NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 193
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1. The physician medication order reads as “Lasix 40 mg L.M statâ€. which of the following is the correct interpretation of prescription by the nurse?
a. Intramuscular injection of 40 mg Lasix to be administered immediately
b. Intramuscular injection of 40 mg Lasix to be administered as a single dose as and when the patient needed.
c. Intramuscular injection of 40 mg Lasix to be administered after meals
d. Intramuscular injection of 40 mg Lasix to be administered before bedtime.
Answer: a. Intramuscular injection of 40 mg Lasix to be administered immediately
Description:The correct interpretation of the physician's medication order "Lasix 40 mg L.M stat" by the nurse is: a. Intramuscular injection of 40 mg Lasix to be administered immediately. In this order: "Lasix" is the medication (Furosemide). "40 mg" is the dose. "L.M" stands for "Lateralis Musculus," which indicates the intramuscular route. "stat" means that it should be administered immediately or at once. So, the nurse should administer a 40 mg dose of Lasix via intramuscular injection right away as per the physician's order.
2. The maximum volume of a drug that can be injected through intramuscular injection is:
a. 2 mL
b. 5 mL
c. 10 mL
d. 20 mL
Answer: b. 5 mL
Description:Intramuscular injections typically have a maximum recommended volume of around 5 mL. Larger volumes can lead to increased pain, tissue damage, and slower absorption. However, the specific recommended maximum volume may vary depending on the muscle's size, the patient's age, and other factors. Always follow the guidelines and recommendations provided by healthcare professionals and the drug manufacturer for the specific medication being administered.
3. One tablespoon is equal to:
a. 5 mL
b. 15 mL
c. 25 mL
d. 30 mL
Answer: b. 15 mL
Description:This means that if you have one tablespoon of a liquid, you have 15 milliliters of that liquid. It's a common measurement for cooking and serving liquids like sauces or dressings.
4. Two teaspoonful is equal to:
a. 6 mL
b. 10 mL
c. 20 mL
d. 30 mL
Answer: b. 10 mL
Description:So, if you have two teaspoons filled with a liquid, you have a total of 10 milliliters of that liquid. This helps you understand the volume or quantity of the liquid in a common measurement.
5. One pint =
a. 250 mL
b. 300 mL
C. 500 mL
d. 750 mL
Answer: C. 500 mL
Description:This means that if you have one pint of a liquid, you have 500 milliliters of that liquid. Pints and milliliters are units of volume measurement, and this conversion helps you understand the liquid's quantity.
6. Dose of acetyl salicylic acid is:
a. 10 mg/kg/dose
b. 500 mg/dose
c. 100 mg/kg/dose
d. 50 mg/kg/dose
Answer: b. 500 mg/dose
Description:However, it's essential to follow the specific dosage instructions provided by a healthcare professional or on the medication label, as aspirin dosing can vary based on the intended use and the individual's medical history. Additionally, dosages for children may be calculated differently based on their weight and medical condition, but 10 mg/kg/dose (option a) is not a standard aspirin dosage. Always consult with a healthcare provider for accurate dosing information.
7. Physician prescribes an infusion of 1800 mL of IV fluid over 24 hours, with half of this amount to be infused over first 10 hours. The client should receive how many milliliters of IV fluid per hour during the first 10 hours?
a. 60 mL
b. 90 mL
c. 100 mL
d. 120 mL
Answer: b. 90 mL
Description:1800 mL in 24 hours. Determine how many mL in 10 hours 1800/2 = 900 mL 900 mL in 10 hours 900/10 = 90 mL in one hour.
8. The physician medication order reads as Paracetamol 500 mgâ€. the available dose is paracetamol 200 mg in 5 ml. How many ml of drug has to be administered to achieve the desired dose?
a. 5 ml
b. 7.5 ml
c. 10 ml
d. 12.5 ml
Answer: d. 12.5 ml
Description:Calculation: Desired dose (D) = 500mg. On hand (H) = 200 mg. Vehicle (V) = 5 mL. Formula: The amount to be administered = Desired (D) x Vehicle (V)/on hand (H). Applying to the given scenario. The amount (ml) to be administered = 500 x 5/200 = 12.5 mL.
