52

A client is admitted to a health care facility with a chronic skin disease manifested by bright red patches covered with silvery scales or plaques, and has been prescribed anthralin by the doctor. The nurse interprets this info, identifying that the client is most likely suffering from which of the following? 1. Psoriasis 2. Herpes labialis 3. Tinea pedis 4. Cutaneous candidiasis

1

A client is diagnosed with anemia. The nurse understands that anemia can result in which of the following? 1. Decreased platelet production 2. Increased platelet production 3. Decreased neutrophil production 4. Increased neutrophil production

1

A client is prescribed an a-adrenergic blocker for treatment of BPH. When explaining the action of the drug of the client, which of the following would the nurse integrate into the explanation? 1. Relaxation of the smooth muscles 2. Interference with testosterone conversion 3. Facilitation of the enzyme to allow increased blood to the penis 4. Relaxation of the detrusor muscle

1

A client with a UTI also has a history of glucose-6-phosphate dehydrogenase (G6PD) deficiency. Based on the nurse's understanding of urinary drugs, the nurse would expect to administer which drug with caution if prescribed? 1. Nitrofurantoin (Macrobid) 2. Amoxicillin (Amoxil) 3. Ciprofloxacin (Cipro) 4. Methenamine (Hiprex)

1

A client with warts is prescribed salicylic acid. The nurse understands that this topical drug is an example of which of the following? 1. Keratolytic 2. Antifungal 3. Antipsoriatic 4. Local anesthetic

1

A nurse is assigned to care for a patient with iron deficiency anemia who is prescribed iron therapy. Which of the following should the nurse confirm to ensure that iron compounds are not C/I in this patient? 1. The pt does not have hemochromatosis 2. The pt is not allergic to cyanocobalamin 3. The pt does not have uncontrolled HTN 4. The pt does not have pernicious anemia

1

A nurse is describing the process by which the body is stimulated to make more of a specific type of blood cells. The nurse is describing which of the following? 1. Hematopoiesis 2. Metabolism 3. Catabolism 4. Regeneration

1

A patient is bitten by a copperhead snake will benefit the most if the antivenin is administered within how long after exposure? 1. 4 hrs 2. 24 hrs 3. 8 hrs 4. 12 hrs

1

A patient is suffering from anemia resulting from chronic kidney disease might be treated with which of the following drugs? 1. Epoetin alfa (Epogen) 2. Sagramostim (Leukine) 3. Oprelvekin (Neumega) 4. Filgrastim (Neupogen)

1

After teaching a group of students about drugs used to treat GU problems in the older adult, the instructor determines that the teaching was successful when the students identify which of the following as an example of an androgen inhibitor that is used to treat clients with BPH? 1. Dutasteride 2. Megestrol 3. Exemestane 4. Anastrazole

1

After teaching a woman using an intravaginal estrogen preparation, the nurse determines that the teaching was successful when the client states that she will remain lying for at least how long after instilling the drug? 1. 30 mins 2. 10 mins 3. 45 mins 4. 20 mins

1

Localized adverse reactions to corticosteroids include burning, itching, irritation, redness, and dryness of the skin. Which of the following is likely to increase the occurrence of these reactions? 1. Used with occlusive dressings 2. Used in the form of aerosol spray 3. Used on open or denuded skin 4. Higher concentration of the drug

1

Oprelvekin (Neumega) is a drug that stimulaes the process of making which of the following blood cells? 1. Platelets 2. Monocytes 3. Lymphocytes 4. Neutrophils

1

The nurse has just administered the measles, mumps, and rubella vaccine to a female patient. The nurse instructs the woman to avoid becoming pregnant for how long? 1. At least 3 months 2. At least 1 month 3. At least 14 days 4. At least 7 days

1

The nurse must administer which of the following to a client prior to exposure to the disease-causing organism in order for the patient to be protected against the disease? 1. Toxoids 2. Immune globulins 3. Antivenins 4. Antibodies

