NUR 2214 EXAM- UPDATED WITH
ELABORATED QUESTIONS AND VERIFIED
ACCURATE ANSWERS
What signs and symptoms made the chemotherapy nurse realize her patient is
experiencing an allergic reaction? Select all that apply:
A. Temperature of 102 degrees F
B. Vasodilation
C. Bronchoconstriction
D. Rash
E. Trouble breathing
F. Butterfly rash - CORRECT ANSWER B. Vasodilation
C. Bronchoconstriction
D. Rash
E. Trouble breathing
Rationale: Chemo should be stopped immediately if this situation arises
What prophylactic vaccine is used to prevent people from having tuberculosis (TB)?
A. BCG
B. DTAP
C. Chicken pox vaccine
D. MMR vaccine - CORRECT ANSWER BCG
A patient with Rheumatoid Arthritis is prescribed Etanercept (Enbrel). How is this
medication administered?
A. IM medication once a week
B. Intravenous injection PRN
C. PO before patient's breakfast
D. Subcutaneous Injection twice a week - CORRECT ANSWER D. Subcutaneous
Injection twice a week
A graduate nurse determines she is faced with an ethical issue. What action should the
nurse take first?
,A. Discuss the ethical issue with a colleague
B. Determine what the ethical issue is
C. Write an incident report
D. Arrange a meeting with the nurse manager - CORRECT ANSWER B. Determine
what the ethical issue is
A graduate nurse is consulting with their preceptor on how to care for patients with
increased intracranial pressure (ICP). Which statement by the graduate indicates a
need for further teaching?
A. "My patient may require a stool softener in addition to their antiemetic."
B. "I will try to cluster as many episodes of care as possible for this patient."
C. "I will educate my patient on why the act of straining should be avoided."
D. "My patient will remain in the semi-fowler's position." - CORRECT ANSWER B. "I will
try to cluster as many episodes of care as possible for this patient."
Rationale: when caring for patients with increased intracranial pressure (ICP), nurses
should space the care out as much as possible so they can reduce the number of
stimuli the patient is exposed to. The goal is to not get patients with ICP overly worked
up.
A 7-year old male patient with leukemia is being discharged after being inpatient for
three weeks. His mother informs the nurse, "He is always at his weakest when he is
discharged from the hospital. Are you sure is ready to go home?" How should the nurse
respond?
A. "This is usually a sign that his pain medication has not worn off yet."
B. "I understand what you are saying. After you son arrives home, make sure he does
not move around much. It is best to keep him in bed for another couple of weeks."
C. "It is common for patients to experience what is known as deconditioning after a long
hospital stay."
D. "I will notify the physician to determine if he needs another blood transfusion." -
CORRECT ANSWER C. "It is common for patients to experience what is known as
deconditioning after a long hospital stay."
A nurse explains the pathology of fibromyalgia after her patient inquiries about it. What
should be included in the teaching? Select all that apply:
A. Tender points
B. Swelling at the joints
C. Unilateral pain in the joints
D. Widespread musculoskeletal pain
E. A form of arthritis that results from the breakdown of cartilage at the end of the bones
F. Bilateral pain
G. Pain only occurs above the waist
H. Sleep disturbances - CORRECT ANSWER A. Tender points
, D. Widespread musculoskeletal pain
F. Bilateral pain
H. Sleep disturbances
Rationale: Fibromyalgia is widespread musculoskeletal pain that is bilateral and occurs
both above and below the waist; sleep disturbances are also a symptom; no swelling at
the joints; arthritis that results from the breakdown of cartilage at the end of the bones
describes osteoarthritis
A 44-year-old male patient meets with his PCP to discuss treatment options for pain he
sustained while falling off his bicycle a week prior. He describes the pain in his right leg
as "deep, aching and throbbing." What type of pain is the patient describing?
A. Nociceptive pain
B. Neuropathic pain
C. Chronic pain
D. Acute pain - CORRECT ANSWER A. Nociceptive pain
A nurse interviews a 55-year-old female patient who suspects she might have
osteoporosis. The patient inquiries about estrogen therapy. What in the patient's
medical history makes estrogen therapy contraindicated?
A. The woman is a breast cancer survivor
B. The woman is post-menopausal
C. The woman does not have the proper BMI for this therapy
D. The woman has had a cholecystectomy - CORRECT ANSWER A. The woman is a
breast cancer survivor
Rationale: Cancer cells like estrogen and therefore estrogen therapy runs the risk of
causing the woman's cancer to reoccur
A female Rheumatoid arthritis (RA) patient has a confirmed case of Sjogren's disease.
She asks the nurse to advise her on non-pharmacologic treatment. What
recommendation should the nurse can make?
A. Strenuous exercise
B. Drink caffeine
C. Stop taking RA medications
D. Obtain a humidifier - CORRECT ANSWER D. Obtain a humidifier
The HCP asks the nurse to describe an example of primary prevention of breast cancer.
