1
Comprehensive Exam
133- Cycl
obenz
apr
ne(
i Fl
ex
er
)i
l
ispr
es
cr
bedt
i oac
i
lntwi
e t
hmul
t
pl
iesc
er
l os
sf
i ort
het
r
eat
mentof
musc
es
l pas
ms.Forwhi
chcommonsdeee
i fc
toft
hi
smedi
c
atondoest
i henur
s
emoni
t
ort
hec
i
lnt
e ?
A. Di
ar
rhea
B. Dr
owsnes Cor
i rect
s
C. Abdominal
pai
n
D. I
ncr
easedsal
v
iat
on
i
134- Anurs
eadmi ni
s t
er
sni
t
rogl
y
cer
ns
i ubl
ngual
i ytoac i
lntwi
e t
hangi
napect
or
swhoc
i ompl
ai
nsof
ches
tpai
n.Themedicatoni
i si
nefec
tv
i
e,sot
henursepreparest
oadmini
s
terasec
onddos
e.Befor
e
admi
ni
st
er
ngt
i heni
t
rogl
y
cern,whi
i c
hac t
ondoest
i henur
semak eapror
it
i
y?
A. Chec ki
ngt
hec ent
i
l 'sbl
odpr esureCor r
ect
B. Obt
ai
ni
ngbl
odlevel
sofcardi
acenz
ymes
C. As
kngt
i hec
i
l
entwhetherhehasaheadac he
D. Obtai
ni
nga12-
l
eadelect
rocar
di
ogr
am(ECG)
135- Ci
prolfox
acnhy
i dr
ochl
or
de(
i Ci
pr
o)i
spres
cr
bedt
i oacentwi
i
l thaurnar
i ytr
acti
nfect
on.The
i
nurs
e,pr
ovdi
ingi ns
tr
uct
onabouthemedi
i cat
on,t
i elst
hecenthati
i
l ti
sbestotak
et hemedi cat
on:
i
A. Withmil
k
B. Withanant acd
i
C. 2hoursaf
termealCor r
ect
s
D. Wi
t
hal
umi
num hy
drox
de
i
136.
-
Anurs
epr ovi
deshomecarei
nstruct
ionstoacl
ientwi
thcor
onaryart
erydi
sease(
CAD)whoi sbeing
di
schargedfrom t
hehospit
al
.Whichst
at
ementbyt
hecli
enti
ndi
cat
esane df
orf
urt
heri
nst
ruct
i
on?
,2
A. "
Inedt
ocar
rymynit
r
ogl
yc
ernwi
i thmeatal tmes
i .
"
B. "
Inedt
ocheckmypul
sebefore,dur
ng,andaf
i t
erexer
cs
i
e.
"
C. "
Inedt
oavoi
dfodswit
hs aturat
edfatsandfodshighi
nchol
es
ter
ol
.
"
D. "
Inedt
opart
i
ci
pat
ei
naerobicandwei ght
i
l
f
ti
ngexer
ci
set
hreti
mesawek.Cor
rect
"
137-Anur seprovidesinf
ormat
iontoacl
i
entwhowilbeunder
goi
ngendos
copi
cret
rogr
ade
chol
angi
opanc
reat
ography(ERCP).Thenur
set
elst
hecl
i
enthat
:
A. Ther
eisnonedt ofas
t(NPOs t
at
us)beforetheproc
edur
e
B. Thegal
bl
ad eri
seas
l
ir
y emoveddur
ngt
i hi
sprocedur
ei
fgal
st
onesar
efound
C. Thepr
ocedur
ei
sper
f
or
meds
pec
ifc
i
alyt
ovs
i
uai
l
z
ethees
ophagus
,s
tomach,and duodenum
D. Dy
emaybei
nj
ec
teddur
ngt
i hepr
ocedur
etoper
mi
tv
s
iual
zat
i onoft
i hepanc
reat
cand
i
bi
l
ar
yduc
t Cor
rect
s
138I
D.
:383713175
Acl
ientwhohasunder gonekne- r
epl
acementsur
ger
ywilbesel
f-
admi
ni
st
eri
ngenoxapar
ins
odi
um
(
Lov
enox)athome.Thenurset
eachest
hecli
entabouthemedicat
i
onandtel
sthecl
iento:
A. St
oret
hemedi
cat
i
oninther
efr
ger
i ator
B. Li
edownt
oadmini
s
tert
hesubcut
aneousi
nj
ec
ti
onCor
rect
C. I
nj
ecthemedi
c
atoni
i ntheup erout
eras
pec
toft
hear
m
D. Di
sc
ardt
hemedi
cat
i
oni
fthes
ol
ut
onap ear
i spal
eyel
ow
139I
D.
