1. What is the most reliable measure

1. What is the most reliable measure for assessing diabetes control over the preceding 3-month period? Correct: No Score: 0 2. Insulin glargine is prescribed for a hospitalized patient who has diabetes. When will the nurse expect to administer this drug? Correct: Yes Score: 1 3. An elderly patient who has type 2 diabetes has a history of severe hypoglycemia. The patient�s spouse asks the nurse what the optimum A1c level is for the patient. Which is correct? Correct: Yes Score: 1 4. A patient has a free T4 level of 0.6 ng/dL and a free T3 of 220 pg/dL. The patient asks the nurse what these laboratory values mean. How will the nurse respond? Correct: No Score: 0 5. A nurse obtaining an admission history on an adult patient notes that the patient has a heart rate of 62 beats per minute, a blood pressure of 105/62 mm Hg, and a temperature of 96.2�F. The patient appears pale and complains of always feeling cold and tired. The nurse will contact the provider to discuss tests for which condition? Correct: Yes Score: 1 6. A nurse is teaching a patient who has been diagnosed with hypothyroidism about levothyroxine [Synthroid]. Which statement by the patient indicates a need for further teaching? Correct: No Score: 0 7. A 1-year-old child with cretinism has been receiving 8 mcg/kg/day of levothyroxine [Synthroid]. The child comes to the clinic for a well-child checkup. The nurse will expect the provider to: Correct: No Score: 0 8. The nurse prepares a patient with Graves� disease for radioactive iodine (131I) therapy. Which statement made by the patient best demonstrates understanding of 131I therapy? Correct: No Score: 0 9. A nurse is providing teaching for a nondiabetic adult who develops growth hormone deficiency and who will begin treatment with somatropin [Humatrope]. Which statement by the patient indicates understanding of the teaching? Correct: No Score: 0 10. A clinic patient who has cirrhosis of the liver develops hypervolemic hypernatremia. Which medication will the nurse expect the provider to order? Correct: No Score: 0 11. A patient is given 1 mg of dexamethasone at 11:00 PM; a plasma cortisol level recorded at 8:00 PM the next day is normal. The nurse knows that this is an indication that the patient has what condition? Correct: No Score: 0 12. A nurse is explaining congenital adrenal hyperplasia (CAH) to a group of nursing students. Which statement by a student indicates understanding of the teaching? Correct: Yes Score: 1 13. A patient who breast-feeds her infant asks the nurse about the immunity the infant receives from breast milk. What does the nurse tell the patient about immunity through breast-feeding? Correct: No Score: 0 14. A nurse is preparing to administer vaccines to a 1-year-old child. The parents ask the nurse to give the child acetaminophen before administering the vaccine to reduce the pain. Which response by the nurse is correct? Correct: No Score: 0 15. The parents of an infant who will be attending day care tell the nurse that they do not want their child vaccinated against rotavirus because an older cousin developed intussusception after receiving this vaccine. Which response by the nurse is correct? Correct: Yes Score: 1 16. A 1-year-old child is scheduled to receive the MMR vaccine, pneumococcal vaccine (PCV), Varivax, and hepatitis A vaccine. The child�s parents request that the MMR vaccine not be given, saying that, even though there is no demonstrated link with autism, they are still concerned about toxic levels of mercury in the vaccine. Which response by the nurse is correct? Correct: No Score: 0 17. A clinic nurse receives a phone call from a parent who states that a 2-month-old infant has a severe cough, a low-grade fever, and a runny nose that have lasted over a week. What will the nurse ask the parent? Correct: No Score: 0 18. The nurse at a public health infant immunization clinic is acting as a preceptor for a nursing student. To assess the student�s understanding of vaccinations, the nurse asks the student where the hepatitis B vaccine (HepB) should be administered. The student would be correct to respond that the hepatitis B vaccine should be administered in the: Correct: Yes Score: 1 19. An immigrant child is in the clinic for MMR vaccination. The nurse learns that the child has recently received an immune globulin injection for a viral infection, currently has an upper respiratory infection with a temperature of 100�F, and has a recent history of thrombocytopenia, which