ISPN & CGFNS Practice Test 1

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

Bupropion (Wellbutrin) is an antidepressant that can have stimulating effects on the central nervous system. To minimize the risk of insomnia and other sleep disturbances, it is typically advised to administer bupropion early in the day, often in the morning. Taking it later in the day could interfere with the patient's ability to fall asleep.

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

Pentamidine, used to treat Pneumocystis jiroveci infection in AIDS patients, can cause bone marrow suppression, leading to leukopenia (low white blood cell count). In an immunocompromised patient with leukopenia, a fever is a critical indicator of a new or worsening infection. Their compromised immune system makes them highly susceptible to opportunistic infections, and fever signals the body's struggle against pathogens.

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

Procainamide is an antiarrhythmic medication that can cause hypotension as a significant side effect, especially with intravenous administration. Dizziness is a common symptom of hypotension. Therefore, the nurse's first and most crucial action is to assess the client's blood pressure to confirm hypotension and guide appropriate interventions to ensure patient safety.

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

Interpersonal psychotherapy (IPT) is a focused, time-limited form of therapy that emphasizes the role of interpersonal relationships and social functioning in mental health. It aims to help clients improve their communication patterns and the way they relate to others, thereby modifying maladaptive feelings, attitudes, and behaviors that contribute to their psychological distress.

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

The preinteraction phase of the nurse-client relationship occurs before the nurse physically meets the client. During this crucial phase, the nurse's primary task is self-reflection and self-assessment. This involves examining personal beliefs, preconceptions, and potential biases related to the client's situation to ensure the provision of non-judgmental, empathetic, and professional care.