NRSG 245 Exam 4 Questions With Complete Solutions
*the priority outcome when teaching a patient about phenelzine
prescribed for panic disorder with depression is that the patient
will state the
a. actions needed to prevent constipation
b. importance of avoiding aged cheese, meats, and fish
c. importance of exercise
d. possible adverse sexual effects Correct Answer b
A 20 year old patient ha been prescribed spironolactone for
primary polycystic ovary syndrome. Developmentally, what
would be a priority nursing diagnosis?
a. activity intolerance related to loss of Na
b. Altered body image related to hirituism and deepening of
voice
c. decisional conflict related to treatment options
d. fluid volume excess related to excessive salt intake Correct
Answer b
A 3 year old child is brought to the ED. the child's mother states
that he had a rash and fever over a week ago. He vomited
several times last night. This morning he was so drowsy that she
could not rouse him. The child is lethargic and doesn't resist
examination. Greatest priority to ask the mother if she
administer which OTC drugs to child during his illness
a. children's chewable aspirin
b. dextromethorphan
c. pseudoephedrine
d. acetaminophen elixer Correct Answer a because of reyes
syndrome
,A 36 year old women who is taking bismuth subsalicylate,
tetracycline, and metronidazole experiences black colored stool.
What is the priority nursing action
a. completing an abdominal assessment
b. consulting prescriber
c. continuing nursing care, this isa harmless effect of bismuth
d. teaching that tetracycline can discolor fetal teeth if patient
gets pregnant Correct Answer a because it could be internal
bleeding
A 42 year old patient with asthma is admitted for surgery.
Which information would be of greatest priority for the nurse to
share with the anesthesiologist
a. the patient experiences an asthma attack whenever exposed to
tobacco smoke
b. the patient has degenerative joint disease of the knees
c. the patient uses albuterol MDI, two puffs every 4 hours as
needed
d. the patient was recently changed from long term oral
methlprednisolone to inhaled beclomethasone Correct Answer
d because after withdrawal of oral glucocorticoids, several
months are required to recover from adrenocortical function.
A 47 year old women who has been taking non steroidal anti
inflammatory drug for rheumatoid arthritis and an oral
contraceptive is prescribed misoprostol to treat GI distress
relating to NSAID used. She informs the nurse she has stopped
taking her oral contraceptives because she hasn't had a period
for 2 months and thinks she could be in menopause. What
should the nurse do
,a. administer all meds as ordered and consult prescriber for tests
for menopause
b. administer the NSAID and misoprostol, hold the
contraceptive and inform prescriber
c. administer all meds as ordered and inform prescriber the
patient hasn't been taking the contraceptives
d. hold the meds and consult prescriber for pregnancy test
Correct Answer c
A 53 year old male was admitted to the ER in the middle of the
night for a panic episode. He is highly anxious and short of
breath. The doctor continued his home meds of clonazepam prn,
lorazepam prn, & the SSRI sertraline(Zoloft). Which med will
you offer him first?
a.) clonazepam
b.) lorazepam
c.) sertraline Correct Answer b - it has a fast onset
A cancer patient has been taking increased doses of oxycodone
for pain relief. Which teaching can prevent the adverse effect
that is most likely to persist with long-term use of this drug
a. consume adequate fluids and fiber
b. change positions slowly
c. do not operate dangerous machinery
d. take deep breaths every hour Correct Answer a
A child with moderate asthma is distressed because she has just
learned that she is allergic to the family dog. Which intervention
would most effectively address the physical and psycuholosocial
needs of the child.
a. advise the family there are no interventions
, b. advise family to increase the dose of the childs asthma drugs
when the dog is around
c. advise the family to take the dog to the local shelter
d. advise the family to treat the dog to stay out out of bedrooms
and off of furniture Correct Answer d
A distraught patient is admitted to the emergency department
with symptoms of palpitations, tachycardia, chest pain, and
shortness of breath. The physical examination reveals no
physiologic basis for the symptoms. Which diagnosis therefore
is most likely?
Panic disorder
Bipolar disorder
Generalized anxiety disorder
Clinical depression Correct Answer a
A history of allergy to which substance is a contraindication to
the use of ipratropium/albuterol [Combivent]?
Mold
Peanuts
Penicillin
Dairy products Correct Answer b
A hospitalized patient has orders for budesonide and salmeterol,
one inhalation every 12 hours and albuterol MDI, two puffs
every 4 hours as needed. The patient has not required albuterol
for the last 24 hours. When preparing to administer budesonide
and salmeterol, the nurse notes audible wheezing and dyspnea.