has resolved. What does the nurse tell the child�s parents? Correct: No Score: 0 20. The nurse has been caring for a patient who has been taking antibiotics for 3 weeks. Upon assessing the patient, the nurse notices the individual has developed oral thrush. What describes the etiology of the thrush? Correct: No Score: 0 21. A recent campaign, initiated by the Centers for Disease Control (CDC), to delay the emergence of antibiotic resistance in hospitals, has what as one of its objectives? Correct: Yes Score: 1 22. A child with otitis media has had three ear infections in the past year. The child has just completed a 10-day course of amoxicillin [Amoxil] with no improvement. The parent asks the nurse why this drug is not working, because it has worked in the past. What will the nurse tell the patient? Correct: No Score: 0 23. A child with an ear infection is not responding to treatment with amoxicillin [Amoxil]. The nurse will expect the provider to order: Correct: No Score: 0 24. A patient is about to receive penicillin G for an infection that is highly sensitive to this drug. While obtaining the patient�s medication history, the nurse learns that the patient experienced a rash when given amoxicillin [Amoxil] as a child 20 years earlier. What will the nurse do? Correct: Yes Score: 1 25. A patient with an infection caused by Pseudomonas aeruginosa is being treated with piperacillin. The nurse providing care reviews the patient�s laboratory reports and notes that the patient�s blood urea nitrogen and serum creatinine levels are elevated. The nurse will contact the provider to discuss: Correct: Yes Score: 1 26. The nurse assesses a newly diagnosed patient for short-term complications of diabetes. What does this assessment include? Correct: No Score: 0 27. A patient arrives in the emergency department with a heart rate of 128 beats per minute and a temperature of 105°F. The patient’s skin feels hot and moist. The free T4 level is 4 ng/dL, the free T3 level is 685 pg/dL, and the TSH level is 0.1 microunits/mL. The nurse caring for this patient will expect to administer: Correct: No Score: 0 28. A patient is hospitalized with head trauma after a motor vehicle accident. The nurse caring for the patient notes a marked increase in the output of pale, dilute urine. The nurse suspects which condition? Correct: No Score: 0 29. A nurse teaches a nursing student about the differences between desmopressin (DDAVP) and vasopressin [Pitressin]. Which statement by the student indicates a need for further teaching? Correct: No Score: 0 30. A male patient reports decreased libido and the nurse notes galactorrhea during a physical assessment. The nurse will report these findings to the provider and will anticipate an order for which medication? Correct: No Score: 0 31. A patient who has been newly diagnosed with adrenal hormone deficiency will begin taking hydrocortisone. The nurse provides teaching for this patient. Which statement by the patient indicates understanding of the teaching? Correct: No Score: 0 32. A postmenopausal patient who has had a hysterectomy and who has a family history of coronary heart disease reports experiencing vaginal dryness and pain with intercourse but tells the nurse that she doesn’t want to take hormones because she is afraid of adverse effects. The nurse will suggest that the woman ask her provider about: Correct: No Score: 0 33. A nurse is reviewing the immune system with a group of nursing students. One student asks about the difference between cell-mediated immunity and humoral immunity. What should the nurse reply? Correct: No Score: 0 34. A nurse is teaching a group of nursing students about antibodies. The nurse correctly explains that which type of response is triggered when antigens bind to antibodies on mast cells or basophils? Correct: Yes Score: 1 35. A nurse is teaching a group of nursing students about immunoglobulins. Which statement by a student indicates a need for further teaching? Correct: No Score: 0 36. The nurse at a public health infant immunization clinic is acting as a preceptor for a nursing student. To assess the student’s understanding of vaccinations, the nurse asks the student where the hepatitis B vaccine (HepB) should be administered. The student would be correct to respond that the hepatitis B vaccine should be administered in the: Correct: Yes Score: 1 37. A patient with a liver transplant has been receiving cyclosporine [Sandimmune] for 6 months. The nurse reviews this patient’s laboratory results and