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1.

A nurse is reviewing a patients


medication during shift change. Which
of the following medication would be
contraindicated if the patient were
pregnant? Note: More than one
answer may be correct.
1.
2.
3.
4.
5.
6.

Coumadin
Finasteride
Celebrex
Catapres
Habitrol
Clofazimine

2. A nurse is reviewing a patients


PMH. The history indicates
photosensitive reactions to
medications. Which of the following
drugs has not been associated with
photosensitive reactions? Note: More
than one answer may be correct.
1.
2.
3.
4.
5.
6.

Cipro
Sulfonamide
Noroxin
Bactrim
Accutane
Nitro-dur

3. A patient tells you that her urine is


starting to look discolored. If you
believe this change is due to
medication, which of the following
patients medication does not cause
urine discoloration?
1.
2.
3.
4.

Sulfasalazine
Levodopa
Phenolphthalein
Aspirin

3. Urokinase
4. Epogen (injection)

5. A 34 year old female has recently


been diagnosed with an autoimmune
disease. She has also recently
discovered that she is pregnant.
Which of the following is the only
immunoglobulin that will provide
protection to the fetus in the womb?
1.
2.
3.
4.

IgA
IgD
IgE
IgG

6. A second year nursing student has


just suffered a needlestick while
working with a patient that is positive
for AIDS. Which of the following is the
most important action that nursing
student should take?
1.
2.
3.
4.

Immediately see a social worker


Start prophylactic AZT treatment
Start prophylactic Pentamidine treatment
Seek counseling

7. A thirty five year old male has been


an insulin-dependent diabetic for five
years and now is unable to urinate.
Which of the following would you most
likely suspect?
1.
2.
3.
4.

Atherosclerosis
Diabetic nephropathy
Autonomic neuropathy
Somatic neuropathy

8. You are taking the history of a 14


4. You are responsible for reviewing
year old girl who has a (BMI) of 18.
the nursing units refrigerator. If you The girl reports inability to eat,
found the following drug in the
induced vomiting and severe
refrigerator it should be removed from constipation. Which of the following
the refrigerators contents?
would you most likely suspect?
1. Corgard
2. Humulin (injection)

1.

Multiple sclerosis

2. Anorexia nervosa
3. Bulimia
4. Systemic sclerosis

9. A 24 year old female is admitted to


the ER for confusion. This patient has
a history of a myeloma diagnosis,
constipation, intense abdominal pain,
and polyuria. Which of the following
would you most likely suspect?
1.
2.
3.
4.

Diverticulosis
Hypercalcaemia
Hypocalcaemia
Irritable bowel syndrome

10. Rhogam is most often used to


treat____ mothers that have a ____
infant.
1.
2.
3.
4.

RH
RH
RH
RH

positive, RH positive
positive, RH negative
negative, RH positive
negative, RH negative

11. A new mother has some questions


about (PKU). Which of the following
statements made by a nurse is not
correct regarding PKU?
1. A Guthrie test can check the necessary
lab values.
2. The urine has a high concentration of
phenylpyruvic acid
3. Mental deficits are often present with
PKU.
4. The effects of PKU are reversible.

1.
Onset of pulmonary edema
2. Metabolic alkalosis
3. Respiratory alkalosis
4. Parkinsons disease type symptoms

13. A fifty-year-old blind and deaf


patient has been admitted to your
floor. As the charge nurse your
primary responsibility for this patient
is?
1. Let others know about the patients
deficits.
2. Communicate with your supervisor your
patient safety concerns.
3. Continuously update the patient on the
social environment.
4. Provide a secure environment for the
patient.
14. A patient is getting discharged
from a SNF facility. The patient has a
history of severe COPD and PVD. The
patient is primarily concerned about
their ability to breath easily. Which of
the following would be the best
instruction for this patient?

