Name: Score: 20 Multiple choice questions Term 1 of 20 The nurse is caring for a patient who takes nitroglycerin sublingually. When providing patient education, the nurse would tell the patient that she can expect relief of chest pain within what period of time? 1 to 3 minutes 5 to 10 minutes 15 to 20 minutes 30 to 60 minutes Term 2 of 20 The nurse is providing discharge instruction to a patient who has just begun using diuretics. The nurse counsels the patient that it is most important to monitor the intake of foods that contain which element? Calcium Potassium Glucose Magnesium Term 3 of 20 The nurse's assessment should prioritize what system when caring for a client who has just been admitted for an overdose of pseudoephedrine? cardiovascular neurological gastrointestinal renal Term 4 of 20 A 28-year-old patient has been prescribed penicillin for the first time. What nursing diagnosis would be most appropriate for this patient? Acute pain related to gastrointestinal (GI) effects of the drug Deficient knowledge regarding drug therapy Imbalance nutrition: less than body requirements related to multiple GI effects of the drug Constipation Term 5 of 20 A 75-year-old male patient is brought to the emergency department by his family because he is talking to people who aren't there. During the initial admission assessment, his daughter mentions that her mother died 4 months ago and Dad just hasn't been the same. The doctor has even put him on antidepressant medication. I go by the house every day to make sure he takes his medication. What would the nurse suspect is happening to this patient? The patient is having hallucinations as an adverse effect of his antidepressant medication. The mental status change is due to the patient's age. The patient probably has a urinary tract infection. The patient is having delusions because of his depression over the loss of his wife. Term 6 of 20 The nurse caring for a 38-year-old patient started on albuterol (Proventil) should advise the patient that he or she may experience what adverse effect? Polydipsia Tachycardia Hypotension Diarrhea Term 7 of 20 A patient with type 1 diabetes takes 12 units of regular insulin and 34 units of NPH insulin in the morning. How would the nurse explain why two different types of insulin are required to control the patient's blood sugar? Different onsets and peak effects extends blood glucose control. The mixture makes each drug work more effectively. The combination reduces the adverse effects experienced. Patients are less likely to experience hypoglycemia. Term 8 of 20 When drugs are bound to proteins in the blood, they can be transported to different areas of the body. The protein-drug complex is relatively large and cannot enter into capillaries and into tissues to react. What must occur for drugs to do their job in the body? The protein-drug complex must break itself into smaller pieces to enter the capillaries. The binding site on the protein must pick up another chemical to interact with the drug to make it soluble in the serum. The drug must be freed from the protein-binding site. The drug must be dissolved in the plasma so it can enter the capillaries and then the tissues. Term 9 of 20 A patient who works on road construction has been diagnosed with hypertension. After attempting to decrease his blood pressure with lifestyle changes and a mild diuretic, it is determined that he will need to be placed on an angiotensin-converting enzyme (ACE) inhibitor. Based on his occupation, what is the nurse's priority assessment? Chronic constipation Excessive sweating on the job Three large meals a day One beer every night Term 10 of 20 The nurse is caring for a patient in a state of hypnosis, which means the patient is in what state? A state of extreme sedation in which the person no longer senses or reacts to incoming stimuli. A state of tranquility in which the person can be made to do whatever is suggested by others. A feeling of tension, nervousness, apprehension, or fear with high levels of awareness. A state in which the brain is no longer sending out signals to the body. Term 11 of 20 A nurse is caring for a patient prescribed warfarin. Which of the following foods should the nurse inform the patient as having high vitamin K content? Dairy products Root vegetables Green leafy vegetables Fruits and cereals Term 12 of 20 The nurse is caring for a postoperative patient whose diabetes has been well controlled on acarbose (Precose). The patient is not allowed to take anything orally following abdominal surgery and is receiving high-glucose total parenteral nutrition via a central IV line. What medication can the nurse administer IV to control the patient's blood glucose level? Glyburide Acarbose NPH insulin Regular insulin Term 13 of 20 The patient has edema resulting from heart failure (HF) in both ankles. The nurse interprets this to mean the hydrostatic pressure is higher than what opposing pressure? Pulse pressure Edema pressure Fluid pressure Oncotic pressure Term 14 of 20 The nurse is reading the patient's medical record and discovers the patient has a mycosis and interprets this as meaning what? An infection caused by a fungus A fungus normally found on mucous membranes A systemic fungal infection A fungal infection with a secondary bacterial infection Term 15 of 20 The nurse is providing patient teaching before discharging a patient home. The patient is taking ciprofloxacin (Cipro). What would the nurse teach this patient is the best way to prevent crystalluria caused by ciprofloxacin (Cipro)? Eliminate red meat and seafood from the diet. Encourage at least 2 liters of fluid per day. Avoid caffeine and alcohol. Spend time in the sun each day to optimize vitamin D levels. Term 16 of 20 A community health nurse is conducting a health promotion session with a group from a local seniors' center. The nurse has addressed the issue of laxative overuse in this population. The nurse should highlight what consequence of the overuse of laxatives? dependence impaired absorption of water-soluble vitamins fecal incontinence abdominal pain Term 17 of 20 A geriatric patient received a narcotic analgesic before leaving the post-anesthesia care unit to return to the regular unit. What is the priority nursing action for the nurse receiving the patient on the regular unit? Administer a non-steroidal anti-inflammatory drug. Encourage fluids. Create a restful, dark, quiet environment. Put side rails up and place bed in low position. Term 18 of 20 What statements by the 54-year-old patient indicates an understanding of the nurse's teaching about how to take sublingual nitroglycerin? A headache means a toxic level has been reached. I can take up to 3 tablets at 5-minute intervals. I can take as much nitroglycerin as I need because it is not habit forming. If I become dizzy after taking the medication, I should stop taking it. Term 19 of 20 The nurse is writing a plan of care for a patient newly admitted to the floor with an asthma attack that occurred while exercising. What would be the most appropriate intervention for this patient? Assist patients with moderate to severe asthma in obtaining a home nebulizer unit Try to prevent or reduce panic, which may initiate bronchospasm Teach patient to use an inhaler before exercising Monitor peak flow rates, especially in children Term 20 of 20 The patient in labor receives morphine every 2 hours to manage labor pain. After 22 hours of labor the woman delivers a baby boy. What is the nurse's priority action related to the newborn? Monitor for opioid effects. Administer naloxone. Monitor for withdrawal syndrome. Assess for congenital anomaly.