notes a sharp increase in the blood urea nitrogen (BUN) and serum creatinine. Vital signs are normal, and the patient reports no discomfort. What does the nurse suspect? Correct: No Score: 0 38. A patient is taking cyclosporine [Sandimmune] and prednisone to prevent organ rejection after right renal transplantation. The patient is febrile and complains of right-sided flank pain. The nurse reviews the patient’s chart and finds that the patient’s BUN and serum creatinine are elevated. The cyclosporine trough is 150 ng/mL. What will the nurse do? Correct: No Score: 0 39. The nurse is caring for a patient after recent renal transplantation. The patient is taking sirolimus [Rapamune] to prevent transplant rejection. What other medications would the nurse expect the patient to be taking? Correct: No Score: 0 40. A patient is diagnosed with peptic ulcer disease. The patient is otherwise healthy. The nurse learns that the patient does not smoke and that he drinks 1 or 2 glasses of wine with meals each week. The nurse anticipates that the provider will prescribe which drugs? Correct: No Score: 0 41. A patient who has gastroesophageal reflux disease (GERD) receives a prescription for a proton pump inhibitor (PPI) medication. What will the nurse include when teaching the patient about this drug? Correct: No Score: 0 42. The nurse is caring for a patient on a medical-surgical unit who has a fever of unknown origin. The prescriber has ordered a broad-spectrum antibiotic. Which intervention is the priority? Correct: No Score: 0 43. A nurse is preparing to administer intramuscular penicillin to a patient who is infected with T. pallidum and notes that the order is for sodium penicillin G. Which action is correct? Correct: No Score: 0 44. A prescriber has ordered cefoxitin for a patient who has an infection caused by a gram-negative bacteria. The nurse taking the medication history learns that the patient experienced a maculopapular rash when taking amoxicillin [Amoxil] several years earlier. What will the nurse do? Correct: No Score: 0 45. The nurse working on a high-acuity medical-surgical unit is prioritizing care for four patients who were just admitted. Which patient should the nurse assess first? Correct: No Score: 0 46. The nurse is caring for a patient who is receiving vancomycin [Vancocin]. The nurse notes that the patient is experiencing flushing, rash, pruritus, and urticaria. The patient’s heart rate is 120 beats per minute, and the blood pressure is 92/57 mm Hg. The nurse understands that these findings are consistent with: Correct: No Score: 0 47. A patient receiving a cephalosporin develops a secondary intestinal infection caused by Clostridium difficile. What is an appropriate treatment for this patient? Correct: No Score: 0 48. A patient recently began receiving clindamycin [Cleocin] to treat an infection. After 8 days of treatment, the patient reports having 10 to 15 watery stools per day. What will the nurse tell this patient? Correct: No Score: 0 49. A patient is to begin taking doxycycline to treat a rickettsial infection. Which statement by the patient indicates a need for teaching about this drug? Correct: No Score: 0 50. A hospitalized patient who is taking demeclocycline [Declomycin] reports increased urination, fatigue, and thirst. What will the nurse do? Correct: No Score: 0 51. A child with an upper respiratory infection caused by B. pertussis is receiving erythromycin ethylsuccinate. After 2 days of treatment, the parent asks the nurse why the child’s symptoms have not improved. Which response by the nurse is correct? Correct: No Score: 0 52. Which side effect of clindamycin [Cleocin] causes the most concern and may warrant discontinuation of the drug? Correct: No Score: 0 53. A patient who has been taking linezolid [Zyvox] for 6 months develops vision problems. What will the nurse do? Correct: No Score: 0 54. A nurse is reviewing the culture results of a patient receiving an aminoglycoside. The report reveals an anaerobic organism as the cause of infection. What will the nurse do? Correct: No Score: 0 55. A patient is admitted to the unit for treatment for an infection. The patient receives IV amikacin [Amikin] twice a day. When planning for obtaining a peak aminoglycoside level, when should the nurse see that the blood is drawn? Correct: No Score: 0 56. A nurse is preparing to administer a dose of gentamicin to a patient who is receiving the drug 3 times daily. The nurse will monitor ____ levels. Correct: No Score: 0 57. A patient who