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Core Concepts in Pharmacology 4th Edition, Holland Test Bank

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Test Bank For Core Concepts in Pharmacology 4th Edition, Holland. Note: This is not a text book. Description: ISBN-13: 978-0133449815, ISBN-10: 0133449815.

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Test Bank Core Concepts Pharmacology 4th Edition, Holland

CHAPTER 1
Question 1
Type: MCSA
A nurse educator wants to define the term pharmacology for the student. Which definition is most appropriate?
The study of medicine.
The use of medicine to treat disease.
The branch of medicine concerned with the treatment of disease and suffering.
The use of herbs, natural extracts, vitamins, minerals, or dietary supplements to treat diseases.
Question 2
Type: MCMA
In addition to physicians, which health care providers are able to prescribe medications? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Physician’s assistants. Advanced nurse practitioners. Dentists.
Medical assistants. Registered nurses. Question 3
Type: MCSA
Which branch of medicine is concerned with the treatment of disease and suffering? Pharmacology
Therapeutics. Pathophysiology. Pharmacotherapeutics. Question 4
Type: MCSA
Which definition best describes the term pharmaceutics?
The science of preparing and dispensing drugs, and a very important part of pharmacotherapy. The use of medicine to treat disease.
Agents naturally produced in animal cells, in microorganisms, or by the body itself. Herbs, natural extracts, vitamins, minerals, and dietary supplements.
Question 5
Type: MCMA
Which items are considered medically therapeutic? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Traditional drugs. Sunscreens. Biologics.
Natural alternative therapies. Antiperspirants.
Question 6
Type: MCSA
Insulin would fall into which therapeutic drug category? Biologics
Alternative therapies
Natural therapy
Traditional therapeutic drug
Question 7
Type: MCSA
Which statement best describes how a traditional drug is different from a biologic agent? Biologics and traditional drugs are identical chemically.
Traditional drugs are naturally produced by the body or in animal cells, whereas biologic agents are chemically produced in a laboratory.
Traditional drugs are chemically produced in a laboratory, whereas biologic agents are naturally produced by the body or in animal cells.
Biologics include herbs, natural extracts, vitamins, minerals, and dietary supplements.
Question 8
Type: MCSA
Which medication change often occurs when a drug demonstrates a wide margin of safety and is used over long periods of time?
Prescription-only to over-the-counter (OTC) drug. One classification to a lower, less restrictive one.
Traditional drug therapy classification to biologics classification. Therapeutic to effective.
Question 9
Type: MCMA
Which statement best describes the advantages of prescription drugs versus over-the-counter (OTC) drugs? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.
The cost of the drug is always less than the cost of an OTC drug.
The practitioner can maximize therapy by ordering the proper medication for the client’s
condition.
There are fewer side effects of prescription drugs than of OTC drugs.
The practitioner is able to control the dose and frequency of dosing of the drug. Prescription drugs do not require a practitioner order.
Question 10
Type: MCMA
The nurse is discussing the advantages over-the-counter (OTC) medications with a client. Which statements are disadvantages of OTC drugs versus prescription drugs?(Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.
OTC drugs can react with foods, herbal products, and prescriptions, or with other OTC drugs. A client can obtain OTC drugs more easily than prescription drugs.
Self-treatment is sometimes ineffective.
Choosing the proper medication for a specific problem can be challenging.
OTC drugs are more expensive than prescription drugs.
CHAPTER 2
Question 1
Type: MCSA
A student nurse asks what the difference between a therapeutic class and a pharmacologic class is. What is the best response by the nurse educator?
Therapeutic classification is how the medication produces an effect in the body, whereas pharmacologic classification is how a medication works clinically.
Therapeutic classification is how addictive a medication is, whereas pharmacologic classification is how the medication produces an effect in the body.
There are no differences between therapeutic and pharmacologic classes.
Pharmacologic classification is how the medication produces an effect in the body, whereas therapeutic classification is how a medication works clinically.
Question 2
Type: MCSA
The nurse is preparing to administer a drug that is labeled “used for minor skin irritations.”
Based on the label, how is this drug classified? By the function
By its usefulness
By its pharmacologic use By its therapeutic use Question 3
Type: MCSA
A nursing instructor is teaching fundamental pharmacological content. In helping the students become comfortable with this material, what should the instructor suggest that the student focus on initially?
The prototype
The generic names The trade names The adverse effects Question 4
Type: MCSA
What is the original, well-understood drug model from which other medications in a pharmacologic class have been developed?
A proprietary drug
A combination drug
A generic drug
The prototype drug
Question 5
Type: MCMA
Which statements regarding prototype drugs are not accurate? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.
A nurse can apply understanding of the effects of a prototype drug to other drugs in the same class.
Understanding the effects of the prototype drug does not help the nurse to understand the effects of other drugs in the same class.
The mechanism of action is different for the prototype drug than for other drugs in the same class.
The most commonly used drug in a specific class is always the most widely prescribed drug.
Prototype drugs rarely cause drug resistance.
Question 6
Type: MCSA
A generic drug takes 60 minutes to produce a therapeutic effect; the brand name drug takes the same amount of time to produce the same effect. This phenomenon is an example of which pharmacological concept?
Bioavailability Efficacy Therapeutic effect Adverse effect Question 7
Type: MCSA
The physiologic ability of the drug to reach its target cells and produce its effect is known as which pharmacological concept?
Efficacy Bioavailability Therapeutic effect Adverse effect Question 8
Type: MCMA
Which drug names are examples of trade names? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Calcium channel blocker
Benadryl Loop diuretic Acetaminophen Motrin Question 9
Type: MCSA
A nurse is discussing generic and trade drugs with a client. The client wants to know why it takes so long for trade drugs to become available in the generic form, which are generally cheaper. What is the nurse’s best response?
It takes 17 years for all pharmaceutical companies to develop a generic version of the drug. It will take 17 years of clinical trials to approve the drug.
Sole ownership of a drug allows the pharmaceutical company to earn back the money spent to develop the drug.
Animal testing must continue for 10 years, then 7 years of human clinical trials, for a drug to be approved.
Question 10
Type: MCSA
A client asks the nurse why the healthcare provider often refers to medications by the generic name instead of by the brand name. What is the best response by the nurse?
The pharmacy will only accept a prescription written with the generic name. The physician prefers to use a more technical-sounding name for medications.
There is only one generic name for each medication, but there are often many brand names.
The client needs to ask the physician to explain why medications have so many different names.
CHAPTER 3
Question 1
Type: MCMA
What does the nurse need to determine prior to administering a medication to a client? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Contraindications for this medication
What drug is ordered
The generic and trade name of the medication
The manufacturer of the medication
The drug classification
Question 2
Type: MCSA
After administering a medication, the nurse notes that the client has itching and a runny nose. What is the nursing priority?
Document the findings. Assess vital signs. Notify the charge nurse.
Monitor the client closely.
