(SOLVED) Week 5 Quiz

Week 5 Quiz

Question 1

1. A patient has a history of tonic-clonic seizures that have been successfully treated with phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by

	A.	increasing the levels of available glutamate.
	B.	decreasing the influx of sodium into neurons.
	C.	by slowing the function of calcium channels within the neurological system.
	D.	simultaneously potentiating the effects of GABA and inhibiting reuptake.

1 points

Question 2

1. A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The nurse will be sure to

	A.	avoid the small veins in the dorsum of the hand or the wrist.
	B.	administer after diluting the drug with gabapentin in intravenous solution.
	C.	inject very slowly, no faster than 100 mg/minute.
	D.	inject the diazepam very quickly, 15 mg in 10 to15 seconds.

1 points

Question 3

1. A patient who is experiencing withdrawal from heavy alcohol use have developed psychosis and been treated with haloperidol. Which of the following assessment findings should prompt the care team to assess the patient for neuroleptic malignant syndrome?

	A.	The patient demonstrates a significant increase in agitation after being given haloperidol.
	B.	The patient develops muscle rigidity and a sudden, high fever.
	C.	The patient complains of intense thirst and produces copious amounts of urine.
	D.	The patient develops yellowed sclerae and intense pruritis (itchiness).

1 points

Question 4

1. A nurse is caring for a patient who has been admitted with acute cocaine intoxication. Which of the following vital signs would the nurse expect to find initially when assessing the patient?

	A.	BP: 170/98, P:110, R: 20
	B.	BP: 130/88, P: 92, R: 28
	C.	Blood pressure (BP): 98/50, pulse (P): 120, respirations (R): 40
	D.	BP: 150/90, P: 80, R: 16

1 points

Question 5

1. A nurse works in a sleep disorder clinic and is responsible for administering medications to the patients. Which of the following patients would be most likely to receive zaleplon (Sonata)?

	A.	A 20-year-old woman who will take the drug about once a week
	B.	A 35-year-old man who is having difficulty falling asleep, but once asleep can stay asleep
	C.	A 52-year-old woman who needs to fall asleep quickly and stay asleep all night
	D.	A 46-year-old man who receives an antidepressant and needs a sleep aid

1 points

Question 6

1. A 4-year-old child is brought to the emergency department by her mother. The mother reports that the child has been vomiting, and the nurse notes that the child’s face is flushed and she is diaphoretic. The mother thinks that the child may have swallowed carbachol drops. A diagnosis of cholinergic poisoning is made. Which of the following drugs would be administered?

	A.	Atropine
	B.	Nicotine
	C.	Cevimeline
	D.	Acetylcholine

1 points

Question 7

1. A patient has been admitted to the ICU because of multiple traumas due to a motor vehicle accident. The physician has ordered propofol (Diprivan) to be used for maintenance of sedation. Before administration of propofol, a priority assessment by the nurse would be to check for a history of

	A.	low blood pressure.
	B.	seizure disorders.
	C.	increased intraocular pressure.
	D.	diabetic hyperlipidemia.

1 points

Question 8

1. A patient with mild low back pain has been advised to take acetaminophen. The nurse will inform him that excessive intake of acetaminophen may result in

	A.	cognitive deficits.
	B.	liver damage.
	C.	acute renal failure.
	D.	gastrointestinal distress.

1 points

Question 9

1. A patient has been prescribed lithium therapy. Which of the following signs and symptoms will the nurse tell the patient to report immediately?

	A.	Increased urination
	B.	Increased thirst
	C.	Muscle twitching
	D.	Hair loss

1 points

Question 10

1. A 26-year-old professional began using cocaine recreationally several months ago and has begun using the drug on a daily basis over the past few weeks. He has noticed that he now needs to take larger doses of cocaine in order to enjoy the same high that he used to experience when he first used the drug. A nurse should recognize that this pattern exemplifies

	A.	addiction.
	B.	dependence.
	C.	withdrawal.
	D.	drug tolerance.

1 points

Question 11

1. A nurse is talking to an 18-year-old patient who has had a seizure disorder since she was 10 years old and is taking phenytoin (Dilantin). The nurse should suggest that she take which of the following?