1

The purpose of antineoplastic drugs is to affect cells that rapidly divide and reproduce; however, the adverse effects produced by antineoplastic drugs result from their systemic use, which exposes nonmalignant cells in the body that are rapidly dividing and reproducing. Which of the following is not an example of a rapidly dividing and reproducing cell in the body? 1. Nerve cell 2. Oral mucosal cell 3. Bone marrow cell 4. Hair follicle cell

1

When describing the various types of blood cells, which cell type would the instructor describe as supplying our cells with oxygen from the lungs? 1. Erythrocytes 2. Neutrophils 3. Megakaryocytes 4. Leukocytes

1

Which of the following classes of antineoplastic drugs stop cells in the S and G2 phase, thereby causing cell division to cease? 1. Podophyllotoxins 2. Vinca alkaloids 3. Camptothecin analogs 4. Taxanes

1

After teaching a class of nursing students about GU changes that occur with aging, the instructor determines that the teaching was successful when the students identify which of the following as a change? Select all that apply 1. Shortening of the vaginal wall 2. Scar tissue formation in the prostate 3. Decreased levels of testosterone 4. Diminished estrogen secretion 5. Diminished testicular tissue

1, 2, 4, 5

A nurse is caring for a client who is undergoing chemotherapy for leukemia. Which of the following should be part of the initial assessment performed by the nurse? Select all that apply 1. Presence of nonmalignant disease 2. Previous or concurrent treatments 3. Results of radiographic scans 4. Results of kidney function tests 5. Type and location of the neoplastic lesion

1, 2, 5

A nurse is educating a group of nursing students about the C/I of human immune globulin. Which among the following would the nurse include? Select all that apply 1. Diabetes mellitus 2. Age > 65 years 3. Anemic disorder 4. Pregnancy 5. Pre-existing renal disease

1, 2, 5

A client receiving anti-infective therapy asks the nurse about the best fluids to drink to help eliminate the infection. Which of the following would the nurse suggest as most appropriate? Select all that apply 1. Prune juice 2. Orange juice 3. Cranberry juice 4. Water 5. Tomato juice

1, 3, 4

A client is prescribed sildenafil. When teaching the client about possible adverse reactions associated with this drug, which of the following would the nurse include? Select all that apply 1. Nasal congestion 2. Back pain 3. Flushing 4. Runny nose 5. Dyspepsia

1, 3, 5

A nurse is caring for a client receiving nitrofurantoin drug therapy. What instruction should the nurse include in the teaching plan for the client and family? Select all that apply 1. Notify the doctor in case of fever, chills, or cough 2. Avoid excessive intake of citrus products or milk products 3. Continue therapy for at least 1 week 4. Dissolve the drug in 90-120 mL of water 5. Take the drug with food or milk to improve absorption

1, 3, 5

A client is diagnosed with an oral herpes simplex virus infection. Which of the following would the nurse expect the primary health care provider to prescribe? Select all that apply 1. Penciclovir 2. Mypirocin 3. Retapamulin 4. Acyclovir 5. Bacitracin

1, 4

A student demonstrates understanding of topical antiseptics and germicides by identifying which of the following as having anti-infective action against bacteria, fungi, viruses, yeasts, and protozoa? 1. Iodine 2. Hexachlorophene 3. Triclosan 4. Chlorhexidine 5. Sodium hypochlorite

1, 5

A client asks the nurse if there is a any herbal therapy that can be used to help soothe and heal his minor burn. Which of the following would the nurse suggest? 1. Foxglove 2. Aloe vera 3. Ginseng 4. Ginger

2

A client comes to the clinic complaining of dysuria and frequency. The nurse practitioner suspects that the client is experiencing a UTI. Before instituting anti-infective therapy, which lab testing would be most important? 1. Serum sodium level 2. Urine culture and sensitivity 3. WBC count 4. Urine glucose evaluation

