NURS3550 FINAL EXAM Actual questions and

NURS3550 FINAL EXAM Actual / questions and verified CORRECT ANSWERS.

A nurse assesses a male patient who has developed gynecomastia while receiving treatment for peptic ulcers.Which medication from the patient's history should the nurse recognize as a contributing factor?

Amoxicillin [Amoxil] Cimetidine [Tagamet] Metronidazole [Flagyl]

Omeprazole [Prilosec] - ----Answers----Answer: Cimetidine

[Tagamet]

A patient who has peptic ulcer disease and is receiving magnesium hydroxide (milk of magnesia) is experiencing an increased number of bowel movements. Which is the nurse's priority action?

Ask the healthcare provider for a reduction in dose.Encourage the patient to increase dietary fiber.Administer the drug with an aluminum hydroxide antacid.Instruct the patient to keep an accurate stool count. - ---- Answers----Answer Administer the drug with an aluminum hydroxide antacid. 1 / 4

Which child should not receive the measles, mumps, and rubella (MMR) virus vaccine?

• A child who is allergic to penicillin and milk
• A child with a mild fever
• A child with acute lymphocytic leukemia
• A child with asymptomatic HIV infection - ----Answers----

Answer: C A child with acute lymphocytic leukemia

A child receives a vaccine for measles, mumps, and rubella (MMR). Six hours after the injection, the child's parent reports local soreness, erythema, lethargy, and a fever of 101°F to a nurse. Which action should the nurse take?

• Obtain and fill out a Vaccine Adverse Event Report form.
• Tell the parent that a live vaccine will cause a mild case of

measles.

• Seek emergency help, because these symptoms are signs of

an anaphylactic reaction.

• Give instructions on relieving symptoms with

acetaminophen. - ----Answers----Answer: D Give

instructions on relieving symptoms with acetaminophen.

A nurse administers varicella vaccine [Varivax] to a child. The nurse then instructs the parent to avoid giving the child which product for 6 weeks?

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• Foods fortified with vitamin D
• Foods with citric acid
• Acetaminophen

D. Acetylsalicylic acid - ----Answers----Answer: D

Acetylsalicylic acid

The nurse is working in an immunization clinic. Which patient will the nurse identify as not eligible to receive routine immunizations?

• An 8-year-old experiencing diarrhea
• A 4-year-old with a fever and upper respiratory infection
• A 6-year-old who has recently been exposed to a classmate

with chickenpox

• A 2-year-old with a history of premature birth - ----

Answers----Answer: B A 4-year-old with a fever and upper

respiratory infection

The nurse identifies varicella vaccination as contraindicated in which patients? Select all that apply.

• A patient who is pregnant
• A 12-year-old patient with an allergy to gelatin
• A 10-year-old patient who receives chemotherapy for the

treatment of leukemia

• An 8-year-old patient with asthma 3 / 4

• A 21-year-old patient with an allergy to neomycin - ----

Answers----Answer: A, B, C, E A patient who is pregnant

A 12-year-old patient with an allergy to gelatin A 10-year-old patient who receives chemotherapy for the treatment of leukemia A 21-year-old patient with an allergy to neomycin

A transplant recipient is receiving cyclosporine. Which response should a nurse expect if the medication is having the desired effect?

• Increased natural killer cellular activity
• Suppression of hepatic metabolism of steroids
• Suppression of T lymphocytes

D. Increased antibody response - ----Answers----Answer: C

Suppression of T lymphocytes

After receiving an allograft liver transplant, a patient is prescribed cyclosporine oral solution. What is the most critical component of patient teaching that the nurse should stress?

• The medication will help prevent transplant rejection.
• The oral solution can be mixed with orange juice.
• The medication will be taken every day for life.
• The medication causes reversible increase of hair growth. -

----Answers----Answer: C The medication will be taken every

day for life.

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