P3 LONG QUIZ

Total points28/50

SESSION 17-23
The respondent's email (spes.paasa.coc@phinmaed.com) was recorded on submission of this
form.

0 of 0 points
LAST NAME, GIVEN NAME *

paasa,speedhope ivan

ACTIVE MOBILE NUMBER *

09564529305

SECTION *
Option 1

MULTIPLE CHOICE
28 of 50 points
Choose the BEST answer.

A diuretic is added to the treatment regimen for a client with

hypertension. The nurse explains that diuretics help reduce blood
pressure by: *
0/1
Removing serum potassium.

Dilating peripheral blood vessels.

Reducing sympathetic outflow.
Constricting blood vessels.

Correct answer
Reducing sympathetic outflow.

Essential hypertension is the most commonly diagnosed form of high

blood pressure. Essential hypertension is *
1/1
Caused by a tumor in the adrenal gland.
Associated with no known cause

Related to renal disease

Caused by liver dysfunction

Pressure within the vascular system is determined by which of the

following? (Select all that apply) *
0/1
Peripheral resistance

Stroke volume

Sodium load

Heart rate

Rate of erythropoietin release

Correct answer
Peripheral resistance
Stroke volume
Sodium load

The renin-angiotensin system is associated with which of the

following? (Select all that apply) *
0/1
Intense vasoconstriction and blood pressure elevation
Blood flow through the kidneys

Production of surfactant in the lungs

Release of aldosterone from the adrenal cortex

Liver production of fibrinogen

Correct answer
Intense vasoconstriction and blood pressure elevation
Blood flow through the kidneys
Release of aldosterone from the adrenal cortex

Nifedipine (Procardia) 30 mg p.o. is prescribed for a client. The nurse

teaches the side effects and instructs the client to immediately
report: *
0/1
Blood pressure 110/70-114/78 for two successive readings.
Dizziness when changing positions.

Increased shortness of breath and orthopnea.

Weight loss of two pounds per week.

Correct answer
Increased shortness of breath and orthopnea.

The stepped-care approach to the treatment of hypertension would

include *
0/1
Lifestyle modification, including exercise, diet, and decreased smoking and alcohol intake.
Use of a diuretic, beta-blocker, or ACE inhibitor to supplement lifestyle changes

A combination of antihypertensive drug classes to achieve desired control

All of the choices

Correct answer
All of the choices

A client taking an ACE inhibitor is scheduled for surgery. The nurse

should *
0/1
Stop the drug
Alert the surgeon and mark the client’s chart prominently, because the blockage of compensatory
angiotensin II could result in hypotension after surgery that would need to be reversed with
volume expansion
Cancel the surgery and consult with the prescriber
Monitor fluid levels and make sure the fluids are restricted before surgery

Correct answer
Alert the surgeon and mark the client’s chart prominently, because the blockage of compensatory
angiotensin II could result in hypotension after surgery that would need to be reversed with
volume expansion

The nurse reviews the teaching plan with a client receiving nifedipine
(Procardia). Which of the following client behaviors indicates
understanding? *
0/1
The client avoids taking the drug with grapefruit juice.
The client consumes three servings of alcohol daily.

The client breaks an enteric-coated tablet for ease of swallowing.

The client monitors blood pressure every week.

Correct answer
The client avoids taking the drug with grapefruit juice.

What is the therapeutic level for digoxin? *

1/1
0.5-2 ng/mL

1.5-2 ng/mL
0.5-1.5 mg/mL
0.5-2 mg/Ml

Type of angina which involves spasm of the blood vessels *

1/1
Stable angina
Pre-infarction angina
Unstable angina
Prinzmetal angina

Nitrates are commonly used antianginal drugs that act to *

0/1
Increase the preload on the heart
Increase the afterload on the heart
Dilate coronary vessels to increase the delivery of oxygen through those vessels
Decrease venous return to the heart, thereby decreasing the myocardial workload

Correct answer
Decrease venous return to the heart, thereby decreasing the myocardial workload

Risk factors for the development of atherosclerosis would include

which of the following? (Select all that apply) *
1/1
A high-fat diet

Increasing age

Female gender
A sedentary lifestyle

Verapamil has been associated with potentially serious adverse

effects if given with *
0/1
Oral contraceptives
Cyclosporine

Digoxin
Barbiturate anesthetics

Correct answer
Barbiturate anesthetics

A client who has nitroglycerin to avert an acute anginal attack would

need to be taught *
1/1
To take five or six tablets and then seek medical help if no relief occurs.
To buy the tablets in bulk to decrease the cost
To protect tablets from light and to discard them if they do not fizzle when placed under the
tongue.
To store the tablets in a clearly marked, clear container open view, where they can easily be
found if they are needed.
To use the nitroglycerin before an event or activity that will most likely precipitate an anginal
attack

That a headache may occur after taking the nitroglycerin.

