EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A
A client is admitted to the coronary care unit with a
medical diagnosis of acute myocardial infarction.
which medication prescription decreases both
preload and afterload
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril ......answer.....A. nitroglycerin is a
nitrate that causes peripheral vasodilation and
decreases contractility, thereby decreasing both
preload and afterload
,A client is being treated for hyperthyroidism with
propylthiouracil (PTU). The nurse knows that the
action of this drug is to
A. decrease the amount of the thyroid-stimulating
hormone circulating in the blood
B. increase the amount of thyroid-stimulating
hormone circulating in the blood C. increase the
amount of T4 and decrease the amount of T3
produced by the thyroid
D. inhibit synthesis of T3 and T4 by the thyroid gland
......answer.....D. PTU is an adjunct therapy used to
control hyperthyroidism by inhibiting production of
thyroid hormones. It is often prescribed in prep for
thyroidectomy or radioactive iodine therapy
Following the administration of sublingual
nitroglycerin to a client experiencing an acute anginal
,attack, which assessment finding indicates to the
nurse that the desired effect has been achieved? A.
Client states chest pain is relieved
B. Client's pulse decreases from 120 to 90
C. Client's systolic blood pressure decreases from 180
to 90
D. Clients SaO2 level increases from 92% to 96%
......answer.....A. nitroglycerin reduces mycocardial
oxygen consumption which decreases ischemia and
reduces chest pain
A client with hyperlipidemia recieves a prescription
for niacin (niaspan). which client teaching is most
important for the nurse to provide a. expected
duration of flushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
, d. comfort measure for pruritis ......answer.....A.
flushing of the face and neck, lasting up to an hour,
is a frequent reason for discontinuing niacin.
inclusion of this effect in clietn teaching may
promote compliance in taking the med.
When assessing an adolescent who recently
overdosed on acetaminophen
(tylonel), it is most important for the nurse to assess
for pain in which area of the body
a. flank
b. abdomen
c. chest
d. head ......answer.....B. acetaminophen toxicisty an
result in liver damage; therefore, it is especially
important for the nurse to assess for pain in the
right upper quadrant of the abdomen (which might
indicated liver damage)