:383703667
Anintr
avenousdoseofadenosine(Adenocar
d)i
sprescr
ibedf
oracl
i
entot r
eatWolf-
Par
kinson-
Whit
es yndrome.Whichpieceofequi
pmentdoesthenursemakeapri
ori
t
yofobtai
ningbefor
e
admini
st
eri
ngthemedi
cat
ion?
A. Pul
seox
met
i er
B. Car
di
acmoni
t
o Cor
rect
r
,3
C. Bl
o d-pr
esurec uff
D. Suc
tonc
i at
het
erandsuc
tonmac
i hi
ne
140I
D.
:383703619
Anur
seprovi
desi
nfor
mati
ontoacli
entwit
hcor
onar
yar
ter
ydisease(CAD)abouts
moki
ng-
cesat
i
on
meas
ures
.Whichst
atementbyt
hecl
ienti
ndi
cat
esanedforf
urtheri
nf
ormat
i
on?
A. "
Ac ommuni
t
ysuportgr
oupwilhel
pmequi
t.
"
B. "
Ishoul
ddr
i
nkacupofcofe i
fIfelt
heur
get
osmok
e.Cor
rect
"
C. "
Relax
atone
i x
erci
seswi
lhel
pcont
rol
myur
getosmoke.
"
D. "
Icantrychewinggum ors
uck
ngonhar
i dcandyi
fIf
el t
heur
get
osmok
e.
"
141I
D.
:383708584
Capt
opri
l(
Capot
en)i
spr
escr
i
bedforahos
pital
i
zedcl
i
entwi
t
hhear
tfai
l
ure.Whi
chact
i
oni
sapr
i
ori
t
y
oncethenursehasadminis
teredt
heifr
stdose?
A. Check
ngt
i hecent
i
l '
sapi
cal
hear
trate
B. Maint
ai
ni
ngtheci
l
entonbedrestf
or3hourCor
rect
s
C. Moni
tor
ngt
i hecentf
i
l ori
ncr
easedurneout
i put
D. Chec
kngt
i hecent
i
l '
sbr
eathsoundsf
ordec
reasedwhezi
ng
D.
142I:383706680
Acli
entwit
hhear
tfai
l
uresudenlyex
per
iencesprof
ounddys
pnea,pal
or
,audi bl
ewhez
ing,and
cy
anos i
s,andt
henursesuspect
spul
monar yedema.Thenursewoul
difr
st:
A. Obt
ai
napul
seox
met
i r
yreadi
ng
B. Rai
s
etheheadoft
heci
l
ent'
sbedCor
rect
C. Admi
ni
s
terados
eofmor
phi
nes
ul
f
at
e
, 4
D. Obt
ai
nas
pec
menf
i oranar
t
eral
ibl
odgasdet
er
minat
on
i
143I
D.
:383703665
Thenurseadmi ni
ster
sint
rav
enousmorphi
nesul
f
atet
oac l
ientinpul
monar
yedema.Forwhi
ch
i
ntendedefectoft
hemedicati
ondoest
henurs
emonitort
heclient
?
A. Rel
i
efofpai
n
B. Rel
i
efofanx
i
et Cor
rect
y
C. Decr
eas
edur
neout
i put
D. I
ncr
eas
edbl
odpresur
e
.
14I
D:383702944
Anur
s eisprovi
di
nghomecarei
nst
ruct
i
onst
oacli
entwi
thcor
onar
yart
erydis
eas
e(CAD)whowi
l
bedi
schargedhomeandwi
l bet
aki
ng1aspi
ri
ndai
l
y.Thenurs
etel
sthecl
ient
:
A. Tos
topt
heaspi
r
i
nifnauseaocur I
ncor
rect s
B. Tot ak
etheas pi
r
nonanempt
i yst
omac h
C. Thatheaspi
r
ni
isashor
t
-t
ermtr
eat
mentandwil
pr
obabl
ybedi
s
cont
nuedi
i n2 we k
s
145I
D.
:383713112
Acli
entreceivi
ngparenter
alnut
ri
ti
on(PN)sud enl
yexperi
enceschestpai
nanddyspnea,andthe
nur
ses uspectsanairemboli
sm.Thenurseimmediat
el
yplacesthecl
i
entinal
ater
alTrendel
enbur
g
pos
it
ion,onthelefts
ide.Whatacti
ondoesthenurs
etakenext?
