Extract:

Question 1 of 5

A client with a history of type 2 diabetes is prescribed glipizide (Glucotrol). The nurse should instruct the client to:

Correct Answer: A, B

Rationale: Glipizide should be taken 30 minutes before meals to optimize glucose control, and alcohol should be avoided to prevent hypoglycemia.

Question 2 of 5

Which is most closely aligned with ethics?

A. Morals B. Laws C. Statutes D. Client rights

Correct Answer: A

Rationale: Ethics is most closely aligned with morals , as both involve principles of right and wrong that guide behavior, whereas laws and statutes are legal frameworks, and client rights are specific entitlements.

Question 3 of 5

A client with acute myocardial infarction receives therapy with alteplase. Which finding indicates to the nurse that the client is experiencing a possible complication?

A. Epistaxis B. Vomiting C. ECG changes D. Absent pedal pulses

Correct Answer: A

Rationale: Bleeding is an adverse effect of altepase therapy. The bleeding can be superficial or internal and can be spontaneous. None of the remaining options are side or adverse effects of altepase therapy.

Question 4 of 5

Based on the fact that you family unit client is experiencing a situational crisis that has led to dysfunctional communication within the family unit, you have recommended that the entire nuclear family and members of the extended family who live in the family's home begin family therapy. The grandparents tell you that it is their grandson, rather than their son, who is addicted to prescription painkillers, is the cause of the problem; therefore, they do not have to participate in this group therapy. How should you respond to these grandparents?

A. You should try to come to a few sessions at least because they may be very informative to you'. B. You are probably correct. This really is not your problem'. C. Despite the fact that it is your grandson's drug addiction, situations such as this affect all members of the family including grandparents who live in the home.' D. You should attend because the doctor has ordered family therapy for you as extended family members'.

Correct Answer: C

Rationale: Addiction affects the entire family system, including extended family members living in the home. Their participation in therapy can help address dysfunctional communication and support the family unit as a whole.

Question 5 of 5

Which of the following is considered an internal disaster?

A. A tornado that has touched down on the healthcare facility B. A severe cyclone that has destroyed nearby homes C. A massive train accident that brings victims to your facility D. An act of bioterrorism in a nearby factory

Correct Answer: A

Rationale: An internal disaster is an event within the healthcare facility, such as a tornado directly affecting it, requiring internal emergency protocols.