Neuro
Hepatobiliary
Reproductive
Cancer
Palliative/EOL
100

This progressive neurologic disorder commonly causes a resting tremor, rigidity, bradykinesia, and a shuffling gait.

Parkinson disease

100

Which laboratory enzymes are commonly elevated with acute pancreatitis?

lipase and amylase

100

Which STI may be asymptomatic but can cause pelvic inflammatory disease and infertility?

Chlamydia

100

What is the painless lesion associated with the primary stage of syphilis called?

chancre

100

What is the main goal of end-of-life care?

comfort and quality of life

200

A client with a head injury develops clear drainage from the nose. What finding suggests that the drainage may be CSF?

halo sign

200

A client with acute cholecystitis is most likely to report pain in which location?

right upper quadrant

200

Which sexually transmitted infection is associated with genital warts and increased risk for cervical cancer?

HPV

200

Which chemotherapy complication places the client at greatest risk for infection?

Neutropenia

200

What is the primary goal of palliative care?

Improve quality of life and relieve symptoms/suffering

300

A client with a T4 spinal cord injury develops a pounding headache, BP 204/108, HR 48, and facial flushing. What complication is occurring?

Autonomic dysreflexia

300

A client with cirrhosis becomes confused and develops asterixis. Which substance is likely accumulating?

Ammonia

300

A client has fever, pelvic pain, abnormal vaginal discharge, and cervical motion tenderness. Which condition should the nurse suspect?

pelvic inflammatory disease (PID)

300

A chemotherapy client develops painful inflammation and ulcerations inside the mouth. What is this complication called?

mucositis/stomatitis

300

Can palliative care begin while a client is still receiving treatment intended to cure or control the disease?

yes

400

A client with increased intracranial pressure develops hypertension, bradycardia, and irregular respirations. Name this finding.

Cushing triad

400

A client with hepatic encephalopathy is taking lactulose. Which finding best indicates that the medication is effective?

improved mental status with regular soft stools

400

A client with benign prostatic hyperplasia will most likely report what urinary manifestation?

difficulty initiating urination, weak stream, or urinary frequency

400

A client receiving external radiation asks whether family members will be exposed to radiation after treatment. What should the nurse say?

No. External radiation does not make you radioactive

400

A dying client develops alternating periods of apnea followed by deep, rapid respirations. What is this breathing pattern called?

Cheyne-Stokes respirations

500

A client suddenly develops the “worst headache of my life,” vomiting, and decreased LOC. Which type of stroke should be suspected?

Hemorrhagic stroke

500

A client with esophageal varices suddenly begins vomiting large amounts of bright-red blood. What is the priority concern?

Hemorrhage/hypovolemic shock; stabilize airway and circulation

500

After a TURP, the nurse notes bright-red urine, large clots, decreased catheter output, and bladder spasms. What complication should be suspected?

postoperative bleeding and/or catheter obstruction

500

A client has a temporary brachytherapy implant. What three principles should the nurse use to minimize radiation exposure?

Time, distance, and shielding

500

A family member says, “Morphine will make them die faster.” What is the best explanation from the nurse?

morphine is used to relieve pain and dyspnea and promote comfort when appropriately administered