A. Aus
cul
t
at
nghear
i tsounds
B. Cl
ampi
ngt
heint
r
avenouscat
het
e Cor
rect
r
C. Chec
kngt
i hec
ent
i
l '
sbl
odpr
esur
e
Comprehensive Exam
133- Cycl
obenz
apr
ne(
i Fl
ex
er
)i
l
ispr
es
cr
bedt
i oac
i
lntwi
e t
hmul
t
pl
iesc
er
l os
sf
i ort
het
r
eat
mentof
musc
es
l pas
ms.Forwhi
chcommonsdeee
i fc
toft
hi
smedi
c
atondoest
i henur
s
emoni
t
ort
hec
i
lnt
e ?
A. Di
ar
rhea
B. Dr
owsnes Cor
i rect
s
C. Abdominal
pai
n
D. I
ncr
easedsal
v
iat
on
i
134- Anurs
eadmi ni
s t
er
sni
t
rogl
y
cer
ns
i ubl
ngual
i ytoac i
lntwi
e t
hangi
napect
or
swhoc
i ompl
ai
nsof
ches
tpai
n.Themedicatoni
i si
nefec
tv
i
e,sot
henursepreparest
oadmini
s
terasec
onddos
e.Befor
e
admi
ni
st
er
ngt
i heni
t
rogl
y
cern,whi
i c
hac t
ondoest
i henur
semak eapror
it
i
y?
A. Chec ki
ngt
hec ent
i
l 'sbl
odpr esureCor r
ect
B. Obt
ai
ni
ngbl
odlevel
sofcardi
acenz
ymes
C. As
kngt
i hec
i
l
entwhetherhehasaheadac he
D. Obtai
ni
nga12-
l
eadelect
rocar
di
ogr
am(ECG)
135- Ci
prolfox
acnhy
i dr
ochl
or
de(
i Ci
pr
o)i
spres
cr
bedt
i oacentwi
i
l thaurnar
i ytr
acti
nfect
on.The
i
nurs
e,pr
ovdi
ingi ns
tr
uct
onabouthemedi
i cat
on,t
i elst
hecenthati
i
l ti
sbestotak
et hemedi cat
on:
i
A. Withmil
k
B. Withanant acd
i
C. 2hoursaf
termealCor r
ect
s
D. Wi
t
hal
umi
num hy
drox
de
i
136.
-
Anurs
epr ovi
deshomecarei
nstruct
ionstoacl
ientwi
thcor
onaryart
erydi
sease(
CAD)whoi sbeing
di
schargedfrom t
hehospit
al
.Whichst
at
ementbyt
hecli
enti
ndi
cat
esane df
orf
urt
heri
nst
ruct
i
on?
,2
A. "
Inedt
ocar
rymynit
r
ogl
yc
ernwi
i thmeatal tmes
i .
"
B. "
Inedt
ocheckmypul
sebefore,dur
ng,andaf
i t
erexer
cs
i
e.
"
C. "
Inedt
oavoi
dfodswit
hs aturat
edfatsandfodshighi
nchol
es
ter
ol
.
"
D. "
Inedt
opart
i
ci
pat
ei
naerobicandwei ght
i
l
f
ti
ngexer
ci
set
hreti
mesawek.Cor
rect
"
137-Anur seprovidesinf
ormat
iontoacl
i
entwhowilbeunder
goi
ngendos
copi
cret
rogr
ade
chol
angi
opanc
reat
ography(ERCP).Thenur
set
elst
hecl
i
enthat
:
A. Ther
eisnonedt ofas
t(NPOs t
at
us)beforetheproc
edur
e
B. Thegal
bl
ad eri
seas
l
ir
y emoveddur
ngt
i hi
sprocedur
ei
fgal
st
onesar
efound
C. Thepr
ocedur
ei
sper
f
or
meds
pec
ifc
i
alyt
ovs
i
uai
l
z
ethees
ophagus
,s
tomach,and duodenum
D. Dy
emaybei
nj
ec
teddur
ngt
i hepr
ocedur
etoper
mi
tv
s
iual
zat
i onoft
i hepanc
reat
cand
i
bi
l
ar
yduc
t Cor
rect
s
138I
D.
:383713175
Acl
ientwhohasunder gonekne- r
epl
acementsur
ger
ywilbesel
f-
admi
ni
st
eri
ngenoxapar
ins
odi
um
(
Lov
enox)athome.Thenurset
eachest
hecli
entabouthemedicat
i
onandtel
sthecl
iento:
A. St
oret
hemedi
cat
i
oninther
efr
ger
i ator
B. Li
edownt
oadmini
s
tert
hesubcut
aneousi
nj
ec
ti
onCor
rect
C. I
nj
ecthemedi
c
atoni
i ntheup erout
eras
pec
toft
hear
m
D. Di
sc
ardt
hemedi
cat
i
oni
fthes
ol
ut
onap ear
i spal
eyel
ow
139I
D.
