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Cardiovascular
Respiratory
Oncology
Neurology
Gastrointestinal
100
A patient has developed the cardiac arrhythmia Torsades de Pointes. The nurse should prepare to administer 1. diltiazem 2. lidocaine 3. magnesium sulfate 4. amiodarone
What is 3. magnesium sulfate
100
The nurse is caring for a patient that just underwent a bronchoscopy. The nurse should complete which of the following interventions? 1. confirm the return of a gag reflex before advancing diet 2. administer vecuronium IV 3. encourage large amounts of fluids 4. administer midazolam IV for conscious sedation
What is 1. confirm the return of a gag reflex before advancing diet
100
The nurse is caring for a client receiving chemotherapy for lung cancer. Laboratory results show a platelet count of 18,000 and WBC of 5,000. Which of the following measures should the nurse implement based on these results? 1. Contact isolation 2. Respiratory isolation 3. Bleeding precautions 4. Reverse isolation
What is 3. Bleeding precautions
100
A nurse is assessing an adult patient whose Glasgow Coma Scale score is indicative of a coma. The patient's score is most likely: 1. Zero 2. One 3. Six 4. Nine
What is 3. Six
100
A patient recently diagnosed with celiac disease wants to know more about what foods he should avoid. Which of the following should be included in the discharge instructions as a food to avoid? 1. Milk 2. Rye Bread 3. Peanuts 4. Soy
What is 2. Rye Bread
200
While reviewing the patient's chart, the nurse notes that the patient takes digoxin for congestive heart failure (CHF). Which of the following early findings on the patient's electrocardiogram (EKG) would alert the nurse to a possible digoxin toxicity? 1. Tachycardia 2. Premature atrial contractions (PACs) 3. Premature ventricular contractions (PVCs) 4. Bradycardia
What is 3. PVC
200
A 49-year-old male patient is in a coma and is supported by mechanical ventilation. Regular oral care is provided by the nurse to this unconscious patient because 1. the patient is fully dependent on the nurse's action 2. the unconscious patient has limited ability to perform self care 3. routine oral care may reduce the risk of ventilator assisted pneumonia 4. oral care reduces the risk of aspiration
What is 3. routine oral care may reduce the risk of ventilator assisted pneumonia
200
The nurse is caring for a patient diagnosed with gastric cancer. The patient's spouse asks about dietary changes as a way to reduce the risk of gastric cancer. Which of the following indicates that the spouse understands the nurse's instruction? 1. Dietary intake of foods rich in vitamin C is not associated with a reduced risk of gastric cancer 2. Excessive salt intake is not associated with an increased risk of gastric cancer 3. Changing one's diet to include more vegetables, fruits, and whole grains would reduce the risk of gastric cancer 4. Consumption of cured meats can reduce the risk of gastric cancer
What is 3. Changing one's diet to include more vegetables, fruits, and whole grains would reduce the risk of gastric cancer
200
A nurse is making the initial rounds and enters the room of a patient who is suffering from severe brain trauma. The nurse sees the patient with a rigid extension of all extremities. The patient's forearms are hyper-pronated and the feet are plantar-flexed. Which positioning is the patient exhibiting?
What is Decerebrate positioning
200
The nurse is educating a patient with cirrhosis about lifestyle changes. Which of the following statements by the patient indicates the need for additional education? 1"I will take acetaminophen (Tylenol) if I get a fever" 2."A full night's sleep is important 3."I should watch my weight closely" 4."I should eat more carbohydrates"
What is 1"I will take acetaminophen (Tylenol) if I get a fever"
300
While reviewing an electrocardiogram (EKG), the nurse knows that the "P" wave represents which of the following? 1. Atrial depolarization 2. Ventricular depolarization 3. Atrial repolarization 4. Ventricular repolarization
What is 1. Atrial depolarization
300
A patient is admitted to the inpatient unit with difficulty breathing, a productive cough, and audible wheezes. Which lab value should be reported to the physician immediately? 1. Hematocrit 45% 2. White blood Count 25,900 3. Serum sodium 136 4. Serum Potassium 4.0
What is 2. White blood Count 25,900
300
A patient diagnosed with ovarian cancer has been informed that it has spread to her liver and pancreas. What does this refer to? 1. Extravasation 2. Metastasis 3. Nadir 4. Metaplasia
What is 2. Metastasis
300
A 37-year-old patient involved in a motor vehicle accident sustained a head injury resulting in a subdural hematoma. The nurse caring for the patient noticed that he was confused but later on became unresponsive with a blood pressure of 100/60 mmHg. As the nurse transports the patient to the operating room, which of the following is the most effective position for the patient?