Question 3
Type: MCSA
Following administration of a drug to a client, who has the greatest responsibility for monitoring the client for adverse reactions?
The nurse.
The nursing assistant. The family of the client. The physical therapist. Question 4
Type: MCMA
The nurse is preparing to administer a medication. Which six rights of drug administration should the nurse assess for prior to administering the prescribed medication? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Right client
Right route of administration
Right dose
Right time of preparation Right documentation Question 5
Type: MCMA
The nurse is preparing to administer a medication to a client. What are the checks that must occur prior to medication administration? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Checking the drug after administering it to the patient
Checking the drug when preparing it, pouring it, taking it out of the unit dose container, or connecting the IV tubing to the bag
Checking the drug with the medication administration record (MAR) or medication information system when removing it from the medication drawer, refrigerator, or controlled substance locker
Checking the drug before administering it to the patient
Checking the drug prior to documenting
Question 6
Type: MCMA
The nurse is speaking with a client regarding current medications. The client states she does not always take the medications as prescribed. What are the potential reasons for this client’s noncompliance? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Patients sometimes forget doses of medications.
The drug may be too expensive or may not be approved by the patient’s health insurance plan. Adverse effects such as headache, dizziness, nausea, diarrhea, or impotence often cause noncompliance.
The client always takes medications as prescribed.
The client may not understand the reason for the medication.
Question 7
Type: MCSA
What type of medication order should be given immediately or only once? A single order
An ASAP order
A prn order
A STAT order
Question 8
Type: MCSA
The nurse is caring for a client who has medications ordered to be given PO. The client asks the nurse what PO means. What is the best response by the nurse?
PO medications are given orally. PO medications are given rectally.
PO medications are given intramuscularly. PO medications are given vaginally. Question 9
Type: MCSA
The physician ordered amlodipine (Norvasc) 5mg tab PO bid. How should the nurse administer the medication?
One tablet orally four times per day. One tablet orally three times per day. One tablet orally once per day.
One tablet orally twice per day.
Question 10
Type: MCSA
The physician writes an order for a medication to be given SL tid. How should the nurse administer the prescribed medication order to the client?
Subcutaneous three times per day Subcutaneous four times per day Sublingual three times per day Sublingual four times per day

CHAPTER 4
Question 1
Type: MCSA
A nurse educator is teaching pharmacokinetics to the pharmacology class. What statement, made by a student, would show the class understands this term?
“Pharmacokinetics is what the body does to a drug.” “Pharmacokinetics is how drugs activate specific receptors.”
“Pharmacokinetics is what a drug does to the body.” “Pharmacokinetics is the efficacy of a drug.” Question 2
Type: MCSA
What is the first step in drug transport? Metabolism
Distribution Excretion Absorption Question 3
Type: MCSA
The nurse educator is describing the process by which drugs are transported after they have been absorbed or administered directly into the bloodstream. Which response by the student indicates understanding of the process?
This process is metabolism. This process is administration. This process is excretion.
This process is distribution.
Question 4
Type: MCSA
A client asks the nurse how medication is excreted from the body. Which response by the nurse is most appropriate?
The lungs are the main organ of excretion. The kidney is the main organ of excretion. The colon is the main organ of excretion. The liver is the main organ of excretion. Question 5
Type: MCSA
Which action will slow the absorption of a drug? Taking medication earlier than prescribed
Taking medication with food Taking medication with water Taking medication as prescribed Question 6
Type: MCSA
What occurs when a medication binds to a plasma protein? The drug is working at its full potential.
The drug is in the process of being excreted by the body. The drug is unable to reach its target cells.
The drug has reached its target cells.
Question 7
Type: MCSA
A client takes two medications at the same time. Why might the action of one drug be intensified when this occurs?
Neither drug will bind to any plasma protein receptors, and the effect of the more potent drug will be intensified.
A client must never take two medications at the same time.
The drugs bind together, and the effect of the more potent drug is intensified.
Both drugs compete for the plasma protein receptors, and one drug will displace the other.
Question 8
Type: MCSA
Which organ contains anatomical barriers that limit some drugs from gaining access? Kidney
Liver Brain Heart
Question 9
Type: MCSA
What is not a barrier to distribution of medications? Blood–brain barrier
Blood–testicular barrier Blood–placental barrier Blood–lung barrier Question 10
Type: MCMA
First-pass effect can result in a large fraction of an administered drug’s being metabolically deactivated. Which client factors will decrease the magnitude of the first-pass effect? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Elderly client
Hepatic disease
Gall bladder disease
Renal disease
Parental medication administration
CHAPTER 5
Question 1
Type: MCSA
What phase of the nursing process is the systematic collection, organization, validation, and documentation of patient data?
Implementation Assessment Evaluation Planning Question 2
Type: MCMA
The nurse is educating a group of students about why it is necessary to collect baseline data collection. Which actions by the students indicate application of this knowledge in the clinical environment? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Evaluating adverse drug effects
Helping the client to the bedside commode Reviewing current laboratory data Evaluating therapeutic drug effects Discussing client status with the family Question 3
Type: MCMA
Which nursing assessments are related to pharmacology? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Herbal products and dietary supplements
Allergies to medications
Heart and lung assessment
All current medications, including OTC medications
Integumentary assessment
Question 4
Type: MCMA
The nurse is caring for a client who complains of pain and nausea. The patient has vomited twice on day shift and reports one loose stool. A review of labs shows an elevated serum potassium level. Which of these signs and symptoms are examples of subjective data?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Nausea
Elevated serum potassium level
Pain Vomiting Loose stool Question 5
Type: MCSA
Which assessment data would not be objective data? Palpable pulses in all extremities
Current vital signs Chest x-ray Nausea
Question 6
Type: MCSA
The nurse is caring for a client who verbalized severe pain in the right arm. The nurse reports this as what type of data?
Subjective data Critical data Irrelevant data Objective data Question 7
Type: MCMA
Which items are considered sources of data collection for nurses? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. The client is the only source for data collection.
The medical record
The client
Other health care providers The client’s family Question 8
Type: MCSA
What is the primary role of the LPN/LVN in the nursing process? Developing a plan of care
Incorporating medical diagnoses into the care plan Identifying appropriate nursing diagnoses Collecting data
Question 9
Type: MCMA
What is the nurse’s responsibility when obtaining a medication history? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Assess pregnancy status in female clients.
Assess the client for potential IV sites. Assess for medication allergies.
Assess tobacco and alcohol use.
Assess the use of complementary or alternative medications.
Question 10
Type: MCSA
A nursing diagnosis is identified and developed by the RN. Which statement is an accurate example of a nursing diagnosis?
Activity intolerance related to acute knee pain
Left leg fracture related to fall Activity intolerance Nonradiating left knee pain

CHAPTER 6
Question 1
Type: MCSA
The client asks if “natural” products are superior to prescription medication. What is the best response by the nurse?
“Yes, since the product is based in nature.”
“Natural products are not as potent as approved medications.” “Natural does not always mean better or safe.”
