Nokea
Which of the following combinations of drugs should be used in the treatment of a patient with organophosphate poisoning?
- A. Atropine and epinephrine
- B. Epinephrine and isoproterenol
- C. Norepinephrine and propranolol
- D. Atropine and pralidoxime
Correct Answer: D
Rationale: Atropine blocks muscarinic effects, and pralidoxime regenerates cholinesterase.
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A nurse in a provider's office is reviewing the medical record of a client who is pregnant and is at her first prenatal visit. Which of the following immunizations may the nurse administer safely to this client?
- A. Varicella vaccine
- B. Rubella vaccine
- C. Inactivated influenza vaccine
- D. Measles vaccine
Correct Answer: C
Rationale: Inactivated influenza vaccine is safe in pregnancy; live vaccines (A, B, D) are contraindicated.
Not an antidepressant
- A. Amitryptilline
- B. Fluoxetin
- C. Trazodone
- D. Pimozide
Correct Answer: D
Rationale: Pimozide is an antipsychotic, not an antidepressant.
Which of the following is a representative of sulfonylurea?
- A. Merformin
- B. Glibenclamide
- C. Acarbose
- D. Liraglutide
Correct Answer: B
Rationale: Glibenclamide is a sulfonylurea that stimulates insulin release from beta cells.
The Centers for Disease Control recommends all newborn infants receive prophylactic administration of ____ within 1 hour of birth.
- A. Gentamicin ophthalmic ointment
- B. Ciprofloxacin ophthalmic drops
- C. Erythromycin oral suspension
- D. Erythromycin ophthalmic ointment
Correct Answer: D
Rationale: Erythromycin ointment prevents neonatal conjunctivitis per CDC; oral isn't used.
You are to infuse 1,200 mL of IV fluid over 6 hours using a drop factor of 10 gtt/mL. What is the flow rate in drops per minute?
- A. 30 gtt/min
- B. 33 gtt/min
- C. 40 gtt/min
- D. 50 gtt/min
Correct Answer: B
Rationale: Flow rate = (1,200 mL 10 gtt/mL) ÷ (6 60) = 12,000 ÷ 360 = 33.33 gtt/min, rounded to 33 gtt/min.