NEWEST ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
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A patient is taking a oral contraceptive (OC). What findings should the
indicate to the nurse that the client is experiencing a deficiency of
estrogen in the OC? - ✔✔✔ Correct Answer > Mid-cycle
breakthrough bleeding or spotting.
What teachings should be given to a patient taking Isosorbide
mononitrate? - ✔✔✔ Correct Answer > - change positions slowly
- avoid taking after 7:00 PM
- take missed dose as soon as remembered.
- adverse effect: HA
What are signs that an oral contraceptive has an excess amount of
estrogen for the client? - ✔✔✔ Correct Answer > - breast tenderness
- migraine headache
- nausea
,What elevated lab values would indicate a risk for hepatic toxicity? -
✔✔✔ Correct Answer > Aspartate aminotransferase (AST) and
alanine aminotransferase (ALT)
What are some lab values indicating dehydration? - ✔✔✔ Correct
Answer > - urine specific gravity >1.030 indicating dehydration
- elevated BUN and HCT
A patient taking clozapine for schizophrenia would be having an
adverse effect of the medication if they had what lab value? - ✔✔✔
Correct Answer > - Absolute neutrophil count (ANC) below the
expected reference range of 2,500 to 8,000/mm^3.
Indicating agranulocytosis.
- Hyperglycemia, above the 74 to 106 mg/dL
- Dislipidemia, above the triglyceride level of 35-160 mg/dL and less
than the 200 mg/dL for total cholesterol.
What allergy is contraindicated in patients receiving a influenza
vaccine? - ✔✔✔ Correct Answer > Eggs
What allergies are contraindicated in patients receiving a varicella
vaccine? - ✔✔✔ Correct Answer > Gelatin and Neomycin
,Dobutamine hydrochloride does what? - ✔✔✔ Correct Answer > -
improves cardiac output
- improves hypotension
- increases heart rate
Why is Albuterol prescribed? - ✔✔✔ Correct Answer > Short-acting
medication to control asthma.
Administered by inhaler or nebulizer.
Bronchodilation to relieve bronchospasm.
Suppress histamine relief and increase ciliary motility
Fluticasone is prescribed for why? - ✔✔✔ Correct Answer >
Glucocorticoid is used for long-term control of asthma. Administered by
inhalation, orally, or IV.
They treat asthma by suppressing inflammation.
Montelukast is prescribed why? - ✔✔✔ Correct Answer >
Leukotriene receptor blocker that is prescribed for the long-term
control of asthma.
Administered orally by tablets, chewable, or oral granules.
They block the action of leukotrienes, which tighten airway muscles and
produce mucus and fluid.
, What test is used to determine the effectiveness of warfarin? - ✔✔✔
Correct Answer > Preventing thrombus formation would be
monitored by INR.
The range is:
What test is used to determine the effectiveness of heparin? - ✔✔✔
Correct Answer > aPTT monitors the effectiveness of anticoagulation.
DTaP vaccine should be administered where and when? - ✔✔✔
Correct Answer > IM in the deltoid or mediolateral thigh.
First dose, given at 2 months, rest are at 4 months, 6 months, 15-18
months, and 4-6 years old.
A healthy pancreas response to medication is what? - ✔✔✔ Correct
Answer > - having 1 to 2 bowel movements per day
- WNL blood glucose level
- weight gain
Lithium toxicity can develop with what? - ✔✔✔ Correct Answer > -
vomiting or diarrhea
- NSAIDs increase renal reabsorption of sodium and lithium.
- limiting sodium intake
- diuretics decreasing kidney excretion of lithium