South Texas College

1. A patient with a body mass index (BMI) of 25 would be considered to be in which weight category? a. Underweight b. Normal weight c. Overweight d. Obese ANS: C A BMI of less than 18.5 is considered underweight. A BMI of 18.5 to 24.9 is considered normal weight. A BMI of 25 to 29.9 is considered overweight. A BMI of 30 to 34.9 is considered obesity, class I; 35 to 39.9 is considered obesity, class II; and more than 40 is considered extreme obesity. DIF: Cognitive Level: Knowledge REF...

1. Which drug will be administered to a patient being admitted with severe digoxin intoxication? a. Amiodarone (Cordarone) b. Spironolactone (Aldactone) c. Digoxin immune Fab (Digibind) d. Digitalis glycoside ANS: C The antidote for digoxin intoxication is digoxin immune Fab (Digibind). Amiodarone is an antidysrhythmic and would not treat digoxin intoxication. Spironolactone is a diuretic and does not treat digoxin intoxication. Giving more of the same type of drug does not treat drug i...

1. The nurse is assessing the patient’s leg for peripheral vascular disease (PVD) and is unable to palpate the pedal pulse in either foot. Which action will the nurse take first? a. Contact the health care provider for further orders. b. Request x-ray studies of the lower extremities. c. Request that the patient lie flat. d. Obtain a Doppler ultrasound device for auscultation. ANS: D The Doppler ultrasound device may aid in determining peripheral blood flow. This is not a sufficient ca...

1. Which medication is used in the treatment of gastric reflux esophagitis and diabetic gastroparesis? a. Metoclopramide b. Misoprostol c. Pantoprazole d. Ranitidine ANS: A Metoclopramide is a gastric stimulant used to relieve the symptoms of gastric reflux esophagitis and diabetic gastroparesis, aid in small bowel intubation, and stimulate gastric emptying and intestinal transit of barium after radiologic examination of the upper gastrointestinal (GI) tract. Misoprostol is used to pre...

1. A patient who has just begun taking an angiotensin converting enzyme (ACE) inhibitor calls the nurse and reports feeling very dizzy when standing up and asks if the medication should be discontinued. What is the nurse’s best response? a. “Stop taking the medication immediately.” b. “Rise to a sitting or standing position slowly; your symptoms will resolve.” c. “I will schedule you to visit the health care provider today.” d. “Cut the pill in half and take a reduced dosag...

1. What would the nurse anticipate if a patient with a history of type 2 diabetes is prescribed a thiazide diuretic? a. No change in the antidiabetic regimen b. Decreased need for antidiabetic medication c. Increased blood sugar levels d. Less frequent monitoring of blood sugar level ANS: C The thiazides may induce hyperglycemia and aggravate cases of preexisting diabetes mellitus. Regular assessment for glycosuria is indicated. Dosages of oral hypoglycemics and insulin may need adjustm...

1. When the nurse assesses bowel habits in a patient, which is the best example of normal bowel elimination? a. Daily bowel movements b. Multiple soft stools daily c. Daily liquid stools d. Regular bowel elimination pattern of soft stool ANS: D Normal bowel habits are stools that are soft and occur on a regular schedule of elimination for that particular patient. Although this may be routine for some people, it is not normal for everyone. Liquid stools are not considered normal. DIF: C...

1. A patient received the evening dose of Lispro subcutaneously at 16:30. What time will symptoms of hypoglycemia likely occur? a. 19:00 b. 18:30 c. 01:30 d. 06:00 ANS: B The most rapid-acting insulin, Lispro, peaks within 1 to 2 hours after administration. The peak time of insulin is when patients would most likely exhibit symptoms of hypoglycemia, particularly if they have inadequate dietary intake. The time of 19:00 would be past the peak of action and after signs of hypoglycemia wo...

1. Which medication is used to treat hyperthyroidism? a. Levothyroxine (Synthroid) b. Liotrix (Thyrolar) c. Propylthiouracil (Propacil) d. Liothyronine (Cytomel) ANS: C Propylthiouracil is an antithyroid agent used in the treatment of hyperthyroidism. Levothyroxine, liotrix, and liothyronine are used to treat hypothyroidism. DIF: Cognitive Level: Knowledge REF: Page 577 OBJ: 2 TOP: Nursing Process Step: Implementation MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONC...

1. The nurse is educating a patient with cancer about combination chemotherapy. Which is an accurate statement? a. “Combination chemotherapy is the administration of an antineoplastic drug that will be toxic during a specific phase of cellular growth.” b. “Combination chemotherapy is the administration of an antineoplastic drug that is active throughout the cell cycle.” c. “Combination chemotherapy is the administration of antineoplastic drugs that change the way the body respon...