NUR314 Exam 2 practice questions

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 cliche that which factor can cause a crisis Increased intake of fluid Mild exercise Warm Weather Exposure to high altitudes

Exposure to high altitudes

iron levels

F: 60-160 M: 80-180

Levofloxacin is what type of antibiotic? Penicillins Cephalosporins Macroslides Lincosamides Tetracyclines Aminoglycosides Fluroquinolones

Fluroquinolones

An adolescent is diagnosed with iron deficiency anemia. After emphasizing the importance of consuming dietary iron, the nurse asks the client to select iron-risk breakfast items from a sample menu. Which selection demonstrates knowledge of dietary iron sources? Bagel and cream cheese Grapefruit and White toast Pancakes and a banana Ham and eggs

Ham and eggs

Which solution is the only solution that can be administered with blood transfusions? Normal Saline 0.45% Sodium Chloride Hespan 6% solution 10% Dextrose in water

Normal Saline

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: Multiple vitamins over-the-counter antihistamines Oral contraceptives ibuprofen

Oral contraceptives

Levofloxacin may increase the effects of which class of medication which can be problematic for diabetics Antihypertension Antacids Oral hypoglycemics Anti-inflammatory (NSAIDs)

Oral hypoglycemics

Which complication can occur if vancomycin is administered too rapidly? Cushing's syndrome Red man syndrome Puritis and acute alopecia Mallory-Weiss tear

Red man syndrome

Which cells are present in Hodgkins Disease that makes it different that non-Hodgkins Disease? Gaucher's cells Reed-Sternburg cells Rieder's cells Lymphoblastic cells

Reed-Sternburg cells

Demeclocycline is what type of antibiotic? Penicillins Cephalosporins Macroslides Lincosamides Tetracyclines Aminoglycosides Fluroquinolones

Tetracyclines

a nurse has been assigned to four clients. Which client should the nurse see first? A client with systemic lupus erythematosus (SLE) with malar rash on the face A client with Hodgkin's lymphoma complaining of fatigue and night sweats A client with hemophilia who is receiving acetylsalicylic acid (ASA) for joint pain A client with rheumatoid arthritis who is receiving adalimumab for inflammation

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

Getamicin is what type of antibiotic? Penicillins Cephalosporins Macroslides Lincosamides Tetracyclines Aminoglycosides Fluroquinolones

Aminoglycosides

International Normalized Ratio (INR)

0.8-1.1

Platelet count

150,000-400,000

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? Teach the client about the benefits of maintaining a healthy lifestyle Arrange for the client to have a follow-up throat culture Instruct the client to restart the remaining course of the antibiotics after 5 days Assess the client, and teach about the phenomena of antibiotic resistance

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

Maraviroc is a HIV antiretroviral that is classified under what group? NRTI Integrase inhibitor CCR5 antagonist

CCR5 antagonist

Cetriaxone is what type of antibiotic? Penicillins Cephalosporins Macroslides Lincosamides Tetracyclines Aminoglycosides Fluroquinolones

Cephalosporins

Protease inhibitors generally cause elevation of which lab values? Glucose and estrogen Hemoglobin and hematocrit Testosterone and glucogon Cholesterol and triglycerides

Cholesterol and triglycerides

Hemophilia B is also known as _______ Disease.

Christmas

Hemophilia B is also known as New Years Disease I think I passed my exam disease Christmas disease St. Patrick's Day disease

Christmas disease

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? Opaque dressing to hide the site from the client Restrain the hand, or arm, to the bed railing Clear plastic shield placed over the site Place hand-mitt restraint over the site

Clear plastic shield placed over the site

Which client should the nurse see first Client with white cell count of 7,000/mm3 Client with platelet count of 135,000/mm3 Client with red blood cell count of 4.9 million/uL Client with prothrombin time of 32 seconds

Client with prothrombin time of 32 seconds

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 anticipate for this patient Haemophilus influenza vaccine Fresh frozen plasma Corticosteroids Platelet transfusion

Corticosteroids

Mumps is what type of transmission-based precaution? Airborne Droplet Contact

Droplet

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 may need to have treatment 5 times each week I will exercise slowly only if my provider approves I should drink at least 3 liters of fluid each day I should floss my teeth to promote good dental health

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? Giving blood transfusion Giving antibiotics and steroids Increasing fluid intake and giving analgesics Preparing the client for a splenectomy

Increasing fluid intake and giving analgesics

Clindamycin is what type of antibiotic? Penicillins Cephalosporins Macroslides Lincosamides Tetracyclines Aminoglycosides Fluroquinolones

