NURS 3110 FINAL EXAM QUESTIONS
AND ANSWERS
Which information should the nurse include in the education for the parent of a child
with rickets?
A.
Spend at least 20 minutes/day in the sunlight.
B.
Take your vitamin D on an empty stomach.
C.
Be sure to take brand name, not generic, vitamin D.
D.
Avoid dairy products while taking vitamin D. - answer-Spend at least 20 minutes/day
in the sunlight.
The nurse has provided education for a client prescribed (Fosamax). Which
statements made by the client indicate an understanding of the information?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
A.
"I cannot lie down for at least 30 minutes after taking the prescription."
B.
"Milk will help with the absorption of this medication."
C.
"I should call my healthcare provider if I experience heartburn."
D.
"I must take this with a full glass of water."
E.
"The prescription can be taken with or without food." - answer-"I cannot lie down for
at least 30 minutes after taking the prescription."
"I should call my healthcare provider if I experience heartburn."
"I must take this with a full glass of water."
Which should the nurse plan to administer to a client to restore their calcium
balance?
A.
Calcium supplements and potassium
B.
Calcium supplements and dark green, leafy vegetables
C.
Calcium supplements and milk products
D.
Calcium supplements and vitamin D - answer-Calcium supplements and vitamin D
Which is the next step in the process of vitamin D activation after the dietary
products are consumed?
,A.
Calcifediol is formed
B.
Calcitriol is formed
C.
Cholecalciferol is synthesized
D.
Calcium is absorbed in the small intestine - answer-Cholecalciferol is synthesized
Which testing should the nurse instruct the client receives hydroxychloroquine
sulfate (Plaquenil) to do on a regular basis?
A.
Hearing tests
B.
Serum glucose
C.
Eye exams
D.
Blood pressure - answer-Eye exams
The nurse has completed medication education for a client prescribed allopurinol
(Zyloprim). Which client statements indicate an understanding of the information?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
A.
"It may take a few days or weeks for me to get the full effect of this medication."
B.
"I should not drink alcohol while taking this drug."
C.
"If I develop a skin rash, I should contact the prescriber."
D.
"I should not crush this medication."
E.
"I should take this medication with food." - answer-"It may take a few days or weeks
for me to get the full effect of this medication."
"I should not drink alcohol while taking this drug."
"If I develop a skin rash, I should contact the prescriber."
"I should take this medication with food."
Which statement should the nurse include in a client's education when discussing
calcium supplementation?
A.
"Take your calcium with a meal."
B.
"Take the calcium on an empty stomach."
C.
"This drug may cause insomnia."
D.
,"The vitamin D supplement can be taken separately." - answer-"Take your calcium
with a meal."
Which pharmacological effects are used to prevent hyperuricemia for a client with
gout?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
A.
Break down the uric acid
B.
Inhibit the formation of uric acid
C.
Excrete the uric acid
D.
Convert uric acid to a less toxic form
E.
Eliminate the uric acid - answer-Inhibit the formation of uric acid
Excrete the uric acid
Convert uric acid to a less toxic form
Which assessment is the best to determine the effectiveness of bisphosphonate
therapy for a client with osteoporosis?
A.
Absence of fractures
B.
Bone density scan
C.
Absence of bone pain
D.
Normal serum calcium levels - answer-Bone density scan
The nurse has taught the client with osteoporosis about how to manage the illness.
Which statement by the client indicates that additional teaching is necessary?
A.
"I will take my calcium when I wake up."
B.
"I will avoid drinking alcohol."
C.
"I will drink milk regularly."
D.
"I will walk for 30 minutes every day." - answer-"I will take my calcium when I wake
up."
Which describe the goals of pharmacotherapy for a client with rheumatoid arthritis?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
A.
Increase rheumatoid factors
, B.
Reduce pain
C.
Prevent fractures
D.
Minimalize disability
E.
Control inflammation - answer-Reduce pain
Minimalize disability
Control inflammation
Which statement made by a client supports their diagnosis of acute gouty arthritis?
A.
"My muscles feel very weak."
B.
"My attacks occur at night."
C.
"I have a great deal of stiffness in the morning."
D.
"I experience numbness in my joints." - answer-"My attacks occur at night."
Which is the nurse's primary concern for a client with a low calcium level?
A.
Seizures
B.
Bone fractures
C.
Hypoglycemia
D.
Depression - answer-Seizures
Which assessment should the nurse include in the treatment plan for a client
receiving calcium intravenously (IV)?
A.
Intravenous (IV) site.
B.
Serum potassium levels.
C.
Serum glucose levels.
D.
Level of consciousness. - answer-Intravenous (IV) site.
Which symptoms associated with an adverse effect of alendronate (Fosamax)
should the nurse instruct the client to report?
A.
Ringing in the ears
B.