is taking immunosuppressant medications develops a urinary tract infection. The causative organism is sensitive to sulfonamides and to another, more expensive antibiotic. The prescriber orders the more expensive antibiotic. The nursing student assigned to this patient asks the nurse why the more expensive antibiotic is being used. Which response by the nurse is correct? Correct: Yes Score: 1 58. Pharmacology is the study of Correct: No Score: 0 59. A patient with a urinary tract infection is given a prescription for TMP/SMZ. When reviewing the drug with the patient, the nurse learns that the patient has type 1 diabetes mellitus and consumes alcohol heavily. What will the nurse do? Correct: No Score: 0 60. An older male patient comes to the clinic with complaints of chills, malaise, myalgia, localized pain, dysuria, nocturia, and urinary retention. The nurse would most likely suspect that the patient has: Correct: No Score: 0 61. A patient has a positive urine culture 1 week after completion of a 3-day course of antibiotics. The nurse anticipates that the prescriber will: Correct: No Score: 0 62. The parent of a 5-year-old child who has had four urinary tract infections in the past year asks the nurse why the provider doesn’t just order an antibiotic for the child’s current symptoms of low-grade fever, flank pain, and dysuria since these are similar symptoms as before. Which is the most important reason given by the nurse? Correct: No Score: 0 63. A patient with HIV who takes protease inhibitors develops tuberculosis and will begin treatment. Which drug regimen will be used for this patient? Correct: No Score: 0 64. Which patient should begin treatment for tuberculosis? Correct: No Score: 0 65. A patient has been taking isoniazid [Nydrazid] for 4 months for latent tuberculosis. The patient reports bilateral tingling and numbness of the hands and feet, as well as feeling clumsy. The nurse expects the provider to: Correct: No Score: 0 66. A patient is about to begin treatment for latent tuberculosis with a short course of daily rifampin. The patient asks why rifapentine [Priftin] cannot be used, because it can be given twice weekly. What will the nurse tell this patient about rifapentine? Correct: Yes Score: 1 67. A patient who is taking calcium supplements receives a prescription for ciprofloxacin [Cipro] for a urinary tract infection. The nurse will teach this patient to: Correct: No Score: 0 68. A patient who is taking ketoconazole tells the nurse that her periods have become irregular. What will the nurse tell her? Correct: Yes Score: 1 69. A patient will begin taking an immunosuppressant medication. The nurse learns that the patient has a history of frequent candidal infections. The nurse will expect the provider to order which drug as prophylaxis? Correct: No Score: 0 70. A nursing student asks a nurse about flucytosine [Ancobon]. Which statement by the nurse is correct? Correct: No Score: 0 71. The nurse is caring for a patient receiving intravenous acyclovir [Zovirax]. To prevent nephrotoxicity associated with intravenous acyclovir, the nurse will: Correct: No Score: 0 72. A female patient who has hepatitis C is being treated with pegylated interferon alfa and ribavirin [Ribasphere]. It will be important for the nurse to teach this patient that: Correct: No Score: 0 73. A patient with hepatitis B begins treatment with adefovir [Hepsera] and asks the nurse how long the drug therapy will last. The nurse will tell the patient that the medication will need to be taken for: Correct: Yes Score: 1 74. A patient has lamivudine-resistant hepatitis B and has been taking entecavir [Baraclude] for 2 years. The patient asks the nurse why the provider has recommended taking the drug for another year. What will the nurse tell the patient? Correct: No Score: 0 75. The nurse is caring for a patient who is HIV positive and is taking zidovudine [Retrovir]. Before administering the medication, the nurse should monitor which laboratory values? Correct: No Score: 0 76. A patient who is taking didanosine [Videx] reports nausea, vomiting, and abdominal pain. What will the nurse recommend to this patient? Correct: No Score: 0 77. After starting an antiviral protease inhibitor, a patient with HIV telephones the nurse, complaining, “I’m so hungry and thirsty all the time! I’m urinating 10 or 12 times a day.” The nurse recognizes these findings to be consistent with: Correct: No Score: 0 78. A nurse is teaching a group of adolescent students about sexually transmitted