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The most common cause of injury from a house fire is:

A.

explosion.

B.

falls from second-story windows.

C.

thermal damage to skin and body surfaces.

D.

inhalation injury.

Ethical and moral issues concerning restraints include all of the following except:

A.

emotional impact on the client and family.

B.

dignity of the client.

C.

client’s quality of life.

D.

policies and procedures.

A client with massive chest and head injuries is admitted to the ICU from the Emergency Department. All of the following are true except:

A.

B.the physician in charge of the case is the only person allowed to decide whether organ donation can occur.

B.

C.the client’s legally responsible party may make the decision for organ donation for the donor if the client is unable to do so.

C.

D.the organ procurement organization makes the decision regarding which organs to harvest.

Narrow therapeutic index medications:

A.

are drug formulations with limited pharmacokinetic variability.

B.

have limited value and require no monitoring of blood levels.

C.

have less than a twofold difference in minimum toxic levels and minimum effective concentration in the blood.

D.

have limited potency and side effects.

A nurse observes a client sitting alone and talking. When asked, the client reports that he is “talking to the voices.” The nurse’s next action should be:

A.

touching the client to help him return to reality.

B.

leaving the client alone until reality returns.

C.

asking the client to describe what is happening.

D.

telling the client there are no voices.

A child comes to the clinic with a skin rash. The maculopapular lesions are distributed around the mouth and have honey-colored drainage. The caregiver states that the rash is getting worse and seems to spread with the child’s scratching. Which of the following advisory comments should be given?

A.

The history and presentation might indicate chickenpox, a highly contagious disease.

B.

The lesions might indicate a noncontagious infection that does not require isolation.

C.

The history and presentation might indicate an infectious illness called impetigo.

D.

The lesions are not contagious unless others have open wounds or lesions themselves.

The chemotherapeutic DNA alkylating agents such as nitrogen mustards are effective because they:

A.

cross-link DNA strands with covalent bonds between alkyl groups on the drug and guanine bases on DNA.

B.

have few, if any, side effects.

C.

are used to treat multiple types of cancer.

D.

are cell-cycle-specific agents.

Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is an advantage of using CVADs for chemotherapeutic agent administration?

A.

CVADs are less expensive than a peripheral IV.

B.

Weekly administration is possible.

C.

Chemotherapeutic agents can be caustic to smaller veins.

D.

The client or family can administer the drug at home.

The nurse is teaching a teenage female about preventing the transmission of genital herpes. Which of the following statements should the nurse include?

A.

“Do not sit on toilet seats without protection.”

B.

“Oral sex does not transmit the virus.”

C.

“This infection can be transmitted via intercourse even when you do not feel ill.”

D.

“Try to drink lots of fluids after sex to flush the reproductive tract.”

High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by:

A.

the inability of the kidneys to excrete the drug metabolites.

B.

rapid cell catabolism.

C.

toxic effects of the prophylactic antibiotics that are given concurrently.

D.

the altered blood pH from the acid medium of the drugs.

A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:

A.

naloxone (Narcan).

B.

labetalol (Normodyne).

C.

neostigmine (Prostigmin).

D.

thiothixene (Navane).

Common problems for supervisors include all of the following except:

A.

the supervisor facilitates development of staff members.

B.

the supervisor micromanages staff members.

C.

the supervisor wants to control the style in which a staff member correctly performs a task.

D.

the supervisor does not delegate.

A client begins a regimen of chemotherapy. Her platelet counts falls to 98,000. Which action is least likely to increase the risk of hemorrhage?

A.

Test all excreta for occult blood.

B.

Use a soft toothbrush or foam cleaner for oral hygiene.

C.

Implement reverse isolation.

D.

Avoid IM injections.

On first meeting, a new nurse manager makes eye contact, smiles, initiates conversation about the previous work experience of nurses, and encourages active participation by nurses in the dialogue. Her behavior is an example of:

A.

aggressiveness.

B.

passive aggressiveness.

C.

passiveness.

D.

assertiveness.

An adolescent female reports being raped at a party where alcohol was served. The client admits to drinking alcohol before being raped by an acquaintance. The nurse should:

A.

inform the client that because she is underage, she is at fault for attending a party where alcohol was served.

B.

ask the client if anyone witnessed the event because the client was intoxicated and might not remember correctly.

C.

inform the client that it was not her fault, and support the client through the physical examination.

D.

question whether the woman had consensual sex and now just feels guilty.