Integ
WILD
resp disorder
resp disorder
dose calc
100

What is the medical term for age spots or liver spots? 

A. contigo

B. lanugo

C. lentigo

D. vitiligo

C. lentigo

100

Using a diagram, the nurse demonstrates how most of the inspired oxygen is carried to the tissues by the:

A. red blood cells.

B. plasma.

C. lymphatic system.

D. white blood cells.

A. red blood cells.

100

A severe asthma attack that does not respond to usual treatments is called:

status asthmaticus

100

Following a total laryngectomy, the nurse expects the patient to have permanent loss of

A. Gag reflex

B. Swallowing reflex

C. Voice

D. Hearing

C. Voice

100

Dr. B orders 5% Dextrose 1000 ml to be infused for 12 hours, using a micro drip (gtt/ml) tubing, at what rate will you set your IV ? ______gtt(s)/min. Round to the nearest whole number. No trailing zeros. Only insert numerical numbers.

83


200

Which is a major function of the skin? (Select all that apply.)

A. Excretion of wastes

B. Protection

C. Vitamin C synthesis

D. Temperature regulation

E. Prevention of dehydration


A, B, D, E

Functions of the skin include protection from the environment (pathogenic organisms, foreign substances, natural barrier against infection), temperature regulation, prevention of dehydration, excretion of waste products, and vitamin D synthesis.

200

A 73-year-old patient with diabetes was admitted for below the knee amputation of his right leg. Removal of his right leg is an example of which type of surgery?

A. Palliative

B. Diagnostic

C. Reconstructive

D. Ablative

D. Ablative

Ablative is a type of surgery where an amputation, excision of any part of the body, or removal of a growth and harmful substance is performed.

200

A 19-year-old client comes to the emergency department with acute asthma. His respiratory rate is 44 breaths/min, and he appears in acute respiratory distress. Which action should be taken first?


A. Give the ordered bronchodilator by nebulizer

B. Apply a cardiac monitor to the client

C. Provide emotional support to the client

D. Take a full medical history

A.Give the ordered bronchodilator by nebulizer

200

The nurse is caring for a patient with sleep apnea. The patient complains that he is constantly fatigued. Which response is most appropriate for the nurse to make?


A. "Patients with sleep apnea experience oxygen overloads, which lead to drowsiness."

B. "All patients have difficulty sleeping properly in the hospital."

C. "Patients with mild sleep apnea benefit from a small amount of red wine right before bed."

D. "Patients with sleep apnea often wake frequently during the night."

D. "Patients with sleep apnea often wake frequently during the night."

200

The physician orders 0.9% Normal Saline 1L  to be infused for 8 hours. At what infusion rate will you set your pump? _______ml/hr.

Round your answer to the nearest whole number. No trailing zeros. Only insert numerical numbers. 

1000ml /8 hrs = 125 ml/hr

300

Sebaceous glands are also called  __________.

A. sweat glands

B. oil glands

C. eccrine glands

D. apocrine glands


B. oil glands

300

Which of the following is NOT a symptom of COPD?

A. Coughing

B. Fever

C. Shortness of breath

D. Chest tightness


B. Fever

300

The nurse is told that an assigned client will have the chest tubes removed. The nurse plans to do which in preparation for the procedure?

A. Administer pain medication 15 to 30 minutes before the procedure.

B. Disconnect the drainage system.

C. Empty the drainage system.

D. Clamp the chest tubes.

A.Administer pain medication 15 to 30 minutes before the procedure.

300

An asthma patient asks about the purpose of learning to use the PEFR (peak expiratory flow rate) meter. The nurse's best response is that the PEFR:

A. soothes inflamed bronchi, reducing spasm.

B. measures forced expired air to evaluate ventilation.

C. dilates the bronchi to relieve dyspnea.

D. liquifies sputum for easier expectoration.

B. measures forced expired air to evaluate ventilation.

300

Insert the correct response. Include appropriate labeling with each numerical answer. Examples of appropriate labeling of numerical answers are tablets, capsules, mL, mL/h, gtt/min, and units.

