NURS 6521N FINAL EXAM
Question 1
0 out of 1 points
An elderly woman is slated for a hemiarthroplasty (hip replacement surgery) after falling and
breaking her hip on the stairs outside her home. The woman's pain in the time since her injury
has been severe, and her care team has been treating it with morphine. Which of the following
administration schedules is most likely to control the patient's pain?
Selected Answer:
Correct
Answer: D.
Twicedaily doses of longacting morphine, with shortacting morphine
available for breakthrough pain
Response The use of longacting analgesia combined with shortacting opioids for
Feedback:
breakthrough pain is a proactive pain management technique that maximizes
therapeutic benefit while minimizing the risks of adverse effects.
Question 2
1 out of 1 points
A patient who is experiencing acute alcohol withdrawal is being treated with intravenous
lorazepam (Ativan). This drug achieves a therapeutic effect by
Selected Answer:
Correct Answer:
D.
increasing the effects of the neurotransmitter GABA.
Response Like all benzodiazepines, lorazepam increases the effects of GABA, which has
Feedback:
an inhibitory effect on the CNS. However, none of the benzodiazepines act lik
GABA or increase the amount of GABA present. MAOIs inhibit monoamine
oxidase and tricyclic antidepressants primarily affect serotonin and
norepinephrine levels. SSRIs increase the availability of serotonin in the
synapses.
Question 3
, 1 out of 1 points
A trauma patient has been receiving frequent doses of morphine in the 6 days since his
accident. This pattern of analgesic administration should prompt the nurse to carefully
monitor the patient's
Selected Answer:
C.
bowel
patterns.
Correct Answer:
C.
bowel patterns.
Response Morphine, like most opioid analgesics, creates a risk for constipation. The dr
Feedback:
is unlikely to influence the patient's temperature, skin integrity, or urine
specific gravity.
Question 4
0 out of 1 points
A patient has been prescribed zolpidem (Ambien) for shortterm treatment of insomnia.
Which of the following will the nurse include in a teaching plan for this patient? (Select all
that apply.)
Selected Answers:
B.
It is available in both quickonset and continuousrelease oral forms.
D.
It should be taken 1 hour to 90 minutes before going to bed.
E.
One of the most common adverse effects of the drug is headache.
Correct Answers:
B.
It is available in both quickonset and continuousrelease oral forms.
C.
The drug does not cause sleepiness in the morning.
, E.
One of the most common adverse effects of the drug is headache.
Response Zolpidem generally is not used for more than 7 to 10 days at a time. It induces
Feedback:
sleep rapidly and should be taken immediately before going to bed. It is true th
the drug does not seem to produce residual effects the next morning or cause
prolonged rebound effects when it is discontinued. It is available in both quick
onset and continuousrelease oral forms, and common adverse effects of the dr
are headache, prolonged drowsiness, and dizziness.
Question 5
1 out of 1 points
A postsurgical patient has been provided with a morphine patientcontrolled analgesic (PCA)
but has expressed her reluctance to use it for fear of becoming addicted. How can the nurse
best respond to this patient's concerns?
Selected Answer:
Correct
Answer: B.
“It is not uncommon to develop a dependence on pain medications, but this
usually takes place over a long period and is not the same as addiction.”
Response Addiction to opioids is a rare occurrence among hospital patients who do not
Feedback:
have a history of drug abuse. It would be inappropriate to downplay the patien
concerns, however. A more appropriate response would be to explain the
phenomenon of dependence and to differentiate it from addiction.
Question 6
1 out of 1 points
A patient with mild low back pain has been advised to take acetaminophen. The nurse will
inform him that excessive intake of acetaminophen may result in
Selected
Answer: D.
Question 1
0 out of 1 points
An elderly woman is slated for a hemiarthroplasty (hip replacement surgery) after falling and
breaking her hip on the stairs outside her home. The woman's pain in the time since her injury
has been severe, and her care team has been treating it with morphine. Which of the following
administration schedules is most likely to control the patient's pain?
Selected Answer:
Correct
Answer: D.
Twicedaily doses of longacting morphine, with shortacting morphine
available for breakthrough pain
Response The use of longacting analgesia combined with shortacting opioids for
Feedback:
breakthrough pain is a proactive pain management technique that maximizes
therapeutic benefit while minimizing the risks of adverse effects.
Question 2
1 out of 1 points
A patient who is experiencing acute alcohol withdrawal is being treated with intravenous
lorazepam (Ativan). This drug achieves a therapeutic effect by
Selected Answer:
Correct Answer:
D.
increasing the effects of the neurotransmitter GABA.
Response Like all benzodiazepines, lorazepam increases the effects of GABA, which has
Feedback:
an inhibitory effect on the CNS. However, none of the benzodiazepines act lik
GABA or increase the amount of GABA present. MAOIs inhibit monoamine
oxidase and tricyclic antidepressants primarily affect serotonin and
norepinephrine levels. SSRIs increase the availability of serotonin in the
synapses.
Question 3
, 1 out of 1 points
A trauma patient has been receiving frequent doses of morphine in the 6 days since his
accident. This pattern of analgesic administration should prompt the nurse to carefully
monitor the patient's
Selected Answer:
C.
bowel
patterns.
Correct Answer:
C.
bowel patterns.
Response Morphine, like most opioid analgesics, creates a risk for constipation. The dr
Feedback:
is unlikely to influence the patient's temperature, skin integrity, or urine
specific gravity.
Question 4
0 out of 1 points
A patient has been prescribed zolpidem (Ambien) for shortterm treatment of insomnia.
Which of the following will the nurse include in a teaching plan for this patient? (Select all
that apply.)
Selected Answers:
B.
It is available in both quickonset and continuousrelease oral forms.
D.
It should be taken 1 hour to 90 minutes before going to bed.
E.
One of the most common adverse effects of the drug is headache.
Correct Answers:
B.
It is available in both quickonset and continuousrelease oral forms.
C.
The drug does not cause sleepiness in the morning.
, E.
One of the most common adverse effects of the drug is headache.
Response Zolpidem generally is not used for more than 7 to 10 days at a time. It induces
Feedback:
sleep rapidly and should be taken immediately before going to bed. It is true th
the drug does not seem to produce residual effects the next morning or cause
prolonged rebound effects when it is discontinued. It is available in both quick
onset and continuousrelease oral forms, and common adverse effects of the dr
are headache, prolonged drowsiness, and dizziness.
Question 5
1 out of 1 points
A postsurgical patient has been provided with a morphine patientcontrolled analgesic (PCA)
but has expressed her reluctance to use it for fear of becoming addicted. How can the nurse
best respond to this patient's concerns?
Selected Answer:
Correct
Answer: B.
“It is not uncommon to develop a dependence on pain medications, but this
usually takes place over a long period and is not the same as addiction.”
Response Addiction to opioids is a rare occurrence among hospital patients who do not
Feedback:
have a history of drug abuse. It would be inappropriate to downplay the patien
concerns, however. A more appropriate response would be to explain the
phenomenon of dependence and to differentiate it from addiction.
Question 6
1 out of 1 points
A patient with mild low back pain has been advised to take acetaminophen. The nurse will
inform him that excessive intake of acetaminophen may result in
Selected
Answer: D.
