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Practice
Questions
Information provided by Kaplan Test Prep
| Psychosocial
Integrity |
1. |
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A
3-week-old boy is admitted with a diagnosis of pyloric
stenosis. The mother tells the nurse that this is
her first child and asks if there is anything she
can do to prevent this from happening to her next
child. Which of the following statements, if made
by the nurse, BEST addresses her
concern? |
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A. |
“This
type of thing generally happens to first children” |
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B. |
“When
you have your second child at least you’ll
know what signs to look for” |
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C. |
“This
is a structural problem; it is not a reflection
of your parenting skills” |
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D. |
“This
is an inherited condition; it is not your fault” |
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The
correct answer is C. |
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A. |
“This
type of thing generally happens to first children”
– inaccurate
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B. |
“When you have
your second child at least you’ll know what
signs to look for” – invalidates
concerns |
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C. |
“This
is a structural problem; it is not a reflection
of your parenting skills” – CORRECT:
provides acknowledgment contains facts |
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D. |
“This
is an inherited condition; it is not your fault”
– does not acknowledge
feelings |
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2. |
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Haloperidol
(Haldol) 5 mg tid is ordered for a patient with
schizophrenia. Two days later, the patient complains
of “tight jaws and a stiff neck.” The
nurse should recognize that these complaints are: |
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A. |
common side
effects of antipsychotic medications that will diminish
over time |
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B. |
early symptoms
of extrapyramidal reactions to the medication |
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C. |
psychosomatic
complaints resulting from a delusional system |
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D. |
permanent
side effects of Haldol |
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The
correct answer is B. |
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A. |
common side
effects of antipsychotic medications that will diminish
over time –gets worse,
untreated, life threatening |
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B. |
early symptoms
of extrapyramidal reactions to the medication –
CORRECT: dystonic
reaction, airway may become obstructed |
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C. |
psychosomatic
complaints resulting from a delusional system –
not accurate |
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D. |
permanent
side effects of Haldol – reversible
when treated with IV Benadryl |
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3. |
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A
patient with a history of alcoholism is brought
to the emergency room in an agitated state. He is
vomiting and diaphoretic. He says he had his last
drink five hours ago. The nurse would expect to
administer which of the following medications? |
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A. |
Chlordiazepoxide
hydrochloride (Librium) |
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B. |
Disulfiram
(Antabuse) |
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C. |
Methadone
hydrochloride (Dolophine) |
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D. |
Naloxone
hydrochloride (Narcan) |
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The
correct answer is A. |
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A. |
A. Chlordiazepoxide hydrochloride
(Librium) – CORRECT:
antianxiety; used to treat symptoms of acute alcohol
withdrawal; S/E: lethargy, hangover, agranulocytosis |
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B. |
Disulfiram
(Antabuse)— used as
a deterrent to compulsive drinking; contraindicated
if patient drank alcohol in previous 12 hours |
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C. |
Methadone
hydrochloride (Dolophine) – opioid
analgesic; used to treat narcotic withdrawal; syndrome,
S/E: seizures, respiratory depression |
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D. |
Naloxone
hydrochloride (Narcan) – narcotic
antagonist used to reverse narcotic-induced respiratory
depression; S/E: ventricular fibrillation, seizures,
pulmonary edema |
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