“Interactions are rare when mixing natural and prescribed medications.”
Question 2
Type: MCMA
What are the common characteristics of CAM therapies? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Consideration of the specific system involved
Recognizing the role of spirituality in health and healing Promotion of disease prevention, self-care, and self-healing Focusing on treatment of the person as an individual Focusing on the medical plan of treatment
Question 3
Type: MCSA
What herbal product is most appropriate for the nurse to advise the menopausal client to take in order to alleviate her symptoms?
Valerian
Ginger
Black cohosh Cranberry tablets Question 4
Type: MCSA
The nurse is educating a client on the characteristics of complementary and alternative medicine
(CAM). Which characteristic should the nurse not include in the teaching?
Promote disease prevention, self-care, and self-healing. Replace all traditional medication.
Focus on treating each individual person. Consider the health of the whole person. Question 5
Type: MCSA
CAM includes biological therapies and alternate health care systems. What is an example of an alternate health care system?
Herbal therapies Nutritional supplements Special diets Naturopathy
Question 6
Type: MCSA
A client asks the nurse about the benefits of yoga and meditation. The nurse plans a response based upon the fact that yoga and meditation are which type of CAM?
Manual healing Biological therapies Mind-body intervention
Alternate health care systems
Question 7
Type: MCSA
A client tells the nurse that she takes garlic on a daily basis. The nurse anticipates that the client is taking garlic for which benefit?
To enhance sexual function
To decrease cholesterol and blood pressure
To decrease stomach upset and motion sickness
To work as an antitoxin
Question 8
Type: MCSA
Although used for many years by various cultures, the effectiveness (or ineffectiveness) of complementary and alternative medicine (CAM) therapies has only recently been of interest. What explanation by the nurse regarding this phenomenon is the most appropriate?
The Food and Drug Administration has not been supportive of this type of therapy. Few have been subjected to rigorous clinical and scientific study.
The popularity of these therapies has only been recent.
Practitioners have not been suggesting them as treatments to their clients.
Question 9
Type: MCSA
A client asks the nurse why herbal therapy use has increased over time. Which response by the nurse is the most appropriate?
The renewed interest in preventive medicine has increased herbal therapy. The control of herbal therapies by regulatory agencies has increased its use. Medical schools are now including this information as part of the curriculum. Natural herb products can now be standardized and produced more cheaply. Question 10
Type: MCSA
The nurse understands the increase in popularity of herbal products has occurred recently. What is not a reason for this increase in popularity?
Aggressive marketing by the herbal industry Renewed interest in preventative medicine Lack of side effects from herbal products Herbal products are readily available.

CHAPTER 7
Question 1
Type: MCSA
A client is concerned about becoming addicted to a prescription medication. The nurse is planning to teach the client a way to decrease this chance. What item should the nurse include in the teaching plan?
Prescribing the lowest effective dose for the shortest time necessary Prescribing the highest dose possible for the shortest time necessary Prescribing the highest dose possible for the longest time necessary Prescribing the lowest effective dose for the longest time necessary Question 2
Type: MCSA
The nurse is preparing to teach a group of clients from a pain clinic about addiction. The nurse wants to include the causes of addiction in the presentation. What item should the nurse include in the plan?
Any medication to treat pain
Only prescription drugs
A need for prescription pain medications
Only illegal drugs
Question 3
Type: MCSA
The nurse is preparing to teach a client about addiction, dependence, and withdrawal. The nurse asks the client, “What is the progressive and chronic abuse of a substance caused by an overwhelming feeling that drives someone to use a drug repeatedly despite serious consequences?” Which answer, by the client, is appropriate?
Physical dependence
Addiction
Psychological dependence
Withdrawal
Question 4
Type: MCSA
The nurse is describing the differences between the different types of dependence and abuse. Which type of dependence causes uncomfortable symptoms when the drug is stopped? Substance dependence
Physical dependence Psychological dependence Psychosocial dependence Question 5
Type: MCSA
A client plans to enter a treatment facility for alcohol abuse. The client asks the nurse if there are medications that can decrease the severity of withdrawal symptoms. The nurse knows which
drug is used for this purpose? Marijuana
Methadone (Dolphine) Bupropion (Wellbutrin)
Diazepam (Valium)
Question 6
Type: MCSA
A client asks the nurse why withdrawal syndrome occurs when some drugs are stopped. What is the best response by the nurse?
“This is a misconception. All abused substances cause withdrawal syndrome.” “Only illegal substances cause withdrawal syndrome.”
“A substance must be abused for at least a year to cause withdrawal syndrome.”
“Over time, the body’s cells are tricked into believing it is normal for that substance to always be present, and when it is no longer present, the body experiences withdrawal syndrome.”
Question 7
Type: MCSA
What is a biological condition that occurs when the body adapts to a substance after it is repeatedly administered, and a higher dose is needed to achieve the initial response? Tolerance
Dependence
Addiction
Cross-tolerance
Question 8
Type: MCSA
The nurse is teaching about designer drugs. Which definition would the nurse include in the teaching plan?
A designer drug is created in an illegal laboratory solely for illegal drug trafficking. A designer drug is made from a naturally occurring substance.
Alcohol is a designer drug.
A designer drug is less addictive than prescription medications.
Question 9
Type: MCSA
A client asks the nurse what the two most commonly abused drugs are. Which response by the nurse is the most appropriate?
“LSD and marijuana.” “Alcohol and nicotine.” “Marijuana and nicotine.” “Alcohol and marijuana.” Question 10
Type: MCMA
Which drugs were once used therapeutically and are now illegal because of a high potential for abuse?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. LSD
Barbiturates Cocaine Opioids Heroin

CHAPTER 8
Question 1
Type: MCMA
The nervous system consists of which two divisions?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Autonomic
Sympathetic Central Peripheral Parasympathetic Question 2
Type: MCMA
The autonomic nervous system consists of which two subsystems? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Somatic nervous system
Parasympathetic nervous system Peripheral nervous system Sympathetic nervous system Central nervous system
Question 3
Type: MCSA
The somatic nervous system consists of nerves that provide what function? Provide involuntary control over cardiac muscles.
Provide voluntary control of skeletal muscles. Provide involuntary control over smooth muscles. Provide involuntary control of glands.
Question 4
Type: MCSA
Which nervous system is responsible for the fight-or-flight response? Sympathetic
Somatic Peripheral Parasympathetic Question 5
Type: MCSA
What is the name of the chemicals that allow nerve impulses to cross the synaptic cleft? Neurotransmitters
Neurons Autonomic drugs Presynaptic neurons Question 6
Type: MCMA
What are the two subtypes of norepinephrine receptors? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Beta
Delta Epsilon Alpha Pi
Question 7
Type: MCSA
A client has been diagnosed with myasthenia gravis and is experiencing severe muscle weakness. The nurse teaches the client that these symptoms are occurring because of the destruction of
what receptor?