In severe cardiac glycoside toxicity, all of the following should be in

the bedside, except _________. *
0/1
Lidocaine

Phenytoin
Calcium channel blocker
A and B only

Correct answer
Calcium channel blocker

Heparin is an anticoagulant. What family of anticoagulant

medications does this drug belong to? *
1/1
Direct thrombin inhibitors
Indirect thrombin inhibitors

Vitamin K antagonists
Factor Xa inhibitors

The body uses cholesterol in many ways, including *

0/1
The production of water-soluble vitamins
The formation of steroid hormones
The mineralization of bones

The development of dental plaques

Correct answer
The formation of steroid hormones

A pregnant woman needs a lipid-lowering agent. What would be the

best class of lipid-lowering agent for pregnant women? *
1/1
HMG-CoA reductase inhibitors
Bile acid sequestrants

Cholesterol absorption inhibitors

Phosphodiesterase inhibitors

Bile acid sequestrants would be a drug of choice for a client who has
which of the following? *
1/1
A high LDL concentration

A high triglyceride concentration

Biliary obstruction
Vitamin K deficiency
A high HDL concentration
Intolerance to statins

A patient begins taking cholestyramine (Questran) to treat

hyperlipidemia. The patient reports abdominal discomfort and
constipation. The nurse will provide which instruction to the
patient? *
1/1
Increase fluid and slowly increase fiber intake.

Stop the medication.

Decrease oral fluids
Give stool softeners

Patients taking HMG-CoA reductase inhibitors *

0/1
Will not have a heart attack
Will not develop CAD
May develop cataracts as a result
May stop absorbing fat-soluble vitamins

Correct answer
May develop cataracts as a result
A patient who has high lipid levels and cannot take fibrates of HMG-
CoA reductase inhibitors may be able to take *
0/1
Nicotine
Vitamin C
Niacin
Bran fiber products

Correct answer
Niacin

Patients taking HMG-CoA reductase inhibitors *

0/1
Will not have a heart attack
Will not develop CAD

May develop cataracts as a result

May stop absorbing fat-soluble vitamins

Correct answer
May develop cataracts as a result

Rhabdomyolysis is a very serious adverse effect that can be seen

with HMG-CoA reductase inhibitors; to detect it, patients taking these
drugs would be monitored for *
0/1
Flatulence and abdominal bloating
Increased bleeding

The development of cataracts

Muscle pain and weakness

Correct answer
Muscle pain and weakness

The rate of red blood cell production is controlled by *

0/1
Iron
Folic acid

Erythropoietin
Vitamin B12

Correct answer
Erythropoietin

Megaloblastic anemia is a result of insufficient folic acid or vitamin

B12 and it affects *
1/1
White blood cell production
Vegetarians
All cells in the body that are rapidly turning over.

Slow-growing cells

As a nurse you know that Ferrous should not be given with: *

0/1
Dairy products

Antacids
Tetracyclines
All of the choices .

Correct answer
All of the choices .

What do you give with Ferrous sulfate, ferrous fumarate, or ferrous

gluconate to help promote absorption? *
1/1
Vitamin C

Vitamin D
Vitamin E
Vitamin B12
The client receives epoetin alfa (Epogen) subcutaneously, and says to
the nurse, "My doctor said I have anemia. Are there little red blood
cells in that shot?" What are the best responses by the nurse?
1/1
"No, we do not give blood for anemia anymore."
"No, this medication stimulates your body to make red blood cells."

" Yes, this small amount of red blood cells will stimulate your bone marrow to produce more cells
in the kidney."
"No, this medication promotes clotting so you will not lose even more red blood cells."

A patient with anemia who is given iron salts could expect to show a
therapeutic increase in hematocrit *
1/1
Within 72 hours
Within 2-3weeks
Over 6-10months

Within 1 to 2 weeks

Nurse Zeke is giving instructions to her client who is taking

antihistamine. Which of the following nurse teachings is appropriate
for the client? *
0/1
Expect a relief in 24 hours
Be aware that you may have increased saliva

Be aware that you may need to take a decongestant

Avoid ingesting alcohol

Correct answer
Avoid ingesting alcohol

Andrew has vertigo, which antihistamine is best for his condition? *

0/1
Terfenadine
Guaifenesin
Meclizine
Hydrocodone

Correct answer
Meclizine

Raul, a 20-year-old student, used to buy OTC drugs whenever he feels

sick. Which of the following statements best describes the danger of
self-medication with over-the-counter drugs? *
0/1
Clients are not aware of the action of over-the-counter drugs.
Clients are not aware of the side effects of over-the-counter drugs.

