Repro/Sexuality
A young mother at 36 weeks is presenting with profuse vaginal bleeding and frequent, low intensity uterine contractions. Which of the following order should the nurse question.
A. Put patient on bed rest
B. Administer magnesium sulfate
C. Prepare for a vaginal exam
D. Obtain IV access
What is vaginal exam.
A patient is experiencing nausea after chemotherapy. What medication would be given?
A. Ondansetron
B. Pantoprazole
C. Morphine
D. Diazepam
What is ondansetron?
A patient is admitted for a traumatic brain injury. What signs and symptoms would indicate increased intracranial pressure?
A. Tachypnea
B. Confusion
C. Hypotheria
D. Insomnia
What is confusion?
A patient shows signs of anaphylactic shock and is given epinephrine IM. This medication will have what effect on the body?
A. Prevent a recurrent attack
B. Cause vasoconstriction & increase blood pressure
C. Dilate the airways
D. Help block the effects of histamine
What is cause vasoconstriction and increase blood pressure.
Which psychological disorder sees the most children referrals?
A. Autism
B. OCD
C. Depression
D. ADHD
What is ADHD?
A patient comes to the providers office and finds out she is pregnant. Her last menstral period was January 15th, 2023. What is her expected due date?
A. October 22, 2023
B. September 1, 2023
C. October 15, 2023
D. October 31, 2023
What is October 22, 2023?
The children of a patient with stage four lung cancer are asked about hospice care. What is a requirement to begin hospice care?
A. 6 months or less to live
B. Must have Medicare or Medicaid
C. Must not owe any taxes
D. Must be age 65 or older
What is life expectancy of six months or less?
Which patient with ICP is experiencing Cushing's triad?
A. BP 150/112, HR 110, RR 8
B. BP 90/60, HR 80, RR 22
C. BP200/60, HR 50, RR 8
D. BP 80/40, HR 49, RR 12
C. What is widening pulse pressure, bradycardia, and bradypnea?
What would the nurse encourage as a recommended food for the patient with IBD?
A. Chicken wings & fries with a milkshake
B. Beef & broccoli with fried rice
C. Pepperoni pizza
D. Turkey sandwich on sourdough bread
What is turkey sandwich on sourdough bread?
A nurse in a doctor's office is taking a history on a patient with ED who requests a prescription for sildenafil. What medication is contraindicated?
A. Nitroglycerin
B. Prednisone
C. Sertraline
D. Hydrochloroquine
What is nitroglycerin?
After delivery of a newborn, the nurse prepares to prevent heat loss. Which is best?
A. Warm the crib pad
B. Turn on the radiant warmer
C. Close the doors to the room
D. Dry the baby with a warm blanket
What is dry the baby with a warm blanket?
An 87 year old on hospice care for lung cancer is quickly declining with low vital signs and grimacing. Which intervention should the nurse do?
A. Transport to ER
B. Give morphine sulfate
C. Withhold all pain medications
D. Raise head of bed
What is Give morphine sulfate?
A patient with sudden right sided weakness is diagnosed with an intracranial hemorrhage. Which info is priority to discuss with provider?
A. The patient's speech is hard to understand
B. The patient's blood pressure is 144/90
C. The patient takes a diuretic
D. The patient takes warfarin for atrial fibrillation
What is warfarin for atrial fibrillation?
A patient with RA is experiencing sudden vision changes. Which medication could cause this?
A Hydrochloroquine
B. Leflunomide
C. Sulfasalazine
D. Methylprednisolone
What is Hydrochloroquine?
A nurse is observing a 2-year old for a possible developmental delay. What is an expected finding at this age?
A. Drinking from a cup without a lid
B. Using a fork when eating
C. Inability to grasp objects
D. Count to 10.
A. What is drinking from a cup without a lid?
Which priority action would be most beneficial to help a couple following delivery of a stillborn?
A. Allow all family members to come console the couple
B. Provide a quiet environment for the couple and restrict visitors
C. Take a photograph of the stillborn for a keepsake
D. Allow the parents to hold and view the baby
What is allow parents to hold and view the baby?
A 56 year old man comes into the clinic after discovering a localized mass in a lymph node. What test is used?
A. Bone marrow biopsy
B. CBC lab draw
C. MRI scan
D. Fecal occult test
What is bone marrow biopsy?
A patient with a mild concussion is being discharged from the ER. What should the family watch for?
A. Awake the patient every 2 hours
B. Monitor for increased ICP
C. Monitor for hypervigilance
D. Offer food every 3 to 4 hours
What is awake the patient every two hours?
The nurse is caring for a patient with SLE. Which body system would the nurse consider as most affected?
A. Cardiac
B. Integumentary
C. Respiratory
D. Renal
What is the renal system?
A nurse is presenting to a group of parents whose children are suspected of having autism. What statement should be included"
A. Features of autism are apparent by the age of 3.
B. Features of autism are apparent by the age of 5.
C. A feature of autism is the ability to understand nonverbal behavior
D. A feature of autism is the ability to engage in imaginative play
What is features of autism are apparent by the age of 3?
What treatment can prevent the development of sensitization to Rh-D antigen in an Rh- mother carrying an Rh + fetus?
A. Therapeutic abortion
B. Rho (D) immune globulin
C. Short course immunosuppression treatment
D. Rh-D fetal serum injection
B. What is Rho (D) immune globulin?
A 93 year on hospice for Stage four renal failure states "if I had taken better care of myself, I wouldn't be dying now" What stage of grief is this?
A. Anger
B Bargaining
C. Denial
D. Acceptance
What is anger?
A patient who has intracranial pressure monitoring has a pressure of 12 mm Hg. What does this tell the nurse?
A. A severe decrease in perfusion pressure
B. An alteration of the production of CSF
C. The loss of autoregulatory control of intracranial pressure
D. A normal balance in brain tissue, blood and spinal fluid
What is a normal balance in brain tissue, blood and spinal fluid?
Normal is 5 to 15 mm HG.
A 38 year old female from Nigeria is admitted for possible Tuberculosis infection. Which order should the nurse question?
A. Mantoux or PPD test
B. Chest xray
C. Quantiferon-TB test
D. Sputum culture
What is a Mantoux or PPD test?
Which statement by a young adult would alert the nurse to increased suicide risk?
A. "I have a necktie in my room I can use to hang myself"
B. "If I fail one more class, I'm going to end it"
C. "When I leave home, I am going to buy myself a gun"
D. " When I took two bottles of Mom's pills, I had to have my stomach pumped".
What is I have a necktie in my room I can use to hang myself?