MEDICAL AND SURGICAL NURSING
A CLIENT HAS A BLOOD POTASSIUM LEVEL OF 6.1 MEQ/L. WHICH ASSESSMENT DATA CAN YIELD IMPORTANT INFORMATION ABOUT THE EFFECTS OF POTASSIUM? A)BLOOD CLOTTING STUDIES B)BLOOD GLUCOSE LEVELS C)BLOOD PRESSURE READINGS D)ELECTROCARDIOGRAM (EKG)
What is D: ELECTROCARDIOGRAM (EKG)
WHAT IS THE NORMAL RESTING HEART RATE FOR A SLEEPING TERM NEWBORN? A)50-90 BPM B)70-110 BPM C)80-160 BMP D)120-220 BPM
What is C: 80-160 BPM
WHICH DEVELOPMENTAL TASKS WILL THE NURSE EXPECT A DEVELOPMENTALLY APPROPRIATE 2 1/2 - YEAR-OLD CHILD WILL HAVE ACHIEVED? CHOOSE ALL THAT APPLY: A) DRAWING A THREE- PART PERSON B) KICKING A BALL FORWARD C) REMOVING A T-SHIRT D) WALKING BACKWARDS
What is B, C, D.
ACCORDING TO PSYCHOANALYTIC THEORY, WHICH IS THE BEST DESCRIPTION OF THE ID? A) SEEKS INSTANT GRATIFICATION B) REPRESENTS MATURE AND ADAPTIVE BEHAVIOR C) REFLECTS MORAL AND ETHICAL CONCEPTS AND VALUES
What is A: SEEKS INSTANT GRATIFICATION
A CLIENT IS RECEIVING HEMODIALYSIS FOR CHRONIC RENAL FAILURE. AN AV FISTULA IS PRESENT IN THE LEFT ARM. WHAT WILL THE NURSE DO TO ASSESS PATENCY FOR THE AV FISTULA? A)AUSCULTATE THE SITE FOR A BRUIT B)INSPECT THE SITE FOR COLOR, WARMTH, AND SENSATION C)PERCUSS THE AREA FOR HEMOTOMA FORMATION D)TAKE BLOOD PRESSURE IN THE RIGHT ARM
What is A: AUSCULTATE THE SITE FOR A BRUIT
THE NURSE IS PERFORMING AN INTIAL ASSESSMENT ON A TERM NEWBORN AND NOTES THE BLOOD PRESSURES IN THE UPPER EXTREMITIES ARE SIGNIFICANTLY HIGHER THAN IN THE LOWER EXTREMITIES. WHAT IS THE MOST LIKELY CAUSE OF THIS DIFFERENCE IN BLOOD PRESSURE READINGS? A)CARDIAC DEFECT B)MALFUNCTIONING BLOOD PRESSURE MACHINE C) RESPIRATORY DEFECT D) WRONG SIZE BLOOD PRESSURE CUFF
What is A: CARDIAC DEFECT
WHEN A CHILD IS DIAGNOSED WITH LEUKEMIA, WHICH PROCEDURE IS PERFORMED TO DETERMINE IF LEUKEMIC CELLS HAVE INVADED THE CENTRAL NERVOUS SYSTEM? A) BONE MARROW BIOPSY B) CT SCAN OF THE HEAD WITH IV CONTRAST C) LUMBAR PUNCTURE D)PERIPHERAL BLOOD SMEAR.
What is C: LUMBAR PUNCTURE
A DISASTER NURSE IS CALLED TO ASSIST A COMMUNITY 6 WEEKS AFTER A TORNADO RAVAGED THE TOWN. WHAT IS THE FIRST GOAL THE NURSE WILL ADDRESS REGARDING EMOTIONAL ISSUES RELATED TO THE TORNADO'S AFTERMATH? A) ASSESS INDIVIDUALS EXPERIENCING PSYCHOLOGICAL DIFFICULTIES B) ASSIST INDIVIDUALS TO REACH THEIR HIGHEST LEVEL OF FUNCTIONING C) IDENTIFY INDIVIDUALS IN NEED OF PSYCHOTROPIC MEDICATION D) PROVIDE RESOURCES FOR MEETING BASIC NEEDS.
What is A: ASSESS INDIVIDUALS EXPERIENCING PSYCHOLOGICAL DIFFICULTIES.