Clients minimize the effects of over-the-counter drugs because they are available without a
prescription.
Clients do not realize the effects of over-the-counter drugs.

Correct answer
Clients minimize the effects of over-the-counter drugs because they are available without a
prescription.

Which histamine-2 antagonist is associated with the most drug

interactions? *
0/1
Prilosec
Nizatidine
Ranitidine

Cimetidine

Correct answer
Cimetidine

Stephanie will be having her exam in pharmacology tomorrow. She

should be aware that antitussive is indicated to: *
1/1
Encourage removal of secretions through coughing
Relieve rhinitis
Relieve a dry cough
Control a productive cough

A client has been taking Ibuprofen for some quite time and was given
Misoprostol (Cytotec). Which of the following is exhibiting the
therapeutic effect of Cytotec? *
1/1
Relief of gastric ulcer.

Relief of diarrhea.
Relief of vomiting.
Relief of constipation.

A geriatric patient is prescribed with Cimetidine (Tagamet) for the

treatment of heartburn. Which of the following is the most frequent
CNS side effect? *
1/1
Agitation.

Drowsiness.
Headache.
Somnolence

A nurse is administering an IV bolus of Cimetidine (Tagamet). Which

of the following should the nurse monitor closely follow the
administration? *
1/1
Respiratory rate.
Skin turgor.
Blood pressure.

Temperature.

A client has been given Loperamide hydrochloride (Imodium). Which

of the following situation is the medication indicated to? *
1/1
Abdominal pain.
Patients with an ileostomy.
Bloody Diarrhea.
Acute dysentery.

A client has been given Ondansetron (Zofran). For which condition

should the nurse administer this medication to the postoperative
patient? *
1/1
Vomiting.

Incisional pain.
Abdominal infection.
Atelectasis.

Nurse Ejay is assigned to a telephone triage. A client called who was

stung by a honeybee and is asking for help. The client reports of pain
and localized swelling but has no respiratory distress or other
symptoms of anaphylactic shock. What is the appropriate initial
action that the nurse should direct the client to perform? *
1/1
Removing the stinger by scraping it.

Applying a cold compress.

Taking an oral antihistamine.
Calling emergency number.

An osmotic diuretic used in emergency, trauma, critical care, and

neurosurgical settings to treat cerebral edema and to reduce
increased intracranial pressure. *
1/1
Mannitol

Lidocaine
Furosemide
Albuterol
A client arrives in the emergency unit and reports that a
concentrated household cleaner was splashed in both eyes. Which of
the following nursing actions is a priority? *
1/1
Use Restasis (Allergan) drops in the eye.
Flush the eye repeatedly using sterile normal saline.

Examine the client’s visual acuity.

Patch the eye.

A 5-year-old client was admitted to the emergency unit due to

ingestion of unknown amount of chewable vitamins for children at an
unknown time. Upon assessment, the child is alert and with no
symptoms. Which of the following information should be reported to
the physician immediately? *
1/1
The child has been treated multiple times for injuries caused by accidents.
The vitamin that was ingested contains iron.

The child was nauseated and vomited once at home.

The child has been treated several times for toxic substance ingestion

Which of the following is a concentrated, high-carbohydrate solution

given to treat insulin-induced hypoglycemia or insulin shock? *
0/1
Dextrose 50%
Glocagon

Mannitol
Sodium bicarbonate

Correct answer
Dextrose 50%

A client is diagnosed with a pulmonary disorder that causes COPD.

Lungs tissue changes are normally reversible with this condition. The
nurse understands that which is the client's most likely diagnosis? *
1/1
Asthma

Emphysema
Bronchiectasis
Chronic bronchitis

A client with COPD has an acute bronchospasm. The nurse knows

that which is the best medication for this emergency situation? *
1/1
zafirlukast (Accolate)
epinephrine (Adrenalin)

dexamethasone (Decadron)
oxtriphylline-theophyllinate (Choledyl)

A physician has written an order for ranitidine (Zantac) once daily.

The nurse schedules the medications for which of the following
times? *
1/1
At bed time

After lunch
With supper
Before breakfast

A client has been taking omeprazole (Prilosec) for 4 weeks. The nurse
determines that the client is receiving the optimal intended effect of
the medication if the client reports absence of which of the following
symptoms? *
1/1
Diarrhea
Heartburn

Flatulence
Constipation
The nurse is administering atropine 0.3 mg IV to a 75 year old patient
with a heart rate of 45, and his heart rate decreases to 38. What is
the most likely explanation? *
1/1
Atropine exerts its effects by stimulating the vagus nerve.
The ordered dose was too low.

Adenosine was indicated, not atropine

Atropine typically slows heart rate first and then increases it.
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