Tutoring Review for Week 3 Quiz

8/3/2019 Tutoring Review for Week 3 Quiz

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5/1/12

Tutoring Review forWeek 3 Quiz

By Mrs. Shannon Cook, MSN, NP-C,BSN


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1.) A nurse is teaching a client with PUD how toproperly self-administer zanitidine (Zantac). Which ofthe following statements indicates effective teaching bythe nurse?

A. I should call my doctor if my stoolslook black and sticky.

B. I will take Zantac regularly until myburning symptoms disappear.

C. I need to take Zantac on an empty

stomach.

D. I can take ibuprofen if I have minoraches and pains.


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Answer

A. I should call my doctor if my stools lookblack and sticky.

B. I will take Zantac regularly until my

burning symptoms disappear.C. I need to take Zantac on an empty

stomach.

D. I can take ibuprofen if I have minor achesand pains.


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2.) A nurse is caring for a client who is startingomeprazole (Prilosec) PO for management ofGERD. The nurse should recognize that this

medication works by

A. Improving gastric motility

B. Decreasing the production of gastric acid

C. Neutralizing gastric acid

D. Antagonizing serotonin receptors


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Answer

A. Improving gastric motility

B. Decreasing the production of gastric acid

C. Neutralizing gastric acid

D. Antagonizing serotonin receptors


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3.) A client taking sucralfate (Carafate) PO for peptic ulcerdisease has been started on phenytoin (Dilantin) to controlseizures. Which of the following should be included in the

clients teaching?

A. Take both of these medications at thesame time.

B. Take sucralfate with a glass of milk

C. Allow a 2-hr interval between these meds

D. Chew the sucralfate thoroughly before

swallowing


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Answer

A. Take both of these medications at thesame time.

B. Take sucralfate with a glass of milk

C. Allow a 2-hr interval between thesemeds

D. Chew the sucralfate thoroughly before

swallowing


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4.) For which of the following clients withpeptic ulcer disease is misoprostol

(Cytotec) contraindicated?

A. 27-year old client who is pregnant

B. 75-year old client with osteoarthritis

C. 37-year old client with a kidney stone

D. 46-year old client with a urinary tractinfection


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Answer

A. 27-year old client who is pregnant

B. 75-year old client with osteoarthritis

C. 37-year old client with a kidney stone

D. 46-year old client with a urinary tractinfection


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5.) For which of the following clients is alaxative indicated? (Select all that apply).

-----A young adult female who is postpartumfollowing a vaginal delivery with an

episiotomy.-----A young adult male with constipation and

periumbilical pain

----A young adult client affected by IBS----An older adult client with limited mobility

and minor bowel incontinence

---A older adult client preparing for acolonoscopy


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Answer

-----A young adult female who ispostpartum following a vaginal deliverywith an episiotomy

-----A young adult male with constipation andperiumbilical pain

----A young adult client affected by IBS

----An older adult client with limited mobilityand minor bowel incontinence

---A older adult client preparing for acolonoscopy


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6.) Laxatives containing sodium arecontraindicated for which of the followingclient conditions?

A. Hypertension

B. Arthritis

C. Depression

D. Seizure disorder


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Answer

A. Hypertension

B. Arthritis

C. Depression

D. Seizure disorder


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7. A nurse is taking a history for a client who has irritablebowel syndrome with constipation. Which of the followingin the clients history is a contraindication to lubiprostone(Amitiza)?

A. Myocardial infarction

B. Ulcerative colitis

C. Diabetes mellitus

D. Rheumatoid arthritis


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Answer

A. Myocardial infarction

B. Ulcerative colitis

C. Diabetes mellitus

D. Rheumatoid arthritis


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8.) A nurse is providing teaching to a client who has type 2diabetes mellitus and is starting repaglinide (Prandin).Which of the following statements made by the clientindicates understanding of the administration of this

medication?

A. Ill take this medicine with my meals.

B. Ill take this medicine 30 minutes beforeI eat.

C. Ill take this medicine just before I go tobed.

D. Ill take this medicine as soon as I wakeup in the morning.


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Answer

A. Ill take this medicine with my meals.

B. Ill take this medicine 30 minutesbefore I eat.

C. Ill take this medicine just before I go tobed.

D. Ill take this medicine as soon as I wake

up in the morning.


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9.) Clients taking metformin (Glucophage)should be monitored for which of thefollowing?

A. Lactic acidosis

B. Hypertension

C. Hyperlipidemia

D. Respiratory alkalosis


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Answer

A. Lactic acidosis

B. Hypertension

C. Hyperlipidemia

D. Respiratory alkalosis


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10.) A client taking glipizide (Glucotrol) forcontrol of type 2 diabetes mellitus should becautioned against the use of which of the

following?

A. Magnesium hydroxide (Milk of Magnesia)

B. Hydrocortisone acetate cream

C. Calcium supplements

D. Alcohol


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Answer

A. Magnesium hydroxide (Milk of Magnesia)

B. Hydrocortisone acetate cream

C. Calcium supplements

D. Alcohol


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11.) Four clients need to receive morninginsulin. Breakfast trays are due in 15 min. Anurse should first administer insulin to which ofthe following clients?

A. Client with ac glucose level of 70 mg/dL,scheduled to receive NPH insulin (Humulin N)3 units.

B. Client with ac glucose level of 90 mg/dL,scheduled to receive Regular insulin(Humulin R) 5 units.

C. Client with ac glucose level of 120 mg/dL,

scheduled to receive NPH (Humulin N) 15units.

