A 75-year-old lady is listed for an anterior resection to treat a cancer in the descending hemicolon. She has never previously been in hospital. She gives no history of shortness of breath or angina, but admits that she does not take part in strenuous activity. Apart from painkillers, she takes no medications. Appropriate statements regarding preoperative testing include:
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Question 2 of 69
A 30yr NZ man goes to PNG, takes 300 mg chloroquine weekly for 2 weeks prior and 4 weeks post his trip. 3/12 later gets febrile/sweats/maleana with malaria parasites on film. The following is true
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Question 3 of 69
Which drug should not be given with midazolam?
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Question 4 of 69
A patient who has ovarian cancer is crying and tells the nurse, 'My husband rarely visits. He just doesn't care.' The husband indicates to the nurse that he does not know what to say to his wife. Which nursing diagnosis is appropriate for the nurse to add to the plan of care?
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Question 5 of 69
For care of a patient who has oral cancer, which task would be appropriate to delegate to the LPN/LVN?
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Question 6 of 69
The clinic nurse is caring for a patient whose grandmother and sister have both had breast cancer. She requested a screening test to determine her risk of developing breast cancer and it has come back positive. The patient asks you what she can do to help prevent breast cancer from occurring. What would be your best response?
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Question 7 of 69
Which of the following is an example of multimorbidity?
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Question 8 of 69
Which of the following is a treatment option for a client with sickle cell disease?
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Question 9 of 69
A new nurse has been assigned a client who is in the hospital to receive iodine-131 treatment. Which action by the nurse is best?
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Question 10 of 69
Which patient is at greatest risk for pancreatic cancer?
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Question 11 of 69
What do you tell patients is the most important risk factor for lung cancer when you are teaching about lung cancer prevention?
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Question 12 of 69
There are several different transmembranous glucose transporters (Gluts). Question: Which Gluts occur most frequently in the liver and which in the pancreas?
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Question 13 of 69
Fatty liver disease is more common in people with metabolic syndrome or type 2 diabetes. The pathogenesis of fatty liver disease is not yet completely known. Question: What does current research suggest with respect to the pathogenesis?
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Question 14 of 69
Which of the following condition has low risk of progression to liver cirrhosis:
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Question 15 of 69
The clinic nurse is caring for a 42-year-old male oncology patient. He complains of extreme fatigue and weakness after his first week of radiation therapy. Which response by the nurse would best reassure this patient?
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Question 16 of 69
A patient who is scheduled for a breast biopsy asks the nurse the difference between a benign tumor and a malignant tumor. Which answer by the nurse is correct?
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Question 17 of 69
A nurse is caring for a client diagnosed with peripheral artery disease. Which of the following is a common assessment finding?
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Question 18 of 69
Epigenetic changes play a role in the development of type 2 diabetes mellitus. Question: Which of the following statements about epigenetics is correct?
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Question 19 of 69
The following blood values are found in a patient: total cholesterol: 9.2 mmol/L (strongly elevated) and triglycerides: 1.7 mmol/L (normal). Question: Which lipid particle is most likely to cause this abnormal lipid spectrum?
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Question 20 of 69
The nurse is assessing a client with severe anemia. Which clinical manifestation does the nurse expect to see in this client?
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Question 21 of 69
A patient with a large stomach tumor attached to the liver is scheduled for a debulking procedure. Which information should the nurse teach the patient about the outcome of this procedure?
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Question 22 of 69
Which of the following is a characteristic of health-related hardiness known as 'challenge'?
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Question 23 of 69
A 59-year-old lady with type 2 diabetes mellitus (T2DM), heart failure from coronary artery disease, and an ejection fraction of 60 percent attends your practice for a routine follow-up. She has mild dyspnea while climbing stairs but reports no other limitations in her usual activities. Her HbA1c was 7.2 percent. She is compliant to extended-release metformin 2,000 mg OD, Rosuvastatin 10 mg ON, Telmisartan 40 mg OD, carvedilol 25 mg BD, and aspirin 100 mg OD. Her vital signs reveal stable body weight at 88 kg, a blood pressure of 126/78 mmHg, a heart rate of 68 bpm and regular, and a respiratory rate of 18 breaths/min. Her examination is otherwise normal. What would be the most appropriate next step in management?
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Question 24 of 69
Which of the following statements regarding weight regulation is TRUE?
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Question 25 of 69
A 63 years old woman who is known to have hypertension for 15 years presented to her family doctor with shortness of breath and ankle swelling. An echocardiogram confirmed compromised left ventricular function. Her blood pressure is 150/90 mmHg. She is currently on frusemide and Aspirin. What is the MOST appropriate medication to add?
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Question 26 of 69
The nurse educates the client that besides an echocardiogram, which of the following tests is the best tool for diagnosing heart failure?
