Chapters 24 & 25

According to the National Institutes of Health, what percentage of the U.S. population suffers from diabetes?

A) 5%
B) 8%
C) 10%
D) 7%

D

When blood calcium levels are high, the thyroid gland releases ___________, which causes the reabsorption of calcium by the bones.

A) Parathyroid hormone (PTH)
B) Calcitonin
C) Thyrotropin-releasing hormone (TRH)
D) Thyroxine (T4)

B

Which hormones are released from the posterior pituitary gland?

A) Antidiuretic hormone (ADH) and oxytocin
B) Follicle-stimulating hormone (FSH) and oxytocin
C) Growth hormone (GH) and luteinizing hormone (LH)
D) Antidiuretic hormone (ADH) and prolactin

A

Thyroid storm is a form of thyrotoxicosis and is a true medical emergency. Patients with this condition commonly exhibit the following signs and symptoms:

A) Bradycardia, hypotension, hypothermia, palpitations, and delirium
B) Tachypnea, tachycardia, hyperthermia, palpitations, and delirium
C) Tachycardia, delirium, hypothermia, palpitations, and delirium
D) Tachycardia, hypothermia, palpitations, and delirium

B

Signs and symptoms of hypoglycemia may include:

A) Bradycardia
B) Combative behavior
C) Flaccidity
D) Warm, moist skin

B

When blood calcium levels are low, the hormone ___________ causes the bones to release calcium into the blood and the kidneys to reabsorb calcium.

A) Calcitonin
B) Parathyroid hormone (PTH)
C) Thyroxine (T4)
D) Thyrotropin-releasing hormone (TRH)

B

Which of the following pituitary hormones plays a major role in the reabsorption of water into the bloodstream and the absence of this hormone can cause the development of diabetes insipidus?

A) Antidiuretic hormone (ADH)
B) Follicle-stimulating hormone (FSH)
C) Oxytocin
D) Luteinizing hormone (LH)

A

Patients who suffer from chronic alcoholism or liver problems can also suffer from what vitamin deficiency?

A) Vitamin B6 (pyridoxine)
B) Vitamin B3 (niacin)
C) Vitamin B2 (riboflavin)
D) Vitamin B1 (thiamine)

D

Which of the following conditions is present because of the decreased production of corticosteroids?

A) Addison’s disease
B) Graves’ disease
C) Kerning’s syndrome
D) Cushing’s syndrome

A

A hormone that acts to raise blood glucose levels is:

A) Parathyroid hormone
B) Testosterone
C) Glucagon
D) Aldosterone

C

Vitamin K deficiency can lead to problems with:

A) Calcium and phosphorus absorption
B) Metabolism of sugar
C) Blood clot formation
D) Memory and cognitive processes

C

Over time, the body may not make enough insulin or may become resistant to insulin. The patient may be diagnosed with what condition?

A) Gestational diabetes
B) Type 2 diabetes
C) Juvenile-onset diabetes
D) Type 1 diabetes

B

You are called to treat a patient with a known history of diabetes and alcoholism. The patient’s friend reports that the patient did not eat all day while they were attending a tailgate party. The patient ingested mixed drinks. He is currently unresponsive. You note that he has an insulin pump in place. Before administering dextrose, you should consider administering:

A) Insulin
B) Thiamine
C) Glucagon
D) Flumazenil

B

The primary function of insulin is to:

A) Decrease glucose metabolism
B) Eliminate pancreatic glycogen stores
C) Increase blood glucose concentration
D) Aid in the movement of glucose into the cells

D

Your patient is an approximately 60-year-old male who presents at a local shopping mall unresponsive. Initial assessment findings are as follows: “Pt is unresponsive, has a weak rapid radial pulse, seems confused, pale, cool and clammy skin.” A rapid medical assessment reveals a medical alert bracelet with insulin-dependent diabetic on it. Based on your initial assessment, what is the most likely cause of the patient’s condition?