9. The nurse need to administer 0.25 mg Digoxin orally. The available dose in hand is 0.5mg. How many table has to be administered to achieve the desired dose?
a. ½ tablet
b. 1 tablet
c. 1 ½ tablet
d. 2 tablet
Answer: a. ½ tablet
Description:Calculation: Desired dose (D) = 0.25mg. On hand (H) = 0.5mg. Vehicle (V) = 1 tablet. Formula: The amount to be administered = Desired (D) x Vehicle (V)/on hand (H). Applying to the given scenario. The amount (ml) to be administered = 0.25 x 1/0.5 = 1/2 tablet.
10. A community health nurse is providing care for a patient at home. The patient has to take 15 ml lactulose before bedtime every day. Which of the following instructions to patient regrading measurement of lactulose 15 ml for oral administration is correct?
a. 1 teaspoon
b. 1 tablespoon
c. 2 teaspoon
d. Half a cup
Answer: b. 1 tablespoon
Description:Using a tablespoon to measure 15 mL is an appropriate and accurate way to administer the prescribed dose. It's essential to provide clear and precise instructions to the patient to ensure they take the correct amount of medication.
11. A patient has a bottle of Levothyroxine (Eltroxin) 50 mcg scored tablets. The doctors has ordered 75 mcg/day. How many tablets should the patient take?
a. ½ tablet
b. 1 ½ tablet
c. 2 tablet
d. 2 ½ tablet
Answer: b. 1 ½ tablet
Description:To achieve a daily dose of 75 mcg when you have 50 mcg scored tablets, the patient should take: b. 1 ½ tablets Taking one and a half tablets of 50 mcg each will provide a total daily dose of 75 mcg of Levothyroxine (Eltroxin) as prescribed by the doctor.
12. Dexamethasone 8 mg in 100 ml of NS to be infused over 60 minutes. The tubing has a drip factor of 15 gtt/ml. how many drops minutes has to set in the infusion pump?
a. 15 gtts/min
b. 21 gtts/min
c. 25 gtts/min
d. 30 gtts/min
Answer: c. 25 gtts/min
Description:To calculate the infusion rate in drops per minute (gtts/min), you can use the following formula: Infusion rate (gtts/min) = (Volume to be infused in mL / Time in minutes) * Drip factor (gtt/mL) In this case: Volume to be infused = 100 mL Time in minutes = 60 minutes Drip factor = 15 gtt/mL Now, plug these values into the formula: Infusion rate (gtts/min) = (100 mL / 60 minutes) * 15 gtt/mL Infusion rate (gtts/min) = (5/3) * 15 Infusion rate (gtts/min) = 25 gtts/min So, the infusion pump should be set to 25 drops per minute for the Dexamethasone infusion.
13. Which route of drug administration provides a rapid response in a patient?
a. Oral
b. Intramuscular
c. Sublingual
d. Subcutaneous
Answer: c. Sublingual
Description:When a drug is administered sublingually (under the tongue), it is absorbed directly into the bloodstream through the rich network of blood vessels in the oral mucosa. This allows for faster absorption and a rapid response compared to oral, intramuscular, or subcutaneous routes, where the drug must first pass through the digestive system or be absorbed into the bloodstream from the muscle or fatty tissue.
14. The study of absorption, distribution, metabolism and excretion of drugs is referred as:
a. Pharmacology
b. Pharmacokinetics
c. Pharmacodynamics
d. Pharmaceutics
Answer: b. Pharmacokinetics
Description:Pharmacokinetics refers to what body does to the drug. It facilities the movement of drug in the body.
15. What kind of substances cannot permeate membranes by passive diffusion?
a. Lipid-soluble
b. Non-ionized substances
c. Hydrophobic substances
d. Hydrophilic substances
Answer: d. Hydrophilic substances
Description:Passive diffusion through cell membranes primarily favors the movement of lipid-soluble (lipophilic) and non-ionized substances, as they can readily pass through the lipid bilayer. Hydrophilic substances, on the other hand, are water-loving and have difficulty crossing cell membranes on their own because the lipid bilayer is a hydrophobic barrier. They often require specific transporters or channels to facilitate their passage.
