1.A nurse is giving a presentation at a unit meeting on Methotrexate. Which will be included?
SATA
a. It is used as a treatment for some cancers
b. It is used for treatment of RA
c. A serious side effect is renal failure
d. It can cause high blood counts
e. It is a hepatotoxic med -Correct ...
Nur 185 final exam questions and
answers 2025
1.A nurse is giving a presentation at a unit meeting on Methotrexate. Which will be
included?
SATA
a. It is used as a treatment for some cancers
b. It is used for treatment of RA
c. A serious side effect is renal failure
d. It can cause high blood counts
e. It is a hepatotoxic med -Correct Answer ✔a. It is used as a treatment for some
cancers
b. It is used for treatment of RA
c. A serious side effect is renal failure
e. It is a hepatotoxic med
What is hyperthyroidism, S/S, TX, patient education? -Correct Answer ✔• Overactive
thyroid that promotes the production of thyroxine
• S/S are goiter, weight loss, exophthalmos, nervous/jittery, hypertension, insomnia,
hyperactivity, tachycardia, intolerance to heat, heart palpitations, clumsiness
• Radioactive iodine is gold standard (patient will swallow this) for tx of overactive
thyroid and thyroid cancer- surgery is last resort
• Increase protein and calories
The LPN Suspects her patient is septic. What signs and symptoms will the patient
have? -Correct Answer ✔Fever, chills, positive blood culture, hypotension, tachycardia,
elevated WBC
Which medication stimulates production of WBC and is used in patients receiving
Chemotherapy? -Correct Answer ✔Filgrastim (neupogen)
The nurse is educating the family and patient on the general side effects of Narcotics.
Which will she include in her teaching? SATA
A. Increased blood pressure and heart rate
B. Hypoxia
C. Decreased LOC/Lethargy
D. Increased urine output
E. Respiratory depression
F. Constipation -Correct Answer ✔A. Increased blood pressure and heart rate
B. Hypoxia
E. Respiratory depression
NUR 185 Exam
, NUR 185 Exam
F. Constipation
6. What is hypothyroidism, S/S, TX, patient education? -Correct Answer ✔The thyroid
gland doesn't produce enough thyroid hormone
S / S are fatigue , weight gain , depression , cold intolerance , constipation , mood
swings , thinning hair , bradycardia , hypotension , myxedema ileus ( obstruction ) .
Synthroid medication
Decrease calorie and increase protein
Use laxative as needed
Exercise regularly
Which of the following should be included when administering a Ng tube feeding? SATA
a. Position patient in high fowlers (45 degrees or greater)
b. X-ray to confirm placement
c. Check residual q 2 hours
d. Check placement before each feeding
e. Flush every 4 hours per order
f. Assess skin around Ng tube site
g. Possible order for blood sugar checks q 4 hrs q 6 hrs -Correct Answer ✔a. Position
patient in high fowlers (45 degrees or greater)
b. X-ray to confirm placement
d. Check placement before each feeding
e. Flush every 4 hours per order
f. Assess skin around Ng tube site
What are some important fall preventions? -Correct Answer ✔1. Call light within reach
2. Bed in lowest position
3. Personal items within reach
4. Toileting schedule
5. Gait belt for transfers
6. Bed alarm/chair alarm/ toilet alarm
7. Room closer to nurse station
What are the three phases of burn patients? -Correct Answer ✔1. Phase 1 (Emergent)-
first 48 hours
2. Phase 2 (Acute) - 48-72 hours
3. Phase 3 (rehabilitation)- no end to this stage
10. The nurse is preparing to assist with an Escharotomy. The nurse shows that she
needs further teaching when she says which of the following?
NUR 185 Exam
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