A) Hyperosmolar hyperglycemic nonketotic coma (HHNK)
B) Hypoglycemia
C) Hyperglycemia
D) Diabetic ketoacidosis (DKA)

B

If needed (as in the absence of insulin), fatty acids in the liver can be metabolized and used for energy. The eventual breakdown products of fatty acids in the liver are known as:

A) Ketone bodies
B) Glycoleins
C) Amino acids
D) Pyruvic acids

A

The signs and symptoms of adrenal insufficiency (Addison’s disease) include the following:

A) Pale dry skin, weakness, weight gain, nausea and vomiting, dehydration, and electrolyte abnormalities
B) Darkening of the skin, anorexia, hypoglycemia, salt craving, nausea and vomiting
C) Darkening of the skin, coma, salt craving, hypotension, and electrolyte abnormalities
D) Darkening of the skin, hyperglycemia, nausea and vomiting, and electrolyte abnormalities

B

When stimulated by the thyroid-stimulating hormone (TSH), the thyroid releases two main hormones, thyroxine (T4) and triiodothyronine (T3). The function of these hormones is to:

A) Raise blood calcium levels
B) Increase metabolism
C) Lower blood calcium levels
D) Decrease metabolism

B

In a patient with diabetes, DKA is likely to result from:

A) Increasing the dose of oral hypoglycemic
B) Overdosing on insulin
C) Lack of insulin in the body
D) Undereating

C

A patient with a severe state of hypothyroidism known as myxedema coma exhibits the following signs and symptoms:

A) Hypoglycemia, hypotension, and coma
B) Hyperthermia, hyperglycemia, hypertension, tachypnea, and coma
C) Hypothermia, hypoglycemia, hypotension, respiratory depression, and coma
D) Coma, hypertension, hyperglycemia, and respiratory depression

C

Glucagon is effective in treating hypoglycemia because it stimulates the:

A) Breakdown of liver glycogen
B) Excretion of ketones
C) Transport of glucose into the cells
D) Production of insulin

A

In rickets, there is a bow-out of the long bones of the lower extremities as a result of the body’s inability to absorb calcium and phosphorus in the gut. The treatment for rickets is the administration of supplemental:

A) Vitamin A
B) Vitamin C
C) Vitamin D
D) Vitamin B1

C

The human body regulates itself by communicating at the cellular level through the nervous and endocrine systems. The ____________ serves as the command and control center and as a link between the two systems.

A) Thalamus
B) Thyroid gland
C) Pituitary gland
D) Hypothalamus

D

When glucose levels are high in the body, insulin causes the excess glucose to be converted into glycogen. When glucose levels are low, the hormone glucagon causes the conversion of glycogen back to glucose. This process is known as:

A) Krebs cycle reaction
B) Gluconeogenesis
C) Glycogenolysis
D) Glucogenesis

C

Compared to an endocrine gland, an exocrine gland:

A) Is located near the exterior of the body
B) Works with chemicals aimed at maintaining the less vital functions of life
C) Excretes neurotransmitters, not hormones
D) Secretes chemicals through a duct to the target tissue

D

Glucose not needed for immediate energy is stored in the _____ as _____.

A) Liver; glycogen
B) Pancreas; sugar
C) Liver; glucagon
D) Pancreas; glycogen

A

Cushing’s syndrome is a disorder caused by the overproduction of corticosteroids. Two of the most common findings are:

A) Thin, elongated face and accumulation of fat above the clavicles known as a “buffalo hump”
B) Round “moon face” and accumulation of fat above the clavicles known as a “buffalo hump”
C) Thin, elongated face and doughy, dry skin
D) Round “moon face” and doughy, dry skin

B

A woman in her 40s who reports swelling of her nose and lips may have:

A) Addison’s disease
B) Hyperthyroidism
C) Myxedema
D) Cretinism

C

You observe a patient with a very round face, thick trunk, and extremely thin arms and legs. He tells you he has an adrenal gland disorder. You suspect:

A) Myxedema
B) Adrenal tumor
C) Cushing’s syndrome
D) HHNK

C

Graves’ disease is an autoimmune thyroid disease that results in hyperthyroidism. It affects the ocular muscles, causing protrusion of the eyes. This is known as:

A) Exoptmia
B) Hemanoptima
C) Exophthalmia
D) Bitemporal hemanopita

C

Type 1 diabetes is usually diagnosed early in life with the development of __________, a sentinel event that shows that the pancreas is no longer producing insulin.

