NURSING ACTUAL EXAM WITH
COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS)
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Which of the following indicates that an elderly
client has been affected by polypharmacy?
A. Medications that might prove beneficial are not
prescribed.
B. Medications are used to counteract side effects of
currently prescribed medications.
C. There is no improvement in a condition even after
discontinuation of a medication.
D. Medications that are contraindicated are not
prescribed.
,Correct Answer: B) Medications are used to
counteract side effects of currently prescribed
medications
Rationale: Polypharmacy refers to the use of
multiple medications, which often leads to situations
where drugs are prescribed to address the side
effects of other medications. This can create a cycle
where medications counteract or create further
complications. It is crucial to assess the patient's
medication regimen to avoid this issue.
When caring for clients experiencing pain, a
nurse should recognize that which of the
following natural substances decrease pain
transmission? (Select all that apply.)
A. Substance P
B. Serotonin
C. Bradykinin
D. Endorphins
E. Histamine
Correct Answer: B) Serotonin, D) Endorphins
,Rationale: Endorphins and serotonin are natural
substances in the body that help inhibit pain
transmission. Endorphins, often referred to as the
body's natural painkillers, block pain signals.
Serotonin plays a role in modulating pain perception
and can help reduce the sensation of pain.
A nurse is administering eardrops to an 8-year-
old patient with an ear infection. How does the
nurse pull the patient's ear when administering
the medication?
A. Outward
B. Back
C. Upward and back
D. Upward and outward
Correct Answer: C) Upward and back Rationale:
When administering eardrops to a child older than 3
years, the nurse should pull the ear upward and
backward to straighten the ear canal for proper
medication administration. This ensures the drops
reach the correct part of the ear for effective
treatment.
, A postoperative patient is receiving morphine
sulfate via PCA. The nurse assesses that the
patient's respirations are depressed. The effects
of the morphine sulfate can be classified as
A. Allergic.
B. Idiosyncratic.
C. Therapeutic.
D. Toxic.
Correct Answer: D) Toxic
Rationale: Depressed respirations are a sign of
opioid toxicity. This can happen if the medication
dose is too high or if the patient is particularly
sensitive to the drug. It is important to monitor
respiratory function closely when administering
opioids like morphine sulfate.
What is the term for the time it takes for a
medication to produce a response?
A. Onset
B. Plateau