HESI MILESTONE 2 REMEDIATION ACTUAL EXAM CONTAINS
200 QUESTIONS AND CORRECT DETAILED ANSWERS
A client is prescribed Ibandronate (Boniva) for the treatment of osteoporosis. Which
is the appropriate administration route for this medication?
a. by mouth once a month
b. intramuscular every other month
c. intradermal patch changed once a week
d. tropically applied to upper inner arm daily - ANSWER: A
______ inhibit osteoclast-mediated bone resorption and slow the cycle of bone
remodeling. Although a modest increase in BMD is typical, bone remodeling may be
suppressed to the extent that normal bone formation is impaired and fracture risk
increases. - ANSWER: bisphosphates
______ are drugs are widely used in the prevention and treatment of osteoporosis. -
ANSWER: bisphosphates
Common side effects of ______ include:
- anorexia
- weight loss
- gastritis
Teach the patient to take the medication correctly to improve its absorption and
decrease GI side effects. - ANSWER: bisphosphates
______ include:
- Alendronate
- Ibandronate
- Risedronate
- Zoledronic acid - ANSWER: bisphosphates
Renal function tests and serum calcium must be assessed before administration of
______. - ANSWER: bisphosphates
______ is available as a daily or weekly oral tablet. - ANSWER: Alendronate
______ is available as a once-per-month oral tablet or can be given every 3 months
by IV infusion. - ANSWER: Ibandronate
______ is given daily, weekly, or monthly based on the dose. - ANSWER: Risedronate
______ is secreted by the thyroid gland and inhibits osteoclastic bone resorption by
directly interacting with active osteoclasts. Salmon calcitonin is available in
intranasal form. - ANSWER: calcitonin
,When ______ is used, calcium supplementation is necessary to prevent secondary
hyperparathyroidism. - ANSWER: calcitonin
______ ______ ______ ______ are drugs used to treat osteoporosis and mimic the
effect of estrogen on bone by reducing bone resorption without stimulating the
tissues of the breast or uterus. - ANSWER: selective estrogen receptor modulators
______ is a selective estrogen receptor modulator that may decrease breast cancer
risk. - ANSWER: raloxifene
______ is a selective estrogen receptor modulator that blocks the estrogen receptor
sites of cancer cells. - ANSWER: tamoxifen
______ is a portion of human parathyroid hormone that is used for the treatment of
osteoporosis by increasing the action of osteoblasts - ANSWER: teriparatide
______ is the first drug for osteoporosis that stimulates new bone formation rather
than just preventing further bone loss. - ANSWER: teriparatide
______ may be used for postmenopausal women with osteoporosis who are at high
risk for fractures. It is a monoclonal antibody that binds to a protein involved in the
formation and function of osteoclasts. Denosumab is given as a subcutaneous
injection every 6 months. - ANSWER: denosumab
______ encompasses analgesia, amnesia, relaxation, and reflex activity. It abolishes
pain perception by interrupting the nerve impulses to the brain. The loss of
sensation may be partial or complete, sometimes with the loss of consciousness. -
ANSWER: anesthesia
The term ______ refers to the alleviation of the sensation of pain or the raising of
the threshold for pain perception without loss of consciousness. - ANSWER:
analgesia
______ stage of pharmacological interventions during labor:
- opioid agonist analgesics
- opioid agonist-antagonist analgesics
- epidural (block) analgesia
- combined spinal-epidural (CSE) analgesia
- nitrous oxide - ANSWER: first
______ stage of pharmacological interventions during labor:
- nerve block analgesia and anesthesia
- local infiltration anesthesia
- pudenal block
- spinal anesthesia
- epidural analgesia
- CSE analgesia
, - nitrous oxide - ANSWER: second
______ birth pain control includes:
- local infiltration anesthesia
- pudenal block
- epidural analgesia and anesthesia
- spinal anesthesia
- CSE analgesia and anesthesia
- nitrous oxide - ANSWER: vaginal
______ birth pain control includes:
- spinal anesthesia
- epidural anesthesia
- general anesthesia - ANSWER: cesarean
______ analgesics (opioids) can be administered as intermittent intravenous (IV) or
intramuscular (IM) doses by health care professionals or by the woman herself using
patient-controlled analgesia (PCA). - ANSWER: systemic
______ self-administers small doses of an opioid analgesic by using a pump
programmed for dose and frequency. Overall, a lower total amount of analgesic is
used. The patient appreciates the sense of autonomy provided by this method of
pain relief, as well as the elimination of treatment delays while the nurse obtains and
administers the medication. Opioids have limited effect in labor is limited. -
ANSWER: PCA
Side effects of ______ includes:
- respiratory depression
- sedation
- nausea, vomiting
- dizziness
- altered mental staus
- euphoria
- decreased gastric motility
- delayed gastric emptying
- urinaty retention - ANSWER: opioids
Safety precautions should be taken after ______ administration, because several
opioid side effects increase the risk for injury due to falls. - ANSWER: opioid
______ decrease maternal heart and respiratory rate and blood pressure, which
affects fetal oxygenation. Therefore maternal vital signs and FHR and pattern must
be assessed and documented before and after administration of opioids for pain
relief. (cross the placenta) - ANSWER: opioids
200 QUESTIONS AND CORRECT DETAILED ANSWERS
A client is prescribed Ibandronate (Boniva) for the treatment of osteoporosis. Which
is the appropriate administration route for this medication?
