The nurse is completing a health assessment of a 42-year-old female with suspected Graves‘ disease. The nurse should assess this client for:
1. Anorexia
2. Tachycardia
3. Weight gain
4. Cold skin
What is 2
100
Clear fluid drainage from the nose of a pt. who had a head trauma 3 hrs ago would indicate which condition?
1. Basilar skull fracture
2. Cerebral contusion
3. Linear skull fracture
4. Epidural hematoma
What is 1
100
How do you stop the burning process with a thermal burn?
1. immersing the burn in cold water
2. applying ointment
3. rinsing with cool water
4. stop, drop, and roll
What is 3
100
Which factor is most commonly associated with the development of pancreatitis?
1. Hypercalcemia
2. Alcohol abuse
3. Pancreatic duct obstruction
4. High triglyceride levels
What is 2
100
A client is admitted to the hospital with a dx of DKA. What intervention should the nurse implement first?
1. IV fluids
2. Potassium
3. NPH insulin (Novolin N)
4. Sodium polystyrene sulfonate (Kayexalate)
What is 1
200
What unique response associated with diabetic coma that is not exhibited with hyperglycemic hyperosmolar nonketotic syndrome (HHNS) should the nurse identify when assessing a client?
1. Fluid loss
2. Glycosuria
3. Kussmaul respirations
4. Increased blood glucose level
What is 3
200
A pt with a C6 spinal injury would most likely have which symptom?
1. Aphasia
2. Hemiparesis
3. Paraplegia
4. Quadriplegia
What is 4.
200
What type of diet would a burn pt be on?
1. low in protein and high in calories
2. high sodium and potassium
3. high protein and calories
3. high potassium and calories
What is 3
200
Which symptom could be seen in the early stage of peritonitis?
1. N/V
2. Abdominal pain and rigidity
3. Hyperactive bowel sounds
4. Right upper quadrant pain
What is 2
200
What are the 3 vital sign characteristics that make up Cushing's Triad?
What is 1. Systolic HTN (widened pulse pressure) 2. Bradycardia 3. Cheyne-Stokes Respiratory Pattern/ Hyperventilation
300
The nurse is instructing the client with hypothyroidism who takes levothyroxine (Synthroid) 100mcg, digoxin (Lanoxin) and simvastatin (Zocor). Teaching regarding medications is effective if the client will take:
1. Synthroid with breakfast and the other meds after breakfast.
2. All meds together 1 hour after eating breakfast.
3. Synthroid before breakfast and the other meds 4 hours later.
4. All meds before going to bed.
What is 3
300
A pt is found lying in the Decerebrate posture. What can the nurse tell about the pt's brain injury from this?
1. The injury wasn't that bad and they'll recover soon.
2. There was little damage to the cerebrum and/or midbrain
3. It was caused by a fall
4. There were severe injuries to the midrain and/or cerebellum and the prognosis is poor
What is 4
300
What are signs of possible inhalation injury? SATA
1. Tachypnea
2. Stridor
3. Wheezing
4. Dyspnea
5. Hoarseness
What is 2,5
300
Why do you have to be concerned about bleeding in a pt with liver disease?
What is The liver produces clotting factors
300
Which patients are at highest risk of developing SIADH or Diabetes Insipidus?
What is... brain injury pts.
400
The client with Cushing’s disease needs to modify dietary intake to control symptoms. In addition to increasing protein, which strategy would be most appropriate?
1. Increase calories
2. Restrict potassium
3. Reduce fat to 10%
4. Restrict sodium
What is 4
400
What are the assessment findings in meningitis? Select all that apply
1. Sudden drop in body temp.
2. Severe headache for a few days
3. Diarrhea
4. Nuchal rigidity
5. N/V
What is 2,4,5
400
Which of the following is a priority in the acute phase of a burn?
1. Pain management
2. ABCs
3. Keep the pt. warm
4. Cover burn w/ clean dry dressing or blanket
What is...1
400
How is Hep. A transmitted? How is Hep. B and C transmitted?
What is... Hep. A: fecal-oral transmission, contaminated food and water. Hep. B and C: contaminated blood products, dirty needles, sexual contact, childbirth
400
A nurse is caring for a pt with a diagnosis of pheochromocytoma. Which clinical findings does the nurse expect when assessing this client. Select all that apply.
1.Headache
2.Palpitations
3.Diaphoresis
4.Bradycardia
Hypotension
What is 1,2,3
500
A nurse assessing pt with Cushing syndrome. Which clinical findings can the nurse expect to identify? Select all that apply.
1. Hirsutism
2. Menorrhagia
3. Buffalo hump
4. Dependent edema
5. Migraine headaches
What is 1,3
500
Which head injury/bleed is most closely related to falls? Which head injury/bleed is most closely related to HTN/ruptured aneurysm?
What is Chronic Subdural Hematoma and Intracerebral Hemorrhage
500
A male pt comes in after being in a house fire. He sustained burns to both the anterior and posterior sides of his legs, anterior abdomen, and genitalia area. His skin looks like leather. Based upon this info what degree burn did they suffer and what percentage of TBSA was burned?
What is 3rd degree and 37%
500
Which commonly used meds can cause toxic hepatitis besides Tylenol?
What is... Some antibiotics, anesthetic drugs, some psych drugs, and chemotherapy drugs