Renal
Renal II
GU
Musc findings /Auto immune
Musc cond/ trauma
Neuro assess, ICP, Seizures
CVA TBI/ SCI+ other neuro
Parkinson'sAlzheimers
Eyes
Ears/ brain tumor
Bonus
100
Which of the following is a result of hyperkalemia?
cardiac arrest
atrial fibrillation
Sinus tachycardia
Pericarditis
cardiac arrest
VENTRICULAR
100
A patient is brought into the ER for difficulty breathing. The patient has crackles upon ascultation. Legs are edematous. Jugular vein distention is noted. What fluid/ electrolyte imbalance is likely the cause?
Hypovolemia
Hyponatremia
Hypervolemia
Hyperkalemia
Hypervolemia
100
It is expected post-op TURP for the CBI to be what color?
Light pink
100
A patient is complaining of pain in his great toe. He is rating the pain a7/10. The patient is also noted to have a serum uric acid of 8 mg/dL. What condition is this indicative of?
Rheumatoid arthitis
Fibromyalgia
Lupus
Gout
Gout
100
A patient is post op of an elective THR for osteoarthritis. What position do we want the hip in?
External rotation
Flexion
Abduction
Adduction
Abduction
100
What is the earliest symptom of increased ICP
Deceberate posturing
Change in LOC
Weakness
Cheyne- stokes respirations
Change in LOC
100
Bacterial meningitis will show up in a spinal puncture with ____ WBC, ____ Protein, _____ Glucose
Increase, Increase, Decrease
100
True or false. Alzheimers can be fatal
True
6th leading cause of death 1 in 3 seniors
100
what is this? How do we fix it?
Cataract. New lense
100
Which of the following patients has the worst predicted outcome?
ACOUSTIC NEUROMA
MENINGIOMA
ASTROCYTOMA grade I
ASTROCYTOMA grade IV
ASTROCYTOMA grade IV
100
Save for last :)
Happy last jeopardy! You will do great! :)
200
Match the following causes of AKI to the type:
burn victim Intrarenal
Contrast dye Postreanal
Bladder Cancer. Prerenal
burn victim Prerenal
Contrast dye Intrarenal
Bladder Cancer. Postreanal
200
Which of the following assessment finding would be abnormal?
Bruit/ thrill over fistula site
A patient with weight loss post dialysis treatment
Straw colored fluid from peritoneal dialysis
BP of 90/50 post dialysis
BP of 90/50 post dialysis
200
Your patient is getting his Continuous Bladder Irrigation removed. His TURP went well. After the removal of the catheter, he notices he is passing clots. What would you the nurse do?
Call the surgeon
Get orders for an MRI
Perform a doppler test to make sure theres no more clots
Nothing, continue to monitor
Nothing! This is pretty normal, document and continue to monitor
200
A patient is complaining of widespread non-articular musculoskeletal pain. The pain is described as burning. She has recently been diagnosed with depression.
Rheumatoid arthitis
Fibromyalgia
Lupus
Gout
Fibromyalgia
200
Your patient has intense pain in their left leg. The pain worsens with passive movement. You note edema and pallor. And uh oh you can't feel a pulse. What should you the nurse do?
Give diuretics
RICE
Apply heat
Call the doctor
Call the DR, this is compartment syndrome
200
Which combination is indictive of cushings triad?
100/ 60, 72, 12 rr irregular
158/52, 52, 20 rr irregular
85/60, 150, 24 rr labored
160/82, 120, 32 rr labored
158/52, 52, 20 rr irregular
1. systolic hypertension w/ widening pulse pressure
2. bradycardia (bounding pulse)
3. respirations irregular
200
Your patient is an 18 year old man who has sustained a concussion. The patient has had a headache. While conduction a q 2 check the nurse notices that the patient now has sluggish pupillary response and slurred speech. What should the nurse do?
