1) A 1-year-old child receives the MMR vaccine. The next day
the child's parent calls the nurse to report that the child has a
temperature of 103°F. What will the nurse do?
a) File an adverse event report with the Vaccine Adverse Event
Reporting System.
b) Notify the child's provider that thrombocytopenia is likely to
occur.
c) Reassure the parent that fever can occur with the MMR
vaccine.
d) Tell the parent to take the child to the emergency department.
Correct Answers c
10) The nurse teaches a group of postmenopausal women about
hormone therapy (HT). Which information should the nurse
include in the teaching plan?
a) The most frequent adverse effect of HT is headache.
b) HT increases the risk of stroke and venous thromboembolism.
c) Blood levels of estrogen are more consistent with oral HT.
d) HT may cause a harmless yellow discoloration of the skin.
Correct Answers b
11) Which patient would be at greatest risk of developing a
venous thromboembolism if a combination oral contraceptive
were prescribed?
a) A 25-year-old patient who drinks 3 to 4 alcoholic drinks a day
b) A 45-year-old patient who has a family history of stroke
c) A 22-year-old patient who smokes 2 packs of cigarettes a day
,d) A 29-year-old patient who has used birth control pills for 9
years Correct Answers c
12) A patient is prescribed metformin. Which statement about
metformin does the nurse identify as true?
a) Metformin increases absorption of vitamin B12.
b) Metformin can delay the development of type 2 diabetes in
high-risk individuals.
c) Metformin causes patients to gain weight.
d) Metformin use predisposes patients to alkalosis. Correct
Answers b
13) The nurse is teaching a group of patients who are newly
diagnosed with Type 1 Diabetes Mellitus about Insulin. Which
statement should be avoided in this teaching?
a) A careful balance is required between Insulin dose, food
intake and activity.
b) You may gain weight in the initial stages of your treatment.
c) Long-acting insulins are to be taken once a day at bedtime
d) A key adverse effect of Insulin is hyperglycemia. Correct
Answers d
14) A patient tells a nurse that antihistamines help relieve cold
symptoms and wants to know why they are not recommended or
prescribed for this purpose. How does the nurse explain the
benefit that antihistamines provide for the common cold?
a) Antihistamines have anticholinergic properties that decrease
rhinorrhea.
b) Antihistamines work by blocking H1 receptors in nasal
passages.
,c) Antihistamines work by reducing secretions at H2 receptor
sites.
d) Antihistamines have sedative effects, which help patients rest
and sleep. Correct Answers d
15) A patient is prescribed cimetidine, an H2-blocker, and
aluminum hydroxide, an antacid, for the treatment of peptic
ulcer disease. What should the nurse teach the patient to do?
a) Drink an 8-ounce glass of water when taking these
medications.
b) Take the medications together to enhance their effectiveness.
c) Take the Tagamet 2 hours before the Maalox.
d) Wait at least 1 hour between administrations of the two
medications. Correct Answers d
16) A 6-year-old child has frequent constipation. The nurse
provides teaching after the parent asks the nurse why the
provider recommended using laxatives only when needed.
Which statement by the parent indicates a need for further
teaching?
a) "Children who take laxatives regularly can become
dehydrated."
b) "Chronic laxative use can cause electrolyte imbalances."
c) "Frequent use of laxatives can cause diverticulitis."
d) "The normal reflex to defecate can be inhibited with overuse
of laxatives." Correct Answers c
17) A patient with renal disease is scheduled for a colonoscopy.
Before the procedure, the nurse will anticipate administering:
a) psyllium fibre
b) magnesium hydroxide.
, c) polyethylene glycol and electrolytes.
d) docusate Correct Answers c
18) A patient tells you that she is allergic to the drug her health
care provider just prescribed. What is your best first response or
action? a) Ask her to describe the allergic response she had
previously to this drug.
b) Ask her whether she received the drug she was allergic to by
mouth or by injection.
c) Thank her and ask the health care provider to prescribe
something else.
d) Tell her that an antidote can prevent an allergic response to
the prescribed drug. Correct Answers a
19) Why do you teach patients to rotate the site of injection for
insulin?
a) to reduce the risk of hypoglycemia
b) to decrease the formation of antibodies to insulin
c) to prevent development of resistance to insulin
d) to limit the development of lipodystrophy Correct Answers
d
2) A patient is prescribed an oral corticosteroid for a chronic
inflammatory health problem. Which precaution is most
important to teach?
a) "Never stop taking this drug without consulting your
prescriber." b) "Avoid crowds and people who are ill."
c) "Be sure to take this drug with food."
d) "Reduce your salt intake." Correct Answers a
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