PNM final exam questions questions with 100% correct answers latest test

1 1) Vitamin ----------- will reduce the therapeutic effects of levodopa. 1mark  B6 2) 60yrs old Mrs. Diddi calls the oncology clinical to report a very painful rash that runs in a half-circle along her rib line composed of raised, fluid -filled lesions. She is diagnosed with shingles and a prescription for acyclovir (Zovirax® orded). The patient has some questions for the nurse regarding the disease and the medication. (Include rationale in your responses). 1. The patient asks the nurse why she has developed shingles. How will the nurse respond? 2. The patient asks what adverse effects she can expect. How will the nurse respond? Diaherra, Nausea, vomiting, headache, burning when applying tropical cream. 3) A test that detects the patient's blood glucose for the past 3 months is called ----------- A1C Test. 4) 20yr old Matt is in a rehabilitation centr e and is beginning to experience opioid withdrawal symptoms. What would you expect to be ordered for this patient's treatment? a. disulfiram (Antabuse®) protocol b. diazepam (Valium®) C. methadone hydrochloride d. Antidepressant therapy 5) What is/are the major symptom(s) that characterize diabetes? (Select all that apply.) I mark O a. Polyuria O b. Polyposia O c. Polyrrhea O d. Polydipsia O e. Polyphagia 6) Glucocorticoids act in which of the following ways: (Select all that apply) O a. anti -inflammatory actions O b. sodium and water resorption O c. decrease fat metabolism O d. maintenance of normal BP 7) Which statements are correct regarding the reason for using multidrug therapy to treat HIV? (Select all that apply.) O a. The use of multiple drugs is more effective against resistant strains of HIV. O b. This type of therapy reduces the incidence of opportunistic infections. Oc. The combination of drugs has fewer associated toxicities. 2 O d. The goal of this treatment is to reduce the viral load. O e. Effective treatment results in reduced T -cell counts 8) The nurse is preparing to administer an opioid analgesic to her 25yrs before casting for a left radial fracture. Which factors should be assessed before the dose is given? (Select all that apply.) O a. Dietary history O b. The level of pain rated on a scale O c. Allergies O d. Blood clotting times O e. Prior analgesic use (time, type, amount, and effectiveness) 9) The adverse effects of inhaled corticosteroids include: (Select All That Apply). D a. cough O b. Oral fungal infections D c Pharyngeal irritation O d. drooling 10) Instruct patients taking thyroid replacement drugs to immediately report any of the following to the health care provider as they may indicate toxicity: (select all that apply) (535) O a. termors O b. firm edematous skin Oc. insomnia O d. loss of mental and physical stamina O e. weight gain O f. chest pain 11) The nurse is discussing the use of antihistamines for allergic rhinitis. Which medications would be included in a list of H1 antagonists used in the treatment of allergic rhinitis? (Select all that apply.) O a. ranitidine (Zantac® O b. cetirizine (Reactine®) O C. fexofenadine (Allegra®) O d. loratadine (Claritin) 12) Aldosterone, is a hormone that is secreted from the adrenal gland and promotes the retention of potassium secretion )and sodium in the kidney. 13) Match the drug administration routes to first-pass route and non-first pass route. Rectal - (a)- nonfirst pass route Intravaginal - non first pass route Intraocular - non first pass route buccal (C) – First pass route 3 14) What is/are the major symptom(s) that characterize diabetes? (Select all that apply.) 1mark a. Polyuria b. Polyposia c. Polvrrhea d. Polydipsia 15) Mr. Chi has been discharged from the hospital. The nurse taught him how to take his newly prescribed medication. A part of the administration of his new medication includes the use of a nebulizer. The nurse understands that Mr. Chi understands the reason h is medication was prescribed to be inhaled when he states which of the following statements? "Medication taken via inhalation act faster than oral medications" "Doses for inhaled medications will be doubled compared to oral medications.' "I will ensure I take this medication every morning, regardless of symptoms. "inhaled medications are inactive and this medication simply has the placebo effect." 16) A nurse upon looking at the medication administration record for a patient realizes they admin istered the wrong dose of their prescribed medication. What should the nurse do first? - report the incident to the nurse manager who has already left for the day - assess the patient for an adverse events and call the doctor - report the error but do not tell the patient there was an error - have the nurse complete a safe medication administration course to prevent future errors 17) Mrs. Delgate is 68yrs old and has experienced frequent episodes of constipation over the last month. As part of your patient teaching, which of the following would you advise her is the best source of fibre to promote colon function? a. Dietary fibre b. Vegetable fibre c. methylcellulose d. Psyllium 18) A nurse assisting a nursing student with medications asks the student to describe how penicillins work to treat bacterial infections. The student is correct in responding that penicillins: a. disinhibit transpeptidases. b. inhibit autolvsins C. inhibit host cell wall function. d. disrupt bacterial cell wall synthesis. 19) Which condition may be caused by low levels of thyroid hormone in youth? 4 - Goiter - Myxedema - Cretinism - Addison's disease 20) Mrs Timms is a 75 old F who is prescribed the drug bromocriptine. When assessing this patient, what finding would prompt the nurse to consult the prescriber immediately? a. Red, swollen, hot hands b. Confusion C. Abnormal movements d. Heart murmur 21) A 38 -year -old male has been using the "cold turkey" approach to stop smoking. Although he hasn' t smoked for 6 months, he tells the nurse that he still feels strong cigarette cravings and wonders whether he will ever get over the cravings. Which statement is true? a. The cravings indicate that he is about to experience nicotine withdrawal. b. The cravings will never stop. c. The cravings may persist for months to years. d. The cravings indicate that he has been using nicotine. 22) Antacids that contain aluminum salts may result in which adverse effect? a. Diarrhea b. Constipation C. Abdominal cramping d. Intestinal flatulence 23) Metronidazole (Flagy|@) is widely used for which type of infection? a. Gynecological infection b. Skin infection c. Respiratory infection d. Aerobic infection 24) A 38-year -old Jerry has arrived at the urgent care centre with severe hip pain after falling from a ladder at work. He has taken several pain pills over the past few hours but cannot remember how many he has taken. He hands the nurse an empty bottle of acetaminophen (Tylenol®). What is the most serious toxic effect of acute acetaminophen overdose? a. Central nervous system (CNS) depression c. Nephrotic necrosis d. Tachycardia 25) A 16 year old male presents to the clinic for worsening shortness of breath (SOB). He is an asthmatic and is only taking inhaled corticosteroids. He reports that his symptoms persist