A patient with high gastric residuals has Reglan 10 mg every 6 hours per gastric tube ordered. The Reglan syrup is supplied in a 10 mg per 10-mL concentration. How many milliliters would the nurse administer with each dose? ___________

10 mL

400

The three major glands of the skin are sudoriferous, ceruminous, and __________.

sebaceous glands


sudoriferous glands-sweat glands open into pores on the skin surface and excrete sweat. Ceruminous glands-secrete a waxlike substance called cerumen and are located in the external ear canal

400

A nurse is assisting with the plan of care for a client who has pneumonia and requires chest percussion, vibration, and postural drainage. Which of the following actions should the nurse plan to complete first?

A. Auscultate lung fields.

B. Provide mouth care.

C. Cup hands and tap on the client’s chest repeatedly.

D. Position the client so that the lung area to be drained is above the client’s trachea.

A. Auscultate lung fields.

Answer Rationale:

The priority action the nurse should take when using the airway, breathing, circulation (ABC) approach to client care is to auscultate lung fields to determine which lung areas are most affected and would be the focus of the procedure.

400

A patient is seen in the outpatient clinic with symptoms of sneezing, runny nose, headache, sore throat, lethargy, and fatigue. The diagnosis of acute viral rhinitis (common cold) was made by the nurse practitioner. The patient is requesting antibiotics for treatment of the cold. Which information should be included in the patient teaching?

A. A virus causes the common cold.

B. Bacteria are known to cause the common cold.

C. Antibiotics improve patient symptoms.

D. A person with a cold is contagious throughout the illness.

A. A virus causes the common cold.

400

On entering the room of a client with COPD, the nurse notices that the client is receiving oxygen at 4 L/min by way of nasal cannula. The nurse's actions should be based on which statement?

A. The flow rate is correct.

B. The flow rate is too high.

C. The flow rate is too low.

D. The client shouldn't receive oxygen.

B. The flow rate is too high.

400

Insert the correct response. Round your answer to the nearest whole number. Include appropriate labeling with each numerical answer. Examples of appropriate labeling of numerical answers are tablets, capsules, mL, mL/h, gtt/min, and units.

The patient has sodium ferric 125 mg ordered once daily. The sodium ferric is available in 100 mL of NS and should infuse over 1 hour. Using tubing with a 60 gtt/mL drop factor, how many drops per minute should the sodium ferric be infused? ______________

100 gtt/min

500

Mr. Firestone is hiking through the woods and brushes up against poison ivy and develops as an allergic response. Mrs. Firestone calls the doctor and was ordered by the doctor to give him Benadryl 25mg twice a day.

 What kind of skin irritation did Mr. Firestone developed? 

And what is the total dose should Mrs. Firestone have given in one day?

A. a papule, 50 mg total dose

B. a macule, 60 mg total dose

C. a wheal, 50mg total dose

D. a zit, 45mg total dose.

C. a wheal, 50mg total dose

500

A nurse is assisting with the care of a client who has adult respiratory distress syndrome (ARDS). Which of the following actions should the nurse take?

A. Administer low-flow oxygen continuously via nasal cannula.

B. Encourage oral intake of at least 3,000 mL of fluids per day.

C. Offer high-protein and high-carbohydrate foods frequently.

D. Position the client in supine for ventilatory support.

D. Position the client in supine for ventilatory support.

Answer Rationale:

Diuretics and fluid restrictions help minimize pulmonary edema, which is part of ARDS.

500

A nurse is assisting with the plan of care for a client who has a chest tube connected to a closed chest drainage system. Which of the following interventions should the nurse include in the plan of care?


A. Empty the collection chamber every 12 hr.

B. Keep the collection device below the level of the client’s chest.

C. Strip the chest tube every 4 hr.

D. Avoid positioning the client on the affected side.

B. Keep the collection device below the level of the client’s chest.

Answer Rationale:

To promote drainage by gravity, the nurse should ensure that the collection device is below the level of the client’s chest at all times.

500

A patient was stabbed in the chest and, upon arrival to the emergency center, develops sudden, acute dyspnea and tachypnea. What does the nurse suspect may be happening to the patient?

A. Development of atelectasis

B. Development of a pulmonary embolus

C. Development of a pneumothorax

D. Discovery of lung cancer

C. Development of a pneumothorax