ACC 406 Test Guide Questions & Answers|2025 Update | 100% Verified Correct||Already Graded A+ -Toronto Metropolitan University

ACC 406 Test Guide Questions & Answers|2025 Update | 100% Verified Correct||Already Graded A+ -Toronto Metropolitan University A client is refusing to take an antihypertensive medication although teaching about the drug's action and importance has been completed. The nurse should first: - ANSWER Investigate with the client, what is the objection to the medication. Lewis Acid - ANSWER Accepts a pair of electrons in reactions. Lewis Base - ANSWER Donates a pair of electrons in reactions. Hydrated Metal Ion - ANSWER Metal ion surrounded by water molecules. Acidic Metal Ion - ANSWER Metal ion that increases acidity in solution. Basic Oxide - ANSWER Oxide that reacts with acids to form salts. Atomic Mass - ANSWER Weighted average mass of an element's isotopes. Atomic Number - ANSWER Number of protons in an atom's nucleus. Proton Count - ANSWER Determines the element's identity in the periodic table. Neutron Count - ANSWER Mass number minus atomic number. The main purpose for documentation of client care is to: - ANSWER Record the client's concerns and responses. Administer before breakfast - ANSWER Timing for amitriptyline administration. Frequent urination - ANSWER Monitoring needed for amitriptyline patients. Blurred vision - ANSWER Indicates need to withhold amitriptyline. Inability to orgasm - ANSWER Possible side effect of sertraline. Improvement in mood - ANSWER Expected within 2 to 3 days on sertraline. Fever - ANSWER Expected adverse effect of sertraline. Temporary muscle rigidity - ANSWER Possible side effect of sertraline. Suicidal thoughts - ANSWER Risk associated with trazodone in adolescents. Weight loss - ANSWER Possible effect of trazodone. Symptoms improve in one week - ANSWER Expected outcome with trazodone treatment. Take in morning - ANSWER Trazodone administration timing to prevent insomnia. Pre-ECT medication - ANSWER Atropine is commonly administered before ECT. Extrapyramidal symptoms - ANSWER Adverse effect to monitor with haloperidol. Intractable hiccups - ANSWER Possible side effect of haloperidol. Excessive salivation - ANSWER Adverse effect associated with haloperidol. Contraindication for clozapine - ANSWER WBC count below 3,500/mm3 is a concern. Weight gain of 3 lb - ANSWER Adverse effect of olanzapine in 2 weeks. Delusions of grandeur - ANSWER Psychotic symptom, not an adverse effect. Heart rate 60/min - ANSWER Normal finding, not an adverse effect. Oral candidiasis - ANSWER Possible adverse effect of olanzapine. Abnormal Involuntary Movement Scale - ANSWER Rating scale for assessing movement disorders. Hamilton Depression Scale - ANSWER Tool for evaluating depression severity. Body Attitude Test - ANSWER Assessment for body image perception. Recovery Attitude and Treatment Evaluator - ANSWER Measures attitudes towards recovery in treatment. Administering olanzapine - ANSWER 20 mg requires 2 orally-disintegrating tablets. A client is experiencing memory impairment. Which of the following is the best strategy in teaching him new information regarding changing his ostomy appliance? - ANSWER Use repetition. A client has hypertension and is receiving a vasodilator. Which of the following clinical manifestations should the PN report immediately? - ANSWER Orthostatic hypotension. During a health clinic assessment, Mr. Banka describes his life as "in crisis." He reports that he has just lost his job, his wife is seeking a divorce, and he has been sick with a respiratory illness for 1 month. What statement, made by the nurse, reveals understanding of the care of a client in crisis? - ANSWER "People generally find it easier to work through a crisis if someone is working with them." Cognitive learning domain - ANSWER Thinking/Knowledge P: Patient describes side effects of a new medication Affective learning domain - ANSWER Attitudes/Values N:Advocating for patient dignity P:Patient shows motivation to follow a diet plan Psychomotor learning domain - ANSWER Physical Skills N:Performing catheterization or CPR P:Patient demonstrates self-injection technique The nurse demonstrates different critical thinking skills. The nurse "examine ideas and break down the data into different components" Which critical thinking tool applies to this statement? - ANSWER Analysis. A new client is admitted to the hospital with the following nursing diagnoses: Fatigue, Nausea, Ineffective individual coping, and Ineffective breathing pattern. Which diagnosis requires immediate intervention? - ANSWER Ineffective breathing pattern. Which of the following learning theory promote the client autonomy and selfmotivation? - ANSWER Humanism. A student is preparing to take the final examination in Nursing Skills 101. Which of the following findings would support that the student is experiencing a moderate level of anxiety? - ANSWER Slightly increased respiratory and heart rates. Indicator color change - ANSWER Indicates pH change in solution. Compatible ions - ANSWER Ba2+, NO3-, K+, CO32- coexist in water. Hydrogen gas non-yielding - ANSWER Zinc and concentrated nitric acid do not produce. Precipitate formation - ANSWER White precipitate indicates magnesium ion presence. sp hybridization - ANSWER Describes bonding in HCN molecule. SO2 bond characteristics - ANSWER Two SO bonds equal length and distribution. Dipole moment - ANSWER SO2 has the largest dipole moment. Largest bond angle - ANSWER F-Be-F in BeF2 has the largest angle. Polar molecule - ANSWER H2S is a polar molecule. Oxidation reaction - ANSWER Fe3+ is reduced in the