2

A client has been prescribed acyclovir by the doctor to treat the start of herpes simplex virus infection. Which of the following should the nurse ensure while applying the ointment to the client? 1. Apply sparingly in a light film 2. Use a finger cot or glove 3. Wash the area with povidone-idone 4. Wear protective clothing

2

A client is prescribed which drug that acts on the hematopoietic cells to stimulate proliferation, differentiation, and maturation of WBCs? 1. Epoetin alfa (Procrit) 2. Filgrastim (Neupogen) 3. Methoxypolyethylene (Mircera) 4. Folic acid (Folvite)

2

A client is undergoing nitrofurantoin drug therapy. The client informs the nurse that he is also receiving a magaldrate for gastric upset relief. Which of the following would the nurse be alert for due to the interaction of these two drugs? 1. Increased risk for bleeding 2. Decreased absorption of nitrofurantoin 3. Increased effectiveness of magaldrate 4. Delay in gastric emptying

2

A nurse is caring for a client who is receiving collagenase for the treatment of severe burns. The nurse should know that which of the following other drugs can impair the enzymatic activity? 1. Antifungals 2. Antiseptics 3. Antibiotics 4. Antipsoriatics

2

A nurse is caring for a client who is undergoing chemotherapy. The client has experienced everal episodes of vomiting. Which of the following would be most appropriate for the nurse to do for this client as part of the ongoing assessment? 1. Measure and record client's temperature 2. Measure all fluid intake and output 3. Measure and record the client's BP 4. Observe the results of liver function tests

2

A nurse is caring for a patient with a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements related to iron deficiency. Which of the following instructions should the nurse offer the patient when providing care? 1. Increase the intake of foods rich in vitamin D 2. Increase intake of lean red meats 3. Maintain a daily exercise routine 4. Increase intake of fresh fruits

2

A nurse is educating a group of nursing students about the different types of vaccines. Which among the following should the nurse mention as a killed virus vaccine? 1. MMR 2. Influenza 3. Rubella 4. Varicella

2

A nurse is obtaining a history from an older adult woman. During the interview, the woman states, "When I feel like I have to urinate, the urge is really strong and I go to the bathroom really frequently, often waking up several times during the night to go." The nurse would most likely identify this as which of the following? 1. Urge incontinence 2. Overactive bladder syndrome 3. Stress incontinence 4. Neurogenic bladder

2

A nurse should remove or protect the client's personal clothing when applying which of the following? 1. Chlorhexidine gluconate 2. Iodine solution or tinture 3. Triclosan A 4. Hexachlorophene

2

A patient with iron deficiency is prescribed iron dextran. Based on the nurse's understanding of this drug, the nurse would expect to administer it cautiously to a client with which condition? 1. HTN 2. Asthma 3. History of seizures 4. Heart disease

2

A woman experiencing menopausal symptoms asks the nurse about herbal products that might help. Which of the following would the nurse include in the response? 1. Saw palmetto 2. BLack cohosh 3. GInger 4. Ephedra

2

If a nurse is administering immune globulin to a patient in the physician's office, the nurse would monitor the client for hypersensitivity reactions for how long after administering the drug? 1. 60 mins 2. 30 mins 3. 5 mins 4. 15 mins

2

Malignant cells seem to be be more susceptible than normal cells to the effects of which class of antineoplastic drugs? 1. Antineoplastic antibiotics 2. Ankylating agents 3. Antimetabolites 4. Vinca alkaloids

2

The nurse may be asked to administer which of the following medications to a client to counteract the increase in urice acid and subsequent hyperuricemia resulting from the metabolic waste buildup from rapid tumor lysis? 1. Leucovorin (Wellcovorin) 2. Allopurinol (Zyloprim) 3. Amifostine (Ethyol) 4. Mesna (Mesnex)

2

The onset of protection after the administration of an immune glbulin to a patient is rapid but its duration is short, typically which of the following? 1. 12-48 hrs 2. 1-3 months 3. 7-14 days 4. 15-30 days

