Archer 5

Question 1

A loss of electrical power to the facility, the sudden cessation of internal communication, and a toxic chemical spill in the lobby of the facility are all examples of:

Answer 1

Internal disaster

(Other cases of civil emergencies include things like a fire, a bomb threat, a cyclone, a flood, a tornado or hurricane that affects the healthcare facility)

Question 2

Is Nitroglycerin safe to administer in atrial fibrillation?

Answer 2

YES

Question 3

Nitroglycerin is a vasodilator that causes a decrease in:

Answer 3

Blood pressure

(The nurse should not administer any drug that causes the blood pressure to drop when the client’s systolic blood pressure is below 90 mm Hg)

Question 4

A client in _______ should be expected to exhibit acidosis, hypoxemia, and hypercapnia (respiratory acidosis) in his ABGs.

Answer 4

respiratory distress

Question 5

Fat emulsions, PN, or any intravenous fluid should not be infused at a ______ rate to make up for the delay if it falls behind. Doing so could put the client at risk for fat overload and fluid overload. Fat emulsions, like PN, should not be ______ abruptly

Answer 5

Faster

Stopped

Question 6

Clients with bulimia nervosa would usually resort to ______ use as an additional way to control weight.

Answer 6

Amphetamine

These clients are generally not into sedatives, hallucinogens, or cannabis for weight control

Question 7

What is a good nursing diagnosis for a patient with iron deficiency anemia?

Answer 7

Impaired gas exchange

(In iron deficiency anemia, the hemoglobin drops to subnormal levels, leading to impaired tissue oxygenation and reduces gas exchange)

Question 8

One of the most common side effects of terbutaline is ______

Answer 8

Pulmonary edema

Question 9

What members Shiva rather than have awake,
Bury the dead within 24 hours of the death but not on the Sabbath, which is Saturday, and do not prohibit organ donations after death.

Answer 9

Jewish

Question 10

______ juice and calcium channel blockers may combine to cause toxic effects

Answer 10

Grape fruit

Question 11

Other foods that are contraindicated when the client is taking a monoamine oxidase inhibitor (MAO) for depression include:

Answer 11

Bananas, raisins, cheeses, sour cream, yogurt, beer, red wines, and Italian green beans.

Question 12

Calcium plays a role in ______

Answer 12

blood clotting

Question 13

They do not wish for the patient to be taken off life-support.
They would not like an autopsy to be performed.

Answer 13

Judaism

Question 14

The head should be kept elevated above the body at all times. What religious group?

Answer 14

Islam

Question 15

They do not want any pain medication given to the patient. What religious group?

Answer 15

Buddaism

Question 16

A nurse is caring for a client who has Lyme disease. The nurse should anticipate a prescription for which medication?

Answer 16

Doxycycline

Question 17

Finasteride is indicated for:

Answer 17

BPH

Question 18

Valacyclovir is an anti-viral indicated for:

Answer 18

Herpes infection

Question 19

Diphenhydramine is indicated for:

Answer 19

Seasonal allergies

Question 20

The nurse is caring for a client who appears to be developing heart failure (HF). Which of the following laboratory tests would the nurse expect the primary health care provider (PHCP) to prescribe to confirm the diagnosis?

Answer 20

BNP

(B-type natriuretic peptide (BNP) is commonly prescribed for clients who may have heart failure. Elevations indicate worsening of heart failure as it is indicative of fluid retention. A troponin laboratory test would be prescribed for acute coronary syndrome)

Question 21

______ is not a typical symptom of decreased cardiac output in neonates

Answer 21

Bradycardia

Question 22

Crackles are common in cases of ______ related to myocardial infarction:

Answer 22

Pulmonary edema

Question 23

Rhonchi occurs in ______ and ______.

Answer 23

Bronchitis

Pneumonia

Question 24

Diminished breath sounds are usually heard with ______ or ______.

Answer 24

COPD

Pneumonia

Question 25

Patients who have undergone a femoral vein catheter should refrain from sitting up more than __ degrees because this could kink the catheter, thus interfering with treatment.

Answer 25

45

Question 26

Heparin sodium is prescribed at 325 units subcutaneously every 12 hours. The vial reads Heparin sodium 500 units/mL. The nurse will administer how many milliliters in one dose?

Answer 26

0.65 mL

325/500 = “X” ml = 0.65 ml

Question 27

A client comes to the outpatient clinic complaining of abdominal pain, diarrhea, shortness of breath, and epistaxis. What should the nurse’s first action be?

Answer 27

Ask the client about any recent travel to Asia or the Middle East

The client’s clinical symptoms suggest possible avian influenza (bird flu). If the client has traveled recently in Asia or the Middle East, where outbreaks of bird flu have occurred, you will need to institute airborne and contact precautions immediately.

Question 28

A patient with Cushing’s disease needs to eat:

Answer 28

Low sodium
High Protein
Low-fat diet

Question 29

Potential side effects include fine tremor, drowsiness, diarrhea, and weight gain:

Answer 29

Lithium

Question 30

Oliguria (urine output less than 400mL/24 hours) is the most common initial sign of:

Answer 30

Acute Kidney Injury

Question 31

When discharging a patient who is newly diagnosed with hypothyroid, it is essential to educate the parents about how to administer thyroid medication. It should be taken:

Answer 31

The same time each day
On an empty stomach
30 mins before breakfast

(Taking thyroid medication in the evening can cause insomnia, and taking the drug after breakfast interferes with its absorption. Follow up labs to check TSH and T4 level are necessary)

Question 32

Epinephrine should be given every __ to __ minutes until the bradycardia is resolved.

Answer 32

3 to 5

Question 33

The ____ reflex occurs in response to a slight drop, sudden movement of the crib, or a loud noise, the newborn quickly makes a symmetrical abduction of the extremities and places the index fingers and thumbs into a “C” shape.

Answer 33

Moro

Question 34

The ______ reflex occurs as the newborn turns his/her head to the side on which the cheek is stroked.

Answer 34

Rooting

Question 35

Diaphoresis, Exophthalmos, Increased appetite are signs and symptoms would you expect in a patient diagnosed with:

Answer 35

Grave’s Disease

Question 36

Which of the following signs and symptoms would you expect to see in an infant withdrawing from heroin?

Answer 36

RR 88

Diaphoretic

Question 37

The nurse is assessing a 6 year old patient with asthma. Which of the following findings is of most concern?

Answer 37

Silent chest

(This refers to the inability to auscultate any lung sounds. There is complete obstruction of the patient’s airway, and therefore the inability to move air. When complete obstruction occurs, this is a medical emergency. This assessment finding is of most concern because the patient has lost their airway)

Question 38

The most common physical sign of child abuse is _____

Answer 38

Bruising