A) Hypoglycemia
B) Diabetic ketoacidosis (DKA)
C) Hyperosmolar hyperglycemic nonketotic coma (HHNK)
D) Type 2 diabetes

B

The medical term for increased thirst is:

A) Polydipsia
B) Polyglossa
C) Polyhedra
D) Polystomata

A

What gland acts as a thermostat for most of the body’s hormone-producing glands?

A) Adrenal
B) Thyroid
C) Pituitary
D) Hypothalamus

D

Acini are glands that produce:

A) Enzyme-rich fluid
B) Steroids
C) Insulin
D) Glucagon

A

The type of diabetes that causes the body to destroy its own insulin-producing cells is:

A) Specific types
B) Gestational
C) Type 1
D) Type 2

C

Addison’s disease is potentially life threatening because it causes a deficiency in:

A) Epinephrine and norepinephrine
B) Acetylcholine and dopamine
C) Cortisol and aldosterone
D) Insulin and glucagon

C

Glucagon should be considered when:

A) You suspect DKA
B) The patient is known to have liver disease
C) An IV line cannot be established
D) Blood glucose levels are below 100 mg/dL

C

Compared to patients with DKA, patients with hyperosmolar hyperglycemic nonketotic coma (HHNC) often have:

A) Decreased insulin secretion
B) An odor similar to that of alcohol on his or her breath
C) Type 1 diabetes
D) Higher blood sugar levels

D

You are called to treat a 13-year-old girl with a history of diabetes. Her mother said she began acting strange and then lapsed into unconsciousness. You treat her by administering:

A) Thiamine
B) Dextrose
C) Large boluses of normal saline
D) Insulin

B

A major effect of glucagon is to:

A) Stimulate glycogenolysis
B) Decrease blood glucose levels
C) Decrease the rate of gluconeogenesis
D) Increase liver glycogen levels

A

The reason hypoglycemic patients have rapid changes in their levels of consciousness is that:

A) Glucose blocks the transport of insulin
B) Insulin blocks the transport of oxygen
C) The brain metabolizes insulin too rapidly
D) The brain is dependent on and sensitive to glucose concentration

D

Your patient reports developing symptoms over a 3-day period, which is consistent with:

A) Hypoglycemia
B) Myxedema
C) DKA
D) HHNK

C

Although rare in the United States compared with developing countries, ____________, a form of malnutrition caused by a lack of protein calories compared to total calories, is seen more commonly in elderly patients in nursing home settings.

A) Kwashiorkor
B) Béarnaise
C) Korsakoff’s
D) Marasmus

A

Type 1 diabetes differs from type 2 diabetes in what ways?

A) Patients with type 1 diabetes usually take oral glucose control medications, and patients with type 2 diabetes take insulin only to control their blood sugar.
B) Type 1 and type 2 diabetes are treated best with insulin and can strike at any time in life.
C) Patients with type 1 diabetes take only insulin and have an onset of the disease late in life, whereas patients with type 2 diabetes take only oral medications to combat insulin resistance and have an onset early in life.
D) Patients with type 1 diabetes usually take insulin and have an onset of the disease early in life, whereas patients with type 2 diabetes usually take oral medications to combat insulin resistance and have an onset later in life.

D

Endocrine glands secrete their hormones into the:

A) Effector organs
B) Bloodstream
C) Lymphatic system
D) Target tissues

B

The following patient is being assessed in the field for altered mental status. What assessment findings are most consistent with diabetic ketoacidosis?

