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1. What is the best response by a woman who is taking oral contraceptives and is prescribed an antibiotic ? A. While taking the antibiotic, she should use another form of contraception. B. There is nothing extra that she should do regarding oral contraception C. Stop taking oral contraception while taking the antibiotic. D. Refuse to take the antibiotic. 2. What is a critical task to complete after administering a medication ? A. Document the medication administration. B. Go immediately to get a blanket the client asked for 15 minutes before the medication administration. C. Verify a client’s blood type. D. Make sure the client has water at the bedside. 3. Which substance is the preferred source for energy in the body’s cells ? A. Vitamins B. Fats C. Protein D. Carbohydrates 4. What approaches to client education are essential to consider when reinforcing client teaching ? Select all that apply A. Identify teaching strategies considering age, level of education and preferred method of learning. B. Choose a method to evaluate the effectiveness of teaching. C. Provide privacy and confidentiality. D. Speak only to the client regardless of cultural background. E. Assess client readiness to learn. 5. Which lab test helps reflect nutritional status ? A. Prealbumin B. CMP C. A1C D. CBC 6. What is the best natural source for vitamin D ? A. Multigrain bread B. Fortified cereals C. Milk D. Sunshine 7. Aminoglycosides can result in which of the following serious side effects ? A. Nephrotoxicity and ototoxicity B. C.difficile pseudomembranous colitis C. Cardiotoxicity and left heart failure D. CNS infection and meningitis 8. Which is a common side effect of opioid use ? A. Constipation B. Decreased pupil size C. Apnea D. Increased blood pressure 9. What is the medication cyclobenzaprine prescribed to treat ? A. Pain associated with diabetes B. Nervous system pain C. Acute surgical pain D. Pain from muscle spasms 10. What is a client’s nutritional requirement when in the hospital ? A. Higher because the body requires nutrition for healing maintenance. B. Much lower because they are sick C. Adherence to daily recommended calories based on height and weight D. Only calculated by registered dieticians 11. What unexpected substance is found in many cough syrups, cold drugs and mouthwashes ? A. Caffeine B. Sodium C. Alcohol D. Magnesium 12. Which medication is a common antiviral drug ? A. Acyclovir B. Gentamycin C. Meropenem D. Fluconazole 13. Why is it important to monitor the duration of aminoglycoside antibiotic therapy? A. Excessive long treatment causes bacteria to re-infect the client. B. Because these antibiotics cause sterility in men and women if not carefully monitored. C. Over exposure can result in permanent hearing loss. D. Longer treatment times result in allergic responses. 14. What does S stand for SBAR ? A. Stat B. Situation C. Standard D. Shift 15. What type of pain can be hard to locate and may be referred ? A. Breakthrough B. Chronic C. Visceral D. Neuropathic 16. Medication for influenza works best when following which guidelines ? A. Combine with an antibiotic B. Administer with 48 hours of symptom presentation. C. Taken with iron supplementation D. Administer at any time during the infection 17. Which is the best way to treat vaginal candidiasis ? A. Acyclovir B. One dose of vancomycin C. One dose of fluconazole D. Antibiotics 18. What is the most severe side effect of morphine sulfate ? A. Tachycardia B. Respiratory depression C. Stroke D. Low blood pressure 19. When is the optimal time for a client to begin antiviral medications after exposure to influenza ? A. As soon as possible. After confirmed exposure. B. Wait for the incubation period to end and start only if symptoms occur C. Begin prophylactically during flu season when immunocompromised. D. Three days after exposure 20. What is a good choice for non-pharmacologic treatment for pain ? A. Running B. Opioids C. Weightlifting D. Massage 21. If a client weighs 230 lbs and the nurse needs to administer medication based on the weight in kg, what is the client’s weight in kg ? A. 105 kg B. 103 kg C. 115 kg D. 100 kg 23. Which of the following describes pain that is present in a specific area of the body, is considered aching and throbbing, and does not resolve within an expected time frame ? A. Visceral B. Nociceptive C. Neuropathic D. Acute 24. What is the effect on host flora when antibiotics are administered ? A. Host flora are increased and become more potent. B. Host flora otherwise known as normal flora do not affect antibiotic activity. C. Host flora protects the body from the damage caused by antibiotics D. Host flora are typically negatively impacted, which can lead to yeast or fungal infections. 