NUR 304 Exam 2025

NUR 304 Exam 2025 A patient is started on a cyclic antidepressant amitriptyline (Elavil) for depression. Patient education for taking a cyclic antidepressant include: a. Monitor blood glucose for hyperglycemia b. Report any irregular heart rate as it may be a sign of toxicity c. Report abnormal muscle spasms d. Metallic taste is an expected adverse effect - Correct Answer-b. Report any irregular heart rate as it may be a sign of toxicity The nurse would assess a client taking phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI) for which of the following vital signs that could indicate an adverse drug reaction is taking place? Select one: a. Blood pressure b. Respirations c. Temperature d. Pulse - Correct Answer-a. Blood pressure? A client began taking the typical antipsychotic drug haloperidol (Haldol) 2 weeks ago. At this routine follow-up clinic visit, the nurse notes that the client is restless and does not sit still in the chair, pacing around the room. The nurse concludes that the client is most likely experiencing which of the following adverse drug effects? Select one: a. Tardive dyskinesia b. Parkinsonism c. Akathisia d. Dystonia - Correct Answer-c. Akathisia Which of the following should the client be cautioned against while taking phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI)? Select one: a. Sunbathing at the pool b. Participating in light activity c. Drinking beer or wine d. Smoking a low-nicotine cigarettes - Correct Answer-c. Drinking beer or wine A client has begun drug therapy with the stimulant methylphenidate (Ritalin). The nurse determines that the client understands the most common adverse medication effects when the client states to self-assess for which of the following? Select one: a. Bradycardia b. Allergic reaction c. Nervousness and inability to fall asleep NUR 304 NUR 304 d. Rash or itching of the skin - Correct Answer-c. Nervousness and inability to fall asleep A client taking the atypical antidepressant bupropion denies a history of depression. The nurse then further assesses the client's history, recalling that this drug is also used to help clients who are trying to stop using Select one: a. Opioids b. Caffeine c. Tobacco d. Sleeping pills - Correct Answer-c. Tobacco An adolescent is started on the atypical antipsychotic Risperidone (Risperdal). The nurse needs to monitor the patient for: Choose all that apply Select one or more: a. Weight gain b. Hypercholesterolemia c. Cardiac arrhythmias d. Diabetes or glucose problems - Correct Answer-a. Weight gain b. Hypercholesterolemia d. Diabetes or glucose problems A client taking a typical antipsychotic agent chlorpromazine (Thorazine) began experiencing extrapyramidal effects of drug therapy. The nurse expects that a new drug order will be written for which of the following drugs to treat this new problem? Select one: a. Benztropine (Cogentin) b. Methylphenidate (Ritalin) c. Olanzapine (Zyprexa) d. Thiothixene (Navane) - Correct Answer-a. Benztropine (Cogentin) The common property among the three types of medications used to treat depression is that they: Select one: a. Decrease neurotransmitter levels within the synapse b. Increase neurotransmitter levels in the presynapse c. Increase neurotransmitter levels within the synapse d. Decrease neurotransmitter levels in the postsynapse - Correct Answer-c. Increase neurotransmitter levels within the synapse A client will be starting drug therapy with the antidepressant SSRI fluoxetine (Prozac). The nurse determines that the client understands medication teaching when the client states that adverse effects of SSRIs include Select one: a. Weight gain and headaches weight gain and headaches. NUR 304 NUR 304 b. Sedation and chills c. Increased appetite and muscle aches d. Nausea and sexual dysfunction - Correct Answer-d. Nausea and sexual dysfunction A patient presents with bleeding from the rectum. This condition is referred to as: Select one: a. Hematochezia b. Occult bleeding c. Melena d. Hematemesis - Correct Answer-a. Hematochezia Which cells of the gastric glands secrete hydrochloric acid? Select one: a. Chief b. Parietal c. Zymogenic d. Surface epithelial - Correct Answer-b. Parietal A 52-year old woman whose blood pressure is consistently 130-135/82-86 mmHg who is otherwise well is considered to have: Select one: a. stage 2 hypertension b. normal blood pressure c. stage 1 hypertension