Exam 4 Practice Questions

C. Tramadol

Which of the following is considered a weak opioid? A. Hydrocodone B. Hydromorphone C. Tramadol D. Morphine

C. Male sex

Which of the following is not a risk factor for developing cholecystitis or cholelithiasis? A. Obesity B. Age over 60 C. Male sex D. Type 2 diabetes mellitus

A. Alcohol cirrhosis

Which of the following types of cirrhosis is identified by scar tissue around the portal areas? A. Alcohol cirrhosis B. Compensated cirrhosis C. Biliary cirrhosis D. Post-necrotic cirrhosis

A. Hepatitis A

Which of the viral hepatitis types are transmitted via oral-fecal route? A. Hepatitis A B. Hepatitis B C. Hepatitis C D. Hepatitis D

D. Acetaminophen (Tylenol)

A nurse instructs the parent of a child with influenza that which medication or medications may be used safely to reduce fever? A. Ibuprofen (Advil) B. Naproxen (Aleve) C. Aspirin (Bayer) D. Acetaminophen (Tylenol)

B. The client is not permitted to have fresh flowers or potted plants.

A nurse is caring for a client who has recently undergone a stem cell transplant. Which of the following should the nurse recognize as appropriate isolation precaution guidelines? A. The client should be placed in a negative airflow room B. The client is not permitted to have fresh flowers or potted plants. C. The client may be placed in a semi-private room with another stem cell transplant client D. The client is protected by visitors who wear gloves prior to entering the room

False.

Prothrombin time (normal range 12-16 sec.) is decreased to 4-6 seconds in liver disease. True or False.

B. Bile

The liver manufactures and secretes ______________ which has a role in GI tract fat digestion and absorption. A. Ammonia B. Bile C. Vitamin K D. Ketones

C. Hemolytic

The nurse identified which type of jaundice after the patient experiences a transfusion reaction? A. Hepatocellular B. Obstructive C. Hemolytic D. Non-obstructive

C. Direct bilirubin 2.1 mg/dL

Upon reviewing labs for a patient with suspected cholelithiasis, a nurse expects which lab finding? A. Serum cholesterol 171 mg/dL B. WBC 9,000/mm^3 C. Direct bilirubin 2.1 mg/dL D. Serum albumin 4.1 g/dL

C. Flushing, headache, tightness of chest

What are the signs/symptoms of a chemotherapy acute infusion reaction? A. Joint pain, peripheral numbness, hair loss B. Blurry vision, pruritus, tachypnea C. Flushing, headache, tightness of chest D. Fatigue, nausea, vomiting

B. Provides patient with a sense of control

What is the advantage of combining non-pharmacological pain control techniques with pharmacological techniques? A. Creates more reliance on pain meds. B. Provides patient with a sense of control C. Creates more side effects D. Makes both less effective

C. You might have shoulder pain after the surgery

What should a nurse tell a patient about his upcoming laparoscopic cholecystectomy? A. The scope will be passed through your rectum B. You might have a drain in place after surgery C. You might have shoulder pain after the surgery D. You should limit how often you walk for 1-2 weeks

A. Prostate D. Breast

What type of cancer can be treated with hormones? A. Prostate B. Brain C. Pancreatic D. Breast

A. A cold-pack can reduce spasms of striated muscle

When applying cold or ice to an injury, which of the following is true? A. A cold-pack can reduce spasms of striated muscle B. Cold will increase release of pain inducing chemicals C. Ice will increase inflammation D. Cold will cause vasodilation, increasing blood flow

D. Heat causes muscle spasms

When applying heat to reduce pain, which of the following is incorrect? A. Heat induces vasodilation B. Heat increases blood flow, relieves ischemia C. Heat enhances flexibility of muscles D. Heat causes muscle spasms

Onset Provocation Quality Region Severity Time

When assessing pain, what does the OPQRST stand for?

Tumor, Node, Metastasis

When staging cancer the acronym TNM stands for what?