16. The most important route of excretion of drugs:
a. Through kidney
b. Saliva and sweat
c. Exhaled air
d. Feces
Answer: a. Through kidney
Description:The most important route of excretion of drugs is (a) through the kidneys. The kidneys play a crucial role in filtering and removing drugs and their metabolites from the body through urine.
17. The rate of drug absorption is greatest in the
a. Large intestine
b. Stomach
c. Gallbladder
d. Small intestine
Answer: d. Small intestine
Description:The rate of drug absorption is greatest in the (d) small intestine. The small intestine has a large surface area with villi and microvilli that facilitate the absorption of drugs and nutrients into the bloodstream.
18. Maximum Na+ reabsorption occurs at:
a. Proximal tubule
b. Loop of Henle
c. Distal tubule
d. Collecting duct
Answer: a. Proximal tubule
Description:Maximum Na+ (sodium) reabsorption occurs at the (a) proximal tubule in the nephron of the kidney. The proximal tubule is responsible for reabsorbing a significant portion of filtered sodium, along with other substances, back into the bloodstream.
19. The client on Coumarin therapy should be instructed to avoid which of the following over the counter medication?
a. NSAID
b. Cough medicines
c. Histamine blockers
d. Laxatives containing magnesium salts
Answer: a. NSAID
Description:The client on Coumarin therapy should be instructed to avoid (a) NSAIDs (Non-Steroidal Anti-Inflammatory Drugs). NSAIDs can interact with Coumarin medications and increase the risk of bleeding. It's important for individuals on Coumarin therapy to consult their healthcare provider or pharmacist before taking any over-the-counter medications, including NSAIDs, to ensure they are safe and appropriate for their specific situation.
20. Atropine is useful in organophosphate poisoning because it:
a. Reactivates acetyl cholinesterase.
b. Competes with acetylcholine release
c. Blinds with both nicotinic and muscarinic acetylcholine receptors
d. It is competitive antagonist of acetylcholine
Answer: d. It is competitive antagonist of acetylcholine
Description:Atropine is useful in organophosphate poisoning because it (d) is a competitive antagonist of acetylcholine. In organophosphate poisoning, excessive acetylcholine activity occurs due to the inhibition of acetylcholinesterase enzyme by the poison. Atropine counteracts this effect by binding to and blocking acetylcholine receptors, helping to reduce the overstimulation of the nervous system and alleviate some of the symptoms of poisoning.
21. Which test results should a nurse review to determine if the antibiotic prescribed for the patient will be effective?
a. Serologic test
b. Sensitivity test
c. Serum osmolality
d. Sedimentation rate
Answer: b. Sensitivity test
Description:A Sensitivity test or culture and sensitivity test will determine the “sensitivity†of bacteria to antibiotics and also determine the ability of the antibiotics to kill the bacteria. The results obtained from this test can help to explore which drugs are more effective in treating the infection.
22. Which of the following statement is not correct about cephalosporins?
a. They are bacteriostatic
b. They are β lactam group of antibiotics
c. They have wider spectrum of activity than penicillin’s.
d. None of the above.
Answer: a. They are bacteriostatic
Description:Cephalosporins are bactericidal. They belongs to β lactam group of antibiotics and are having wider antibacterial spectrum than penicilliums.
23. Which of the following aminoglycoside antibiotic has the broader spectrum of antibacterial action?
a. Amikacin
b. Gentamicin
c. Neomycin
d. Streptomycin
Answer: a. Amikacin
Description:Amikacin has the broadest spectrum (coverage) against bacterial among aminoglycosides because it is resistant to aminoglycoside inactivation enzymes.
24. Which of the following tetracycline antibiotic dose not require dose reduction in patient with renal failure?
a. Doxycycline
b. Meclocyline
c. Tetracycline
d. Metacycline
Answer: a. Doxycycline
Description:Doxycycline primarily excreted in bile to feces. So renal failure does not lead to toxicity of doxycycline.
25. Metronidazole is effective antibacterial agent against all of the following; EXCEPT:
a. H. pylori eradication
b. Pseudomembranous colitis
c. Streptococcal pneumonia
d. Ulcerative gingivitis
Answer: c. Streptococcal pneumonia
Description:Metronidazole is an antimicrobial agent and is not active against streptococcal pneumonia. Beta-lactam antibiotic (e.g., Cephalosporins) is the drug of choice in this condition.
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