Administer TPA
Prepare the client for CT
Nothing these are normal symptoms of a concussion
Go tell the physician
Prepare the client for CT
200
Which of the following is incorrect regarding Parkinson's? Select all that apply
Parkinson's leads to a temporary loss of dopamine- producing nerve cells
Degenerative disorder of substantia nigra
Most common degenerative neuro disease
Results in depleted dopamine and increased acetylcholine
Parkinson's leads to a temporary loss of dopamine- producing nerve cells (permanent )
Most common degenerative neuro disease (Alzheimers)
200
Which of the following would be an incorrect statement made by a. nursing student?
I should sit down my patient when giving betaxolol (Betoptic) to avoid systemic affects
My patients with glaucoma will be on treatment for the rest of their lives
A patient may be on cholinergics to decrease aqueous fluid
A normal IOP is 8-20 mmHg
I should sit down my patient when giving betaxolol (Betoptic) to avoid systemic affects
200
Which of the following is true regarding conditions related to hearing?
Meniere’s disease would be conductive hearing loss
Vertigo is an independent diagnosis
Meniere's can also affect your vision
Meclizine is an affective tx for vertigo, but not Meniere's
Meniere's can also affect your vision
200
A patient is scheduled for dialysis to end at noon. What time should daily meds, antibiotics, CV meds, and HTN meds be given?
10 am during dialysis
6 am before dialysis
12:30 pm after dialysis
8pm before bed
12:30 pm after dialysis
300
Post kidney transplant your patient has not made any urine. It has been 2 hours. What are you going to do?
Nothing, it takes 24 hours to make urine again
Call the doctor, the kidneys should produce urine right away
Give the patient more fluids, they are dehydrated
Give the patient diuretics, they are retaining the fluid
Call the doctor, the kidneys should produce urine right away
300
A patient is in the hospital after sustaining burns on 30% of his body. His GFR has been <50 for the last week and his creatinine is currently 1.5. He is experiencing azotemia (increased BUN) and uliguria (<400 ml urine daily). Due to all this information what is he experiencing?
AKI
CKD
ERSD
UTI
AKI
3 months= ckd
GFR <15= esrd
300
An 88 yof patient is brought into the ED for altered mental status. CVA is ruled out. What is the most likely cause for change?
Rapid onset dementia
UTI
Old age
She's just being silly
UTI
300
A patient is brought into the ER for blood in the urine and high blood pressure. Tests reveal this patient has nephritis. The patient also has a butterfly rash and the syphilis test reveals a positive, despite the patient claiming to not be sexually active. What rheumatic condition might this patient have that lead to the nephritis?
Rheumatoid arthitis
Fibromyalgia
Lupus
Gout
Lupus
300
A patient is a known alcoholic. He has tea colored urine, myalgia, and muscular weakness. The patient CK level 250 and potassium level of 6.5. What might he be diagnosed with?
Rhabdomyolysis
300
Which of the following would be correct and most important for a patient with increased ICP?
Administration of acetaminophen
Neuro assessment q 2
Bolus of NSS due to decreased UO
Repositioning every 4 hours
Administration of acetaminophen
300
Which of the following orders would be questions for a patient with stroke- like symtoms
CT with contrast
Administration of TPA
Coordination of possible transfer to comprehensive stroke center
Warfarin target INR 2.0-3.0
CT with contrast
300
Which of the following is true about Sinemet. Select all that apply
Carvitopa allows levodopa to get to the brain
Levodopa stimulates dopamine producing cells that have been affected by the disease
Sinement is affective when used long-term
Tardive Dyskinesia is a side effect
During a drug holiday the patient should be monitored more closely
Tardive Dyskinesia is a side effect
Carvitopa allows levodopa to get to the brain
During a drug holiday the patient should be monitored more closely
300
A patient is complaining of photopsia followed by a veil over the field of vision. Straight lines are also appearing curved. What is this a sign of?
Macular degeneration
Diabetic retinopathy
Retinal detachment
Cataract
Retinal detachment
300
Which of the following would raise concern to a nurse on a neuro floor?
