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2/19 Trivia Night Flashcards | StudBud
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2/19 Trivia Night
2/19 Trivia Night
50 terms
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1
45. A client with CKD has a potassium level of 6.8. Which intervention is most important?
Administer IV calcium gluconate
Encourage potassium-rich foods
Give sodium polystyrene sulfonate
Monitor ECG in 6 hours
2
38. A nurse is preparing to administer subcutaneous heparin. What is correct?
Aspirate before injecting
Administer in the abdomen
Massage the site after injection
Use a 1-inch needle
3
31. A nurse is assessing a client with a pericardial effusion. What is most concerning?
Heart rate 72
BP 110/70
Peripheral edema
Muffled heart sounds
4
33. A nurse is preparing to administer IV vancomycin. What action is most important?
Give via IM route
Monitor for bradycardia
Monitor for red man syndrome
Administer rapidly over 15 minutes
5
37. A nurse is teaching about warfarin therapy. What statement requires correction?
"I will eat more leafy greens to help my blood clot."
"I should use an electric razor."
"I will get regular INR checks."
"I should report unusual bruising."
6
44. A nurse is teaching a client with hyperthyroidism. Which statement needs correction?
"I should avoid caffeine and stimulants."
"I should eat a high-iodine diet."
"I will take my medication daily as prescribed."
"I will monitor my weight regularly."
7
9. A client on warfarin has an INR of 5.2. The nurse should:
Administer another dose
A. Hold the warfarin and call the provider
Encourage leafy greens
Give vitamin B12
8
11. (SATA) A nurse is teaching about iron supplements. What should be included?
Take on an empty stomach
May cause dark stools
Use a straw for liquid iron
Take with dairy products
Take with vitamin C
9
26. (SATA) A nurse is teaching a client about signs of hypokalemia. Which symptoms should be included?
Flat T waves on ECG
Constipation
Hypertension
Muscle weakness
Leg cramps
10
42. A nurse is performing a central line dressing change. What is the correct action?
Have the client turn their head away
Use clean gloves to apply the new dressing
Apply sterile gloves, then remove the old dressing
Keep the catheter hub open to air during the procedure
11
48. (SATA) A nurse is educating a client about Parkinson’s disease. Which statements are correct?
Fall precautions are necessary
High-protein meals should be encouraged
Levodopa helps manage symptoms
Tremors are a common symptom
Bradykinesia (slow movement) occurs
12
34. A client with hypoglycemia is unconscious. What should the nurse do first?
Wait for the client to wake up
Give oral glucose
Administer IV dextrose
Give insulin
13
4. (SATA) A nurse is reviewing teaching for levothyroxine. What should be included?
Do not take with calcium supplements
Expect improvement in energy within a few weeks
Take on an empty stomach
Lifelong therapy is needed
Take at bedtime
14
39. A nurse is caring for a client with active TB. Which precautions should be followed?
Contact precautions
No isolation needed
Airborne precautions
Droplet precautions
15
19. A nurse caring for a client with burns should:
Give PO fluids immediately
Keep blisters intact
Apply ice
Give IV fluids first
16
13. (SATA) A nurse is monitoring for digoxin toxicity. Which signs are concerning?
Hyperkalemia
Nausea and vomiting
Blurred vision with halos
Confusion
Bradycardia
17
1. A nurse assesses a client with Guillain-Barré syndrome. Which symptom is most concerning?
Weakness in lower extremities
Loss of deep tendon reflexes
Difficulty breathing
Numbness and tingling in hands
18
16. A client with increased ICP should be positioned:
Trendelenburg
Sitting upright at 90 degrees
Head of bed at 30 degrees
Supine
19
15. (SATA) A client is receiving a blood transfusion. Which signs indicate a transfusion reaction?
Flushing
Bradycardia
Hypotension
Back pain
Fever and chills
20
36. (SATA) Which signs indicate increased ICP?
Pupillary changes
Hypotension
Bradycardia
Projectile vomiting
Widened pulse pressure
21
24. A client with pancreatitis should avoid:
Low-fat foods
High-carb meals
Hydration
Alcohol
22
6. A client with heart failure is prescribed digoxin. Which finding is most concerning?
Potassium of 4.2
Mild nausea
Heart rate of 48 bpm
Digoxin level of 0.8 ng/mL
23
49. A nurse is assessing a client with anaphylaxis. Which intervention is the priority?
Administer epinephrine IM
Monitor vital signs
Provide antihistamines
Give IV fluids
24
2. (SATA) A client with Cushing’s syndrome is being assessed. Which symptoms are expected?
