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Pharmacology (Nancy Caroline's Emergency Care in the Streets 8th Edition
3 Names Every Medication Has - Chemical, generic, brand 
4 Possible Actions when a medication binds with a receptor site - 1. channels permitting 
passage of ions are opened or closed 
2. biochemical messenger becomes activated, initiating other chemical reactions within the cell 
3. normal cell function prevented 
4. normal or abnormal function of a cell begins 
absolute refractory period - The early phase of cardiac repolarization, wherein the heart muscle 
cannot be stimulated to depolarize...
- Exam (elaborations)
- • 14 pages •
3 Names Every Medication Has - Chemical, generic, brand 
4 Possible Actions when a medication binds with a receptor site - 1. channels permitting 
passage of ions are opened or closed 
2. biochemical messenger becomes activated, initiating other chemical reactions within the cell 
3. normal cell function prevented 
4. normal or abnormal function of a cell begins 
absolute refractory period - The early phase of cardiac repolarization, wherein the heart muscle 
cannot be stimulated to depolarize...
Neurological System Function, Assessment & Therapeutic Measures
1. The nurse notes that a patient is not able to voluntary move the right arm. Which part of the 
brain should the nurse suspect is affected in this patient? 
a. Cerebellum 
b. Frontal lobe 
c. Parietal lobe 
d. Hypothalamus - B. Frontal lobe 
2. A patient is diagnosed with a health problem that alters the way impulses are conducted in 
the neurological system. When reviewing this information with the patient, which part of a 
neuron should the nurse teach carries impulses toward the cell bod...
- Exam (elaborations)
- • 15 pages •
1. The nurse notes that a patient is not able to voluntary move the right arm. Which part of the 
brain should the nurse suspect is affected in this patient? 
a. Cerebellum 
b. Frontal lobe 
c. Parietal lobe 
d. Hypothalamus - B. Frontal lobe 
2. A patient is diagnosed with a health problem that alters the way impulses are conducted in 
the neurological system. When reviewing this information with the patient, which part of a 
neuron should the nurse teach carries impulses toward the cell bod...
Assessment and Management of Patients With Hypertension
Postural hypertension and resulting injury 
A blood pressure (BP) of 140/90 mm Hg is considered to be - hypertension. 
A client is admitted to the intensive care unit (ICU) with a diagnosis of hypertension 
emergency/crisis. The client's blood pressure (BP) is 200/130 mm Hg. The nurse is preparing to 
administer IV nitroprusside. Upon assessment, which finding requires immediate intervention by 
the nurse? - Numbness and weakness in the left arm 
A client is being seen at the clinic for a ro...
- Exam (elaborations)
- • 5 pages •
Postural hypertension and resulting injury 
A blood pressure (BP) of 140/90 mm Hg is considered to be - hypertension. 
A client is admitted to the intensive care unit (ICU) with a diagnosis of hypertension 
emergency/crisis. The client's blood pressure (BP) is 200/130 mm Hg. The nurse is preparing to 
administer IV nitroprusside. Upon assessment, which finding requires immediate intervention by 
the nurse? - Numbness and weakness in the left arm 
A client is being seen at the clinic for a ro...
Administering an Intramuscular Injection
A nurse is administering an intramuscular injection to a client. Which best describes the nurse's 
recommended hand movements? - Moves non-dominant hand to steady the lower end of the 
syringe, and dominant hand to the end of the plunger. 
How quickly would the nurse inject solution into an intramuscular site? - 10 sec/mL of 
medication. 
The nurse administering an intramuscular injection to a client divides the thigh into thirds, 
horizontally and vertically to locate the site. What inject...
- Exam (elaborations)
- • 2 pages •
A nurse is administering an intramuscular injection to a client. Which best describes the nurse's 
recommended hand movements? - Moves non-dominant hand to steady the lower end of the 
syringe, and dominant hand to the end of the plunger. 
How quickly would the nurse inject solution into an intramuscular site? - 10 sec/mL of 
medication. 
The nurse administering an intramuscular injection to a client divides the thigh into thirds, 
horizontally and vertically to locate the site. What inject...
Management of Patients With Complications from Heart Disease
A client arrives at the ED with an exacerbation of left-sided heart failure and reports shortness of 
breath. Which is the priority nursing intervention? - Assess oxygen saturation 
A client asks the nurse if systolic heart failure will affect any other body function. What body 
system response correlates with systolic heart failure (HF)? - decrease in renal perfusion 
A client has a myocardial infarction in the left ventricle and develops crackles bilaterally; 3-pillow 
orthopnea; an S3 hear...
- Exam (elaborations)
- • 4 pages •
A client arrives at the ED with an exacerbation of left-sided heart failure and reports shortness of 
breath. Which is the priority nursing intervention? - Assess oxygen saturation 
A client asks the nurse if systolic heart failure will affect any other body function. What body 
system response correlates with systolic heart failure (HF)? - decrease in renal perfusion 
A client has a myocardial infarction in the left ventricle and develops crackles bilaterally; 3-pillow 
orthopnea; an S3 hear...
