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Viewing page 2 out of 15 pages
Viewing questions 16-30 out of questions
Questions # 16:

Why is it often necessary to draw a complete blood count and differential (CBC/differential) when a client is being treated with an antiepileptic drug (AED)?

Options:

A.

The hematocrit is adversely affected because of an increased vascular volume.

B.

AEDs affect immune modulators increasing the risk of infection.

C.

AEDs induce white blood cell reduction.

D.

A side effect of some AEDs is blood dyscrasia.

Questions # 17:

A patient has been diagnosed with diabetes mellitus. Which of the following is not a clinical sign of diabetes mellitus?

Options:

A.

Polyphagia

B.

Polyuria

C.

Metabolic acidosis

D.

Lower extremity edema

Questions # 18:

How is the information documented on incident reports used?

Options:

A.

to analyze risk categories

B.

to make sure procedures are in compliance with regulations

C.

to identify the educational needs of the staff

D.

all of the above

Questions # 19:

A 62 year-old female is being seen on a home visit by a nurse. The patient reports she has been taking Premarin for years. Which of the following would indicate an over-dosage?

Options:

A.

Lower extremity edema

B.

Sensory changes in the upper extremities

C.

Increased occurrence of fractures

D.

Decreased peripheral blood flow

Questions # 20:

A nurse has been assigned a patient who has recently been diagnosed with Guillain-Barre’ Syndrome. Which of the following statements is the most applicable when discussing the impairments with Guillain-Barre’ Syndrome with the patient?

Options:

A.

Guillain-Barre’ Syndrome gets better after 5 years in almost all cases.

B.

Guillain-Barre’ Syndrome causes limited sensation in the abdominal region.

C.

Guillain-Barre’ Syndrome causes muscle weakness in the legs.

D.

Guillain-Barre’ Syndrome does not effect breathing in severe cases.

Questions # 21:

The highest incident of child abuse occurs in children in which age group?

Options:

A.

birth–3 years old

B.

4–6 years old

C.

6–10 years old

D.

more than 10 years old

Questions # 22:

A 21-year-old college student has just learned that she contracted genital herpes from her sexual partner. After completing the initial history and assessment, the nurse has data concerning areas pertinent to the disease. The data is likely to include all but which of the following?

Options:

A.

voiding patterns

B.

characteristics of lesions

C.

vaginal discharge

D.

prior history of varicella

Questions # 23:

When planning care of a client who has a been diagnosed with Amphetamine Abuse, the nurse should use the knowledge that:

Options:

A.

amphetamines increase energy by increasing dopamine levels at neural synapses.

B.

amphetamines have a low risk of tolerance or addiction.

C.

amphetamines produce a 10–20-second rush followed by a 2–4-hour high.

D.

addiction to barbiturates and amphetamines is rare because they have opposite effects.

Questions # 24:

A nurse is teaching a client newly diagnosed with Emphysema about the disease process. Which of the following statements best explains the problems associated with emphysema and could be adapted for use in the nurse’s discussion with the client?

Options:

A.

Hyperactivity of the medium-sized bronchi caused by an inflammatory response leads to wheezing and tightness in the chest.

B.

Larger than normal air spaces and loss of elastic recoil cause air to be trapped in the lung and collapse airways.

C.

Vasodilation, congestion, and mucosal edema cause a chronic cough and sputum production.

D.

Chloride is not being transported properly, producing excess absorption of water and sodium, and thick viscous mucus.

Questions # 25:

Which of the following medications is not considered a neuromuscular blocker?

Options:

A.

Anectine

B.

Pavulon

C.

Pitressin

D.

Mivacron

Questions # 26:

A client receives a cervical intracavity radium implant as part of her therapy. A common side effect of a cervical implant is:

Options:

A.

creamy, pink-tinged vaginal drainage.

B.

stomatitis.

C.

constipation.

D.

xerostomia.

Questions # 27:

Which of the following arterial blood gas values indicates a patient may be experiencing a condition of metabolic acidosis?

Options:

A.

PaO2 (90%)

B.

Bicarbonate 159

C.

CO(2) 47 mm Hg

D.

pH 7.34

Questions # 28:

An example of a process standard on a med-surg unit is:

Options:

A.

a procedure for changing IV tubing.

B.

a policy for staffing.

C.

the job description of the CEO (chief executive officer).

D.

a procedure for checking waveforms on a client being treated on an intra-aortic balloon pump.

Questions # 29:

A twenty-one year old man suffered a concussion and the MD ordered a MRI. The patient asks, “Will they allow me to sit up during the MRI?” The correct response by the nurse should be.

Options:

A.

“I will have to talk to the doctor about letting you sit upright during the test.”

B.

“You will be positioned in the reverse Trendelenburg position to maximizethe view of the brain.”

C.

“The radiologist will let you know.”

D.

“You will have to lie down on your back during the test.”

Questions # 30:

After group therapy, the female victim of intimatepartner violence confides to the nurse that she does not feel in any immediate danger. Which of the following statements about victims of domestic violence is true?

Options:

A.

Victims of domestic violence are often the best predictors of their risk of harm.

B.

Victims of domestic violence often overestimate their safety risk.

C.

Victims of domestic violence are typically in a state of denial.

D.

Victims of domestic violence know that keeping peace with their partner is the best method of preventing another attack.

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