4/15/22, 12:37 PM

P2 HES 005 Sec F LONG QUIZ

All narcotics, regardless of their origin, reduce pain by: * 1/1

Stimulating opiate receptors

Promoting the release of excitatory

transmitters Releasing large quantities of

endorphin Blocking the mu receptors

Patient William is given epinephrine (Adrenalin), an adrenergic agonist 1/1

(sympathomimetic). The nurse should monitor the patient for which
condition? *

Decreased pulse Pupil

constriction Bronchial

constriction
Increased blood
pressure
A patient admitted for cerebral swelling complained of feeling light-1/1
headed and nauseous while receiving mannitol. What should the
nurse do? *

Document, withdraw, and notify

doctor. Decrease mannitol flow.

Provide comfort measures.

Increase mannitol
flow.

Nurse Winter is giving instructions to her client who is taking1/1

antihistamine. Which of the following nurse teachings is appropriate
for the client? *

Expect a relief in 24 hours

Be aware that you may have increased saliva

Be aware that you may need to take a

decongestant Avoid ingesting alcohol

Patient Gong Yoo is being discharged home and will be required to self- 1/1
administer injectable Heparin. You are observing the patient
administer their scheduled dose of Heparin to confirm that the
patient knows how to do it correctly. What action by the patient
requires you to re-educate them about how to administer Heparin? *

The patient injects the needle into the fatty tissue of the abdomen. The

patient injects the needle 1 inch away from the umbilicus.

The patient rotated the injection site from the previous dose of Heparin.

The patient does not massage the injection site after administering the
medication.

The nurse is providing education to a patient on the primary uses of1/1

cholinergic drugs. Which do you think the nurse should NOT include
in the teaching? *

Decrease intraocular

pressure Dilate pulmonary

airways Stimulate bladder

emptying
Stimulate peristalsis
 Mr. Rafols a geriatric patient is prescribed with Cimetidine (Tagamet) for 1/1
the treatment of heartburn. Which of the following is the most
frequent CNS side effect? *

Agitation.

Drowsiness

Headache.
Somnolenc
e

What is the drug of choice in children with parkinsonian symptom? * 0/1

Levodopa

Artane

Benadryl
Benztropin
e

Correct answer

Benadryl
4/15/22, 12:37 PM Block 4 P2 HES 005 Sec F LONG QUIZ

The initial nursing goal for a client with myasthenia gravis during the 1/1

diagnostic phase of her hospitalization would be to: *

Develop a teaching plan

Facilitate psychologic adjustment Maintain

the present muscle strength

Prepare for the appearance of myasthenic
crisis

A patient has a prescription for oxybutynin (Ditropan), an anticholinergic 1/1

drug. When reviewing the patient's medical history, which condition,
if present, would be considered a contraindication to therapy with
this drug? *

Diarrhea Hypertension

Neurogenic bladder
Uncontrolled angle-closure
glaucoma

Which medication below blocks the function of Leukotriene for the 1/1

treatment of asthma? *

Salmeter
ol
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Theophylline Tiotropim Montelukast

What is the priority nursing intervention for a client receiving an 1/1

antiemetic? *

Monitor intake and output.

Keep items far away from the bed.

Give the client privacy by letting him walking around

the room. Keep bed in low position with side rails up.

What is the antidote for digoxin intoxication? * 1/1

Diphenhydramine Atropine sulfate

Digoxin immune fab (Digibind,
DigiFab).

Phosphodiesterase inhibitors

Patient Park Hyung is diagnosed with schizophrenia is prescribed1/1

clozapine (Clozaril). Which client symptoms related to the side
effects of this medication should prompt a nurse to intervene
immediately? *
Sore throat, fever, and
malaise

Akathisia and
hypersalivation
Akinesia and insomnia

Dry mouth and urinary retention

Nifedipine (Procardia) 30 mg p.o. is prescribed for a client. The nurse 0/1

teaches the side effects and instructs the client to immediately
report: *

Blood pressure 110/70-114/78 for two successive

readings. Dizziness when changing positions.

