NR293 EXAM 2 PRACTICE QUESTIONS AND
100% VERIFIED ANSWERS (2025) GRADED A+
/GRADED A+ / GUARANTEED PASS!!
A 51-year-old woman will be taking selective estrogen receptor modulators
(SERMs) as part of treatment for postmenopausal osteoporosis. The nurse reviews
potential contraindications, including which condition?
a. Hypocalcemia
b. Breast cancer
c. Stress fractures
d. Venous thromboembolism
- answer-d. Venous thromboembolism
SERMs such as raloxifene are contraindicated in women with a venous
thromboembolic disorder, including deep vein thrombosis, pulmonary embolism,
or a history of such disorders. The other options are incorrect.
A 73-year-old male patient is in the clinic for a yearly physical and is asking for a
prescription for sildenafil (Viagra). He has listed on his health history that he is
taking a nitrate for angina. The nurse is aware that which problem may occur if
sildenafil is taken with a nitrate?
a. Significant increase in pulse rate
b. Significant decrease in blood pressure
c. Increased risk of bleeding
d. Reduced effectiveness of the sildenafil
- answer-b. Significant decrease in blood pressure
In patients with pre-existing cardiovascular disease, especially those on nitrates,
erectile dysfunction drugs such as sildenafil lower blood pressure substantially,
potentially leading to more serious adverse events.
A 74-year-old professional golfer has chest pain that occurs toward the end of his
golfing games. He says the pain usually goes away after one or two sublingual
nitroglycerin tablets and rest. What type of angina is he experiencing?
a. Classic
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,b. Variant
c. Unstable
d. Prinzmetal's
- answer-a. Classic
Classic, or chronic stable, angina is triggered by either exertion or stress and
usually subsides within 15 minutes with either rest or drug therapy.
A 75-year-old woman comes into the clinic with complaints of muscle twitching,
nausea, and headache. She tells the nurse that she has been taking sodium
bicarbonate five or six times a day for the past 3 weeks. The nurse will assess for
which potential problem that may occur with overuse of sodium bicarbonate?
a. Constipation
b. Metabolic acidosis
c. Metabolic alkalosis
d. Excessive gastric mucus
- answer-c. Metabolic alkalosis
Excessive use of sodium bicarbonate may lead to systemic alkalosis.
A 79-year-old patient is taking a diuretic for treatment of hypertension. This
patient is very independent and wants to continue to live at home. The nurse will
know that which teaching point is important for this patient?
a. He should take the diuretic with his evening meal.
b. He should skip the diuretic dose if he plans to leave the house.
c. If he feels dizzy while on this medication, he needs to stop taking it and take
potassium supplements instead.
d. He needs to take extra precautions when standing up because of possible
orthostatic hypotension and resulting injury from falls.
- answer-d. He needs to take extra precautions when standing up because of
possible orthostatic hypotension and resulting injury from falls.
Caution must be exercised in the administration of diuretics to the older adults
because they are more sensitive to the therapeutic effects of these drugs and are
more sensitive to the adverse effects of diuretics, such as dehydration, electrolyte
loss, dizziness, and syncope. Taking the diuretic with the evening meal may disrupt
sleep because of nocturia. Doses should never be skipped or stopped without
checking with the prescriber.
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,A laxative has been ordered for a patient. The nurse checks the patient's medical
history and would be concerned if which condition is present?
a. High ammonia levels due to liver failure
b. Diverticulosis
c. Abdominal pain of unknown origin
d. Chronic constipation
- answer-c. Abdominal pain of unknown origin
All categories of laxatives share the same general contraindications and
precautions, including avoidance in cases of drug allergy and the need for cautious
use in the presence of these: acute surgical abdomen; appendicitis symptoms such
as abdominal pain, nausea, and vomiting; fecal impaction (mineral oil enemas
excepted); intestinal obstruction; and undiagnosed abdominal pain. The other
options are possible indications for laxatives.
A mother brings her toddler into the emergency department and tells the nurse that
she thinks the toddler has eaten an entire bottle of chewable aspirin tablets. The
nurse will assess for which most common signs of salicylate intoxication in
children?
a. Photosensitivity and nervousness
b. Tinnitus and hearing loss
c. Acute gastrointestinal bleeding
d. Hyperventilation and drowsiness ANS: D The most common manifestations of
chronic salicylate intoxication in adults are tinnitus and hearing loss. Those in
children are hyperventilation and CNS effects, such as dizziness, drowsiness, and
behavioral changes.
