PATHO HESI EXIT EXAM ACTUAL EXAM QUESTIONS AND WELL ELABORAT
ANSWERS TOP RATED VERSION FOR ALREADY A+ GRADED | NEW!!{REVIS
1. Which type of immune preparation, made Specific immune globulins contain a
from donated blood, contains antibodies that high concentration of antibodies di-
provide passive immunity? rected at specific antigens. Toxoid vac-
Toxoid cines contain a bacterial toxin that
Killed vaccine has been changed to a nontoxic form.
Live attenuated vaccine Killed vaccines contain killed microbes
Specific Immune Globulin or isolated microbes. Live attenuat-
ed vaccines are composed of live mi-
crobes that have been weakened or
rendered completely avirulent.
2. Which preparations use toxoids but not live PEDIARIX consists of diphtheria and
viruses? Select all that apply. tetanus toxoids plus inactivated bac-
Rotarix terial components of pertussis, inac-
Varivax tive viral antigen of hepatitis B, and
M-M-R II inactivated poliovirus vaccine. DAPTA-
PEDIARIX CEL is a preparation consisting of tox-
DAPTACEL oids plus inactive bacterial and viral
components of diphtheria and tetanus
toxoids and acellular pertussis vac-
cine. Rotarix, Varivax, and M-M-R II are
preparations containing live viruses.
3. A 5-year-old child is being given dactinomycin Oral hygiene is essential, especially
and doxorubicin therapy after nephrectomy during the administration of medica-
for Wilms tumor. What will the nursing care tions that have a negative effect on
include? the oral mucosa. Although pain may
Administering aspirin for pain be present, aspirin is avoided because
Offering citrus juices with meals doxorubicin is also being used, and a
Ensuring meticulous oral hygiene side effect of this medication is throm-
Eliminating spicy foods from the diet bocytopenia. Aspirin is contraindicat-
, PATHO HESI EXIT EXAM ACTUAL EXAM QUESTIONS AND WELL ELABORAT
ANSWERS TOP RATED VERSION FOR ALREADY A+ GRADED | NEW!!{REVIS
ed for children because it is associated
with Reye syndrome. Citrus juice will
aggravate stomatitis, which is a com-
mon side effect of dactinomycin. Spicy
foods may aggravate the stomatitis
that occurs with chemotherapy. How-
ever, usually any food that the child
requests is permitted.
4. A child with acute lymphoid leukemia is start- Mood swings may result from steroid
ed on a chemotherapy protocol that includes therapy. Alopecia does not result from
prednisone. What side effect of this medica- steroid therapy. An increased appetite,
tion does the nurse anticipate? not anorexia, results from steroid ther-
Alopecia apy. Weight gain, not weight loss, re-
Anorexia sults from steroid therapy.
Weight loss
Mood changes
5. Which statement is true regarding antipsy- D. Clozapine is more effective than oth-
chotic drugs? er second-generation antipsychotics.
A. All first- and second-generation antipsy-
chotics are equally effective.
B. Second-generation antipsychotics pose a
risk of extrapyramidal symptoms.
C. First-generation antipsychotics pose a sig-
nificant risk of metabolic side effects.
D. Clozapine is more effective than other sec-
ond-generation antipsychotics.
6. Which statement about psychotherapeutic
drugs in elderly clients requires correction?
, PATHO HESI EXIT EXAM ACTUAL EXAM QUESTIONS AND WELL ELABORAT
ANSWERS TOP RATED VERSION FOR ALREADY A+ GRADED | NEW!!{REVIS
Low serum levels of the drug are
Tricyclic antidepressants may increase anxiety reported in elderly clients on psy-
in elderly clients. chotherapeutic drugs.
Normal dosage of lithium may result in lithi-
um toxicity in elderly clients.
Elderly clients on antipsychotic drugs are sus-
ceptible to orthostatic hypotension.
Low serum levels of the drug are reported in
elderly clients on psychotherapeutic drugs.
7. What is the best drug of choice for treating Clomipramine is a tricyclic antidepres-
obsessive-compulsive disorder? sant drug prescribed for treating of
obsessive-compulsive disorder. Child-
Imipramine hood enuresis necessitates the ad-
Lithium salts ministration of imipramine. Lithium
Amitriptyline salt is prescribed to treat bipolar dis-
Clomipramine orders. Dysthymias can be treated by
the administration of antidepressant
drugs such as amitriptyline.
