Archer 5

Question 1

You give a patient a nonsteroidal anti-inflammatory medication (NSAID) in addition to a narcotic analgesic so:

Answer 1

The effects of the narcotic analgesic combats pain to be more effective

Question 2

The most common side effect of Theophylline is:

Answer 2

Headache

Question 3

Signs of toxicity of Theophylline:

Answer 3

Seizures, Palpitations and Arrhythmias

Question 4

The nurse should tell the client that when the contrast medium is injected, he will feel:

Answer 4

Nausea,
Flushing of the face
Sudden urge to urinate

Question 5

When a patient is taking Amoxicillin potassium (Augmentin) you should monitor the clients:

Answer 5

liver, blood, and renal studies should be monitored

Question 6

Amoxicillin potassium (Augmentin) should be taken:

Answer 6

On an empty stomach with a full glass of water

Question 7

A nurse is preparing a newborn with myelomeningocele sac for surgery. The most appropriate intervention to keep the site sterile and protected is to:

Answer 7

Cover the sac with moist, saline dressings

Question 8

TPN may cause an increase in blood sugar levels in the first:

Answer 8

48 hours of administration

Question 9

TPN has high glucose content making it an ideal medium for bacterial growth. The nurse should perform ______ during dressing changes in the TPN line.

Answer 9

strict asepsis

Question 10

Can you massage the foot of a person with a coagulation disorder?

Answer 10

NO

soothing foot soak could be used for comfort rather than a soothing foot massage.

Question 11

1 oz equals:

Answer 11

30 mL

Question 12

Does apple sauce count as a fluid?

Answer 12

NO

Question 13

Diet of the patient with hypoparathyroidism:

Answer 13

High calcium, low phosphorus diet

(A high calcium diet may increase the client’s serum calcium levels through the food he eats. A low phosphorus diet ensures that his phosphorus levels are small so that it will not interfere with his calcium levels. Calcium and Phosphorus have an inversely proportional relationship)

Question 14

Contraceptive pills do not take effect until __ days after they are started

Answer 14

7

Question 15

Instructions given by the nurse to the client who forgot to take her pills for two consecutive days:

Answer 15

Take two pills today and another two pills tomorrow

Question 16

Signs of an ______ include a contracted and firm uterus and a slowed fetal heart rate.

Answer 16

Abruptio placenta

Question 17

Position a patient lays in for lumbar puncture:

Answer 17

On the side in a “C” position

Back should be as close to the edge of the bed as possible

Question 18

Does the patient have to be NPO for a lumbar puncture?

Answer 18

No

Question 19

During a lumbar puncture the nurse should tell the patient to empty his ____ before the procedure.

Answer 19

Bladder

Question 20

A fixed and dilated pupil signifies an increase in:

Answer 20

ICP

Question 21

Clients undergoing brachytherapy have radium implants. They should have limited close contact with a family of up to only __ minutes a day.

Answer 21

30

(The visitors should limit their time of exposure to radium, have adequate distance between them, and use a lead shield against the radium)

Question 22

Signs of sepsis in a neonate include:

Answer 22

unstable temperatures

tachycardia

Question 23

Hypoglycemia in the neonate is manifested by:

Answer 23

low body temperature, diaphoresis, muscle twitching, and respiratory distress

Question 24

Neonates born to drug-dependent mothers exhibit:

Answer 24

jitteriness, hyperactivity, and a shrill cry

These signs usually appear within 24 hours of being delivered

Question 25

Signs of hypothermia in the neonate include:

Answer 25

cool extremities, acrocyanosis, bradycardia, poor feeding, and respiratory depression.

Question 26

The child diagnosed with leukemia is expected to have ______.

Answer 26

petechiae

Question 27

A child with otitis media is expected to have a ______:

Answer 27

fever

Question 28

Drooling in epiglottitis means that the child is having _____:

Answer 28

difficulty swallowing

(The child is at risk of preventing his airway ultimately. This patient should be seen by a physician immediately, and an emergency bedside tracheostomy prepared)

Question 29

Measles is what precaution?

Answer 29

Airborne

Question 30

The term “enteric precautions” are no ______

Answer 30

Longer used

Question 31

Norovirus is what precaution?

Answer 31

Contact

Question 32

The most appropriate intravenous fluid for blood transfusions:

Answer 32

Normal Saline

Normal saline is an isotonic solution that will not cause blood hemolysis or red blood cell clumping

Question 33

______ intervals have been noted as a severe side effect of ondansetron.

Answer 33

Prolonged QT

Question 34

Which foods should a patient with diverticulosis avoid:

Answer 34

Cucumber salad.
Cooked broccoli.
Cabbages.

(Bran cereal and fruits will help prevent constipation)

Question 35

Amenorrhea is a _____ sign of pregnancy:

Answer 35

Presumptive

Question 36

Enlarged uterus is a ____ sign of pregnancy:

Answer 36

Probable

Question 37

The primary treatment for Bell’s Palsy is:

Answer 37

Prenisone

Antivirals

Question 38

Vitamin D _____ serum calcium:

Answer 38

Increases

Not the other way around

Question 39

True or False

50-70% of serum calcium is ionized in the serum:

Answer 39

True

Question 40

True or False

Albumin and calcium levels can be directly correlated:

Answer 40

True

Question 41

The most serious adverse effect of tricyclic antidepressant (TCA) overdose is:

Answer 41

Cardiac arrhythmias

Excessive ingestion of TCAs result in life-threatening wide QRS complex tachycardia

Question 42

Potential effects of glucocorticoids:

Answer 42

Immunosuppression

Psychosis

Question 43

Steatorrhea, Meconium ileus, and Salty Sweat are symptoms of:

Answer 43

Cystic Fibrosis

Question 44

Cystic fibrosis patients are at risk for what electrolyte imbalance:

Answer 44

Hyponatremia

NOT hyper

Question 45

Chemotherapy and antibiotics do not put a patient at risk for ____:

Answer 45

Falls

Question 46

Which of the following electrolyte imbalances should the nurse monitor for in her patient with Celiac disease?

Answer 46

Hypomagnesemia
Hypocalcemia
Hypokalemia
Hypophosphatemia

Question 47

When a patient is suffering from severe hypernatremia, monitoring ______ status is the nurse’s priority.

Answer 47

Neurological