Cardio
Respiratory
GI
Pain
Pediatric
100

If damaged, which valve could allow blood to leak back into the right atrium?

Tricuspid valve

100

The nurse is caring for a client with chronic bronchitis who has a new prescription for a combined fluticasone and salmeterol inhaler and the client asks the nurse the purpose of using two drugs. Which of the following information is the basis for the nurse’s response?

One drug decreases inflammation, and the other is a bronchodilator

100

Parathyroid hormone increases calcium absorption in the intestines by activating

vitamin D

100

The nurse has administered a pain medication to a patient by IV infusion. The nurse should reassess the patient’s response to the pain medication within:

15 minutes.

100

The nurse is testing an infant’s visual acuity. By what age should the infant be able to fix on and follow a target?

3 to 4 months

200

A decrease in total plasma volume results from the

atrial natriuretic hormone mechanism

200

The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving oxygen. Which of the following actions is best for the nurse to implement to determine the appropriate oxygen flow rate?

Maintain the pulse oximetry level at 90% or greater.

200

External beam radiation is planned for a patient with cancer of the colon. Because the treatment area is in the lower abdomen and pelvic area, which of the following measures should the nurse teach the patient is important to prevent complications from the effects of the radiation?

Perform perianal care with sitz baths and meticulous cleaning.

200

A patient who has been treated for lung cancer for 3 years has noticed that over the past few months the opioid analgesic that is being used is not helping as much, and says that taking more medication is needed for the same pain relief. What is this patient experiencing?

Opioid Tolerance
200

Which factor has a major impact on the development of chronic illness?

Poverty

300

All arteries of the systemic circulation branch from the:

aorta

300

The nurse is caring for a client with hypertension and has a prescription for nadolol. Which of the following assessment findings should the nurse report to the health care provider before administering this medication?

Asthma

300

Which following class of preoperative medications is administered to increase the patients’ gastric pH and decrease gastric volume? 

Histamine H2-receptor antagonists

300

The nurse is preparing to assess an older adult and discovers that he is in severe pain. Which of the following statements about pain and the older adult is true?

Alleviating pain should take priority over other aspects of the assessment.

300

Christopher, a 2-month-old infant, has a bluish tinge on his skin. Upon listening to the infant’s chest, the physician became concerned about leakage of blood between the right and left atria. What might have caused this problem and what is the treatment?

The foramen ovale may not be closed, causing backflow of blood into the lungs. The physician will reexamine the infant frequently because the foramen ovale may take as long as 9 months to heal.

400

Atherosclerosis is characterized by the deposition of lipids in the

tunica intima

400

The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who has a nursing diagnosis of imbalanced nutrition: less than body requirements. Which of the following interventions is best to address this problem?

Offer high calorie snacks between meals and at bedtime.

400

 A child is brought to the emergency department because of ingesting an unknown quantity of acetaminophen (Tylenol). What does a nurse expect this child to most likely receive following gastric lavage?  

N-acetylcysteine

400

A 42-year-old male patient complains of shoulder pain when the nurse moves his arm behind the back. Which question should the nurse ask?

"Do you have difficulty when you are putting on a shirt?"

400

The nurse asks a preschool-age child to do the “finger-to-nose” test. What is the nurse testing for?

Cerebellar function

500

Depolarization of the ventricles is:

clearly depicted by the QRS complex.

500

A patient tells the nurse that “sometimes I wake up at night, and I have real trouble breathing. I have to sit up in bed to get a good breath.” When documenting this information, the nurse would note

paroxysmal nocturnal dyspnea

500

A nurse is interviewing parents of an infant with hypertrophic pyloric stenosis. What would the nurse expect the parents to report?  

Projectile vomiting

500

Which type of pain results from injury or acquired abnormalities of peripheral or central neural structures resulting in hypersensitivity to pain after an injury?

Neuropathic (chronic)

500

Two toddlers are playing in a sandbox, when one child suddenly grabs a toy from the other. What is the best interpretation of this behaviour?

This is typical behaviour because toddlers are egocentric.

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