D. Client with ac glucose level of 170 mg/dL,scheduled to receive lispro insulin (Humalog)5 units


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Answer

A. Client with ac glucose level of 70 mg/dL,scheduled to receive NPH insulin (Humulin N)3 units.

B. Client with ac glucose level of 90 mg/dL,scheduled to receive Regular insulin(Humulin R) 5 units.

C. Client with ac glucose level of 120 mg/dL,

scheduled to receive NPH (Humulin N) 15units.

D. Client with ac glucose level of 170mg/dL, scheduled to receive lispro insulin(Humalog) 5 units


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12.) Which of the following should be included ina teaching plan for a client newly diagnosed with

type 2 diabetes? (Select all that apply)

----- Check your blood glucose levels less

frequently when not feeling well.

----- Take an extra dose of the oralhypoglycemic agent the next day if you miss

a dose.----- Carry a fast-acting glucose source.

----- Eat a snack prior to planned exercise.

----- Inspect feet surfaces daily.


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Answer

----- Check your blood glucose levels lessfrequently when not feeling well.

----- Take an extra dose of the oral

hypoglycemic agent the next day if you missa dose.

----- Carry a fast-acting glucose source.

----- Eat a snack prior to plannedexercise.

----- Inspect feet surfaces daily.


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13.) A nurse is providing teaching to a client who isprescribed pramlintide (Symlin) for type 1 diabetes. Whichof the following should the nurse include in the teaching?

--- Take oral medications 1 hr beforeinjection.

--- Use upper arms as preferred injectionsites.

--- Mix medication with breakfast dose of

insulin.--- Freeze unopened vials of medication.

--- Discard open vials after 28 days.


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Answer

--- Take oral medications 1 hr beforeinjection.

--- Use upper arms as preferred injection

sites.--- Mix medication with breakfast dose of

insulin.

--- Freeze unopened vials of medication.--- Discard open vials after 28 days.


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14.) A client tells a nurse that she has been taking herlevothyroxine (Synthroid) every day for 9 days. She askswhy there has been no improvement in her condition.

Which of the following is the nurses best response?

A. It may take several weeks for you to

notice a therapeutic effect from the drug.

B. Your drug dose is probably too low.

C. Your body must be resistant to this

drug.

D. Your doctor should be notified rightaway.


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Answer

A. It may take several weeks for you tonotice a therapeutic effect from the drug.

B. Your drug dose is probably too low.

C. Your body must be resistant to thisdrug.

D. Your doctor should be notified right

away.


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15.) Propranolol (Inderal) may be prescribed toclients with hyperthyroidism to do which of thefollowing?

A. Increase the blood flow to the thyroidgland.

B. Prevent thyroid hormone synthesis.

C. Decrease tachycardia and tremors.

D. Promote conversion of T4 to T3.


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Answer

A. Increase the blood flow to the thyroidgland.

B. Prevent thyroid hormone synthesis.

C. Decrease tachycardia and tremors.

D. Promote conversion of T4 to T3.


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16.) A client is starting on levothyroxine (Synthroid) forlong-standing hypothyroidism. Which of the followingdosage schedules should the nurse expect to administer?

A. The client will start at a high dose and thedose will be tapered down as needed.

B. The clients initial dosage will be based onbody weight.

C. The clients dosage will be adjusted daily

based on blood levels.D. The client will start on a low dose,

which will be gradually increased.


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17.) For which of the following clientswould radioactive iodine (131I) becontraindicated?

A. A client who is over 40 years of age.

B. A client who is pregnant

C. A client who has had a recent myocardial

infarction.

D. A client who is scheduled for thyroidsurgery.


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Answer

A. A client who is over 40 years of age.

B. A client who is pregnant.

C. A client who has had a recent myocardial

infarction.

D. A client who is scheduled for thyroidsurgery.


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18.) A nurse is caring for a client who is prescribedsomatropin (Genotropin) to stimulate growth. The nurseshould plan to monitor the clients urine for which of thefollowing?

A. RBCs

B. Specific gravity

C. Protein

D. Glucose


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Answer

A. RBCs

B. Specific gravity

C. Protein

D. Glucose

19 A li t i t ki i (Pit i ) f


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19. A client is taking vasopressin (Pitressin) fordiabetes insipidus. The nurse is assessing theclient for vasopressin-related side effects. Thenurse should monitor for

A. Hypovolemia

B. Hypercalcemia

C. Hyperglycemia

D. Hypertension


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Answer

A. Hypovolemia

B. Hypercalcemia

C. Hyperglycemia

D. Hypertension


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20.) A client taking hydrocortisone for adrenocorticalinsufficiency (Addisons disease) is admitted to the hospitalfor a total hip arthroplasty. Which of the following actionsis the highest priority?

A. Administration of supplemental dose ofhydrocortisone.

B. Instruction on coughing and deepbreathing.

C. Insertion of an indwelling urinary catheter.

D. Requesting a referral for physical therapy.


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Answer

A. Administration of supplemental dose ofhydrocortisone.

B. Instruction on coughing and deep

breathing.C. Insertion of an indwelling urinary catheter.

D. Requesting a referral for physical therapy.

Tutoring Review for Week 3 Quiz

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