quiz 5 Flashcards
During accommodation, pupillary dilation partially compensates for the reduced size of the retinal image by:
a) Increasing light entering the pupil
b) Contracting the ciliary muscle
c) Narrowing the palpebral opening
d) Thickening the lens
a) Increasing light entering the pupil
A client presents to the clinic complaining, “I have something in my eye.” When questioned, the client admits to a scratching and burning sensation and light sensitivity. The health care provider suspects the client has developed:
Question 2 options:
a) Acute glaucoma
b) Conjunctivitis c) Retinal detachment d) Corneal edema
b) Conjunctivitis
A high school senior sustained a concussion during a football game. Which of the following signs and symptoms would indicate the presence of postconcussion syndrome in the days and weeks following his injury?
Question 3 options:
a) Recurrent nosebleeds and hypersomnia
b) Headaches and memory lapses c) Unilateral weakness and decreased coordination d) Neck pain and decreased neck range of motion
b) Headaches and memory lapses
A client with a spinal cord injury at T8 would likely retain normal motor and somatosensory function of her:
Question 4 options:
a) Bowels
b) Bladder c) Arms d) Perineal musculature
c) Arms
The intracranial volume that is most capable of compensating for increasing intracranial pressure is the:
Question 5 options:
a) Cerebrospinal fluid
b) Brain cell tissue c) Interstial blood d) Surface sulci fluid
a) Cerebrospinal fluid
The family of a multiple sclerosis client asks, “What psychological manifestations may we expect to see in our mother?” The health care provider informs them to expect which of the following? Select all that apply.
Question 7 options:
a) Depression
b) Forgetfulness c) Hallucinations d) Delirium e) Inattentiveness
a) Depression
b) Forgetfulness
e) Inattentiveness
The somatosensory system consists of three types of sensory neurons. The special somatic type of afferent sensory neurons has receptors that sense:
Question 6 options:
a) Visceral fullness
b) Painful touch c) Muscle position d) Temperature
c) Muscle position
Which of the following interventions would be considered a nonpharmacologic method of pain control? Select all that apply.
Question 8 options:
a) OTC acetaminophen
b) Distraction by knitting c) Biofeedback d) Guided imagery
b) Distraction by knitting
c) Biofeedback d) Guided imagery
A client’s emergency magnetic resonance imaging (MRI) has been examined by the physician and tissue plasminogen activator (tPA) has been administered to the client. What was this client’s most likely diagnosis?
Question 9 options:
a) Status epilepticus
b) Ischemic stroke c) Subarachnoid hemorrhage d) Encephalitis
b) Ischemic stroke
A client with chronic low back pain presents to the clinic. In addition to a detailed pain assessment, which of the following questions would be appropriate to ask? Select all that apply.
Question 10 options:
a) “Can you financially afford your medicine?”
b) "Do you consider yourself a good driver?" c) "Do you have trouble urinating?" d) "Are you having trouble sleeping?" e) "What kind of stressors are you experiencing?"
a) “Can you financially afford your medicine?”
d) “Are you having trouble sleeping?”
e) "What kind of stressors are you experiencing?"
The nurse is caring for a spinal cord injury client. Assessment reveals shallow breath sounds with a very weak cough effort. The nurse correlates this with which level of injury on the spinal column?
Question 11 options:
a) C5
b) T1 c) C2 d) T10
a) C5
The nurse is preparing discharge teaching for four patients. Which patient should be advised by the nurse that over-the-counter cold and allergy preparations contain phenylephrine and should be avoided?
Question 12 options:
a) A 47-year-old woman with hypertension
b) A 52-year-old man with adult onset diabetes c) A 17-year-old girl with symptoms of an upper respiratory infection d) A 62-year-old man with gout
a) A 47-year-old woman with hypertension
A patient comes to the clinic because she is feeling depressed and has gained some weight. The physician prescribes oral tranylcypromine (Parnate) 10 mg twice daily for an atypical depression. When prescribed in this manner, when would the nurse tell the patient to expect the drug to reach peak levels in the body?
Question 13 options:
a) 3 to 4 days
b) 1 to 2 hours c) 2 to 3 hours d) 4 to 5 weeks
c) 2 to 3 hours
Nonselective adrenergic blocking agents have a variety of therapeutic uses. Which agent is used for the treatment of heart failure?