2

When describing cell-mediated immunity, a nurse would explain that this type of immunity depends on which of the following? 1. Globulin production 2. The action of T lymphocytes 3. The action of B lymphocytes 4. Antigen-antibody response

2

When educating patients on the immune system, the nurse identifies which of the following WBC to be involved in cell-mediated immunity along with T lymphocytes? 1. Eosinophils 2. Macrophages 3. Neutrophils 4. Basophils

2

Which of the following herbal products has the benefits of overall well-being, cancer prevention, dental health, and maintenance of heart and liver health as a result of being loaded with antioxidants? 1. Kava 2. Green tea 3. Licorice 4. Ma huang

2

Which of the following herbal products may delay the need for prostate surgery in clients with BPH? 1. St John's Wort 2. Saw palmetto 3. Licorice 4. Foxglove

2

Which of the following is responsible for a delayed-type immune response? 1. Antibodies 2. T lymphocytes 3. B lymphocytes 4. Macrophages

2

Which of the following might the nurse expect the doctor to prescribe for topical treatment of a client's acne vulgaris? 1. Ciclopirox (Loprox) 2. Clindamycin (Clindagel) 3. Imiquimod (Aldara) 4. Nystatin (Mycostatin)

2

Which of the following topical drugs exerts localized anti-inflammatory activity? 1. Mupirocin (Bactroban) 2. Alclometasone (Aclovate) 3. Butenafine (Mentax) 4. Chlorhexidine (Hibiclens)

2

A group of nursing students are reviewing info about hormonal therapy for cancer. The students demonstrate understanding of the info when they identify which of the following as a gonadotropin-releasing hormone analog? Select all that apply 1. Abiraterone 2. Leuprolide 3. Bicalutamide 4. Degarelix 5. Estramustine

2, 4

A client is prescribed oxybutynin in a transdermal form. The nurse would instruct the client to apply the patch to which area? Select all that apply. 1. Thigh 2. Hip 3. Upper arm 4. Buttocks 5. Abdomen

2, 4, 5

A client develops neutropenia secondary to chemotherapy. The nurse would identify that this client is at risk for which of the following? 1. GI bleed 2. Venous thromboembolism 3. Infection 4. Vomiting

3

A client has onychomycosis. Which of the following might the nurse expect to be prescribed? 1. Acyclovir (Zovirax) 2. Erythromycin (Erygel) 3. Ciclopirox (Penlac) 4. Vidarabine (Ara-A)

3

A client is prescribed phenazopyridine. In addition to informing the client that the drug can cause a change in urine color, the nurse would tell the client that which of the following may also change color? 1. Nail beds 2. Tooth enamel 3. Fluid lubricating the eyes 4. Facial color

3

A client who is hospitalized develops a UTI and is receiving anti-infective therapy. The nurse would expect to monitor the client's intake and output at which frequency? 1. Every 6 hours 2. Every 4 hours 3. Every 8 hours 4. Every 2 hours

3

A female client is prescribed estradiol cypionate for treatment of severe vasomotor symptoms associated with menopause. The nurse would expect to administer this drug by which route? 1. PO 2. Transdermally 3. IM 4. IV

3

A group of nursing students demonstrate understanding of blood cells when they identify which cell as responsible for controlling the bleeding from microscopic to major tears in our tissues? 1. Erythrocytes 2. Neutrophils 3. Megakaryocytes 4. Leukocytes

3

A nurse administers methenamine (Hiprex) cautiously to a client with a history of which of the following? 1. Rheumatoid arthritis 2. Osteoarthritis 3. Gout 4. Tendonitis

3

A nurse is caring for a client who is being treated with temozolomide in conjunction with radiation to the brain. The client has also started prophylactic therapy to prevent Pneumocystitis carinii pneumonia. Which of the following instructions should the nurse convey to this client? 1. Avoid sunlight and wear loose clothing 2. Do not use dental floss or firm toothbrushes 3. Stay away from crowds and ill individuals 4. Avoid use of electric razors and nail trimmers

