Fundamentals
The nurse is administering medications through a nasogastric tube (NGT) which is connected to suction. After ensuring correct tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
B. Flush the tube with water.
A nurse has completed cast care teaching following the application of a plaster cast. The nurse knows that patient teaching has been effective when the patient states:
a) "I can shower and then pat the cast dry."
b) "If I wrap my cast in plastic, it will last longer."
c) "I will call my physician if I have an increase in pain or swelling."
d) "I will apply ice on the cast over the fracture site for the next 48 hours."
c) "I will call my physician if I have an increase in pain or swelling."
The study of drug absorption, distribution, metabolism, and excretion is known as
A. pharmacotherapeutics
B. pharmacodynamics
C. pharmacokinetics
D. pharmacy
E. posology
B. pharmacodynamics
Place the following in correct sequence from simplest to most complex:
1. Molecules
2. Atoms
3. Tissues
4. Cells
5. Organ
A. 1-2-3-4-5
B. 2-1-4-3-5
C. 2-1-3-4-5
D. 1-2-4-3-5
B. 2-1-4-3-5
When developing a care plan for an adolescent, the nurse considers the child's psychosocial needs. During adolescence, psychosocial development focuses on:
1. becoming industrious.
2. establishing an identity.
3. achieving intimacy.
4. developing initiative
2. establishing an identity.
The UAPs working on a chronic neuro unit ask the nurse to help them determine the safest way to transfer an elderly client w/ left-sided weakness from the bed to the chair. What method describes the correct transfer procedure for this client?
A. Place the chair at a right angle to the bed on the client's left side before moving.
B. Assist the client to a standing position, then place the right hand on the armrest.
C. Have the client place the left foot next to the chair and pivot to the left before sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on the right foot.
D. Move the chair parallel to the right side of the bed, and stand the client on the right foot.
The nurse is preparing to administer an intravenous (IV) insulin drip to a patient with hyperglycemia. The nurse knows that only one insulin can be used intravenously. Which insulin can only be given IV?
a) NPH
b) Regular
c) Lispro
d) Lantus
b) Regular
A drug that has the potential for abuse and is regulated by the Drug Enforcement Agency is classified as a
A. poison
B. OTC drug
C. prescription drug
D. controlled substance
E. nonproprietary dru
D. controlled substance
Which of the following imaging devices would best localize a tumor in a persons brain?
A. X-ray
B. DSA
C. PET
D. MRI
D. MRI
The mother of an 11-month-old infant reports to the nurse that her infant sleeps much less than other children. The mother asks the nurse whether her infant is getting sufficient sleep. What should be the nurse's initial response?
1. Reassure the mother that each infant's sleep needs are individual.
2. Ask the mother for more information about the infant's sleep patterns.
3. Instruct the mother to decrease the infant's daytime sleep to increase his nighttime sleep.
4. Inform the mother that her infant's growth and development are appropriate for his age, so sleep isn't a concern.
2. Ask the mother for more information about the infant's sleep patterns.
An adult male client with a history of hypertension tells the nurse that he is tired of taking antihypertensive medications and is going to try spiritual meditation instead. What should be the nurse's first response?
A. It is important that you continue your medication while learning to meditate.
B. Spiritual meditation requires a time commitment of 15 to 20 minutes daily.
C. Obtain your healthcare provider's permission before starting meditation.
D. Complementary therapy and western medicine can be effective for you.
A. It is important that you continue your medication while learning to meditate.
A preoperative patient has an elevated hemoglobin and hematocrit. What would the nurse suspect regarding the significance of this increased value?
a) Immune deficiency
b) Kidney dysfunction
c) Malignancy
d) Dehydration
d) Dehydration
When a drug increases the rate of drug metabolism of other drugs, the process is termed
A. first-pass metabolism
B. enzyme induction
C. enzyme inhibition
D. enterohepatic cycling
E. microsomal inhibition
B. enzyme induction
The spleen is located in which abdominal Quadrant?