Question 14 options:
a) Carvedilol (Coreg)
b) Tamsulosin (Flomax) c) Propranolol (Inderal) d) Sotalol (Betapace)
a) Carvedilol (Coreg)
A student asks the pharmacology instructor to explain the action of anticholinergic agents. What would be the instructor’s best response?
Question 15 options:
a) They act to block the effects of the parasympathetic nervous system.
b) They increase norepinephrine at the neuromuscular junction. c) They compete with serotonin for muscarinic acetylcholine receptor sites. d) They block nicotinic receptors.
a) They act to block the effects of the parasympathetic nervous system.
A child was diagnosed with attention-deficit hyperactivity disorder and methylphenidate was prescribed for treatment to be taken once a day in a sustained release form. On future visits what is a priority nursing assessment for this child?
Question 16 options:
a) Electrocardiogram (ECG) and echocardiogram
b) Breath sounds and respiratory rate c) Urine output and kidney function d) Weight and height
d) Weight and height
What is the physiological action of tricyclic antidepressants (TCAs)?
Question 17 options:
a) Inhibiting monoamine oxidase inhibitors that break down norepinephrine
b) Inhibiting nerve activity, which prevents over excitability or stimulation c) Inhibiting reuptake of norepinephrine and serotonin d) Blocking the reuptake of serotonin, which increases the levels of norepinephrine
c) Inhibiting reuptake of norepinephrine and serotonin
The 64-year-old patient has smoked since age 15 and has been diagnosed with chronic obstructive pulmonary disease. What classification of adrenergic blocking antagonist would be safest for this patient to treat angina?
Question 18 options:
a) Alpha1-selective adrenergic blocking agents
b) Nonselective adrenergic blocking agents c) Beta1-selective adrenergic blocking agents Chapter 32 d) Nonselective alpha-adrenergic blocking agents
c) Beta1-selective adrenergic blocking agents
Chapter 32
Hypnotic drugs are used to aid people in falling asleep. What physiological system does a hypnotic act on to be effective in helping a patient to sleep?
Question 19 options:
a) Lymph system
b) Limbic system c) Sympathetic nervous system d) Reticular activating system
d) Reticular activating system
A patient is prescribed sertraline (Zoloft). What adverse effects should the nurse warn of when developing a medication teaching plan? (Select all that apply.)
Question 20 options:
a) Intermittent tachycardia
b) Agitation c) Agglutination d) Insomnia e) Dry mouth
b) Agitation
d) Insomnia
e) Dry mouth
The nurse is preparing to give isoproterenol parenterally. Before starting to administer the drug, what does the nurse ensure is on hand in case a severe reaction occurs?
Question 21 options:
a) A beta-adrenergic stimulant
b) An alpha-adrenergic blocker c) A beta-adrenergic blocker d) An alpha-adrenergic stimulant
c) A beta-adrenergic blocker
What agents are used primarily to treat cardiac-related conditions?
a) Nonselective beta-adrenergic blocking agents
b) Alpha1-selective adrenergic blocking agents c) Nonselective alpha-adrenergic blocking agents d) Nonselective adrenergic blocking agents e) Beta1-selective adrenergic blocking agents
The nurse admits a patient newly diagnosed with schizophrenia to the inpatient mental health unit. What is the priority reason for why the nurse includes the family when collecting the nursing history?
Question 23 options:
a) The patient will be less anxious if the family listens while he answers questions.
b) The patient may not be able to provide a coherent history. c) The patient may not be able to speak due to reduced level of consciousness. d) The family will feel better if they are included in the process.
The student nurse is studying for a pharmacology exam and notices that many of the adrenergic blocking antagonists drugs studied in class have what suffix?
Question 24 options:
a) -lol
b) -triptan c) -azole d) -aine
a) -lol
The nurse admits a patient newly diagnosed with schizophrenia to the inpatient mental health unit. What is the priority reason for why the nurse includes the family when collecting the nursing history?
Question 23 options:
a) The patient will be less anxious if the family listens while he answers questions.
b) The patient may not be able to provide a coherent history. c) The patient may not be able to speak due to reduced level of consciousness. d) The family will feel better if they are included in the process.
b) The patient may not be able to provide a coherent history.
The nurse is caring for a resident in a long-term care facility who is African American with a history of an anxiety disorder. The patient is receiving oral lorazepam (Ativan) 2 mg t.i.d. When developing this patient’s plan of care, what priority assessment will the nurse include?
Question 25 options:
a) Extreme sedation
b) Phlebitis c) Depression d) Nightmares
a) Extreme sedation