A) “Red hot skin, wet mucous membranes, weak tachycardic pulses, hypotension, shallow rapid respirations, and family members report that the patient spoke of a loss of appetite for several days before calling 9-1-1”
B) “Dry doughy-looking skin that is cool to the touch, unresponsiveness, bradycardic pulse, normal blood pressure and slow shallow respirations, and family members report that the patient spoke of increasing intolerance to cold”
C) “Dry skin, altered mental status, dry mucous membranes, hypotension, shallow rapid respirations, and family members report that the patient spoke of increased thirst and frequent urination for several days before calling 9-1-1”
D) “Cool moist skin, altered mental st
satus, wet mucous membranes, normal pulses and blood pressure, with shallow respirations, and family members report increasing hunger and then nausea in the patient before calling 9-1-1”

C

Primary adrenal insufficiency is the inability of the adrenal cortex to produce aldosterone, cortisol, or both and is also known as:

A) Graves’ disease
B) Cushing’s syndrome
C) Addison’s disease
D) Newman’s disease

C

In patients with pituitary tumors that cause the secretion of excessive amounts of growth hormone, what physical characteristic is most often seen?

A) Exophthalmia
B) Gigantism
C) Dwarfism
D) Marfan syndrome

B

The signs and symptoms of Wernicke’s encephalopathy include ataxia, nystagmus, eye muscle weakness, and mental derangement. The treatment for Wernicke’s encephalopathy includes oxygen, IV access, and:

A) Thiamine 25 mg IM and 25 g of 50% dextrose
B) Thiamine 100 mg IM and glucagon 1 mg IM
C) Thiamine 200 mg IM
D) Thiamine 100 mg IM/IV and 25 g of 50% dextrose

D

Marasmus is malnutrition from an overall lack of calories. A characteristic finding of marasmus is:

A) Hypomagnesemia
B) Distended abdomen and edema
C) Loss of subcutaneous fat at the buttocks and thighs
D) Hypoalbuminemia

C

When testing a patient’s blood glucose level, you obtain a reading of 120 mg/dL. This reading is:

A) The high end of normal
B) Extremely elevated
C) Normal
D) Abnormally low

A

The medical term for increased urination is:

A) Polynephrosis
B) Polyuria
C) Polyhidrosis
D) Polyhydruria

B

Type 1 diabetes results from:

A) A resistance to insulin at the cells on which it acts, or a decrease in insulin production
B) A lack of insulin production from autoimmune destruction of the alpha cells of the pancreas
C) A lack of insulin production from infectious destruction of the alpha cells of the pancreas
D) A lack of insulin production from autoimmune destruction of the beta cells of the pancreas

D

Diabetes is caused primarily by a disorder of the:

A) Pancreas
B) Stomach
C) Gallbladder
D) Liver

A

Type 1 diabetes is caused by:

A) The liver’s inability to break down glucose
B) Excessive production of glucagon
C) Inadequate production of insulin
D) Inappropriate carbohydrate metabolism

C

Your patient is a 31-year-old male, and you have made a field diagnosis of diabetic ketoacidosis (DKA). Your assessment discloses the following: your patient has an unresponsive pulse of 128 beats/min, thready and deep respirations of 34 breaths/min, blood pressure of 106/54 mm Hg, dry mucous membranes, ECG sinus tachycardia with a wide QRS. Your treatment should include:

A) Start an IV of normal saline, administer fluid bolus, and transport
B) Start an IV of D5W, administer a 500-mL bolus, and transport
C) Start an IV of Ringer’s lactate, administer a 500-mL bolus, give 1 mEq/kg of sodium bicarbonate, and transport
D) Start an IV of normal saline, administer fluid bolus, administer 25 g of D50, and transport

A

Fat-soluble vitamins (vitamins A, D, E, and K) are not required on a daily basis because they are stored in the:

A) Bones
B) Pancreas
C) Intestines
D) Liver

D

Patients suffering from kwashiorkor present with a distended abdomen, generalized edema, and hypotension as a result of:

A) Hypoalbuminemia
B) Hypermagnesemia
C) Hyperalbuminemia
D) Hypomagnesemia

A

The end product of glycogenolysis is:

