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Pediatrics
Diabetes
Chemo
Psych
Pain
100
Walter, teenage patient is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs? a. Lungs b. Liver c. Kidney d. Adrenal Glands
B. liver
100
Which of the following adverse effects is specific to the biguanide diabetic drug metformin (Glucophage) therapy? a. Hypoglycemia b. GI distress c. Lactic acidosis d. Somulence
C. Lactic Acidosis
100
Methotrexate, the most widely used antimetabolite in cancer chemotherapy does not penetrate the central nervous system (CNS). To treat CNS disease this drug must be administered: a. Intravenously. b. Subcutaneously. c. Intrathecally. d. By inhalation.
c. Intrathecally.
100
When counseling a patient who is starting to take MAO (monoamine oxidase) inhibitors such as Nardil for depression, it is essential that they be warned not to eat foods containing tyramine, such as: 1.Roquefort, cheddar, or Camembert cheese. 2.grape juice, orange juice, or raisins. 3.onions, garlic, or scallions. 4.ground beef, turkey, or pork.
1.Roquefort, cheddar, or Camembert cheese.
100
The physician orders an intramuscular injection of Demerol for the postoperativepatient’s pain. When preparing to draw up the medication, the nurse is careful to remove the correct vial from the narcotics cabinet. It is labeled 1.simethicone. 2.albuterol. 3.meperidine. 4.ibuprofen.
3.meperidine.
200
In infants and children, the side effects of first generation over-the-counter (OTC) antihistamines, such as diphenhydramine (Benadryl) and hydroxyzine (Atarax) include: a. Reye’s syndrome. b. Cholinergic effects. c. Paradoxical CNS stimulation. d. Nausea and diarrhea
c. Paradoxical CNS stimulation
200
When does regular insulin generally have peak action after application? Answers: A. 30-45 minutes B. 45-60 minutes C. 1-2 hours D. 2-3 hours
D. 2-3 hours
200
A male Patient is undergoing chemotherapy may also be given the drug allopurinol (Zyloprim, Aloprim). Allopurinol inhibits the synthesis of uric acid. Concomitant administration of allopurinol prevents: a. Myelosuppression. b. Gout and hyperuricemia. c. Pancytopenia. d. Cancer cell growth and replication
b. Gout and hyperuricemia.
200
In which situation would benzodiazepines be prescribed appropriately? 1. Long-term treatment of posttraumatic stress disorder, convulsive disorder, and alcohol withdrawal. 2. Short-term treatment of generalized anxiety disorder, alcohol withdrawal, and preoperative sedation. 3. Short-term treatment of obsessive-compulsive disorder, skeletal muscle spasms, and essential hypertension. 4. Long-term treatment of panic disorder, alcohol dependence, and bipolar affective disorder: manic episode.
3. Short-term treatment of obsessive-compulsive disorder, skeletal muscle spasms, and essential hypertension.
200
Narcan is an example of: a. Agonist b. Antagonist c. Noncompetitive d. Betablocker
b. Antagonist
300
A 13-month-old child recently arrived in the United States from a foreign country with his parents and needs childhood immunizations. His mother reports that he is allergic to eggs. Upon further questioning, you determine that the allergy to eggs is anaphylaxis. Which of the following vaccines should he not receive? a. Hepatitis B b. inactivated polio c. diphtheria, acellular pertussis, tetanus (DTaP) d. mumps, measles, rubella (MMR)
d. mumps, measles, rubella (MMR)
300
A client with diabetes and coronary heart disease is being evaluated for treatment. In light of the heart condition, which medication option is more likely to be an issue? A. Metformin (Glucophage) B. Pioglitazone (Actos) C. Insulin D. Sitagliptin (Januvia)
B. Pioglitazone (Actos)
300
Myeloablation using chemotherapeutic agents is useful in cancer treatment because: a. It destroys the myelocytes (muscle cells). b. It reduces the size of the cancer tumor. c. After surgery, it reduces the amount of chemotherapy needed. d. It destroys the bone marrow prior to transplant.
d. It destroys the bone marrow prior to transplant.