reaction. Reducing agent - ANSWER Metallic zinc reduces copper ions. Oxidizing agent - ANSWER PbO2 acts as the oxidizing agent. Oxidizing agent group - ANSWER Cl2, MnO4-, Cu2+ can oxidize. Strongest oxidizing agent - ANSWER Determined by comparing reduction potentials. Insoluble Mg(OH)2 - ANSWER Precipitate forms when NaOH added to MgSO4. ZnSO4 formation - ANSWER Occurs when zinc reacts with copper sulfate. SO2 resonance structures - ANSWER Imply bond character and electron distribution. Hydrogen gas production - ANSWER Occurs with sodium and calcium reactions. Chemical reaction products - ANSWER ZnSO4 and Cu produced from zinc and copper sulfate. Standard Reduction Potential - ANSWER Measure of tendency to gain electrons. Isoelectronic Species - ANSWER Atoms or ions with identical electron configurations. Atomic Molar Mass - ANSWER Mass of one mole of a substance in grams. Mole Fraction - ANSWER Ratio of moles of a component to total moles. Bond Energy - ANSWER Energy required to break a bond in a molecule. Entropy Change - ANSWER Measure of disorder or randomness in a system. Exothermic Reaction - ANSWER Reaction that releases heat to the surroundings. AgCl Precipitation - ANSWER Formation of silver chloride from silver ions. Simplest Formula - ANSWER Lowest whole number ratio of elements in a compound. Percentage Composition - ANSWER Mass percentage of an element in a compound. Isoelectronic Ion Size - ANSWER Size comparison of ions with same electron count. Entropy Decrease - ANSWER Reduction in disorder during a physical process. Molar Mass of Ni - ANSWER 58.7 g·mol-1 for nickel metal. Molar Mass of Ni(CO)4 - ANSWER 171 g·mol-1 for nickel carbonyl. Hydrogen Bonding - ANSWER Attraction between hydrogen and electronegative atoms. Stoichiometric Calculations - ANSWER Quantitative relationships in chemical reactions. Thermochemical Processes - ANSWER Study of heat changes in chemical reactions. Electrochemical Cell - ANSWER Device converting chemical energy to electrical energy. Kinetics - ANSWER Study of reaction rates and mechanisms. Periodic Trends - ANSWER Patterns in elemental properties across the periodic table. Molecular Geometry - ANSWER Three-dimensional arrangement of atoms in a molecule. Acid-Base Reactions - ANSWER Reactions involving proton transfer between species. All of the following nursing diagnoses are appropriate for a client with an acute asthma attack. Which is of the highest priority? - ANSWER Ineffective Airway Clearance related to bronchoconstriction and increased mucus production. The manager is preparing education session for her staff group. Which of the following is true in relation to the teaching and learning process? - ANSWER Learning occurs best when the individual has an identified need to learn. Which nursing action should be taken first for a patient exhibiting a higher than usual level of anxiety before a diagnostic test? - ANSWER Encourage the client to verbalize feelings of anxiety. During data clustering, a nurse: - ANSWER Organizes cues into patterns that to identify nursing diagnoses. Which statement is true regarding the need to use standard precautions? - ANSWER You should use standard precautions anytime you have contact with a patient's blood or other body fluids. The 40 year old client has a healthcare-associated infections (HAI), which of the following would be the most significant factor in the client's susceptibility to HAI. - ANSWER Skin breakdown. The practical nurse wears a mask, a gown, and gloves when caring for a client. What is the principle mode of transmission of an antibiotic-resistant organism such as MRSA? - ANSWER Transfer from client to client on the hands of hospital personnel. The client is receiving vancomycin (Vancocin) intravenously for a wound infection. The practical nurse observes redness around the IV site and the client complains that the site is painful. What priority action should the nurse take? - ANSWER Change the site of infusion. Hallucinations - ANSWER Perceptions without external stimuli, affecting senses. Command Hallucination - ANSWER Auditory hallucinations instructing the individual to act. Alcohol Withdrawal Symptoms - ANSWER Physical and psychological symptoms after stopping alcohol. Disulfiram - ANSWER Medication that deters alcohol consumption by causing reactions. Informed Consent - ANSWER Client's agreement to treatment after understanding risks. Affective Flattening - ANSWER Reduced emotional expression in facial and vocal responses. Visual Hallucination - ANSWER Seeing things that are not present. Gustatory Hallucination - ANSWER Tasting things that aren't there. Tactile Hallucination - ANSWER Feeling sensations on the skin without stimuli. Acute Schizophrenic Disorder - ANSWER Severe mental disorder with psychotic symptoms. Client Orientation - ANSWER Introducing clients to their environment and policies. Group Therapy - ANSWER Therapeutic sessions involving multiple clients sharing experiences. Decision-Making Encouragement - ANSWER Supporting clients in making choices about their care. Client Goals in Rehabilitation - ANSWER Prioritized objectives for recovery in treatment settings. Vitamin C in Alcoholism - ANSWER Not effective for preventing liver damage from alcohol. Self-Care Strategies - ANSWER Techniques for clients to manage their own health. Relapse Prevention Plan - ANSWER Strategy to avoid recurrence of symptoms. Concrete Thinking - ANSWER Belief that problems have only one solution. Active Negativism - ANSWER Consistently opposing requests or instructions. Major Depressive Disorder - ANSWER Mental health condition with persistent sadness.