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Question 1 of 50
1. Question
1 point(s)A 2-year-old child is receiving temporary total parenteral nutrition (TPN) through a central venous line. This is the first day of TPN therapy. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time?
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Question 2 of 50
2. Question
1 point(s)Nurse Jamie is administering the initial total parenteral nutrition solution to a client. Which of the following assessments requires the nurse’s immediate attention?
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Question 3 of 50
3. Question
1 point(s)Nurse Susan administered intravenous gamma globulin to an 18 month-old child with AIDS. The parent asks why this medication is being given. What is the nurse’s best response?
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Question 4 of 50
4. Question
1 point(s)When caring for a client with total parenteral nutrition (TPN), what is the most important action on the part of the nurse?
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Question 5 of 50
5. Question
1 point(s)The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. Which assessment would require the nurse’s immediate action?
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Question 6 of 50
6. Question
1 point(s)Nurse Celine is caring for a client with clinical depression who is receiving an MAO inhibitor. When providing instructions about precautions with this medication, the nurse should instruct the client to:
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Question 7 of 50
7. Question
1 point(s)While providing home care to a client with congestive heart failure, the nurse is asked how long diuretics must be taken. The best response to this client should be:
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Question 8 of 50
8. Question
1 point(s)George, age 8, is admitted with rheumatic fever. Which clinical finding indicates to the nurse that George needs to continue taking the salicylates he had received at home?
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Question 9 of 50
9. Question
1 point(s)An order is written to start an IV on a 74-year-old client who is getting ready to go to the operating room for a total hip replacement. What gauge of catheter would best meet the needs of this client?
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Question 10 of 50
10. Question
1 point(s)A client with an acute exacerbation of rheumatoid arthritis is admitted to the hospital for treatment. Which drug, used to treat clients with rheumatoid arthritis, has both an anti-inflammatory and immunosuppressive effect?
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Question 11 of 50
11. Question
1 point(s)Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge?
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Question 12 of 50
12. Question
1 point(s)A male patient is to receive a percutaneously inserted central catheter (PICC). He asks the nurse whether the insertion will hurt. How will the nurse reply?
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Question 13 of 50
13. Question
1 point(s)The nurse is caring for an elderly client who has been diagnosed as having sundown syndrome. He is alert and oriented during the day but becomes disoriented and disruptive around dinnertime. He is hospitalized for evaluation. The nurse asks the client and his family to list all of the medications, prescription and nonprescription, he is currently taking. What is the primary reason for this action?
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Question 14 of 50
14. Question
1 point(s)A 25-year-old woman is in her fifth month of pregnancy. She has been taking 20 units of NPH insulin for diabetes mellitus daily for six years. Her diabetes has been well controlled with this dosage. She has been coming for routine prenatal visits, during which diabetic teaching has been implemented. Which of the following statements indicates that the woman understands the teaching regarding her insulin needs during her pregnancy?
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Question 15 of 50
15. Question
1 point(s)Mrs. Johanson’s physician has prescribed tetracycline 500 mg PO q6h. While assessing Mrs. Johanson’s nursing history for allergies, the nurse notes that Mrs. Johanson is also taking oral contraceptives. What is the most appropriate initial nursing intervention?
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Question 16 of 50
16. Question
1 point(s)An adult client’s insulin dosage is 10 units of regular insulin and 15 units of NPH insulin in the morning. The client should be taught to expect the first insulin peak:
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Question 17 of 50
17. Question
1 point(s)An adult is hospitalized for treatment of deep electrical burns. Burn wound sepsis develops and mafenide acetate 10% (Sulfamylon) is ordered BID. While applying the Sulfamylon to the wound, it is important for the nurse to prepare the client for expected responses to the topical application, which include:
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Question 18 of 50
18. Question
1 point(s)Ms.Clark has hyperthyroidism and is scheduled for a thyroidectomy. The physician has ordered Lugol’s solution for the client. The nurse understands that the primary reason for giving Lugol’s solution preoperatively is to:
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Question 19 of 50
19. Question
1 point(s)A two-year-old child with congestive heart failure has been receiving digoxin for one week. The nurse needs to recognize that an early sign of digitalis toxicity is:
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Question 20 of 50
20. Question
1 point(s)Mr. Bates is admitted to the surgical ICU following left adrenalectomy. He is sleepy but easily aroused. An IV containing hydrocortisone is running. The nurse planning care for Mr. Bates knows it is essential to include which of the following nursing interventions at this time?
