The nurse administers an IV vesicant chemotherapeutic agent to a patient. Which action is most important for the nurse to take?
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Question 2 of 69
Which ONE of the following is NOT a diagnostic criterion for Kawasaki's disease?
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Question 3 of 69
Which of the following is NOT associated with obesity?
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Question 4 of 69
Mr Tan, a 50-year-old with hypertension, sees you for routine review. He reports three gout flares in the past two months relieved with three days of Arcoxia 120 mg OM for each episode. You perform some blood tests, which returns the following results: Creatinine 95 umol/L, eGFR >90 mL/min, Uric acid 460 mmol/L, HbA1c 5.4%, Random hypo-count 7.5 mmol/L. He is currently on Amlodipine 10 mg OM. He does not drink alcohol except one glass of wine once or twice a year on special occasions. His BMI is 20.5 kg/m². Which is the most appropriate next step?
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Question 5 of 69
The nurse is caring for a patient with left-sided lung cancer. Which finding would be most important for the nurse to report to the health care provider?
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Question 6 of 69
Triglycerides are absorbed in the intestines after a meal. Question: After being absorbed by intestinal cells, triglycerides are transported in the blood circulation by which lipid particle?
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Question 7 of 69
Physical exertion improves the glucose uptake in patients with type 2 diabetes. Question: Which intracellular process is the most likely explanation of this increase in glucose uptake?
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Question 8 of 69
Which statement is true regarding CT and LP in AIDS patients?
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Question 9 of 69
Choose the CORRECT statement Babies born from mothers with gestational diabetes:
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Question 10 of 69
The nurse obtains information about a hospitalized patient who is receiving chemotherapy for colorectal cancer. Which information about the patient alerts the nurse to discuss a possible change in therapy with the health care provider?
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Question 11 of 69
You are caring for a patient with esophageal cancer. Which task could be delegated to the nursing assistant?
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Question 12 of 69
Mr Soh, a 40-year-old accountant on allopurinol 200 mg OM for the past eight months, reports two recent gout attacks in the past year. He has no other known past medical history. When you probe, he is adherent to allopurinol except for missing it perhaps once or twice a month. His BMI 25 kg/m², BP 144/94 mm Hg. His last uric acid was one month ago, which was 405 mmol/L. He is having a gout attack now. He tells you that his gout attacks are usually aborted with colchicine TDS for two days. Whilst on colchicine, he does not experience diarrhoea except for one episode of loose stools, after which he stops colchicine. Which is the most appropriate next step?
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Question 13 of 69
At what pressure goal can we optimally slow CKD progression in diabetic nephropathy?
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Question 14 of 69
The immediate nursing care to be provided to a patient presenting with a suspected ischaemic stroke include:
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Question 15 of 69
The nursing considerations that should be applied when assisting diabetics in management of their condition does not include:
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Question 16 of 69
A male client is presenting with radiating chest pain. Which of the following would the nurse recognize as indicators that an acute myocardial infarction may be occurring?
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Question 17 of 69
There are several mechanisms through which AGEs can lead to increased oxidative stress. Question: Which AGE-induced mechanism supposedly plays an important role in the development of oxidative stress in endothelial cells?
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Question 18 of 69
A nurse has taught a client about dietary changes that can reduce the chances of developing cancer. What statement by the client indicates the nurse needs to provide additional teaching?
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Question 19 of 69
Which of the following assessment findings is a priority during blood transfusion?
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Question 20 of 69
Which of the following is the surgical treatment of choice for end-stage heart failure?
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Question 21 of 69
When assignments are being made for clients with alterations related to gastrointestinal (GI) cancer, which client would be the most appropriate to delegate to an LPN/LVN?
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Question 22 of 69
Which of the following statements on NAFLD is false?
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Question 23 of 69
Postoperative care at the completion of bimaxillary surgery:
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Question 24 of 69
The nurse is assessing a 14-year-old girl with a tumor. Which of the following findings would indicate Ewing sarcoma?
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Question 25 of 69
In which ethnic group are people over 35 years advised to have their blood glucose levels checked because of the risk of type 2 diabetes?
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Question 26 of 69
A previously well 25 week pregnant lady presents as a neighbours child she was looking after 2 days ago has developed chicken pox. What would you advise?
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Question 27 of 69
The home health nurse is caring for a patient who has been receiving interferon therapy for treatment of cancer. Which statement by the patient indicates a need for further assessment?
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Question 28 of 69
The home health nurse is performing a home visit for an oncology patient discharged 3 days ago after completing treatment for non-Hodgkin lymphoma. The nurse's assessment should include examination for the signs and symptoms of what complication?
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Question 29 of 69
A 4 week old baby is due for her second Hepatitis B vaccine dose. However, you note that the baby is mildly jaundiced. What would be the most appropriate step to take next?
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Question 30 of 69
A 54-year-old has a diagnosis of breast cancer and is tearfully discussing her diagnosis with the nurse. The patient states, 'They tell me my cancer is malignant, while my coworker's breast tumor was benign. I just don't understand at all.' When preparing a response to this patient, the nurse should be cognizant of what characteristic that distinguishes malignant cells from benign cells of the same tissue type?
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Question 31 of 69
The nurse teaches a patient who is scheduled for a prostate needle biopsy about the procedure. Which statement, if made by the patient, indicates that teaching was effective?
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Question 32 of 69
A client has a platelet count of 9800/mm^3. What action by the nurse is most appropriate?
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Question 33 of 69
Which of the following is a priority nursing intervention for a client in atrial fibrillation with a rate of 180 beats per minute?
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Question 34 of 69
Obesity is now determined to be a disease because: i. Obesity is common. ii. The development of obesity results from established pathophysiology. iii. Obesity results in negative health consequences. iv. Obesity increases mortality.
