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WorksheetsNURS 07: MIDTERM EXAM BSN 2-1
Total questions: 50
Worksheet time: 56mins
A student nurse is present during her father’s birthday celebration. After eating dinner, the patient complains of chest pain unrelieved by any positions. Patient was given a sublingual nitroglycerin to alleviate the symptoms. After giving the second nitroglycerin, the pain did not subside. As a knowledgeable student nurse what will you do next?
call 911
Position patient in supine
Position patient in semi-fowlers position
Give another tablet of sublingual nitroglycerin
A nurse walks into a patient's room and finds the patient lying on the floor next to the bed. The nurse has been previously reprimanded for forgetting to put the bed rails up after treatment. After checking to be sure the patient has no broken bones and is not in severe pain, the nurse helps the patient back into bed, and then leaves the room without reporting the incident. Which terms best describe the nurse's conduct?
Legal and ethical
Legal but unethical
Ethical but illegal
Illegal and Unethical
The single most important measure to prevent the spread of infectious disease is
Handwashing
Pasteurisation
Proper cooking
Canning
The following does not describe FDA Drug Risk Classification in Pregnancy Category C, except:
Controlled studies in women fail to show a risk to the fetus and the possibility of fetal harm appears unlikely
Animal-reproduction studies have not shown a fetal risk or adverse effect. Risks have not been confirmed in controlled studies in women.
Either studies in animals have revealed adverse effects on the fetus and there are no controlled studies in women or studies in women and animals are not available.
Animal and human studies have shown fetal abnormalities. The drug is contraindicated in women who are or may become pregnant.
If 100mg of benzodiazepene is administered orally, and 50mg of the drug is absorbed and does not change, what is the bioavailability?
100
100.0%
50
50.0%
Combination of acetaminophen and codeine produce increase in analgesic effect. The scenario describes
Antagonism
Synergism
Interference
Additive effects
responsible for assuring that new drugs are safe and effective before approving the drugs and allowing them to be marketed.
Food and Drug Agency
Food and Drug Administration
Food and Drug Association
Before HEPA B vaccination, what precautionary action should the nurse perform first?
Desensitise the area
Apply gloves
Calculate accurate dose
Prepare appropriate syringe
A newly prescriptive drug is found in the patient’s chart under doctor’s order. A knowledgeable nurse must know the following except:
Name (generic and trade) and drug classification.
Intended or proposed use.
Effects on the body
How medication is supplied by the distributor
Upon entering the patient’s room, prior to administration of drug, a nurse should
apply alcohol
greet the family
explain the side effect of the drug
verify the identity of the patient
When giving oral aspirin, the nurse should check for
hepatologic disorders
neurologic disorder
bleeding disorder
musculoskeletal disorders
Body sites that are ideal for subcutaneous injections include the following except:
Outer aspect of the upper arms, in the area above the biceps muscle
Middle two thirds of the anterior thigh area
Subscapular areas of the upper back.
Abdominal areas, above the iliac crest and below the diaphragm, 1.5 to 2 inches out from the umbilicus.
Upon patient assessment prior to giving oral medication, gag reflex is mainly for:
preventing respiration
preventing aspiration
prevent choking
. to ensure that the medication passes thru the esophagus.
What is the firs thing to assess when giving oral medications?
ability to swallow
consciousness
presence of edema
vital signs
Jannah is a top performing nurse in a JCI accredited hospital in Manila. Upon receiving the endorsement she noticed similar names of patient in the ward she’s been assigned to. How will she verify the patient’s identity in accordance to the prescription of the physician?
confirm the room number
ask other colleagues about the patients
ask the patient to state her full name an date of birth
call the doctor in charge
What appropriate PPEs should you wear in performing skin test to a HIV infected patient? ( NO PULMONARY INFECTIONS DETECTED)
Lab gown, mask, hair cap, gloves
Mask, hair cap,gloves
Gloves and protective eye wear
Mask, gloves, protective eye wear
A nicotine dependent person is recently diagnosed with Buerger’s disease. Primary care physician advised him to stop his smoking habits as soon as possible. The patient complied as soon as the doctor advised him to do so. After 2 weeks of no smoking, the patient went back to his doctor complaining symptoms of flu and dizziness. What is the possible cause of the symptoms?