Lincosamides

Azithromycin is what type of antibiotic? Penicillins Cephalosporins Macroslides Lincosamides Tetracyclines Aminoglycosides Fluroquinolones

Macroslides

Didanosine is a HIV antiretroviral that is classified under what group? NRTI Integrase inhibitor CCR5 antagonist

NRTI

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

Nephrotoxicity

Which of the following symptoms is typical of Hodgkin's Disease Nausea and vomiting Weight gain painful cervical lymph nodes Night sweats and fatigue

Night sweats and fatigue

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 Delay the procedure to allow the patient to deal with her feelings Warn the patient to stay very still because the smallest movement will increase her pain Encourage the family to stay in the room for the procedure Stay with the patient and focus on slow, deep breathing for relaxation

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

Which intravenous solution would be considered hypertonic? 0.9% sodium chloride Lactated Ringers TPN solution (Banana Bag) 0.45% sodium chloride

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 seizures. What response by the nurse is best? This drug helps treat pain from nerve irritation I have no idea why you would be taking this drug Gabapentin can be used as an antidepressant too You are at risk for seizures due to fungal infections

This drug helps treat pain from nerve irritation

The antidote for warfarin.

Vitamin K

Precaution used for TB clients

airborne

Medication that disrupts platelet activity.

aspirin

VRE is what type of transmission-based precaution? Airborne Droplet Contact

Contact

Exposure to unfractionated heparin can result in which complication Peripheral neuropathy Heparin-induced thrombocytopenia Avascular necrosis Diseminated intravasular coagulation

Heparin-induced thrombocytopenia

What is the reversal agent for heparin overdose? Protamine Sulfate Vitamin K N-acetlycysteine Naloxone

Protamine Sulfate

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? "A positive test means that the infection was diagnosed early in the initial infection period." "Yes, you definitely have HIV." "False-positive results are reported all of test "Another test will be done to determine if you hav HIV"

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

Prothrombin Time (PT)

11-12.5 seconds 85%-100%

Total Iron Binding Capacity (TIBC)

250-460 mcg/dL

white blood cell count

5,000-10,000/mm3

Measles is what type of transmission-based precaution? Airborne Droplet Contact

Airborne

A nurse is caring for a client admitted with pernicious anemia. Which set of findings should the nurse expect when assessing the client Sore tongue, dyspnea, and weight gain Pallor, tachycardia, and a sore tongue Angina pectoris, double vision, and anorexia Pallor, bradycardia, and reduced pulse pressure

Pallor, tachycardia, and a sore tongue

Amoxicillin is what type of antibiotic? Penicillins Cephalosporins Macroslides Lincosamides Tetracyclines Aminoglycosides Fluroquinolones

Penicillins

The nurse is caring for a client who is taking aminoglycoside should monitor the client for which adverse effect of this medication (select all that apply) Renal toxicity Red man syndrome Diplopia Seizures Ototoxicity

Renal toxicity Ototoxicity

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 Stop all cART therapies the client is on Increase the prescribed cART therapy Notify the CDC of the occurrence for reporting

Treat the underlying opportunistic infection

A client has extreme fatigue and is malnourished, and laboratory tests reveal a hemoglobin level of 8.5 g/dL (85 g/L). The nurse should specifically ask the client about the intake of food low in which nutrients? Vitamins A, E, and C Thiamine, Riboflavin, and niacin Vitamin B6 and B12, folate, iron, and copper Vitamins A and B

Vitamin B6 and B12, folate, iron, and copper

A must have before a bone marrow biopsy

consent

Taking antibiotics may reduce effectiveness of oral ________

contraceptives

Before starting antibiotics, a _____ should be taken first.

culture

Older clients are at risk for _____ with B12 deficiency due to paresthesia effects.

falls

Clopidogrel should be stopped _____ days before any surgical procedure.

five

Priority action for polycythemia clients would be to increase intake of _____

fluids

Adult with iron deficiency anemia should be evaluated for abnormal bleeding, especially from the _____ tract

gastrointestinal

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: limit inflammation around my incision." help prevent further clogging of my arteries" reduce the discomfort I feel at the surgical incision" lower the slight fever I have had since surgery"

help prevent further clogging of my arteries"

To estimate hematocrit, take three times the _____

hemoglobin

Roast beef is an example of an _____ rich food.