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Question 35 of 69
Pulmonary rehabilitation is one of the most effective interventions in the management of COPD. The primary goals of this program are to:
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Question 36 of 69
During his internship at a general practice, a medical student is asked to check the blood glucose level in a 50-year-old patient with type 2 diabetes. The measurement is performed at a random moment and the carbohydrate intake has not been standardised before the measurement is taken. The result of the measurement is shown below. The general practitioner (GP) asks the student to report the result using standard medical terminology. Question: Which diagnosis is most consistent with the findings provided above?
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Question 37 of 69
Which does not require post exposure prophylaxis for rabies?
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Question 38 of 69
An oncology nurse is caring for a patient who has developed erythema following radiation therapy. What should the nurse instruct the patient to do?
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Question 39 of 69
People with obesity generally respond more strongly to food cues than non-obese people. Question: Which behavioural training is most indicated to reduce this mechanism?
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Question 40 of 69
What is the conventional definition of Microalbuminuria?
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Question 41 of 69
Cortical stimulation:
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Question 42 of 69
A 66 year old man has recently been diagnosed with hypertension. He has no history of heart disease and diabetes mellitus. His average blood pressure is recorded as 154/82 mmHg. What is the MOST appropriate first line pharmacological therapy?
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Question 43 of 69
The nurse assesses a client and documents the following findings: edema 2+ bilateral ankles, brown pigmentation of lower extremity skin, aching pain of lower extremities when standing that resolves with elevation, and 2+ pedal pulses. What condition does the client likely have?
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Question 44 of 69
Many people with obesity have a lower insulin-stimulated glucose uptake compared with people without increased body weight. It is assumed that several factors play a role in the development of insulin resistance. Question: Which of the following factors is LEAST likely to play a role in the development of insulin resistance?
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Question 45 of 69
A 10-year-old boy is being prepared for a bone marrow transplant. The nurse can determine that the child understands this treatment when he says:
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Question 46 of 69
Which of the following is a treatment option for a client with infective endocarditis?
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Question 47 of 69
A government initiative to reduce the effects of fatigue in the workforce has recently been rolled out. As anaesthetic lead, you are asked by the chief executive of your institution to develop strategies to reduce fatigue in your department. Appropriate strategies are likely to include:
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Question 48 of 69
The signs and symptoms of heart failure include:
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Question 49 of 69
The nurse is caring for a client with type 2 diabetes who has been hospitalized with severe hyperglycemia. Which of the following topics will be most important to include in discharge teaching?
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Question 50 of 69
A 65-year-old female presented to the emergency room with complaint of progressively worsening fatigue, shortness of breath, and palpitations. Upon assessment, heart rate is 130 beats per minute and irregular, and there is positive jugular vein distention. Heart tones reveal a high-pitched holosystolic murmur. Which of the following disorders are consistent with these findings?
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Question 51 of 69
Set in motion and continue the trajectory projection and scheme' is a goal of management in which of the following trajectory phases?
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Question 52 of 69
Appropriate statements concerning intrathecal drug delivery systems include:
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Question 53 of 69
Which of the following is FALSE regarding patient education for insulin therapy?
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Question 54 of 69
The suture material which poses the highest risk of infection is
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Question 55 of 69
For a patient on the chemotherapeutic drug vincristine (Oncovin), which of the following side effects should be reported to the physician?
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Question 56 of 69
Which of the following medication are utilized to treat peripheral artery disease (PAD)?
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Question 57 of 69
12 lead Electrocardiography (ECG) is a diagnostic tool used to assess the cardiovascular system. Which of the following are not diagnosed by ECG?
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Question 58 of 69
The nurse is caring for a patient who is to begin receiving external radiation for a malignant tumor of the neck. While providing patient education, what potential adverse effects should the nurse discuss with the patient?
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Question 59 of 69
For a patient with osteogenic sarcoma, you would be particularly vigilant for elevations in which laboratory value?
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Question 60 of 69
In Home BP monitoring, which of the following readings show a normal night-time BP?
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Question 61 of 69
A client states that their legs have pain with walking that decreases with rest. The nurse observes absence of hair on the client's lower extremities and the client has a thread, weakened posterior tibial pulse. What would be the best position to have the client's legs?
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Question 62 of 69
Which of the following appropriately describes diastolic dysfunction?
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Question 63 of 69
Which of the following client statements reflect an outcome expectancy statement?
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Question 64 of 69
A 35-year old teacher on allopurinol 200 mg OM for the past year reports three recent gout attacks. BMI 27 kg/m2, BP 144/94 mm Hg. You notice tophi over both hands and elbows. You will now:
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Question 65 of 69
How do you treat secondary syphilis?
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Question 66 of 69
The most common and significant symptom associated with cancer and associated treatments, which has a long term impact on quality of life, as reported by patients, is:
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Question 67 of 69
A person is 178 cm high and weighs 89 kg. What is his BMI?
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Question 68 of 69
The nurse obtains information about a hospitalized patient who is receiving chemotherapy for colorectal cancer. Which information about the patient alerts the nurse to discuss a possible change in cancer therapy with the health care provider?
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Question 69 of 69
A 50-year-old patient, body weight 98 kg and height 1.82 m, has been diagnosed with type 2 diabetes based on increased fasting blood glucose levels (8.2 and 7.9 mmol/L). This gave the patient such a shock that he started a strict calorie-restricted diet. Two weeks later, his fasting blood glucose is 6.8 mmol/L and he has lost 1 kg. Question: What is the most likely explanation for the sharp reduction of the blood glucose level and the limited reduction in weight of only ±1%?
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