Purple striae
Hyperglycemia
Pallor
Buffalo hump
Moon face
25
8. A client with COPD is receiving oxygen at 4 L/min via nasal cannula. What should the nurse do?
Keep at 4 L/min
Lower to 2 L/min
Increase to 6 L/min
Discontinue oxygen
26
35. A nurse is teaching about post-op hip replacement care. What should the client avoid?
Keeping knees apart
Using a raised toilet seat
Lying flat
Crossing legs
27
3. A client taking spironolactone needs further teaching when they state:
"I will take potassium supplements daily."
"I will avoid foods high in potassium."
"I will notify my doctor if I have muscle weakness."
"I need regular blood work to check my potassium level."
28
22. A nurse explains to a client with TB that they will:
Stop meds once feeling better
Need monthly TB skin tests
Be contagious for a year
Take meds for at least 6 months
29
46. (SATA) A nurse is administering opioids. Which precautions should be taken?
Monitor respiratory rate
Avoid alcohol
Assess pain before and after administration
Give on an empty stomach
Have naloxone available
30
25. A nurse knows metformin should be:
Used with alcohol
Held 48 hours before contrast dye
Taken before bed
Stopped if blood sugar is normal
31
41. A nurse assesses a client with a suspected pulmonary embolism (PE). Which symptom is most concerning?
Bradycardia
Gradual onset of fatigue
Bilateral crackles
Sudden shortness of breath
32
21. A nurse giving enoxaparin (Lovenox) should:
Use a 1-inch needle
Aspirate before injecting
Inject into muscle
Avoid rubbing the injection site
33
27. A client with a pneumothorax has a chest tube placed. Which finding requires intervention?
Tracheal deviation
Drainage of 40 mL/hr
Occlusive dressing in place
Gentle bubbling in suction chamber
34
50. A client in shock has a BP of 80/40. What should the nurse do first?
Start a blood transfusion
Give IV fluids rapidly
Administer diuretics
Elevate the legs
35
7. (SATA) A client with an NG tube needs intervention if the nurse:
Flushes the tube with 30 mL before meds
Does not verify placement before feeding
Lays the client flat
Aspirates 600 mL and returns it
Checks pH before administering feedings
36
17. A client with a chest tube should be assessed for:
Drainage of 400 mL/hr
Continuous bubbling in the water seal chamber
Dry dressing
Gentle bubbling in the suction chamber
37
28. A nurse knows that which ABG result indicates metabolic acidosis?
pH 7.45, PaCO2 35, HCO3 24
pH 7.28, PaCO2 40, HCO3 18
pH 7.30, PaCO2 50, HCO3 28
pH 7.50, PaCO2 30, HCO3 26
38
29. (SATA) A nurse is assessing a client with right-sided heart failure. Which symptoms are expected?
Peripheral edema
JVD
Pulmonary congestion
Hepatomegaly
Ascites
39
14. A nurse administers rapid-acting insulin at 0800. When should they monitor for hypoglycemia?
1100
0830
1400
0900
40
23. (SATA) A client with a DVT should:
Massage the leg
Avoid prolonged sitting
Use compression stockings
Take anticoagulants
Elevate the affected leg
41
47. A nurse is performing hand hygiene before a sterile procedure. What is correct?
Dry hands on scrubs
Scrub for at least 20 seconds
Use hand sanitizer only
Keep hands below the elbows
42
40. (SATA) A client with cirrhosis should avoid:
High-sodium foods
NSAIDs
Alcohol
Acetaminophen
High-carb meals
43
32. (SATA) A nurse is educating a client on preventing osteoporosis. Which interventions are correct?
Smoking cessation
Limit alcohol
Increase caffeine intake
Calcium & vitamin D intake
Weight-bearing exercises
44
30. A client with AKI has potassium of 6.5. What is the nurse’s priority?
Give calcium gluconate IV
Administer furosemide
Restrict dietary potassium
Start dialysis
45
43. (SATA) A nurse is teaching a pregnant client with preeclampsia. Which instructions are correct?
Watch for reduced fetal movement
Check blood pressure regularly
Increase salt intake
Report vision changes immediately
Monitor for severe headaches
46
18. A client with Addison’s disease is admitted with acute adrenal crisis. Which action is priority?
Constipation
Trousseau’s sign
Tingling around the mouth
Chvostek’s sign
Muscle cramps
47
12. A client taking lithium should be advised to:
Avoid caffeine
Maintain normal sodium intake
Drink 1 liter of water daily
Expect immediate effects
48
20. (SATA) A client with DKA may have which signs?
Hyperkalemia
Ketones in urine
Hypertension
Fruity breath
Kussmaul respirations
49
5. A client with Addison’s disease is most at risk for:
Hyperglycemia
D. Hypertension
Fluid overload
Hypovolemic shock
50
10. A client with SIADH has which expected lab finding?
High potassium
Low sodium
Low urine specific gravity
High serum osmolality