300
A client recently diagnosed with generalized anxiety disorder is prescribed clonazepam (Klonopin), buspirone (BuSpar), and citalopram (Celexa). Which assessment related to the concurrent use of these medications is most important? 1. Monitor for signs and symptoms of worsening depression and suicidal ideation. 2. Monitor for changes in mental status, diaphoresis, tachycardia, and tremor. 3. Monitor for hyperpyresis, dystonia, and muscle rigidity. 4. Monitor for spasms of face, legs, and neck and for bizarre facial movements.
2. Monitor for changes in mental status, diaphoresis, tachycardia, and tremor. (serotonin syndrome)
300
The nurse administers morphine sulfate 4 mg IV to a client for treatment of severe pain. Which of the following assessments requires immediate nursing interventions? a. Blood pressure 110/70 b. The client is drowsy. c. Pain is unrelieved in 15 minutes. d. Respiratory rate 10/minute
d. Respiratory rate 10/minute
400
A child is admitted with a serious infection. After two days of antibiotics, he is severely neutropenic. The physician orders granulocyte transfusions for the next four days. The mother asks the nurse why? The nurse responds: a. “This is the only treatment left to offer the child.” b. “This therapy is fast and reliable in treating infections in children.” c. “The physician will have to explain his rationale to you.” d. “Granulocyte transfusions replenish the low white blood cells until the body can produce its own.”
d. “Granulocyte transfusions replenish the low white blood cells until the body can produce its own.”
400
Insulin lipodystrophy should be treated in part by: A. Alternating insulin injection sites B. Balancing diet and snack routine C. Reduction of insulin dose D. Adding an oral glycemic medication
A. Alternating insulin injection sites
400
Serotonin release stimulates vomiting following chemotherapy. Therefore, serotonin antagonists are effective in preventing and treating nausea and vomiting related to chemotherapy. An example of an effective serotonin antagonist antiemetic is: a. ondansetron (Zofran). b. fluoxetine (Prozac). c. paroxetine (Paxil). d. sertraline (Zoloft).
a. ondansetron (Zofran).
400
Which of the following symptoms are seen when a client abruptly stops taking diazepam (Valium)? Select all that apply. 1. Insomnia. 2. Tremor. 3. Delirium. 4. Dry mouth. 5. Lethargy.
1. Insomnia. 2. Tremor. 3. Delirium
400
Nursing intervention for a client receiving opioid analgesics over an extended period of time should include: a. Referring the client to a drug treatment center. b. Encouraging increased fluids and fiber in the diet. c. Monitoring for G.I. bleeding. d. Teaching the client to take her own blood pressure.
b. Encouraging increased fluids and fiber in the diet.
500
Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which best food item? 1. Milk 2. Water 3. Apple juice 4. Orange juice
4. Orange juice
500
1.A new Diabetic is learning to administer his insulin. He receives 10U of NPH and 12 U of regular insulin each morning. Which of the following statements reflects the understanding of the burse’s teaching? A): “When drawing up the insulin, I should draw up the regular insulin first.” B): “When drawing up my insulin, I should draw up the NPH insulin first.” C): “It doesn’t matter which insulin I draw up first.” D): “I cannot mix the insulin, so I will need two shots.”
A): “When drawing up the insulin, I should draw up the regular insulin first.”
500
Anticipatory nausea and vomiting associated with chemotherapy occurs: a. Within the first 24 hours after chemotherapy. b. 1-5 days after chemotherapy. c. Before chemotherapy administration. d. While chemotherapy is being administered
d. While chemotherapy is being administered
500
The most serious adverse effect of tricyclic antidepressant (TCA) overdose is: A. Seizures B. Hyperpyrexia C. Metabolic acidosis. D. Cardiac arrhythmias.
D. Cardiac arrhythmias.
500
Celecoxib (Celebrex) is added to the treatment regimen of a client with arthritis. The nurse explains that the major advantage of this drug is: a. The drug is less expensive. b. The drug has no known side effects. c. The drug has anti-inflammatory properties. d. The drug's effectiveness is the same as opioids.
c. The drug has anti-inflammatory properties.