A) Glycogen
B) Pyruvic acid
C) Glucose
D) Insulin

C

You are called to assess a patient with respiratory distress. Your patient is a 27-year-old female at a local community college classroom with altered mental status and deep, rapid respirations. Witnesses state that she seemed confused when class started, and then she became unresponsive and collapsed on the floor. A rapid medical assessment shows the presence of a strong radial pulse and deep, rapid respirations at a rate of 28 breaths/min. Also, an insulin pump is attached to the patient’s abdomen with an error message on the display screen. On the initial assessment, you find no trauma or abnormalities. Based on your initial assessment findings, what is the most likely cause of this patient’s condition?

A) Diabetic ketoacidosis (DKA)
B) Insulin shock
C) Hyperosmolar hyperglycemic nonketotic coma (HHNK)
D) Hypoglycemia

A

Signs and symptoms of vitamin B1 (thiamine) deficiency include:

A) Numbness and tingling in the upper extremities, loss of deep tendon reflexes, and footdrop
B) Burning and tingling in the lower extremities, loss of ankle jerk reflex, and footdrop
C) Burning and tingling in the upper extremities and loss of deep tendon reflexes
D) Progressive weakness beginning in the upper extremities and progressing to the lower extremities

B

Which of the following cell types release insulin?

A) Alpha cells
B) Gamma cells
C) Delta cells
D) Beta cells

D

Administration of dextrose 50% can precipitate neurologic complications in:

A) Patients with type 1 diabetes
B) Unresponsive patients
C) Alcoholic patients
D) Teenage patients

C

Signs and symptoms of diabetic ketoacidosis include:

A) Warm, moist skin and hypertension
B) Cool, moist skin and Kussmaul respirations
C) Warm, dry skin and Kussmaul respirations
D) Cool, dry skin and hypertension

C

You would suspect hypoglycemia in a patient with diabetes who:

A) Missed a dose of oral hypoglycemic agents
B) Injected too little insulin
C) Is a chronic alcoholic
D) Has hyperthermia

C

The patient is suffering an anaphylactic reaction. The paramedic administered 2 Sub-Q injections of epinephrine and 1 dose of diphenhydramine by IV push. The patient is now being transported and is still dyspneic with mild bilateral wheezes. The patient’s vital signs are as follows: P, 120 beats/min; R, 22 breaths/min; BP, 118/70 mm Hg; and pulse oximetry, 93%. What intervention should be done next?

A) Administer an albuterol treatment.
B) Intubate the patient.
C) Administer another dose of diphenhydramine.
D) Repeat an ongoing assessment.

B

What type of immune response triggers mast cells?

A) Cell-mediated immunity
B) Natural immunity
C) Humoral immunity
D) Cytokine response immunity

C

If a patient is having an anaphylactic reaction because of an insect, what order of insect is most likely to be responsible for the reaction?

A) Diplopoda
B) Arachnida
C) Hymenoptera
D) Mollusca

C

What is the most common medication that can lead to anaphylaxis?

A) Penicillin
B) Aspirin
C) Diphenhydramine
D) Lopressor

A

Of the following signs and symptoms, what is the clear indication a patient is having an anaphylactic reaction?

A) Dyspnea
B) Hives
C) Urticaria
D) Diaphoresis

A

When penicillin is prescribed, how many reactions per 10,000 treatments can occur?

A) 10 to 12
B) 15 to 25
C) 6 to 10
D) 1 to 5

D

Your patient is a 26-year-old male. During the history taking, the patient reveals that he is HIV positive. Which immune response will the HIV virus adversely affect?

A) Innate
B) Naturally acquired
C) Humoral
D) Cell-mediated

D

Of the various types of immunity, which one is considered nonspecific?

A) Acquired
B) Humoral
C) Hypersensitivity
D) Natural

D

Your patient is a 23-year-old male who is unresponsive. He is breathing and has a strong radial pulse. The mother is with the patient. She is upset and crying. She seems vague about the history for the patient. According to the medications the patient takes, you suspect he has AIDS. Which of the following would be your best response to the mother?