1. Deep breathing techniques to increase


O2 levels.
2. Cough regularly and deeply to clear
airway passages.
3. Cough following bronchodilator utilization
4. Decrease CO2 levels by increased
12. A patient has taken an overdose of oxygen take output during meals.
aspirin. Which of the following should
a nurse most closely monitor for
15. A nurse is caring for an infant that
during acute management of this
has recently been diagnosed with a
patient?
congenital heart defect. Which of the
following clinical signs would most

likely be present?
1.
2.
3.
4.

Slow pulse rate


Weight gain
Decreased systolic pressure
Irregular WBC lab values

2. H. influenzae
3. N. meningitidis
4. Cl. difficile
20. A nurse is administering blood to a
patient who has a low hemoglobin
count. The patient asks how long to
RBCs last in my body? The correct
response is.

16. A mother has recently been


informed that her child has Downs
syndrome. You will be assigned to care
for the child at shift change. Which of 1.
the following characteristics is not
2.
associated with Downs syndrome?
3.
4.
1.
Simian crease
2. Brachycephaly
3. Oily skin
4. Hypotonicity

Streptokinase
Atropine
Acetaminophen
Coumadin

18. A patient asks a nurse, My doctor


recommended I increase my intake of
folic acid. What type of foods contain
the highest concentration of folic
acids?
1.
2.
3.
4.

Green vegetables and liver


Yellow vegetables and red meat
Carrots
Milk

life
life
life
life

span
span
span
span

of
of
of
of

RBC
RBC
RBC
RBC

is
is
is
is

45 days.
60 days.
90 days.
120 days.

21. A 65 year old man has been


admitted to the hospital for spinal
stenosis surgery. When does the
discharge training and planning began
for this patient?

17. A patient has recently experienced 1.


a (MI) within the last 4 hours. Which of 2.
the following medications would most 3.
4.
like be administered?
1.
2.
3.
4.

The
The
The
The

Following surgery
Upon admit
Within 48 hours of discharge
Preoperative discussion

22. A child is 5 years old and has been


recently admitted into the hospital.
According to Erickson which of the
following stages is the child in?
1.
2.
3.
4.

Trust vs. mistrust


Initiative vs. guilt
Autonomy vs. shame
Intimacy vs. isolation

23. A toddler is 16 months old and has


been recently admitted into the
hospital. According to Erickson which
of the following stages is the toddler
in?

19. A nurse is putting together a


presentation on meningitis. Which of
the following microorganisms has not
been linked to meningitis in humans?

1.
2.
3.
4.

Trust vs. mistrust


Initiative vs. guilt
Autonomy vs. shame
Intimacy vs. isolation

1. S. pneumoniae

24. A young adult is 20 years old and

has been recently admitted into the


28. A patients chart indicates a
hospital. According to Erickson which history of hyperkalemia. Which of the
of the following stages is the adult in? following would you not expect to see
with this patient if this condition were
acute?
1. Trust vs. mistrust
2. Initiative vs. guilt
3. Autonomy vs. shame
4. Intimacy vs. isolation

1.
2.
3.
4.

Decreased HR
Paresthesias
Muscle weakness of the extremities
Migraines

25. A nurse is making rounds taking


vital signs. Which of the following vital
signs is abnormal?
29. A patients chart indicates a
history of ketoacidosis. Which of the
following would you not expect to see
1.
11 year old male 90 b.p.m, 22
with this patient if this condition were
resp/min. , 100/70 mm Hg
acute?
2. 13 year old female 105 b.p.m., 22
resp/min., 105/60 mm Hg
3. 5 year old male- 102 b.p.m, 24 resp/min., 1.
90/65 mm Hg
2.
4. 6 year old female- 100 b.p.m., 26
3.
resp/min., 90/70 mm Hg
4.

Vomiting
Extreme Thirst
Weight gain
Acetone breath smell

30. A patients chart indicates a


history of meningitis. Which of the
following would you not expect to see
with this patient if this condition were
acute?
26. When you are taking a patients
history, she tells you she has been
depressed and is dealing with an
anxiety disorder. Which of the
following medications would the
patient most likely be taking?
1.
2.
3.
4.

