NR606 Midterm Exam Actual Exam Latest Update

NR606 Midterm Exam Actual Exam Latest Update

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A 42-year-old Asian patient is being seen at the clinic for an initial examination. The nurse knows that it is important to include cultural information in his health assessment

to:

Identify the cause of his illness Make accurate disease diagnoses Provide cultural health rights for the individual

Provide culturally sensitive and appropriate care - CORRECT ANSWER: Provide

culturally sensitive and appropriate care

A detailed description of the symptoms related to the chief concern is presented in the: History of present illness.Differential diagnosis.General patient information section.

Past medical history. - CORRECT ANSWER: History of present illness.

A mother calls the clinic and tells the nurse that her 4-month-old baby has a fever. The mother asks if she can use the liquid acetaminophen (Tylenol) that is used for her 10- year-old child. What is the best response by the nurse?"Infants should not have acetaminophen (Tylenol) because it damages the liver." "It is best if the pediatrician is called; he can be asked this question." "It is fine to use the same medicine for both children." "Infant drops should be used for the baby; they are different from liquid medicine." - CORRECT ANSWER: "Infant drops should be used for the baby; they are different from liquid medicine."

A patient presents with abdominal cramping. From the options below, which would be the most appropriate section document that the patient denies any diarrhea?

Subjective: Review of systems section

Objective section Assessment section Plan section - CORRECT ANSWER: Subjective: Review of systems section

A patient states, "I get so sick to my stomach after chemotherapy. Why can't they just put it directly into my tumor?" Which nursing response is indicated?"There is no technology available to directly place chemotherapy in a tumor." "These are such strong medications that they would eat up your tissues." "That type of therapy does exist, but it does not work for your particular type of cancer." "I know you get sick, but the nausea and vomiting is not severe and passes quickly." - CORRECT ANSWER: "That type of therapy does exist, but it does not work for your particular type of cancer." 1 / 4

A patient tells the nurses that he is nervous, he is nauseated and he "feels hot". This

type of data would be:

objective reflective subjective

introspective - CORRECT ANSWER: Subjective

Before modifying a care plan to meet a patient's changing needs, the nurse's first action

should be to:

• re-do the entire care plan
• focus only on the nursing diagnoses with moderate priority
• assess/reassess the patient's responses to interventions
• add more nursing interventions from a standardized plan of care - CORRECT

ANSWER: C. assess/reassess the patient's responses to interventions

Differential diagnoses belong in the:

history.assessment.plan.

laboratory data. - CORRECT ANSWER: Assessment

Drugs are available to exert their effect on the cell when they are Bound to albumin Dissolved in lipids

Unbound to albumin (free) - CORRECT ANSWER: Unbound to albumin (free)

Drugs that activate receptors and mimic the actions of the body's own regulatory

molecules are called:

Agonists Antagonists

Regulators - CORRECT ANSWER: Agonists

Drugs that cross the blood-brain barrier are Bound to albumin Lipid soluble

Water soluble - CORRECT ANSWER: Lipid soluble

Drugs that produce effects by preventing receptor activation but have no effects of their own on receptor function are called Agonists Antagonists

Mimetics - CORRECT ANSWER: Antagonists

During acidosis, the body compensates for the increase in hydrogen ions in the blood by shifting hydrogen ions into the cell in exchange for which electrolyte? 2 / 4

Oxygen Sodium Potassium

Magnesium - CORRECT ANSWER: Potassium

During cell injury caused by hypoxia, why is there an increase in the osmotic pressure within the cell?Because plasma proteins enter the cell Because the ATPase-driven pump is stronger during hypoxia Because sodium chloride enters the cell Because there is an influx of glucose through the injured cell membranes - CORRECT

ANSWER: Because sodium chloride enters the cell

During ischemia, what effect does the loss of the adenosine triphosphate (ATP) level have on cells?Cells shrink because of the influx of Ca.Cells shrink because of the influx of KCl.Cells swell because of the influx of NaCl.Cells swell because of the influx of NO. - CORRECT ANSWER: Cells swell because of the influx of NaCl.

Elimination of drugs happens primarily via the GI tract Kidney

Liver - CORRECT ANSWER: Kidney

Half life is used to predict and interpret Absorption Change in plasma concentration

Saturation time for receptors - CORRECT ANSWER: Change in plasma concentration

How is insulin used to treat hyperkalemia?Insulin stimulates sodium to be removed from the cell in exchange for potassium.Insulin binds to potassium to remove it through the kidneys.Insulin transports potassium from the blood to the cell along with glucose.Insulin breaks down the chemical components of potassium so that it is no longer effective. - CORRECT ANSWER: Insulin transports potassium from the blood to the cell along with glucose.

In hypoxic injury, why does sodium enter the cell and cause swelling?Because the cell membrane permeability increases for sodium during periods of hypoxia Because there is insufficient ATP to maintain the pump that keeps sodium out of the cell Because the lactic acid produced by the hypoxia binds with sodium within the cell 3 / 4

Because sodium cannot be transported in the cytosol to the cell membrane during hypoxia - CORRECT ANSWER: Because there is insufficient ATP to maintain the pump that keeps sodium out of the cell

In understanding the difference between normal cells and cancer cells, the nurse knows

that cancer is the result of:

Cell division occurring extensively in normal cells.Cell division occurring via controlled cell division.Suppressor genes stopping cell growth for cell division.

Suppressor genes continuing cell growth for cell division. - CORRECT ANSWER:

Suppressor genes stopping cell growth for cell division.

Low plasma albumin causes edema as a result of a reduction in which pressure?Capillary hydrostatic pressure Interstitial hydrostatic pressure Capillary oncotic pressure

Interstitial oncotic pressure - CORRECT ANSWER: Capillary oncotic pressure

Maximum efficacy refers to the:

Minimal level needed to have an effect on most people Maximum effect a drug can produce

Toxic level of a drug - CORRECT ANSWER: Maximum effect a drug can produce

Measuring a trough level of a drug may determine a change in the Dose Interval

Route - CORRECT ANSWER: Interval

Most of a cells genetic information, including RNA and DNA, is contained in the: mitochondria.ribosome.nucleolus.

lysosome - CORRECT ANSWER: Nucleolus

New drug development is good at determining:

efficacy safety side effects

toxicity - CORRECT ANSWER: efficacy

Objective data is usually recorded:

• by body systems.
• after the assessment and plan.
• before the health history.

D. in the problem list. - CORRECT ANSWER: A. by body systems

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