- answer-d. Hyperventilation and drowsiness
The most common manifestations of chronic salicylate intoxication in adults are
tinnitus and hearing loss. Those in children are hyperventilation and CNS effects,
such as dizziness, drowsiness, and behavioral changes.
A mother calls the pediatrician's office to report that her 18-month-old child has
eaten half of a bottle of baby aspirin. She says, "I have a bottle of syrup of ipecac.
Should I give it to him? He seems fine right now. What do I do?" What is the
nurse's best response?
a. "Go ahead and give him the ipecac, and then call 911."
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, b. "Don't give him the ipecac. Call the Poison Control number immediately for
instructions."
c. "Please come to the office right away so that we can check him."
d. "Go ahead and take him to the emergency room right now."
- answer-b. "Don't give him the ipecac. Call the Poison Control number
immediately for instructions."
The American Academy of Pediatrics no longer recommends the use of syrup of
ipecac for home treatment for poisoning. Instructions state that if the poison has
been ingested, first call the national poison control hotline at 800-222-1222. In all
cases of poisoning, if the victim is conscious and alert, call the local poison control
center. If the victim has collapsed or stopped breathing, call 911 for emergency
transport to a hospital.
A nurse is giving instructions to a patient who will be receiving oral iron
supplements. Which instructions will be included in the teaching plan?
a. Take the iron tablets with milk or antacids.
b. Crush the pills as needed to help with swallowing.
c. Take the iron tablets with meals if gastrointestinal distress occurs.
d. If black tarry stools occur, report it to the doctor immediately.
- answer-c. Take the iron tablets with meals if gastrointestinal distress occurs.
Although taking iron tablets with food may decrease absorption, doing so helps to
reduce gastrointestinal distress. Antacids and milk may cause decreased iron
absorption; iron tablets must be taken whole and not crushed. Black, tarry stools
are expected adverse effects of oral iron supplements.
A patient about to receive a morning dose of digoxin has an apical pulse of 53
beats/min. What will the nurse do next?
a. Administer the dose.
b. Administer the dose, and notify the prescriber.
c. Check the radial pulse for 1 full minute.
d. Withhold the dose, and notify the prescriber.
- answer-d. Withhold the dose, and notify the prescriber.
Digoxin doses are held and the prescriber notified if the apical pulse is 60
beats/min or lower or is higher than 100 beats/min. The other options are incorrect.
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100% VERIFIED ANSWERS (2025) GRADED A+
/GRADED A+ / GUARANTEED PASS!!
A 51-year-old woman will be taking selective estrogen receptor modulators
(SERMs) as part of treatment for postmenopausal osteoporosis. The nurse reviews
potential contraindications, including which condition?
a. Hypocalcemia
b. Breast cancer
c. Stress fractures
d. Venous thromboembolism
- answer-d. Venous thromboembolism
SERMs such as raloxifene are contraindicated in women with a venous
thromboembolic disorder, including deep vein thrombosis, pulmonary embolism,
or a history of such disorders. The other options are incorrect.
A 73-year-old male patient is in the clinic for a yearly physical and is asking for a
prescription for sildenafil (Viagra). He has listed on his health history that he is
taking a nitrate for angina. The nurse is aware that which problem may occur if
sildenafil is taken with a nitrate?
a. Significant increase in pulse rate
b. Significant decrease in blood pressure
c. Increased risk of bleeding
d. Reduced effectiveness of the sildenafil
- answer-b. Significant decrease in blood pressure
In patients with pre-existing cardiovascular disease, especially those on nitrates,
erectile dysfunction drugs such as sildenafil lower blood pressure substantially,
potentially leading to more serious adverse events.
A 74-year-old professional golfer has chest pain that occurs toward the end of his
golfing games. He says the pain usually goes away after one or two sublingual
nitroglycerin tablets and rest. What type of angina is he experiencing?
a. Classic
1|Page
,b. Variant
c. Unstable
d. Prinzmetal's
- answer-a. Classic
Classic, or chronic stable, angina is triggered by either exertion or stress and
usually subsides within 15 minutes with either rest or drug therapy.
A 75-year-old woman comes into the clinic with complaints of muscle twitching,
nausea, and headache. She tells the nurse that she has been taking sodium
bicarbonate five or six times a day for the past 3 weeks. The nurse will assess for
which potential problem that may occur with overuse of sodium bicarbonate?
a. Constipation
b. Metabolic acidosis
c. Metabolic alkalosis
d. Excessive gastric mucus
- answer-c. Metabolic alkalosis
Excessive use of sodium bicarbonate may lead to systemic alkalosis.
