NURSING 103 - EXAM 4 - EVOLVE
QUESTIONS AND CORRECT
ANSWERS
WhenA2reviewingA2aA2newlyA2admittedA2patient'sA2medicalA2historyA2andA2reconciledA2me
dicationA2profile,A2theA2nurseA2seesA2thatA2metoclopramideA2hasA2beenA2ordered.A2TheA2p
atientA2tellsA2theA2nurseA2thatA2thereA2isA2noA2historyA2ofA2gastroesophagealA2refluxA2dise
aseA2(GERD)A2orA2gastrointestinalA2(GI)A2symptoms.A2TheA2nurseA2reviewsA2theA2recordA
2andA2notesA2thatA2itA2mentionsA2"noA2GERD"A2andA2isA2negativeA2forA2theA2reviewA2ofA2sy
mptomsA2forA2GI.A2WhatA2actionA2doesA2theA2nurseA2take?
A.A2ThrowA2theA2medicationA2away
B.A2GiveA2theA2medicationA2toA2theA2patientA2asA2ordered
C.A2callA2theA2providerA2andA2requestA2thatA2theA2drugA2beA2discontinued
D.A2HoldA2theA2drugA2nowA2andA2determineA2ifA2itA2isA2neededA2laterA2-A2Ans--
C.A2CallA2theA2providerA2andA2requestA2thatA2theA2drugA2beA2discontinued
AA272-year-
oldA2patientA2whoA2takesA2propranololA2forA2hypertensionA2hasA2beenA2keptA2awakeA2theA
2pastA2coupleA2ofA2nightsA2withA2severeA2heartburn.A2TheA2patientA2buysA2cimetidineA2atA2
theA2pharmacy.A2TheA2patientA2takesA2bothA2medicationsA2andA2afterA2twoA2days,A2aA2fam
ilyA2memberA2bringsA2himA2toA2theA2EmergencyA2department,A2reportingA2theA2patientA2fe
elsA2dizzyA2whenA2standingA2hasA2notA2urinatedA2allA2day,A2andA2isA2pale.A2TheA2familyA2m
emberA2doesA2notA2knowA2howA2toA2countA2aA2pulseA2butA2reportsA2itA2"feelsA2slow."A2Wha
tA2shouldA2theA2nurseA2suspectA2first?
A.A2sideA2effectA2ofA2cimetidine
B.A2sideA2effectA2ofA2propranolol
C.A2complicationA2ofA2dehydration
D.A2drug-drugA2interactionA2-A2Ans--D.A2drug-drugA2interaction
AA2residentA2ofA2anA2assistedA2livingA2facilityA2hasA2aA2sprainedA2ankleA2fromA2trippingA2on
A2theA2soleA2ofA2aA2shoeA2thatA2hadA2comeA2apartA2whileA2walking.A2WhichA2interventionA2
shouldA2theA2nurseA2implementA2firstA2toA2tryA2toA2resolveA2theA2pain?
A.A2AdministerA2twoA2325-mgA2acetaminophenA2tabletsA2orally.
B.A2UseA2rest,A2ice,A2compression,A2andA2elevationA2toA2treatA2theA2pain.
C.A2AdministerA2twoA2tabletsA2ofA2codeineA2orally.
D.A2AdministerA2aA225-mcgA2fentanylA2transdermalA2patchA2toA2theA2upperA2rightA2arm.A2-
A2Ans--B.A2UseA2rest,A2ice,A2compression,A2andA2elevationA2toA2treatA2theA2pain.
, AnA281-year-
oldA2patientA2whoA2hasA2aA2historyA2ofA2aA2deepA2veinA2thrombosisA2inA2theA2rightA2calfA2is
A2onA2warfarinA25A2mgA2byA2mouthA2atA2bedtime.A2TheA2patient'sA2INRA2isA21.4.A2TheA2pati
ent'sA2goalA2rangeA2perA2doctor'sA2ordersA2isA22-
2.5.A2YouA2askA2theA2patientA2aboutA2eatingA2habitsA2toA2evaluateA2theA2INRA2inA2relationA
2toA2dietaryA2intake.A2WhichA2ofA2theA2followingA2statementsA2demonstrateA2whatA2foodA2i
sA2causingA2theA2subtherapeuticA2INR?
A.A2"IA2eatA2oatmealA2andA2drinkA2coffeeA2andA2juiceA2everyA2morning."
B.A2"IA2hadA2aA2sandwichA2withA2turkey,A2freshA2spinachA2leaves,A2andA2slicedA2tomatoA2o
nA2darkA2ryeA2andA2coleslawA2yesterday."
C."IA2usuallyA2eatA2aA2pieceA2ofA2fruitA2forA2aA2snackA2atA2aboutA22A2o'clock."