8. A client with a history of methamphetamine Methamphetamine is a stimulant that
use is admitted to the medical unit. What clini- causes the release of adrenaline,
cal manifestation does the nurse expect when which activates the sympathetic ner-
assessing the client? vous system. The pupils will dilate,
a. Constricted pupils not constrict, because the sympa-
b. Intractable diarrhea thetic nervous system is activated.
c. Increased heart rate Clients withdrawing from opioids, not
d. Decreased respirations methamphetamine, experience diar-
rhea. The respirations will be in-
creased, not decreased, because of
, PATHO HESI EXIT EXAM ACTUAL EXAM QUESTIONS AND WELL ELABORAT
ANSWERS TOP RATED VERSION FOR ALREADY A+ GRADED | NEW!!{REVIS
the activation of the sympathetic ner-
vous system.
9. Which monoamine oxidase inhibitor is used to Selegiline is a monoamine oxidase-B
treat Parkinson disease? inhibitor used to treat Parkinson dis-
Correct1 ease. Phenelzine, isocarboxazid, and
Selegiline tranylcypromine are nonselective in-
2 hibitors of both type A and B used in
Phenelzine the treatment of depression.
3
Isocarboxazid
4
Tranylcypromine
10. A client with depression is to be given fluoxe- Fluoxetine does not produce an im-
tine. What precaution will the nurse consider mediate effect; nursing measures
when initiating treatment with this drug? must be continued to reduce the risk
1 for suicide. Consuming milk and crack-
It must be given with milk and crackers to ers to help prevent hyperacidity and
prevent hyperacidity and discomfort. discomfort is not necessary. Avoiding
2 cheese, pickled herring, and wine is a
Eating cheese or pickled herring or drinking precaution taken with the monoamine
wine may cause a hypertensive crisis. oxidase inhibitors. Weekly blood level
3 checks are not necessary with fluoxe-
The blood level may not be sufficient to cause tine.
noticeable improvement for 2 to 4 weeks.
4
The blood level should be checked weekly for
3 months to monitor for an appropriate level.
11.
ANSWERS TOP RATED VERSION FOR ALREADY A+ GRADED | NEW!!{REVIS
1. Which type of immune preparation, made Specific immune globulins contain a
from donated blood, contains antibodies that high concentration of antibodies di-
provide passive immunity? rected at specific antigens. Toxoid vac-
Toxoid cines contain a bacterial toxin that
Killed vaccine has been changed to a nontoxic form.
Live attenuated vaccine Killed vaccines contain killed microbes
Specific Immune Globulin or isolated microbes. Live attenuat-
ed vaccines are composed of live mi-
crobes that have been weakened or
rendered completely avirulent.
2. Which preparations use toxoids but not live PEDIARIX consists of diphtheria and
viruses? Select all that apply. tetanus toxoids plus inactivated bac-
Rotarix terial components of pertussis, inac-
Varivax tive viral antigen of hepatitis B, and
M-M-R II inactivated poliovirus vaccine. DAPTA-
PEDIARIX CEL is a preparation consisting of tox-
DAPTACEL oids plus inactive bacterial and viral
components of diphtheria and tetanus
toxoids and acellular pertussis vac-
cine. Rotarix, Varivax, and M-M-R II are
preparations containing live viruses.
3. A 5-year-old child is being given dactinomycin Oral hygiene is essential, especially
and doxorubicin therapy after nephrectomy during the administration of medica-
for Wilms tumor. What will the nursing care tions that have a negative effect on
include? the oral mucosa. Although pain may
Administering aspirin for pain be present, aspirin is avoided because
Offering citrus juices with meals doxorubicin is also being used, and a
Ensuring meticulous oral hygiene side effect of this medication is throm-
Eliminating spicy foods from the diet bocytopenia. Aspirin is contraindicat-
, PATHO HESI EXIT EXAM ACTUAL EXAM QUESTIONS AND WELL ELABORAT
ANSWERS TOP RATED VERSION FOR ALREADY A+ GRADED | NEW!!{REVIS
ed for children because it is associated
with Reye syndrome. Citrus juice will
aggravate stomatitis, which is a com-
mon side effect of dactinomycin. Spicy
foods may aggravate the stomatitis
that occurs with chemotherapy. How-
ever, usually any food that the child
requests is permitted.