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Question 27 of 69
The nurse understands that the physician would need to be notified regarding a chemotherapy dose if the client experiences:
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Question 28 of 69
In the UK, appropriate statements concerning the trauma network include:
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Question 29 of 69
A client suffering from a narcotic overdose is seen in the Emergency Department. The client is confused, with warm, flushed skin, headache, and weakness. Vital signs of noted are temperature 102.6 F, heart rate 128 beats/minute, respirations 24 breaths/minute, and blood pressure 130/86 mm Hg. A blood gas analysis sample was drawn on room air, and the results are as follows: pH 7.33 PaCO2 53 mm Hg, PaO2 72 mm Hg, HCO3 24 mEq/L. This client is at risk for which of the following?
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Question 30 of 69
Which is the most common organism/s causing osteomyelitis in all age groups?
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Question 31 of 69
Patients on insulin therapy should receive essential education on the following EXCEPT:
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Question 32 of 69
Mr Yee two months later. At your last visit he did not want colchicine prophylaxis as he did not want to take 'too many tablets'. He has started and is adherent to his urate lowering agent. Last month, his uric acid had decreased to 390 mmol/L. He had a gout flare last week, hence he came to your clinic today to ask about colchicine prophylaxis. Which is correct advice regarding colchicine prophylaxis?
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Question 33 of 69
The role of the nurse and other health professions in chronic disease is to:
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Question 34 of 69
Which of the following are not part of the diabetic retinopathy that cause visual impairment in patients with diabetes?
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Question 35 of 69
With regards to starting drug therapy for arterial hypertension, at which level of diastolic pressure should treatment be considered?
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Question 36 of 69
When caring for a patient who is pancytopenic, which action by unlicensed assistive personnel (UAP) indicates a need for the nurse to intervene?
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Question 37 of 69
In the treatment of COPD:
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Question 38 of 69
Officially approved blood glucose meters used for self-testing and point-of-care diagnostics are not always suitable to measure the blood glucose values in neonates. Question: What is the main cause for this?
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Question 39 of 69
Which of the following procedures are performed for a client with a pericardial effusion?
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Question 40 of 69
A patient newly diagnosed with cancer is scheduled to begin chemotherapy treatment and the nurse is providing anticipatory guidance about potential adverse effects. When addressing the most common adverse effect, what should the nurse describe?
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Question 41 of 69
An oncology patient has just returned from the postanesthesia care unit after an open hemicolectomy. This patient's plan of nursing care should prioritize which of the following?
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Question 42 of 69
A nurse works with clients who have alopecia from chemotherapy. What action by the nurse takes priority?
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Question 43 of 69
A nurse in a hematology clinic is working with four clients who have polycythemia vera. Which client should the nurse see first?
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Question 44 of 69
Which is the most common organism infecting coral cuts?
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Question 45 of 69
Which of the following management activities is not part of the nursing care of a patient with COPD?
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Question 46 of 69
Which of the following findings would be most indicative of retinoblastoma for an 18-month old child?
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Question 47 of 69
Heart failure with preserved ejection fraction is caused by:
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Question 48 of 69
Nursing considerations that should be applied in the management of people with type 2 diabetes mellitus include:
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Question 49 of 69
The glycaemic profiles of people living with diabetes is affected by the following EXCEPT:
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Question 50 of 69
According to the McGinnis model of 2002, what percentage of health differences between people is related to their behaviour?
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Question 51 of 69
Which of the following statements regarding dietary approaches to obesity treatment is TRUE?
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Question 52 of 69
Proven treatment for patients with noncirrhosis from NAFLD include the following except:
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Question 53 of 69
What does the abbreviation DALY stand for?
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Question 54 of 69
Percutaneous cervical cordotomy:
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Question 55 of 69
In the clinical assessment of heart failure, which of the following is FALSE?
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Question 56 of 69
After change-of-shift report on the oncology unit, which patient should the nurse assess first?
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Question 57 of 69
Characteristics of acute pain do not include:
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Question 58 of 69
Which organism is least likely to show the characteristic periodicity of fever in malaria?
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Question 59 of 69
The nurse is caring for four clients on a post-surgical unit. The nurse understands that monitoring the client for which post-operative complication takes priority?
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Question 60 of 69
Which complications are the three main consequences of leukemia?
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Question 61 of 69
Spirometry is used to determine the severity of COPD and to monitor disease progression. This test measures
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Question 62 of 69
Which does not cause genital ulceration?
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Question 63 of 69
A 45 year old man, BMI 35 but otherwise healthy and normotensive has an urinary albumin excretion of 30 mg in 24 hours. Which is the correct action to take?
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Question 64 of 69
Post exposure prophylaxis against Human Immunodeficiency Virus (HIV):
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Question 65 of 69
A nurse is caring for a client recently diagnosed with pericarditis. Which of the following is a common assessment finding with this disorder?
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Question 66 of 69
Repaglinide belongs to the class
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Question 67 of 69
Which of the following health determinants is NOT a component of Lalonde's model?
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Question 68 of 69
Which of the following conditions/abnormalities is always present in people who are diagnosed with metabolic syndrome?
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Question 69 of 69
The nurse teaches a patient with cancer of the liver about high-protein, high-calorie diet choices. Which snack choice by the patient indicates that the teaching has been effective?
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