A patient is scheduled for cataract surgery. What anesthetic agent should the nurse prepare to administer?
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Question 2 of 83
The mechanism of action of oral combined contraceptives that prevents pregnancy is:
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Question 3 of 83
Medications used in the management of patients with chronic obstructive pulmonary disease (COPD) include:
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Question 4 of 83
Treatment for mild intermittent asthma is:
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Question 5 of 83
Vanessa has been diagnosed with scabies. Her education would include:
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Question 6 of 83
The nurse receives a client in the post anesthesia care unit (PACU) following a procedure requiring general anesthesia. The most important assessment made by the nurse relates to the client's:
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Question 7 of 83
Treatment of a patient with hypothyroidism and cardiovascular disease consists of:
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Question 8 of 83
A woman is prescribed hormonal contraceptives. What aspect of this treatment places her at greatest risk for the development of blood clots?
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Question 9 of 83
The nurse is teaching a patient who has iron-deficiency anemia about iron supplementation. Which statement by the patient indicates understanding of the teaching?
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Question 10 of 83
All diabetic patients with known cardiovascular disease should be treated with:
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Question 11 of 83
Best prophylaxis for a 3-year-child with febrile seizures is:
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Question 12 of 83
The enzyme that is used in the hydrolysis reaction:
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Question 13 of 83
Which feature of a pediatric patient would the nurse recognize as most affecting the distribution of a fat soluble drug?
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Question 14 of 83
Why are liver enzymes important to monitor in patients on long-term medication therapy?
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Question 15 of 83
A client who has erectile dysfunction asks a nurse whether sildenafil would be a suitable medication. Which aspect of this client's history would be of most concern?
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Question 16 of 83
An older client has been using cascara sagrada on a long-term basis. The nurse determines that which laboratory result is a result of the side effects of this medication?
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Question 17 of 83
A 50-year-old postmenopausal client who has had a hysterectomy has moderate to severe hot flashes and is discussing estrogen therapy with the nurse. What will the nurse tell the client regarding the side effects of estrogen therapy?
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Question 18 of 83
Lifestyle changes are the first step in treatment of gastroesophageal reflux disease (GERD). Food or drink that may aggravate GERD include:
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Question 19 of 83
The nurse is assisting the parent of a 6-month-old infant to administer an oral liquid medication. The parent asks why the medication can't be given in a bottle of formula to make it taste better. How will the nurse respond?
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Question 20 of 83
A patient is taking a loop diuretic and reports anorexia and fatigue. The nurse suspects which electrolyte imbalance in this patient?
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Question 21 of 83
The diabetic client receives an injection of insulin glargine. What is the duration of insulin glargine?
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Question 22 of 83
The nurse is preparing to administer doses of hydrochlorothiazide (HydroDIURIL) and digoxin (Lanoxin) to a patient who has heart failure. The patient reports having blurred vision. The nurse notes a heart rate of 60 beats per minute and a blood pressure of 140/78 mm Hg. Which action will the nurse take?
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Question 23 of 83
A nurse is gathering data from client about the client's medication history and notes that the client is taking tolterodine tartrate (Detrol LA). The nurse determines that the client is taking the medication to treat which disorder?
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Question 24 of 83
Which of these drugs can cause a black tongue?
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Question 25 of 83
Screening tests for tuberculosis in the patient with HIV include:
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Question 26 of 83
Patients with macular degeneration may complain of:
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Question 27 of 83
Side effects of rifampin that patients should be aware of include:
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Question 28 of 83
A middle-aged patient with erectile dysfunction has sought care and is receiving health education from the nurses. The patient has expressed a desire to understand the physiology of the sex hormone production and the sexual response. The nurse should describe the fact that testosterone is normally secreted in response to
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Question 29 of 83
A patient has been receiving intravenous heparin. When laboratory tests are drawn, the nurse has difficulty stopping bleeding at the puncture site. The patient has bloody stools and is reporting abdominal pain. The nurse notes elevated partial thromboplastin time (PTT) and activated PPT (aPTT). Which action will the nurse perform?
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Question 30 of 83
Diabetes screening recommendations include all patients over age 45 years be screened every:
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Question 31 of 83
A patient has been taking oral amoxicillin to treat otitis media for the past 6 days and has told the nurse that his ear is now 'back to normal.' He asks the nurse if he can now stop taking his antibiotics. How should the nurse respond?
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Question 32 of 83
Insulin glargine is prescribed for a hospitalized client who has diabetes. When will the nurse expect to administer this drug?
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Question 33 of 83
Why is the consistency of taking paroxetine (Paxil) and never running out of medication more important than with most other selective serotonin reuptake inhibitors (SSRIs)?
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Question 34 of 83
Which drug works as a competitive reversible inhibitor of DPP-4, reducing enzymatic inactivation of the incretin hormones, GLP-1 and GIP?
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Question 35 of 83
Which of these drugs carries a relatively high risk of agranulocytosis?
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Question 36 of 83
Phil is a 54-year-old male with multiple risk factors who has been on a high-dose statin for 3 months to treat his high LDL level. His LDL is 135 mg/dL and his triglycerides are elevated. A reasonable change in therapy would be:
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Question 37 of 83
A patient with end-stage renal failure has been admitted to hospital for severe anemia but is refusing blood transfusions. Which drugs will likely be used to stimulate the production of red blood cells (RBCs)?
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Question 38 of 83
Drug choices to treat angina in older adults differ from those of younger adults only in:
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Question 39 of 83
In which situation would the nurse hold digoxin?
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Question 40 of 83
An oncology nurse is providing for an adult patient who is currently immunocompromised. The nurse is aware of the physiology involved in hematopoiesis and immune function, including the salient role of cytokines. What is the primary role of cytokines in maintaining homeostasis?
