ISPN & CGFNS Practice Test

Question 1

An order for Bupropion (Wellbutrin) has been placed with a client. When is it appropriate for the nurse to give the order?

Accepted Answer

Early in the day

Answer

On an empty stomach

Answer

Immediately before bed

Answer

When the patient requests it

Question 2

A temperature of 101 degrees has been recorded in a patient with acquired immunodeficiency syndrome and pneumocystis
 jiroveci infection. Pentamidine is administered to the patient (pentam 300). Which of the following symptoms does a fever indicate?

Accepted Answer

Another infection developed as a result of the medication's leukopenic side effects.

Answer

The patient's thermoregulation has become insufficient.

Answer

The drug is causing side effects in the patient.

Answer

The medication's dose is too low.

Question 3

If a client is experiencing dizziness after receiving procainamide (Procanbid) intravenously, the first nursing action is to:

Accepted Answer

Obtain a blood pressure reading by auscultating the client's apical pulse.

Answer

Obtain a 12-lead electrocardiogram as soon as possible.

Answer

Administer the nitroglycerin pills as directed.

Answer

Using a rhythm strip, record the heart rate.

Question 4

The therapy in which a client's feelings, attitudes, and behaviors are modified by focusing on the therapist-client relationship is called:

Accepted Answer

Interpersonal psychotherapy

Answer

Family therapy

Answer

Behavior therapy

Answer

Cognitive therapy

Question 5

When a client has been sexually abused, the nurse is in the preinteraction phase of the nurse-client relationship.
 During this time, the nurse should do:

Accepted Answer

Examine the personal beliefs, preconceptions, and biases as they relate to the nurse-client interaction.

Answer

Determine how people react to termination and separation.

Answer

Actively listen to the client as he expresses his feelings and thoughts.

Answer

Identify themes in patient behavior patterns and potential coping methods.

Question 6

Which of the following is the most important assessment for a client receiving bumetanide (Bumex) intravenously for
 acute congestive heart failure?

Accepted Answer

Monitoring blood pressure

Answer

Monitoring weight loss

Answer

Monitoring urine output

Answer

Monitoring potassium level

Question 7

The nurse expects the following laboratory tests to evaluate the therapeutic impact of heparin intravenously given to the client:

Accepted Answer

Activated partial thromboplastin time

Answer

Hematocrit

Answer

Hemoglobin

Answer

Prothrombin time

Question 8

Which one of the following is not a source of acquired immunity?

Accepted Answer

Prescribed multivitamins

Answer

Animal serum

Answer

Antibodies received in response to disease

Answer

Antibodies received from the mother

Question 9

Dextroamphetamine (Dexedrine) has been prescribed for an 10-year-old child who has been acting out in class. The nurse 
will tell the parents to do the:

Accepted Answer

Give the last dose at least 6 hours before going to bed.

Answer

Ensure that the child consumes 6-8 glasses of water per day.

Answer

Unless otherwise directed, ensure that dosages are given consistently.

Answer

Make sure to take the prescription after a full meal.

Question 10

A patient has voluntarily checked herself into the hospital's mental health unit. The nurse anticipates the following from the client:

Accepted Answer

The patient will be participating in the treatment and care planning.

Answer

The client refuses to be treated.

Answer

The client's family is not going to cooperate.

Answer

The client will be angry and confrontational