An order for acetaminophen for a patient post op with a low grade fever
A patient sucking on some ice to wet their mouth
A patient post op Infratentorial surgery sitting comfortably HOB 30 degrees
A patient with 35 cc of fluid in their Jackson Pratt drain 8 hours post op
A patient post op Infratentorial surgery sitting comfortably HOB 30 degrees
300
A patient was brought into the ER for possible stroke due to unilateral facial paralysis. It was not a stroke, but the facial drooping did not initially resolve until 4 weeks after being treated with NSAIDS, Steroids, and electrical stimulation. What did this patient have?
TIA
Bell's Palsy
Trigeminal neuralgia
Brain tumor
Bell's Palsy
Cranial Nerve #7
400
Which of the follow patients is at greatest risk for CKD?
52 year old african american man with hypertension
68 year old asian female with osterperosis
35 year old caucasian main with diabetes
42 year old african american female with lupus
52 year old african american man with hypertension
400
Which of the following would be the best choice for a patient with ESRD?
A turkey sandwich with a water bottle
A protein waffle with bananas and lemon water
Spinach and beet salad with milk
Roasted chicken with grapes and ice with lemon
Roasted chicken with grapes and ice with lemon
400
Flank and back pain as well as systemic symptoms such as fever or chills are inductive of ____ ___/ _______.
Upper UTI/ Pyelonephritis
400
Which of the following would be an abnormal finding?
Crepitus
lateral curvature of the lumbar spine
Pain on PROM eversion of the ankle
Limited ROM of the ankle in dorsiflexion
Muscle strength +3
Crepitus
lateral curvature of the lumbar spine
Pain on PROM eversion of the ankle
Limited ROM of the ankle in dorsiflexion
Muscle strength +3
400
Which patient will be the priority?
A patient with a hip replacement complaining of cold feet
A patient post knee replacement complaining of numb toes and foot discoloration
A patient post internal femur fixation complaining of 8/10 pain
A patient post hip replacement that needs to use the bedpan
A patient post knee replacement complaining of numb toes and foot discoloration
400
Which of the following is most concerning?
ICP 10
ICP 15
CPP 70
CPP 35
CPP 35
400
Which of the following is consistent with a left sided CVA.
Difficulties with time
Difficulties with math
Aware of deficits
Impulsive
Spatial deficits
Aware of deficits Aware of deficits
Paralyzed right side, hemiplegia
Impaired speech/ language aphasia
Impaired right/ left discrimination
Slow performance, cautions
Aware of deficits: depression/ anxiety
Impaired comprehension related to language and math
400
Which of the following is true regarding alzheimer's treatment?
Vitamin E is linked to increased risk of death in those with CV disease
Alzheimer's drugs cause the patient to regain what they have lost
It is necessary to monitor BP & pulses with these drugs
Patients with moderated to severe alzheimer's cannot take Cholinesterase inhibitors
It is necessary to monitor BP & pulses with these drugs
Vitamin E is linked to increased risk of death in those with CV disease
400
What is an age related change to vision that is expedited by obesity and DM?
Lighter eye color, sun exposure, smoking, and nutrient deficiency also worsens this condition
Macular degeneration
Diabetic retinopathy
Retinal detachment
Cataract
Macular degeneration
400
A patient is post- op brain surgery. Which of the following is inappropriate? Select all
Neuro checks q1
Strict I&O
The patient should do coughing and deep breathing every hour
Most patients require HOB 30 degrees
Assessment of LOC is vital
Neuro checks q1
The patient should do coughing and deep breathing every hour
400
Which of the following is incorrect regarding benign brain tumors?
