Milestone Exam 1 Questions &
Answers (Grade A+)
Two hours after taking the first dose of penicillin, a client arrives at
the emergency department complaining of feeling ill, exhibiting
hives, having difficulty breathing, and experiencing hypotension.
The nurse will develop an immediate plan of care based on which
finding?
A.Severe acute anaphylactic response
B.Side reaction that should resolve
C.Idiosyncratic reaction
D.Cumulative drug response
A - correct answer ✅Rationale: Anaphylaxis related to penicillin
can cause a life-threatening allergic response characterized by
bronchospasm, laryngeal edema, and a precipitous drop in blood
pressure. This client's ingestion of penicillin and presenting clinical
picture indicate the client is having an acute reaction with
respiratory difficulty. Options B, C, and D are other physiologic
responses to medications, but immediate action is required for a
potential loss of airway, breathing, and circulation.
Which response best supports the observations that the nurse
identifies in a client who is experiencing a placebo effect?
A.Beneficial response or cure for disease
, Milestone Exam 1 Questions &
Answers (Grade A+)
B.Behavioral or psychotropic responses
C.Malingering or drug-seeking behaviors
D.Psychological response to inert medication
D - correct answer ✅Rationale:The placebo effect is a response in
the client that is caused by the psychological impact of taking an
inert drug that has no biochemical properties. A placebo effect can
be therapeutic, negative, or ineffective but provides no cure or
benefit to the client's progress. The placebo effect may evoke
behavioral changes but does not affect neurochemical psychotropic
changes. Malingering and drug seeking are behaviors that a client
exhibits to obtain treatment for nonexistent disorders or obtain
prescription medications.
A mother brings her 18-month-old child to the community health
center because the child has had "bad diarrhea" for the last 3 days.
She states, "I bought some of this liquid at the pharmacy and gave
my child a half-ounce." The nurse sees that the bottle contains
loperamide. What is the next nursing action?
A.Tell the mother never to give this drug to her toddler.
B.Ask if any other siblings have experienced diarrhea.
C.Take the child's oral and tympanic temperatures.
D.Ask the mother when the child last voided.
Answers (Grade A+)
Two hours after taking the first dose of penicillin, a client arrives at
the emergency department complaining of feeling ill, exhibiting
hives, having difficulty breathing, and experiencing hypotension.
The nurse will develop an immediate plan of care based on which
finding?
A.Severe acute anaphylactic response
B.Side reaction that should resolve
C.Idiosyncratic reaction
D.Cumulative drug response
A - correct answer ✅Rationale: Anaphylaxis related to penicillin
can cause a life-threatening allergic response characterized by
bronchospasm, laryngeal edema, and a precipitous drop in blood
pressure. This client's ingestion of penicillin and presenting clinical
picture indicate the client is having an acute reaction with
respiratory difficulty. Options B, C, and D are other physiologic
responses to medications, but immediate action is required for a
potential loss of airway, breathing, and circulation.
Which response best supports the observations that the nurse
identifies in a client who is experiencing a placebo effect?
A.Beneficial response or cure for disease
, Milestone Exam 1 Questions &
Answers (Grade A+)
B.Behavioral or psychotropic responses
C.Malingering or drug-seeking behaviors
D.Psychological response to inert medication
D - correct answer ✅Rationale:The placebo effect is a response in
the client that is caused by the psychological impact of taking an
inert drug that has no biochemical properties. A placebo effect can
be therapeutic, negative, or ineffective but provides no cure or
benefit to the client's progress. The placebo effect may evoke
behavioral changes but does not affect neurochemical psychotropic
changes. Malingering and drug seeking are behaviors that a client
exhibits to obtain treatment for nonexistent disorders or obtain
prescription medications.
A mother brings her 18-month-old child to the community health
center because the child has had "bad diarrhea" for the last 3 days.
She states, "I bought some of this liquid at the pharmacy and gave
my child a half-ounce." The nurse sees that the bottle contains
loperamide. What is the next nursing action?
A.Tell the mother never to give this drug to her toddler.
B.Ask if any other siblings have experienced diarrhea.
C.Take the child's oral and tympanic temperatures.
D.Ask the mother when the child last voided.
