NUR 600 EXAM 1:100% Verified Questions & Answers
A nurse is ordered to draw blood levels for a person receiving an antibiotic. The
nurse is aware that peaks and troughs of serum antibiotic levels are monitored for
drugs with
a: a. narrow therapeutic index.
b. large therapeutic index.
c. long half-life.
d. short half-life.
(Ans- a: a. narrow therapeutic index.
A patient may develop neutropenia from using topical Silvadene for burns.
Neutropenia is a(n):
A. Cytotoxic hypersensitivity reaction
B. Immune complex hypersensitivity
C. Immediate hypersensitivity reaction
D. Delayed hypersensitivity reaction
(Ans- A. Cytotoxic hypersensitivity reaction
A patient's nutritional intake and lab work reflects hypoalbuminemia. This is
critical to prescribing because:
A. Distribution of drugs to target tissue may be affected
B. The solubility of the drug will not match the site of absorption
C. There will be less free drug available to generate an effect
D. Drugs bound to albumin are readily excreted by the kidney
,(Ans- A. Distribution of drugs to target tissue may be affected
A potential harmful effect to patients who take some herbal medication is:
A. Constipation
B. Lead poisoning
C. Diarrhea
D. Life-threatening rash
(Ans- B. Lead poisoning
A pregnant woman experiences constipation. The nurse anticipates that which
laxative may be used first after activity and dietary methods are unsuccessful? a.
Mineral oil
b. Psyllium (Metamucil)
c. Lactulose
d. Milk of magnesia
(Ans- b. Psyllium (Metamucil)
A prenatal client discloses that she takes high doses of vitamins. Which is the most
accurate instruction that the nurse can provide in response to the client's
statement?
a. "High levels of vitamins may cause harm to the fetus."
b. "Only water-soluble vitamins may be harmful during pregnancy."
c. "Megadoses of vitamins are associated with positive birth outcomes."
d. "Vitamin supplementation is not needed during pregnancy
,(Ans- a. "High levels of vitamins may cause harm to the fetus."
A prenatal client discloses that she takes high doses of vitamins. Which is the most
accurate instruction that the nurse can provide in response to the client's
statement?
a. "High levels of vitamins may cause harm to the fetus."
b. "Only water-soluble vitamins may be harmful during pregnancy."
c. "Megadoses of vitamins are associated with positive birth outcomes."
d. "Vitamin supplementation is not needed during pregnancy."
(Ans- a. "High levels of vitamins may cause harm to the fetus."
A thorough understanding of herbs is critical to patient safety. An example is the
use of cinnamon to treat Type II diabetes. It is important the patient uses Ceylon
cinnamon, as the commercially available cassia cinnamon contains:
A. Coumadin, which may lead to bleeding problems
B. Coumarin, which can cause liver and kidney damage
C. Cinnamic aldehyde, which is toxic to the kidney
D. Cinnamate eugenol, which is toxic to the liver
(Ans- B. Coumarin, which can cause liver and kidney damage
A treatment plan for management of chronic pain should include:
A. Negotiation with the patient to set personal goals for pain management
B. Discussion of ways to improve sleep and stress
C. An exercise program to improve function and fitness
, D. All of the above (Ans- D. All of the above
A. client who reports an allergy to penicillin is ordered to receive cephalexin
(Keflex). The correct action for the nurse is to:
a. administer the medication as ordered with additional fluids.
b. administer the medication and carefully observe for allergic reaction.
c. call the physician to change the order because of the allergy history.
d. administer another antibiotic after consulting the pharmacist
(Ans- b. administer the medication and carefully observe for allergic reaction.
According to the World Health Organization Classification, Type B adverse
reactions are:
A. When a drug is a teratogen
B. When a drug is carcinogenic
C. A delayed ADR, such as renal failure
D. An allergic or idiosyncratic response
(Ans- D. An allergic or idiosyncratic response
According to Traditional Chinese Medicine, if a person who has a fever is given a
herb that is yang in nature, such as golden seal, the patient's illness will:
A. Get worse
B. Get better
C. Not be adequately treated
D. Need additional herbs to treat the yang
A nurse is ordered to draw blood levels for a person receiving an antibiotic. The
nurse is aware that peaks and troughs of serum antibiotic levels are monitored for
drugs with
a: a. narrow therapeutic index.
b. large therapeutic index.
c. long half-life.
d. short half-life.
