ShadowHealth Mental Health Tina Jones EXAM NEWEST 2025 REAL
EXAM 400+ COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW!!
A patient has been given a new prescription for warfarin. Which statement indicates the need for
additional teaching?
- I will use a soft toothbrush while taking this medication
- I can eat moderate amounts of foods with vitamin K on a regular basis
- I should report unusual bleeding to my doctor
- I can keep taking a daily aspirin to protect against heart disease (Correct Response) - (answer)-
I can keep taking a daily aspirin to protect against heart disease
Aspirin increases the effect of warfarin and may cause a higher risk of bleeding; the patient
should not take aspirin while on warfarin therapy. All other statements are consistent with safe
use of warfarin.
What is the nurse's priority assessment for a patient receiving heparin treatment?
- Assess for elevated liver enzymes
- Assess for inflammation at the injection site
- Assess for bruising or unusual bleeding
- Assess aPTT levels - (answer)- Assess for bruising or unusual bleeding
While all options are relevant assessments, bruising or unusual bleeding can be a life threatening
adverse effect of heparin treatment, and therefore needs to be the nurse's priority.
,A patient who has been receiving oxycodone therapy for chronic pain reports no relief after a
10mg dose. The patient is exhibiting:
- Opioid addiction
- Opioid tolerance
- Drug-seeking behaviour
- Paradoxical CNS stimulation - (answer)- Opioid tolerance
Prolonged use of opioid therapy can lead to tolerance, where a patient requires a higher dose of
the drug to achieve an analgesic effect.
Which meal choice exhibits a lack of understanding of atorvastatin's drug-food interactions?
- Orange juice, banana, and toast
- Grapefruit juice and yogurt
- Orange juice, bacon, and eggs
- Coffee and croissant - (answer)- Grapefruit juice and yogurt
Grapefruit juice is contraindicated for patients on statin therapy and it may increase drug levels
in the blood and increase the likelihood of rhabdomyolysis. None of the other choices interact
harmfully with atorvastatin.
Which statement indicates that the patient understood the nurse's discharge information about his
albuterol inhaler?
- I should use this inhaler five minutes after my beclomethasone inhaler
- I should use this inhaler regularly to manage my asthma
- I should use this inhaler when I am having an acute attack
,- I should use this inhaler to reduce inflammation in my airways - (answer)- I should use this
inhaler when I am having an acute attack
Inhaled albuterol is a rescue medication that reduces bronchoconstriction that is present during
acute attacks; it has no effect on inflammation.
A patient is taking promethazine for nausea and oxycodone for pain. What is the nurse's priority
assessment?
- Assess for breakthrough pain
- Assess sedation level
- Assess for constipation
- Assess for dizziness - (answer)- Assess sedation level
The nurse must assess sedation level as the additive sedative effect when promethazine and
oxycodone are administered together can lead to life-threatening respiratory depression. The
other side effects do not pose immediate risk and are therefore lower-priority assessments.
Which information is essential to include when educating the patient about clindamycin?
- Clindamycin is primarily bacteriostatic
- Clindamycin should be continued even when feeling better
- Clindamycin can be given to patients with penicillin sensitivities
- Clindamycin can cause a harmless bitter taste - (answer)- Clindamycin should be continued
even when feeling better
To resolve the infection and prevent the development of resistant pathogens, it is important that
the patient understands she must take an entire course of antibiotics even if she is feeling better.
, A patient with a penicillin allergy needs antibiotic treatment. Which antibiotic choice would
require close monitoring for hypersensitivity due to cross sensitivity?
- vancomycin
- azithromycin
- cefazolin
- levofloxacin - (answer)- cefazolin
Cefazolin is a cephalosporin, which is a family of antibiotics that has a high risk of cross-
sensitivity in patients with penicillin allergies.
A patient has been receiving 40mg of pravastatin daily. The nurse should closely monitor for
which of the following:
- Muscle pain
- Dizziness
- Blurred vision
- Hypoglycemia - (answer)- Muscle pain
Muscle pain can be an indicator of rhabdomyolysis, which is a potentially life-threatening
adverse effect of pravastatin.
A patient's primary care doctor has prescribed a potassium supplement. This is most likely to
counter the effects of which drug?
