Which stage of fetal development poses the greatest risk to the fetus related to
medication administration?
1. Each stage is equal in risk.
2. Pre-implantation period
3. Third trimester
4. Embryonic
Give this one a try later!
Correct Answer: 4
The embryonic phase poses the greatest risk to fetal development.
What is a priority assessment question to ask a postsurgical patient prior to
administration of an opioid analgesic?
1. Have you ever been addicted to prescription pain medications?
2. Why do you want to receive this pain medication?
,3. Would you like me to help you change your position for comfort?
4. Would you please rate your pain on a scale of 0-to-10?
Give this one a try later!
Correct Answer: 4
The nurse should always assess the patients level of pain prior to the
administration of an analgesic. Asking a postsurgical patient why a pain
medication is requested does not make a lot of sense. Administration of
pain medication postsurgery is a priority; this is not the time to assess if the
patient has an addiction. Offering to help a postsurgical patient change
positions is appropriate, but should be done after the patient receives the
pain medication.
The nursing instructor teaches the nursing students about neural mechanisms of pain.
What does the nursing instructor teach about substance P?
1. Substance P modifies sensory information in the spinal cord.
2. Substance P is also known as an endogenous opioid.
3. Substance P stimulates pain receptors in the spinal cord.
4. Substance P controls which pain signals reach the brain.
Give this one a try later!
Correct Answer: 4
Rationale 1: Spinal substance P is critical because it controls whether pain
signals will continue to the brain. Endogenous opioids, not substance P,
modify sensory information at the level of the spinal cord. Substance P
does not stimulate pain receptors in the spinal cord. Substance P is not an
endogenous opioid.
The nurse is caring for an adolescent with depression and suicidal thoughts. The
nursing diagnosis is Risk for Suicide related to depression. What is the best outcome
for this adolescent?
1. The patient will discuss his feelings in group therapy today.
,2. The patient will list five reasons why he should not harm himself today.
3. The patient will not commit any acts of self-harm today.
4. The patient will take the antidepressant medication as prescribed today.
Give this one a try later!
Correct Answer: 3
The patient not committing any acts of self-harm relates to the problem
statement in the nursing diagnosis and is measurable. Listing five reasons
why the patient should not harm himself will not prevent him from
committing an act of self-harm. Taking antidepressant medication will not
prevent the patient from committing an act of self-harm. Discussion of
feelings will not prevent the patient from committing an act of self-harm.
Which statement regarding human DNA sequences is accurate?
1. Only 2% of human DNA is different among the different ethnicities.
2. Due to enzyme polymorphism, Hispanics are less likely to metabolize codeine to
morphine.
3. Even though human genetic differences are small, significant differences can be
seen with drug metabolism.
4. Asian Americans are the ethnic group known to be slow acetylators.
Give this one a try later!
Correct Answer: 3
Human DNA differences of only 0.2% can produce significant differences in
the way drugs are handled within the body. Asian Americans are less likely
to metabolize codeine to morphine, and Caucasians are known to be slow
acetylators.
A patient with chronic kidney failure is taking a loop diuretic. The nurse will advise the
patient to take the drug
1. with food.
2. in the morning.
, 3. at bedtime.
4. in the late afternoon.
Give this one a try later!
Correct Answer: 2
- The medication does not need to be given with food.
- It is best to take loop diuretics in the morning, since they increase urine
flow, which could lead to injury.
- Taking a loop diuretic at bedtime will cause nighttime urination and
interfere with sleep.
- Late afternoon is too late, since the drug will increase urine flow.
The patient is dehydrated, but has a normal blood pressure. The new medical intern
orders normal serum albumin intravenously (IV) for this patient. What is the best
evaluation by the nurse regarding this order?
1. It is a correct and valid order.
2. The intern should have ordered 5% dextrose in normal saline.
3. The intern should have ordered 0.45% NaCl.
4. The intern should have ordered 0.9% NaCl.
Give this one a try later!
Correct Answer: 3
0.45% NaCl is a hypotonic solution. This will cause fluid to shift from plasma
to the tissues and cells in the intravascular compartment. Hypotonic
solutions are indicated for patients who are dehydrated with normal blood
pressure. Normal serum albumin is a hypertonic solution; the patient
requires a hypotonic solution 5% dextrose in normal saline is a hypertonic
solution; the patient requires a hypotonic solution. 0.9% NaCl is an isotonic
solution, the patient requires a hypotonic solution.
