Nursing Care 3

Question 1

A client with a 10-year history of alcohol misuse tells their nurse they want to quit alcohol “cold turkey” because it worked when they quit smoking. Which instruction does the nurse prioritize for this client?
A. Alcohol is found in fermented foods and beverages
B. Alcohol should not be taken with metronidazole
C. Alcohol withdrawal can lead to severe complications
D. Alcohol dependence may lead to hepatitis C infection

Answer 1

C. Alcohol withdrawal can lead to severe complications

Question 2

The nurse is caring for a client diagnosed with exercise-induced asthma who arrived at the emergency department with shortness of breath after jogging. The nurse is preparing to administer albuterol 1.25 mg nebulized solution. The medication is supplied as 2.5 mg of albuterol in 3 mL of solution. How many mL should the nurse administer per dose?

Answer 2

1.5 mL

Question 3

A client with uncontrolled hypertension presents to the emergency department with a blood pressure of 231/129 mmHg. The provider orders initiation of a nicardipine drip at 5 mg/hr. The concentration of medication in the IV bag is 0.1 mg/mL. Which rate (in mL/hr) should the nurse infuse the medication?

Answer 3

50 mL/hr

Question 4

A client with postoperative nausea and vomiting is prescribed metoclopramide 20 mg intravenously (IV) once. The medication is formulated in a concentration of 10 mg/2 mL. How many mL should the nurse administer per dose?

Answer 4

4 mL

Question 5

A paediatric client weighing 36.3 kg is prescribed 60 mg of oseltamivir phosphate PO twice daily. This formulation comes as an oral suspension and each mL of liquid contains 6 mg of medication. How many mL should the nurse administer per dose?

Answer 5

10 mL

Question 6

A patient who is 5 years old and weighs 20 kg has been prescribed 5 mcg per kilogram body weight of Digoxin elixir.
The Digoxin elixir is available as 50 mcg per ml.
What volume will you give the patient at each dose?

Answer 6

2 mL

Question 7

A patient who is 5 years old and weighs 20 kg has been prescribed 5 mcg per kilogram body weight of Digoxin elixir.
The Digoxin elixir is available as 50 mcg per ml.
How many mcg does the patient require per single dose?

Answer 7

100 mcg

Question 8

A patient weighs 60kg and requires 40 mcg/ kg of a drug.
How many mcg are required?

Answer 8

2400 mcg

Question 9

A female patient has been prescribed Chloramphenicol, 40 mg/kg/dose. She weighs 78 kg.
How many grams of the drug does she require for each dose?

Answer 9

3.12 g

Question 10

Cloxacillin, 50 mg/kg/dose has been prescribed to a patient, whose weight is 45 kg.
How many mg are required for a single dose?

Answer 10

2250 mg

Question 11

Mrs B has been prescribed Ibuprofen 5mg/kg/dose. She weighs 60 kg. Calculate how much Ibuprofen you will prepare for her?

Answer 11

300 mg

Question 12

1000ml of Normal Saline is prescribed at 130ml per hour.
How many hours and minutes will this take?
A. 7 hours and 41 minutes
B. 7 hours and 69 minutes
C. 7 hours and 50 minutes
D. 8 hours

Answer 12

A. 7 hours and 41 minutes

Question 13

500ml of Hartmann’s solution is to be given to a teenager over 7 hours.
What hourly rate would you set the pump to?

Answer 13

71 mL/hr

Question 14

Your patient is prescribed 1000ml of 5% dextrose over eight hours.
How many ml will your patient have received after 3 hours?

Answer 14

375 mL

Question 15

2g of sulphadiazine is prescribed. Available is 500mg/2ml.
How many ml will you prepare to administer?

Answer 15

8 mL

Question 16

Aspirin 600mg is prescribed. Available is 150mg in 5ml.
How many ml will you prepare to administer?
A. 20ml
B. 4ml
C. 5ml
D. 0.02ml

Answer 16

A. 20ml

Question 17

Chloramphenicol 750mg is prescribed. Available is 125/5ml.
How many ml will you prepare to administer?

