NR 508 FINAL EXAM QUESTIONS
AND ANSWERS ALREADY
GRADED A+ EXAMS OF
NURSING
Question 1
pts
patient who has diabetes reports intense discomfort when needing to void. A
urinalysis is normal. To treat this, the primary care NP should consider
prescribing:
flavoxate (Urispas).
bethanechol (Urecholine).
phenazopyridine (Pyridium).
,oxybutynin chloride (Ditropan XL).
This patient is describing urge incontinence, or overactive bladder, which occurs
when the detrusor muscle is hyperactive, causing an intense urge to void before
the bladder is full. Urge incontinence is associated with many conditions,
including diabetes. Oxybutynin chloride, which is an anticholinergic, acts to
decrease detrusor overactivity and is indicated for treatment of urge
incontinence. Flavoxate is used to treat dysuria associated with UTI.
Bethanechol is indicated for urinary retention. Phenazopyridine is used to treat
dysuria.
Question 2
pts
A patient reports difficulty returning to sleep after getting up to go to the
bathroom
every night. A physical examination and a sleep hygiene history are
noncontributory. The primary care NP should prescribe:
zaleplon.
,ZolpiMist.
ramelteon.
, chloral hydrate.
ZolpiMist oral spray is useful for patients who have trouble returning to sleep in
the middle of the night. Zaleplon and ramelteon are used for insomnia caused by
difficulty with sleep onset. Chloral hydrate is not typically used as outpatient
therapy.
A 75-year-old patient who lives alone will begin taking a narcotic analgesic for
pain. To help ensure patient safety, the NP prescribing this medication should:
assess this patient’s usual sleeping patterns.
ask the patient about problems with constipation.
obtain a baseline creatinine clearance test before the first dose.
perform a thorough evaluation of cognitive and motor abilities.
The body system most significantly affected by increased receptor sensitivity in
elderly patients is the central nervous system, making this population sensitive to
numerous drugs. It is important to evaluate motor and cognitive function before
beginning drugs that affect the central nervous system to minimize the risk of
falls. Assessment of sleeping patterns is important, but not in relation to patient
safety. It is not necessary to evaluate stool patterns or renal function.
Question 23
pts
A patient has been taking intramuscular (IM) meperidine 75 mg every 6 hours for
3 days after surgery. When the patient is discharged from the hospital, the
primary care NP should expect the patient to receive a prescription for mg
orally every hours.
AND ANSWERS ALREADY
GRADED A+ EXAMS OF
NURSING
Question 1
pts
patient who has diabetes reports intense discomfort when needing to void. A
urinalysis is normal. To treat this, the primary care NP should consider
prescribing:
flavoxate (Urispas).
bethanechol (Urecholine).
phenazopyridine (Pyridium).
,oxybutynin chloride (Ditropan XL).
This patient is describing urge incontinence, or overactive bladder, which occurs
when the detrusor muscle is hyperactive, causing an intense urge to void before
the bladder is full. Urge incontinence is associated with many conditions,
including diabetes. Oxybutynin chloride, which is an anticholinergic, acts to
decrease detrusor overactivity and is indicated for treatment of urge
incontinence. Flavoxate is used to treat dysuria associated with UTI.
Bethanechol is indicated for urinary retention. Phenazopyridine is used to treat
dysuria.
Question 2
pts
A patient reports difficulty returning to sleep after getting up to go to the
bathroom
every night. A physical examination and a sleep hygiene history are
noncontributory. The primary care NP should prescribe:
zaleplon.
,ZolpiMist.
ramelteon.
, chloral hydrate.
ZolpiMist oral spray is useful for patients who have trouble returning to sleep in
the middle of the night. Zaleplon and ramelteon are used for insomnia caused by
difficulty with sleep onset. Chloral hydrate is not typically used as outpatient
therapy.
A 75-year-old patient who lives alone will begin taking a narcotic analgesic for
pain. To help ensure patient safety, the NP prescribing this medication should:
assess this patient’s usual sleeping patterns.
ask the patient about problems with constipation.
obtain a baseline creatinine clearance test before the first dose.
perform a thorough evaluation of cognitive and motor abilities.
The body system most significantly affected by increased receptor sensitivity in
elderly patients is the central nervous system, making this population sensitive to
numerous drugs. It is important to evaluate motor and cognitive function before
beginning drugs that affect the central nervous system to minimize the risk of
falls. Assessment of sleeping patterns is important, but not in relation to patient
safety. It is not necessary to evaluate stool patterns or renal function.
Question 23
pts
A patient has been taking intramuscular (IM) meperidine 75 mg every 6 hours for
3 days after surgery. When the patient is discharged from the hospital, the
primary care NP should expect the patient to receive a prescription for mg
orally every hours.