What is Semi- fowler's
300
A patient with hepatitis is admitted to the hospital. The physician believes he contracted the disease from contaminated food. Which of the following is most likely the diagnosis?
What is Hepatitis A
400
While monitoring an electrocardiogram (EKG) rhythm strip, the nurse notices that no P-waves can be seen, but the QRS waves are occurring in irregular intervals. The nurse also notes that the heart rate is elevated 126 beats per minute. This rhythm is recognized as which of the following? 1. Atrial fibrillation 2. Ventricular tachycardia 3. Ventricular fibrillation 4. Atrial tachycardia
What is 1. Atrial fibrillation
400
A patient's chest x-ray indicates acute respiratory distress syndrome (ARDS). The nurse understands that this condition results from: 1. severe acidosis 2. pulmonary edema 3. increased permeability of pulmonary capillaries 4. pulmonary hypertension
What is 3. increased permeability of pulmonary capillaries
400
Match the following: 1. Carcinoma A. Plasma 2. Adenomas B. nerve cells 3. Sarcomas C. covers internal&external part of body 4. Multiple Myeloma D. thyroid, pituitary adrenal glands 5. Neuroblastoma E. begins in bone, cartilage, fat, muscle
What is Carcinoma- C Adenomas- D Sarcomas- E Multiple Myeloma- A Neuroblastoma- B
400
A patient admitted for a head injury develops dry skin and a urine output of 400 ml/hr. Prioritize the nurse's next actions: 1. Notify the physician. 2. Complete a neuro assessment. 3. Assess the patient's urine specific gravity and blood sodium levels. 4. Start IV fluids and administer desmopressin (DDAVP).
What is 2,1,3,4
400
The nurse is administering medications to a patient with a duodenal ulcer. The patient asks about his medications and how they treat his disease. The nurse explains that duodenal ulcers are predominately caused by:
What is H. Pylori
500
A client diagnosed with left-sided heart failure has decreased cardiac output related to altered contractility. Which of the following nursing actions are appropriate for improving cardiac pump effectiveness? Select all that apply 1. Provide a restful environment 2. Closely monitor fluid intake and output 3. Place patient in flat supine position 4. Monitor for dyspnea at rest 5. Monitor orthostatic pressure and weight daily
What is 1. Provide a restful environment 2. Closely monitor fluid intake and output 4. Monitor for dyspnea at rest 5. Monitor orthostatic pressure and weight
500
The nurse is performing a physical assessment on a patient with chronic obstructive pulmonary disease (COPD). Which of the following signs and symptoms should the nurse expect to find? Select all that apply 1. dyspnea on exertion 2. barrel chest 3. shortened expiratory phase 4. fever 5. clubbed finger 6 decreased respiratory rate
What is 1. dyspnea on exertion 2. barrel chest 5. clubbed finger
500
Which of the following are appropriate nursing diagnoses for an 80 year old woman following a bilateral mastectomy for stage IV breast cancer? 1. Imbalanced nutrition, less than body requirements 2. disturbed body image 3. impaired skin integrity 4. risk for situational low self-esteem 5. risk for infection
What is 2. disturbed body image 3. impaired skin integrity 4. risk for situational low self-esteem 5. risk for infection
500
A nurse is caring for a patient diagnosed with myasthenia gravis. When caring for this patient, which of the following interventions are appropriate? Select all that apply 1.Monitor vital signs and watch for signs of myasthenia crisis: bradycardia, hypotension, and cyanosis. 2.Have suction available at all times 3.Administer medications when the patient is awake to promote rest. 4. When swallowing is difficult, provide liquids instead. 5.Schedule periods of rest into the day. 6. Monitor vital signs and watch for signs of myasthenia crisis: tachycardia, hypertension, and restlessness.
What is 2.Have suction available at all times 3. Schedule periods of rest into the day 6. Monitor vital signs and watch for signs of myasthenia crisis: tachycardia, hypertension, and restlessness
500
A nurse is assessing a patient with cirrhosis. The nurse should know that which of the following would indicate late stage liver deterioration? 1. low urine output 2. muscle weakness 3. weight loss 4. flapping tremor of the hands 5. confusion
What is 4. flapping tremor of the hands 5. confusion