	A.	A potassium supplement
	B.	Vitamin C
	C.	An iron supplement
	D.	Folic acid

1 points

Question 12

1. A patient who has been taking buspirone (BuSpar) for 1 week calls the clinic and reports to the nurse that the drug is not working. The patient informs the nurse that she is still having symptoms of anxiety. The nurse will tell the patient that

	A.	she will report this to the physician immediately.
	B.	it may take up to 6 months for the drug to relieve her anxiety.
	C.	optimum relief of anxiety usually occurs after 3 to 4 weeks of treatment.
	D.	the drug is not going to work for her and the medication needs to be changed.

1 points

Question 13

1. A trauma patient has been receiving frequent doses of morphine in the 6 days since his accident. This pattern of analgesic administration should prompt the nurse to carefully monitor the patient’s

	A.	bowel patterns.
	B.	urine specific gravity.
	C.	skin integrity.
	D.	core body temperature.

1 points

Question 14

1. Which of the following drugs used to treat anxiety would be appropriate for a patient who is a school teacher and is concerned about feeling sedated at work?

	A.	Diazepam (Valium)
	B.	Lorazepam (Ativan)
	C.	Buspirone (BuSpar)
	D.	Alprazolam (Xanax)

1 points

Question 15

1. A 39-year-old patient who is having trouble sleeping is beginning drug treatment with zaleplon (Sonata). The nurse will be sure to ask the patient if she is taking

	A.	cimetidine (Zantac).
	B.	oxycodone (Percodan).
	C.	meperidine (Demerol).
	D.	secobarbital (Seconal).

1 points

Question 16

1. A 64-year-old-patient has been prescribed lorazepam (Ativan) because of increasing periods of anxiety. The nurse should be careful to assess for

	A.	a diet high in fat.
	B.	a history of current or past alcohol use.
	C.	a diet high in carbohydrates.
	D.	current nicotine use.

1 points

Question 17

1. A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse’s priority assessments?

	A.	Respiratory rate, seizure activity, and electrolytes
	B.	Liver function studies, pain intensity, and blood glucose level
	C.	Pain intensity, respiratory rate, and level of consciousness
	D.	Respiratory rate, pain intensity, and mental status

1 points

Question 18

1. A 20-year-old man has begun treatment of the psychotic symptoms of schizophrenia using olanzapine (Zyprexa). Which of the following symptoms would be categorized as a negative symptom of schizophrenia?

	A.	Lack of interest in normal activities
	B.	Auditory hallucinations
	C.	Visual hallucinations
	D.	Delusional thinking

1 points

Question 19

1. A nurse is providing care for a patient who suffered extensive burns to his extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all his burns in order to achieve adequate pain control. When considering this order, the nurse should be aware that

	A.	lidocaine must be potentiated with another anesthetic in order to achieve pain control.
	B.	there is a risk of systemic absorption of the lidocaine through the patient’s traumatized skin.
	C.	pain relief is unlikely to be achieved due to the destruction of nerve endings in the burn site.
	D.	intravenous lidocaine may be preferable to topical application.

1 points

Question 20

1. Morphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid

	A.	dairy products.
	B.	fatty foods.
	C.	alcohol.
	D.	vitamin C.

1 points

Question 21

1. A 59-year-old woman has presented to a clinic requesting a prescription for lorazepam (Ativan) in order to treat her recurrent anxiety. Her care provider, however, believes that a selective serotonin reuptake inhibitor (SSRI) would be more appropriate. What advantage do SSRIs have over benzodiazepines in the treatment of anxiety?

	A.	SSRIs require administration once per week, versus daily or twice daily with benzodiazepines.
	B.	SSRIs have a more rapid therapeutic effect.
	C.	SSRIs generally have fewer adverse effects.
	D.	SSRIs do not require serial blood tests during therapy.