Nicotinic (cholinergic) receptors found in skeletal muscles Norepinephrine (adrenergic) receptors found in skeletal muscle Muscarinic (cholinergic) receptors found in smooth muscle Norepinephrine (adrenergic) receptors found in smooth muscle Question 8
Type: MCSA
A client with asthma is using ipratropium (Atrovent). What is the most appropriate teaching point for this client?
Limit outside activity. Monitor serum glucose. Increase outside activity. Decrease fluid intake. Question 9
Type: MCSA
When teaching a client about beta blockers, what should the nurse include in the teaching plan regarding what can occur with abrupt discontinuation?
Dry mouth and painful urination
Dizziness and coma
Chest pain and rebound hypertension
Cramping and constipation
Question 10
Type: MCSA
A client with benign prostatic hypertrophy (BPH) is started on the alpha blocker, alfuzosin (Uroxatral). The nurse knows it is important to inform the client of which possible side effect? Impotence
Diaphoresis Dental caries Constipation

CHAPTER 9
Question 1
Type: MCSA
A client complains of restlessness, fatigue, nervousness, and sleep disturbances. The nurse knows these are symptoms of which clinical disorder?
Obsessive compulsive disorder Generalized anxiety disorder Panic disorder
Post-traumatic stress disorder
Question 2
Type: MCSA
A client has returned from combat, and is re-experiencing combat in dreams and feels helpless and anxious. What disorder does the nurse suspect this client is experiencing?
Generalized anxiety disorder Obsessive compulsive disorder Post-traumatic stress disorder Panic disorder
Question 3
Type: MCSA
According to an evidence-based approach, what is the most productive way to treat anxiety disorders?
Provide the client with a powerful medication.
Allow the client to self-medicate with OTC medications. Immediately start multiple-drug therapy.
Uncover and address the cause of anxiety.
Question 4
Type: MCMA
Which instructions should the nurse provide to the client who is prescribed a benzodiazepine? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Report significant mood changes.
Avoid OTC medications used to induce sleep. Avoid alcoholic beverages.
If a dose is missed, the client should take a double dose as soon as possible. Avoid caffeine.
Question 5
Type: MCSA
The risk for physical and psychological dependence is high from which class of medications, which is rarely used to treat insomnia or anxiety?
SSRIs MAOIs Benzodiazepines Barbiturates Question 6
Type: MCSA
A benzodiazepine has been prescribed for a client with short-term insomnia. Which benzodiazepine is appropriate to treat insomnia?
Diazepam (Valium) Chlordiazepoxide (Librium) Clonazepam (Klonopin) Temazepam (Restoril) Question 7
Type: MCMA
A client is being treated for an anxiety disorder. Which types of medications are used to treat anxiety disorders?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Barbiturates
Beta blockers Benzodiazepines Alpha blockers SSRIs
Question 8
Type: MCSA
The client asks the nurse why a tricyclic antidepressant has not been prescribed for depression. What is the best response by the nurse?
“Tricyclic antidepressants have many side effects, including orthostatic hypotension, headache,
and diarrhea.”
“Tricyclic antidepressants cause sexual dysfunction.”
“Tricyclic antidepressants are not recommended for a client with a history of heart attack.” “Tricyclic antidepressants cause weight gain.”
Question 9
Type: MCSA
The physician ordered an MAOI for a client with depression. The nurse expects which medication to be ordered?
Citalopram (Celexa) Fluoxetine (Prozac) Tranylcypromine (Parnate) Amitriptyline (Elavil) Question 10
Type: MCSA
A client taking an MAOI should be instructed to avoid which item? Foods that contain tyramine and caffeine
A diet that is high in fat Large amounts of water A diet that is high in salt

CHAPTER 10
Question 1
Type: MCMA
The nurse is caring for a client with depression. The nurse recognizes which assessment findings to be symptoms of depression?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Lack of energy
Sleep disturbances Feelings of despair Increased energy Euphoria
Question 2
Type: MCSA
The nurse is caring for a client diagnosed with bipolar disorder who is exhibiting the following symptoms: insomnia, exaggerated confidence, attention seeking, and easily agitated. Based on these symptoms, what does the nurse believe these symptoms are caused by?
Overdose of barbiturates
Mania
Side effects of lithium (Eskalith) Depression
Question 3
Type: MCSA
The client asks the nurse what causes depression. What is the best answer by the nurse? “There are many causes, including genetics, hormone changes, grief, substance abuse, and prescription drugs.”
“Most people are not really depressed. They are just looking for attention.” “The main cause of depression is substance abuse.”
“Most people who are depressed suffer from seasonal affective disorder.”
Question 4
Type: MCSA
A client is being treated for reoccurring severe depressive illness. The nurse expects the client to receive which type of treatment?
Grief counseling
Medication and psychotherapy
Medication only Psychotherapy only Question 5
Type: MCSA
The physician has ordered a tricyclic antidepressant for a client with biological depression. The nurse expects to find which medications to be ordered for the client?
Amitriptyline (Elavil) Citalopram (Celexa) Duloxetine (Cymbalta) Fluoxetine (Prozac) Question 6
Type: MCSA
The nurse is performing an assessment on a client who has been taking a tricyclic antidepressant for several weeks. Which common adverse effect of tricyclic antidepressants is most likely to occur?
Dry mouth Bradycardia Sedation
Orthostatic hypotension
Question 7
Type: MCSA
The nurse is providing care to a client who is diagnosed with depression. The client asks the nurse which medication she is likely to be prescribed. What has become the drug of choice in treating depression?
SSRIs MAOIs SNRIs TCAs Question 8
Type: MCSA
Which teaching instruction is most appropriate for a client who has just been prescribed an
SSRI?
The full therapeutic effect takes one month. Take the medication at bedtime.
The depression should improve immediately. There are few side effects of SSRIs.
Question 9
Type: MCMA
Which teaching points should the nurse include for a client who has been prescribed an SSRI? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Add dietary fiber.
Drink adequate amounts of fluid.
Avoid laxatives. Restrict fluid intake. Avoid stool softeners. Question 10
Type: MCMA
A child diagnosed with ADHD would likely exhibit which symptoms? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Able to focus on a task for an extended period of time
Impulsiveness Excessive talking Easily distracted Violent behavior

CHAPTER 11
Question 1
Type: MCSA
The nurse is caring for a client with delusions, hallucinations, paranoia, disorganized behavior, and difficulty relating to others. The nurse identifies these symptoms as indicative of which disorder?
ADHD
Psychosis
Bipolar disorder
Depression
Question 2
Type: MCSA
The nurse is caring for a client with psychosis-like symptoms. Which explanation of these symptoms to the family is the most appropriate?
The only causes for psychosis are schizophrenia and schizoaffective disorder.
Psychotic symptoms are only seen in clients with schizoaffective disorder.
Psychosis-like symptoms can be caused by a brain tumor, infection, cocaine use, and schizophrenia.
Psychotic symptoms are only seen in clients with schizophrenia.