- furosemide
- metoprolol
- apixaban
- oxybutynin - (answer)- furosemide
EXAM 400+ COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW!!
A patient has been given a new prescription for warfarin. Which statement indicates the need for
additional teaching?
- I will use a soft toothbrush while taking this medication
- I can eat moderate amounts of foods with vitamin K on a regular basis
- I should report unusual bleeding to my doctor
- I can keep taking a daily aspirin to protect against heart disease (Correct Response) - (answer)-
I can keep taking a daily aspirin to protect against heart disease
Aspirin increases the effect of warfarin and may cause a higher risk of bleeding; the patient
should not take aspirin while on warfarin therapy. All other statements are consistent with safe
use of warfarin.
What is the nurse's priority assessment for a patient receiving heparin treatment?
- Assess for elevated liver enzymes
- Assess for inflammation at the injection site
- Assess for bruising or unusual bleeding
- Assess aPTT levels - (answer)- Assess for bruising or unusual bleeding
While all options are relevant assessments, bruising or unusual bleeding can be a life threatening
adverse effect of heparin treatment, and therefore needs to be the nurse's priority.
,A patient who has been receiving oxycodone therapy for chronic pain reports no relief after a
10mg dose. The patient is exhibiting:
- Opioid addiction
- Opioid tolerance
- Drug-seeking behaviour
- Paradoxical CNS stimulation - (answer)- Opioid tolerance
Prolonged use of opioid therapy can lead to tolerance, where a patient requires a higher dose of
the drug to achieve an analgesic effect.
Which meal choice exhibits a lack of understanding of atorvastatin's drug-food interactions?
- Orange juice, banana, and toast
- Grapefruit juice and yogurt
- Orange juice, bacon, and eggs
- Coffee and croissant - (answer)- Grapefruit juice and yogurt
Grapefruit juice is contraindicated for patients on statin therapy and it may increase drug levels
in the blood and increase the likelihood of rhabdomyolysis. None of the other choices interact
harmfully with atorvastatin.
Which statement indicates that the patient understood the nurse's discharge information about his
albuterol inhaler?
- I should use this inhaler five minutes after my beclomethasone inhaler
- I should use this inhaler regularly to manage my asthma
- I should use this inhaler when I am having an acute attack
,- I should use this inhaler to reduce inflammation in my airways - (answer)- I should use this
inhaler when I am having an acute attack
Inhaled albuterol is a rescue medication that reduces bronchoconstriction that is present during
acute attacks; it has no effect on inflammation.
A patient is taking promethazine for nausea and oxycodone for pain. What is the nurse's priority
assessment?
- Assess for breakthrough pain
- Assess sedation level
- Assess for constipation
- Assess for dizziness - (answer)- Assess sedation level
The nurse must assess sedation level as the additive sedative effect when promethazine and
oxycodone are administered together can lead to life-threatening respiratory depression. The
other side effects do not pose immediate risk and are therefore lower-priority assessments.
Which information is essential to include when educating the patient about clindamycin?
- Clindamycin is primarily bacteriostatic
- Clindamycin should be continued even when feeling better
- Clindamycin can be given to patients with penicillin sensitivities
- Clindamycin can cause a harmless bitter taste - (answer)- Clindamycin should be continued
even when feeling better
To resolve the infection and prevent the development of resistant pathogens, it is important that
the patient understands she must take an entire course of antibiotics even if she is feeling better.
, A patient with a penicillin allergy needs antibiotic treatment. Which antibiotic choice would
require close monitoring for hypersensitivity due to cross sensitivity?
- vancomycin
- azithromycin
- cefazolin
- levofloxacin - (answer)- cefazolin
Cefazolin is a cephalosporin, which is a family of antibiotics that has a high risk of cross-
sensitivity in patients with penicillin allergies.
A patient has been receiving 40mg of pravastatin daily. The nurse should closely monitor for
which of the following:
- Muscle pain
- Dizziness
- Blurred vision
- Hypoglycemia - (answer)- Muscle pain
Muscle pain can be an indicator of rhabdomyolysis, which is a potentially life-threatening
adverse effect of pravastatin.
A patient's primary care doctor has prescribed a potassium supplement. This is most likely to
counter the effects of which drug?
- furosemide
- metoprolol
- apixaban
- oxybutynin - (answer)- furosemide