(Ans- a: a. narrow therapeutic index.
A patient may develop neutropenia from using topical Silvadene for burns.
Neutropenia is a(n):
A. Cytotoxic hypersensitivity reaction
B. Immune complex hypersensitivity
C. Immediate hypersensitivity reaction
D. Delayed hypersensitivity reaction
(Ans- A. Cytotoxic hypersensitivity reaction
A patient's nutritional intake and lab work reflects hypoalbuminemia. This is
critical to prescribing because:
A. Distribution of drugs to target tissue may be affected
B. The solubility of the drug will not match the site of absorption
C. There will be less free drug available to generate an effect
D. Drugs bound to albumin are readily excreted by the kidney
,(Ans- A. Distribution of drugs to target tissue may be affected
A potential harmful effect to patients who take some herbal medication is:
A. Constipation
B. Lead poisoning
C. Diarrhea
D. Life-threatening rash
(Ans- B. Lead poisoning
A pregnant woman experiences constipation. The nurse anticipates that which
laxative may be used first after activity and dietary methods are unsuccessful? a.
Mineral oil
b. Psyllium (Metamucil)
c. Lactulose
d. Milk of magnesia
(Ans- b. Psyllium (Metamucil)
A prenatal client discloses that she takes high doses of vitamins. Which is the most
accurate instruction that the nurse can provide in response to the client's
statement?
a. "High levels of vitamins may cause harm to the fetus."
b. "Only water-soluble vitamins may be harmful during pregnancy."
c. "Megadoses of vitamins are associated with positive birth outcomes."
d. "Vitamin supplementation is not needed during pregnancy
,(Ans- a. "High levels of vitamins may cause harm to the fetus."
A prenatal client discloses that she takes high doses of vitamins. Which is the most
accurate instruction that the nurse can provide in response to the client's
statement?
a. "High levels of vitamins may cause harm to the fetus."
b. "Only water-soluble vitamins may be harmful during pregnancy."
c. "Megadoses of vitamins are associated with positive birth outcomes."
d. "Vitamin supplementation is not needed during pregnancy."
(Ans- a. "High levels of vitamins may cause harm to the fetus."
A thorough understanding of herbs is critical to patient safety. An example is the
use of cinnamon to treat Type II diabetes. It is important the patient uses Ceylon
cinnamon, as the commercially available cassia cinnamon contains:
A. Coumadin, which may lead to bleeding problems
B. Coumarin, which can cause liver and kidney damage
C. Cinnamic aldehyde, which is toxic to the kidney
D. Cinnamate eugenol, which is toxic to the liver
(Ans- B. Coumarin, which can cause liver and kidney damage
A treatment plan for management of chronic pain should include:
A. Negotiation with the patient to set personal goals for pain management
B. Discussion of ways to improve sleep and stress
C. An exercise program to improve function and fitness
, D. All of the above (Ans- D. All of the above
A. client who reports an allergy to penicillin is ordered to receive cephalexin
(Keflex). The correct action for the nurse is to:
a. administer the medication as ordered with additional fluids.
b. administer the medication and carefully observe for allergic reaction.
c. call the physician to change the order because of the allergy history.
d. administer another antibiotic after consulting the pharmacist
(Ans- b. administer the medication and carefully observe for allergic reaction.
According to the World Health Organization Classification, Type B adverse
reactions are:
A. When a drug is a teratogen
B. When a drug is carcinogenic
C. A delayed ADR, such as renal failure
D. An allergic or idiosyncratic response
(Ans- D. An allergic or idiosyncratic response
According to Traditional Chinese Medicine, if a person who has a fever is given a
herb that is yang in nature, such as golden seal, the patient's illness will:
A. Get worse
B. Get better
C. Not be adequately treated
D. Need additional herbs to treat the yang