25. How do sulfonamides work in the body ? A. Best choice for superficial skin infections B. Bacteriostatic, prevent bacterial growth and function C. Bactericidal , destroys the outer membrane of infectious organisms. D. Works only in the bacterial in the bladder 26. In a healthcare setting institution which is the best way to communicate past and current information regarding clients ? A. Write all the information down and present to the shift charge nurse B. Speak directly to the attending physician C. Through the medical record D. Face – to – face 27. If a client speaks a foreign language or signs because they are mute, what must you provide, to complete education ? A. Another nurse who speaks the patients language B. Get a family member to translate C. Professional translation services D. Tell the physician that education cannot be completed 28. What is the most cause of concern for a client who takes acetaminophen ? A. Overdosing in the OTC medication B. The total amount of acetaminophen in the OtC medication C. The ingredient in the OTC that stops the cough D. The impact of any alcohol contained in the OTC remedy 29. What choice is best for treating mild to moderate pain ? A. Acetaminophen B. Morphine C. Oxycodone D. Fentanyl 30. What is the best description of an infection ? A. The activation of the host microbiome against self-proteins. B. An exaggeration of the inflammatory immune response. C. A distribution of the pH of the body in reaction to translocated bacteria in body tissues. D. Disease causing pathogens are invading healthy tissue and releasing destructive toxins. 31. What is a component of the client hand-off ? A. A verbal accounting of the previous shift’s events of client’s care. B. Telling the oncoming nurse who the covering physician is for the shift. C. Telling the family who the oncoming nurse will be. D. Introducing the client family to the oncoming nurse. 32. Which is a side effect of taking skeletal muscle relaxants ? A. Diarrhea B. Insomnia C. Tachycardia D. Hypotension 33. Which bacteria have a double layer outer cell membrane making them more difficult to kill ? A. Aeribuc bacteria B. Gram negative bacteria C. Staphylococcus D. Gram – positive bacteria 34. How does opioid medication work to treat pain ? A. They block the perception of pain at Mu receptors. B. They block nerve endings at the site of pain. C. They block the activity of serotonin. D. They block the activity of substance -p 35. Which vitamins listed are fat soluble vitamins ? A. Thiamine, riboflavin, A, D B. Niacin, A,D,C C. C, A, B1, B3 D. A,D,W and K 36. What is the term for organisms that are resistant to three or more different antibiotics ? A. Resistant organism B. A secondary infection C. D. A superbug or multi drug resistant organisms 37. What is the source of nutrition that supports growth tissue maintenance, and production of enzymes ? A. Fats B. Protein C. Carbohydrates D. Vitamins 38. What are penicillinase and beta-lactamase ? A. These are penicillin antibiotics. B. These are enzymes that have made some bacterias resistant to penicillin. C. These are chemical remands that are part of the synthetic components of cephalosporins. D. These are proteins attached to a bacterial cell well synthesis inhibitor that extends bacterial coverage. 39. Which medication is used to treat oral candidiasis, thrush ? A. Nystatin B. Valacyclovir C. Voriconazole D. Fluconazole 40. Which antibiotic classification is not a cell wall synthesis inhibitor ? A. Penicillin B. Cephalosporins C. Tetracyclines D. Carbapenems 41. What kind of pain is the client describing when saying “ the pain feels sharp shooting and burning down both of my legs “ ! A. Acute pain B. Neuropathic C. Nociceptive pain D. Chronic, visceral pain 42. Which of the following statements describes the purpose for the use of antiviral medication ? A. Prescribers are reluctant to start antiviral medications due to the severity of adverse effects. B. Antiviral medication can only be used once C. If any antiviral is started immediately, treatment will result in a cure. D. If an antiviral is started immediately, treatment will result in a cure. 43. What kind of vitamins are readily excreted in the ir one and not stored in the body ? A. Fat-soluble vitamins B. Botanicals C. Organic Vitamins D. Water soluble vitamins 44. Which of the following is required for bone health and utilization of calcium ? A. Vitamin C B. Vitamin D C. Milk D. Estrogen 45. What term relates to fungal infection ? A. Nematoid B. Mycosis C. Streptococcus viridans D. Helminths 46. What does SBAR stand for ? A. Self, Basis, Action, report B. Situation, background, assessment, recommendation. C. Safe, benevolent, actuating, relevance D. Security, blending, action, recording 47. Most clients will learn important points regarding medications through which approach ? A. Written material B. Oral communication C. Video recording D. A variety of approaches 48. What is the most important to determine when the LPN is assisting the registered nurse with client education ? A. Can the client read and write ? B. Is the lighting in the room appropriate ? C. Does the client have family members in the room ? D. Does the client have at least a high school education ? 49. Which is a natural opioid in the human body released in response to pain stimulation ? A. Dopamine B. Serotonin C. Endorphin D. Substance-p antagonist 50. Which one of these terms means that it takes a higher dose of opioid medication for the client to receive the same pain relief ? A. Tolerance B. Abuse C. Addiction D. Physical addiction
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