Elavil
Calcitonin
Pergolide
Verapamil

27. Which of the following conditions


would a nurse not administer
erythromycin?
1.
2.
3.
4.

Campylobacteriosis infection
Legionnaires disease
Pneumonia
Multiple Sclerosis

1.
2.
3.
4.

Increased appetite
Vomiting
Fever
Poor tolerance of light

31. A nurse if reviewing a patients


chart and notices that the patient
suffers from conjunctivitis. Which of
the following microorganisms is
related to this condition?
1.
2.
3.
4.

Yersinia pestis
Helicobacter pylori
Vibrio cholerae
Haemophilus aegyptius

32. A nurse if reviewing a patients


chart and notices that the patient
suffers from Lyme disease. Which of
the following microorganisms is

related to this condition?

4. Arterial blood gases

1.
2.
3.
4.

36. A 28 year old male has been found


wandering around in a confused
pattern. The male is sweaty and pale.
Which of the following tests is most
likely to be performed first?

Borrelia burgdorferi
Streptococcus pyogenes
Bacillus anthracis
Enterococcus faecalis

33. A fragile 87 year-old female has


recently been admitted to the hospital 1. Blood sugar check
with increased confusion and falls over2. CT scan
last 2 weeks. She is also noted to have 3. Blood cultures
a mild left hemiparesis. Which of the 4. Arterial blood gases
following tests is most likely to be
performed?
37. A mother is inquiring about her
childs ability to potty train. Which of
1. FBC (full blood count)
the following factors is the most
2. ECG (electrocardiogram)
important aspect of toilet training?
3. Thyroid function tests
4. CT scan
1. The age of the child
34. A 84 year-old male has been
loosing mobility and gaining weight
over the last 2 months. The patient
also has the heater running in his
house 24 hours a day, even on warm
days. Which of the following tests is
most likely to be performed?
1.
FBC (full blood count)
2. ECG (electrocardiogram)
3. Thyroid function tests
4. CT scan

2. The child ability to understand


instruction.
3. The overall mental and physical abilities
of the child.
4. Frequent attempts with positive
reinforcement.
38. A parent calls the pediatric clinic
and is frantic about the bottle of
cleaning fluid her child drank 20
minutes. Which of the following is the
most important instruction the nurse
can give the parent?
1.
This too shall pass.
2. Take the child immediately to the ER
3. Contact the Poison Control Center quickly
4. Give the child syrup of ipecac

35. A 20 year-old female attending


college is found unconscious in her
dorm room. She has a fever and a
noticeable rash. She has just been
admitted to the hospital. Which of the
following tests is most likely to be
39. A nurse is administering a shot of
performed first?
Vitamin K to a 30 day-old infant. Which
of the following target areas is the
1.
Blood sugar check
most appropriate?
2. CT scan
3. Blood cultures
1.
Gluteus maximus

2. Gluteus minimus
3. Vastus lateralis
4. Vastus medialis

Answers and Rationale


1. Answer: 1. and Answer: 2.

40. A nurse has just started her


Both contraindicated with pregnancy.
rounds delivering medication. A new
patient on her rounds is a 4 year-old
boy who is non-verbal. This child does 2. Answer: 6. Nitro-dur
not have on any identification. What
should the nurse do?
All of the others have can cause
photosensitivity reactions.
1.
Contact the provider
4. Ask the father who is in the room the
3. Answer: 4. Aspirin
childs name.
2. Ask the child to write their name on
All of the others can cause urine
paper.
discoloration.
3. Ask a coworker about the identification
of the child.
4. Answer: 1. Corgard
Corgard could be removed from the
refrigerator.
5. Answer: 4. IgG
IgG is the only immunoglobulin that can
cross the placental barrier.
6. Answer: 2. Start prophylactic AZT
treatment
AZT treatment is the most critical
intervention.
7. Answer: 3. Autonomic neuropathy
Autonomic neuropathy can cause inability
to urinate.
8. Answer: 2. Anorexia nervosa
All of the clinical signs and symptoms point
to a condition of anorexia nervosa.
9. Answer: 2. Hypercalcaemia
Hypercalcaemia can cause polyuria, severe

abdominal pain, and confusion.