Growth is typically relatively slow and they tend not to spread
After partial reduction, it will most likely not come back
Depending on the area they can be fatal
If they are large enough they can increase ICP
After partial reduction, it will not come back
500
Abnormal lab values. Select all that apply
Sodium 120
Potassium 4.6
GFR 13
BUN 28
- Ketones
INR 2.0
creatinine 1.5
+ RBC
Sodium 120
GFR 13
BUN 28
INR 2.0
creatinine 1.5
+ RBC
500
A patient is using peritoneal dialysis at home. Which of the following shows the patient requires further teaching? Select all
I should wear a mask if I have a viral infection while performing my dialysis
I should call my physician if the fluid is cloudy
I should heat up my dialysate in the microwave before filling
I must be very strict with my fluid intake with this type of dialysis
I should be aware of s/s of peritonitis because it is a possible complication
I should heat up my dialysate in the microwave before filling
I must be very strict with my fluid intake with this type of dialysis
500
Which of the following would be an appropriate intervention for a patient experiencing urinary retention.
Follow a voiding schedule
Administer anticholinergic medications
DC diphenhydramine if possible
instruct the client to put their hand in warm water
Advise the patient that a long term indwelling cath would be the best option
Follow a voiding schedule
DC diaphenhydramine if possible
instruct the client to put their hand in warm water
500
A patient with lupus comes into the ER with sub-sternal chest pain that is aggravated by movement and inspiration. The EKG does not show any abnormalities, vital signs are within normal range. No dysrhythmias are noted. What would you the nurse suspect?
Pericarditis
STEMI
PE
Cardiac tamponade
Pericarditis
500
Which of the following describes osteoarthritis? Select all that apply.
Always bilateral
Worse in the morning
Improves in an hour
Formation of bone spurts
Heberden's nodes
Improves with movement
Worse in the morning
Improves in an hour
Formation of bone spurts
Heberden's nodes
500
Which of the following are important for the use of phenytoin (Dilantin)
Adverse effects include: severe bradycardia (if given too fast), gingival hyperplasia, leukopenia
Never mix with dextrose….NSS only
Never give faster than 50mg per minute or severe bradycardia may occur
Monitor serum blood levels with this drug
Adverse effects include: severe bradycardia (if given too fast), gingival hyperplasia, leukopenia
Never mix with dextrose….NSS only
Never give faster than 50mg per minute or severe bradycardia may occur
Monitor serum blood levels with this drug
500
Which of the following would be a good candidate for TPA? Select all
A patient with bp of 190/ 100
A 90 year old with symptom onset of 3 hours
A 40 year old with INR of 1.2
A 12 year old experiencing a CVA
A patient who had a knee replacement 1 week prior
A patient who has stroke like symptoms following a TBI after a MVA
A 90 year old with symptom onset of 3 hours
A 40 year old with INR of 1.2
500
Which of the following are warning signs of AD?
Vision changes
Difficulty completing familiar tasks
Confusion w/ time and place
Hearing changes
Trouble understanding images
New problems with speaking/writing
Misplacing things
Withdrawal from work/social activities
Difficulty completing familiar tasks
Confusion w/ time and place
Trouble understanding images
New problems with speaking/writing
Misplacing things
Withdrawal from work/social activities
500
Which of the following is not true regarding eye drop administration
Wait 5-10 minutes between different topical eye medications
Place drops in lower conjunctival sac
Do not blink x30 seconds
Do not rub eye after administration
If eye drops cause burning or stinging call dr
If eye drops cause burning or stinging call dr
500
Which of the following shows a patient with Glioblastoma understands their diagnosis? Select all.
I will most likely not make it to my daughter's 2026 wedding
My treatment will include surgery and aggressive chemo + radiation
I should start planning a cruise for 2026 when I beat this
The gamma knife used in my surgery will help to cut out the tumor
I will most likely not make it to my daughter's 2026 wedding
My treatment will include surgery and aggressive chemo + radiation
500
Which of the following medications are appropriate for a patient experiencing trigeminal neuralgia (CN 5)pain?
Gabapentin
Morphine
Carbamazepine
Aspirin
Acetaminophen
Gabapentin
Carbamazepine