Which action by the nurse is correct?
a. administer albuterol
*the priority outcome when teaching a patient about phenelzine
prescribed for panic disorder with depression is that the patient
will state the
a. actions needed to prevent constipation
b. importance of avoiding aged cheese, meats, and fish
c. importance of exercise
d. possible adverse sexual effects Correct Answer b
A 20 year old patient ha been prescribed spironolactone for
primary polycystic ovary syndrome. Developmentally, what
would be a priority nursing diagnosis?
a. activity intolerance related to loss of Na
b. Altered body image related to hirituism and deepening of
voice
c. decisional conflict related to treatment options
d. fluid volume excess related to excessive salt intake Correct
Answer b
A 3 year old child is brought to the ED. the child's mother states
that he had a rash and fever over a week ago. He vomited
several times last night. This morning he was so drowsy that she
could not rouse him. The child is lethargic and doesn't resist
examination. Greatest priority to ask the mother if she
administer which OTC drugs to child during his illness
a. children's chewable aspirin
b. dextromethorphan
c. pseudoephedrine
d. acetaminophen elixer Correct Answer a because of reyes
syndrome
,A 36 year old women who is taking bismuth subsalicylate,
tetracycline, and metronidazole experiences black colored stool.
What is the priority nursing action
a. completing an abdominal assessment
b. consulting prescriber
c. continuing nursing care, this isa harmless effect of bismuth
d. teaching that tetracycline can discolor fetal teeth if patient
gets pregnant Correct Answer a because it could be internal
bleeding
A 42 year old patient with asthma is admitted for surgery.
Which information would be of greatest priority for the nurse to
share with the anesthesiologist
a. the patient experiences an asthma attack whenever exposed to
tobacco smoke
b. the patient has degenerative joint disease of the knees
c. the patient uses albuterol MDI, two puffs every 4 hours as
needed
d. the patient was recently changed from long term oral
methlprednisolone to inhaled beclomethasone Correct Answer
d because after withdrawal of oral glucocorticoids, several
months are required to recover from adrenocortical function.
A 47 year old women who has been taking non steroidal anti
inflammatory drug for rheumatoid arthritis and an oral
contraceptive is prescribed misoprostol to treat GI distress
relating to NSAID used. She informs the nurse she has stopped
taking her oral contraceptives because she hasn't had a period
for 2 months and thinks she could be in menopause. What
should the nurse do
,a. administer all meds as ordered and consult prescriber for tests
for menopause
b. administer the NSAID and misoprostol, hold the
contraceptive and inform prescriber
c. administer all meds as ordered and inform prescriber the
patient hasn't been taking the contraceptives
d. hold the meds and consult prescriber for pregnancy test
Correct Answer c
A 53 year old male was admitted to the ER in the middle of the
night for a panic episode. He is highly anxious and short of
breath. The doctor continued his home meds of clonazepam prn,
lorazepam prn, & the SSRI sertraline(Zoloft). Which med will
you offer him first?
a.) clonazepam
b.) lorazepam
c.) sertraline Correct Answer b - it has a fast onset
A cancer patient has been taking increased doses of oxycodone
for pain relief. Which teaching can prevent the adverse effect
that is most likely to persist with long-term use of this drug
a. consume adequate fluids and fiber
b. change positions slowly
c. do not operate dangerous machinery
d. take deep breaths every hour Correct Answer a
A child with moderate asthma is distressed because she has just
learned that she is allergic to the family dog. Which intervention
would most effectively address the physical and psycuholosocial
needs of the child.
a. advise the family there are no interventions
, b. advise family to increase the dose of the childs asthma drugs
when the dog is around
c. advise the family to take the dog to the local shelter
d. advise the family to treat the dog to stay out out of bedrooms
and off of furniture Correct Answer d
A distraught patient is admitted to the emergency department
with symptoms of palpitations, tachycardia, chest pain, and
shortness of breath. The physical examination reveals no
physiologic basis for the symptoms. Which diagnosis therefore
is most likely?
Panic disorder
Bipolar disorder
Generalized anxiety disorder
Clinical depression Correct Answer a
A history of allergy to which substance is a contraindication to
the use of ipratropium/albuterol [Combivent]?
Mold
Peanuts
Penicillin
Dairy products Correct Answer b
A hospitalized patient has orders for budesonide and salmeterol,
one inhalation every 12 hours and albuterol MDI, two puffs
every 4 hours as needed. The patient has not required albuterol
for the last 24 hours. When preparing to administer budesonide
and salmeterol, the nurse notes audible wheezing and dyspnea.
Which action by the nurse is correct?
a. administer albuterol
