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Pharmacology
Fundamentals/ Professional Awareness
Med Surge
Mental Health
Pediatrics/ Maternity
100
A client with chronic pancreatitis is receiving Pancreatin. Which of the following observations is most indicative that the drug treatment is having the desired effect? a. The clients appetite is improved. b. The clients weight loss is greater than 10 pounds. c. The clients stools contain less fat and occur with less frequency. d. The clients tissue bruises less easily.
What is The clients stools contain less fat and occur with less frequency.
100
Following a CT Scan with contrast medium, the nurse should give attention to. A. Maintaing bed rest for 8 hours. B. Forcing Fluids C. observing the puncture site for hemorrhage D. Administering pain medication
What is Forcing Fluids
100
Which of the following organs is most likely to suffer permanent damage from shock? A. The Heart B. The Skin C. The Brain D. The Kidneys
What is The Kidneys.
100
A client is admitted to the ER with reported Heroin intoxication. Which of the following signs is consistent with opiate use. A. The clients pupils are dilated. B. The clients speech is Rapid. C. The clients BP is elevated D. The clients Pupils are constricted.
What is The clients Pupils are constricted.
100
A Non-Stress test has been ordered for a pregnant client with diabetes mellitus. Non-Stress testing is apart of the diabetic's prenatal care because: A. Fetal Movement is adversely affected by diabetes. B. Maternal insulin levels can have a negative effect on fetal energy. C. Diabetes can adversely affect development of placental vessels. D. fetal lung maturity is most easily determined by Non-Stress testing.
What is Diabetes can adversely affect development of placental vessels.
200
A client receiving aminophylline complains of nausea and "feeling jittery." the nurse's first action should be to: A. Administer an antiemetic. B. Check the client's blood pressure C. Request a sedative D. Check the aminophylline level
What is check the aminophylline level
200
The nurse and a nursing assistant are preparing to move an elderly immobile client up in the bed using a sheet. The staff should be standing on opposite sides of the bed even with the clients. A. hip B. knees C. shoulder D chest
What is chest
200
The Doctor has ordered a stool specimen for culture. When collecting a stool specimen the nurse should: A. Extract a portion from the center of the specimen. B. Collect a specimen at the same time the client voids. C. Place the specimen on ice before taking to the lab. D. Place a paper towel on the commode to catch the specimen.
What is Extract a portion from the center of the specimen.
200
A client with a history of abusing amphetamines abruptly stops her drug use. The nurse should give priority to assessing the client for: A. Depression and suicidal ideation B. Diaphoresis and tachypnea C. Muscle cramping and abdominal pain D. Tachycardia and euphoric mood
What is Depression and suicidal ideation
200
A 2- year old is hospitalized with gastroenteritis and dehydration. Which of the following methods is best for evaluating changes in skin turgor? A. Pinching the abdominal tissue while the client is supine. B. Pinching the tissue of the forearm while the client is sitting. C. Pinching the skin of the lower extremities while the client is supine. D. Pinching the skin of the lower extremities while the client is sitting
What is pinching the abdominal tissue while the client is supine.
300
A client with a severe corneal ulcer has an order for Gentamycin gtt q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops? A. Allow 5 minutes between the two medications B. The medications can be used together C. The medications should be separated by a cycloplegic drug. D. The medications should not be used in the same client
What is Allow 5 minutes between the two medications
300
The Nurse is making assignments for the days care. Which assignment should NOT be given to the nursing assistant? A. Emptying the foley catheter B. Administering Fleet's Enema C. Measuring the oral intake D. Feeding a client with depression
What is Administering Fleet's Enema
300
A female client seen in the health department's STD clinic is diagnosed with chlamydia. Before the client leaves the clinic, the nurse should: A. Obtain the names and addresses of the client's sexual contacts. B. Tell the client to avoid alcohol while taking her prescription for Flagyl. C. Instruct the client to avoid sexual relations until the infection is resolved. D. Tell the client to douche after sexual intercourse.
What is Obtain the names and addresses of the client's sexual contacts.
300
A client with mania is busy investigating the unit and overseeing the activities of others. She is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should: A. Serve high- calorie foods she can carry with her. B. Encourage her appetite by sending out for her favorite foods. C. Serve her small, attractively arranged portions D. Allow her in the unit kitchen for extra food whenever she pleases.
What is serve high-calorie foods she can carry with her.
300
which of the following signs is highly suggestive of impaired hearing in an infant A. the absence of the Moro reflex B. the absence of babbling by age 7 months C. the lack of eye contact when spoken to D. the lack of hand gesture to indicate wants
What is the absence of babbling by age 7 months.
400
Which of the following electrolytes must be maintained in a steady state for a client receiving lithium? A. Sodium B. Potassium C. Chloride D. Magnesium
What is sodium.
400
A client admitted to the floor 3 days after a bowel resection suddenly develops chest pain and shortness of breath. Assessment of the client reveals rales, BP 160/40, and severe tachycardia. The nurse's first action should be to: A. apply O2 at 2L/ minute via mask. B. Begin CPR C. Place the client in high fowler's position D. Administer a prescribed sedative.
What is place the client in high fowler's position
400
The nurse is reviewing a client's pre-op lab values. Which of the following lab results warrants immediate attention? A. Prothrombin time of 1 minute and 20 seconds B. Hematocrit 38 ml/dl C. Hemoglobin 14 g/dl D. White blood count 6,000/mm
What is prothrombin time of 1 minute and 20 seconds
400
The client is admitted, and an order for continuous observation is written. The nurse is aware of this order because he knows that hallucinogenic drugs differ from other drugs of abuse in their capacity to: A. Create both stimulant and depressant effects B. Induce states of altered perception C. Produce severe respiratory depression D. induce rapid physical dependence
What is induce states of altered perception
400
Which of the following describes the proximodistal development in the infant? A. The infant is able to raise his head before he is able to sit. B. The infant can control movements of his arms before he can control movements of his fingers. C. The infant responds to pain with his whole body before he can localize pain. D. The infant is able to make rudimentary vocalizations before using spoken words.
What is The infant can control movements of his arms before he can control movements of his fingers.
500
Demerol 75 mg IM q4h prn. Demerol is supplied in a 2ml ampule containing 100 mg of the drug. Give_____
What is 1.5 ml
500
The nurse should visit which of the following clients first? A. The client with diabetes with blood glucose of 95 mg/dl. B. The client with hypertension being maintained on Lisinopril C. The client with chest pain and a history of angina. D. The client with Raynaud's disease.
What is The client with chest pain and a history of angina
500
The output from a client's indwelling catheter is 500 mls for the past 10 hours. The nurse should: A. Do nothing because the output is within normal limits. B. Notify the doctor because the output is too low C. Replace the indwelling catheter. D. Force fluids to increase the output in the next 8 hours.
What is do nothing because the output is within normal limits.
500
A depressed client is threatening to harm himself. Which statement made by the nurse indicates an understanding of the appropriate care of the suicidal client? A. The nurse asks the client whether he has a plan B. The nurse places the client in seclusion C. The nurse administers a sedative D. The nurse calls the family and asks them to come visit the client.
What is the nurse asks the client whether he has a plan
500
The best choice for the clild following a tonsillectomy is: A. Fruit punch B. Grape soda C. a banana popsicle D. ice cream
What is a banana popsicle.