Revisiontestbanks

MULTIPLE CHOICE 1. Which topical antimicrobial agent is commonly used as a broad-spectrum and fights against gram-positive and -negative bacteria? a. Pure silver b. Bacitracin c. Mafenide acetate cream d. Silver sulfadiazine ANS: D Silver sulfadiazine (SSD; Silvadene cream) is a broad-spectrum antimicrobial agent with bactericidal action against many gram-negative and -positive bacteria associated with burn wound infection. Mafenide acetate cream penetrates through burn eschar and i...

MULTIPLE CHOICE 1. A patient is admitted with hypernatremia secondary to diabetes insipidus (DI). Which test would help the practitioner differentiate between central and nephrogenic DI? a. Water deprivation test b. Serum osmolality c. Serum antidiuretic hormone level d. Antidiuretic hormone (ADH) test ANS: D The antidiuretic hormone test is used to differentiate between neurogenic diabetes insipidus (DI) (central) and nephrogenic (kidney) DI. In severe central DI, in which the pitu...

Chapter 26: Kidney Disorders and Therapeutic Management Chapter 27: Gastrointestinal Anatomy and Physiology Chapter 28: Gastrointestinal Clinical Assessment and Diagnostic Procedures Chapter 29: Gastrointestinal Disorders and Therapeutic Management Chapter 30: Endocrine Anatomy and Physiology

MULTIPLE CHOICE 1. A patient with diabetic ketoacidosis (DKA) has an insulin drip infusing, and the nurse has just administered subcutaneous insulin. The nurse is alert for signs of hypoglycemia, which would include what findings? a. Kussmaul respirations and flushed skin b. Irritability and paresthesia c. Abdominal cramps and nausea d. Hypotension and itching ANS: B Irritability and paresthesia are seen in hypoglycemia. PTS: 1 DIF: Cognitive Level: Applying REF: p. 742 | Box 3...

MULTIPLE CHOICE 1. Preprocedural teaching of a patient undergoing a liver scan should include which instruction? a. Drink at least 500 mL of fluids before the procedure. b. Remain flat in bed for 12 hours after the procedure. c. Stay flat and still during the procedure. d. Sedation will be provided during the procedure. ANS: C The patient may need to maintain NPO (nothing by mouth) status for 2 to 4 hours before the procedure. Sedation is usually not required, but the patient must b...

MULTIPLE CHOICE 1. A patient is receiving total parenteral nutrition (TPN). During rounds the dietitian states “the patient is getting too much glucose.” In which one area is excess glucose stored as glycogen? a. Pancreas b. Hepatic cells c. Gallbladder d. Stomach ANS: B Excess glucose in the form of glycogen is stored in the hepatic and muscle cells for use as fuel at a later time. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 706 | p. 707 | Box 30-1 OBJ: Nursing Proce...

Chapter 21: Neurologic Anatomy and Physiology Chapter 22: Neurologic Clinical Assessment and Diagnostic Procedures Chapter 23: Neurologic Disorders and Therapeutic Management Chapter 24: Kidney Anatomy and Physiology Chapter 25: Kidney Clinical Assessment and Diagnostic Procedures

MULTIPLE CHOICE 1. The nurse is caring for a patient with acute liver failure. The patient has elevated ammonia levels. Which medication would the nurse expect the provider to order for this patient? a. Insulin b. Vitamin K c. Lactulose d. Lorazepam ANS: C Lactulose, a synthetic ketoanalogue of lactose split into lactic acid and acetic acid in the intestine, is given orally through a nasogastric tube or as a retention enema. The result is the creation of an acidic environment that r...

MULTIPLE CHOICE 1. A patient was admitted with acute kidney failure. Which urinalysis value reflects a decreased ability of the kidneys to concentrate urine? a. pH of 5.0 b. Specific gravity of 1.000 c. No casts d. Urine sodium of 140 mEq/24 h ANS: B Specific gravity measures the density or weight of urine compared with that of distilled water. The normal urinary specific gravity is 1.005 to 1.025. For comparison, the specific gravity of distilled water is 1.000. Because urine is co...

MULTIPLE CHOICE 1. What is the main function of bile? a. Emulsify fat globules b. Serve as a reservoir for bilirubin c. Maintain triglyceride levels in the blood d. Aid in detoxification of drugs in the liver ANS: A Bile emulsifies fat globules and absorbs fat-soluble vitamins. PTS: 1 DIF: Cognitive Level: Remembering REF: p. 665 OBJ: Nursing Process Step: General TOP: Gastrointestinal MSC: NCLEX: Physiologic Integrity 2. A patient has been admitted in acute liver failur...