A nurse assigned to pulmonology must understand that medications used to treat manifestations of COPD include all of the following except
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Question 2 of 54
A nurse is treating a patient who's been prescribed glucocorticoids to help control airway mucus production and improve breathing. To avoid bone loss that can occur when Prednisone is used for 10 days or more, the nurse should
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Question 3 of 54
Patient education regarding taking iron replacements includes:
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Question 4 of 54
A nurse is reinforcing teaching with a client who has a new prescription for codeine. Which of the following information should the nurse include in the teaching?
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Question 5 of 54
The main vector transmitting malaria in Sabah is Anopheles balabacensis. This vector breeds in
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Question 6 of 54
Route of heparin administration is
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Question 7 of 54
A nurse is reviewing a medical record of a patient who's been prescribed inhalable anticholinergics for recurring allergen-induced bronchospasms. Which of the following conditions will be a common contraindication for this drug?
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Question 8 of 54
Which of the following is not associated with thrombotic thrombocytopenic purpura?
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Question 9 of 54
Aspirin 325 mg should be taken during initial acute episode of myocardial infarction. Which of the following medications can often be prescribed concurrently with aspirin and increase the risk for bleeding?
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Question 10 of 54
nurse is administering epidural anesthesia to a patient with chronic lower back pain due to spinal cord compression by a posteriorly herniating intervertebral disk. To asses for any neurologic damage from hematoma formed during spinal or epidural anesthesia, a nurse must monitor which of the following signs/symptoms?
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Question 11 of 54
A 51-year-old male has been told by his PCP to take an aspirin a day. Why would this be recommended?
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Question 12 of 54
If a patient has an INR greater than 20 and active bleeding that is clinically significant (i.e., hematuria), the pharmacist should
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Question 13 of 54
Which of the following medications requires obtaining baseline prothrombin time (PT) and monitoring levels of PT and international normalized ratio (INR) periodically?
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Question 14 of 54
A patient is presented with pallor, fatigue and dyspnea. Physical examination shows koilonychias and angular cheilosis. Which of the following is not expected in the laboratory finding of this patient?
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Question 15 of 54
A nurse caring for a 52-year-old patient who's been prescribed Hydrocodone for chronic back pain must observe for manifestations of
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Question 16 of 54
A patient will be receiving a thrombolytic drug as part of the treatment for acute myocardial infarction. The nurse explains to the patient that this drug is used for which purpose?
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Question 17 of 54
Myelodysplastic syndromes are a group of clonal stem cell disorders. Which of the following type has the poorest prognosis according to the FAB system of classifications?
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Question 18 of 54
When writing a prescription for warfarin it is common to write on the prescription.
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Question 19 of 54
A nurse is administering epidural medication to a patient with chronic back pain due to L3L4 spinal nerve root compression by a herniated intervertebral disc. The nurse should understand that the risk of administering epidural medication while taking heparin includes
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Question 20 of 54
A peripheral blood smear showing increase in numbers of neutrophils, band cells, metamyelocytes, myelocytes, basophils, eosinophils and platelets is most suggestive
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Question 21 of 54
Beta 2 adrenergic agonists act by selectively activating the beta 2 receptors in the bronchial smooth muscle, resulting in bronchodilation. As a result of this
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Question 22 of 54
The typical Reed-Sternberg cells are either infrequent or absent. Instead, lymphocytic and histiocytic cells or “popcorn cells†are seen within a background of inflammatory cells, which are predominantly benign lymphocytes. Which type of Hodgkin's lymphoma best suit the description?
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Question 23 of 54
The most important complication of streptokinase therapy is
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Question 24 of 54
Unfractionated heparin binds to antithrombin III and inactivates clotting factor(s).
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Question 25 of 54
The preferred route of administration of streptokinase in acute myocardial infarction is
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Question 26 of 54
Which of the following requires IL-2 and IL-4 in the conversion of unilineage progenitor cell into mature circulating cell?
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Question 27 of 54
Which of the following medications is administered by inhalation to liquefy nasal and bronchial secretions and facilitate coughing?
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Question 28 of 54
Spherocytosis is a common cause of inherited haemolytic anaemia. The most likely cause for spherocytosis is
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Question 29 of 54
Which of the following direct thrombin inhibitors is administered to clients having hip replacement surgery to prevent DVT?
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Question 30 of 54
A nurse treating a patient receiving heparin should understand that hemorrhage can occur if medication administration leads to
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Question 31 of 54
Which of the following is not a good prognostic factor in patient with acute lymphoblastic leukemia?
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Question 32 of 54
Dophle bodies are patches of dilated endoplasmic reticulum that appear as cerulean blue cytoplasmic puddles. These findings are mostly seen in
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Question 33 of 54
Anticoagulants are indicated in
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Question 34 of 54
A nurse treating chronic asthmatic patients with methylxanthines must remember to increase the dosage when prescribing this medication simultaneously with
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Question 35 of 54
When treating a patient who's been taking tricyclic antidepressants for the past three months and has just been prescribed albuterol, a nurse should understand that
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Question 36 of 54
A pediatric nurse treating a 7-year-old female patient post status asthmaticus must understand that bronchodilators generally act by selectively
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Question 37 of 54
A nurse is treating a patient diagnosed with nonallergic rhinitis who's been prescribed Phenylephrine to alleviate nasal congestion. What is the expected mechanism of action for this medication?
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Question 38 of 54
Bone marrow responds to iron therapy by increasing erythropoietic activity. Which of the following in bone marrow would most likely indicate erythropoiesis?
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Question 39 of 54
Patients who are beginning therapy with vitamin B12 need to be monitored for:
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Question 40 of 54
The safest drug to use to treat pregnant women who require anticoagulant therapy is:
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Question 41 of 54
Low molecular weight heparins differ from conventional heparin in that
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Question 42 of 54
The vector of visceral leishmaniasis has geographical variations. In the Asian region the main vector is
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Question 43 of 54
A patient has had recent mechanical heart valve surgery and is receiving anticoagulant therapy. While monitoring the patient's laboratory work, the nurse interprets that the patient's international normalized ratio (INR) level of 3 indicates that:
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Question 44 of 54
Anticholinergic effects like dry mouth and constipation are commonly observed with all of the following drug classes except
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Question 45 of 54
A nurse treating a 57-year-old male in-patient who's been prescribed oral theophylline for long term control of COPD needs to monitor him for which of the following complications?
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Question 46 of 54
Blood level of which clotting factor declines most rapidly after the initiation of warfarin therapy
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Question 47 of 54
Which of the following subtypes of Hodgkin's lymphoma is common in young women and has good prognosis?
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Question 48 of 54
A patient is being discharged on anticoagulant therapy. The nurse will include in the patient education conversation that it is important to avoid herbal products that contain which substance?
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Question 49 of 54
If a patient is taking darbepoetin alfa (Aranesp), their blood counts should be monitored to determine if a dosage adjustment is needed. How soon should this be done after starting the drug?
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Question 50 of 54
Acetylcysteine and hypertonic saline are
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Question 51 of 54
Mr XY was found to be anaemic. During history taking, he informed his doctor that he was a strict vegetarian who did not consume any meat, fish or milk products.
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Question 52 of 54
A 40 year old patient is presented with unilateral palpebral edema and ipsilateral lymphadenopathy. He later develops megaesophagus and megacolon as complications. Which of the following vector is responsible for this parasitic infection?
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Question 53 of 54
For patients taking warfarin, international normalized ratios (INRs) are best drawn:
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Question 54 of 54
The history and physical examination indicates that the patient may have taken too much warfarin. The nurse anticipates that the patient will receive which antidote?
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