Week 3
A young man comes into the clinic with his partner in a manic state. The partner explains that he is suffering from bipolar disorder. Which essential part of the assessment is the nurse careful not to forget?
An expecting parent asks a nurse about how a child gets down syndrome. The nurse explains there are multiple different ways it is caused, although some causes are more common than others. Which of the following is the most common manifestation of down syndrome?
A 20-year-old women has recently found out that she is a carrier of Duchenne’s muscular dystrophy. Which of the following complications is she most commonly at risk for developing?
Infants who have longer-lasting pain tend to display two patterns of behaviour. Which one of the following would the nurse know to be a hypo-reactive behaviour?
a) Stretch their mouth wide open
b) Have a blank face
c) Cry when handled before the painful procedure
d) Flail their arms and legs a lot
b) Have a blank face
Which one of the following is the most accurate way to tell if a patient is experiencing dyspnea?
a) General appearance
b) Vital signs
c) Chest/cardio assessment
d) Ask about subjective symptoms
d) Ask about subjective symptoms
A nurse is discussing and educating a patient’s family about addiction and substance abuse. Which statement shows that the family understands key information that the nurse is saying?
A 13-year-old student is having difficulty at school. The teacher states he has difficulty reading and his writing is very confusing and hard to comprehend. As a nurse, what do you think this student is suffering from?
A teenage boy and his friends were recently in a motor vehicle accident. The teenage boy sustained a severe spinal injury and has lost all feeling but is still able to move below the injury. Where is he on the American Spinal Injury (ASIA) scale?
Which one of the following is not a part of the 3P approach to pain management?
a) Psychosocial
b) Physical
c) Psychological
d) Pharmacological
a) Psychosocial
True or False - Benzodiazepines are highly effective at treating dyspnea in most patients.
False (Only when anxiety is a leading symptom. Opioids are first line)
A patient arrives to the emergency room and presents with seizures. It becomes known that he was recently using cocaine and he is now suffering from a cocaine overdose. The family asks the nurse “Hurry, what is the antidote for cocaine?”
Which of the following are examples of traumatic brain injuries?
An older lady who has diabetes came into the hospital complaining of incontinence. The healthcare team diagnosed her with a neurogenic bladder and started her on proper medication. Which of the following complications should the team watch out for as it is common with a neurogenic bladder?
True or False: End-of-dose failure is solved by decreasing the interval of the dosing
False (The long-acting medication dose should be increased instead)
To help a patient suffering from fatigue, the nurse should do all but one of the following:
a) Cancel activities (we don’t want to flat out cancel). Try to reschedule for another time where they are less tired
b) Plan ahead – including visits for less fatigued times of day
c) Have the family assist with ADL
d) Provide meals in bed
a) Cancel activities (we don’t want to flat out cancel). Try to reschedule for another time where they are less tired
Korsakoff’s syndrome is a complication of long-term alcohol use. Which of the following is a side effect of this syndrome?
False: the primary goal is to achieve the highest level of independence possible
A nurse is creating a care plan for an immobile patient. It is important that she includes includes risk of impaired skin integrity in this care plan. Which of the following areas are most vulnerable to breakdown?
Which of the following statements about drug tolerance in cancer pain is false?
a) Highly over estimated
b) Usually tolerance to the analgesia (typically in cancer patients the tolerance is due to disease progression)
c) Separate issue from addiction
d) Treated with increases in drug dose
b) Usually tolerance to the analgesia (typically in cancer patients the tolerance is due to disease progression)
Which of the following are true of delirium? Select all that apply.
a) Acute onset
b) Can last hours/days/weeks
c) More likely to be reversible if caught early
d) Usually worse in the morning
a) Acute onset
b) Can last hours/days/weeks
c) More likely to be reversible if caught early
Which of the following are risk factors for potential addiction relapse?
A man was recently diagnosed with multiple sclerosis and is now getting educated by the nurse about his disease. The man asks if there is anything he should now avoid because of this illness. Which two things are the most important to avoid while living with MS?
Mrs. James is getting 60mg of PO morphine q4h with a BT dose of 30 mg ordered q2h. She receives her regular 1000 dose and at 1200 receives a BT dose. At 1345 she reports that she hasn’t been pain free all day. Physician will be making rounds in late afternoon. What dose will you give her at 1400?
a) Her regular dose
b) Her BT dose
c) Both her regular and BT doses
d) Her regular dose and two BT doses
c) Both her regular and BT doses
The Edmonton Symptom Assessment System (ESAS) does which of the following? Select all that apply.
a) Helps the patient have a voice to speak to the clinician
b) Provides a visual aid of symptoms
c) Categorizes patients based on their symptoms
d) Helps the patient answer the question “how are you doing today?”
a) Helps the patient have a voice to speak to the clinician
b) Provides a visual aid of symptoms
d) Helps the patient answer the question “how are you doing today?”