USING THE RULE OF NINES, CALCULATE THE PERCENTAGE OF BODY BURNED IN A CLIENT ADMITTED TO THE EMERGENCY DEPARTMENT WITH SECOND AND THIRD DEGREE BURNS OVER THE POSTERIOR AND ANTERIOR SURFACE OF BOTH ARMS AND THE RIGHT LEG. A)WHAT IS 36%. B)WHAT IS 25%. C)WHAT IS 27% D)WHAT IS 81%.
What is 36%. BOTH ARMS ARE 9% EACH AND THE LEG IS 18%.
WHICH IS THE GREATEST CONCERN FOR THE POSTPARTUM CLIENT WHO EXPERIENCES A CONSUMPTIVE COAGULOPATHY SUCH AS DISSEMINATED INTRAVASCULAR COAGULATION (DIC)? A)HYPERTENSION B)BLOOD CLOTS C)HEMORRHAGE D)PULMONARY EMBOLI
What is C: HEMORRHAGE
SELECT THE ITEMS THAT ARE TRUE ABOUT ORAL IRON PREPARATIONS. SELECT ALL THAT APPLY. A) CITRUS JUICE PROMOTES IRON ABSORPTION B)SHOULD BE GIVEN WITH MILK C)BLOODY DIARRHEA IS A SIGN OF OVERDOSE D) GREENISH BLACK STOOLS ARE EXPECTED E) AVOID HIGH FIBER FOODS TO MINIMIZE SIDE EFFECTS.
What is A, C,D.
THE NURSE IS INTERVIEWING A 17- YEAR-OLD GIRL ACCOMPANIED BY HER MOTHER. THE CLIENT WEIGHS 105 POUNDS AND IS 5 FEET 8 INCHES TALL. SHE TELLS THE NURSE SHE HAS A DIFFICULT TIME STAYING WARM. THE NURSE IS CONCERNED THE CLIENT MAY HAVE ANOREXIA NERVOSA. FROM THE LIST BELOW WHAT OTHER OBJECTIVE SYMPTOMS MIGHT BE PRESENT IN A CLIENT WITH ANOREXIA NERVOSA? SELECT ALL THAT APPLY. A) BRADYCARDIA B)DIARRHEA C)IRRITABILITY D)SWELLING OF THE HANDS AND FEET.
What is A, C.
THE NURSE ASSESSES A CLIENT 2 DAYS POST-ABDOMINAL SURGERY. THE CLIENT COMPLAINS OF DIFFUSE ABDOMINAL DISCOMFORT. THE NURSE NOTES DISTENTION, FEW BOWEL SOUNDS, AND LACK OF FLATUS. WHICH IS THE HIGHEST PRIORITY INTERVENTION FOR THIS CLIENT? A)ASSESS BOWEL SOUNDS Q4H B)MAINTAIN FLUID BALANCE C)AMBULATE THE CLIENT EVERY SHIFT D)ASK THE CLIENT EVERY SHIFT IF FLATUS IS PRESENT.
What is B: MAINTAIN FLUID BALANCE
AN INFANT IS BORN TO A MOTHER WHO RECEIVED MAGNESIUM SULFATE. THE INFANT IS DROWSY AND HAS POOR MUSCLE TONE. WHAT LABORATORY TEST RESULT WILL THE NURSE MONITOR IN THE INFANT? A)CALCIUM LEVELS B)MAGNESIUM LEVELS C)POTASSIUM LEVELS D)SODIUM LEVELS
What is A: CALCIUM LEVELS
WHAT INFORMATION SHOULD THE NURSE PROVIDE TO THE FAMILY OF A CHILD WITH DUCHENNE'S MUSCULAR DYSTROPHY? A) ALTHOUGH THE CHILD MAY BE COME WHEELCHAIR BOUND, THE LIFE EXPECTANCY IS BETWEEN 45 AND 50 YEARS. B) EXERCISE CAN HELP THE CHILD GET STRONGER C) BECAUSE THIS TYPE OF MUSCULAR DYSTROPHY IS HEREDITARY, THEY SHOULD HAVE ALL THEIR CHILDREN TESTED. D) THE CHILD WILL BECOME MORE PRONE TO INFECTIONS
What is D: THE CHILD WILL BECOME MORE PRONE TO INFECTIONS
A 32- YEAR - OLD CLIENT RETURNS TO THE MH UNIT FROM A SUNDAY AFTERNOON PASS. WHEN THE NURSE ASKS THE CLIENT HOW HER PASS WENT, THE CLIENT REPLIED, "IT WAS NICE; WE WENT TO A WINE AND CHEESE PARTY." THE NURSE IMMEDIATELY TAKES THE CLIENT'S BLOOD PRESSURE AND CALLS THE PHYSICIAN. WHAT IS THE BEST EXPLANATION FOR THE NURSE'S ACTIONS? A) TAKING THE CLIENT'S BLOOD PRESSURE IS A NORMAL PROCEDURE WHEN A CLIENT RETURNS FROM A PASS B) FROM THE DESCRIPTION OF THE SCENARIO, IT IS POSSIBLE THE CLIENT IS ON AN MONOAMINE OXIDASE INHIBITOR (MAOI). C) THE NURSE IS CONCERNED THE CLIENT MAY HAVE BECOME HYPOTENSIVE FROM DRINKING WINE IN COMBINATION WITH HER MEDICATION.