Psychological dependence due to long term use of cigarette
Physical dependence due to long term use of cigarette
Patient caught a flu while in the hospital
A patient with conjunctivitis in right eye comes to you asking for assistance in administering ophthalmic dexamethasone drug. The following protocols should be observed except:
Instruct the patient to lie supine or sit with the head slightly tilted back.
With the nondominant hand, pull the lower lid down gently to expose the conjunctival sac, creating a pocket
Ask the patient to look upward
Hold the eyedropper 1/4–1/2 inch above the conjunctival sac. Do not hold the dropper over the eye, as this may stimulate the blink reflex.
What is the appropriate patient’s position when giving otic drop medications?
side lying affected down
side lying unaffected ear up
side lying affected ear up
side lying unaffected ear down
Drops or sprays are often used for their systemic astringent effect; that is, they shrink swollen mucous membranes or loosen secretions and facilitate drainage. This brings immediate relief from the nasal congestion caused by the common cold.
First statement is correct, second statement in incorrect.
Fist statement is incorrect, second statement is correct
Both statements are correct
Both statements are incorrect
The nurse is caring for an elderly client who has been diagnosed as having sundown syndrome. He is alert and oriented during the day but becomes disoriented and disruptive around dinnertime. He is hospitalized for evaluation. The nurse asks the client and his family to list all of the medications, prescription and nonprescription, he is currently taking. What is the primary reason for this action?
. Multiple medications can lead to dementia
. The medications can provide clues regarding his medical background
. Medications taken by a client are part of every nursing assessment
Mrs. Johanson’s physician has prescribed tetracycline 500 mg po q6h. While assessing Mrs. Johanson’s nursing history for allergies, the nurse notes that Mrs. Johanson’s is also taking oral contraceptives. What is the most appropriate initial nursing intervention?
Administer the dose of tertracycline
Notify the physician that Mrs. Johanson is taking oral contraceptives
Tell Mrs. Johanson, she should stop taking oral contraceptives since they are inactivated by tetracycline
Tell Mrs. Johanson, to use another form of birth control for at least two months
Is the ability of an organism to cause infection, or, depends on an organism’s ability to evade or overcome body defenses
pathogens
bacteriology
pathogenicity
virulence
Type of bacteria that leaves a purple or blue stain after a gram stain test.
gram positive
gram negative
aerobic
anaerobic
Type of bacteria that leaves a red or pink stain after a gram stain test.
gram negative
gram positive
anaerobic
aerobic
Medications that accomplish this goal by killing bacteria are called
bacterocidal
bacterostatic
bacteriocidal
bacteriostatic
The following are correct statements are true about the selection of antibiotic except:
selection of correct drug will delay the proper treatment, giving the microorganisms more time to invade
laboratory test should be conducted to identify the specific pathogen prior to beginning of anti-infective therapy.
. Laboratory tests may include the examination of urine, stool, spinal fluid, etc.
. Take only antibiotic when there is a clear rational of use
This process of growing the pathogen and identifying the most effective antibiotic is called
Kerby Bauer Test
Gram Staining
Culture and Sensitivity Testing
Health care providers play important roles in delaying
the emergence of resistance. The following are five principles recommended by the Centers for Disease Control and Prevention (CDC) except
This includes teaching patients the importance of getting immunizations to protect against diseases such as influenza, tetanus, polio, measles, and hepatitis B.
Infections should be cultured so that the offending organism can be identified and the correct drug chosen.
Antibiotics should be prescribed only when there is a clear rationale for their use
Stopping antibiotic therapy prematurely allows some pathogens to survive, thus promoting the development of resistant strains.