Answer 17

30 mL

Question 18

Convert 4.3kg to g

Answer 18

4300g

Question 19

Convert 0.195mg to mcg

Answer 19

195mcg

Question 20

Convert 0.67g to mg
A. 670mg
B. 670000mg
C. 0.0067mg
D. 67000000mg

Answer 20

A. 670mg

Question 21

Convert 350ml to L

Answer 21

0.35 L

Question 22

Can a nurse act as a power of attorney for a health consumer or as a representative for the health consumer?

Answer 22

“Stand 7.9: do not act for health consumers in your care through representation agreements nor accept power of attorney responsibilities to make legal and financial decisions on behalf of health consumer.”

Question 23

According to Freud’s psychosexual stages, the stage anal refers to what?

Answer 23

1-3 year olds which is toddlers and pre-schoolers
According to the anal stage toddlers and pre-schoolers enjoy holding and releasing urine and faces. Toilet training becomes a major issue between parent and child

Question 24

According to Freud’s psychosexual stages, the stage latency refers to what?

Answer 24

6-11 year olds, where sexual instincts die down and the superego develops further, the child acquires new social values from adults and same-sex peers outside the family

Question 25

A correct statement about physiologic jaundice in a new born is that the jaundice
A. Is always present at birth
B. May develop 2-3 days after birth
C. Always requires phototherapy
D. Is relieved by nursing less often

Answer 25

B. May develop 2-3 days after birth

In many new-born’s, jaundice develops 2 to 3 days after birth and disappears on its own within a week. Some new-born’s benefit from light therapy (or, phototherapy).

Question 26

Which of the following is usually the first symptom of rheumatic fever?
A. Chest pain or palpitations
B. Jerky, uncontrollable movements
C. Joint pain and fever
D. Rash

Answer 26

C. Joint pain and fever

Joint pain and fever are typically the first symptoms. One or several joints suddenly become painful and feel tender when touched. Pain may be mild or severe, and typically lasts about 2 weeks.

Question 27

Each of the following drugs is used to treat rheumatic fever in children EXCEPT:
A. Acetaminophen
B. Antibiotics
C. Anti-inflammatory drugs
D. Corticosteroids

Answer 27

A. Acetaminophen

Question 28

Which of the following dietary changes would NOT typically be recommended for treating constipation in children?
A. Increasing consumption of vegetables
B. Increasing consumption of high-fiber cereals
C. Decreasing consumption of cheese
D. Increasing consumption of milk

Answer 28

D. Increasing consumption of milk

Children with constipation should decrease consumption of constipating foods, such as milk and cheese, and increase their consumption of fruits, vegetables, and high-fiber cereals.

Question 29

Which hormone allows blood sugar (glucose) to move from the blood into the cells, where it is used as a source of fuel for the body?
A. Glucagon
B. Haemoglobin A1c
C. Insulin
D. Metformin

Answer 29

C. Insulin

Insulin. Insulin controls the amount of glucose in the blood and allows glucose to move from the blood into the cells.

Question 29

Which of the following is the most serious immediate complication of diabetes?
A. Diabetic ketoacidosis
B. Diabetic nephropathy
C. Diabetic neuropathy
D. Diabetic retinopathy

Answer 29

A. Diabetic ketoacidosis

Question 30

Variations in dietary intake of which food type cause variations in blood glucose levels?
A. Carbohydrates
B. Green vegetables
C. Foods with saturated fats
D. Proteins

Answer 30

A. Carbohydrates

Because carbohydrates in food are turned into glucose by the body, variations in carbohydrate intake cause variations in blood glucose levels.