D."IA2likeA2toA2eatA2freshA2spinachA2andA2broccoliA2fromA2myA2garden."A2-A2Ans--
TheA2nurseA2isA2admittingA2anA2olderA2adultA2forA2homeA2healthA2care.A2TheA2nurseA2requ
estsA2theA2patientA2toA2showA2allA2theA2medicationsA2heA2isA2taking.A2ToA2conductA2aA2thor
oughA2medicationA2assessment,A2whatA2otherA2questionsA2shouldA2theA2nurseA2askA2theA2
patient?A2(SelectA2allA2thatA2apply.)
A.A2"AreA2youA2aA2smoker?"
B.A2"HowA2muchA2alcoholA2doA2youA2drink?"
C.A2"DoA2youA2takeA2anyA2vitaminsA2orA2supplements?"
D.A2"HaveA2youA2beenA2treatedA2forA2addictions?"
E.A2"HowA2manyA2careA2providersA2doA2youA2see?A2-A2Ans--A
B
C
E
ModificationA2ofA2whichA2riskA2factorA2forA2cardiovascularA2diseaseA2willA2bringA2theA2most
A2gainA2toA2cardiovascularA2function?
A.A2ReducingA2Stress
B.A2IncreasingA2activityA2inA2aA2sedentaryA2lifestyle
C.A2SmokingA2cessation
D.A2ToningA2downA2theA2typeA2AA2aggressiveA2personalityA2-A2Ans--
C.A2SmokingA2cessation
AnA282-year-
oldA2patientA2isA2atA2theA2clinicA2forA2aA2checkup.A2HisA2bloodA2pressureA2(BP)A2isA2168/94
A2mmHg.A2TheA2patientA2isA25′5″,A2186A2pounds,A2andA2hasA2aA2historyA2ofA2controlledA2hy
pertensionA2andA2osteoarthritis.A2HisA2medicationsA2includeA2metoprololA2andA2naproxen.
A2TheA2patient'sA2usualA2BPA2isA2118/64.A2WhichA2ofA2theA2followingA2isA2mostA2likelyA2toA2
beA2causingA2today'sA2higherA2reading?
A.A2TheA2patientA2isA2obese
B.A2IncreasedA2intakeA2ofA2saltA2byA2eatingA2baconA2threeA2timesA2aA2week
QUESTIONS AND CORRECT
ANSWERS
WhenA2reviewingA2aA2newlyA2admittedA2patient'sA2medicalA2historyA2andA2reconciledA2me
dicationA2profile,A2theA2nurseA2seesA2thatA2metoclopramideA2hasA2beenA2ordered.A2TheA2p
atientA2tellsA2theA2nurseA2thatA2thereA2isA2noA2historyA2ofA2gastroesophagealA2refluxA2dise
aseA2(GERD)A2orA2gastrointestinalA2(GI)A2symptoms.A2TheA2nurseA2reviewsA2theA2recordA
2andA2notesA2thatA2itA2mentionsA2"noA2GERD"A2andA2isA2negativeA2forA2theA2reviewA2ofA2sy
mptomsA2forA2GI.A2WhatA2actionA2doesA2theA2nurseA2take?
A.A2ThrowA2theA2medicationA2away
B.A2GiveA2theA2medicationA2toA2theA2patientA2asA2ordered
C.A2callA2theA2providerA2andA2requestA2thatA2theA2drugA2beA2discontinued
D.A2HoldA2theA2drugA2nowA2andA2determineA2ifA2itA2isA2neededA2laterA2-A2Ans--
C.A2CallA2theA2providerA2andA2requestA2thatA2theA2drugA2beA2discontinued
AA272-year-
oldA2patientA2whoA2takesA2propranololA2forA2hypertensionA2hasA2beenA2keptA2awakeA2theA
2pastA2coupleA2ofA2nightsA2withA2severeA2heartburn.A2TheA2patientA2buysA2cimetidineA2atA2
theA2pharmacy.A2TheA2patientA2takesA2bothA2medicationsA2andA2afterA2twoA2days,A2aA2fam
ilyA2memberA2bringsA2himA2toA2theA2EmergencyA2department,A2reportingA2theA2patientA2fe
elsA2dizzyA2whenA2standingA2hasA2notA2urinatedA2allA2day,A2andA2isA2pale.A2TheA2familyA2m
emberA2doesA2notA2knowA2howA2toA2countA2aA2pulseA2butA2reportsA2itA2"feelsA2slow."A2Wha
tA2shouldA2theA2nurseA2suspectA2first?
