PHN 102 WEEK 4 EXAM 3 QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026
A patient is beginning therapy with oral methotrexate [ Rheumatrex ] for rheumatoid arthritis . The
nurse will teach this patient about the importance of : - Answers having routine renal and hepatic
function tests .
A patient with rheumatoid arthritis is taking leflunomide [ Arava ] and an oral contraceptive . She tells
the nurse she would like to get pregnant . What will the nurse tell her ? - Answers To ask her provider
about an 11 - day course of cholestyramine
A patient will begin taking hydroxychloroquine [ Plaquenil ] for rheumatoid arthritis . The patient is
currently taking high - dose NSAIDs and methotrexate . What will the nurse teach the patient ? -
Answers That an eye exam is necessary at the beginning of therapy with this drug
a positive tuberculin skin test . A chest radiograph is negative . The nurse will expect A patient about
to begin therapy with etanercept [ Enbrel ] , an immunosuppressant , has this patient to : - Answers
undergo tuberculosis treatment prior to beginning etanercept treatment
[ Rituxan ] with a nursing student . Which statement by the student indicates a need for A nurse is
discussing the administration of an intravenous infusion of rituximab further education about the care
of a patient receiving this drug ? - Answers " Angioedema and hypersensitivity may occur , but they
are usually self - limiting and mild . "
A patient with gout who has increasingly frequent acute gouty attacks will begin . receiving allopurinol
[ Zyloprim ] and colchicine ( Colcrys ] . The nurse will include which statement when teaching the
patient about this drug regimen ? - Answers " You will take both drugs initially and then stop taking
the colchicine . "
A patient has had four gouty flare - ups in the past year . Which drug class will the nurse expect the
provider to order for this patient ? - Answers Urate - lowering drugs
A patient who will begin taking colchicine for gout reports taking nonsteroidal anti inflammatory
drugs , simvastatin , amoxicillin , and digoxin . What will the nurse do ? - Answers Notify the provider
about the potential risk of muscle injury when simvastatin is taken with colchicine .
A patient is being treated with warfarin [ Coumadin ] to prevent thrombus . The patient develops
hyperuricemia , and the provider orders allopurinol [ Zyloprim ] . The nurse will contact the provider
to discuss the dose . - Answers reducing ; warfarin
A patient is admitted for treatment of gout that has been refractory to treatment with allopurinol and
probenecid . The patient is taking colchicine , and the prescriber orders pegloticase [ Krystexxa ) .
Before administering this drug , the nurse will expect to : - Answers administer an antihistamine and
a glucocorticoid
A patient who is hospitalized for an acute gout attack has received several doses of hourly oral
colchicine but still reports moderate to severe pain . As the nurse prepares to administer the next
dose , the patient begins vomiting and complains of abdominal pain . What will the nurse do ? -
Answers Hold the medication and notify the prescriber .
A nurse is providing education to a patient who will begin taking alendronate [ Fosamax ] , a
bisphosphonate . Which complication should the patient be instructed to report immediately ? -
Answers Difficulty swallowing
A nurse provides teaching for a woman who will begin taking supplemental calcium . Which
statement by the woman indicates understanding of the teaching ? - Answers " I should not take
more than 600 mg of calcium at one time . "
A nurse is preparing to administer IV calcium chloride to a patient with a low serum calcium level .
Which drug on the patient's medication record , administered concurrently , would require additional
patient monitoring by the nurse ? - Answers Digoxin ( Lanoxin ]
A patient reports experiencing weakness , fatigue , nausea , vomiting , constipation , and nocturia .
Total serum calcium is 10.5 mg / dL . A dipstick urinalysis shows a positive result for protein . When
questioned , the patient reports taking vitamin D and calcium supplements . The nurse will counsel
the patient to : - Answers stop taking vitamin D , reduce the amount of calcium , and increase the
fluid intake .