3

A patient is receiving folic acid for the treatment of megaloblastic anemia. The patient tells the nurse that she also takes hydantoins. The nurse would monitor the client for which of the following due to an interaction with these two drugs? 1. Signs of iron deficiency 2. Decreased BP 3. Increased seizure activity 4. Signs of folate deficiency

3

A patient with a history of multiple drug allergies is due to receive vaccination against chickenpox. Which of the following would the nurse expect to be completed before the vaccine is administered? 1. Bleeding time 2. Lipid profile 3. Skin test 4. Urine routine

3

A pregnant nurse should not handle crushed or broken tablets of which of the following medications as it is classified in pregnancy category X and its absorption poses substantial risk for abnormal growth to a male fetus? 1. Estradiol 2. Medroxyprogesterone 3. FInasteride 4. Nandrolone

3

After reviewing info about the use of epoetin alfa (Epogen), the nurse demonstrates understanding of the info by identifying that this drug is C/I in clients with which of the following medical conditions? 1. Uncontrolled diabetes 2. Uncontrolled dyslipidemia 3. Uncontrolled HTN 4. Uncontrolled hypothyroidism

3

After teaching a group of nursing students about the actions of an antiseptic drug, the instructor determines that additional teaching is needed when the students identify which of the following? 1. Prevents bacterial growth 2. Stops bacterial growth 3. Kills bacteria 4. Slows bacterial growth

3

Based on the nurse's understanding of antineoplastic drugs, the nurse would anticipate administering which of the following in conjunction with doxorubicin (Doxil) as a cardioprotective agent? 1. Amifostine (Ethyol) 2. Leucovorin (Wellcovorin) 3. Dexrazoxane (Zinecard) 4. Mesna (Mesnex)

3

Filgrastim (Neupogen) should be used cautiously in patients with which of the following medical conditions? 1. HTN 2. Diabetes 3. Hypothyroidism 4. Hypertriglyceridemia

3

The administration of immune globulins or antivenins to a patient is a form of what type of immunity? 1. Actificially acquired active immunity 2. Active immunity 3. Passive immunity 4. Naturally acquired active immunity

3

The nurse is administering a urinary tract drug that exerts a topical analgesic effect on the lining of the urinary tract. Which drug would the nurse most likely to administer? 1. Amoxicillin (Amoxil) 2. Methenamine (Urex) 3. Phenazopyridine (Pyridium) 4. Trimethoprim (TMP)

3

The part of cell growth that entails RNA and protein synthesis preparing for division is known as which of the following? 1. G1 phase 2. M phase 3. G2 phase 4. S phase

3

Which of the following classes of antineoplastic drugs inhibit DNA synthesis during the S phase? 1. Podophyllotoxins 2. Vinca alkaloids 3. Camptothecin analogs 4. Taxanes

3

Which of the following is an example of an antineoplastic drug that interferes with amino acid production in the S phase and the formation of microtubules in the M phase? 1. Irinotecan (Camptosar) 2. Teniposide (Vumon) 3. Vinblastine (Velban) 4. Etoposide (Toposar)

3

Which of the following topical drugs would a client use to help remove the plaques associated with psoriasis? 1. Retapamulin (Altabax) 2. Azelaic acid (Azelex) 3. Calcipotriene (Dovonex) 4. Naftifine (Naftin)

3

A nurse is caring for a client who has received antineoplastic therapy. The client has developed inflammation of the oral mucous membrane, which if affecting his nutritional status. Which of the following would be most appropriate? Select all that apply 1. Use lemon or glycerin swabs frequently 2. Rinse oral cavity with alcohol-based mouthwash 3. Provide mouth care with normal saline every 4 hours 4. Offer soft or liquid foods

