Nokea
Success rates for smoking cessation using NRT:
- A. Are about the same regardless of the method chosen
- B. Vary from 40% to 50% at 12 months
- C. Both 1 and 2
- D. Neither 1 nor 2
Correct Answer: A
Rationale: Success rates are similar across NRT methods (e.g., gum, patch), typically 20-25% at 12 months.
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When completing the check to ensure that the right drug is being administered to the client, which of the following should the nurse compare?
- A. Medication
- B. Container label
- C. Medication record
- D. All the above
Correct Answer: D
Rationale: The nurse compares the medication, container label, and medication record and then the MAR as the item is removed from the cart and before the actual administration of the drug.
The volume of distribution (Vd) for a drug highly bound in peripheral tissues would be?
- A. High
- B. Low
- C. Unchanged
- D. Cannot be determined
Correct Answer: A
Rationale: A drug highly bound in peripheral tissues has a high Vd, as it distributes extensively beyond plasma, often exceeding total body water (e.g., >0.6 L/kg).
Cecilia presents with depression associated with complaints of fatigue, sleeping all the time, and lack of motivation. An appropriate initial antidepressant for her would be:
- A. Fluoxetine (Prozac)
- B. Paroxetine (Paxil)
- C. Amitriptyline (Elavil)
- D. Duloxetine (Cymbalta)
Correct Answer: D
Rationale: Duloxetine addresses both depression and fatigue, unlike sedating options.
Methylnaltrexone is used to treat constipation in:
- A. Patients with functional constipation
- B. Patients with irritable bowel syndrome-associated constipation
- C. Children with encopresis
- D. Opioid-associated constipation
Correct Answer: D
Rationale: Methylnaltrexone specifically reverses opioid-induced constipation; it's not for functional , IBS , or pediatric use.
Which of the following stimulated production of thyroid hormones:
- A. Thyrotropic hormone
- B. Corticosteroids
- C. Dopamine
- D. Somatostatine
Correct Answer: A
Rationale: Thyrotropic hormone (TSH) stimulates the thyroid to produce T3 and T4.