Maryville NUR 615 Exam 3 UPDATED ACTUAL Questions and
CORRECT Answers
1. Mr. Holloway presents to your clinic Low-dose colchicine
with a significantly swollen, painful
big toe and you diagnose him with
gout. Of the following options which
would be the best treatment for Mr.
Holloway?
2. How is low dose colchicine pre- 1.2 mg followed by 0.6 mg one hour later or 1.8 mg
scribed? total
3. How is high dose colchicine pre- 1.2 mg followed by 0.6 mg Q4/Q6 or 4.8 mg total
scribed?
4. Patient education when prescribing Colchicine always causes some degree of diarrhea
colchicine includes?
5. You have a patient who is taking al- BUN, creatinine, and creatinine clearance
lopurinol to prevent gout. What labs
will you monitor for this patient on
allopurinol?
6. Mr. Thompson has just started taking Gout may worsen with therapy
febuxostat (Uloric) to treat his gout
and he needs to be educated on what
to expect.
7. Ms. Jensen has been on prednisone Osteoporosis
for 6 months. Patients who have
been on prednisone for some time
should be assessed for what
8. What dose predinisone do in diabet- Worsen blood glucose control
ics?
, Maryville NUR 615 Exam 3 UPDATED ACTUAL Questions and
CORRECT Answers
9. What teaching do you given patients report and black, tarry stools or abdominal pain
taking prednisone?
10. When you place a patient on pred- Omeprazole, a proton-pump inhibitor to prevent
nisone and the total dose exceeds 1 PUD
gram, what additional drug should
you prescribe
11. Janet has fractured her ankle Patient should not take any other medications that
and you give her a prescription contain acetaminophen
for Vicodin (acetaminophen +hy-
drocodone). What education should
you provide before they leave your
clinic?
12. What is the first line of pain control? NSAIDS
13. Margaret has been on 60 mg of Develop a tapering schedule to slowly wean Mar-
prednisone for 10 days for her se- garet off the prednisone
vere asthma exacerbation. Since she
is breathing much better it is time
to discontinue the medication. What
should you know when discontinuing
this drug?
14. Why must steroids be tapered? avoid both recurrent activity of the underlying dis-
ease process and possible cortisol deficiency re-
sulting from the hypothalamic-pituitary-adrenal axis
(HPA) suppression during the period of steroid
therapy.
15. serum glucose
, Maryville NUR 615 Exam 3 UPDATED ACTUAL Questions and
CORRECT Answers
Patients who are currently on or will
start chronic corticosteroid therapy
should be monitored for what?
16. Patients with rheumatoid arthritis Vitamin D, calcium supplement, and bisphosphate
who are on a chronic low-dose pred-
nisone will need co-treatment with
which medications to prevent further
adverse effects
17. What is the FDA Black Box Warning Increased risk of CV thrombotic events, Stroke, MI
for ALL nonsteroidal anti-inflamma- Potential for causing life-threatening gastrointesti-
tory drugs (NSAIDS)? nal bleeds
18. What do NSAIDs increase the risk of? CV thrombotic events, MI, stroke
19. If you are getting ready to prescribe Warfarin
an NSAID, a complete drug history
should be conducted as NSAIDs in-
teract with which drug?
20. Gabriella is a 3-year old diagnosed Need to keep well hydrated while taking ibuprofen
with otitis media and an upper respi-
ratory infection. You prescribe her an
antibiotic (probably amoxicillin) and
ibuprofen. What education should
the parents receive?
21. William is a 78-year old who takes Add an H2 blocker such as ranitidine to his therapy
two aspirin every morning while he
reads his newspaper to treat arthritis
pain in his back. He states the aspirin
helps him to "get moving" each day.
CORRECT Answers
1. Mr. Holloway presents to your clinic Low-dose colchicine
with a significantly swollen, painful
big toe and you diagnose him with
gout. Of the following options which
would be the best treatment for Mr.
Holloway?
2. How is low dose colchicine pre- 1.2 mg followed by 0.6 mg one hour later or 1.8 mg
scribed? total
3. How is high dose colchicine pre- 1.2 mg followed by 0.6 mg Q4/Q6 or 4.8 mg total
scribed?
4. Patient education when prescribing Colchicine always causes some degree of diarrhea
colchicine includes?
5. You have a patient who is taking al- BUN, creatinine, and creatinine clearance
lopurinol to prevent gout. What labs
will you monitor for this patient on
allopurinol?
6. Mr. Thompson has just started taking Gout may worsen with therapy
febuxostat (Uloric) to treat his gout
and he needs to be educated on what
to expect.
7. Ms. Jensen has been on prednisone Osteoporosis
for 6 months. Patients who have
been on prednisone for some time
should be assessed for what
8. What dose predinisone do in diabet- Worsen blood glucose control
ics?
, Maryville NUR 615 Exam 3 UPDATED ACTUAL Questions and
CORRECT Answers
9. What teaching do you given patients report and black, tarry stools or abdominal pain
taking prednisone?
10. When you place a patient on pred- Omeprazole, a proton-pump inhibitor to prevent
nisone and the total dose exceeds 1 PUD
gram, what additional drug should
you prescribe
11. Janet has fractured her ankle Patient should not take any other medications that
and you give her a prescription contain acetaminophen
for Vicodin (acetaminophen +hy-
drocodone). What education should
you provide before they leave your
clinic?
12. What is the first line of pain control? NSAIDS
13. Margaret has been on 60 mg of Develop a tapering schedule to slowly wean Mar-
prednisone for 10 days for her se- garet off the prednisone
vere asthma exacerbation. Since she
is breathing much better it is time
to discontinue the medication. What
should you know when discontinuing
this drug?
14. Why must steroids be tapered? avoid both recurrent activity of the underlying dis-
ease process and possible cortisol deficiency re-
sulting from the hypothalamic-pituitary-adrenal axis
(HPA) suppression during the period of steroid
therapy.
15. serum glucose
, Maryville NUR 615 Exam 3 UPDATED ACTUAL Questions and
CORRECT Answers
Patients who are currently on or will
start chronic corticosteroid therapy
should be monitored for what?
16. Patients with rheumatoid arthritis Vitamin D, calcium supplement, and bisphosphate
who are on a chronic low-dose pred-
nisone will need co-treatment with
which medications to prevent further
adverse effects
17. What is the FDA Black Box Warning Increased risk of CV thrombotic events, Stroke, MI
for ALL nonsteroidal anti-inflamma- Potential for causing life-threatening gastrointesti-
tory drugs (NSAIDS)? nal bleeds
18. What do NSAIDs increase the risk of? CV thrombotic events, MI, stroke
19. If you are getting ready to prescribe Warfarin
an NSAID, a complete drug history
should be conducted as NSAIDs in-
teract with which drug?
20. Gabriella is a 3-year old diagnosed Need to keep well hydrated while taking ibuprofen
with otitis media and an upper respi-
ratory infection. You prescribe her an
antibiotic (probably amoxicillin) and
ibuprofen. What education should
the parents receive?
21. William is a 78-year old who takes Add an H2 blocker such as ranitidine to his therapy
two aspirin every morning while he
reads his newspaper to treat arthritis
pain in his back. He states the aspirin
helps him to "get moving" each day.