A) “I understand you are scared, but we really need to know a little more about what diseases he has so we can give him the best care.”
B) “If you want us to transport him, you better tell us what is wrong with him.”
C) “He has AIDS. There isn’t anything we can do for him.”
D) “Looks like he is in the last stages of AIDS. I am not sure there is anything we can do for him.”

A

What specific types of cells are responsible for producing antibodies in response to an antigen?

A) Granulocytes
B) B lymphocytes
C) Mast cells
D) T lymphocytes

B

Your patient is a 19-year-old female. She is complaining of urticaria and itching on bilateral upper extremities, across her chest, and on her neck. She states that, to her knowledge, she is not allergic to anything. She states that she started taking an antibiotic the previous morning for a urinary tract infection. She took her medicine this morning as prescribed. What would you consider as the field diagnosis?

A) Measles
B) Allergic reaction to the medication
C) Anaphylactic reaction to the medication
D) Poison ivy

B

Your patient is a 31-year-old male who is experiencing dyspnea, nausea, and angioedema that started 5 minutes after being stung by a yellow jacket. What chemical in his system was released that is directly responsible for these symptoms?

A) Leukotrienes
B) Epinephrine
C) Histamine
D) Diphenhydramine

C

Approximately how many deaths annually can be attributed to anaphylaxis?

A) 1000
B) 1500
C) 100
D) 500

B

During an anaphylactic reaction, what chemical is released that causes vasodilation resulting in hypotension?

A) Epinephrine
B) Heparin
C) Histamine
D) Dopamine

C

Bacteria have entered the system through the bloodstream. When the bacteria travel to the liver, what cells will attack them?

A) Osteoclasts
B) Microglia
C) Neutrophils
D) Kupffer cells

D

When histamine is released during immediate hypersensitivity, what property does it have that causes anaphylaxis?

A) Bronchoconstriction
B) Vasoconstriction
C) Diaphoresis
D) Gastrointestinal cramping

A

In the acute inflammatory response, which cells are the most numerous?

A) Monocytes
B) Neutrophils
C) Eosinophils
D) Basophils

B

The patient is a 21-year-old female who was stung by a bee while jogging. The stinger is still embedded in the skin and is visible. The patient has urticaria with itching all over. Her vital signs are stable, and she has no other symptoms. At this point in the treatment plan, what is the next step?

A) Remove the stinger.
B) Give epinephrine.
C) Administer an albuterol treatment.
D) Administer diphenhydramine.

A

In checking the medication list for a patient who will be transported for a routine visit to the physician’s office, you notice that the patient takes penicillin G. What type of infection should you suspect?

A) Virus
B) Fungus
C) Gram-positive bacteria
D) Gram-negative bacteria

C

A paramedic and her EMT partner are called to a local park to treat a 22-year-old female who was jogging in the park. She is complaining of a bee sting just above the ankle. Assessment shows localized swelling and redness. What problem is she most likely experiencing?

A) Anaphylactic reaction
B) Anaphylactoid reaction
C) Sprain to the ankle
D) Allergic reaction

D

What is considered the most serious manifestation of immediate hypersensitivity?

A) Anaphylaxis
B) Allergic reaction
C) Syncopal episode
D) Immune response

A

A child took penicillin for a bacterial infection. Approximately 6 months later, the child was given another prescription for penicillin because the infection returned. This time the child began itching and developed urticaria immediately after taking the first dose. What antibodies were produced that detected the reappearance of this drug?

A) IgE
B) T lymphocytes
C) IgM
D) IgG

A

What does the human immunodeficiency virus specifically target?

A) T lymphocytes
B) Neutrophils
C) Mast cells
D) B lymphocytes

A

You and your partner respond to a local Chinese restaurant to treat a person who is having difficulty breathing. The patient is a 46-year-old male who is pale, diaphoretic, dyspneic, and complaining of nausea. He also indicates his chest is very tight. His face and neck are swelling. His meal was chicken fried in oil, but he does not know what kind of oil was used. Based on this information, what do you suspect is the problem?

