NURS 504 Exam 4 Study Questions and
Correct Answers
Hyperuricemia causes crystals to precipitate in the synovial fluid. ✅An older adult male
patient has begun treatment for gout after an extensive diagnostic workup. The nurse
who is contributing to the patient's care should understand that gout is a result of what
pathophysiological process?
Excess purine intake initiates an autoimmune process that impairs joint function.
Hyperuricemia causes crystals to precipitate in the synovial fluid. Lack of joint mobility
causes impaired uric acid metabolism. Mechanical damage to the joints results in
increased release of uric acid.
Pain intensity, respiratory rate, and level of consciousness ✅A nurse is caring for a
patient who is in severe pain and is receiving an opioid analgesic. Which of the following
would be the nurse's priority assessments?
Respiratory rate, seizure activity, and electrolytes Pain intensity, respiratory rate, and
level of consciousness Liver function studies, pain intensity, and blood glucose level
Respiratory rate, pain intensity, and mental status
The client may begin to demonstrate symptoms of withdrawal. ✅The nurse is caring
for a postoperative client with a history of opioid abuse who has been ordered to receive
a dose of an opioid antagonist medication. Which issues should the nurse be prepared
to address?
During pain assessment, the client may report less pain. The client may begin to
demonstrate symptoms of withdrawal. Double the standard dosage of the medication
may be needed. Multiple doses may be needed to be therapeutic.
The medication is given for a short time to help the client complete the withdrawal
process ✅A family expresses concern when a family member withdrawing from alcohol
is given lorazepam (Ativan). What information should be given to the family about the
medication?
The medication promotes a sense of wellbeing during the client's difficult withdrawal
period The medication is given for a short time to help the client complete the
withdrawal process The medication will help the client forget about the physical
sensations that accompany alcohol withdrawal The medication helps in the treatment of
coexisting diseases, such as cardiac problems and hypertension
Maintain a patent airway. ✅The nurse is admitting a patient with acute alcohol
intoxication. What is the priority intervention for this patient?
, Administer benzodiazepines to prevent withdrawal. Observe for signs and symptoms of
gastrointestinal (GI). Plan the discharge to a rehabilitation facility. Maintain a patent
airway.
Administer a subcutaneous triptan. ✅A client reports nausea with a severe headache.
On assessment, the nurse learns the client has vomited several times this hour. What is
the best way to treat the client's migraine?
Administer a subcutaneous triptan. Administer an antacid. Administer the oral
medications, then assess to make certain the client retains the medication. Give the
client dry crackers or pretzels prior to taking medication.
Seizures ✅A patient is admitted to the emergency room suffering from symptoms of
alcohol withdrawal. What symptom of withdrawal is the priority to prevent?
Bradycardia Hypotension Seizures Gastrointestinal bleeding
Therapeutic response is achieved and discomfort is reduced.
An adequate breathing pattern is maintained.
Client maintains adequate nutritional status. ✅When evaluating the plan of care for a
client receiving opioid analgesics for pain management, the nurse considers the plan
successful when what occurs? (Select all that apply.)
Therapeutic response is achieved and discomfort is reduced. An adequate breathing
pattern is maintained. Client reports decreased bowel movements. Client maintains
adequate nutritional status. Client reports decreased urinary output.
Celecoxib ✅A nurse is reviewing a journal article about an NSAID that is associated
with an increased risk of cardiovascular thrombosis, myocardial infarction, and stroke.
The nurse is most likely reading about which drug?
Celecoxib sulindac oxaprozin ketorolac
"Has your father consumed alcoholic beverages on a regular basis?" ✅A patient is
living with his daughter after major surgery. He states, "I see a dog around the chair.
Get rid of that dog. I hate dogs." The daughter tells the home care nurse there is no dog
behind the chair. What is the most important question the nurse should ask the
daughter?
"Does you father have health care insurance for psychiatry?" "Has your father been
fearful of dogs in the past?" "Has your father consumed alcoholic beverages on a
regular basis?" "What type of foods or spices has your father consumed today?"
