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NEW QUESTION NO: 6
A nurse is caring for a retired MD. The MD asks the question, "What type of cells create exocrine secretions?" The correct answer is:
A. alpha cells
B. beta cells
C. acinar cells
D. plasma cells
Answer: C
Explanation/Reference:
Explanation:
Acinar cells create exocrine secretions.

NEW QUESTION NO: 7
Some drugs are excreted into bile and delivered to the intestines. Prior to elimination from the body, the drug might be absorbed. This process is known as:
A. hepatic clearance.
B. total clearance.
C. enterohepatic cycling.
D. first-pass effect.
Answer: C
Explanation/Reference:
Explanation:
Drugs and drug metabolites with molecular weights higher than 300 can be excreted via the bile, stored in the gallbladder, delivered to the intestines by the bile duct, and then reabsorbed into the circulation. This process reduces the elimination of drugs and prolongs their half-life and duration of action in the body.
Choice 1 is the amount of drug eliminated by the liver. Choice 2 is the sum of all types of clearance including renal, hepatic, and respiratory. Choice 4 is the amount of drug absorbed from the GI tract, then metabolized by the liver (reducing the amount of drug that makes it into circulation). Pharmacological Therapies

NEW QUESTION NO: 8
Assessment of the client with an arteriovenous fistula for hemodialysis should include:
A. inspection for visible pulsation.
B. palpation of thrill.
C. percussion for dullness.
D. auscultation of blood pressure.
Answer: B
Explanation/Reference:
Explanation:
Thrill should be present. The client should be taught to check this daily at home. Pulsation is not typically visible. Percussion gives no information about the patency of a fistula. Blood pressure is not auscultated in a limb with an AVF. Auscultation of the AVF, for a bruit, is part of an assessment for patency. Physiological Adaptation

NEW QUESTION NO: 9
The only time that an individual may receive medical care without giving informed consent is:
A. when the durable power of attorney for health care is not available.
B. in an emergency, life-or-death situation.
C. when the physician is not available for discussion with the client.
D. when they (clients) are not able to speak for themselves.
Answer: B
Explanation/Reference:
Explanation:
Treatment may be given without consent in a life-threatening situation. Choices 1, 3, and 4 are incorrect.
All attempts to notify a durable power of attorney for health care should be made. If unavailable, the physician assumes responsibility for treatment within facility protocol. The physician is obligated to have a discussion with the client in all non-life-threatening situations. If clients are not able to speak for themselves, their power of attorney for health care or responsible party is involved in the consent process.
Coordinated Care

NEW QUESTION NO: 10
A chemical reaction between drugs prior to their administration or absorption is known as:
A. a drug incompatibility.
B. a side effect.
C. an adverse event.
D. an allergic response.
Answer: A
Explanation/Reference:
Explanation:
This occurs most often when drug solutions are combined before they are given intravenously but can occur with orally administered drugs as well. Choices 2, 3, and 4 are incorrect because drugs can cause these events after administration and absorption. Pharmacological Therapies

NEW QUESTION NO: 11
Which of the following is one of the main goals for Healthy People 2010?
A. reduction of health care costs
B. elimination of health disparities
C. investigation of substance abuse
D. determination of an acceptable morbidity rate
Answer: B
Explanation/Reference:
Explanation:
Healthy People 2010 has as its main goal elimination of health disparities among the U.S.
population.Healthy People 2010 is a set of health objectives for the nation to achieve over the first decade of the twenty-first century and was developed by the Surgeon General's office. Earlier editions of this report,Healthy People and Healthy People 2000: National Health Promotion and Disease Prevention Objectives established national health objectives and served as the basis for the development of state and community plans. Health Promotion and Maintenance

NEW QUESTION NO: 12
How many temporary teeth should the nurse expect to find in a 5-year-old client's mouth?
A. up to 10
B. up to 15
C. up to 20
D. up to 32
Answer: C
Explanation/Reference:
Explanation:
A child can have up to 20 temporary (deciduous or baby) teeth. The first tooth usually erupts by age 6 months and the last by age 30 months. All temporary teeth usually are shed between 6 and 13 years of age. Preventionand Early Detection of Disease

NEW QUESTION NO: 13
An advance directive is written and notarized according to law in the state of Colorado. This document is legal and binding:
A. internationally.
B. in the state of Colorado only.
C. in the continental United States.
D. in the county of origination only.
Answer: B
Explanation/Reference:
Explanation:
Choices 1, 3, and 4 are incorrect. Advance directive protocols and documents are defined by each state.
Coordinated Care

NEW QUESTION NO: 14
A high school nurse observes a 14 year-old female rubbing her scalp excessively in the gym. The most appropriate course of action for the nurse to do is:
A. Request a private evaluation of the female's scalp from her parents.
B. Contact the female's parents about the observations.
C. Observe the hairline and scalp for possible signs of lice.
D. Contact the student's physician.
Answer: C
Explanation/Reference:
Explanation:
Observation of the student's hair is the next step.

NEW QUESTION NO: 15
A client with massive chest and head injuries is admitted to the ICU from the Emergency Department. All of the following are true except:
A. B.the physician in charge of the case is the only person allowed to decide whether organ donation can occur.
B. C.the client's legally responsible party may make the decision for organ donation for the donor if the client is unable to do so.
C. D.the organ procurement organization makes the decision regarding which organs to harvest.
Answer: C
Explanation/Reference:
Explanation:
The client's legally responsible party may make the decision for organ donation if the client is unable to do so. The donor (or legally responsible party for the donor), the physician, and the organ-procurement organization are all involved in the process regarding whether organ donation is appropriate for a specific donor. Coordinated Care

NEW QUESTION NO: 16
In teaching clients with Buck's Traction, the major areas of importance should be:
A. nutrition, ROM exercises.
B. ROM exercises, transportation.
C. nutrition, elimination, comfort, safety.
D. elimination, safety, isotonic exercises.
Answer: C
Explanation/Reference:
Explanation:
Nutrition, elimination, comfort, and safety are the major areas of importance. The diet should be high in protein with adequate fluids. Basic Care and Comfort