3 to 8 weeks after starting treatment
A patient has recently begun taking carbamazepine (Tegretol) as an adjunct medication to treat
refractory seizures. The patient has a serum carbamazepine level of 18 mcg/mL. What action will the
nurse take?
a. Ask the patient about usual dietary preferences.
,NUR 635 FINAL EXAM QUESTIONS AND
ANSWERS A COMPLETE SOLUTION LATEST
UPDATED 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED/DETAILED BEST RATED TO
SCORE A+ FOR SUCCESS
b. Reassure the patient that this is a therapeutic drug level.
c. Report a subtherapeutic drug dose to the provider.
d. Suspect a drug-drug interaction. - CORRECT ANSWERS a. Ask the patient about usual dietary
preferences.
The first-line drug choice for a previously healthy adult patient diagnosed with community-acquired
pneumonia would be:
1.Ciprofloxacin
2.Azithromycin
3.Amoxicillin
4.Doxycycline - CORRECT ANSWERS 2.Azithromycin
Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and lymphadenopathy.
Initial evaluation and treatment includes:
1. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5 days
2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure
3. Rapid strep test and symptomatic care if strep test is negative
4. Observation only, with further assessment if she worsens - CORRECT ANSWERS 2. Ruling out a
hypersensitivity reaction that may lead to multi-organ failure
Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to
medication noncompliance. He was treated with IM long-acting haloperidol. Besides monitoring his
schizophrenia symptoms, the patient should be assessed by his primary care provider:
1. For excessive weight loss
2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS)
3. Monthly for tolerance to the haloperidol
4. Only by the mental health provider, as most NPs in primary care do not care for mentally ill
patients - CORRECT ANSWERS 2. With the Abnormal Involuntary Movement Scale (AIMS) for
extrapyramidal symptoms (EPS)
, NUR 635 FINAL EXAM QUESTIONS AND
ANSWERS A COMPLETE SOLUTION LATEST
UPDATED 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED/DETAILED BEST RATED TO
SCORE A+ FOR SUCCESS
Digoxin levels need to be monitored closely when the following medication is started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol - CORRECT ANSWERS 4. Albuterol
Harold, a 42-year-old African American, has moderate persistent asthma. Which of the following
asthma medications should be used cautiously, if at all?
A.Betamethasone, an inhaled corticosteroid
B.Salmeterol, an inhaled long-acting beta-agonist
C.Albuterol, a short-acting beta-agonist
D.Montelukast, a leukotriene modifier - CORRECT ANSWERS B.Salmeterol, an inhaled long-acting
beta-agonist
Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
1. Used for the treatment of chronic obstructive pulmonary disease (COPD)
2. Used in the treatment of asthma
3. Combined with albuterol for treatment of asthma exacerbations
4. Combined with fluticasone for the treatment of persistent asthma - CORRECT ANSWERS 1. Used
for the treatment of chronic obstructive pulmonary disease (COPD)
Christy has exercise-induced and mild persistent asthma and is prescribed two puffs of albuterol 15
minutes before exercise and as needed for wheezing. One puff per day of beclomethasone (QVAR) is
also prescribed. Teaching regarding her inhalers includes:
1. Use one to two puffs of albuterol per day to prevent an attack with no more than eight puffs per
day
2. Beclomethasone needs to be used every day to treat her asthma
ANSWERS A COMPLETE SOLUTION LATEST
UPDATED 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED/DETAILED BEST RATED TO
SCORE A+ FOR SUCCESS
A prescriber has ordered bethanechol [Urecholine] for a postoperative patient who has urinary
retention. The nurse reviews the patient's chart before giving the
drug. Which part of the patient's history would be a contraindication to using this drug?
a.Asthma as a child
b.Gastroesophageal reflux
c.Hypertension
d.Hypothyroidism - CORRECT ANSWERS ANS: A
Bethanechol is contraindicated in patients with active or latent asthma, because activation
of muscarinic receptors in the lungs causes bronchoconstriction. It increases the tone and
motility of the gastrointestinal (GI) tract and is not contraindicated in patients with reflux.
It causes vasodilation and would actually lower blood pressure in a hypertensive patient.
It causes dysrhythmias in hyperthyroid patients.
A patient with a cold used phenylephrine nasal spray, 2 sprays every 4 hours, for a week. Since then it
has become impossible to discontinue the medication because the nasal congestion has increased.
What action will the provider take?
A) Prescribe an oral decongestant to replace the intranasal phenylephrine.
B) Order an intranasal glucocorticoid to be used while the phenylephrine is withdrawn.
C) Increase the dose of phenylephrine to 4 sprays every 4 hours.
D) Stop the phenylephrine and discuss using an intranasal antihistamine. - CORRECT ANSWERS B)
Order an intranasal glucocorticoid to be used while the phenylephrine is withdrawn.
