1. A 27 year-old sexually active female presents to her family practitioner complaining of abdominal distension, nausea, and vomiting. Her last menstrual period was 15 weeks ago, which she attributes to her recent increase in exercise. Nevertheless, her physician requests a urine sample to measure levels of a glycoprotein secreted by which of the following structures?
1. Amnioblast
2. Cytotrophoblast
3. Mesonephros
4. Syncytiotrophoblast
5. Wharton's jelly
Answer: 4. Syncytiotrophoblast
2. The nurse interprets a patient's fear of being in situations or places that may be difficult or embarrassing to leave as evidence of
1. Social phobia
2. Generalized anxiety disorder
3. Agoraphobia
4. Panic disorder
Answer: 1. Social phobia
3. The nurse monitors the serum electrolyte levels of a client who is taking digoxin (Lanoxin). Which of the following electrolyte imbalances is common cause of digoxin toxicity?
1. Hypocalcemia.
2. Hyponatremia.
3. Hypomagnesemia.
4. Hypokalemia.
4. When providing emergency treatment for an open skin wound, the nurse should use which substance to clean the wound?
1) warm tap water
2) sterile isotonic solution
3) half-strength hydrogen peroxide
4) alcohol swabs
Answer: 2) sterile isotonic solution
5. Which finding indicates adequate fluid volume in a client with hypovolemic shock?
1) urinary output of at least 0.5 ml/kg/hr
2) urine pH greater than 7.5
3) urine specific gravity of 1.090
4) negative urine glucose
Answer: 1) urinary output of at least 0.5 ml/kg/hr
6. GI problems and circulatory problems can interfere with the ________of the drug.
1. absorption
2. penetration
3. cost
4. distribution
5. excretion
Answer: 1. absorption
7. What supplemental medication is most frequently ordered in conjuction with furosemide (Lasix)?
1. Chloride
2. Digoxin
3. Potassium
4. Sodium
Answer: 3. Potassium
8. What is the primary purpose of administering histamine antagonists to a client with gastritis?
1) to neutralize gastric acids
2) to inhibit acid production by the gastric mucosa
3) to relieve pain caused by gastric inflammation
4) to decrease inflammation of the gastric mucosa
Answer: 2) to inhibit acid production by the gastric mucosa
9. A child is admitted to the hospital with a diagnosis of Wilm's tumor, stage II. Which of the following statements most accurately describes this stage?
1. The tumor is less than 3 cm. in size and requires no chemotherapy.
2. The tumor did not extend beyond the kidney and was completely resected.
3. The tumor extended beyond the kidney but was completely resected.
4. The tumor has spread into the abdominal cavity and cannot be resected.
Answer: 3. The tumor extended beyond the kidney but was completely resected.
10. Lithium is used for
1. Severe anxiety
2. Severe psychomotor retardation
3. Control manic episodes
4. Delusional disorder
1. Amnioblast
2. Cytotrophoblast
3. Mesonephros
4. Syncytiotrophoblast
5. Wharton's jelly
Answer: 4. Syncytiotrophoblast
2. The nurse interprets a patient's fear of being in situations or places that may be difficult or embarrassing to leave as evidence of
1. Social phobia
2. Generalized anxiety disorder
3. Agoraphobia
4. Panic disorder
Answer: 1. Social phobia
3. The nurse monitors the serum electrolyte levels of a client who is taking digoxin (Lanoxin). Which of the following electrolyte imbalances is common cause of digoxin toxicity?
1. Hypocalcemia.
2. Hyponatremia.
3. Hypomagnesemia.
4. Hypokalemia.
4. When providing emergency treatment for an open skin wound, the nurse should use which substance to clean the wound?
1) warm tap water
2) sterile isotonic solution
3) half-strength hydrogen peroxide
4) alcohol swabs
Answer: 2) sterile isotonic solution
5. Which finding indicates adequate fluid volume in a client with hypovolemic shock?
1) urinary output of at least 0.5 ml/kg/hr
2) urine pH greater than 7.5
3) urine specific gravity of 1.090
4) negative urine glucose
Answer: 1) urinary output of at least 0.5 ml/kg/hr
6. GI problems and circulatory problems can interfere with the ________of the drug.
1. absorption
2. penetration
3. cost
4. distribution
5. excretion
Answer: 1. absorption
7. What supplemental medication is most frequently ordered in conjuction with furosemide (Lasix)?
1. Chloride
2. Digoxin
3. Potassium
4. Sodium
Answer: 3. Potassium
8. What is the primary purpose of administering histamine antagonists to a client with gastritis?
1) to neutralize gastric acids
2) to inhibit acid production by the gastric mucosa
3) to relieve pain caused by gastric inflammation
4) to decrease inflammation of the gastric mucosa
Answer: 2) to inhibit acid production by the gastric mucosa
9. A child is admitted to the hospital with a diagnosis of Wilm's tumor, stage II. Which of the following statements most accurately describes this stage?
1. The tumor is less than 3 cm. in size and requires no chemotherapy.
2. The tumor did not extend beyond the kidney and was completely resected.
3. The tumor extended beyond the kidney but was completely resected.
4. The tumor has spread into the abdominal cavity and cannot be resected.
Answer: 3. The tumor extended beyond the kidney but was completely resected.
10. Lithium is used for
1. Severe anxiety
2. Severe psychomotor retardation
3. Control manic episodes
4. Delusional disorder