NURS 498 (EXAM 2) QUESTIONS WITH COMPLETE
SOLUTIONS
A child has been on Ritalin for a few months and is not working
well. Why might this be happening?
A) Tolerance, so may need an increased dose
B) Allergic reaction
C) May need a CNS stimulant
D) Normal reaction, no need for change Correct Answers A
A client with systemic lupus erythematosus has a prescription
for 2 weeks of high-dose prednisone therapy. When teaching the
client about the prednisone, which of the following information
is most important for the nurse to include?
A) Weigh yourself daily to monitor for weight gain caused by
water or increased fat
B) Call the doctor if you experience any mood alterations with
prednisone
C) A weight bearing exercise program will help minimize the
risk for osteoporosis
D) Do not stop taking prednisone suddenly; it should be
decreased gradually Correct Answers D
A patient is taking an antipsychotic and now has a fever,
tachycardia, and muscle rigidity. What may be happening?
A) acute dystonia
B) Tardive dyskinesia
C) Agranulocytosis
D) Neuroleptic malignant syndrome Correct Answers D
, A patient with chronic kidney disease brings all home
medications to the clinic to be reviewed by the nurse. Which
medication being used by the patient indicates that patient
teaching is required?
A) Milk of magnesia 30 mL
B) Multivitamin with iron
C) Acetaminophen (Tylenol) 650 mg
D) Calcium acetate (PhosLo) Correct Answers A
A person with hemophilia has fallen on her knee. What action is
priority?
A) Resting the knee
B) Give a transfusion of platelets
C) Assist with intra articular corticosteroid injection
D) Walk it off Correct Answers A
A pt is diagnosed with obsessive-compulsive personality
disroder takes the nurse aside and mentions, "I've observed you
interacting with that new pt. You are not approaching him
properly. You should be more forceful with him." Which of the
following would be the best response for the nurse?
A) "I will be continuing to follow the care plan for the pt."
B) "I see you trying to control that pt's therapy as well as yours."
C) "Your eye for perfection extends even to my nursing
interventions."
D) "That pt's care is really of no concern to you or to other pt's"
Correct Answers A
A pt who has been receiving antipsychotic medication for 6
weeks tells the nurse that the hallucinations are nearly gone and
that concentration has improved. When the pt reports flu like
SOLUTIONS
A child has been on Ritalin for a few months and is not working
well. Why might this be happening?
A) Tolerance, so may need an increased dose
B) Allergic reaction
C) May need a CNS stimulant
D) Normal reaction, no need for change Correct Answers A
A client with systemic lupus erythematosus has a prescription
for 2 weeks of high-dose prednisone therapy. When teaching the
client about the prednisone, which of the following information
is most important for the nurse to include?
A) Weigh yourself daily to monitor for weight gain caused by
water or increased fat
B) Call the doctor if you experience any mood alterations with
prednisone
C) A weight bearing exercise program will help minimize the
risk for osteoporosis
D) Do not stop taking prednisone suddenly; it should be
decreased gradually Correct Answers D
A patient is taking an antipsychotic and now has a fever,
tachycardia, and muscle rigidity. What may be happening?
A) acute dystonia
B) Tardive dyskinesia
C) Agranulocytosis
D) Neuroleptic malignant syndrome Correct Answers D
, A patient with chronic kidney disease brings all home
medications to the clinic to be reviewed by the nurse. Which
medication being used by the patient indicates that patient
teaching is required?
A) Milk of magnesia 30 mL
B) Multivitamin with iron
C) Acetaminophen (Tylenol) 650 mg
D) Calcium acetate (PhosLo) Correct Answers A
A person with hemophilia has fallen on her knee. What action is
priority?
A) Resting the knee
B) Give a transfusion of platelets
C) Assist with intra articular corticosteroid injection
D) Walk it off Correct Answers A
A pt is diagnosed with obsessive-compulsive personality
disroder takes the nurse aside and mentions, "I've observed you
interacting with that new pt. You are not approaching him
properly. You should be more forceful with him." Which of the
following would be the best response for the nurse?
A) "I will be continuing to follow the care plan for the pt."
B) "I see you trying to control that pt's therapy as well as yours."
C) "Your eye for perfection extends even to my nursing
interventions."
D) "That pt's care is really of no concern to you or to other pt's"
Correct Answers A
A pt who has been receiving antipsychotic medication for 6
weeks tells the nurse that the hallucinations are nearly gone and
that concentration has improved. When the pt reports flu like
