Arizona College Of Nursing NUR 334
EXAM 1 |YEAR 2026 |COMPLETE
QUESTION AND ANSWER|GRADED A+
1) The student nurse asks the nursing instructor why drug plateaus occur with
medications. What are the best responses by the nursing instructor?
Select all that apply.
1. "It could be that all of the receptors for the drug are occupied."
2. "It may mean that the drug has brought 100% relief to the patient."
3. "It means that the patient has developed resistance and needs another drug."
4. "It probably means that the drug is losing efficacy."
5. "It means that the patient needs a higher dose of the drug."
1. "It could be that all of the receptors for the drug are occupied."
2. "It may mean that the drug has brought 100% relief to the patient."
1) Which laboratory tests should the nurse anticipate evaluating prior to a client
receiving ibuprofen (Advil) for long-term therapy?
1. Electrolytes
2. Hemoglobin and hematocrit
3. Bleeding times
4. Liver function tests
5. Serum amylase
2. Hemoglobin and hematocrit
3. Bleeding times
4. Liver function tests
,1) Which signs of inflammation should the nurse anticipate for a client that has
experienced a sports-related injury to their leg?
1. Swelling
2. Pain
3. Warmth
4. Pallor
5. Pitting edema
1. Swelling
2. Pain
3. Warmth
A client that is experiencing inflammation from an injury asks the nurse how long it
will take to respond to treatment. Which is the best response by the nurse?
1. "With proper care, it will take about a month for symptoms to resolve."
2. "It will depend on your response to the prescriptions."
3. "It will take about a week and a half for the symptoms to resolve."
4. "The inflammatory process is too complex to predict a time frame for healing."
3. "It will take about a week and a half for the symptoms to resolve."
The nurse has provided education about the action of histamines for a client. Which
statement indicates an understanding of the information?
1. "Histamine is inhibited by nonsteroidal anti-inflammatory drugs (NSAIDs)."
2. "Histamine dilates the vessels in the nose, so it is congested and stuffy."
3. "Histamine constricts vessels, causing capillaries to become more permeable."
4. "Histamine is primarily stored in phagocyte cells in the skin."
2. "Histamine dilates the vessels in the nose, so it is congested and stuffy."
A client tells the nurse they would prefer to indefinitely take prednisone to treat their
inflammatory disease. Which is the best response by the nurse?
1. "This is not recommended due to the serious side effects."
2. "The best treatment for your condition is to alternate prescriptions."
3. "The prescription will lose its effect after your body builds up a tolerance to it."
4. "When you experience remission you will not need the prescription."
1. "This is not recommended due to the serious side effects."
,The nurse has administered sumatriptan (Imitrex) to a client. Which effects should the
nurse monitor the patient for?
1. Hypotension
2. Urinary retention
3. Muscle weakness
4. Decreased level of consciousness
4. Decreased level of consciousness
For which client should the nurse recognize a prescription for sumatriptan (Imitrex)
may be beneficial?
1. A 73-year-old with angina pectoris
2. A 36-year-old female with preeclampsia
3. A 45-year-old diabetic male
4. A 27-year-old asthmatic male
4. A 27-year-old asthmatic male
Which statement is accurate when prescribing acetylsalicylic acid (aspirin) for the
treatment of pain?
1. High doses are necessary (1 g) to achieve anticoagulant effects.
2. Enteric-coated capsules are available to reduce GI side effects.
3. Increase consumption of herbs such as garlic and ginger to potentiate the anti-
inflammatory effects.
4. Low doses (325 mg) can significantly reduce inflammation.
2. Enteric-coated capsules are available to reduce GI side effects.
Which selective serotonin reuptake inhibitors (SSRIs) are prescribed as adjuvant
analgesics?
1. Desipramine (Norpramin)
2. Fluvoxamine (Luvox)
3. Imipramine (Tofranil)
4. Sertraline (Zoloft)
5. Fluoxetine (Prozac)
2. Fluvoxamine (Luvox)
3. Imipramine (Tofranil)
4. Sertraline (Zoloft)
, A parent asks the nurse why his or her 8-year-old child cannot have cough syrup with
codeine to help the child rest. Prior to responding to the parent, which should the
nurse understand?
1. The child can become addicted to the cough syrup.
2. Codeine is contraindicated in children.
3. Children are more likely to have an allergic reaction to the codeine.
4. Codeine will exacerbate the child's condition.
2. Codeine is contraindicated in children.
The nurse is preparing to review the records of a client with cancer prescribed buccal
fentanyl. Which findings should the nurse anticipate?
1. The client is already prescribed fentanyl.
2. The client is opioid naïve.
3. The client is experiencing breakthrough pain.
4. The client has a history of migraine headaches.
5. The client is being weaned off of intravenous fentanyl.
1. The client is already prescribed fentanyl.
3. The client is experiencing breakthrough pain.
When administering a standard or median effective dose to a client, the nurse explains
that this amount of drug will have which effect?