Increased shortness of breath and orthopnea.

Weight loss of two pounds per week.

Correct answer

Weight loss of two pounds per week.

Nurse Hyun makes a home visit to the client with diabetes mellitus.0/1
During the visit, Nurse Hyun notes the client’s additional insulin vials
are not refrigerated. What is the best action by the nurse at this
time? *
Instruct the client to label each vial with the date when

opened. Tell the client there is no need to keep additional

vials.
Have the client place the insulin vials in the refrigerator.

Have the client discard the vials.

Correct answer

Have the client discard the vials.

4/15/22, 12:37 PM Block 4 P2 HES 005 Sec F LONG QUIZ

The physician has ordered a placebo for a chronic pain client. You are1/1
newly hired nurse and you feel very uncomfortable administering
the medication. What is the first action that you should take? *

Prepare the medication and hand it to the

physician Check the hospital policy regarding use

of the placebo. Follow a personal code of ethics

and refuse to give it.

Contact the charge nurse for advice

Which statement below BEST describes how Heparin works as an 1/1

anticoagulant? *

“It inhibits clotting factors from synthesizing Vitamin K.” “It

inactivates the extrinsic pathways of coagulation.”

“It prevents Factor Xa from activating prothrombin to fibrinogen.”

“It enhances the activation of antihrombin III, which prevents the

activation of thrombin and the conversion of fibrinogen to fibrin.”

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The nurse is reviewing the medication administration record for a client1/1
newly admitted to the nursing unit for congestive heart failure. The
client is receiving hydrochlorothiazide (HydroDiuril). Which of the
following would the nurse be concerned about in relation to
administration of this medication? *

Hypokalemia, hyperglycemia and sulfa

allergy Hyperkalemia, hypoglycemia and

penicillin allergy Hypouricemia and

hyperglycemia
Hyponatremia and hypocalcemia

A client arrives in the emergency unit and reports that a concentrated1/1

household cleaner was splashed in both eyes. Which of the following
nursing actions is a priority? *

Use Restasis (Allergan) drops in the eye.

Flush the eye repeatedly using sterile normal

saline. Examine the client’s visual acuity.

Patch the eye.
4/15/22, 12:37 PM Block 4 P2 HES 005 Sec F LONG QUIZ

What is the goal of therapy for Parkinson’s disease? * 1/1

To decrease dopamine and to increase cholinergic

neurons To balance dopamine and cholinergic

neurons
To excite neurons more

To inhibit neurons more

Renita will be having her exam in pharmacology tomorrow. She should be 0/1
aware that antitussive is indicated to: *

Encourage removal of secretions through

coughing Relieve rhinitis

Relieve a dry cough

Control a productive cough

Correct answer

Relieve a dry cough

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4/15/22, 12:37 PM Block 4 P2 HES 005 Sec F LONG QUIZ

Patient Lee Jong receives epoetin alfa (Epogen) subcutaneously, and1/1

says to the nurse, "My doctor said I have anemia. Are there little red
blood cells in that shot?" What are the best responses by the nurse?
*
"No, we do not give blood for anemia anymore."

"No, this medication stimulates your body to make red blood cells."

" Yes, this small amount of red blood cells will stimulate your bone
marrow to produce more cells in the kidney."

"No, this medication promotes clotting so you will not lose even more
red blood cells."

Patient Kim Soo has chronic alcoholism. He asks the nurse why his doctor1/1
put him on folic acid (Folvite) since he promised the doctor that he
would stop drinking. What is the best response by the nurse? *

"You should ask your doctor since you promised him that you would not
drink anymore."

"You have been drinking instead of eating, and alcohol interferes with folate
metabolism in your liver."

"You need folic acid to make up for the vitamin B12 deficiency that was
caused by your alcoholism."

