EXAM 1 C7 NUR1023C LATEST
FSCJ
A patient has not adhered to the drug regimen for tuberculosis. Which of
the following is most effective to enhance adherence?
A. explaining the importance of adherence
B. having the patient's family administer the medication
C. evaluating serum drug levels to determine adherence
D. having nursing staff directly watch the patient take the medication -
ANSWERS-D. Having nursing staff watch patient take medication
A patient who is receiving ethambutol comes into the clinic for a follow-
up visit. Which finding on the assessment indicates a serious adverse
reaction to the drug?
A. a sputum culture that is negative for acid-fast bacilli
B. changes in visual acuity
C. poor appetite and GI upset
D. dizziness and hearing loss - ANSWERS-B. Changes in visual acuity
A patient who is taking an antibiotic for an infection shows no signs of
improvement. When a laboratory report indicates that the causative
organism is not susceptible to the prescribed antibiotic, what is the
priority nursing intervention? (Select all that apply.)
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PAGE
1
, EXAM 1 C7 NUR1023C LATEST
FSCJ
A. Notify the pharmacist to provide a different antibiotic.
B. Notify the prescriber of the culture report.
C. Stop the current antibiotic and use the susceptible antibiotic.
D. Inform the patient that the antibiotic is ineffective.
E. Notify the prescriber of the sensitivity report. - ANSWERS-B and E
What is the best action a nurse can take to prevent infection?
A. Instruct patients with respiratory illnesses on proper pulmonary
hygiene.
B. Recommend influenza and pneumococcal vaccines to patients older
than 65 years of age.
C. Teach a patient the importance of adequate nutrition and rest.
D. Wash hands before and after each patient contact. - ANSWERS-D.
wash hands
When a patient fails to respond to an antibiotic, the nurse suspects
antibiotic resistance. Which mechanism of resistance does the nurse
recognize as an example of acquired antibiotic resistance?
A. Alterations are made in the bacterial cell wall structure to make it less
permeable.
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PAGE
2
, EXAM 1 C7 NUR1023C LATEST
FSCJ
B. Bacteria exchange genetic content that transfers resistance from one
bacterial strain to another.
C. Efflux is used to extrude bacteria from within the bacterial cell.
D. Metabolic pathways are altered so bacteria targeting a specific
enzyme of the metabolic pathway are ineffective. - ANSWERS-B.
bacteria exchange genetic content that transfers resistance from one
bacterial strain to another
When caring for older adults in a long-term care facility, a nurse
encourages an older adult to talk about past life events. One patient tells
the nurse they were an angry person, lost many jobs, and ended up
alone. According to Erikson, this patient is in what developmental stage?
A. Despair
B. Stagnation
C. Inferiority
D. Industry - ANSWERS-A. Despair
When teaching parents about achievements in children, the nurse
explains that, according to Piaget, children in which age group are able
to grasp abstract ideas?
A. Toddler
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PAGE
3
, EXAM 1 C7 NUR1023C LATEST
FSCJ
B. Adolescence
C. Preschool age
D. School age - ANSWERS-C. Preschool age
A parent shares with the nurse in the pediatric clinic that their 12-month-
old cries when they leave the room or hide a favorite stuffed animal. The
nurse explains that object permanence typically occurs in which group?
A. 0 to 6 months
B. 12 to 18 months
C. 24 to 36 months
D. 36 months to 4 years - ANSWERS-B. 12 to 18mo
A nurse working in a hospice setting uses reminiscence to help patients
determine whether their life had meaning or if they wish to make
amends. What stage of Erickson's development is the nurse applying
with this approach?
A. Industry versus inferiority
B. Initiative versus guilt
C. Generativity versus stagnation
END OF
PAGE
4
FSCJ
A patient has not adhered to the drug regimen for tuberculosis. Which of
the following is most effective to enhance adherence?
A. explaining the importance of adherence
B. having the patient's family administer the medication
C. evaluating serum drug levels to determine adherence
D. having nursing staff directly watch the patient take the medication -
ANSWERS-D. Having nursing staff watch patient take medication
A patient who is receiving ethambutol comes into the clinic for a follow-
up visit. Which finding on the assessment indicates a serious adverse
reaction to the drug?
A. a sputum culture that is negative for acid-fast bacilli
B. changes in visual acuity
C. poor appetite and GI upset
D. dizziness and hearing loss - ANSWERS-B. Changes in visual acuity
A patient who is taking an antibiotic for an infection shows no signs of
improvement. When a laboratory report indicates that the causative
organism is not susceptible to the prescribed antibiotic, what is the
priority nursing intervention? (Select all that apply.)
END OF
PAGE
1
, EXAM 1 C7 NUR1023C LATEST
FSCJ
A. Notify the pharmacist to provide a different antibiotic.
B. Notify the prescriber of the culture report.
C. Stop the current antibiotic and use the susceptible antibiotic.
D. Inform the patient that the antibiotic is ineffective.
E. Notify the prescriber of the sensitivity report. - ANSWERS-B and E
What is the best action a nurse can take to prevent infection?
A. Instruct patients with respiratory illnesses on proper pulmonary
hygiene.
B. Recommend influenza and pneumococcal vaccines to patients older
than 65 years of age.
C. Teach a patient the importance of adequate nutrition and rest.
D. Wash hands before and after each patient contact. - ANSWERS-D.
wash hands
When a patient fails to respond to an antibiotic, the nurse suspects
antibiotic resistance. Which mechanism of resistance does the nurse
recognize as an example of acquired antibiotic resistance?
A. Alterations are made in the bacterial cell wall structure to make it less
permeable.
END OF
PAGE
2
, EXAM 1 C7 NUR1023C LATEST
FSCJ
B. Bacteria exchange genetic content that transfers resistance from one
bacterial strain to another.
C. Efflux is used to extrude bacteria from within the bacterial cell.
D. Metabolic pathways are altered so bacteria targeting a specific
enzyme of the metabolic pathway are ineffective. - ANSWERS-B.
bacteria exchange genetic content that transfers resistance from one
bacterial strain to another
When caring for older adults in a long-term care facility, a nurse
encourages an older adult to talk about past life events. One patient tells
the nurse they were an angry person, lost many jobs, and ended up
alone. According to Erikson, this patient is in what developmental stage?
A. Despair
B. Stagnation
C. Inferiority
D. Industry - ANSWERS-A. Despair
When teaching parents about achievements in children, the nurse
explains that, according to Piaget, children in which age group are able
to grasp abstract ideas?
A. Toddler
END OF
PAGE
3
, EXAM 1 C7 NUR1023C LATEST
FSCJ
B. Adolescence
C. Preschool age
D. School age - ANSWERS-C. Preschool age
A parent shares with the nurse in the pediatric clinic that their 12-month-
old cries when they leave the room or hide a favorite stuffed animal. The
nurse explains that object permanence typically occurs in which group?
A. 0 to 6 months
B. 12 to 18 months
C. 24 to 36 months
D. 36 months to 4 years - ANSWERS-B. 12 to 18mo
A nurse working in a hospice setting uses reminiscence to help patients
determine whether their life had meaning or if they wish to make
amends. What stage of Erickson's development is the nurse applying
with this approach?
A. Industry versus inferiority
B. Initiative versus guilt
C. Generativity versus stagnation
END OF
PAGE
4
