NSG3022 exam 3 prep test bank chapters 8, 22, 23, 24, 25
Questions With Complete Solutions
. A patient has been taking paroxetine (Paxil) 20 mg per day for
2 weeks and reports a decrease in
libido. Which action will the nurse take?
a. Counsel the patient to take the medication with food.
b. Reassure the patient that this side effect can decrease over
time.
c. Suggest that the patient discuss a lower dose with the
provider.
d. Tell the patient to stop taking the drug and contact the
provider Correct Answers b. Reassure the patient that this side
effect can decrease over time.
5. A patient is taking aspirin for secondary prevention of
myocardial
infarction and is experiencing moderate gastrointestinal upset.
The nurse will contact the patient's
provider to discuss changing from aspirin to which of the
following?
a. A COX-2 inhibitor
b. Celecoxib (Celebrex)
c. Enteric-coated aspirin
d. Ibuprofen Correct Answers c. Enteric-coated aspirin
9. A patient who has been taking a monoamine oxidase (MAO)
inhibitor for several months
will begin taking amoxapine (Asendin) instead of the MAO
inhibitor. The nurse will counsel the patient to begin taking the
amoxapine:
,a. along with the MAO inhibitor for several months.
b. at least 14 days after discontinuing the MAO inhibitor.
c. the day after the last dose of the MAO inhibitor.
d. while withdrawing the MAO inhibitor over several weeks.
Correct Answers b. at least 14 days after discontinuing the
MAO inhibitor.
10. The nurse is caring for a postpartum woman who is refusing
opioid analgesics but is rating
herpain as a 7 or 8 on a 10-point pain scale. The nurse will
contact the provider to request an order for
which analgesic medication?
a. Diclofenac sodium (Voltaren)
b. Ketoprofen (Orudis)
c. Ketorolac (Toradol)
d. Naproxen (Naprosyn) Correct Answers c. Ketorolac
(Toradol)
12. The nurse is caring for a patient who was admitted with a
fractured leg and for observation of
closed head injury after a motor vehicle accident. The patient
reports having pain at a level of 3 on a 1 to
10 pain scale. The nurse will expect the provider to order which
analgesic medication for this patient?
a. Acetaminophen (Tylenol) PO
b. Hydromorphone HCl (Dilaudid) IM
c. Morphine sulfate PCA
d. Transdermal fentanyl (Duragesic) Correct Answers a.
Acetaminophen (Tylenol) PO
,A family member of a patient who has been taking fluphenazine
(Prolixin) for 3 months calls to
report that the patient is exhibiting agitation and restlessness.
The nurse learns that the
patient's delusional thinking and hallucinations have stopped
since
taking the medication. The nurse will perform which action?
a. Reassure the family member that tolerance to these side
effects will subside overtime.
b. Remind the family member that complete drug effects may
not occur for several more weeks.
c. Suggest that the family member contact the provider to
discuss an order for a medication to help
with the agitation and restlessness.
d. Tell the family member to withhold the medication and notify
the patient's provider. Correct Answers c. Suggest that the
family member contact the provider to discuss an order for a
medication to help
with the agitation and restlessness.
A male patient has been taking venlafaxine (Effexor) 37.5 mg
daily for 2 weeks and reports
an increase in blood pressure. The nurse understands that this is
due to which of the following?
a. Increased serotonin levels.
b. Increased norepinephrine levels.
c. Increased dopamine levels.
d. Increased acetylcholine levels Correct Answers b. Increased
norepinephrine levels.
, A nurse performs a medication history on a newly admitted
patient. The patient reports
taking amitriptyline (Elavil) 75 mg at bedtime for 6 weeks to
treat depression. The patient reports having
continued fatigue, lack of energy, and no improvement in mood.
The nurse will contact the provider to
discuss which intervention?
a. Beginning to down-taper the amitriptyline
b. Changing to a morning dose schedule
c. Giving the amitriptyline twice daily
d. Increasing the dose of amitriptyline Correct Answers a.
Beginning to down-taper the amitriptyline
A nursing student asks how nonsteroidal anti-inflammatory
drugs (NSAIDs) work to suppress inflammation and reduce
pain. The nurse will explain that NSAIDs:
a. exert direct actions to cause relaxation of smooth muscle.
b. inhibit the enzyme cyclooxygenase that is necessary for
prostaglandin synthesis.
c. interfere with neuronal pathways associated with
prostaglandin action.
d. suppress prostaglandin activity by blocking tissue receptor
sites. Correct Answers b. inhibit the enzyme cyclooxygenase
that is necessary for prostaglandin synthesis.
A nursing student asks the nurse to explain the role of
cyclooxygenase-2 (COX-2) and its role in inflammation. The
nurse will explain that COX-2:
a. converts arachidonic acid into a chemical mediator for
inflammation.