"You need folic acid because you have not been compliant with taking your
vitamins and attending Alcoholics Anonymous (AA) meetings."

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4/15/22, 12:37 PM Block 4 P2 HES 005 Sec F LONG QUIZ

The nurse is teaching a client about myasthenia gravis. Which statement, 1/1
if made by the patient indicates the need for further teaching? *

The doctor will take me off of my beta blocker because it could

exacerbate my symptoms

I should report any signs of infection to my doctor

I can take an OTC ibuprofen to help with pain that may occur with

spasms I should avoid taking long walks

Biperiden hydrochloride (Akineton) is added to a list of antiparkinsonian1/1

medications that an elderly client is taking. Which of the following
instructions made by the nurse that needs further learning? *

To avoid smoking, alcohol and caffeine.

To use ice chips, candy or gum for dry mouth.

Walking in the morning to have a daily source of direct

sunlight. Eating foods rich in fiber and increase fluid

intake.

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 The nurse administers spinorolactone (Aldactone) knowing that it is 0/1

classified as: *

An aldosterone antagonist

A carbonic anhydrase

inhibitor A potassium

sparing diuretic An osmotic

diuretic
Correct answer

A potassium sparing
diuretic

In caring for a young child with pain, which assessment tool is the most1/1
useful? *

Simple description pain intensity

scale 0-10 numeric pain scale

Faces pain-rating scale

McGill-Melzack pain questionnaire

The nurse administering donepezil (Aricept) to a patient with Alzheimer's 1/1
disease understands this drug has which expected therapeutic
action? *

Helps control associated urinary and fecal incontinence

Blocks the effect of norepinephrine at the presynaptic cell

membrane Increases levels of acetylcholine in the brain by

blocking its breakdown Relief of anxiety and restless behavior of

the patient

A client is receiving a continuous infusion of streptokinase (Streptase). 1/1

The client suddenly complaints of a difficulty of breathing, itchiness,
and nausea. Which of the following should be the priority action of
the nurse
*
Stop the infusion and notify the physician.

Administer protamine sulfate and provide oxygen

therapy. Administer antihistamine then continue the

infusion.
Slow the infusion and administer oxygen.
A patient presents to the emergency department with severe respiratory 0/1 distress,
hives, and edema after being stung on the face by a bee. Which are of the following is not
an accurate nursing assessment of the
situation? *

Hypotension and bronchospasm will progress rapidly if treatment is delayed. The

patient is suffering from anaphylactic shock.

Epinephrine and diphenhydramine are the drugs of choice as first-line

agents. Prompt treatment with drug therapy will prevent this syndrome

from occurring again.

Correct answer

Prompt treatment with drug therapy will prevent this syndrome from occurring
again.

A patient Hyung Hwa has been taking atorvastatin (Lipitor) for several1/1
months to treat hyperlipidemia. The patient reports muscle
weakness and tenderness. The nurse will counsel the patient to *

Contact the provider to report these symptoms.

Stop the medication

Change the medication with the same generic
name.

None of the above

 Patient Mathew is receiving Sulfasalazine (Azulfidine) for the treatment1/1
of ulcerative colitis. Which of the following assessment finding will
concern the nurse most? *

Drowsiness.

Decreased urine
output.

Urine
discoloration.

Vomiting
.

The nurse knows that hydrochlorothiazide exerts its primary effect on: * 0/1

The proximal and distal tubules of the kidney The distal

convoluted tubule of the kidney

The ascending loop of Henle and the distal tubule of the
kidney

The descending loop of Henle and the proximal tubule of the

kidney

Correct answer

The distal convoluted tubule of the kidney

4/15/22, 12:37 PM

A nurse is monitoring a client who is taking Carvedilol (Coreg CR). Which 1/1
of the following assessment made by the nurse would warrant a
possible complication with the use of this medication? *

Baseline blood pressure of 160/100 mm hg followed by a blood pressure of

120/70 mm hg after 3 doses.