Question 3
Type: MCMA
A schizophrenic client is being assessed by the nurse. The client is demonstrating positive symptoms. Which symptoms would be considered positive?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Hallucinations
Lack of interest
Disorganized thoughts
Lack of responsiveness
Disorganized speech
Question 4
Type: MCMA
A schizophrenic client is being assessed by the nurse. The client is demonstrating negative symptoms. Which symptoms would be considered negative?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Hallucinations
Disorganized thoughts
Lack of interest
Lack of responsiveness
Disorganized speech
Question 5
Type: MCMA
Positive symptoms of schizophrenia are most effectively controlled by which medications?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Chlorpromazine (Thorazine)
Perphenazine (Phenazine)
Clonidine (Catapres)
Citlopram (Celexa)
Bupropion (Wellbutrin)
Question 6
Type: MCSA
A client with schizophrenia exhibits positive and negative symptoms. The nurse anticipates which drug to be prescribed for this client?
Chlorpromazine (Thorazine)
Clozapine (Clozaril)
Haloperidol (Haldol)
Clonidine (Catapres)
Question 7
Type: MCSA
Which statement is true regarding schizophrenia?
There appears to be a genetic component to schizophrenia.
There is not a genetic component to schizophrenia.
Schizophrenia is caused by a brain tumor.
It is caused by underactive dopaminergic pathways found in the basal nuclei.
Question 8
Type: MCMA
What are the primary goals of pharmacotherapy for patients diagnosed with schizophrenia?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Cure schizophrenia.
Reduce psychotic symptoms to a level that allows the patient to maintain normal social relationships.
Increase delusional symptoms.
Reduce psychotic symptoms to a level that allows the patient to perform self-care.
Reduce psychotic symptoms to a level that allows the patient to maintain employment.
Question 9
Type: MCSA
Which medication has less EPS and anticholinergic symptoms than haloperidol (Haldol)?
Thiothixene (Navane)
Molindone HCl (Moban)
Chloroprothixene (Tarcan)
Aripiprazole (Abilify)
Question 10
Type: MCMA
The nurse is preparing to assess a client exhibiting extrapyramidal adverse effects. The nurse expects to see which symptoms?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Dry mouth
Akathisia
Parkinsonism
Tardive dyskinesia
Incontinence
CHAPTER 12
Question 1
Type: MCMA
What are the most common, debilitating, and progressive neurologic disorders?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Parkinson’s disease
Alzheimer’s disease
Psychosis
Multiple sclerosis
Bipolar disorder
Question 2
Type: MCSA
Which disorder is characterized by the progressive loss of brain function with memory loss, confusion, and dementia?
Psychosis
Multiple sclerosis
Parkinson’s disease
Alzheimer’s disease
Question 3
Type: MCSA
The nurse is assessing a client with progressive weakness and wasting of muscles caused by destruction of motor neurons. The nurse anticipates that this client is diagnosed with what disorder?
Parkinson’s disease
Multiple sclerosis
Amyotrophic lateral sclerosis (ALS)
Alzheimer’s disease
Question 4
Type: MCSA
A client has been diagnosed with Parkinson’s disease. Based on this diagnosis, the nurse knows that there is lack of which neurotransmitter in the brain?
Norepinephrine
Sodium
Dopamine
Potassium
Question 5
Type: MCSA
What instruction should the nurse provide to a client who is taking medications for dementia?
Take any OTC medication needed.
Report any changes in urine color immediately.
Be extremely careful about getting up quickly from a seated position.
Never take with high-fat foods.
Question 6
Type: MCSA
Which type of medication does the nurse anticipate for a client who has been diagnosed with Alzheimer’s disease?
Beta blockers
Acetylcholinesterase inhibitors
Cholinergic blockers
Dopaminergic agents
Question 7
Type: MCSA
A client diagnosed with Parkinson’s disease has been prescribed carbidopa/levodopa (Sinemet). Which data indicates the medication has been effective?
The client has muscle rigidity.
The client has bradykinesia.
The client is able to walk upright without stumbling.
The client has tremors.
Question 8
Type: MCSA
Which medication used to treat muscular sclerosis causes flu-like symptoms?
Mitoxantrone (Novantrone)
Modafinil (Provigil)
Interferon beta 1b (Betaseron)
Glatiramer acetate (Copaxone)
Question 9
Type: MCMA
The client receives levodopa (Larodopa). Which foods can the nurse include in the dietary teaching for this client?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Banana
Green, leafy vegetables
Citrus fruit
Chocolate
Red meat
Question 10
Type: MCSA
An adult client, diagnosed with Parkinson’s disease, has been prescribed levodopa (L-dopa). What nursing observations would indicate that the medication is working?
Increased strength on affected side
Blood pressure changes from 180/90 to 140/80mm Hg.
Urine output increases to 60 ml per hour.
Decrease in tremors in upper extremities
CHAPTER 13
Question 1
Type: MCSA
What condition specifically refers to involuntary, violent spasms of the large skeletal muscles of the face, neck, arms, and legs?
Seizures
Epilepsy
Convulsions
Anticonvulsant
Question 2
Type: MCSA
What condition is a disturbance of electrical activity in the brain that can affect consciousness, motor activity, and sensation?
Convulsion
Dystonia
Epilepsy
Seizure
Question 3
Type: MCMA
Which items are known causative factors for seizures?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Meningitis
Ingestion of poison
Hypertension
Hypoglycemia
Depression
Question 4
Type: MCSA
The nurse is admitting a client to the labor and delivery unit. While obtaining the assessment data, the client informs the nurse she has had high blood pressure since week 32 of this pregnancy. Upon assessment, the nurse finds 2+ edema. The client relates that she has an occasional headache. Before the nurse leaves the room, the client begins to have a seizure. What pregnancy disorder is this client experiencing?
HELLP
Pre-eclampsia
Eclampsia
Posteclampsia
Question 5
Type: MCMA
The nurse is caring for a client who has been diagnosed with complex partial seizures. Which symptoms would the client be likely to experience with a complex partial seizure?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
The client stumbles and falls for no apparent reason.
A period of brief confusion following the seizure
Seizure is preceded by an aura.
The client experiences alternating contraction and relaxation of muscles.
A period of brief somnolence following the seizure
Question 6
Type: MCSA
A 5-month-old infant has been brought to the Emergency Department, and the parent states the child had a high fever and rapid jerking motions that lasted for a minute. Based on these symptoms, the nurse anticipates this client will be diagnosed with which type of seizure?
Febrile seizures
Generalized seizures
Myoclonic seizures
Atonic seizures
Question 7
Type: MCSA
The nurse is caring for a client with epilepsy. The client informs the nurse that she is pregnant. What condition should the nurse warn this client about?
Vitamin C deficiency
Anemia
Decreased oxygen
Folate deficiency
Question 8
Type: MCSA
The nurse knows that the client with a history of epilepsy might also have what nursing diagnosis?