A) Allergic reaction
B) Anxiety
C) Asthma attack
D) Anaphylaxis

D

What cells produce antibodies?

A) Antigens
B) B lymphocytes
C) T lymphocytes
D) White blood cells

B

The patient is having an anaphylactic reaction to a bee sting. Of the various substances released in anaphylaxis, which one contributes to the respiratory problems?

A) Leukotrienes
B) Endotoxins
C) Heparin
D) Histamine

A

If a patient is experiencing urticaria and itching following contact with poison sumac, what type of reaction is the patient experiencing?

A) Anaphylactoid reaction
B) Anaphylaxis
C) Normal response
D) Allergic reaction

D

If a person has a particular food allergy, what is the best method that individual can use to avoid having a reaction?

A) Carry an Epi-Pen at all times.
B) Eat the particular food last in the meal.
C) Eat smaller portions.
D) Avoid eating products that may cause a reaction.

D

When a person is experiencing an anaphylactic reaction, pharmacologic intervention must be quick and accurate. Of the following, which drug needs to be given first?

A) Atropine
B) Albuterol
C) Epinephrine
D) Diphenhydramine

C

The patient is in cardiopulmonary arrest. When her spouse is questioned about his wife’s history, he states that she has suffered from rheumatoid arthritis for many years. What intervention would require special consideration by the paramedic so as not to further harm the patient?

A) Intubation
B) Ventilations
C) IV administration
D) No latex gloves

A

What public education efforts are under way by airlines, restaurants, and other companies to help people who have food allergies?

A) Stopping the sale of certain foods
B) Advertising the possible allergic ingredients in the food served
C) Forbidding people with allergies from eating in their facilities
D) Placing 9-1-1 placards in sight of all customers

B

The patient has a known allergy to bee stings. He was stung by a bee and immediately became symptomatic with dyspnea, chest tightness, and urticaria. His wife gave him an injection with an Epi-Pen. Upon your arrival, the patient is no longer complaining of dyspnea or chest pain; however, he is still experiencing urticaria. What intervention should be performed next?

A) Give Solu-Medrol IV push.
B) Give a breathing treatment with albuterol.
C) Give diphenhydramine by IV push.
D) Give another epinephrine shot.

C

Of the following patients, which one would be considered at high risk for anaphylaxis?

A) An 18-year-old female who is allergic to yellow jackets
B) A 30-year-old male who is allergic to certain soaps
C) A 10-year-old female who had an allergic reaction to poison ivy
D) A 45-year-old male who works in a dusty environment

A

What organization publishes influenza vaccination recommendations every fall for high-risk individuals?

A) U.S. Department of Transportation
B) Centers for Disease Control and Prevention
C) American Medical Association
D) Occupational Health and Safety

B

A person is awaiting a liver transplant. The person’s blood must be typed and cross-matched with the organ donor, but what other cells must be checked for compatibility?

A) T lymphocytes
B) B lymphocytes
C) Hepatic cells
D) Human leukocyte antigens

D

“1. A patient with newly diagnosed type 2 diabetes mellitus asks the nurse what “”type 2″” means in relation to diabetes. The nurse explains to the patient that type 2 diabetes differs from type 1 diabetes primarily in that with …

A client asks the nurse why the provider bases his medication regimen on his HbA1C instead of his log of morning fasting blood glucose results. Which of the following is an appropriate response by the nurse? A. HB A1C measures …

The vagina and the neck of the uterus comprise the: A. Womb. B. Cervix. C. Fundus. D. Birth Canal. D. Birth Canal. 1108 From what internal female organ is the fetus expelled during delivery? A. Vagina. B. Uterus. C. Cervix. …

A client’s fasting blood sugar (FBS) is 63 mg/dL (3.5 mmol/L) at 0700. The client is alert and oriented. What should the nurse do first? a) Give the prescribed dose of insulin. b) Give one ampule of 50% dextrose via …

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