Attenuated vaccines are also known as:
- A. Killed vaccines
- B. Booster vaccines
- C. Inactivated vaccines
- D. Live vaccines
Correct Answer: D
Rationale: Attenuated vaccines are live, weakened forms, unlike killed/inactivated or booster-specific vaccines.
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A nurse is caring for a group of clients who are not protected against Varicella. The nurse should prepare to administer the Varicella vaccine at this time to which of the following clients?
- A. 24-year-old woman in the third trimester of pregnancy
- B. 12-year-old child who has a severe allergy to neomycin
- C. 2-month-old infant who has no health problems
- D. 32-year-old man who has essential hypertension
Correct Answer: D
Rationale: Varicella vaccine is safe for the 32-year-old ; it's contraindicated in pregnancy, neomycin allergy, and infants under 1 year.
Nicotine replacement therapy (NRT):
- A. Is widely distributed in the body only when the gum products are used
- B. Does not cross the placenta and so is safe for pregnant women
- C. Delays healing of esophagitis and peptic ulcers
- D. Has no drug interactions when a transdermal patch is used
Correct Answer: C
Rationale: NRT delays GI ulcer healing due to nicotine's effects on acid secretion.
The typical response to intravenous injection of 5-HT in an anaesthetised animal is:
- A. Rise in BP
- B. Fall in BP
- C. Rise followed by brief fall in BP
- D. Sharp fall, followed by brief rise, followed by prolonged fall in BP
Correct Answer: D
Rationale: IV 5-HT (serotonin) typically causes a triphasic BP response in anesthetized animals: an initial sharp fall (vasodilation), a brief rise (vasoconstriction), and a prolonged fall (Bezold-Jarisch reflex).
The nurse is caring for a patient scheduled for surgery this morning who is not to be given anything orally. The nurse reviews the medication administration record and finds the patient has an important medication due but it is supposed to be given orally. What is the nurse's best action?
- A. Give the medication with a small sip of water.
- B. Give the medication via a different route.
- C. Hold the medication and put a note on the front of the chart for the surgeon.
- D. Call the ordering health care provider and clarify administration
Correct Answer: D
Rationale: NPO status requires physician clarification to ensure safety and appropriateness of administration.
The following drugs can be used for treatment of diabetes except one:
- A. Insulines
- B. Biguanides
- C. alfa glucosidase inhibitors
- D. Glucagon
Correct Answer: D
Rationale: Glucagon increases blood glucose levels by promoting glycogenolysis and gluconeogenesis, making it unsuitable for diabetes treatment, unlike the others which lower glucose.