A.A2sideA2effectA2ofA2cimetidine
B.A2sideA2effectA2ofA2propranolol
C.A2complicationA2ofA2dehydration
D.A2drug-drugA2interactionA2-A2Ans--D.A2drug-drugA2interaction
AA2residentA2ofA2anA2assistedA2livingA2facilityA2hasA2aA2sprainedA2ankleA2fromA2trippingA2on
A2theA2soleA2ofA2aA2shoeA2thatA2hadA2comeA2apartA2whileA2walking.A2WhichA2interventionA2
shouldA2theA2nurseA2implementA2firstA2toA2tryA2toA2resolveA2theA2pain?
A.A2AdministerA2twoA2325-mgA2acetaminophenA2tabletsA2orally.
B.A2UseA2rest,A2ice,A2compression,A2andA2elevationA2toA2treatA2theA2pain.
C.A2AdministerA2twoA2tabletsA2ofA2codeineA2orally.
D.A2AdministerA2aA225-mcgA2fentanylA2transdermalA2patchA2toA2theA2upperA2rightA2arm.A2-
A2Ans--B.A2UseA2rest,A2ice,A2compression,A2andA2elevationA2toA2treatA2theA2pain.
, AnA281-year-
oldA2patientA2whoA2hasA2aA2historyA2ofA2aA2deepA2veinA2thrombosisA2inA2theA2rightA2calfA2is
A2onA2warfarinA25A2mgA2byA2mouthA2atA2bedtime.A2TheA2patient'sA2INRA2isA21.4.A2TheA2pati
ent'sA2goalA2rangeA2perA2doctor'sA2ordersA2isA22-
2.5.A2YouA2askA2theA2patientA2aboutA2eatingA2habitsA2toA2evaluateA2theA2INRA2inA2relationA
2toA2dietaryA2intake.A2WhichA2ofA2theA2followingA2statementsA2demonstrateA2whatA2foodA2i
sA2causingA2theA2subtherapeuticA2INR?
A.A2"IA2eatA2oatmealA2andA2drinkA2coffeeA2andA2juiceA2everyA2morning."
B.A2"IA2hadA2aA2sandwichA2withA2turkey,A2freshA2spinachA2leaves,A2andA2slicedA2tomatoA2o
nA2darkA2ryeA2andA2coleslawA2yesterday."
C."IA2usuallyA2eatA2aA2pieceA2ofA2fruitA2forA2aA2snackA2atA2aboutA22A2o'clock."
D."IA2likeA2toA2eatA2freshA2spinachA2andA2broccoliA2fromA2myA2garden."A2-A2Ans--
TheA2nurseA2isA2admittingA2anA2olderA2adultA2forA2homeA2healthA2care.A2TheA2nurseA2requ
estsA2theA2patientA2toA2showA2allA2theA2medicationsA2heA2isA2taking.A2ToA2conductA2aA2thor
oughA2medicationA2assessment,A2whatA2otherA2questionsA2shouldA2theA2nurseA2askA2theA2
patient?A2(SelectA2allA2thatA2apply.)
A.A2"AreA2youA2aA2smoker?"
B.A2"HowA2muchA2alcoholA2doA2youA2drink?"
C.A2"DoA2youA2takeA2anyA2vitaminsA2orA2supplements?"
D.A2"HaveA2youA2beenA2treatedA2forA2addictions?"
E.A2"HowA2manyA2careA2providersA2doA2youA2see?A2-A2Ans--A
B
C
E
ModificationA2ofA2whichA2riskA2factorA2forA2cardiovascularA2diseaseA2willA2bringA2theA2most
A2gainA2toA2cardiovascularA2function?
A.A2ReducingA2Stress
B.A2IncreasingA2activityA2inA2aA2sedentaryA2lifestyle
C.A2SmokingA2cessation
D.A2ToningA2downA2theA2typeA2AA2aggressiveA2personalityA2-A2Ans--
C.A2SmokingA2cessation
AnA282-year-
oldA2patientA2isA2atA2theA2clinicA2forA2aA2checkup.A2HisA2bloodA2pressureA2(BP)A2isA2168/94
A2mmHg.A2TheA2patientA2isA25′5″,A2186A2pounds,A2andA2hasA2aA2historyA2ofA2controlledA2hy
pertensionA2andA2osteoarthritis.A2HisA2medicationsA2includeA2metoprololA2andA2naproxen.
A2TheA2patient'sA2usualA2BPA2isA2118/64.A2WhichA2ofA2theA2followingA2isA2mostA2likelyA2toA2
beA2causingA2today'sA2higherA2reading?
A.A2TheA2patientA2isA2obese
B.A2IncreasedA2intakeA2ofA2saltA2byA2eatingA2baconA2threeA2timesA2aA2week