The patient has developed a psychological dependence for marijuana. ✅The nurse is
taking a history from a patient who states that she smokes marijuana daily. The patient
Correct Answers
Hyperuricemia causes crystals to precipitate in the synovial fluid. ✅An older adult male
patient has begun treatment for gout after an extensive diagnostic workup. The nurse
who is contributing to the patient's care should understand that gout is a result of what
pathophysiological process?
Excess purine intake initiates an autoimmune process that impairs joint function.
Hyperuricemia causes crystals to precipitate in the synovial fluid. Lack of joint mobility
causes impaired uric acid metabolism. Mechanical damage to the joints results in
increased release of uric acid.
Pain intensity, respiratory rate, and level of consciousness ✅A nurse is caring for a
patient who is in severe pain and is receiving an opioid analgesic. Which of the following
would be the nurse's priority assessments?
Respiratory rate, seizure activity, and electrolytes Pain intensity, respiratory rate, and
level of consciousness Liver function studies, pain intensity, and blood glucose level
Respiratory rate, pain intensity, and mental status
The client may begin to demonstrate symptoms of withdrawal. ✅The nurse is caring
for a postoperative client with a history of opioid abuse who has been ordered to receive
a dose of an opioid antagonist medication. Which issues should the nurse be prepared
to address?
During pain assessment, the client may report less pain. The client may begin to
demonstrate symptoms of withdrawal. Double the standard dosage of the medication
may be needed. Multiple doses may be needed to be therapeutic.
The medication is given for a short time to help the client complete the withdrawal
process ✅A family expresses concern when a family member withdrawing from alcohol
is given lorazepam (Ativan). What information should be given to the family about the
medication?
The medication promotes a sense of wellbeing during the client's difficult withdrawal
period The medication is given for a short time to help the client complete the
withdrawal process The medication will help the client forget about the physical
sensations that accompany alcohol withdrawal The medication helps in the treatment of
coexisting diseases, such as cardiac problems and hypertension
Maintain a patent airway. ✅The nurse is admitting a patient with acute alcohol
intoxication. What is the priority intervention for this patient?
, Administer benzodiazepines to prevent withdrawal. Observe for signs and symptoms of
gastrointestinal (GI). Plan the discharge to a rehabilitation facility. Maintain a patent
airway.
Administer a subcutaneous triptan. ✅A client reports nausea with a severe headache.
On assessment, the nurse learns the client has vomited several times this hour. What is
the best way to treat the client's migraine?
Administer a subcutaneous triptan. Administer an antacid. Administer the oral
medications, then assess to make certain the client retains the medication. Give the
client dry crackers or pretzels prior to taking medication.
Seizures ✅A patient is admitted to the emergency room suffering from symptoms of
alcohol withdrawal. What symptom of withdrawal is the priority to prevent?
Bradycardia Hypotension Seizures Gastrointestinal bleeding
Therapeutic response is achieved and discomfort is reduced.
An adequate breathing pattern is maintained.
Client maintains adequate nutritional status. ✅When evaluating the plan of care for a
client receiving opioid analgesics for pain management, the nurse considers the plan
successful when what occurs? (Select all that apply.)
Therapeutic response is achieved and discomfort is reduced. An adequate breathing
pattern is maintained. Client reports decreased bowel movements. Client maintains
adequate nutritional status. Client reports decreased urinary output.
Celecoxib ✅A nurse is reviewing a journal article about an NSAID that is associated
with an increased risk of cardiovascular thrombosis, myocardial infarction, and stroke.
The nurse is most likely reading about which drug?
Celecoxib sulindac oxaprozin ketorolac
"Has your father consumed alcoholic beverages on a regular basis?" ✅A patient is
living with his daughter after major surgery. He states, "I see a dog around the chair.
Get rid of that dog. I hate dogs." The daughter tells the home care nurse there is no dog
behind the chair. What is the most important question the nurse should ask the
daughter?
"Does you father have health care insurance for psychiatry?" "Has your father been
fearful of dogs in the past?" "Has your father consumed alcoholic beverages on a
regular basis?" "What type of foods or spices has your father consumed today?"
The patient has developed a psychological dependence for marijuana. ✅The nurse is
taking a history from a patient who states that she smokes marijuana daily. The patient
