G&D adaptive quiz

Which statement by a staff member after an educational session on the use of adenosine for supraventricular tachycardia indicates that the teaching has been effective? a) "We will need a crash cart available at the client's bedside" b) "We will plan to schedule the anesthesiologist to be available" c) "The medication should be injected over at least 1 to 2 minutes" d) "Infusion of normal saline will be needed before medication injection"

a) "We will need a crash cart available at the client's bedside"

Which possible dysrhythmia would a nurse anticipate testing for after noting that a client in the clinic has an irregularly irregular pulse rhythm at a rate of 88 beats/minute? a) atrial fibrillation b) ventricular tachycardia c) complete heart block d) supraventricular tachycardia

a) atrial fibrillation

Which signs and symptoms would the nurse observe in clients with anorexia nervosa? SELECT ALL THAT APPLY a) cachexia b) purging c) diarrhea d) hypertension e) lanugo

a) cachexia b) purging e) lanugo

Which speech pattern is observed in autistic children? a) echolalia b) stuttering c) scanning speech d) pressured speech

a) echolalia

Which assessment would the nurse perform for a 10-year-old client prescribed methylphenidate to treat ADHD? SELECT ALL THAT APPLY a) grades b) weight c) appetite d) behavior e) heart rate

a) grades b) weight c) appetite d) behavior e) heart rate

Which feeling will a client diagnosed with bulimia nervosa experience after an episode of binge eating? SELECT ALL THAT APPLY a) helplessness b) sleepiness c) loneliness d) hopelessness e) powerlessness

a) helplessness d) hopelessness e) powerlessness

Which behavior is expected for a child with ADHD? SELECT ALL THAT APPLY a) impulsiveness b) excessive talking c) spitefulness and vindictiveness d) deliberate annoyance of others e) playing video games for hours on end f) failure to follow through or finish tasks

a) impulsiveness b) excessive talking e) playing video games for hours on end f) failure to follow through or finish tasks

Which action would the nurse take for an adolescent client with anorexia nervosa? a) reward weight gain by increasing privileges b) discuss the importance of eating a balanced diet c) encourage the client to include high-calorie foods in the diet d) suggest family therapy to focus on the client's behavior

a) reward weight gain by increasing privileges

Which assessment findings would the nurse report to the health care provider as a possible sign of autism in an 18-month-old child? a) child clings to mother or father during times of stress and fatigue b) child avoids eye contact and does not respond to facial expressions c) child cries when the nurse approaches to do the physical exam d) child verbalizes using single words with gestures and hand motions

b) child avoids eye contact and does not respond to facial expressions

Which behavior occurs in anorexia nervosa, restricting type? SELECT ALL THAT APPLY a) engages in episodes of purging b) denies the seriousness of the disorder c) fears gaining weight and becoming fat d) has a disturbance in the way the body is viewed e) participates in excessive exercise to lose weight

b) denies the seriousness of the disorder c) fears gaining weight and becoming fat d) has a disturbance in the way the body is viewed e) participates in excessive exercise to lose weight

When assessing a toddler with autism spectrum disorder (ASD), which characteristics findings or behaviors would the nurse expect? SELECT ALL THAT APPLY a) the desire to hug the nurse b) flat, blank facial expression c) laughing when pulse is taken d) inability to maintain eye contact e) enjoys climbing on stairs and furniture

b) flat, blank facial expression c) laughing when pulse is taken d) inability to maintain eye contact

The signs of autism are initially evident by which age? a) 1-3 months b) 6 months c) 2 years d) 6 years

c) 2 years

Which outcome criteria would be important to discuss with a female client who has bulimia nervosa? SELECT ALL THAT APPLY a) resuming menstruation b) achieving 85% of ideal body weight c) abstaining from binge-purge behaviors d) describing a realistic perception of body shape e) demonstrating three learned skills for managing stress

c) abstaining from binge-purge behaviors d) describing a realistic perception of body shape e) demonstrating three learned skills for managing stress

Which signs and symptoms are typical for anorexia nervosa? a) slow pulse rate, mild weight loss, and alopecia b) compulsive behaviors, excessive fears, and nausea c) amenorrhea, excessive weight loss, and abdominal distention d) excessive activity, memory lapses, and an increase in the pulse rate

c) amenorrhea, excessive weight loss, and abdominal distention

Which medications would be indicated for the management of ADHD? SELECT ALL THAT APPLY a) modafinil b) sumatriptan c) atomoxetine d) benztropine e) methylphenidate f) dextroamphetamine

c) atomoxetine e) methylphenidate f) dextroamphetamine

Which type of treatment would the HCP prescribe for an adolescent with bulimia nervosa? a) rational-emotive behavioral therapy b) supportive group therapy c) cognitive behavioral therapy d) crisis intervention eclectic therapy

c) cognitive behavioral therapy

Which conclusion would likely be true about a young adolescent client hospitalized with anorexia nervosa? a) is somewhat concerned that the eating behavior may threaten life b) has some understanding of anorexia nervosa because of media publicity c) has minimal awareness that reduced calorie intake has lethal implications d) is demonstrating an unconscious desire for death by refusing food

c) has minimal awareness that reduced calorie intake has lethal implications

Which initial action would the nurse take when a toddler with autism spectrum disorder suddenly runs to the wall and starts banging his head on it? a) allow the toddler to act out feelings b) ask the toddler to stop this behavior c) restrain the toddler to prevent head injury d) tell the toddler that the behavior is unacceptable

c) restrain the toddler to prevent head injury

A child who has ADHD is prescribed methylphenidate hydrochloride. Which behavior indicates the child needs further treatment? a) the child follows instructions given by teachers on a regular basis b) the child remains attentive during long classes while seated at a desk c) the child experiences difficulty keeping school assignments organized d) when instructed to wait, the child sits in one place without complaint

c) the child experiences difficulty keeping school assignments organized

Which medication would be MOST beneficial for the child diagnosed with inattention, hyperactivity, and impulsivity? a) modafinil b) doxapram c) armodafinil d) atomoxetine

d) atomoxetine

Which statement is true in comparing anorexia nervosa with bulimia nervosa? a) clients with anorexia nervosa tend to be more extroverted than clients with bulimia nervosa b) clients with anorexia seek intimate relationships, whereas clients with bulimia avoid them c) clients with anorexia nervosa are at greater risk for fluid imbalances d) clients with bulimia nervosa generally recognize that their eating pattern is abnormal

d) clients with bulimia nervosa generally recognize that their eating pattern is abnormal

Which medication is the first choice of medication for the treatment of ADHD? a) clonidine b) guanfacine c) atomoxetine d) methylphenidate

d) methylphenidate