Reference no: EM133909651
Questions
1. A patient comes to the emergency department with broken ribs and opioid overdose. What type of acid base imbalance is most likely?
A. metabolic acidosis
B. Respiratory alkalosis
C. Respiratory acidosis
D. Metabolic alkalosis
2. while planning care for the elderly individuals, the nurse remembers the elderly are at risk for developing dehydration because they have a(n)?
A. Higher total body water volume
B. Decreased muscle mass
C. Increased thirst reflex
D. Increased tendency towards edema
3. You should watch which patient most closely for hypokalemia?
A. patient who has acute renal failure
B. A patient who exercises strenuously
C. A patient receiving gastric suctioning
D. A patient who eats three to four bananas daily
4. When immunoglobulin crosses the placenta what type of immunity does the fetus receive?
A. Active
B. Innate
C. Cell-mediated
D. Passive
5. What happens first after the MRNA Vaccine for covid 19 is injected in to muscle?
A. mRNA is released into the cytoplasm
B. mRNA is translated into SARS-Cov-2 spike protein by host ribosomes
C. The lipid nanoparticle is taken up by myocytes, dendritic cells and macrophages
D. mRNA is degraded by host cell
6. A patient has recently received a pneumococcal vaccine and the patient's B cells have started producing antibodies. Which of the following cells are required to stimulate this production of antibodies?
A. Helper T cells
B. Cytotoxic T cells
C. Natural killer cells
D Regulatory T cells
7. A patient who has taken Truvada as Prep is engaging in?
A. treatment as prevention
B. Secondary prevention
C. Tertiary prevention
D. primary prevention
8. Which patient will develop active immunity?
A. has natural exposure to an antigen or receives an immunization
B. Has an elevated number of T helper cells
C. Receives immunoglobulin before exposure to the antigen
D. Receives preformed antibodies or T cells from a donor
9. A patient has bilateral 2+pitting edema of the lower extremities. Auscultation of the lungs reveals crackles bilateral, and a serum potassium level 6mEq/L. which of the following would be the best diuretic to use? Select all that apply
A. furosemide (Lasix)
B. hydrochlorothiazide (HCTZ)
C. spironolactone (Aldactone)
D. mannitol ( Sonitrol)
10. Which of the following describe an effect of aging on sleep?
A. older adult experience fewer nighttime awakening
B. Older awake later in the morning
C. Older adult need more sleep than younger adults
D. Older adult spend less time in sleep stage stages 3 and 4
11. What should the nurse tell a patient who wants to know the risk factors of colorectal cancer?
A. Risk factors include a low fat and high fiber diet
B.it is a rare disease with no genetic component
C. it is a genetic disease there is nothing you can do
D. Risk factor include a high fat, low fiber diet.
12. A patient presents at the emergency department with a low-grade temperature and tachycardia. She states she has not urinated for 18 hours and feels like she is going to pass out when she stands up. The nurse suspects these symptoms are related to which of the following:
A. illicit drug use
B. Fluid volume excess
C Electrolyte imbalance
D. Fluid volume deficit
13. What statement made by the student nurse indicates an understanding of the effects of smoking on sleep?
A. Smokers experience less REM sleep
B. Smoking does not significantly affect sleep
C. Smoker experience more stage 3 and 4 sleep
D. Smokers experience more REM sleep
14. A nurse caring for a patient who has undergone organ transplantation. Because the MHE molecules of the donor are different from the patient, the nurse will expect to administer which class of drugs?
A. Antibiotic
B. immunoglobulin
C. Immunosuppressants
D. Antihistamines
15. A 38-year-old male presents to his primary care provider reporting bloody, mucoid diarrhea for the last two weeks since he was on antibiotics for pneumonia in the hospital. Testing confirms he has a clostridium difficile (C. diff) infection. The nurse knows this is likely because
A. he has not finished his course of antibiotic
B. his body has not cleared the initial infection
C. He has acquired deficiency syndrome (AIDS)
D. The antibiotic compromised his microbiome