A 79-year-old patient is taking a diuretic for treatment of hypertension. This
patient is very independent and wants to continue to live at home. The nurse will
know that which teaching point is important for this patient?
a. He should take the diuretic with his evening meal.
b. He should skip the diuretic dose if he plans to leave the house.
c. If he feels dizzy while on this medication, he needs to stop taking it and take
potassium supplements instead.
d. He needs to take extra precautions when standing up because of possible
orthostatic hypotension and resulting injury from falls.
- answer-d. He needs to take extra precautions when standing up because of
possible orthostatic hypotension and resulting injury from falls.
Caution must be exercised in the administration of diuretics to the older adults
because they are more sensitive to the therapeutic effects of these drugs and are
more sensitive to the adverse effects of diuretics, such as dehydration, electrolyte
loss, dizziness, and syncope. Taking the diuretic with the evening meal may disrupt
sleep because of nocturia. Doses should never be skipped or stopped without
checking with the prescriber.
2|Page
,A laxative has been ordered for a patient. The nurse checks the patient's medical
history and would be concerned if which condition is present?
a. High ammonia levels due to liver failure
b. Diverticulosis
c. Abdominal pain of unknown origin
d. Chronic constipation
- answer-c. Abdominal pain of unknown origin
All categories of laxatives share the same general contraindications and
precautions, including avoidance in cases of drug allergy and the need for cautious
use in the presence of these: acute surgical abdomen; appendicitis symptoms such
as abdominal pain, nausea, and vomiting; fecal impaction (mineral oil enemas
excepted); intestinal obstruction; and undiagnosed abdominal pain. The other
options are possible indications for laxatives.
A mother brings her toddler into the emergency department and tells the nurse that
she thinks the toddler has eaten an entire bottle of chewable aspirin tablets. The
nurse will assess for which most common signs of salicylate intoxication in
children?
a. Photosensitivity and nervousness
b. Tinnitus and hearing loss
c. Acute gastrointestinal bleeding
d. Hyperventilation and drowsiness ANS: D The most common manifestations of
chronic salicylate intoxication in adults are tinnitus and hearing loss. Those in
children are hyperventilation and CNS effects, such as dizziness, drowsiness, and
behavioral changes.
- answer-d. Hyperventilation and drowsiness
The most common manifestations of chronic salicylate intoxication in adults are
tinnitus and hearing loss. Those in children are hyperventilation and CNS effects,
such as dizziness, drowsiness, and behavioral changes.
A mother calls the pediatrician's office to report that her 18-month-old child has
eaten half of a bottle of baby aspirin. She says, "I have a bottle of syrup of ipecac.
Should I give it to him? He seems fine right now. What do I do?" What is the
nurse's best response?
a. "Go ahead and give him the ipecac, and then call 911."
3|Page
, b. "Don't give him the ipecac. Call the Poison Control number immediately for
instructions."
c. "Please come to the office right away so that we can check him."
d. "Go ahead and take him to the emergency room right now."
- answer-b. "Don't give him the ipecac. Call the Poison Control number
immediately for instructions."
The American Academy of Pediatrics no longer recommends the use of syrup of
ipecac for home treatment for poisoning. Instructions state that if the poison has
been ingested, first call the national poison control hotline at 800-222-1222. In all
cases of poisoning, if the victim is conscious and alert, call the local poison control
center. If the victim has collapsed or stopped breathing, call 911 for emergency
transport to a hospital.
A nurse is giving instructions to a patient who will be receiving oral iron
supplements. Which instructions will be included in the teaching plan?
a. Take the iron tablets with milk or antacids.
b. Crush the pills as needed to help with swallowing.
c. Take the iron tablets with meals if gastrointestinal distress occurs.
d. If black tarry stools occur, report it to the doctor immediately.
- answer-c. Take the iron tablets with meals if gastrointestinal distress occurs.
Although taking iron tablets with food may decrease absorption, doing so helps to
reduce gastrointestinal distress. Antacids and milk may cause decreased iron
absorption; iron tablets must be taken whole and not crushed. Black, tarry stools
are expected adverse effects of oral iron supplements.
A patient about to receive a morning dose of digoxin has an apical pulse of 53
beats/min. What will the nurse do next?
a. Administer the dose.
b. Administer the dose, and notify the prescriber.
c. Check the radial pulse for 1 full minute.
d. Withhold the dose, and notify the prescriber.
- answer-d. Withhold the dose, and notify the prescriber.
Digoxin doses are held and the prescriber notified if the apical pulse is 60
beats/min or lower or is higher than 100 beats/min. The other options are incorrect.
4|Page