Baseline heart rate of 97 bpm followed by a heart rate of 62 bpm after 3

doses.

Complaints of nightmares and insomnia.

Complaints of
dyspnea.

Which diuretic is the drug of choice for the prevention of tissue damage 1/1
after a closed head injury? *

Mannitol

Metolazone

Spironolactone
Hydrochlorothiazi
de

Name *

BULACLAC, SHANNEN DHANIKA

What drug refers to the ability to help patient feel calm and unaware of1/1
his environment? *

Anesthesi

Sedatives

Hypnotics
Anxiolytic
s

The nurse, caring for a client receiving a cholinergic drug, should observe 1/1
for increased symptoms of which of the following processes? *

Hypertension Heart

failure
Cardiac
dysrhythmias

Asthma

During patient teaching, the nurse explains the difference between a 1/1

sedative and hypnotic by stating: *

“Sedatives are much stronger than hypnotic drugs and should only be used
for short periods of time.”

“Sedative drugs induce sleep, whereas hypnotic drugs induce a state of

hypnosis.”
“Most drugs produce sedation at low doses and sleep (the hypnotic effect) at higher
doses.”

“There really is no difference; the terms are used interchangeably.”

The client with congestive heart failure (CHF) is eating a 1-gram sodium 1/1
diet and will be having a potassium-sparing diuretic added to the
medication regimen. T *

Hydrochlorothiazi

de Spinorolactone

Furosemide
Atenolol

A nurse is giving dietary instructions to a client receiving levodopa. 1/1

Which of the following food items should be avoided by the client? *

Goat yogurt.

Whole grain

cereal.

Asparagus.
Apples

When administering codeine, the nurse should be aware that: * 1/1

Codeine produces more sedation than other opiates.

Codeine causes diarrhea, so the client must take an additional drug to

prevent this.
Codeine is very constipating.

Codeine is an antitussive in high doses.

The home health nurse would be most concerned that a client is0/1
developing digoxin toxicity after noting which of the following during
a routine visit? *

Palpitations, elevated blood pressure and shortness of

breath Anorexia, nausea and yellow vision

Chest pain, fatigue and decreased blood pressure

Taste alterations, dry mouth and constipation

Correct answer

Anorexia, nausea and yellow vision

The nurse is admitting a client with a hypertensive emergency and a 0/1

history of renal insufficiency. The nurse ensures that which of the following
diuretics is readily available for use if ordered for rapid and extensive
diuresis? *

Furosemide

Hydrochlorothiazi

de Chlorthalidone
Spinorolactone

Correct answer

Furosemide
What vitamin plays a role in lowering cholesterol concentration? * 1/1

Vitamin C

Vitamin E

Vitamin

B3
Vitamin
B2

The client has an order for 2 tablespoons of Milk of Magnesia. The nurse 1/1
converts this dose to the metric system and gives the client how
many ml? *

30
ml

20
ml

40
ml

15
ml

A client diagnosed with schizophrenia takes an antipsychotic agent daily. 1/1

Which assessment finding should a nurse immediately report to the
client's attending psychiatrist? *

Respirations of 22
beats/minute
4/15/22, 12:37 PM
Weight gain of 8 pounds in 2 months Temperature of 104F (40C) Excessive salivation

Which organ(s) produce(s) clotting factors? * 1/1

Bone marrow

Liver Stomach
Lymphoid
tissues

The nurse is about to administer a stat dose of intravenous atropine1/1

sulfate to a patient who is experiencing a symptomatic cardiac
dysrhythmia. During administration of this drug, the nurse will
monitor the patient closely for which adverse effect? *

Tachycardia

Bradycardia

Ectopic beats
Cardiac
standstill
 A client is receiving intravenous heparin therapy. The nurse ensures the0/1
availability in which of the following medication? *

Acetylcysteine

(Mucomyst) Calcium

gluconate.
Vitamin K (Mephyton).

Protamine sulfate.

Correct answer

Protamine sulfate.