Which nursing intervention would take priority following administration of a new
medication?
medication administration?
1. Each stage is equal in risk.
2. Pre-implantation period
3. Third trimester
4. Embryonic
Give this one a try later!
Correct Answer: 4
The embryonic phase poses the greatest risk to fetal development.
What is a priority assessment question to ask a postsurgical patient prior to
administration of an opioid analgesic?
1. Have you ever been addicted to prescription pain medications?
2. Why do you want to receive this pain medication?
,3. Would you like me to help you change your position for comfort?
4. Would you please rate your pain on a scale of 0-to-10?
Give this one a try later!
Correct Answer: 4
The nurse should always assess the patients level of pain prior to the
administration of an analgesic. Asking a postsurgical patient why a pain
medication is requested does not make a lot of sense. Administration of
pain medication postsurgery is a priority; this is not the time to assess if the
patient has an addiction. Offering to help a postsurgical patient change
positions is appropriate, but should be done after the patient receives the
pain medication.
The nursing instructor teaches the nursing students about neural mechanisms of pain.
What does the nursing instructor teach about substance P?
1. Substance P modifies sensory information in the spinal cord.
2. Substance P is also known as an endogenous opioid.
3. Substance P stimulates pain receptors in the spinal cord.
4. Substance P controls which pain signals reach the brain.
Give this one a try later!
Correct Answer: 4
Rationale 1: Spinal substance P is critical because it controls whether pain
signals will continue to the brain. Endogenous opioids, not substance P,
modify sensory information at the level of the spinal cord. Substance P
does not stimulate pain receptors in the spinal cord. Substance P is not an
endogenous opioid.
The nurse is caring for an adolescent with depression and suicidal thoughts. The
nursing diagnosis is Risk for Suicide related to depression. What is the best outcome
for this adolescent?
1. The patient will discuss his feelings in group therapy today.
,2. The patient will list five reasons why he should not harm himself today.
3. The patient will not commit any acts of self-harm today.
4. The patient will take the antidepressant medication as prescribed today.
Give this one a try later!
Correct Answer: 3
The patient not committing any acts of self-harm relates to the problem
statement in the nursing diagnosis and is measurable. Listing five reasons
why the patient should not harm himself will not prevent him from
committing an act of self-harm. Taking antidepressant medication will not
prevent the patient from committing an act of self-harm. Discussion of
feelings will not prevent the patient from committing an act of self-harm.
Which statement regarding human DNA sequences is accurate?
1. Only 2% of human DNA is different among the different ethnicities.
2. Due to enzyme polymorphism, Hispanics are less likely to metabolize codeine to
morphine.
3. Even though human genetic differences are small, significant differences can be
seen with drug metabolism.
4. Asian Americans are the ethnic group known to be slow acetylators.
Give this one a try later!
Correct Answer: 3
Human DNA differences of only 0.2% can produce significant differences in
the way drugs are handled within the body. Asian Americans are less likely
to metabolize codeine to morphine, and Caucasians are known to be slow
acetylators.
A patient with chronic kidney failure is taking a loop diuretic. The nurse will advise the
patient to take the drug
1. with food.
2. in the morning.
, 3. at bedtime.
4. in the late afternoon.
Give this one a try later!
Correct Answer: 2
- The medication does not need to be given with food.
- It is best to take loop diuretics in the morning, since they increase urine
flow, which could lead to injury.
- Taking a loop diuretic at bedtime will cause nighttime urination and
interfere with sleep.
- Late afternoon is too late, since the drug will increase urine flow.
The patient is dehydrated, but has a normal blood pressure. The new medical intern
orders normal serum albumin intravenously (IV) for this patient. What is the best
evaluation by the nurse regarding this order?
1. It is a correct and valid order.
2. The intern should have ordered 5% dextrose in normal saline.
3. The intern should have ordered 0.45% NaCl.
4. The intern should have ordered 0.9% NaCl.
Give this one a try later!
Correct Answer: 3
0.45% NaCl is a hypotonic solution. This will cause fluid to shift from plasma
to the tissues and cells in the intravascular compartment. Hypotonic
solutions are indicated for patients who are dehydrated with normal blood
pressure. Normal serum albumin is a hypertonic solution; the patient
requires a hypotonic solution 5% dextrose in normal saline is a hypertonic
solution; the patient requires a hypotonic solution. 0.9% NaCl is an isotonic
solution, the patient requires a hypotonic solution.
Which nursing intervention would take priority following administration of a new
medication?
