REx-PN® Test Bank With ( Questions And Answers)
Actual Exam Newest With Complete Questions And
Correct Detailed Answers
An elderly client was playing golf with their friends when they suddenly
complained of severe chest pain and dyspnea. The client was rushed to
the hospital, and it was determined that they have unstable angina.
Which of the following is a first-line medication for the client's
condition?
A) Enalapril
B) Nitroglycerin
C) Esmolol
D) Alteplase ......ANSWER......Answer: B. Nitroglycerin
Nitroglycerin is classified as nitrate, and nitrates are considered the
"first-line" treatment for angina. It works by relaxing smooth muscles in
the blood vessels, thus promoting their dilation.
Enalapril is an ACE inhibitor that is often used for hypertension and
heart failure. Esmolol is a beta-blocker that is often used to treat clients
with abnormal cardiac rhythms. Alteplase is a thrombolytic agent used
for pulmonary embolism and acute ischemic stroke.
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A nurse is at the mall when a radiologic dispersal device (ROD)
explodes. What should the nurse instruct the people closest to the
explosion site to do first?
A) Take off all clothing exposed to the radioactive material from the
device.
B) Stay in open spaces until the authorities and the rescue team arrive.
C) Lie faces down on the floor and keep their head covered.
D) Cover nose and mouth with a cloth or any material that can filter
harmful particles. ......ANSWER......Answer: D. Cover nose and mouth
with a cloth or any type of material that can filter harmful particles
- A radiological dispersion device is an explosive that contains
radioactive material, which is hazardous to humans. Adverse effects of
excessive exposure to contact with, or inhalation of radioactive
substances include vomiting, hair loss, bleeding, and damage to the
gastrointestinal mucosa and central nervous system. Long-term effects
of radioactive material include cancer and cardiovascular diseases.
Thus, the people closest to the explosion site must do their best to
prevent inhalation or reduce contact with the radioactive material from
the device by covering their mouth and nose.
A young child was involved in a house fire which caused severe burns in
the legs. The mother is encouraged to add more proteins and
carbohydrates to the client's diet. What is the rationale behind this
recommendation?
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A) It hastens the healing and enhances immune responses
B) It allows the client to have a more well-balanced diet
C) It enhances GI motility and promotes the absorption of nutrients
D) It reduces protein breakdown, which promotes healing
......ANSWER......Answer: D. It reduces protein breakdown, which
promotes healing
- Carbohydrates serve as the primary energy source in humans;
however, lipids and proteins may also be used.
Proteolysis is how proteins are broken down into amino acids that can
be utilized in the body. This process is greatly stimulated in a client with
burns since proteins are essential in wound healing. Thus, a person with
burns must consume more proteins and carbohydrates so that the body
has more reserves of sugars that may be used for fuel, and the proteins
may be spared to be utilized in healing wounds. The client is in a
"Hypermetabolic" state at this time.
The nurse is assessing a smoker diagnosed with chronic obstructive lung
disease (COPD) who stated that they felt a sudden sharp pain in their
right chest. The nurse observed the client becoming cyanotic, and the
client's trachea had deviated. Which of the following lung sounds will
the nurse most likely auscultate?
A) Prolonged, musical sounds in the upper airways
B) Snore-like low-pitched sounds audible throughout the lung fields
C) High-pitched, wheeze-like sound
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D) Diminished breath sounds to the affected side
......ANSWER......Answer: D. Diminished breath sounds to the affected
side
- Chronic obstructive pulmonary disease is a lung disease that leads to
reduced airflow from the lungs. Due to the obstruction caused by this
condition, the breath sounds in diagnosed clients are usually
diminished, particularly during deep inspiration.
Prolonged, musical breath sounds are known as wheezes. Low-pitched
sounds with a snore-like quality are called rhonchi. High-pitched,
wheeze-like sounds are called stridor, and they are often heard when
there is partial airway obstruction.
After a radiological dispersal device (RDD) explosion at a local mall, a
client was exposed to radiation and taken to the emergency
department. Which of the following should the nurse prioritize?
A) Assess the client's physiologic stability
B) Surround the client's bed with a plastic curtain to prevent
contamination of others
C) Decontaminate the client
D) Take off the client's clothes and double bag them
......ANSWER......Answer: A. Assess the client's physiologic stability
- In events such as an explosion of a radiological dispersal device (RDD),
emergency responders and other healthcare professionals must ensure
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