Medication Administration (NCLEX QUESTIONS
A client just admitted with an acute myocardial infarction (heart attack) is prescribed heparin (an 
anticoagulant) 2,000 units IV now. Which action should the nurse take first before administering 
this medication? 
1) Make sure the informed consent is signed. 
2) Verify the prescription with the physician. 
3) Check the laboratory results of coagulation studies. 
4) Be sure a signed HIPPA form is on the chart. - ANS: 3 
A hospitalized patient's medical record contains the following medicati...
- Exam (elaborations)
- • 25 pages •
A client just admitted with an acute myocardial infarction (heart attack) is prescribed heparin (an 
anticoagulant) 2,000 units IV now. Which action should the nurse take first before administering 
this medication? 
1) Make sure the informed consent is signed. 
2) Verify the prescription with the physician. 
3) Check the laboratory results of coagulation studies. 
4) Be sure a signed HIPPA form is on the chart. - ANS: 3 
A hospitalized patient's medical record contains the following medicati...
Neurological and Mental Status
A client blinks when the right eye is lightly touched with a cotton wisp. Which cranial nerve 
should the nurse document as being intact? - trigeminal 
A client cannot differentiate between sharp and dull pain sensations when a nurse tests with a 
safety pin. What is an appropriate action by the nurse? - Determine the ability to differentiate hot 
and cold temperatures 
A client has sustained an injury to the cerebellum. Which area should be the nurse's primary 
focus for assessment? - Coor...
- Exam (elaborations)
- • 5 pages •
A client blinks when the right eye is lightly touched with a cotton wisp. Which cranial nerve 
should the nurse document as being intact? - trigeminal 
A client cannot differentiate between sharp and dull pain sensations when a nurse tests with a 
safety pin. What is an appropriate action by the nurse? - Determine the ability to differentiate hot 
and cold temperatures 
A client has sustained an injury to the cerebellum. Which area should be the nurse's primary 
focus for assessment? - Coor...
Comprehensive Practice 2019 A
a case manager is reviewing the medical records of several clients. for which of the following 
clients should the nurse request an interprofessional care conference? - A client who has 
diabetes mellitus and has had repeated hospitalizations for diabetic ketoacidosis 
a charge nurse assigns a newly licensed nurse to care for a client who has a chest tube. The 
nurse expresses concern about having limited experience with monitoring chest tube drainage. 
which of the following actions should t...
- Exam (elaborations)
- • 22 pages •
a case manager is reviewing the medical records of several clients. for which of the following 
clients should the nurse request an interprofessional care conference? - A client who has 
diabetes mellitus and has had repeated hospitalizations for diabetic ketoacidosis 
a charge nurse assigns a newly licensed nurse to care for a client who has a chest tube. The 
nurse expresses concern about having limited experience with monitoring chest tube drainage. 
which of the following actions should t...
History of Microbiology
1) Antoni van Leeuwenhoek was the first person in history to - C) view microorganisms and 
record these observations. 
1) Microbiologists study only single-celled organisms. - FALSE 
1) The amateur scientist (Koch/Leeuwenhoek/Pasteur) made his own microscopes and first 
reported the existence of microbes. - Leeuwenhoek 
1) You are a young scientist who has just learned about one of the hot topics in microbiology, 
biofilms. One aspect of the interest in biofilms is that the microbes living wi...
- Exam (elaborations)
- • 17 pages •
1) Antoni van Leeuwenhoek was the first person in history to - C) view microorganisms and 
record these observations. 
1) Microbiologists study only single-celled organisms. - FALSE 
1) The amateur scientist (Koch/Leeuwenhoek/Pasteur) made his own microscopes and first 
reported the existence of microbes. - Leeuwenhoek 
1) You are a young scientist who has just learned about one of the hot topics in microbiology, 
biofilms. One aspect of the interest in biofilms is that the microbes living wi...
Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder
The nurse is conducting a physical examination of a toddler with suspected lead poisoning. 
Lab results indicate blood lead level 52 m g/dL. Which action would the nurse expect to happen 
next? 
A) Repeat testing within 2 days and prepare to begin chelation therapy as ordered 
B) Repeat testing within 1 week with education to decrease lead exposure 
C) Confirm with repeat testing in 1 month and referral to local health department 
D) Prepare to admit child to begin chelation therapy 
2. A nurs...
- Exam (elaborations)
- • 13 pages •
The nurse is conducting a physical examination of a toddler with suspected lead poisoning. 
Lab results indicate blood lead level 52 m g/dL. Which action would the nurse expect to happen 
next? 
A) Repeat testing within 2 days and prepare to begin chelation therapy as ordered 
B) Repeat testing within 1 week with education to decrease lead exposure 
C) Confirm with repeat testing in 1 month and referral to local health department 
D) Prepare to admit child to begin chelation therapy 
2. A nurs...