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    Exam Review

    1. Which symptoms occurs initially in Parkinson disease?
      A)Aspiration
      B)Dementia
      C)Akinesia
      D)Pill-rolling movements of the hand
    2. Physician's Orders The doctor orders Zithromax 500mg p.o.daily for a child who weighs 82 pounds. The safe dose range for this medication is 10-12 mg/kg/day. Zithromax is available in 250mg/tablets What is the child's weight in kilograms? (LABEL CORRECTLY & Round to tenths)
    3. What nursing action will significantly decrease the risk of serious complications for a child in Bryant's traction?
      A)The child is restrained from rolling over.
      B)Bandages are wrapped tightly.
      C)The child's buttocks are resting on the bed.
      D)Neurovascular checks are done frequently
    4. (PHARM) A nurse is reinforcing teaching with a client who is taking benztropine to treat Parkinson's disease. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication.
      A)difficulty voiding
      B)slow pulse
      C)diarrhea
      D)excessive salivation
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    Exam Review

    1. A nurse is caring for a client who has a seizure disorder and reports experiencing an aura. The nurse should recognize the client is experiencing which of the following conditions?
      A)A brief loss of consciousness accompanied by staring
      B)A period of sleepiness following the seizure during which arousal is difficult
      C)A sensory warning that a seizure is imminent
      D)A continuous seizure state in which seizures occur in rapid succession
    2. (PHARM) Which of the following is a primary therapeutic use of allopurinol?
      A)To lower uric acid levels in chronic gout
      B)To reduce inflammation in rheumatoid arthritis
      C)To treat bacterial infections
      D)To relieve acute gout attacks
    3. The nurse is explaining Parkinson disease to the student nurse. Which statement indicates that the student nurse correctly understands the pathophysiology of the disease?
      A)"Regardless of the actual etiology. Parkinson disease is caused by depletion of dopamine and excess of acetylcholine."
      B)"When there is decreased dopamine uptake at receptors in brain cells, Parkinson disease results.
      C)"The pathophysiology of the disease is caused by the deterioration of the myelin sheath of the basal ganglia."
      D)"Excess dopamine and deficient acetylcholine are the cause of Parkinson disease
    4. When caring for a patient who has an abductor wedge in place after a total hip replacement, for which finding should the nurse assess for?
      A)Alteration in peripheral circulation
      B)Muscle spasms
      C)Compression fracture
      D)Appropriateness of the size of the wedge
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    Exam Review

    1. (PHARM) To evaluate the effectiveness of levodopa-carbidopa, a nurse would watch for which result?
      A)Reduction in short-term memory
      B)Improved visual acuity
      C)Lessened rigidity and tremor
      D)Increased dyskinesia
    2. A patient is admitted to the hospital to rule out the possibility of bacterial meningitis, Which test will be most helpful in diagnosing this condition?
      A)Lumbar puncture for cerebrospinal fluid (CSF) analysis and culture
      B)Cerebral angiography
      C)Myelography
      D)Magnetoencephalography (MEG)
    3. The home health nurse is caring for a patient with multiple sclerosis (MS) who complains of severe fatigue. What activity should the nurse suggest to diminish the effects of fatigue?
      A)Scheduling rest periods during the day
      B)including daily-dose multivitamins
      C)Performing deep-breathing exercises
      D)Relaxing in a warm bath
    4. Which behavior causes the nurse to report a positive Romberg test?
      A)The patient cannot touch his nose with eyes closed.
      B)The patient sways from side to side.
      C)The patient complains of dizziness.
      D)The patient cannot keep his eyes closed.
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    Exam Review

    1. You have an order to give a child a dose of Ampicillin based on the child's body surface area. The child weighs 14 pounds. The normal adult dose is 1000 mg every 4-6 hours prn. The child's BSA is 0.45 m2. The Ampicillin is available as 250mg/5mL. How many mg would you administer to the child? Use the BSA method of calculation.
    2. The physician orders Ampicillin 2 g in 250 mL of NS IVPB to infuse over 30 minutes. Tubing drop factor is 20 gtt/mL. Calculate the flow rate in drops per minute. (Round to the nearest whole number)
    3. The nurse is reviewing the record for a client seen in the health care clinic and notes that the health care provider has documented a diagnosis of amyotrophic lateral sclerosis (ALS). Which initial clinical manifestation of this disorder should the nurse expect to see documented in the record?
      A)mild clumsiness
      B)altered mental status
      C)muscle wasting
      D)diminished gag reflex
    4. Convert 100.9 F to Celcius, (Answer ex: 37.9C)
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    Exam Review

    1. Which statement indicates that the patient needs further instruction about application of ice to a sprain?
      A)" I can elevate my leg and use ice to reduce swelling."
      B)"I will keep the ice on this knee for the rest of the day."
      C)"I know this ice will reduce the swelling."
      D)"I will use the ice as you have directed for 24 h."
    2. Physician's Order The doctor orders Zithromax 500 mg orally, daily for a child who weighs 82 pounds. The safe dose range for this medication is 10-12 mg/kg/day. Zithromax is available in 250mg/tablets. Is the order safe?
      A)False
      B)True
    3. What characteristic manifestation does the nurse caring for a child with Duchenne's muscular dystrophy document?
      A)Has delayed fine-motor development
      B)Exhibits atrophy of calf muscles
      C)Ambulates by holding onto furniture
      D)Falls frequently and is clumsy
    4. A 10-month-old infant with bacterial meningitis was just started on antibiotic therapy. Which nursing action is especially important in this situation?
      A)Administer oral gentamicin
      B)Encourage the child to drink 3.000 mL of fluid per day
      C)Wear a mask while providing care
      D)Flex the child's neck every 4 hours to maintain range of motion
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