A. Nociceptive pain B. Dysfunctional pain C. Inflammatory pain D. Neuropathic pain

Which are types of pain? Select all that apply. A. Nociceptive pain B. Dysfunctional pain C. Inflammatory pain D. Neuropathic pain

D. Wear a mask in public places

A nurse is caring for a patient with Hepatitis B. Which should the nurse NOT include in home care teaching? A. Avoid alcohol B. Limit physical activity C. Eat small, frequent meals D. Wear a mask in public places

A. Alcoholic drinks

A nurse provides discharge instructions for a patient who is taking acetaminophen (Tylenol) after surgery. The nurse should instruct the patient to avoid which product while taking acetaminophen? A. Alcoholic drinks B. Leafy green foods C. Bananas D. Dairy products

D. Epigastric pain radiating to the back

A nurse will expect a patient with pancreatitis to report which of the following? A. Upper right quadrant pain radiating to left shoulder B. Pain worse when sitting upright C. Pain relieved with defecation D. Epigastric pain radiating to the back

B. Hand spasm present when checking blood pressure

A patient is admitted with acute pancreatitis. Which of the following is priority to report? A. History of cholelithiasis B. Hand spasm present when checking blood pressure C. Decrease in bowel sounds upon auscultation D. Elevated serum amylase level

C. Pantoprazole (Protonix)

A patient is schedules to start taking aspirin for the treatment of rheumatoid arthritis. The nurse anticipates that which medication most likely will be prescribed? A. Docusate sodium (Colace) B. Ascorbic acid (Vitamin C) C. Pantoprazole (Protonix) D. Furosemide (Lasix)

C. Silymarin from milk thistle has anti-inflammatory and antioxidant properties that may have beneficial effects, especially in hepatitis. However, you should always notify your primary care provider of any herbal remedies being used so drug interactions can be evaluated.

A patient with hepatic cirrhosis questions the nurse about the possible use of an herbal supplement--milk thistle--to help heal the liver. Which of the following would be the most appropriate response from the nurse? A. Herbal supplements are approved by the FDA, so there should be no problem with their usage if you check with your primary care provider. B. You should not use herbal supplements in conjunction with medical treatment. C. Silymarin from milk thistle has anti-inflammatory and antioxidant properties that may have beneficial effects, especially in hepatitis. However, you should always notify your primary care provider of any herbal remedies being used so drug interactions can be evaluated. D. You can use milk thistle instead of the medications you have been prescribed.

C. Minimizing social isolation

A young patient with anorexia, fatigue, and jaundice is diagnosed with Hepatitis B and has just been admitted to the hospital. The patient asks the nurse how long she needs to stay in the hospital. In planning care for the patient, the nurse identifies impaired psychosocial issues and assigns the highest priority to which of the following patient outcomes? A. Establishing a stable home environment B. Reducing the spread of the disease C. Minimizing social isolation D. Identifying the source of exposure to hepatitis

B. C and D in the 3rd trimester

Aspirin is pregnancy category... A. X B. C and D in the 3rd trimester C. B D. D

C. Opioid agonist

What type of medicine is morphine? A. Opioid antagonist B. Adjuvant C. Opioid agonist D. NSAID

B. Urinary retention

Which of the following adverse effects of opioids should be reported to the prescriber? A. Constipation B. Urinary retention C. Sedation D. Nausea and vomiting

C. Constipation

Which of the following adverse effects to opioids never goes away with long term use? A. Nausea and vomiting B. Sedation C. Constipation D. Respiratory depression

D. Decreased blood flow

Which of the following is an age-related change of the hepatobiliary system? A. Decreased prevalence of gallstones B. Liver enlargement C. Increased drug clearance capacity D. Decreased blood flow

B. Short intervals over time

Which of these scheduling approaches for the administration of phase-specific anticancer medications is used to achieve maximum therapeutic effectiveness? A. One day every 12 weeks B. Short intervals over time C. The first day of the month D. At the end of treatment