Muscle spasms
C.
Visual changes
AND ANSWERS
Which information should the nurse include in the education for the parent of a child
with rickets?
A.
Spend at least 20 minutes/day in the sunlight.
B.
Take your vitamin D on an empty stomach.
C.
Be sure to take brand name, not generic, vitamin D.
D.
Avoid dairy products while taking vitamin D. - answer-Spend at least 20 minutes/day
in the sunlight.
The nurse has provided education for a client prescribed (Fosamax). Which
statements made by the client indicate an understanding of the information?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
A.
"I cannot lie down for at least 30 minutes after taking the prescription."
B.
"Milk will help with the absorption of this medication."
C.
"I should call my healthcare provider if I experience heartburn."
D.
"I must take this with a full glass of water."
E.
"The prescription can be taken with or without food." - answer-"I cannot lie down for
at least 30 minutes after taking the prescription."
"I should call my healthcare provider if I experience heartburn."
"I must take this with a full glass of water."
Which should the nurse plan to administer to a client to restore their calcium
balance?
A.
Calcium supplements and potassium
B.
Calcium supplements and dark green, leafy vegetables
C.
Calcium supplements and milk products
D.
Calcium supplements and vitamin D - answer-Calcium supplements and vitamin D
Which is the next step in the process of vitamin D activation after the dietary
products are consumed?
,A.
Calcifediol is formed
B.
Calcitriol is formed
C.
Cholecalciferol is synthesized
D.
Calcium is absorbed in the small intestine - answer-Cholecalciferol is synthesized
Which testing should the nurse instruct the client receives hydroxychloroquine
sulfate (Plaquenil) to do on a regular basis?
A.
Hearing tests
B.
Serum glucose
C.
Eye exams
D.
Blood pressure - answer-Eye exams
The nurse has completed medication education for a client prescribed allopurinol
(Zyloprim). Which client statements indicate an understanding of the information?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
A.
"It may take a few days or weeks for me to get the full effect of this medication."
B.
"I should not drink alcohol while taking this drug."
C.
"If I develop a skin rash, I should contact the prescriber."
D.
"I should not crush this medication."
E.
"I should take this medication with food." - answer-"It may take a few days or weeks
for me to get the full effect of this medication."
"I should not drink alcohol while taking this drug."
"If I develop a skin rash, I should contact the prescriber."
"I should take this medication with food."
Which statement should the nurse include in a client's education when discussing
calcium supplementation?
A.
"Take your calcium with a meal."
B.
"Take the calcium on an empty stomach."
C.
"This drug may cause insomnia."
D.
,"The vitamin D supplement can be taken separately." - answer-"Take your calcium
with a meal."
Which pharmacological effects are used to prevent hyperuricemia for a client with
gout?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
A.
Break down the uric acid
B.
Inhibit the formation of uric acid
C.
Excrete the uric acid
D.
Convert uric acid to a less toxic form
E.
Eliminate the uric acid - answer-Inhibit the formation of uric acid
Excrete the uric acid
Convert uric acid to a less toxic form
Which assessment is the best to determine the effectiveness of bisphosphonate
therapy for a client with osteoporosis?
A.
Absence of fractures
B.
Bone density scan
C.
Absence of bone pain
D.
Normal serum calcium levels - answer-Bone density scan
The nurse has taught the client with osteoporosis about how to manage the illness.
Which statement by the client indicates that additional teaching is necessary?
A.
"I will take my calcium when I wake up."
B.
"I will avoid drinking alcohol."
C.
"I will drink milk regularly."
D.
"I will walk for 30 minutes every day." - answer-"I will take my calcium when I wake
up."
Which describe the goals of pharmacotherapy for a client with rheumatoid arthritis?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
A.
Increase rheumatoid factors
, B.
Reduce pain
C.
Prevent fractures
D.
Minimalize disability
E.
Control inflammation - answer-Reduce pain
Minimalize disability
Control inflammation
Which statement made by a client supports their diagnosis of acute gouty arthritis?
A.
"My muscles feel very weak."
B.
"My attacks occur at night."
C.
"I have a great deal of stiffness in the morning."
D.
"I experience numbness in my joints." - answer-"My attacks occur at night."
Which is the nurse's primary concern for a client with a low calcium level?
A.
Seizures
B.
Bone fractures
C.
Hypoglycemia
D.
Depression - answer-Seizures
Which assessment should the nurse include in the treatment plan for a client
receiving calcium intravenously (IV)?
A.
Intravenous (IV) site.
B.
Serum potassium levels.
C.
Serum glucose levels.
D.
Level of consciousness. - answer-Intravenous (IV) site.
Which symptoms associated with an adverse effect of alendronate (Fosamax)
should the nurse instruct the client to report?
A.
Ringing in the ears
B.
Muscle spasms
C.
Visual changes