1. It will produce an effect without the presence of adverse effects.
2. It will be metabolized within 24 hours.
3. It will be effective in half of the population.
4. It will be effective in the majority of clients.
3. It will be effective in half of the population.
EXAM 1 |YEAR 2026 |COMPLETE
QUESTION AND ANSWER|GRADED A+
1) The student nurse asks the nursing instructor why drug plateaus occur with
medications. What are the best responses by the nursing instructor?
Select all that apply.
1. "It could be that all of the receptors for the drug are occupied."
2. "It may mean that the drug has brought 100% relief to the patient."
3. "It means that the patient has developed resistance and needs another drug."
4. "It probably means that the drug is losing efficacy."
5. "It means that the patient needs a higher dose of the drug."
1. "It could be that all of the receptors for the drug are occupied."
2. "It may mean that the drug has brought 100% relief to the patient."
1) Which laboratory tests should the nurse anticipate evaluating prior to a client
receiving ibuprofen (Advil) for long-term therapy?
1. Electrolytes
2. Hemoglobin and hematocrit
3. Bleeding times
4. Liver function tests
5. Serum amylase
2. Hemoglobin and hematocrit
3. Bleeding times
4. Liver function tests
,1) Which signs of inflammation should the nurse anticipate for a client that has
experienced a sports-related injury to their leg?
1. Swelling
2. Pain
3. Warmth
4. Pallor
5. Pitting edema
1. Swelling
2. Pain
3. Warmth
A client that is experiencing inflammation from an injury asks the nurse how long it
will take to respond to treatment. Which is the best response by the nurse?
1. "With proper care, it will take about a month for symptoms to resolve."
2. "It will depend on your response to the prescriptions."
3. "It will take about a week and a half for the symptoms to resolve."
4. "The inflammatory process is too complex to predict a time frame for healing."
3. "It will take about a week and a half for the symptoms to resolve."
The nurse has provided education about the action of histamines for a client. Which
statement indicates an understanding of the information?
1. "Histamine is inhibited by nonsteroidal anti-inflammatory drugs (NSAIDs)."
2. "Histamine dilates the vessels in the nose, so it is congested and stuffy."
3. "Histamine constricts vessels, causing capillaries to become more permeable."
4. "Histamine is primarily stored in phagocyte cells in the skin."
2. "Histamine dilates the vessels in the nose, so it is congested and stuffy."
A client tells the nurse they would prefer to indefinitely take prednisone to treat their
inflammatory disease. Which is the best response by the nurse?
1. "This is not recommended due to the serious side effects."
2. "The best treatment for your condition is to alternate prescriptions."
3. "The prescription will lose its effect after your body builds up a tolerance to it."
4. "When you experience remission you will not need the prescription."
1. "This is not recommended due to the serious side effects."
,The nurse has administered sumatriptan (Imitrex) to a client. Which effects should the
nurse monitor the patient for?
1. Hypotension
2. Urinary retention
3. Muscle weakness
4. Decreased level of consciousness
4. Decreased level of consciousness
For which client should the nurse recognize a prescription for sumatriptan (Imitrex)
may be beneficial?
1. A 73-year-old with angina pectoris
2. A 36-year-old female with preeclampsia
3. A 45-year-old diabetic male
4. A 27-year-old asthmatic male
4. A 27-year-old asthmatic male
Which statement is accurate when prescribing acetylsalicylic acid (aspirin) for the
treatment of pain?
1. High doses are necessary (1 g) to achieve anticoagulant effects.
2. Enteric-coated capsules are available to reduce GI side effects.
3. Increase consumption of herbs such as garlic and ginger to potentiate the anti-
inflammatory effects.
4. Low doses (325 mg) can significantly reduce inflammation.
2. Enteric-coated capsules are available to reduce GI side effects.
Which selective serotonin reuptake inhibitors (SSRIs) are prescribed as adjuvant
analgesics?
1. Desipramine (Norpramin)
2. Fluvoxamine (Luvox)
3. Imipramine (Tofranil)
4. Sertraline (Zoloft)
5. Fluoxetine (Prozac)
2. Fluvoxamine (Luvox)
3. Imipramine (Tofranil)
4. Sertraline (Zoloft)
, A parent asks the nurse why his or her 8-year-old child cannot have cough syrup with
codeine to help the child rest. Prior to responding to the parent, which should the
nurse understand?
1. The child can become addicted to the cough syrup.
2. Codeine is contraindicated in children.
3. Children are more likely to have an allergic reaction to the codeine.
4. Codeine will exacerbate the child's condition.
2. Codeine is contraindicated in children.
The nurse is preparing to review the records of a client with cancer prescribed buccal
fentanyl. Which findings should the nurse anticipate?
1. The client is already prescribed fentanyl.
2. The client is opioid naïve.
3. The client is experiencing breakthrough pain.
4. The client has a history of migraine headaches.
5. The client is being weaned off of intravenous fentanyl.
1. The client is already prescribed fentanyl.
3. The client is experiencing breakthrough pain.
When administering a standard or median effective dose to a client, the nurse explains
that this amount of drug will have which effect?
1. It will produce an effect without the presence of adverse effects.
2. It will be metabolized within 24 hours.
3. It will be effective in half of the population.
4. It will be effective in the majority of clients.
3. It will be effective in half of the population.
