Nokea
Which immunization reduces a patient’s risk for infection with the virus that causes painful localized blistering rash?
- A. Smallpox vaccine
- B. Varicella vaccine (chicken pox)
- C. Shingles (herpes zoster) vaccine
- D. Meningococcal vaccine
Correct Answer: C
Rationale: Shingles vaccine reduces the risk of herpes zoster, which causes painful rash.
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What specific part of the eye is primarily examined using an ophthalmoscope?
- A. Cornea
- B. Lens
- C. Retina
- D. Iris
Correct Answer: C
Rationale: An ophthalmoscope is used to examine the retina, which includes the optic disc and blood vessels.
Which of the following is true about tolterodine?
- A. It should be avoided in men with prostatic hypertrophy.
- B. It increases the risk of constipation compared with oral oxybutynin.
- C. It acts by ablating detrusor spasms.
- D. It has greater risk of adverse effects with its twice-daily formulation.
Correct Answer: C
Rationale: Tolterodine is an anticholinergic that reduces detrusor spasms to alleviate symptoms of overactive bladder.
Mr. B is an 82-year-old enrolled in your primary care clinic panel. His wife is his primary caregiver and feels stressed and overwhelmed. What option would be appropriate for Mr. B except:
- A. Adult day program
- B. Assisted living
- C. Skilled nursing facility
- D. In-home paid care provider
Correct Answer: C
Rationale: Skilled nursing facilities are typically for patients who require higher levels of medical care, which may not be needed for Mr. B.
Which of the following is the most appropriate treatment for trichomoniasis in a non-pregnant woman?
- A. Metronidazole (Flagyl)
- B. Doxycycline (Vibramycin)
- C. Clindamycin (Cleocin)
- D. Clotrimazole (Lotrimin)
Correct Answer: A
Rationale: Metronidazole is the first-line treatment for trichomoniasis.
Lenore White is an 80-year-old woman who smokes two packs of cigarettes per day. What two ethical principles are in conflict?
- A. Beneficence and community
- B. Nonmaleficence and justice
- C. Autonomy and justice
- D. Autonomy and nonmaleficence
Correct Answer: D
Rationale: The nurse faces a dilemma between respecting autonomy (the patient’s choice to smoke) and preventing harm (nonmaleficence).