diseases. Which statement by a student indicates understanding of infections caused by C. trachomatis? Correct: No Score: 0 79. A newborn infant has been given erythromycin ophthalmic ointment as a routine postpartum medication. The infant’s mother learns that she has a C. trachomatis infection and asks the nurse if her baby will need to be treated. Which response by the nurse is correct? Correct: No Score: 0 80. A female patient has come to the STD clinic and has been diagnosed with a Trichomonas vaginalis infection. What education should be provided to this patient? Correct: No Score: 0 81. A patient complains of painful urination. A physical examination reveals vesicles on her labia, vagina, and the foreskin of her clitoris. The nurse will expect to teach this patient about which medication? Correct: Yes Score: 1 82. A nurse is teaching a nursing student how to care for patients in the perioperative period. Which statement by the student about preventing postoperative infections indicates a need for further teaching? Correct: No Score: 0 83. A nurse is caring for a patient with an infection caused by Bacillus anthracis. What action is most important for reducing the transmission of this disease? Correct: No Score: 0 84. A student has just performed a physical assessment on a patient who has an infection with B. anthracis. The student uses an alcohol hand rub while preparing to leave the room. Which action should the nurse take? Correct: Yes Score: 1 85. A child has been diagnosed with enterobiasis, and the prescriber orders mebendazole [Vermox] to treat the infestation. When teaching this child’s parents about the treatment, the nurse will include which statement? Correct: No Score: 0 86. A patient is being treated with albendazole [Albenza] for neurocysticercosis caused by larval forms of the pork tapeworm. Which statement by the patient indicates a need for further teaching about the drug regimen? Correct: No Score: 0 87. A patient has been treated for an acute attack of P. vivax malaria. For relapse prevention, the nurse expects the provider to order which medication? Correct: No Score: 0 88. A recent immigrant from the Middle East is being treated for P. falciparum malaria and has completed a course of chloroquine [Aralen Phosphate]. What will the nurse do? Correct: No Score: 0 89. A patient who has contracted falciparum malaria has received a prescription for artemether/lumefantrine [Coartem] and tells the nurse she thinks she may be pregnant. What will the nurse tell this patient? Correct: No Score: 0 90. A child is diagnosed with cryptosporidiosis, and the prescriber orders nitazoxanide [Alinia]. While preparing the child’s parents to administer this drug, the nurse will: Correct: No Score: 0 91. A nurse is teaching a group of nursing students how to examine children in a day care center for pediculus humanus capitis (head lice). Which statement by a student indicates understanding of this teaching? Correct: No Score: 0 92. Two days after a child is treated with permethrin [Nix] for head lice, a parent calls the clinic to report seeing nits and a few live lice on the child’s scalp. The nurse will tell the parent to: Correct: No Score: 0 93. The public health nurse is teaching a group of parents about immunizations. The nurse tells the parents that after receiving the varicella virus vaccine, children should temporarily avoid close contact with whom? (Select all that apply) Correct: No Score: 0 94. Besides the cost of administering a given drug, which are considerations when a provider selects a cephalosporin to treat an infection? (Select all that apply.) Correct: No Score: 0 95. Which patients may receive gentamicin safely? (Select all that apply.) Correct: No Score: 0 96. A nursing student asks a nurse why tuberculosis resistance is so high. Which reasons are correct? (Select all that apply.) Correct: No Score: 0 97. Which fluoroquinolone antibiotics may be administered to children? (Select all that apply.) Correct: No Score: 0 98. Amphotericin B is the drug of choice for which systemic mycosis? (Select all that apply.) Correct: No Score: 0 99. Which infections may be acquired through nonsexual transmission? (Select all that apply.) Correct: No Score: 0 100. A patient who is being treated for onchocerciasis with ivermectin [Stromectol] has a Mazotti reaction. Which assessment findings would the nurse expect? (Select all that apply.) Correct: No Score: SCIENCE HEALTH SCIENCE NURSING NUR 726

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