A patient who has developed postmenopausal osteoporosis will begin taking alendronate
[ Fosamax ] , a bisphosphonate . The nurse will teach this patient to take the drug : - Answers while
sitting upright with plenty of water ,
A patient is beginning therapy with oral methotrexate [ Rheumatrex ] for rheumatoid arthritis . The
nurse will teach this patient about the importance of : - Answers having routine renal and hepatic
function tests .
A patient with rheumatoid arthritis is taking leflunomide [ Arava ] and an oral contraceptive . She tells
the nurse she would like to get pregnant . What will the nurse tell her ? - Answers To ask her provider
about an 11 - day course of cholestyramine
A patient will begin taking hydroxychloroquine [ Plaquenil ] for rheumatoid arthritis . The patient is
currently taking high - dose NSAIDs and methotrexate . What will the nurse teach the patient ? -
Answers That an eye exam is necessary at the beginning of therapy with this drug
a positive tuberculin skin test . A chest radiograph is negative . The nurse will expect A patient about
to begin therapy with etanercept [ Enbrel ] , an immunosuppressant , has this patient to : - Answers
undergo tuberculosis treatment prior to beginning etanercept treatment
[ Rituxan ] with a nursing student . Which statement by the student indicates a need for A nurse is
discussing the administration of an intravenous infusion of rituximab further education about the care
of a patient receiving this drug ? - Answers " Angioedema and hypersensitivity may occur , but they
are usually self - limiting and mild . "
A patient with gout who has increasingly frequent acute gouty attacks will begin . receiving allopurinol
[ Zyloprim ] and colchicine ( Colcrys ] . The nurse will include which statement when teaching the
patient about this drug regimen ? - Answers " You will take both drugs initially and then stop taking
the colchicine . "
A patient has had four gouty flare - ups in the past year . Which drug class will the nurse expect the
provider to order for this patient ? - Answers Urate - lowering drugs
A patient who will begin taking colchicine for gout reports taking nonsteroidal anti inflammatory
drugs , simvastatin , amoxicillin , and digoxin . What will the nurse do ? - Answers Notify the provider
about the potential risk of muscle injury when simvastatin is taken with colchicine .
A patient is being treated with warfarin [ Coumadin ] to prevent thrombus . The patient develops
hyperuricemia , and the provider orders allopurinol [ Zyloprim ] . The nurse will contact the provider
to discuss the dose . - Answers reducing ; warfarin
A patient is admitted for treatment of gout that has been refractory to treatment with allopurinol and
probenecid . The patient is taking colchicine , and the prescriber orders pegloticase [ Krystexxa ) .
Before administering this drug , the nurse will expect to : - Answers administer an antihistamine and
a glucocorticoid
A patient who is hospitalized for an acute gout attack has received several doses of hourly oral
colchicine but still reports moderate to severe pain . As the nurse prepares to administer the next
dose , the patient begins vomiting and complains of abdominal pain . What will the nurse do ? -
Answers Hold the medication and notify the prescriber .
A nurse is providing education to a patient who will begin taking alendronate [ Fosamax ] , a
bisphosphonate . Which complication should the patient be instructed to report immediately ? -
Answers Difficulty swallowing
A nurse provides teaching for a woman who will begin taking supplemental calcium . Which
statement by the woman indicates understanding of the teaching ? - Answers " I should not take
more than 600 mg of calcium at one time . "
A nurse is preparing to administer IV calcium chloride to a patient with a low serum calcium level .
Which drug on the patient's medication record , administered concurrently , would require additional
patient monitoring by the nurse ? - Answers Digoxin ( Lanoxin ]
A patient reports experiencing weakness , fatigue , nausea , vomiting , constipation , and nocturia .
Total serum calcium is 10.5 mg / dL . A dipstick urinalysis shows a positive result for protein . When
questioned , the patient reports taking vitamin D and calcium supplements . The nurse will counsel
the patient to : - Answers stop taking vitamin D , reduce the amount of calcium , and increase the
fluid intake .
A patient who has developed postmenopausal osteoporosis will begin taking alendronate
[ Fosamax ] , a bisphosphonate . The nurse will teach this patient to take the drug : - Answers while
sitting upright with plenty of water ,