A. Upper right
B. Lower right
C. Upper left
D. Lower lef
C. Upper left
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a female adolescent client with acute glomerulonephritis has a blood pressure of 210/110. The 4 a.m. blood pressure reading was 170/88. The client reports to the UAP that she is upset because her boyfriend did not visit last night. What action should the nurse take first?
a. Give the client her 9 a.m. prescription for an oral diuretic early.
b. Administer PRN prescription of nifedipine (Procardia) sublingually.
c. Notify the healthcare provider and inform the nursing supervisor of the client's condition.
d. Attempt to calm the client and retake the blood pressure in thirty minutes.
b. Administer PRN prescription of nifedipine (Procardia) sublingually.
The nurse is assessing the nutritional status of several clients. Which client has the greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.
B. A lactating woman nursing her 3-day-old infant.
A 65-year-old was diagnosed and treated for right lower lobe pneumonia 4 days ago. Today, the patient came to the ED reporting abrupt onset of chest pain that is worse with inspiration. The nurse knows that the symptoms are consistent with:
a) Pleurisy
b) Stable angina
c) Bacteremia
d) Meningitis
a) Pleurisy
Prolonged receptor stimulation during chronic drug therapy may induce cells to endocytose and sequester drug receptors in endocytic vesicles. This molecular mechanism is called
A) tachyphylaxis.
B) inactivation.
C) desensitization.
D) downregulation.
E) refractoriness.
D) downregulation.
The presence of large numbers of microvilli on the exposed surfaces of epithelial cells indicate...
A. this is the area where absorbtion and secretion take place.
B. these cells are transportation specialists.
C. these cells are probabply located along portions of the digestive and urinary tracts.
D. all of the above are true.
E. A and B only are true
D. all of the above are true.
The nurse is assessing the neurovascular status of a child in Russell's traction. Which finding should the nurse report to the healthcare provider?
a. Pale bluish coloration of the toes.
b. Skin is warm and dry to the touch.
c. Toes are wiggled upon command.
d. Capillary refill less than 3 seconds.
a. Pale bluish coloration of the toes.
Three days following a surgery, a male client observes his colostomy for the first time. He becomes quite upset and tells the nurse that it is much bigger than he expected. What is the best response by the nurse?
A. Reassure the client that he will become accustomed to the stoma appearance in time.
B. Instruct the client that the stoma will become much smaller when the initial swelling diminishes.
C. Offer to contact a member of the local ostomy support group to help him with his concerns.
D. Encourage the client to handle the stoma equipment to gain confidence with the procedure.
B. Instruct the client that the stoma will become much smaller when the initial swelling diminishes.
Decreasing preload reduces the myocardial workload. Which of the following drugs decrease preload? Select all that apply.
a) Nitroglycerin
b) ACE Inhibitors
c) Unfractionated Heparin
d) Morphine
e) Beta Blockers
f) HMG-CoA Reductase Inhibitors
a) Nitroglycerin
d) Morphine
e) Beta Blockers
Physostigmine (Eserine ) is classified as a(n)
A. direct-acting cholinergic drug
B. reversible acetylcholinesterase inhibitor
C. irreversible acetylcholinesterase inhibitor
D. anticholinergic drug
E. ganglionic blocker
B. reversible acetylcholinesterase inhibitor
Stereocillia are described by which of the following?
A. present in the epithelium of the female reproductive tract.
B. very short microvilli.
C. present on receptor cells of the inner ear.
D. manufactured by the Golgi Apparatus.
E. all of the above.
C. present on receptor cells of the inner ear.
An infant, age 10 months, is brought to the well-baby clinic for a follow-up visit. The mother tells the nurse that she has been having trouble feeding her infant solid foods. To help correct this problem, the nurse should:
1. point out that tongue thrusting is the infant's way of rejecting food.
2. instruct the mother to place the food at the back and toward the side of the infant's mouth.
3. advise the mother to puree foods if the child resists them in solid form.
4. suggest that the mother force-feed the child if necessary.
2. instruct the mother to place the food at the back and toward the side of the infant's mouth.