Practice Test

instituting measures to prevent infection in the client

A client diagnosed with acquired immunodeficiency syndrome (AIDS) is hospitalized. The nurse develops a plan of care and determines that which intervention is the priority?

vitamin B6 and B12, folate, iron, and copper

A client has extreme fatigue and is malnourished, and laboratory tests reveal a hemoglobin level of 8.5 g/dL. The nurse should specifically ask the client about the intake of food low in which nutrients?

provide adequate oxygenation, hydration, and pain management

A client is admitted for sickle cell crisis. Which nursing intervention would be the priority?

clear plastic shield placed over the site

A client is confused and tends to inadvertently pull out intravenous lines. Which action or protective device can b e used to prevent this from happening?

nephrotoxicity

A client is prescribed ceftriaxone for an ongoing infection. Which side effect is most common with high doses of this antibiotic?

adjust the dose to the therapeutic range

A client is receiving gentamicin sulfate intravenously. Before administering the next dose, the nurse reviews the peak and trough serum levels. The nurse uses this information to do what?

to reduce viral resistances

Efavirenz is commonly given in combination product called Atripla. What is the purpose for doing this?

heparin-induced thrombocytopenia

Exposure to unfractionated heparin can result in which complication?

levofloxacin

Fluoroquinolones=

christmas disease

Hemophilia B is also known as:

"help prevent further clogging of my arteries"

One month after an endarterectomy the surgeon instructs the client to take clopidogrel 75mg once a day. The nurse evaluates that the reason for taking this drug is understood when the client says, "It will...":

amoxicillin

Penicillins=

cholesterol and triglycerides

Protease inhibitors generally cause elevation of which lab values?

demeclocycline

Tetracyclines=

treat the underlying opportunistic infection

A client is recovering from immune reconstitution inflammatory syndrome (IRIS). What should the nurse expect the provider to do next?

"Another test will be done to determine if you have HIV"

A client is tested for HIV with an enzyme-linked immunosorbent assay (ELISA) test, and the test result is positive. The client is very upset and asks the nurse if this means he definitely has HIV. How should the nurse respond to the client?

"This drug helps treat the pain from nerve irritation"

A client with HIV/AIDS asks the nurse why gabapentin is part of the drug regimen when the client does not have a history of seizures. What response by the nurse is best?

gentamicin

Aminoglycosides=

ham and eggs

An adolescent is diagnosed with iron deficiency anemia. After emphasizing the importance of consuming dietary iron, the nurse asks the client to select iron-rich breakfast items from a sample menu. Which selection demonstrates knowledge of dietary iron sources?

administration of a subcutaneous injection of epinephrine

A client arrives at the emergency department with complaints of hives, itching, and difficulty swallowing and says, "My throat feels as though is it closing off." The client states that they were visiting a relative who has two cats and two dogs and believed that he is allergic to cats. The nurse ensures that the client has a patent airway and then prepares the client for which initial intervention?

improvement in the client's condition

A CD4+ T-cell count is performed on a client who is HIV positive. The results of the test indicate a CD4+ count of 1000c cells/mm3. The nurse should interpret this test result to indicate which finding?

a client with hemophilia who is receiving ASA for joint pain

A nurse has been assigned to 4 clients. Which client should the nurse see first?

pallor, tachycardia, sore tongue

A nurse is caring for a client admitted with pernicious anemia. Which set of finding should the nurse expect when assessing the client>

stay with the patient and focus on slow, deep breathing for relaxation

A patient is about to undergo bone marrow aspiration and biopsy and expresses fear and anxiety about the procedure. Which of the following is the most effective nursing response?

oral contraceptives

A young-adult girl is prescribed amoxicillin for an ear infection. The nurse should teach the adolescent about the risks associated with her concurrent use of:

wound culture or specimen culture performed

Before administering an antibiotic for a potential infection, what should be done first?

maraviroc

CCR5 antagonist=

ceftriaxone

Cephalosporins=

raltegravir

Integrase inhibitor=

oral hypoglycemics

Levofloxacin may increase the effects of which class of medications which can be problematic for diabetes?

clindamycin

Lincosamides=

azithromycin

Macrolides=

airbone

Measles=

droplet

Mumps=

didanosine

NRTI=

renal toxicity, ototoxicity

The nurse caring for a client who is taking an aminoglycoside should monitor the client for which adverse effects of the medication? (SATA)

avoid exposure to acute infection

The nurse devices a teaching plan for the patient with aplastic anemia. Which of the following is the most important concept to teach for health maintenance?

increasing fluid intake and giving analgesics

The nurse has just admitted a client with sickle cell crisis. What is the nurse's priority interventions?

corticosteroids

The nurse is caring for a patient diagnosed with idiopathic thrombocytopenia purpura (ITP). The patient's platelet count is 38,000/mm3. What treatment does the nurse anticapte for this patient?

splenectomy, transfusions, immunosuppressive agents, corticosteroids

The nurse is reviewing the healthcare provider's prescriptions for a client admitted to the hospital with a diagnosis of idiopathic autoimmune hemolytic anemia. The nurse prepares the client for treatment of this disorder, understanding that which may be recommended? (SATA)

headache, orthopnea, gout, visual disturbance

The nurse is teaching a client with polycythemia vera about potential complications from this disease. Which manifestation should the nurse include in the client's teaching plan? (SATA)

"I should floss my teeth to promote good dental health"

The nurse is teaching a patient who has just been diagnosed with polycythemia vera (PV) about long-term management of this disease. Which statement by the patient indicates a need for further teaching?

exposure to high altitudes

The nurse provides instructions to a client with sickle cell anemia about the factors that can cause a sickle cell crisis. The nurse should tell the client that which factor can cause a crisis?

assess the client, and teach about the phenomenon of antibiotic resistance

Two weeks ago, a client was prescribed a ten-day course of amoxicillin for a streptococcal infection. The client tells the nurse that symptoms disappeared after 5 days and that the client stopped taking the medication at that time. What is the nurse's best action?

contact

Vancomycin-resistant enterococcus=

international normalized ratio (INR) is used to access effectiveness

What information should the nurse provide to the client who is receiving warfarin?

vitamin K

What is the antidote for warfarin overdose?

protamine sulfate

What is the reversal agent for heparin overdose?

conjunctiva of eye

Which area is most effective for assessing for pallor on a client who has dark-tone skin>

Reed-Sternberg cells

Which cells are present in hodgkin's disease that makes it different than non-hodgkins disease?

client with a prothrombin time of 32 seconds

Which client should the nurse see first?

red man syndrome

Which complication can occur if vancomycin is administered too rapidly?

TPN solution (banana bag)

Which intravenous solution would be considered hypertonic?

clopidogrel

Which medication does not require regular blood test monitoring, but can affect platelet function up to 7-10 days?

night sweats and fatigue

Which of the following symptoms is typical of hodgkin's disease?

normal saline

Which solution is the only solution that can be administered with blood transfusions?