Impaired gas exchange
Risk for injury
Chronic pain
Risk for infection
Question 9
Type: MCSA
A client on the unit is experiencing tonic-clonic seizures. What drug does the nurse anticipate for this client because it is considered the drug of choice for this type of seizure?
Carbamezepine (Tegretol)
Valproic acid (Depakote)
Zonisamide (Zonegran)
Phenytoin (Dilantin)
Question 10
Type: MCSA
In order to monitor the effectiveness of drug therapy in a client with seizures, what should the nurse teach the client to do?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Take double doses.
Take medications as ordered.
Make up skipped doses
Keep a diary of seizure activity.
Keep a normal sleep-wake schedule
CHAPTER 14
Question 1
Type: MCSA
The nurse is admitting a client to the floor with a diagnosis of migraine headache. The client relates she has had this type of headache for 12 years. On admission, the client states the headaches are coming more frequently, which has forced her to quit her job. What type of pain is this client experiencing?
Surgical pain
Chronic pain
Neuropathic pain
Acute pain
Question 2
Type: MCMA
A client presents with chronic pain that has recently increased in severity. The nurse knows this type of pain can be increased with which occurrence?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Depression
Overuse of OTC pain relievers
Anxiety
Fatigue
New pain medication
Question 3
Type: MCSA
The nurse is caring for two clients with the same diagnosis. One client complains of pain rated 6/10 and the other client complains of pain 1/10. How does the nurse explain why these two clients experience such differences in their pain rating?
The client’s reaction to pain is a subjective experience.
The client’s reaction to pain should be the same.
The client with the pain rated 1/10 does not want to complain.
One client has progressed further in the disease.
Question 4
Type: MCSA
A client complains of pain that is a generalized dull, throbbing, or aching pain. What type of pain does the nurse document that this client is experiencing?
Visceral pain
Acute pain
Somatic pain
Neuropathic pain
Question 5
Type: MCMA
Which statements are true regarding pain medications?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Opioids act within the CNS.
NSAIDs act at the peripheral level.
NSAIDs act within the CNS.
Opioids act at the peripheral level.
Narcotics act within the CNS.
Question 6
Type: MCMA
The nurse instructs a client on nonpharmacologic therapies for pain management. Which techniques should be included in this teaching?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Reiki
Heat or cold packs
Massage
Anti-inflammatory drugs
Opioid drugs
Question 7
Type: MCSA
Which statements are true regarding opioid receptors?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Opioid blockers such as naloxone (Narcan) inhibit both the mu and kappa receptors.
Some opioids stimulate a particular receptor; others block a receptor.
Opioid blockers such as naloxone (Narcan) stimulate both the mu and kappa receptors.
Opioids interact with mu (types one and two) and kappa receptors.
Opioids interact with sigma, delta, and epsilon receptors only.
Question 8
Type: MCSA
The client asks which type of medications will be given for severe pain. Which response by the nurse is most appropriate?
Acetaminophen (Tylenol)
Opioids
NSAIDs
Beta blockers
Question 9
Type: MCSA
The nurse is caring for a client who has a morphine (Astramorph) PCA. Which medication should the nurse ensure is readily available?
Meperidine (Demerol)
Naloxone hydrochloride (Narcan)
Butorphanol tartrate (Stadol)
Naltrexone hydrochloride (Trexan)
Question 10
Type: MCSA
Which statement by the nurse is correct regarding treatment with methadone (Dolophine)?
Methadone (Dolophine) can only be safely administered for 1 month.
Methadone (Dolophine) is only administered when the client is tempted to use illegal drugs.
Methadone (Dolophine) can only be administered by IV.
Methadone (Dolophine) treatment continues for many months or years, until the patient decides to enter a total withdrawal treatment program.
CHAPTER 15
Question 1
Type: MCMA
A client is admitted to the hospital for major surgery. The OR nurse is explaining major routes of applying local anesthesia to the client. Which routes should be included in the teaching?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Spinal
Topical
Epidural
Tendon block
Infiltration
Question 2
Type: MCSA
The client asks the nurse how local anesthetics work. Which response by the nurse is most appropriate?
They numb the skin.
They block calcium channels.
They block sodium channels.
They increase sensation.
Question 3
Type: MCSA
The nurse educator asks a group of students what occurs when sensation is lost to a limited part of the body without loss of consciousness. Which answer by the student is correct?
General anesthesia
Surgical anesthesia
Local anesthesia
Total anesthesia
Question 4
Type: MCSA
A nurse educator is instructing students about the history of anesthetics. Which type of anesthetic would the educator tell the students was the ester of choice from the mid-1900s to the 1960s?
Cocaine
Benzocaine (Solarcaine)
Procaine (Novocain)
Lidocaine (Xylocaine)
Question 5
Type: MCSA
Which medication is not an ester?
Chloroprocaine (Nesacaine)
Bupivicaine (Marcaine)
Benzocaine (Americaine)
Tetracaine (Pontocaine)
Question 6
Type: MCSA
A client is receiving a local anesthetic. What instruction is most appropriate by the nurse?
Never take at home.
Take only when drowsiness is present.
Report any unusual heart palpitations, lightheadedness, drowsiness, or confusion.
Allow family members to use as needed.
Question 7
Type: MCSA
When explaining a surgical procedure to a client, the nurse tells the client that a small amount of which drug is sometimes added to the anesthetic solution to lengthen the duration of action of the anesthetic?
Epinephrine (Adrenaline)
Diazepam (Valium)
Diphenhydramine (Benadryl)
Lidocaine (Xylocaine)
Question 8
Type: MCSA
A client is having major surgery tomorrow. Which statement by the client indicates understanding of the preop teaching?
“I will probably feel pain during the procedure.”
“I won’t feel a thing because I will be asleep.”
“I will lose consciousness, movement, and memory.”
“I will retain all memory of my procedure.”
Question 9
Type: MCSA
A client having an abdominal resection also has a history of myasthenia gravis. Due to the risk of nitrous oxide, what does the nurse anticipate this client to be at a greater risk for developing?
Increased intracranial pressure and respiratory depression
Nausea and vomiting during surgery
Increased cranial pressure and vomiting
Respiratory depression and prolonged hypnotic effects
Question 10
Type: MCSA
A client with a history of depression is having a thyroidectomy. The client informs the nurse about the use of herbal remedies for depression. What drug would the nurse anesthetist need to know about prior to surgery?
Saint John’s Wort
Comfrey
Senna
Echinacea
CHAPTER 16
Question 1
Type: MCSA
Which client statement demonstrates understanding of the link between cardiovascular disease and high cholesterol?
“There is no link between cardiovascular disease and cholesterol levels.”
“My diet does not need to be changed to help control my cardiovascular risk.”
“The only people at risk for high cholesterol are those with a family history.”
“The greater the amount of cholesterol circulating in the blood, the greater the risk of cardiovascular disease.”
Question 2
Type: MCSA
The nurse is educating a group of clients on how high cholesterol leads to heart disease. Which explanation regarding high cholesterol is most appropriate?
