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Exam 2 NSG 318 Practice Questions and Answers

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A patient who has asthma is diagnosed with hypertension. Which drug will be safe to give this patient? Selective Adrenergic Antagonist *also called selective Beta blocker The RN administers sc epinephrine to a patient experiencing anaphylaxis. The RN should monitor for which symptom? decreased ur...

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exam 2 nsg 318 practice questions and answers
a patient who has asthma is diagnosed with hyperte
the rn administers sc epinephrine to a patient exp

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Exam 2 NSG 318 Practice Questions and
Answers
A patient who has asthma is diagnosed with hypertension. Which drug will be safe to
give this patient? ✅Selective Adrenergic Antagonist

*also called selective Beta blocker

The RN administers sc epinephrine to a patient experiencing anaphylaxis. The RN
should monitor for which symptom? ✅decreased urine output

A pt will begin albuterol (Proventil) for asthma. Teaching about this drug, should include
which recommendation? ✅report rapid or irregular heart rate

A pt will be discharged on beta blockers. Which skill is essential for the nurse to teach
the patient's family? ✅How to monitor heart rate and blood pressure

The nurse is to administer an indirect-acting cholinergic agonist. The nurse understands
that this drug ✅inhibits cholinesterase

A patient will get bethanechol (urecholine) for urinary retention. Pt has BP 86/60, HR 98.
What should the RN do? ✅Hold the medication and notify the provider of decreased
blood pressure.

The nurse is teaching a patient about bethanechol (urecholine). Which statement
indicates a need for further teaching? ✅"Excessive sweating is a normal reaction to
the medication."

A pt who has irritable bowel syndrome would most likely receive which type of drug to
treat this condition? ✅An anticholinergic

*slow things down in the GI system

Post op patient recd atropine preop. I & O = 800 mL IV, 350 mL in cath bag. Pt C/O dry
mouth. H/R 82. What will the RN do? ✅palpate the patient's bladder

*C/O means complains of
*atropine is an anticholinergic

A patient has a seizure disorder. The RN notes reddened gums that bleed with oral
care. The RN knows the finding is ✅an adverse effect of the phenytoin

,A patient takes phenytoin (Dilantin) and appears drowsy. The last serum drug level was
18 mcg/mL. What is the nurses priority action? ✅Administer the dose since the patient
is not toxic.

* therapeutic range 10-20 mcg/mL for phenytoin (Dilantin)

A patient recently started phenytoin (Dilantin). The RN notes a reddish-brown color to
the patient's urine. What should the RN do? ✅Reassure the patient that this is a
harmless side effect.

Pt will begin taking phenytoin (Dilantin). Pt is taking oral contraceptives (OCPs). Which
response will the nurse give? ✅"You should use a backup method of contraception
along with OCPs."

A pt is taking venlafaxine (Effexor). The RN does a medication and dietary history. RN
concerned about which substance? ✅St. Johns Wort

A pt diagnosed with depression asks why a monoamine oxidase (MAO) inhibitor wasn't
ordered. What will the RN explain? ✅require strict dietary restrictions

*know tyramine containing foods.

Pt on fluoxetine (Prozac) for 3 months. Improved mood, less fatigue, increased
concentration, no side effects. What may change? ✅changing to once-weekly dosing

Med hx pt taking lorazepam (Ativan) for 6 months for anxiety. Pt states it is no longer
working. The RN will ✅understand that the patient has developed tolerance to this
drug.

Pt in ER: BP 80/55, HR 60, decreased resp, somnolence. Med hx includes alprazolam
(Xanax). What does RN anticipate? ✅Flumazenil (Romaxicon)

*somnolence= the quality or state of being drowsy : sleepiness.

RN is teaching pt about an anxiolytic for grief-related anxiety. Which statement by the
patient indicates understanding? ✅"I should try psychotherapy or a support group with
the medication."

Student-RN asks about the role of cyclooxygenase-2 (COX-2) and its role in
inflammation. RN will explain that COX-2 ✅converts arachidonic acid into a chemical
mediator for inflammation

Pt asks how non steroidal anti-inflammatory drugs (NSAIDs) work to suppress
inflammation, reduce pain. How will RN explain? ✅inhibit cyclooxyrgenase that is
necessary for prostaglandin synthesis.

