QUESTION 1
A 10-year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At each clinic
visit, the nurse's priority assessment would
... [Show More] be
A.
Vision.
B.
body temperature.
C.
height and weight.
D.
blood pressure.
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QUESTION 2
A nurse is explaining to the parents of a 6-year-old child suffering from angina why nitroglycerin
patches for chest pain would not be appropriate. Which of the following will the nurse include in
an explanation?
A.
A child's gastric pH is decreased, causing less of the drug to be absorbed from the subcutaneous
skin, therefore producing more adverse effects.
B.
A child has a greater body surface area, creating greater permeability resulting in an increase in
absorption of topical agents, which may result in more adverse effects.
C.
A child has an erratic blood flow from an immature peripheral circulation, which increases drug
absorption, causing an increase in adverse effects.
D.
A child has a smaller body surface area, resulting in an increase in topical absorption, which can
cause more adverse effects.
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QUESTION 3
A nurse is going to administer medication to an infant using a medicine dropper. The best method
is to open the child's mouth by gently squeezing the cheeks and placing the drops
A.
under the tongue.
B.
at the back of the mouth.
C.
in the buccal pouch.
D.
on top of the tongue.
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QUESTION 4
HEALTH CARE
A 15-year-old boy has been diagnosed with bone cancer after several months of fatigue and pain.
What question should the nurse include in an assessment when trying to minimize the potential
for adverse drug reactions?
A.
“Did Tylenol or other over-the-counter pain remedies ever relieve your pain?”
B.
“How much do you weigh?”
C.
“Do you ever use alcohol or drugs?”
D.
“On a scale of zero to ten, what level of pain is acceptable to you?”
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QUESTION 5
A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast, and no
breast discharge. The breast tenderness occurs primarily during her menstrual cycle. The nurse
practitioner probably suspects
A.
breast cancer.
B.
PMS.
C.
pain in the heart.
D.
cancerous breast tenderness.
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QUESTION 6
A 19-year-old patient reports to a clinic with vaginal discharge with a foul odor. A microscopic
exam reveals trichomonas vaginalis. The nurse practitioner is aware that
A.
trichomoniasis is an incurable disease.
B.
trichomoniasis discharge is typically thin and clear.
C.
asymptomatic women are diagnosed with trichomoniasis by a routine pap smear.
D.
it is unusual to have an odor with trichomoniasis.
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QUESTION 7
A 6-month-old child has developed skin irritation due to an allergic reaction. He has been
prescribed a topical skin ointment. The nurse will consider which of the following before
administering the drug?
A.
That there is decreased absorption rates of topical drugs in infants
B.
That there is a lower concentration of water in an infant's body compared with an adult
C.
That there is less body surface area to be concerned about
D.
That the infant's skin has greater permeability than that of an adult
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QUESTION 8
A nurse who provides care on a pediatric medicine unit has conducted a medication
reconciliation of a recently-admitted patient. In light of the fact that the child takes
methylphenidate (Ritalin), the nurse is justified in considering a history of what health problem?
A.
Respiratory depression
B.
Obesity
C.
ADHD
D.
Anxiety
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QUESTION 9
A nurse is administering drugs to a 10-year-old child who has multiple health problems. The
child is underweight and is on a special diet. Which of the following will the nurse consider
when planning for the best absorption of the prescribed drugs? (Select all that apply.)
A.
Disease process
B.
Weight
C.
Diet
D.
Route of administration
E.
Age
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QUESTION 10
A nurse works at a weight management clinic. To which of the following overweight patients
could the nurse safely administer dextroamphetamine?
A.
A 28-year-old African-American woman with hyperthyroidism
B.
A 48-year-old Caucasian man who has adult-onset diabetes
C.
A 38-year-old Caucasian woman with glaucoma
D.
A 60-year-old African-American man who experiences angina
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