Stress/Sleep
Inflammation and Wound Healing
Immunity/Oncology
Fluid & Electrolytes/ABGs
Sensory and Integumentary
100

Which of the following findings should the nurse recognize as a potential sign of OSA?

1 Daytime fatigue

2 Morning headaches each day

3 Flushed skin upon awakening

4 Snoring 

5 Weight loss

1. Daytime fatigue

2. Morning headaches each day

4. Snoring

100

While monitoring for an infection, the nurse understands that infection is likely to occur:

1. 12 hours after initial injury

2. 24 hours after initial injury

3. Immediately after initial injury

4. 72 hours after initial injury

4. 72 hours after initial injury

100

The nurse expects a diagnosis of AIDS (acquired immunodeficiency syndrome) to be made when a patient:


1. Has a viral load of 10,000

2. Has a CD4+ count of 250

3. Begins experiencing symptoms

4. Has been diagnosed with Kaposi's sarcoma


4. Has been diagnosed with Kaposi's sarcoma

100

Which of the following labs are correct:

1. Sodium 135-145

2. Potassium 35-45

3. PaCo2 3.5-4.5

4. HCo3 22-28

5. Ph 7.35-7.45

1. Sodium 135-145

4. HCo3 22-28

5. Ph 7.35-7.45

100

Which of the following topics should the nurse educate a patient suffering from cataracts on?


1. The need for life-long eye drops

2. Low-sodium diets

3. Surgery

4. Normal, age-related changes


3. Surgery

200

A patient tells the nurse that she is having trouble falling asleep and staying asleep. Which studies does the nurse anticipate teaching the patient about?

1. EEG

2. Self-report

3. Actigraphy

4. Polysomnography

2. Self-report

200

The nurse assessing a patient with a chronic leg wound finds local signs of erythema and the patient complains of pain at the wound site. What would the nurse anticipate being ordered to assess the patient's systemic response?

1. serum protein analysis
2. WBC count and differential
3. punch biopsy of center of wound
3. culture and sensitivity of the wound

2. WBC count and differential

200

The most important lab to measure in determining the effectiveness of antiretroviral therapy is:

1. Viral load

2. Lymphocyte count

3. CD4+ count

4. Surface antigen


1. Viral load
200

A patient presents with diarrhea for the past 3 days. The nurse would expect the patient to be experiencing:

1. Metabolic alkalosis

2. Metabolic acidosis

3. Respiratory acidosis

4. Respiratory alkalosis 

2. Metabolic acidosis

200

Immediately after cataract surgery, it is important for the nurse to place the patient in what position?


A. Flat in bed


B. Turned on affected side


C. High Fowler's position


D. Semi-Fowler's position

D. Semi-Fowler's position

300

Which of the following hormones plays a key role in stress-induced states?

1. Insulin

2. Cortisol

3. Glucagon

4. Thyrotropin 

2. Cortisol

300

What is the priority for the nurse managing care for a patient with a stage 4 sacral pressure injury?

1. Beginning IV antibiotics

2. Obtaining wound cultures

3. Dressing the wound

4. Initiating high protein diets 

2. Obtaining wound cultures

300

The nurse notes that an HIV-positive patient with an extremely low viral load will:


1. Most likely have a low CD4+ count

2. Most likely have a CD4+ count under 200

3. Experience significant symptoms

4. Experience no symptoms


4. Experience no symptoms

300

Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances

Question 3 of 25


You are caring for a patient admitted with an exacerbation of asthma. After several treatments, the ABG results are pH 7.40, PaCO2 40 mm Hg, HCO3 24 mEq/L, PaO2 92 mm Hg, and O2 saturation of 99%. You interpret these results as:

1. metabolic acidosis.


2. respiratory acidosis.


3. respiratory alkalosis.


4. within normal limits.


4. within normal limits.
300

The nurse is providing discharge teaching to a patient after a cataract removal procedure. Which statement, if made by the patient, indicates that the discharge teaching is effective?

1. “It is possible that my cataract could return after this procedure"


2. “I can expect severe pain after this procedure.”

3. “I should avoid lifting heavy objects and straining.”

4. “The procedure will correct my vision immediately.”


3. “I should avoid lifting heavy objects and straining.”
400

Which of the following statements made by the nurse requires additional teaching?

1. "CPAP machines should be worn each night and while napping."

2. "Weight loss may be the best treatment for OSA."

3. "Sleep aids such as benzodiazepines can prove positive results for patients with OSA."

4. "Mild sleep apnea can be treated simple measures such as sleeping on side."

3. "Sleep aids such as benzodiazepines can prove positive results for patients with OSA."

400

Which of the following labs are most commonly ordered to assess the overall infection and inflammatory process?

1. Complete metabolic panel

2. Complete blood count

3. Complete blood count with differential

4. C-reactive protein

5. Electrolyte panel

3. Complete blood count with differential

4. C-reactive protein


400

Which of the following statements made by the patient about Anti-retroviral therapy requires further teaching?

1. I will take this medication regimen for life.

2. This therapy takes 4-6 weeks to become fully effective

3. This medication will cure my HIV virus

4. This medication will significantly lower my viral load

3. This medication will cure my HIV virus

400

A patient is admitted with metabolic acidosis. Which system is not functioning normally?

1. Renal system

2. Buffer system

3. Endocrine system

4. Respiratory system

1. Renal system

400

To determine if treatment is effective for a patient with open-angle glaucoma, the nurse can evaluate the patient by:


1. questioning the patient about blurred vision.

2. asking the patient to rate the pain using a 0 to 10 scale.

3. noting any changes in the patient's visual field.

4. assessing the patient for nausea, vomiting, and eye redness


3. noting any changes in the patient's visual field.

500

Chapter 07: Sleep and Sleep Disorders

Question 6 of 16


A patient is experiencing insufficient sleep and having health issues as a result. What disorder does the nurse teach the patient can be related to sleep disorders?

1. Insufficient sleep is linked to a decreased risk for type 2 diabetes.

2. Inadequate sleep in people with hypertension decreases blood pressure.

3. Short sleep duration may cause metabolic changes that are linked to obesity.

4. 
Radiation for cancer treatment is associated with fragmented sleep and fatigue.


3. Short sleep duration may cause metabolic changes that are linked to obesity.
500

A nurse understands that a patient's infection is improving when:

1. Redness is no longer present at the site

2. WBC count has dropped from 19,000 to 15,000

3. Antibiotics have been taken for 3 days

4. Pain is no longer present

2. WBC count has dropped from 19,000 to 15,000

500

When caring for a patient with HIV the priority of the nurse is to:

1. Minimize exposure to other individuals

2. Ensure medication regimen compliance

3. Monitor CD4+ count

4. Educate the client about exposure risks

3. Monitor CD4+ count

500

Which of the following is true regarding the administration of potassium?

1. Patients must be attached to heart monitors while receiving potassium

2. Potassium is only given at 15 MEQ/hour

3. Potassium can only be given IV or PO

4. Rapid potassium administration can result in cerebral edema 

1. Patients must be attached to heart monitors while receiving potassium

3. Potassium can only be given IV or PO

500

Which prescribed medication should the nurse give first to a patient who has just been admitted to a hospital with acute angle-closure glaucoma?
a. Morphine sulfate 4 mg IV
b. Mannitol (Osmitrol) 100 mg IV
c. Betaxolol (Betoptic) 1 drop in each eye
d. Acetazolamide (Diamox) 250 mg orally

b. Mannitol (Osmitrol) 100 mg IV