Directions: Choose the best answer. Each question is worth 1.4 points. Which of the following attach to the sternum directly?

Questions 7 – 9 refer to the following excerpt:  “Formerly the individual was the pioneer of civilization; now, the railroad is the pioneer, and the individual follows, or is only slightly in advance. . . . The wild roses are blooming today, and the sod is yet unturned . . . where, in a year or two will be heard the screech of the locomotive and the tramp of the approaching legions, another year will bring the beginning of the change; towns and cities will spring into existence, and the steam whistle and the noise of saws and hammers, and the click and clatter of machinery, the sound of industry will be heard. The prairies will be golden with the ripening harvest, and the field and the forest, the mine and the river, will all yield their abundance to the ever growing multitude.” — George A. Batchelder, A Sketch of the History and Resources of Dakota Territory, 1870 Which of the following was a long-term result of the developments described in the excerpt? 

The LPN is preparing gentamicin, a medication that could be potentially nephrotoxic. The review of the labs indicates a BUN 32 mg/dL (Normal 10-20mg/dL) and Creatinine 2.8 mg/dL (Normal 0.5-1.2 mg/dL). The LPN understands to

A practical nurse is providing care for a client who has glaucoma. The practical nurse should prepare to administer which of the following medications?

The practical nurse reinforces with the client after the administration of bethanechol they might experience which of the following side effects.

A drug effect that occurs in an individual that is opposite of the intended effect is known as?

Clients with type 1 diabetes may require which of the following changes to their daily routine during periods of infection?

Older adult and pediatric clients have decreased gastric acidity. Which phase of pharmacokinetics will be the most impacted by this physiological alteration?

The practical nurse is caring for a client with COPD receiving albuterol MDI (metered-dose inhaler) 2 puffs twice daily and advair (salmeterol & fluticasone) DPI (dry powder inhaler). How will you tell the client to take these medications scheduled at the same time? What is your rationale?

An 83 year-old client has begun taking a new medication that is 100% eliminated by the kidneys. Which of the following tests should the practical nurse monitor to assess the client’s kidney function?