It interferes with the conduction system of the heart.
It binds to vessel walls, decreasing the amount of blood getting to the heart.
It thickens the blood, causing clots.
It damages the heart muscle.
Question 3
Type: MCMA
The nurse instructs the client that which foods contain high amounts of Omega-3 fatty acids?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Green beans
Bananas
Tofu
Salmon
Red meat
Question 4
Type: MCSA
The client asks which components of the lipid profile should be low. What is the most appropriate response by the nurse?
VLDL should be high.
LDL should be low.
Total cholesterol levels do not give sufficient information.
HDL should be low.
Question 5
Type: MCSA
What is the major storage form of fat in the body and the only type of lipid that serves as an important energy source?
HDL
Cholesterol
LDL
Triglycerides
Question 6
Type: MCSA
The client asks how the body gets rid of cholesterol. Which response by the nurse is the most appropriate?
Cholesterol is secreted as HDL.
Cholesterol is secreted through the kidneys.
Cholesterol is secreted in bile.
Cholesterol is secreted in feces.
Question 7
Type: MCSA
The nurse is caring for a client who has high cholesterol. The client asks which type of cholesterol is the good cholesterol. Which response by the nurse is most appropriate?
VLDL
LDL
Triglycerides
HDL
Question 8
Type: MCSA
The nurse is caring for a client who asks why LDL (low-density lipoprotein) is called the “bad” cholesterol. Which response by the nurse is most appropriate?
It consists of 50 percent cholesterol.
It synthesizes other steroids.
It is stored in the tissues.
It increases the risk of heart disease.
Question 9
Type: MCSA
The client has an HDL cholesterol value of 38 mg/dl. What is the most appropriate interpretation of this value by the nurse?
Normal
Borderline
Low
High
Question 10
Type: MCMA
Which lifestyle changes should the nurse recommend to the client to lower blood lipid levels?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Increased exercise
Restriction of dietary unsaturated fat
Smoking cessation
Taking medication
Restricting dietary cholesterol
CHAPTER 17
Question 1
Type: MCSA
A client is in chronic renal failure. Based on this diagnosis, what would the nurse anticipate the client might require regarding medications?
Higher dosages of medications than would a client with normally functioning kidneys
The same medication dosage as would a client with normally functioning kidneys
A significant dosage reduction in most medications
A kidney transplant
Question 2
Type: MCMA
The nurse is teaching a client who is diagnosed with renal insufficiency. Which functions of the kidneys should the nurse include in the teaching session?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Secrete the enzyme renin.
Stimulate red blood cell production.
Aid in digestion.
Regulate fluid balance.
Help maintain blood pressure.
Question 3
Type: MCSA
The nurse is instructing the client about different types of diuretics. What should be included in teaching?
All diuretics cause hyperkalemia.
Diuretics do not cause potassium to be lost in the urine.
Thiazide and loop diuretics cause potassium to be lost in the urine.
All diuretics cause potassium to be lost in the urine.
Question 4
Type: MCSA
The nurse is teaching a client who has been placed on a loop diuretic and requires a potassium supplement. What should the nurse include in the teaching session?
Do not use with antacids.
Tablets may be crushed or broken for easier swallowing.
Take on an empty stomach.
Take with food.
Question 5
Type: MCMA
The client has a pH of 7.6. Which statements are appropriate based on this pH level?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
The client should be monitored for nervousness.
The client is alkalotic.
The client should be monitored for drowsiness.
The client is acidotic.
The client should be monitored for seizures.
Question 6
Type: MCSA
A client has been admitted with a mild case of alkalosis. What would the nurse expect to be ordered?
0.9 NS
09. NS with 20 mEq potassium
Oral potassium supplements
Lactated Ringer’s solution
Question 7
Type: MCSA
Which medication is used to increase red blood cell production in patients with renal failure?
Mannitol (Osmitrol)
Chlorthalidone (Hygroton)
Epoetin alfa (Epogen)
Methazolamide (Neptazane)
Question 8
Type: MCSA
The client is taking furosemide (Lasix) 80mg twice a day. What condition should the nurse monitor this client for?
Hyperkalemia
Hypercalcemia
Hypokalemia
Hypocalcemia
Question 9
Type: MCSA
The nurse is preparing to discharge a client who is on multiple medications. The client asks the nurse, “Which medication is a loop diuretic?” What is the best response by the nurse?
Spironolactone (Aldactone)
Amiloride (Midamor)
Triamterene (Dyrenium)
Furosemide (Lasix)
Question 10
Type: MCSA
A potassium-sparing diuretic has been prescribed for a client. Based on this prescription, the nurse expects what medication to be ordered?
Furosemide (Lasix)
Spironolactone (Aldactone)
Diltiazem (Cardizem)
Hydrochlorothiazide (HCTZ)
CHAPTER 18
Question 1
Type: MCSA
The nurse is caring for a client who has a consistent elevation of arterial blood pressure. Which diagnosis does the nurse expect for this client?
Hypertension
Hypotension
Tachycardia
Bradycardia
Question 2
Type: MCMA
The nurse is teaching the client about the long-term consequences of untreated hypertension. What should the nurse include in the teaching?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Diabetes
Stroke
Heart failure
Myocardial infarction
Diabetes insipidus
Question 3
Type: MCSA
The client asks the nurse what the first number given in a blood pressure stands for. What is the best response by the nurse?
“The first number is the diastolic pressure.”
“The first number is the heart rate.”
“The first number is the pulse pressure.”
“The first number is the systolic pressure.”
Question 4
Type: MCSA
What is the appropriate definition of cardiac output?
The systolic pressure
The diastolic pressure
The volume of blood pumped per minute
Equal to the mean arterial pressure
Question 5
Type: MCSA
The nurse is teaching a client about blood pressure regulation. Which structure would the nurse include in this teaching session as the structure that regulates blood pressure on a minute-to-minute basis?
The liver
The kidney
The vasomotor center
The lungs
Question 6
Type: MCMA
The client asks the nurse how to control hypertension without taking medications. Which teaching topics would be appropriate for the nurse to include?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Increase exercise.
Decrease sodium intake.
Stop smoking.
Increase weight if overweight.
Increase intake of dietary fat.
Question 7
Type: MCMA
Which lifestyle changes can be the most beneficial to a client to delay the progression from prehypertension to hypertension?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Maintaining optimum body weight
Stopping smoking
Eating a healthy low-fat diet
Limiting alcohol intake
Decrease dietary salt intake
Question 8
Type: MCSA
Which statement indicates understanding of hypertensive therapy by the client?
“If I think my blood pressure is increased, I should take a double dose of my medications.”
“I should take all medications as prescribed to control my high blood pressure.”
“When I feel good, I don’t need to take my medications.”
“I should take hypertension medications only when I do not feel well.”
Question 9
Type: MCSA
A client is prescribed multiple medications for hypertension. The client asks the nurse which of the medications prescribed is a beta blocker. Which response by the nurse is correct?