4. A child with acute lymphoid leukemia is start- Mood swings may result from steroid
ed on a chemotherapy protocol that includes therapy. Alopecia does not result from
prednisone. What side effect of this medica- steroid therapy. An increased appetite,
tion does the nurse anticipate? not anorexia, results from steroid ther-
Alopecia apy. Weight gain, not weight loss, re-
Anorexia sults from steroid therapy.
Weight loss
Mood changes
5. Which statement is true regarding antipsy- D. Clozapine is more effective than oth-
chotic drugs? er second-generation antipsychotics.
A. All first- and second-generation antipsy-
chotics are equally effective.
B. Second-generation antipsychotics pose a
risk of extrapyramidal symptoms.
C. First-generation antipsychotics pose a sig-
nificant risk of metabolic side effects.
D. Clozapine is more effective than other sec-
ond-generation antipsychotics.
6. Which statement about psychotherapeutic
drugs in elderly clients requires correction?
, PATHO HESI EXIT EXAM ACTUAL EXAM QUESTIONS AND WELL ELABORAT
ANSWERS TOP RATED VERSION FOR ALREADY A+ GRADED | NEW!!{REVIS
Low serum levels of the drug are
Tricyclic antidepressants may increase anxiety reported in elderly clients on psy-
in elderly clients. chotherapeutic drugs.
Normal dosage of lithium may result in lithi-
um toxicity in elderly clients.
Elderly clients on antipsychotic drugs are sus-
ceptible to orthostatic hypotension.
Low serum levels of the drug are reported in
elderly clients on psychotherapeutic drugs.
7. What is the best drug of choice for treating Clomipramine is a tricyclic antidepres-
obsessive-compulsive disorder? sant drug prescribed for treating of
obsessive-compulsive disorder. Child-
Imipramine hood enuresis necessitates the ad-
Lithium salts ministration of imipramine. Lithium
Amitriptyline salt is prescribed to treat bipolar dis-
Clomipramine orders. Dysthymias can be treated by
the administration of antidepressant
drugs such as amitriptyline.
8. A client with a history of methamphetamine Methamphetamine is a stimulant that
use is admitted to the medical unit. What clini- causes the release of adrenaline,
cal manifestation does the nurse expect when which activates the sympathetic ner-
assessing the client? vous system. The pupils will dilate,
a. Constricted pupils not constrict, because the sympa-
b. Intractable diarrhea thetic nervous system is activated.
c. Increased heart rate Clients withdrawing from opioids, not
d. Decreased respirations methamphetamine, experience diar-
rhea. The respirations will be in-
creased, not decreased, because of
, PATHO HESI EXIT EXAM ACTUAL EXAM QUESTIONS AND WELL ELABORAT
ANSWERS TOP RATED VERSION FOR ALREADY A+ GRADED | NEW!!{REVIS
the activation of the sympathetic ner-
vous system.
9. Which monoamine oxidase inhibitor is used to Selegiline is a monoamine oxidase-B
treat Parkinson disease? inhibitor used to treat Parkinson dis-
Correct1 ease. Phenelzine, isocarboxazid, and
Selegiline tranylcypromine are nonselective in-
2 hibitors of both type A and B used in
Phenelzine the treatment of depression.
3
Isocarboxazid
4
Tranylcypromine
10. A client with depression is to be given fluoxe- Fluoxetine does not produce an im-
tine. What precaution will the nurse consider mediate effect; nursing measures
when initiating treatment with this drug? must be continued to reduce the risk
1 for suicide. Consuming milk and crack-
It must be given with milk and crackers to ers to help prevent hyperacidity and
prevent hyperacidity and discomfort. discomfort is not necessary. Avoiding
2 cheese, pickled herring, and wine is a
Eating cheese or pickled herring or drinking precaution taken with the monoamine
wine may cause a hypertensive crisis. oxidase inhibitors. Weekly blood level
3 checks are not necessary with fluoxe-
The blood level may not be sufficient to cause tine.
noticeable improvement for 2 to 4 weeks.
4
The blood level should be checked weekly for
3 months to monitor for an appropriate level.
11.