,*prostaglandins play a role in pain so by inhibiting those it can help relieve the pain.

A pt taking aspirin for arthritis asks the RN why it also causes gastrointestinal (GI)
upset. The RN understands that ✅aspirin inhibits both COX-1 and COX-2

*COX-1 protects stomach lining

A pt taking aspirin to help prevent Myocardial infarction (MI) is experiencing moderate
gastrointestinal upset. What can change that? ✅Enteric-coated aspirin

*aspirin works as anticoagulant

The RN is caring for a postop pt whom received atropine sulfate preop. Which will the
RN report promptly? ✅absent bowel sounds

*Atropine is an anticholinergic so its going to block those parasympathetic responses,
diminished bowel sounds we would expect but not absent.

The RN is teaching patient who will begin taking indomethacin (Inderal) r/t rheumatoid
arthritis. Which of the following would indicate the need for further teaching?
-"I should limit sodium intake while taking this drug."
-"I will need to check my blood pressure frequently."
-"I should take indomethacin on an empty stomach."
-"I will take the medication twice daily." ✅"I should take indomethacin on an empty
stomach."

*r/t = "Related to"
*indomethacin is an NSAID & with NDAIDs for the most part we want to take them with
food to help alleviate any GI upset.

A post partum pt is refusing opioid analgesics but rates pain as 8/10. The RN will call
provider to request an order for which of the following? ✅Ketorolac (Toradol)

The RN is admitting a pt who reports taking acetaminophen (Tylenol) daily for
headaches. What order will the RN anticipate? ✅liver enzyme tests

*with acetaminophen (Tylenol) we are concerned with hepatic toxicity. another very
common OTC NSAID is ibuprofen and with ibuprofen were going to be looking at
nephron toxicity, so we would want to look at BUN and creatinine.

The ER RN has pt who got morphine for severe pain. Pt med hx includes St. John's
Wort. What will the nurse watch for? ✅Sedation

, Pt had sumatriptan (Imitrex) for migraine headache. Pt reports moderate improvement,
dizzy. BP is 160/85. What should the RN do? ✅Notify the provider of the increased
blood pressure.

6-year-old post surgery. The child is awake and lying very still, won't respond when the
RN asks about pain. What should the RN do? ✅Evaluate the child's pain using an
"ouch scale"

*could use faces pain scale, want to use something relatable to the child

The RN is assessing a pt with gout who will begin taking allopurinol (Zyloprim). The RN
will be concerned about what lab? ✅elevated BUN and creatinine

*Gout is a form of arthritis characterized by severe pain, redness, and tenderness in
joints.
Pain and inflammation occur when too much uric acid crystallizes and deposits in the
joints.
*Zyloprim is used to prevent gout attacks by reducing uric acid production

The RN teaching pt who will begin taking allopurinol. Which statement by the patient
indicates understanding? ✅"I will get yearly eye exams."

*vision changes is a rare side effect of allopurinol

The RN is discussing celecoxib (Celebrex) with a pt who takes the drug for
dysmenorrhea. What info will the nurse include? ✅"The initial dose will be twice that
amount of subsequent doses."

*dysmenorrhea= painful menstruation, typically involving abdominal cramps.

RN is caring for a patient who has RA and is receiving infliximab (Remicade) IV every 8
weeks. Which lab will the RN anticipate? ✅Complete blood count (CBC)

*infliximab (Remicade) is an immune modulator that they can use to treat rheumatoid
arthritis which is an autoimmune disorder, periodically need to have CBC checked to
make sure immune function is going to be okay.

The drug hydromorphone (Dilaudid) is classified as an ✅opioid analgesics

The drug nalbuphine (Nubain) is classified as an ✅opioid analgesics
CLASS: Opioid Agonist-Antagonist

The drug celecoxib (Celebrex) is classified as an ✅Selective COX-2 inhibitor

The drug indomethacin (Indocin) is classified as an ✅Non-Opioid Analgesics

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