ACTUAL EXAM TEST BANK 100
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALE |A GRADE
2024-2025
,--Vistaril is a prescription medicine used to treat the symptoms of anxiety, itching or hives on the skin
and as preoperative sedation.-correct answers=A 51-year-old female was voluntarily admitted to the
inpatient adult unit at the psychiatric hospital with complaints of excessive worry, panic, anhedonia,
difficulty concentrating, and endorsed hopelessness and helplessness. A focused assessment revealed
the following: The patient explained that her severe impairment in functioning has progressed due to a
vacant relationship with her spouse of 15 years and her stressful job as a Human Resources Benefits
Manager. She was recently promoted to this position and reports, "I should never have been promoted. I
have never been good at my job, and all I do is mess up all of the time." The patient reports missing work
often and has not presented to work in four days. She denies having a support system and reports
struggling with isolation and loneliness. She reports poor sleep with difficulty falling and staying asleep,
accompanied by frequent stressful dreams about work. Pa - correct answer-Lavender lemon balm-
correct answers=A patient has a disorder affecting ventricular depolarization. What ECG finding with the
nurse associate with this?
A. Absence of P waves
B. Short PR interval
C. QT interval variability
D. Prolonged QRS interval - correct answer-D. Prolonged QRS interval
--The QRS complex represents the sum of all ventricular muscle cell depolarization therefore a prolonged
QRS interval would be suggestive ventricular depolarization abnormalities. For example, heart failure or
bundle branch block or myocardial infarction.-correct answers=Pharmacotherapy used for a patient with
peripheral artery disease and diabetes includes all of the following except:
A. Aspirin
B. HMG-CoA reductase inhibitors (statins)
C. Gabapentin
D. Metformin - correct answer-C. Gabapentin-correct answers=What is the intended therapeutic action
of inhaled corticosteroids in patients with chronic respiratory conditions
A. Reversal of fixed airway obstruction
B. Improvement of central respiratory drive
C. Reduction of airway inflammation
D. mucolytic activity - correct answer-Reduction of airway inflammation
--Topical corticosteroids work to decrease inflammation locally where applied.-correct answers=Which of
the following conditions is contraindicated in using thrombotic therapy?
, A. History of hemorrhagic stroke
B. Peptic ulcer disease
C. Concurrent use of Coumadin
D. Blood pressure of 160/100 mmHg - correct answer-A. History of hemorrhagic stroke
--Thrombolytic therapy can increase risk of recurrent hemorrhagic stroke in patients who have this
history.-correct answers=Which hospitalized patient is highest risk for developing delirium?
A. An elderly male with COVID-19
B. A woman recently diagnosed with schizophrenia
C. A depressed Hispanic woman
D. A 70-year-old diabetic patient - correct answer-A. An elderly male with COVID-19
--Delirium is associated with autonomic nervous system overactivity and typically develops in 2 to 3 days,
most commonly in critical care units, post surgically, or during withdrawal from CNS depressants (e.g.,
alcohol, narcotic agents).-correct answers=A patient with chronic migraines arrives for a neurological
evaluation. The neurologist recommends preventative therapy. Which one (1) of the following
medications is used to prevent the frequency of chronic migraines?
A. Verapamil
B. Dihydroergotamine
C. Naproxen
D. Sumatriptan - correct answer-A. Verapamil
-- Calcium channel blockers have demonstrated efficacy in investigative use for prophylaxis of migraine
and cluster headaches. In particular, verapamil, with its low side-effect profile, appears to be a promising
alternative to the currently available agents for prophylactic treatment of chronic recurring headaches.-
correct answers=Which of the following antihypertensive mediations should the nurse practitioner avoid
when treating a patient with emphysema?
A. Calcium channel blockers
B. Beta blockers
C. Angiotensin converting enzyme inhibitors
D. Diuretics - correct answer-B. Beta blockers