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Question 21 of 50
21. Question
1 point(s)The nursery nurse is putting erythromycin ointment in the newborn’s eyes to prevent infection. She places it in which of the following area of the eye:
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Question 22 of 50
22. Question
1 point(s)The physician orders penicillin for a patient with streptococcal pharyngitis. The nurse administers the drug as ordered, and the patient has an allergic reaction. The nurse checks the medication order sheet and finds that the patient is allergic to penicillin. Legal responsibility for the error is:
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Question 23 of 50
23. Question
1 point(s)James Perez, a nurse on a geriatric floor, is administering a dose of digoxin to one of his patients. The woman asks why she takes a different pill than her niece, who also has heart trouble. James replies that as people get older, liver and kidney function decline, and if the dose is as high as her niece’s, the drug will tend to:
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Question 24 of 50
24. Question
1 point(s)The nurse is administering augmentin to her patient with a sinus infection. Which is the best way for her to ensure that she is giving it to the right patient?
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Question 25 of 50
25. Question
1 point(s)The most important instructions a nurse can give a patient regarding the use of the antibiotic ampicillin prescribed for her are to
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Question 26 of 50
26. Question
1 point(s)Mr. Jessie Ray, a newly admitted patient, has a seizure disorder which is being treated with medication. Which of the following drugs would the nurse question if ordered for him?
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Question 27 of 50
27. Question
1 point(s)Mrs. Jane Gately has been dealing with uterine cancer for several months. Pain management is the primary focus of her current admission to your oncology unit. Her vital signs on admission are BP 110/64, pulse 78, respirations 18, and temperature 99.2 F. Morphine sulfate 6mg IV, q 4 hours, prn has been ordered. During your assessment after lunch, your findings are BP 92/60, pulse 66, respirations 10, and temperature 98.8. Mrs. Gately is crying and tells you she is still experiencing severe pain. Your action should be to
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Question 28 of 50
28. Question
1 point(s)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:
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Question 29 of 50
29. Question
1 point(s)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
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Question 30 of 50
30. Question
1 point(s)The nurse is administering an antibiotic to her pediatric patient. She checks the patient’s armband and verifies the correct medication by checking the physician’s order, medication Kardex, and vial. Which of the following is not considered one of the ten “rights” of drug administration?
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Question 31 of 50
31. Question
1 point(s)A nurse is preparing the client’s morning NPH insulin dose and notices a clumpy precipitate inside the insulin vial. The nurse should:
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Question 32 of 50
32. Question
1 point(s)A client with histoplasmosis has an order for ketoconazole (Nizoral). The nurse teaches the client to do which of the following while taking this medication?
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Question 33 of 50
33. Question
1 point(s)A nurse has taught a client taking a xanthine bronchodilator about beverages to avoid. The nurse determines that the client understands the information if the client chooses which of the following beverages from the dietary menu?
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Question 34 of 50
34. Question
1 point(s)A client who is taking famotidine (Pepcid) asks the home care nurse what would be the best medication to take for a headache. The nurse tells the client that it would be best to take:
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Question 35 of 50
35. Question
1 point(s)A nurse is planning dietary counseling for the client taking triamterene (Dyrenium). The nurse plans to include which of the following in a list of foods that are acceptable?
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Question 36 of 50
36. Question
1 point(s)A client with advanced cirrhosis of the liver is not tolerating protein well, as evidenced by abnormal laboratory values. The nurse anticipates that which of the following medications will be prescribed for the client?
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Question 37 of 50
37. Question
1 point(s)A female client tells the clinic nurse that her skin is very dry and irritated. Which product would the nurse suggest that the client apply to the dry skin?
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Question 38 of 50
38. Question
1 point(s)A nurse is providing instructions to a client regarding quinapril hydrochloride (Accupril). The nurse tells the client:
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Question 39 of 50
39. Question
1 point(s)Auranofin (Ridaura) is prescribed for a client with rheumatoid arthritis, and the nurse monitors the client for signs of an adverse effect related to the medication. Which of the following indicates an adverse effect?
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Question 40 of 50
40. Question
1 point(s)A client has been taking benzonatate (Tessalon) as ordered. The nurse tells the client that this medication should do which of the following?
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Question 41 of 50
41. Question
1 point(s)The name selected by the original manufacturer based on the chemical structure of the drug is the:
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Question 42 of 50
42. Question
1 point(s)The interaction of one drug increased by the presence of a second drug is known as:
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Question 43 of 50
43. Question
1 point(s)When two drugs given together have an effect equal to the sum of their respective effects, the interaction is known as:
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Question 44 of 50
44. Question
1 point(s)Absorption, distribution, and excretion may be increased by which of the following diseases?
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Question 45 of 50
45. Question
1 point(s)When a drug is 50% protein-bound, it means that:
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Question 46 of 50
46. Question
1 point(s)Safety of a drug is determined by the degree between:
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Question 47 of 50
47. Question
1 point(s)When a drug binds to a receptor to produce a pharmacologic effect, the drug may be called a(n):
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Question 48 of 50
48. Question
1 point(s)The extent to which drug is absorbed and transported to target tissue is known as:
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Question 49 of 50
49. Question
1 point(s)Drug distribution is affected by which of the following?
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Question 50 of 50
50. Question
1 point(s)An unexpected effect of the drug is known as a(n):
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