Nokea
The nurse is aware that African-Americans are at higher risk than Caucasians for which of the following conditions? Select all that apply.
- A. Hypertension.
- B. Diabetes mellitus.
- C. Asthma.
- D. Skin cancer.
- E. Osteoporosis.
Correct Answer: A,B
Rationale: African-Americans have a higher risk for hypertension (A) and diabetes mellitus (B) compared to Caucasians due to genetic and socioeconomic factors. Asthma (C) risk is similar across groups, while skin cancer (D) and osteoporosis (E) are less prevalent in African-Americans.
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A client with schizophrenia is receiving depot injections of Haldol Deconate (haloperidol decanoate). The client should be told to return for his next injection in:
- A. 1 week
- B. 2 weeks
- C. 4 weeks
- D. 6 weeks
Correct Answer: C
Rationale: Haldol Decanoate is a long-acting depot injection typically administered every 4 weeks for maintenance therapy in schizophrenia.
The nurse is performing fluid resuscitation on a burn client. Which piece of assessment data is the best indicator that it is effective?
- A. Respirations 24, unlabored
- B. Urine output of 30 mL/hr
- C. Capillary refill <4 seconds
- D. Apical pulse of 110/min
Correct Answer: B
Rationale: Urine output of 30-50 mL/hr is the best indicator of adequate fluid resuscitation in burn clients, reflecting sufficient renal perfusion and fluid balance.
A client with chronic kidney disease (CKD) is being evaluated by the transplant team. The client's glomerular filtration rate (GFR) is 14 mL/min. This places the client in which stage of CKD?
- A. stage 1
- B. stage 5
- C. stage 4
- D. stage 2
Correct Answer: B
Rationale: GFR <15 mL/min indicates stage 5 CKD (end-stage renal disease), often requiring dialysis or transplant.
A patient is rushed to the emergency room after being found unconscious at home. His blood pressure is 70/35. The nurse anticipates an order for what medication?
- A. atropine sulfate (Atropine)
- B. amiodarone (Cordarone)
- C. magnesium sulfate
- D. adenosine (Adenoscan)
- E. None
- F. All the above
Correct Answer: E
Rationale: For severe hypotension (BP 70/35), vasopressors like norepinephrine or dopamine are typically ordered to restore perfusion, but none of the listed options are vasopressors. The question may be flawed.
A client with a diagnosis of HPV is at risk for which of the following?
- A. Hodgkin's lymphoma
- B. Cervical cancer
- C. Multiple myeloma
- D. Ovarian cancer
Correct Answer: B
Rationale: Human papillomavirus (HPV) is a major risk factor for cervical cancer, particularly high-risk strains like HPV-16 and HPV-18.