This includes not applying standard infection control procedures and teaching patients methods of proper hygiene for preventing transmission in the home and community settings
Many bacterial cell walls contain a substance called penicillin binding protein that serves as a receptor for penicillin the actions of the Penicillin are specific to bacterial cells.
first statements is correct, second statement is incorrect.
first statement is incorrect, second statement is incorrect
both statements are correct
both statements are incorrect
. When combined with a penicillin, these agents protect the penicillin molecule from destruction, extending its spectrum of activity. The three beta-lactamase inhibitors, clavulanate, sulbactam, and tazobactam, are available only in fixed-dose combinations with specific
penicillin. These include
Augemetine, Timetine, Unasyne, Zosyne
Augemente, Timetine, Unasyne,Zosyne
Augmentin, Timetin, Unasyn, Zosyn
a. None of these
Patient X has undergone Penicillin therapy, as a knowledgeable nurse in charge, the following are signs to look for a patient experiencing penicillin allergy, except:
rashes
pruritus
eutikaria
fever
Comprise the largest antibiotic class. _______act by essentially the same mechanism as the penicillins and have similar pharmacologic properties.
cephalosporines
cephalosporins
cephallosporins
cephalosporinz
People are making antibiotic resistance worse by
Taking antibiotics only when they need them
Not sharing antibiotics with others
finishing the full course of prescribed antibiotics
Taking antibiotics for when they have a virus
What is happening because bacteria became more resistant to antibiotics?
bacteria are dying out
humans are increasing in population
antibiotics are becoming weaker
bacteria are starting to multiply and grow
Antibiotic resistant bacteria can
survive
reproduce
pass on the gene to their offspring
all of the above
A patient taking aminoglycoside drug therapy develops hematuria, proteinuria, and an elevated BUN level. The nurse suspects that the patient developed which adverse reaction?
ototoxicity
cardiotoxicity
hepatotoxicity
nephrotoxicity
Streptomycin is obtained from
S. fradiae
S. tenebrarius
M. purpurea
S. griseus
Which of the following classes of antibiotics bind to 30S subunit of rRNA
cephalosporins
carbapenems
macrolides
aminoglycosides
Which of the following is not an antibiotic?
Imipinem
Clavulanic Acid
Macrolides
Amoxicillin
Beta lactam antibiotics act by
preventing cross-linking peptides to bind to tetrapeptide side chain
prevents translation
causes disruption and distortion of bacterial ribosome
prevent aminoacyl tRNA bind to ribosome
Clinical applications of this class of antibiotics include include infections of the respiratory, GI, and genitourinary tracts, and some skin and soft-tissue infection
cephalosporins
penicillins
macrolides
fluoroquinoles
This class of antibiotics suppress bacterial growth by inhibiting the synthesis of folic acid or folate. Also referred to as folic acid inhibitors
sulfonamides
cephalosporins
aminoglycosides
macrolides
Damage to the inner ear, or ototoxicity, is recognized by hearing impairment, dizziness, loss of balance, persistent headache, and ringing in the ears.
macrolides
tetracycline
aminoglycosides
carbapenem
Granulocytes that are responsible for bacterial infections
neutrophils
eosinophils
basophils
macrophage
Lymphocyte that originated in thymus
T-CELLS
B-CELLS
Food antigen in the GI tract
Ig G
Ig A
Ig M
Ig E
Acquired from the donor
natural passive immunity
natural active immunity
artificial active immunity
artificial passive immunity
A student is assigned to measure the susceptibility of a strain of bacteria to 3 different antibiotics in Biology class. The student first divides the agar plate into four different quadrants, one of which is reserved for a Control. Which of the following best describes the purpose of the Control in this experiment?
The Control quadrant is used to grow a different strain of bacteria so that you can compare it with the one you are testing.
The Control quadrant helps demonstrate whether or not the same strain of bacteria grew correctly on the plate in the absence of any antibiotic.
The Control quadrant contains all three antibiotics to show what completely inhibited growth would look like.
The Control quadrant is the only quadrant on which no bacteria is grown and so that none of the bacteria comes in direct contact with the antibiotic.
Over time, bacteria can become resistant to antibiotics. Why can this be considered harmful for humans?
It is harmful to humans because all bacteria are bad and humans won’t be able to eat food with bacteria in it anymore.
It is harmful to humans because when we get sick from bacteria that are resistant to antibiotics we won’t have anything to help make us better.
It is harmful to humans because bacteria are only killed with antibiotics and if we don’t have antibiotics humans will get sick and die.
No antibiotic is effective because bacteria are usually resistant to any antibiotic that has been used before.