A. Lumpectomy
ELABORATED QUESTIONS AND VERIFIED
ACCURATE ANSWERS
What signs and symptoms made the chemotherapy nurse realize her patient is
experiencing an allergic reaction? Select all that apply:
A. Temperature of 102 degrees F
B. Vasodilation
C. Bronchoconstriction
D. Rash
E. Trouble breathing
F. Butterfly rash - CORRECT ANSWER B. Vasodilation
C. Bronchoconstriction
D. Rash
E. Trouble breathing
Rationale: Chemo should be stopped immediately if this situation arises
What prophylactic vaccine is used to prevent people from having tuberculosis (TB)?
A. BCG
B. DTAP
C. Chicken pox vaccine
D. MMR vaccine - CORRECT ANSWER BCG
A patient with Rheumatoid Arthritis is prescribed Etanercept (Enbrel). How is this
medication administered?
A. IM medication once a week
B. Intravenous injection PRN
C. PO before patient's breakfast
D. Subcutaneous Injection twice a week - CORRECT ANSWER D. Subcutaneous
Injection twice a week
A graduate nurse determines she is faced with an ethical issue. What action should the
nurse take first?
,A. Discuss the ethical issue with a colleague
B. Determine what the ethical issue is
C. Write an incident report
D. Arrange a meeting with the nurse manager - CORRECT ANSWER B. Determine
what the ethical issue is
A graduate nurse is consulting with their preceptor on how to care for patients with
increased intracranial pressure (ICP). Which statement by the graduate indicates a
need for further teaching?
A. "My patient may require a stool softener in addition to their antiemetic."
B. "I will try to cluster as many episodes of care as possible for this patient."
C. "I will educate my patient on why the act of straining should be avoided."
D. "My patient will remain in the semi-fowler's position." - CORRECT ANSWER B. "I will
try to cluster as many episodes of care as possible for this patient."
Rationale: when caring for patients with increased intracranial pressure (ICP), nurses
should space the care out as much as possible so they can reduce the number of
stimuli the patient is exposed to. The goal is to not get patients with ICP overly worked
up.
A 7-year old male patient with leukemia is being discharged after being inpatient for
three weeks. His mother informs the nurse, "He is always at his weakest when he is
discharged from the hospital. Are you sure is ready to go home?" How should the nurse
respond?
A. "This is usually a sign that his pain medication has not worn off yet."
B. "I understand what you are saying. After you son arrives home, make sure he does
not move around much. It is best to keep him in bed for another couple of weeks."
C. "It is common for patients to experience what is known as deconditioning after a long
hospital stay."
D. "I will notify the physician to determine if he needs another blood transfusion." -
CORRECT ANSWER C. "It is common for patients to experience what is known as
deconditioning after a long hospital stay."
A nurse explains the pathology of fibromyalgia after her patient inquiries about it. What
should be included in the teaching? Select all that apply:
A. Tender points
B. Swelling at the joints
C. Unilateral pain in the joints
D. Widespread musculoskeletal pain
E. A form of arthritis that results from the breakdown of cartilage at the end of the bones
F. Bilateral pain
G. Pain only occurs above the waist
H. Sleep disturbances - CORRECT ANSWER A. Tender points
, D. Widespread musculoskeletal pain
F. Bilateral pain
H. Sleep disturbances
Rationale: Fibromyalgia is widespread musculoskeletal pain that is bilateral and occurs
both above and below the waist; sleep disturbances are also a symptom; no swelling at
the joints; arthritis that results from the breakdown of cartilage at the end of the bones
describes osteoarthritis
A 44-year-old male patient meets with his PCP to discuss treatment options for pain he
sustained while falling off his bicycle a week prior. He describes the pain in his right leg
as "deep, aching and throbbing." What type of pain is the patient describing?
A. Nociceptive pain
B. Neuropathic pain
C. Chronic pain
D. Acute pain - CORRECT ANSWER A. Nociceptive pain
A nurse interviews a 55-year-old female patient who suspects she might have
osteoporosis. The patient inquiries about estrogen therapy. What in the patient's
medical history makes estrogen therapy contraindicated?
A. The woman is a breast cancer survivor
B. The woman is post-menopausal
C. The woman does not have the proper BMI for this therapy
D. The woman has had a cholecystectomy - CORRECT ANSWER A. The woman is a
breast cancer survivor
Rationale: Cancer cells like estrogen and therefore estrogen therapy runs the risk of
causing the woman's cancer to reoccur
A female Rheumatoid arthritis (RA) patient has a confirmed case of Sjogren's disease.
She asks the nurse to advise her on non-pharmacologic treatment. What
recommendation should the nurse can make?
A. Strenuous exercise
B. Drink caffeine
C. Stop taking RA medications
D. Obtain a humidifier - CORRECT ANSWER D. Obtain a humidifier
The HCP asks the nurse to describe an example of primary prevention of breast cancer.
A. Lumpectomy
