Defined as a state in which the lung, in whole or in part, is collapsed or without air. It is a condition where the alveoli are deflated.
What is atelectasis
100
6. A client is receiving patient controlled analgesia (PCA) with an infusion of morphine sulfate. The nurse should observe the patient for which potential side effects? (select all that apply)
A. Dry skin and fever
B. Constipation and pruritus
C. Increased respiratory rate
D. Decreased respiratory rate
E. Diarrhea and hypertension
F. Sedation and lightheadedness
Constipation and pruritus
Decreased respiratory rate
Sedation and lightheadedness
100
Radiation protection is very important to implement when performing nursing procedures. When the nurse is not performing any nursing procedures what distance should be maintained from the client?
A. 1 feet
B. 2 feet
C. 2.5 feet
D. 3 feet
3 feet
100
Prior to administering a blood transfusion what is does the nurse need to gather. (select all that apply)
a. Vital signs
b. Consent
c. Physician order
d. Recent hemoglobin and hematocrit
e. Blood tubing and IV flush bag
Vital signs
Consent
Physician order
Recent hemoglobin and hematocrit
Blood tubing and IV flush bag
100
What are the symptoms of a CVA
uneven smile
weak arm
slurred speech
200
Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnose asthma. When teaching the patient about this drug, the nurse should explain that it may cause:
A. Nasal congestion
B. Nervousness
C. Lethargy
D. Hyperkalemia
What is Nervousness
200
In applying the principles of pain treatment, what is the first consideration?
A. Treatment is based on client goals.
B. A multidisciplinary approach is needed.
C. The client must be believed about perceptions of own pain.
D. Drug side effects must be prevented and managed.
The client must be believed about perceptions of own pain.
200
A 25-year-old patient is inquiring about the methods or ways to detect cancer earlier. The nurse least likely identify this method by stating:
A. Annual chest x-ray.
B. Annual Pap smear for sexually active women only.
C. Annual digital rectal examination for persons over age 40.
D. Yearly physical and blood examination
Yearly physical and blood examination
200
7. Within 20 minutes of the start of transfusion, the patient develops a sudden fever. The most appropriate INITIAL response by the nurse is to:
a. Force fluids
b. Continue to monitor the vital signs
c. Increase the flowrate of IV fluids
d. Stop the transfusion
Stop the transfusion
200
A client arrives in the ER with ischemic stroke and receives TPA. Which is the primary nursing assessment?
Current medications
Complete physical assessment
Time of onset of current stroke
Upcoming surgical procedures
What is Time of onset of current stroke
300
For a patient with advance chronic obstructive pulmonary disease (COPD), which nursing action best promotes adequate gas exchange?
A. Encouraging the patient to drink three glasses of fluid daily
B. Keeping the patient in semi-fowler’s position
C. Using a high-flow venture mask to deliver oxygen as prescribe
D. Administering a sedative, as prescribe
What is Keeping the patient in semi-fowler’s position
300
5. A patient is admitted to the ER after taking an overdose of MS Contin. The nurse should prepare to administer which medication as the antagonist for this condition?
A. Diazepam- Valium
B. Naloxone- Narcan
C. Midazolam- Versed
D. Furosemide-Lasix
What is Naloxone- Narcan
300
The nurse correctly identifies the warning signs of cancer by responding:
A. “If a sore healing took a month or more to heal, cancer should be suspected.”
B. “Presence of dry cough is one of the warning signs of cancer.”
C. “A lump located only in the breast area may suggest the presence of cancer.”
D. “Sudden weight loss of unexplained etiology can be a warning sign of cancer.”
What is sudden weight loss of unexplained etiology can be a warning sign of cancer.”
300
8. What IV solution should the nurse prime the blood transfusion tubing with?
a. 5% Dextrose in water
b. 0.9 % Sodium Chloride
c. 0.45 % Sodium Chloride
d. Lactated Ringers
0.9 % Sodium Chloride
300
Patient is admitted with bacterial meningitis. The patient complains of severe headache, photophobia, and fever. What is not an appropriate intervention?
Administer codeine for pain
Administer Rocephin for the infection
Administer Tylenol for the fever
Administer Lasix to decrease intracranial pressure.
What is Administer Lasix to decrease intracranial pressure.
400
An oxygen delivery system is prescribed for a male client with chronic obstructive pulmonary disease to deliver a precise oxygen concentration. Which of the following types of oxygen delivery systems would the nurse anticipate to be prescribed?
A. Face tent
B. Venti mask
C. Aerosol mask
D. Tracheostomy collar
What is Venti mask
400
3. Before administering Morphine to Mrs. Boyd, which assessment is most important for the nurse to make
A. Apical pulse
B. Respiratory rate
C. Blood pressure
D. Level of consciousness
What is Respiratory rate
400
In staging and grading neoplasm TNM system is used. TNM stands for:
A. Time, neoplasm, mode of growth
B. Tumor, node, metastasis
C. Tumor, neoplasm, mode of growth
D. Time, node, metastasis
What is Tumor, node, metastasis
400
You need to infuse a unit of packed red blood cells 250 mL IV over 3hours. How many milliliters per hour do you set on the IV infusion controller?
83 cc/hr
400
A nursing student is caring for a patient with bacterial meningitis. What action requires intervening?
a. enters room without mask or gloves
b. instructs family visits to 10 minutes
c. gives patient a warm blanket
d. checks patients pupil response every 30 minutes.
What is enters room without mask or gloves
500
A male adult patient hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis?
A. Nausea or vomiting
B. Abdominal pain or diarrhea
C. Hallucinations or tinnitus
D. Lightheadedness or paresthesia
What is Lightheadedness or paresthesia
500
10. A patient is ordered Morphine 8 mg IV once. The drug label on the vial yields 10mg/ml. How many ml would the nurse administer? ___
What is 0.8 ml
500
Skin reactions are common in radiation therapy. Nursing responsibilities on promoting skin integrity should be promoted apart from:
A. Avoiding the use of ointments, powders and lotion to the area
B. Using soft cotton fabrics for clothing
C. Washing the area with a mild soap and water and patting it dry not rubbing it.
D. Avoiding direct sunlight or cold
What is Avoiding direct sunlight or cold
500
5. Is admitted to the hospital with a bleeding ulcer. She is to receive 4 units of packed cells. Which nursing interventions is of PRIMARY importance in the administration of blood?
a. Checking the flow rate
b. Identifying the patient
c. Monitoring the vital signs
d. Maintaining blood temperature
Identifying the patient
500
If a patient has a seizure what will be implemented first?
a. place a non rebreather on patient
b. administer Ativan
c. turn patient to the side and protect airway
d. assess level of consciousness during and after seizure
What is turn patient to the side and protect airway