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Question 41 of 83
Monitoring treatment response in the patient with pneumonia includes monitoring:
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Question 42 of 83
For a patient with bronchitis and a productive cough, the nurse should choose:
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Question 43 of 83
When monitoring laboratory results for patients on loop and thiazide diuretics, the nurse knows to watch for which of the following?
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Question 44 of 83
The role that Probenecid plays to increase Penicillin in the blood is:
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Question 45 of 83
Monitoring of peak flow rates by the patient with asthma:
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Question 46 of 83
A patient has a prescription for a drug classified as Schedule F. What important information should the nurse give this patient about obtaining refills for this medication?
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Question 47 of 83
The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he cannot take medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
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Question 48 of 83
The goals of therapy when prescribing hormone replacement therapy (HRT) include reducing:
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Question 49 of 83
The drug recommended as primary prevention of osteoporosis in men over age 70 years is:
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Question 50 of 83
The nurse is administering medications to a patient with a new diagnosis of anemia. Which is a true statement about treatment with folic acid?
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Question 51 of 83
Lifestyle modifications for patients with prehypertension or hypertension include:
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Question 52 of 83
The nurse is preparing to administer a first dose of clopidogrel (Plavix) to a patient. As part of the history, the nurse learns that the patient has a previous history of peptic ulcers, diabetes, hyperlipidemia, and hypertension. The nurse understands that which of these conditions warrants caution with clopidogrel treatment?
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Question 53 of 83
The patient with chronic disease anemia would have laboratory results including:
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Question 54 of 83
Pyridoxine deficiency is a side effect of which of these drugs?
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Question 55 of 83
An older adult man has moved to a long-term care facility and the nurse is performing a medication reconciliation. The resident's current medication regimen includes alfuzosin (Uroxatral). After considering the most likely indication for this drug, the nurse should include what potential problem in the resident's interdisciplinary plan of care?
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Question 56 of 83
Glargine insulin:
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Question 57 of 83
The nurse is preparing to hang a new bag for a patient who is receiving total parenteral nutrition (TPN). During this procedure, the nurse will instruct the patient to take a deep breath and then perform which action?
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Question 58 of 83
A challenge faced with antiretroviral therapy (ART) is:
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Question 59 of 83
Because of its action on various body systems, the patient taking a thiazide or loop diuretic may also need to receive the following supplement:
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Question 60 of 83
A patient's sudden increase in IOP has necessitated the oral administration of glycerin (Osmoglyn). When assessing the patient for adverse effects related to this intervention, the nurse should prioritize which of the following?
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Question 61 of 83
David is a 34-year-old patient who is starting on paroxetine (Paxil) for depression. David's education regarding his medication would include:
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Question 62 of 83
The nurse is caring for an African-American patient who has been taking a beta blocker to treat hypertension for several weeks with only slight improvement in blood pressure. The nurse will contact the provider to discuss which of the following?
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Question 63 of 83
While the nurse is assisting a patient in taking his medications, the medication cap falls to the floor, spilling the tablets. What is the nurse's best action at this time?
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Question 64 of 83
Sulfonylureas may be added to a treatment regimen for type 2 diabetics when lifestyle modifications and metformin are insufficient to achieve target glucose levels. Sulfonylureas have been moved to Step 2 therapy because they:
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Question 65 of 83
The nurse is administering lidocaine and considers which condition in the patient as a caution for its use?
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Question 66 of 83
Long-term treatment of moderate atopic dermatitis includes:
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Question 67 of 83
It is important for the nurse to stay informed of the most current recommendations for immunizations. Which of the following sources is most accurate regarding immunization guidelines?
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Question 68 of 83
If a patient does not respond to an SSRI after an adequate trial of therapy the next step would be:
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Question 69 of 83
A child who has not received the chickenpox vaccine has developed the chickenpox virus. The child has itching related to the chickenpox pustules. Which of the following herbal preparations would be helpful to decrease itching?
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Question 70 of 83
The nurse would question an order for niacin for a patient with a history of which condition?
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Question 71 of 83
Which of the following statements about ACE inhibitors mode of action is false?
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Question 72 of 83
A patient is being treated for opioid abuse after many years of cocaine and heroin use. The nurse should anticipate that this patient will be treated with what drug?
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Question 73 of 83
The nurse is assessing a patient for dinoprostone use. Which condition contraindicates its use?
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Question 74 of 83
Which of the following should be monitored in a patient taking beta blockers?
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Question 75 of 83
When treating H. pylori associated with peptic ulcer disease, the most common adverse drug effect of bismuth subsalicylate is:
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Question 76 of 83
A client who has been taking a glucocorticoid for several months arrives in the clinic. The nurse notes the client's cheeks appear full, and a prominent hump of fat is present on the upper back. The nurse will ask the provider to order which of these laboratory tests?
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Question 77 of 83
Which is a contraindication to the use of neomycin sulphate otic preparation?
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Question 78 of 83
The nurse is demonstrating the Z-track injection technique to a nursing student on a patient who is receiving iron dextran. Which statement by the student indicates understanding of the teaching?
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Question 79 of 83
A nurse is caring for a client with glaucoma who receives a daily dose of acetazolamide (Diamox). Which of the following would indicate to the nurse that the client is experiencing an adverse effect of the medication?
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Question 80 of 83
Which of the following is the most likely indication for the use of immunosuppressant agents?
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Question 81 of 83
A patient reports wanting to take vitamin A to prevent blindness. Which response by the nurse is correct?
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Question 82 of 83
A client will receive oral ciprofloxacin to treat a urinary tract infection. The nurse provides teaching for this client. Which statement by the client indicates further teaching?
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Question 83 of 83
Which of the following statements is true about acute pain?
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