Question 31

Which of the following is a common symptom of meningitis in older children but which rarely occurs in newborns and children under 12 months of age?
A. Abnormal drowsiness (lethargy)
B. Poor feeding
C. Stiff neck
D. Vomiting

Answer 31

C. Stiff neck

Question 32

Which symptom presented is NOT a sign of rheumatic fever?
A. Truncal rash
B. Joint tenderness
C. Changes in vision
D. Nausea

Answer 32

C. Changes in vision

Question 33

Rheumatic fever is caused by which of the following bacteria?
A. Pseudomonas
B. Staphylococcus
C. Streptococcus
D. Shingella

Answer 33

C. Streptococcus

Question 34

The provider orders blood work on a patient he suspects is experiencing Rheumatic fever. Which of the following test results would indicate inflammation and cardiac symptoms? Select all that apply.
A. Elevated C-reactive protein
B. Decreased erythrocyte sedimentation rate
C. Elevated WBC count
D. Decreased haemoglobin and haematocrit

Question 35

Explain active immunity

Answer 35

Active Immunity results when exposure to a disease organism triggers the immune system to produce antibodies to that disease. Active immunity can be acquired through natural immunity or vaccine-induced immunity

Question 36

Immunity that is provided when a person is given antibodies to a disease rather than producing them through his or her own immune system. A new born baby acquires this immunity from its mother through the placenta.

Answer 36

Passive immunity

Question 37

Define direction

Answer 37

Direction is the active process of guiding, monitoring and evaluating the nursing activities performed by another

Question 38

The nurse is concerned that a client is demonstrating early signs of hypovolemic shock. What did the nurse assess in this client? Select all that apply.

A) Slight increase in pulse
B) Prolonged capillary refill time
C) Rapid weak pulse
D) Normal respirations
E) Normal blood pressure

Answer 38

A) Slight increase in pulse
B) Prolonged capillary refill time
D) Normal respirations
E) Normal blood pressure

Rationale:
Manifestations of early hypovolemic shock include a slight increase in pulse, normal respirations, prolonged capillary refill time, and normal blood pressure. A weak rapid pulse is a characteristic of the irreversible stage of hypovolemic shock.

Question 39

Asthma is characterized by narrowing of the airways that can be reversed. Which of the following is NOT a characteristic of asthma?
A. It begins during childhood.
B. Wheezing occurs in response to triggers.
C. It is becoming less common
D. It is accompanied by allergies.

Answer 39

C. It is becoming less common

Question 40

A family member asks to look at their relative’s medical records. You should?
A. Tell them you will get the file for them to view
B. Inform them of the policy for viewing medical records
C. Ask them to wait while you discuss their request with a senior nurse
D. Sit down with them and discuss their relative’s care while referring to the record

Answer 40

B. Inform them of the policy for viewing medical records

Question 41

A mother asks you what the infectious period for measles is. The correct information about the infectious period is:
A. Once the rash appears until the spots are no longer red and inflamed.
B. 10 days prior to the appearance of the rash until 14 days after the rash appears.
C. During the entire time the rash is evident.
D. 5 days prior to the appearance of the rash until 5 days after the rash appears.

Answer 41

D. 5 days prior to the appearance of the rash until 5 days after the rash appears.

Question 42

Another client in the ward is Mr Rand, currently prescribed haloperidol decanoate shows an inability to sit still, motor restlessness and fidgeting. Which of the following extrapyramidal side effects is he showing?
A. Dystonia
B. Akathisia
C. Parkinsonism
D. Tardive dyskinesia

Answer 42

B. Akathisia

A feeling of muscle quivering, restlessness and inability to sit still, sometimes a side effect of antipsychotic or antidepressant medication.

Question 43

The best time frame for taking the Emergency Contraceptive Pill to achieve a 96-99% efficacy rate is:
A. Within 1-12 hours
B. Within 24 hours
C. At 6 hourly intervals
D. Within 72 hours

Answer 43

B. Within 24 hours

Question 44

While attempting to reach for a biscuit, Tom, a pre-school child, spills a pot of hot tea and burns his right arm and leg. Before bringing him to hospital what First Aid could help?
A. Spraying the burn with an antiseptic spray
B. Applying cold water for ten minutes
C. Applying ice to the burn
D. Breaking the blisters to release the accumulated fluid

Answer 44

B. Applying cold water for ten minutes