Questions With Complete Solutions
. A patient has been taking paroxetine (Paxil) 20 mg per day for
2 weeks and reports a decrease in
libido. Which action will the nurse take?
a. Counsel the patient to take the medication with food.
b. Reassure the patient that this side effect can decrease over
time.
c. Suggest that the patient discuss a lower dose with the
provider.
d. Tell the patient to stop taking the drug and contact the
provider Correct Answers b. Reassure the patient that this side
effect can decrease over time.
5. A patient is taking aspirin for secondary prevention of
myocardial
infarction and is experiencing moderate gastrointestinal upset.
The nurse will contact the patient's
provider to discuss changing from aspirin to which of the
following?
a. A COX-2 inhibitor
b. Celecoxib (Celebrex)
c. Enteric-coated aspirin
d. Ibuprofen Correct Answers c. Enteric-coated aspirin
9. A patient who has been taking a monoamine oxidase (MAO)
inhibitor for several months
will begin taking amoxapine (Asendin) instead of the MAO
inhibitor. The nurse will counsel the patient to begin taking the
amoxapine:
,a. along with the MAO inhibitor for several months.
b. at least 14 days after discontinuing the MAO inhibitor.
c. the day after the last dose of the MAO inhibitor.
d. while withdrawing the MAO inhibitor over several weeks.
Correct Answers b. at least 14 days after discontinuing the
MAO inhibitor.
10. The nurse is caring for a postpartum woman who is refusing
opioid analgesics but is rating
herpain as a 7 or 8 on a 10-point pain scale. The nurse will
contact the provider to request an order for
which analgesic medication?
a. Diclofenac sodium (Voltaren)
b. Ketoprofen (Orudis)
c. Ketorolac (Toradol)
d. Naproxen (Naprosyn) Correct Answers c. Ketorolac
(Toradol)
12. The nurse is caring for a patient who was admitted with a
fractured leg and for observation of
closed head injury after a motor vehicle accident. The patient
reports having pain at a level of 3 on a 1 to
10 pain scale. The nurse will expect the provider to order which
analgesic medication for this patient?
a. Acetaminophen (Tylenol) PO
b. Hydromorphone HCl (Dilaudid) IM
c. Morphine sulfate PCA
d. Transdermal fentanyl (Duragesic) Correct Answers a.
Acetaminophen (Tylenol) PO
,A family member of a patient who has been taking fluphenazine
(Prolixin) for 3 months calls to
report that the patient is exhibiting agitation and restlessness.
The nurse learns that the
patient's delusional thinking and hallucinations have stopped
since
taking the medication. The nurse will perform which action?
a. Reassure the family member that tolerance to these side
effects will subside overtime.
b. Remind the family member that complete drug effects may
not occur for several more weeks.
c. Suggest that the family member contact the provider to
discuss an order for a medication to help
with the agitation and restlessness.
d. Tell the family member to withhold the medication and notify
the patient's provider. Correct Answers c. Suggest that the
family member contact the provider to discuss an order for a
medication to help
with the agitation and restlessness.
A male patient has been taking venlafaxine (Effexor) 37.5 mg
daily for 2 weeks and reports
an increase in blood pressure. The nurse understands that this is
due to which of the following?
a. Increased serotonin levels.
b. Increased norepinephrine levels.
c. Increased dopamine levels.
d. Increased acetylcholine levels Correct Answers b. Increased
norepinephrine levels.
, A nurse performs a medication history on a newly admitted
patient. The patient reports
taking amitriptyline (Elavil) 75 mg at bedtime for 6 weeks to
treat depression. The patient reports having
continued fatigue, lack of energy, and no improvement in mood.
The nurse will contact the provider to
discuss which intervention?
a. Beginning to down-taper the amitriptyline
b. Changing to a morning dose schedule
c. Giving the amitriptyline twice daily
d. Increasing the dose of amitriptyline Correct Answers a.
Beginning to down-taper the amitriptyline
A nursing student asks how nonsteroidal anti-inflammatory
drugs (NSAIDs) work to suppress inflammation and reduce
pain. The nurse will explain that NSAIDs:
a. exert direct actions to cause relaxation of smooth muscle.
b. inhibit the enzyme cyclooxygenase that is necessary for
prostaglandin synthesis.
c. interfere with neuronal pathways associated with
prostaglandin action.
d. suppress prostaglandin activity by blocking tissue receptor
sites. Correct Answers b. inhibit the enzyme cyclooxygenase
that is necessary for prostaglandin synthesis.
A nursing student asks the nurse to explain the role of
cyclooxygenase-2 (COX-2) and its role in inflammation. The
nurse will explain that COX-2:
a. converts arachidonic acid into a chemical mediator for
inflammation.