a. by mouth once a month
b. intramuscular every other month
c. intradermal patch changed once a week
d. tropically applied to upper inner arm daily - ANSWER: A
______ inhibit osteoclast-mediated bone resorption and slow the cycle of bone
remodeling. Although a modest increase in BMD is typical, bone remodeling may be
suppressed to the extent that normal bone formation is impaired and fracture risk
increases. - ANSWER: bisphosphates
______ are drugs are widely used in the prevention and treatment of osteoporosis. -
ANSWER: bisphosphates
Common side effects of ______ include:
- anorexia
- weight loss
- gastritis
Teach the patient to take the medication correctly to improve its absorption and
decrease GI side effects. - ANSWER: bisphosphates
______ include:
- Alendronate
- Ibandronate
- Risedronate
- Zoledronic acid - ANSWER: bisphosphates
Renal function tests and serum calcium must be assessed before administration of
______. - ANSWER: bisphosphates
______ is available as a daily or weekly oral tablet. - ANSWER: Alendronate
______ is available as a once-per-month oral tablet or can be given every 3 months
by IV infusion. - ANSWER: Ibandronate
______ is given daily, weekly, or monthly based on the dose. - ANSWER: Risedronate
______ is secreted by the thyroid gland and inhibits osteoclastic bone resorption by
directly interacting with active osteoclasts. Salmon calcitonin is available in
intranasal form. - ANSWER: calcitonin
,When ______ is used, calcium supplementation is necessary to prevent secondary
hyperparathyroidism. - ANSWER: calcitonin
______ ______ ______ ______ are drugs used to treat osteoporosis and mimic the
effect of estrogen on bone by reducing bone resorption without stimulating the
tissues of the breast or uterus. - ANSWER: selective estrogen receptor modulators
______ is a selective estrogen receptor modulator that may decrease breast cancer
risk. - ANSWER: raloxifene
______ is a selective estrogen receptor modulator that blocks the estrogen receptor
sites of cancer cells. - ANSWER: tamoxifen
______ is a portion of human parathyroid hormone that is used for the treatment of
osteoporosis by increasing the action of osteoblasts - ANSWER: teriparatide
______ is the first drug for osteoporosis that stimulates new bone formation rather
than just preventing further bone loss. - ANSWER: teriparatide
______ may be used for postmenopausal women with osteoporosis who are at high
risk for fractures. It is a monoclonal antibody that binds to a protein involved in the
formation and function of osteoclasts. Denosumab is given as a subcutaneous
injection every 6 months. - ANSWER: denosumab
______ encompasses analgesia, amnesia, relaxation, and reflex activity. It abolishes
pain perception by interrupting the nerve impulses to the brain. The loss of
sensation may be partial or complete, sometimes with the loss of consciousness. -
ANSWER: anesthesia
The term ______ refers to the alleviation of the sensation of pain or the raising of
the threshold for pain perception without loss of consciousness. - ANSWER:
analgesia
______ stage of pharmacological interventions during labor:
- opioid agonist analgesics
- opioid agonist-antagonist analgesics
- epidural (block) analgesia
- combined spinal-epidural (CSE) analgesia
- nitrous oxide - ANSWER: first
______ stage of pharmacological interventions during labor:
- nerve block analgesia and anesthesia
- local infiltration anesthesia
- pudenal block
- spinal anesthesia
- epidural analgesia
- CSE analgesia
, - nitrous oxide - ANSWER: second
______ birth pain control includes:
- local infiltration anesthesia
- pudenal block
- epidural analgesia and anesthesia
- spinal anesthesia
- CSE analgesia and anesthesia
- nitrous oxide - ANSWER: vaginal
______ birth pain control includes:
- spinal anesthesia
- epidural anesthesia
- general anesthesia - ANSWER: cesarean
______ analgesics (opioids) can be administered as intermittent intravenous (IV) or
intramuscular (IM) doses by health care professionals or by the woman herself using
patient-controlled analgesia (PCA). - ANSWER: systemic
______ self-administers small doses of an opioid analgesic by using a pump
programmed for dose and frequency. Overall, a lower total amount of analgesic is
used. The patient appreciates the sense of autonomy provided by this method of
pain relief, as well as the elimination of treatment delays while the nurse obtains and
administers the medication. Opioids have limited effect in labor is limited. -
ANSWER: PCA
Side effects of ______ includes:
- respiratory depression
- sedation
- nausea, vomiting
- dizziness
- altered mental staus
- euphoria
- decreased gastric motility
- delayed gastric emptying
- urinaty retention - ANSWER: opioids
Safety precautions should be taken after ______ administration, because several
opioid side effects increase the risk for injury due to falls. - ANSWER: opioid
______ decrease maternal heart and respiratory rate and blood pressure, which
affects fetal oxygenation. Therefore maternal vital signs and FHR and pattern must
be assessed and documented before and after administration of opioids for pain
relief. (cross the placenta) - ANSWER: opioids
