EXAM 2 PRACTICE EXAM - NUR 314

Exposure to unfractionated heparin can result in which complication?

Heparin-induce thrombocytopenia

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:

Oral contraceptives

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

Provide adequate oxygenation. nydration, and pain management

Which complication can occur if vancomycin is adminsitered too rapidly?

Red man syndrome

Which cells are present in Hodgkin Disease that makes it different than non-Hodakins Disease?

Reed-Sterberg cells

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

A client with hemophilia who is receiving acetylsalicylic acid (ASA) for joint pain

The nurse is reviewing the health care 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? (Select all that apply.)

- Corticosteroid medication - Splenectomy - immunosuppressive agents - Transfusions

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?

Adjust the dosage to the therapeutic range.

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?

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

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

Avoid exposure to others with acute infection

Hemophilia B is also known as:

Christmas Disease

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

Corticosteroids

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?

I should floss my teeth to promote good dental health

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

Increasing fluid intake and giving analgesics

Match the HIV antiretroviral to its classification group Didanosine -- Raltegravir -- Maraviroc --

NRTI Integrase inhibitor CCR5 antagonist

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

Nephrotoxicity

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

Night sweats and fatigue.

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

Normal Saline

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?

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

Which intravenous solution would be considered hypertonic?

TPN solution (Banana Bag)

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?

This drug helps treat the pain from nerve irritation

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

To reduce viral resistances

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

would culture or specimen culture performed

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

Treat the underlying opportunistic infection

-A client is tested for human immunodeficiency virus (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 that he definitely has HIV. How should the nurse respond to the client?

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

A client arrives at the emergency department with complaints of hives, itching, and difficulty swallowing and says, "My throat feels as though it is closing off." The client states that they were visiting a relative who has two cats and two dogs and believes 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? selected

Administration of a subcutaneous injection of epinephrine

Which client should the nurse see first?

Client with prothrombin time of 32 seconds

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

Clopidogrel

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

Improvement in the clients condition

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?

Instituting measures to prevent infection in the client

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

International Normalized Ratio (INR) is used to assess effectiveness.

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

Oral hypoglycemics

The nurse is teaching a client with polycythemia vera about potential complications from this disease. Which manifestations should the nurse include in the client's teaching plan? X (Select all that apply.)

Orthopnea Visual disturbance Gout Headache

Match the antibiotic to its classification group Correct Match Amoxicillin Ceftriaxone Azithromycin Clindamycin Demeclocycline Gentamicin Levofloxacin

Penicillins Cephalosporins Macrolides Lincosamides Tetracyclines Aminoglycosides Fluroquinolones

The nurse caring for a client who is taking an aminoglycoside should monitor the client for which adverse effects of the medication? (Select all that apply.)

Renal toxicity ototoxicity

What is the antidote for warfarin overdose?

Vitamin K

Match the transmission-based precaution to the appropriate disease. (All options are used at least once) Measles Mumps Vancomycin-resistant Enterococcus-

airborne droplet contact

Protease inhibitors generally cause elevation of which lab values?

cholesterol and triglycerides

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

clear plastic shield placed over the site

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

conjunctiva of eye

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?

exposure to high altitudes

An adolescent is diagnosed with iron deficiency anemia. After emphasizing the importance

ham and eggs

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

help prevent further clogging of my arteries."

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

pallor, tachycardia, and sore tongue

What is the reversal agent for heparin?

protamine sulfate

A client has extreme fatique 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?

vitamins B6 and B12, folate, iron, and copper