10. Answer: 3. RH negative, RH
positive

Streptokinase is a clot busting drug and the


best choice in this situation.
18. Answer: 1. Green vegetables and
liver

Rhogam prevents the production of anti-RH


antibodies in the mother that has a Rh
Green vegetables and liver are a great
positive fetus.
source of folic acid.
11. Answer: 4. The effects of PKU are
reversible.
The effects of PKU stay with the infant
throughout their life.
12. Answer: 4. Parkinsons disease
type symptoms
Aspirin overdose can lead to metabolic
acidosis and cause pulmonary edema
development.
13. Answer: 4. Provide a secure
environment for the patient.
This patients safety is your primary
concern.
14. Answer: 3. Cough following
bronchodilator utilization

19. Answer: 4. Cl. difficile


Cl. difficile has not been linked to
meningitis.
20. Answer: 4. The life span of RBC is
120 days.
RBCs last for 120 days in the body.
21. Answer: 2. Upon admit
Discharge education begins upon admit.
22. Answer: 2. Initiative vs. guilt
Initiative vs. guilt- 3-6 years old
23. Answer: 3. Autonomy vs. shame
Autonomy vs Shame- 12-18 months old

The bronchodilator will allow a more


productive cough.

24. Answer: 4. Intimacy vs. isolation

15. Answer: 2. Weight gain

Intimacy vs. isolation- 18-35 years old

Weight gain is associated with CHF and


congenital heart deficits.

25. Answer: 2. 13 year old female


105 b.p.m., 22 resp/min., 105/60 mm
Hg

16. Answer: 3. Oily skin


The skin would be dry and not oily.

HR and Respirations are slightly increased.


BP is down.

17. Answer: 1. Streptokinase

26. Answer: 1. Elavil


Elavil is a tricyclic antidepressant.

27. Answer: 4. Multiple Sclerosis

36. Answer: 1. Blood sugar check

Erythromycin is used to treat conditions A- With a history of diabetes, the first


C.
response should be to check blood sugar
levels.
28. Answer: 4. Migraines
Answer choices A-C were symptoms of
acute hyperkalemia.
29. Answer: 3. Weight gain
Weight loss would be expected.
30. Answer: 1. Increased appetite
Loss of appetite would be expected.

37. Answer: 3. The overall mental and


physical abilities of the child.
Age is not the greatest factor in potty
training. The overall mental and physical
abilities of the child is the most important
factor.
38. Answer: 3. Contact the Poison
Control Center quickly
The poison control center will have an exact
plan of action for this child.

31. Answer: 4. Haemophilus aegyptius


39. Answer: 3. Vastus lateralis
Answer: 1 is linked to Plague, Answer: 2 is
linked to peptic ulcers, Answer: 3 is linked
to Cholera.
32. Answer: 1. Borrelia burgdorferi

Vastus lateralis is the most appropriate


location.
40. Answer: 4. Ask the father who is in
the room the childs name.

Answer: 2 is linked to Rheumatic fever,


Answer: 3 is linked to Anthrax, Answer: D is In this case you are able to determine the
linked to Endocarditis.
name of the child by the fathers
statement. You should not withhold the
medication from the child following
33. Answer: 4. CT scan
identification.
A CT scan would be performed for further
investigation of the hemiparesis.
34. Answer: 3. Thyroid function tests
Weight gain and poor temperature
tolerance indicate something may be wrong
with the thyroid function.
35. Answer: 3. Blood cultures
Blood cultures would be performed to
investigate the fever and rash symptoms.