Which medication should be used for asthma patients as part of step 1 management?
a. Combination inhaled glucocorticoids/long-acting beta2 agonists
b. Inhaled low-dose glucocorticoids
c. Long-acting beta2 agonists
,NUR 635 FINAL EXAM QUESTIONS AND
ANSWERS A COMPLETE SOLUTION LATEST
UPDATED 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED/DETAILED BEST RATED TO
SCORE A+ FOR SUCCESS
d. Short-acting beta2 agonists - CORRECT ANSWERS d. Short-acting beta2 agonists
An older adult patient with chronic obstructive pulmonary disease (COPD) develops bronchitis. The
patient has a temperature of 39.5°C. The nurse will expect the provider to:
a. obtain a sputum culture and wait for the results before prescribing an antibiotic.
b. order empiric antibiotics while waiting for sputum culture results.
c. treat symptomatically, because antibiotics are usually ineffective against bronchitis.
d. treat the patient with more than one antibiotic without obtaining culture - CORRECT ANSWERS b.
order empiric antibiotics while waiting for sputum culture results.
Kirk sprained his ankle and is asking for pain medication for his mild-to-moderate pain. The
appropriate first-line medication would be __________.
A. ibuprofen (Advil)
B. acetaminophen with hydrocodone (Vicodin)
C. oxycodone (OxyContin)
D. oral morphine (Roxanol) - CORRECT ANSWERS A. ibuprofen (Advil)
Rabi is being prescribed phenytoin for seizures. Monitoring includes assessing:
1.For phenytoin hypersensitivity syndrome 3 to 8 weeks after starting treatment
2.For pedal edema throughout therapy
3.Heart rate at each visit and consider altering therapy if heart rate is less than 60 bpm
4.For vision changes, such as red-green blindness, at least annually - CORRECT ANSWERS 1.For
phenytoin hypersensitivity syndrome 3 to 8 weeks after starting treatment
A patient has recently begun taking carbamazepine (Tegretol) as an adjunct medication to treat
refractory seizures. The patient has a serum carbamazepine level of 18 mcg/mL. What action will the
nurse take?
a. Ask the patient about usual dietary preferences.
,NUR 635 FINAL EXAM QUESTIONS AND
ANSWERS A COMPLETE SOLUTION LATEST
UPDATED 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED/DETAILED BEST RATED TO
SCORE A+ FOR SUCCESS
b. Reassure the patient that this is a therapeutic drug level.
c. Report a subtherapeutic drug dose to the provider.
d. Suspect a drug-drug interaction. - CORRECT ANSWERS a. Ask the patient about usual dietary
preferences.
The first-line drug choice for a previously healthy adult patient diagnosed with community-acquired
pneumonia would be:
1.Ciprofloxacin
2.Azithromycin
3.Amoxicillin
4.Doxycycline - CORRECT ANSWERS 2.Azithromycin
Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and lymphadenopathy.
Initial evaluation and treatment includes:
1. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5 days
2. Ruling out a hypersensitivity reaction that may lead to multi-organ failure
3. Rapid strep test and symptomatic care if strep test is negative
4. Observation only, with further assessment if she worsens - CORRECT ANSWERS 2. Ruling out a
hypersensitivity reaction that may lead to multi-organ failure
Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to
medication noncompliance. He was treated with IM long-acting haloperidol. Besides monitoring his
schizophrenia symptoms, the patient should be assessed by his primary care provider:
1. For excessive weight loss
2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS)
3. Monthly for tolerance to the haloperidol
4. Only by the mental health provider, as most NPs in primary care do not care for mentally ill
patients - CORRECT ANSWERS 2. With the Abnormal Involuntary Movement Scale (AIMS) for
extrapyramidal symptoms (EPS)
, NUR 635 FINAL EXAM QUESTIONS AND
ANSWERS A COMPLETE SOLUTION LATEST
UPDATED 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED/DETAILED BEST RATED TO
SCORE A+ FOR SUCCESS
Digoxin levels need to be monitored closely when the following medication is started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol - CORRECT ANSWERS 4. Albuterol
Harold, a 42-year-old African American, has moderate persistent asthma. Which of the following
asthma medications should be used cautiously, if at all?
A.Betamethasone, an inhaled corticosteroid
B.Salmeterol, an inhaled long-acting beta-agonist
C.Albuterol, a short-acting beta-agonist
D.Montelukast, a leukotriene modifier - CORRECT ANSWERS B.Salmeterol, an inhaled long-acting
beta-agonist
Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
1. Used for the treatment of chronic obstructive pulmonary disease (COPD)
2. Used in the treatment of asthma
3. Combined with albuterol for treatment of asthma exacerbations
4. Combined with fluticasone for the treatment of persistent asthma - CORRECT ANSWERS 1. Used
for the treatment of chronic obstructive pulmonary disease (COPD)
Christy has exercise-induced and mild persistent asthma and is prescribed two puffs of albuterol 15
minutes before exercise and as needed for wheezing. One puff per day of beclomethasone (QVAR) is
also prescribed. Teaching regarding her inhalers includes:
1. Use one to two puffs of albuterol per day to prevent an attack with no more than eight puffs per
day
2. Beclomethasone needs to be used every day to treat her asthma
