1|Page
PNM FINAL EXAM NEWEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
60: Case A: Mr. B. is diagnosed with acetaminophen toxicity and
ordered the antidote N-acetylsteine immediately. What is the
priority patient teaching. - ANSWER-a. the antidote can be given
at any time and will help to prevent liver damage
61. Case B: What is the priority teaching point for this patient now
that he has been started on naproxen? - ANSWER-c. Do not take
ibuprofen once started on naproxen.
The patient returns to work and comes back to the clinic for a 1-
month follow-up appointment:
Patient states the headaches have resolved.
Patient states that he is feeling very tired, experiencing abdominal
discomfort.
Patient reports his stools are dark and occasionally black in color.
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62. Case B: What is the cause of his current clinical presentation?
- ANSWER-a. Gastrointestinal
63. Case B: What is the appropriate over-the-counter (OTC)
medication recommendation for this patient to help him manage
any pain that may occur? - ANSWER-b. Acetaminophen for
analgesia and antipyretic.
A 47-year-old patient has been on a transdermal narcotic
analgesic as part of the management of pain for end-stage breast
cancer. Lately, she reports more "breakthrough" pain of 9/10 and
states that her transdermal patch is not sufficient to manage her
pain.
Client Data:
Ordered fentanyl (Duragesic Mat®) 25 mcg/24 h transdermal
patch
Ordered morphine sulfate 5 mg, 1 tab q4h prn for breakthrough
pain
Patient reports taking her morphine prn q4h around the clock for
the last 2 days
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64. Case C. How should this increased "breakthrough" pain be
addressed? - ANSWER-c. The baseline dose of the narcotic may
need to be increased in increments.
65. Case C. What is the rationale for dose adjustments in
managing complex severe pain? - ANSWER-b. If a patient
requires breakthrough pain medications around the clock, then
medication doses need to be adjusted.
66. Case C. What has happened to this patient that she requires
increased pain medication? What is this effect called? -
ANSWER-d. Drug tolerance.
1. The community nurse is visiting a postpartum mother who is
breastfeeding her 2-month-old daughter. Which of following
statements by the mother would indicate that the mother requires
further teaching? - ANSWER-b. "I should not take any drugs while
breastfeeding, not even prescription drugs."
56. 35yrs old patient is started on oral prednisone (glucocorticoid)
for exacerbation of his Crohn's disease and he is very concerned
PNM FINAL EXAM NEWEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
60: Case A: Mr. B. is diagnosed with acetaminophen toxicity and
ordered the antidote N-acetylsteine immediately. What is the
priority patient teaching. - ANSWER-a. the antidote can be given
at any time and will help to prevent liver damage
61. Case B: What is the priority teaching point for this patient now
that he has been started on naproxen? - ANSWER-c. Do not take
ibuprofen once started on naproxen.
The patient returns to work and comes back to the clinic for a 1-
month follow-up appointment:
Patient states the headaches have resolved.
Patient states that he is feeling very tired, experiencing abdominal
discomfort.
Patient reports his stools are dark and occasionally black in color.
,2|Page
62. Case B: What is the cause of his current clinical presentation?
- ANSWER-a. Gastrointestinal
63. Case B: What is the appropriate over-the-counter (OTC)
medication recommendation for this patient to help him manage
any pain that may occur? - ANSWER-b. Acetaminophen for
analgesia and antipyretic.
A 47-year-old patient has been on a transdermal narcotic
analgesic as part of the management of pain for end-stage breast
cancer. Lately, she reports more "breakthrough" pain of 9/10 and
states that her transdermal patch is not sufficient to manage her
pain.
Client Data:
Ordered fentanyl (Duragesic Mat®) 25 mcg/24 h transdermal
patch
Ordered morphine sulfate 5 mg, 1 tab q4h prn for breakthrough
pain
Patient reports taking her morphine prn q4h around the clock for
the last 2 days
, 3|Page
64. Case C. How should this increased "breakthrough" pain be
addressed? - ANSWER-c. The baseline dose of the narcotic may
need to be increased in increments.
65. Case C. What is the rationale for dose adjustments in
managing complex severe pain? - ANSWER-b. If a patient
requires breakthrough pain medications around the clock, then
medication doses need to be adjusted.
66. Case C. What has happened to this patient that she requires
increased pain medication? What is this effect called? -
ANSWER-d. Drug tolerance.
1. The community nurse is visiting a postpartum mother who is
breastfeeding her 2-month-old daughter. Which of following
statements by the mother would indicate that the mother requires
further teaching? - ANSWER-b. "I should not take any drugs while
breastfeeding, not even prescription drugs."
56. 35yrs old patient is started on oral prednisone (glucocorticoid)
for exacerbation of his Crohn's disease and he is very concerned