What is B: FROM THE DESCRIPTION OF THE SCENARIO, IT IS POSSIBLE THE CLIENT IS ON AN MONOAMINE OXIDASE INHIBITOR (MAOI).
THE NURSE IS WORKING ON A TELEMETRY UNIT. THE FOUR CLIENTS THE NURSE IS CARING FOR ARE ALL DISPLAYING DIFFERENT RHYTHMS. WHICH CLIENT IS THE NURSE'S PRIORITY? A) A CLIENT WIHT ATRIAL FIBRILLATION B)A CLIENT WITH A NEW ONSET OF SHORT BURSTS OF VENTRICULAR TACHYCARDIA C) A CLIENT WITH A JUNCTIONAL RHYTHM OF 55 BEATS PER MINUTE WHO IS ASYMPTOMATIC D) A CLIENT WIHT A FIRST-DEGREE HEART BLOCK.
What is B: A CLIENT WITH A NEW ONSET OF SHORT BURSTS OF VENTRICULAR TACHYCARDIA.
THE NURSE IS CARING FOR A CLIENT IN LABOR. THE FETAL MONITOR SHOWS LATE DECELERATIONS ABOUT 20 MINUTES AFTER HER EPIDURAL WAS PLACED. PLACE IN ORDER THE ACTIONS THE NURSE WILL TAKE IN RESPONSE TO THE FINDINGS. A) ADMINISTER OXYGEN B)DOCUMENT NURSING CARE C)PLACE THE CLIENT ON HER SIDE D)ASSESS THE MATERNAL BLOOD PRESSURE E) INCREASE THE IV FLUID RATE
What is C, A, E, D, B
THE NURSE ADVISING PARENTS OF AN INFANT WITH CONGESTIVE HEART FAILURE ABOUT FEEDING TECHNIQUES SHOULD INCLUDE WHAT PIECE OF INFORMATION? A) ALLOW THE INFANT TO FEED FOR UP TO ONE HOUR TO ACCOMMODATE THE LESS EFFECTIVE SUCK IN CHF B) INCREASE THE AMOUNT OF FORMULA AT EACH FEEDING TO ALLOW FOR LONGER REST PERIODS C) POSITION THE INFANT AT A 20 DEGREE ANGLE FOR FEEDINGS TO AVOID ABDOMINAL PRESSURE DURING FEEDING D) 24 CALORIES PER OUNCE FORMULA IS PREFERABLE TO 20 CALORIES PER OUNCE FORMULA.
What is D: 24 CALORIES PER OUNCE FORMULA IS PREFERABLE TO 20 CALORIES PER OUNCE FORMULA.
A 15-YEAR -0LD CLIENT PRESENTS TO HER PRIMARY CARE PHYSICIAN ACCOMPANIED BY HER MOTHER. SHE IS CURRENTLY TAKING RISPERIDONE (RISPERDAL). THEY ARE CONCERNED BECAUSE SHE HAS BEEN EXPERIENCING AMENORRHEA AND GALACTORRHEA FOR SEVERAL MONTHS. THEY DID A HOME PREGNANCY TEST WHICH WAS NEGATIVE. WHAT INFORMATION WILL THE NURSE DISCUSS WITH THE CLIENT RELATIVE TO THESE SYMPTOMS? THIS MEDICATION: A) IS ASSOCIATED WITH CHANGES IN BLOOD GLUCOSE LEVELS B) IS ASSOCIATED WITH ELEVATED PROLACTIN LEVELS C) CAN CAUSE WEIGHT GAIN D) CAN INCREASE THE FREQUENCY OF URINATION.
What is B: IS ASSOCIATED WITH ELEVATED PROLACTIN LEVELS.