3, 4

A patient with chronic renal failure is prescribed darbepoetin alfa. After administrating the drug, the nurse would assess the client for which of the following as an adverse reaction? Select all that apply 1. Constipation 2. GI irritation 3. Rashes 4. Arthralgia 5. HTN

3, 4, 5

After administering the prescribed trimethoprim/sulfamethoxazole to a client, the nurse would assess the client for which of the following adverse reactions? Select all that apply 1. Yellowish discoloration of sclera 2. Red-orange urine 3. Glossitis 4. Allergic skin reaction 5. Anorexia

3, 4, 5

A client has been prescribed the drug finasteride for the treatment of BPH. Which of the following adverse effects of the drug should the nurse caution the client about? 1. Increased libido 2. HTN 3. Hyperglycemia 4. Impotence

4

A client is diagnosed with erectile dysfunction has been advised to take sildenafil. For up to how many hours does the action of the drug persist? 1. 12 hrs 2. 8 hrs 3. 24 hrs 4. 4 hrs

4

A client receives an immunization. The nurse interprets this as providing the client with which type of immunity? 1. Active immunity 2. Passive immunity 3. Naturally acquired active immunity 4. Artificially acquired active immunity

4

A nurse is caring for an elderly client who is receiving vinblastine IV. The nurse suspects that the client is experiencing extravasation based on assessment of which of the following? 1. Sore throat 2. Fever 3. Chills 4. Swelling at IV site

4

A patient is being vaccinated for measles asks the nurse about the contents of the vaccine. During her explanation, the nurse mentions a poisonous substance produced by some bacteria that is capable of stimulating antitoxin production. Which of the following is the nurse referring to in the explanation? 1. Vaccine 2. Immune globulin 3. Toxoid 4. Toxin

4

After teaching a group of nursing students about antimetabolite drugs, the instructor determines that the teaching was successful when the students identify which of the following as an example? 1. Chlorambucil (Leukeran) 2. Topotecan (Hycamtin) 3. Ixabepilone (Ixempra) 4. Capecitabine (Xeloda)

4

It is important for the nurse to obtain an allergy history before administering an anti-infective because clients who are allergic to tartrazine should not take which of the following anti-infectives? 1. Nitrofurantoin (Macrobid) 2. Amoxicillin (Amoxil) 3. Ciprofloxacin (Cipro) 4. Methenamine (Hiprex)

4

The nurse should advise clients taking phenazopyridine (Pyridium) that they may notice a change in urine color. Which color would the nurse identify? 1. Blue 2. Green 3. Purple 4. Brown

4

The nurse should expect to see which of the following when warfarin is administered concomitantly to a client who is prescribed sulfamethoxazole? 1. Increased anti-infective effect 2. Decreased anti-infective effect 3. Decreased anticoagulant effect 4. Increased anticoagulant effect

4

The nurse should monitor patients receiving human immune globulin IV products closely for problems with which of the following organs? 1. Heart 2. Liver 3. Lungs 4. Kidneys

4

Which of the following can a nurse recommend to a client for the treatment of HSV that is available without a prescription? 1. Acyclovir (Zovirax) 2. Imiquimod (Aldara) 3. Penciclovir (Denavir) 4. Docosanol (Abreva)

4

Whn describing the use of nitrofurantoin (Macrobid), a nurse explains that this drug has been known to cause acute and chronic reactions in which of the following systems? 1. Digestive 2. Nervous 3. Cardiovascular 4. Respiratory

4

A client at a health care facility is receiving nitrofurantoin drug therapy for acute bacterial UTIs. The nurse would be alert to which of the following as a possible adverse reaction? Select all that apply 1. Urinary retention 2. Glossitis 3. Diarrhea 4. Bacterial superinfection 5. Peripheral neuropathy

4, 5

True or false: BPH increases a male's risk for the development of prostate cancer

False

True or false: UTIs most commonly affect the ureters and kidneys

False