Amlodipine (Norvasc)
Furosemide (Lasix)
Ramipril (Altace)
Metoprolol (Lopressor)
Question 10
Type: MCSA
A client is prescribed multiple medications for hypertension. The client asks the nurse which of the medications prescribed is an ACE inhibitor. Which response by the nurse is appropriate?
Furosemide (Lasix)
Amlodipine (Norvasc)
Ramipril (Altace)
Metoprolol (Lopressor)
CHAPTER 19
Question 1
Type: MCMA
Which disorders are associated with an increased risk for heart failure?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Diabetes
Coronary artery disease
Chronic hypertension
Myocardial infarction
Renal insufficiency
Question 2
Type: MCSA
The client asks the nurse to explain heart failure. Which statement should be included in the teaching by the nurse?
There are no known risk factors for developing heart failure.
Heart failure is the inability of the ventricles to pump enough blood to meet the body’s metabolic demands.
Medications can cure heart failure.
Heart failure is very uncommon in people over age 70.
Question 3
Type: MCSA
A client who has a history of angina and hypertension now complains of fatigue, shortness of breath, and cough. Based on this assessment finding, what does the nurse suspect that the client might be developing?
Peripheral edema
Left-sided heart failure
Hypokalemia
Right-sided heart failure
Question 4
Type: MCSA
A client has been diagnosed with right-sided heart failure. What does the nurse expect to observe when assessing this client?
Decreased body temperature
Increased body temperature
Fatigue, shortness of breath, and cough
Peripheral edema
Question 5
Type: MCMA
Which medications are the first choices of pharmacotherapy for heart failure?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Beta-adrenergic blockers
Phosphodiesterase inhibitors
ACE inhibitors
Diuretics
Alpha blockers
Question 6
Type: MCSA
Which medications are second-choice pharmacotherapy for heart failure?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Beta-adrenergic blockers
Phosphodiesterase inhibitors
Diuretics
ACE inhibitors
Alpha blockers
Question 7
Type: MCSA
A client has been prescribed furosemide (Lasix) for heart failure. What does the nurse know about furosemide (Lasix) in regards to its choice of treatment?
It is a first-choice pharmacotherapy.
It is a second-choice pharmacotherapy.
It is a third-choice pharmacotherapy.
It is a fourth-choice pharmacotherapy.
Question 8
Type: MCMA
The nurse is preparing a client to be discharged home. Which items should the nurse instruct the client to do to help control heart failure?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Reduce weight to an optimum level.
Increase caffeine intake.
Stop using tobacco.
Increase salt intake.
Increase dietary fat intake.
Question 9
Type: MCSA
A client has been prescribed lisinopril (Prinivil), and asks the nurse to explain the common side effects of this drug. What is the best response by the nurse?
“The most common adverse effects are cough, headache, angioedema, and rash.”
“There are no common adverse effects of this medication.”
“The most common adverse effects are cough, headache, dizziness, orthostatic hypotension, and rash.”
“The most common adverse effects of this medication are cough, hypertension, hypokalemia, and rash.”
Question 10
Type: MCSA
A client has been prescribed an ACE inhibitor to treat heart failure. Which medication is an ACE inhibitor?
Furosemide (Lasix)
Hydrochlorothiazide (Microzide)
Candesartan (Atacand)
Quinapril (Accupril)
CHAPTER 20
Question 1
Type: MCSA
What is the correct medical term used to describe impaired blood flow in the coronary arteries?
Myocardial infarction
Angina pectoris
Cerebrovascular accident
Coronary heart disease
Question 2
Type: MCSA
The nurse is describing angina to a family member of a client recently diagnosed with the condition. Which characterization of angina is the most appropriate?
Chest pain on physical exertion or emotional stress
Slow heart rate and difficulty standing
Crushing chest pain that radiates to the jaw and left arm
Sudden weakness with severe headache
Question 3
Type: MCSA
A client asks the nurse to explain the difference between stable and unstable angina. What is the best response by the nurse?
“Stable angina is predictable in its frequency, intensity, and duration. Unstable angina is when angina episodes become more frequent or severe, and occur during periods of rest.”
“Unstable angina is caused by spasms of the coronary arteries. Stable angina is when angina episodes become more frequent or severe, and occur during periods of rest.”
“Unstable angina is predictable in its frequency, intensity, and duration. Stable angina is when angina episodes become more frequent or severe, and occur during periods of rest.”
“Stable angina is caused by spasms of the coronary arteries. Unstable angina is when angina episodes become more frequent or severe, and occur during periods of rest.”
Question 4
Type: MCMA
A client presents in the Emergency Department with chest pain. The nurse knows that which conditions can cause chest pain?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Arthritis
Peptic ulcer disease
Myocardial infarction
Gastric reflux
Pelvic inflammatory disease
Question 5
Type: MCSA
The nurse recognizes the need for further teaching when the client makes which statement?
“I will check my weight gain/loss regularly.”
“I’ll make sure to take my high–blood pressure pills.”
“I am going to a smoking cessation class.”
“As long as I exercise, stress at my job will not bother me.”
Question 6
Type: MCSA
The client with angina is being discharged to home. The nurse is instructing the client on dietary changes. What should be included in this teaching?
Decrease salt and fat intake and limit alcohol intake.
There are no dietary restrictions for a person diagnosed with angina.
Limit alcohol and fat intake and increase sodium intake.
Increase salt and fat intake and limit alcohol intake.
Question 7
Type: MCSA
A client arrives in the Emergency Department with severe chest pain. What is the best explanation by the nurse to differentiate angina from a myocardial infarction?
“Angina usually goes away with rest, and is rarely fatal, but a myocardial infarction requires immediate treatment, and can be life-threatening.”
“There is no way to tell the difference between the two. You will be treated for a myocardial infarction.”
“Both are caused by a clot blocking the coronary arteries. Angina occurs if a small vessel is blocked, and a myocardial infarction occurs if a large vessel is blocked.”
“Angina does not cause severe chest pain, but a myocardial infarction always causes severe chest pain.”
Question 8
Type: MCSA
A client has ordered a thrombolytic for treatment of CVA. The nurse knows that which type of stroke should not be treated with a thrombolytic?
Hemorrhagic stroke
Thrombolytic stroke
Both types can be treated with a thrombolytic.
Neither type can be treated with a thrombolytic.
Question 9
Type: MCSA
A client taking nitroglycerin (Nitrostat) complains of a headache. Which conclusion is most appropriate by the nurse?
A headache indicates a serious allergic reaction to nitroglycerin.
The client will not have a headache if the nitroglycerin is taken with a high-fat meal.
Nitroglycerin does not cause headache.
The most common side effect of nitroglycerin is headache.
Question 10
Type: MCMA
A client taking nitroglycerin (Nitrostat) for angina asks the nurse to explain possible side effects. What should be included in client teaching?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Reflex tachycardia
Hyperkalemia
Dizziness
Hypertension
Hypotension

AND MUCH MORE