1 points

Question 22

1. A patient is suffering from acute inhalant intoxication. The priority nursing intervention will be to

	A.	administer oxygen therapy.
	B.	assess the patient’s psychosocial status.
	C.	administer epinephrine.
	D.	provide an emesis basin.

1 points

Question 23

1. A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse consists mainly of

	A.	drug therapy with bromocriptine (Parlodel).
	B.	no nursing action unless the patient experiences a “bad trip.”
	C.	aggressive respiratory assistance
	D.	nonpharmacologic interventions combined with an exercise program.

1 points

Question 24

1. The wife of a patient who is taking haloperidol calls the clinic and reports that her husband has taken the first dose of the drug and it is not having a therapeutic effect. An appropriate response by the nurse would be

	A.	“I’ll ask the nurse practitioner if the haloperidol can be discontinued and another drug started.”
	B.	“I’ll ask the nurse practitioner if the dosage can be increased.”
	C.	“Continue the prescribed dose. It may take several days to work.”
	D.	“I’ll report this to the nurse practitioner and see if he will add another drug to enhance the effects of the haloperidol.”

1 points

Question 25

1. A patient who is experiencing acute alcohol withdrawal is being treated with intravenous lorazepam (Ativan). This drug achieves a therapeutic effect by

	A.	increasing the amount of serotonin available in the synapses.
	B.	increasing the effects of the neurotransmitter GABA.
	C.	inhibiting the action of monoamine oxidase.
	D.	affecting the regulation of serotonin and norepinephrine in the brain.

1 points

Question 26

1. Which of the following would be an expected outcome in a patient who has been given atropine during a medical emergency?

	A.	Increased level of consciousness
	B.	Restoration of normal sinus rhythm
	C.	Reduction of severe hypertension
	D.	Resolution of respiratory acidosis

1 points

Question 27

1. A nurse who works at an outpatient mental health clinic follows numerous clients who have schizophrenia, many of whom are being treated with olanzapine (Zyprexa). Which of the following clients likely has the highest susceptibility to the adverse effects of olanzapine?

	A.	A client who has type 1 diabetes and who practices poor glycemic control
	B.	A client who is morbidly obese and who has a sedentary lifestyle
	C.	A client who was recently treated with intravenous antibiotics because of cellulitis in his lower leg
	D.	A client who has a body mass index of 16.5 (underweight) and who smokes one pack of cigarettes daily

1 points

Question 28

1. A nurse will be prepared to administer naloxone (Narcan) to a patient who has had an overdose of morphine. Repeated doses of Narcan will be necessary because Narcan

	A.	combined with morphine, increases the physiologic action of the morphine.
	B.	causes the respiratory rate to decrease.
	C.	has less strength in each dose than do individual doses of morphine.
	D.	has a shorter half-life than morphine.

1 points

Question 29

1. A nurse is assigned to a patient who is taking lithium. Which of the following drug serum levels would indicate that the patient is at risk for adverse effects of the drug?

	A.	1.2 mEq/L
	B.	0.6 mEq/L
	C.	0.3 mEq/L
	D.	1.7 mEq/L

1 points

Question 30

1. An elderly woman is slated for a hemiarthroplasty (hip replacement surgery) after falling and breaking her hip on the stairs outside her home. The woman’s pain in the time since her injury has been severe, and her care team has been treating it with morphine. Which of the following administration schedules is most likely to control the patient’s pain?

	A.	Twice-daily doses of long-acting morphine, with short-acting morphine available for breakthrough pain
	B.	A large long-acting dose of morphine at 8 a.m. with smaller doses at 12 p.m., 5 p.m., and 10 p.m.
	C.	Alternating doses of long-acting morphine with short-acting morphine
	D.	Scheduled doses of short-acting morphine q1h around the clock

 

$19.00 – Purchase Checkout Added to cart