:383703667
Anintr
avenousdoseofadenosine(Adenocar
d)i
sprescr
ibedf
oracl
i
entot r
eatWolf-
Par
kinson-
Whit
es yndrome.Whichpieceofequi
pmentdoesthenursemakeapri
ori
t
yofobtai
ningbefor
e
admini
st
eri
ngthemedi
cat
ion?
A. Pul
seox
met
i er
B. Car
di
acmoni
t
o Cor
rect
r
,3
C. Bl
o d-pr
esurec uff
D. Suc
tonc
i at
het
erandsuc
tonmac
i hi
ne
140I
D.
:383703619
Anur
seprovi
desi
nfor
mati
ontoacli
entwit
hcor
onar
yar
ter
ydisease(CAD)abouts
moki
ng-
cesat
i
on
meas
ures
.Whichst
atementbyt
hecl
ienti
ndi
cat
esanedforf
urtheri
nf
ormat
i
on?
A. "
Ac ommuni
t
ysuportgr
oupwilhel
pmequi
t.
"
B. "
Ishoul
ddr
i
nkacupofcofe i
fIfelt
heur
get
osmok
e.Cor
rect
"
C. "
Relax
atone
i x
erci
seswi
lhel
pcont
rol
myur
getosmoke.
"
D. "
Icantrychewinggum ors
uck
ngonhar
i dcandyi
fIf
el t
heur
get
osmok
e.
"
141I
D.
:383708584
Capt
opri
l(
Capot
en)i
spr
escr
i
bedforahos
pital
i
zedcl
i
entwi
t
hhear
tfai
l
ure.Whi
chact
i
oni
sapr
i
ori
t
y
oncethenursehasadminis
teredt
heifr
stdose?
A. Check
ngt
i hecent
i
l '
sapi
cal
hear
trate
B. Maint
ai
ni
ngtheci
l
entonbedrestf
or3hourCor
rect
s
C. Moni
tor
ngt
i hecentf
i
l ori
ncr
easedurneout
i put
D. Chec
kngt
i hecent
i
l '
sbr
eathsoundsf
ordec
reasedwhezi
ng
D.
142I:383706680
Acli
entwit
hhear
tfai
l
uresudenlyex
per
iencesprof
ounddys
pnea,pal
or
,audi bl
ewhez
ing,and
cy
anos i
s,andt
henursesuspect
spul
monar yedema.Thenursewoul
difr
st:
A. Obt
ai
napul
seox
met
i r
yreadi
ng
B. Rai
s
etheheadoft
heci
l
ent'
sbedCor
rect
C. Admi
ni
s
terados
eofmor
phi
nes
ul
f
at
e
, 4
D. Obt
ai
nas
pec
menf
i oranar
t
eral
ibl
odgasdet
er
minat
on
i
143I
D.
:383703665
Thenurseadmi ni
ster
sint
rav
enousmorphi
nesul
f
atet
oac l
ientinpul
monar
yedema.Forwhi
ch
i
ntendedefectoft
hemedicati
ondoest
henurs
emonitort
heclient
?
A. Rel
i
efofpai
n
B. Rel
i
efofanx
i
et Cor
rect
y
C. Decr
eas
edur
neout
i put
D. I
ncr
eas
edbl
odpresur
e
.
14I
D:383702944
Anur
s eisprovi
di
nghomecarei
nst
ruct
i
onst
oacli
entwi
thcor
onar
yart
erydis
eas
e(CAD)whowi
l
bedi
schargedhomeandwi
l bet
aki
ng1aspi
ri
ndai
l
y.Thenurs
etel
sthecl
ient
:
A. Tos
topt
heaspi
r
i
nifnauseaocur I
ncor
rect s
B. Tot ak
etheas pi
r
nonanempt
i yst
omac h
C. Thatheaspi
r
ni
isashor
t
-t
ermtr
eat
mentandwil
pr
obabl
ybedi
s
cont
nuedi
i n2 we k
s
145I
D.
:383713112
Acli
entreceivi
ngparenter
alnut
ri
ti
on(PN)sud enl
yexperi
enceschestpai
nanddyspnea,andthe
nur
ses uspectsanairemboli
sm.Thenurseimmediat
el
yplacesthecl
i
entinal
ater
alTrendel
enbur
g
pos
it
ion,onthelefts
ide.Whatacti
ondoesthenurs
etakenext?
A. Aus
cul
t
at
nghear
i tsounds
B. Cl
ampi
ngt
heint
r
avenouscat
het
e Cor
rect
r
C. Chec
kngt
i hec
ent
i
l '
sbl
odpr
esur
e