iron

Increased levels of iron

iron excess, liver disorders, hemochromatosis

Efavirenz is toxic to the liver that may cause the client to be ______

jaundice

RBC count

male: 4.7 - 6.1 female: 4.2 - 5.4

hematocrit level

male: 42-52 female: 37-47

Hemoglobin level

males 14-18 females 12-16

Dark urine and metallic taste is a common side effect of ____

metronidazole

High dosages of ceftriaxone may lead to ______

nephrotoxicity

A common effect with pulmonary edema is _____ frothy sputum

pink

Autoimmune idiopathic thrombocytopenic purpura commonly treated by transfusing _____

platelets

decreased levels of Hemoglobin

possible anemia or hemorrhage

decreased levels of RBCs

possible anemia or hemorrhage

decreased levels of hematocrit

possible anemia or hemorrhage

Increased levels of Hemoglobin

possible chronic hypoxia or polycythemia vera

Client's with Sickle Cell disease should avoid _____ situations.

stressful

Client's on erythromycin should report _______

tinnitus

Efavirenz is commonly given in combination product called Atripla. What is the purpose for doing this? To avoid side effects mostly To reduce cost of the treatment To reduce viral resistances To prevent pill burden only

to reduce viral resistances

Classic sign of pernicious anemia would be a red ______ that is smooth and sore.

tongue

Checking off blood before a transfusion requires _____ healthcare professional(s)

two

Heparin-induced thrombocytopenia commonly cause by ______ heparin

unfractionated

Red man syndrome is a result of rapid infusion of ______

vancomycin

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 Minimize side effects Reach therapeutic levels more quickly Avoid inducing an allergic reaction

Adjust the dosage to the therapeutic range

Which medication does not require regular blood test monitoring but it can affect platelet function up to 7-10 days? Warfarin Clopidogrel Heparin Ibuprofen

Clopidogrel

Which area is most effective for assessing for pallor on a client who has dark-tone skin? Midline of chest Bridge of nose Pinna of the ear Conjunctiva of the eye

Conjunctiva of the eye

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? Providing emotional support to the client Identifying the ways that AIDS can be contracted by others Discussing the ways that the client contracted the AIDS virus Instituting measures to prevent infection in the client

Instituting measures to prevent infection in the client

Raltegravir is a HIV antiretroviral that is classified under what group? NRTI Integrase inhibitor CCR5 antagonist

Integrase Inhibitor

The Nurse is reviewing the health care provider's prescription 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) Immunosuppressive Agents Transfusions Splenectomy High dose aspirin therapy Corticosteroid medication

Immunosuppressive Agents Transfusions Splenectomy Corticosteroid medication

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? That infection is likely to develop The need for aggressive therapy with intravenous antibiotics That the count is dangerously low Improvement in the client's condition

Improvement in the client's condition

What information should the nurse provide to the client who is receiving warfarin Protamine sulfate is used to reverse the effects of warfarin sodium International Normalized Ratio (INR) is used to assess effectiveness Warfarin sodium will facilitate clotting of the blood Partial thromboplastin time values determine the dosage of warfarin sodium

International Normalized Ratio (INR) is used to assess effectiveness

What is the antidote for warfarin overdose? Protamine Sulfate Vitamin K Charcol Kayexalate

Vitamin K

Before administering an antibiotic for a potential infection, what should be done first? Would culture or specimen culture performed Verification of insurance for payment Inserting a large-bore intravenous catheter Having a verbal consent on medical record

Would culture or specimen culture performed

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? Application of ice to the throat Administration of normal saline solution Administration of a subcutaneous injection of epinephrine Administration of an intravenous glucocorticoid

administration of a subcutaneous injection of epinephrine

Increased levels of WBCs

associated with infection, inflammation, autoimmune

Client with thrombocytopenia is a high risk for ______

bleeding

Increased levels of RBCs

possible chronic hypoxia or polycythemia vera

Increased levels of hematocrit

possible chronic hypoxia or polycythemia vera

decreased levels of iron

possible iron deficiency anemia, hemorrhage

decreased levels of WBCs

prolonged infection or bone marrow suppression

A client is admitted for sickle cell crisis. Which nursing intervention would be the priority provide adequate oxygenation, hydration, and pain management Monitor the client's temperature, heart rate, and blood pressure every 2 hours Gather information about the client's ability to cope with this condition Make sure the family is involved in every step of the client's care

provide adequate oxygenation, hydration, and pain management

Slight elevation of temperature in a leukemia client must be _____ immediately.

reported

Type of precaution to place a client who is thrombocytopenic

safety