d. prehypertension - Correct Answer-b. normal blood pressure The nurse is taking the initial history of a patient admitted to the hospital for hypertension. The physician has ordered a beta-adrenergic blocker. Which statement by the patient does the nurse recognize as most significant? Select one: a. When I have a migraine headache, I need to have the room darkened." b. "I don't handle stress well; I have a lot of diarrhea." c. "My father died of a heart attack when he was 48-years-old." d. "I have always had problems with my asthma, but my inhaler helps." - Correct Answer-d. "I have always had problems with my asthma, but my inhaler helps." A patient with hypertensive crisis has been admitted into the ICU. A vasodilator nitroprusside (Nipride) drip is started. Adverse reactions of nitroprusside include: Select one: a. Heart failure b. Metabolic acidosis c. Cyanide poisoning d. Bradycardia - Correct Answer-c. Cyanide poisoning The icteric phase of hepatitis is characterized by which of the following clinical manifestations? NUR 304 NUR 304 Select one: a. Resolution of jaundice, liver function returns to normal b. Jaundice, dark urine, enlarged liver c. Fulminant liver failure, hepatorenal syndrome d. Fatigue, malaise, vomiting - Correct Answer-b. Jaundice, dark urine, enlarged liver A blood pressure of 160/100 mmHg is classified as: Select one: a. Stage 1 hypertension b. Stage 2 hypertension c. Prehypertension d. Stage 3 hypertension - Correct Answer-b. Stage 2 hypertension A primary goal of treatment in hypertension is: Select one: a. retention of peripheral arterial disease b. prevention of organ damage c. prevention of lipid abnormalities d. normalization of blood volume - Correct Answer-b. prevention of organ damage The patient with hypertension is receiving the calcium channel blocker nifedipine (Procardia). The nurse determines that the patient needs additional medication education when the patient selects which menu for breakfast? Select one: a. Whole-wheat pancakes with syrup, and bacon, oatmeal, and orange juice b. Cheese omelet, tea with sugar and lemon, hash brown potatoes, and prune juice c. Eggs and sausage, a biscuit with margarine, coffee with cream, and cranberry juice d. Eggs, whole-wheat toast with butter, milk, and grapefruit juice - Correct Answer-d. Eggs, whole-wheat toast with butter, milk, and grapefruit juice The cardinal sign of pyloric stenosis is: Select one: a. Diarrhea b. Heartburn c. Constipation d. Vomiting - Correct Answer-d. Vomiting Regarding the pathophysiology of primary hypertension, damage to blood vessel walls that results from the release of inflammatory substances and the process of arteriolar remodeling results in: Select one: a. insulin resistance b. an increased cardiac output c. increased peripheral resistance d. a defect in renal sodium excretion - Correct Answer-c. increased peripheral resistance NUR 304 NUR 304 The proton pump inhibitor omeprazole (Prilosec) may affect the absorption of: Select one: a. Iron salts (FerInSol) b. Ranitidine (Zantac) c. Propranolol (Inderal) d. acetaminophen (Tylenol) - Correct Answer-a. Iron salts (FerInSol) An adult patient has general symptoms of gallstones but is also jaundiced. IV cholangiography would most likely reveal that the gallstones are obstructing the: Select one: a. Gallbladder b. Common bile duct c. Intrahepatic bile canaliculi d. Cystic duct - Correct Answer-b. Common bile duct Delta is taking the calcium channel blocker nifedipine (Procardia) for hypertension. She expresses concern that her feet are swollen. What education should she receive? Select one: a. She may need to increase her dose of nifedipine so she should call her provider b. Peripheral edema is a known adverse effect of nifedipine c. She should elevate her feet as much as possible to prevent dependent edema d. This is most likely a sign of heart failure and she should call her provider - Correct Answer-b. Peripheral edema is a known adverse effect of nifedipine A 32 year old female has been started on the angiotension receptor blocker losartan (Cozaar). Education would include: Select one: a. Check pulse daily, call if HR less than 60 beats per minute b. Avoid pregnancy due to losartan may cause fetal morbidity and mortality c. Record daily weights, call for weight gain of more than 2 pounds a day d. Report signs of acidosis, including confusion and agitation - Correct Answer-b. A