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MS III final exam review 2021 Flashcards | StudBud
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MS III final exam review 2021
MS III final exam review 2021
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1
nicardipine and amlodapine are beta blockers
True
False
2
A client presents to the ED seriously Ill from the first dose of chemotherapy. what order does the nurse expect
Provide an antiemetic
Cardiac monitoring
draw blood cultures
initiate an IV saline lock
3
In clients with severe burns, what is the greatest concern in the first 24 hours?
debridement of wounds
Assessing pain
Infection
Organ perfusion
4
which of the following is NOT a sign of the progressive stage of shock
polyphagia
tachycardia
cool moist skin
delayed capillary refill
5
What abnormal lab result must be reported to the provider immediately?
Potassium 5.1
troponin 16.1
sodium 134
Magnesium 1.1
6
Which assessment after an angiography indicates a vascular INJURY to the femoral artery that requires surgery
A new bruit at the puncture site and weak DP pulse
slight bleeding from the puncture site and hypertension
Pain at the puncture site and client anxiety
a hematoma at the puncture site and pain
7
which of the medications listed will best DECREASE filtration pressure in the kidney
INOTROPIC's
STEROID'S
ACE INHIBITOR'S
LOOP DIURETIC'S
8
A client has: potassium 5.3 mEq/L, magnesium 1.8 mEq/L, calcium 9.4 mg/dl, sodium 144 mEq/L. What does the RN do first?
assess grip strength
Assess bowel sounds
assess EKG
assess respirations
9
what nursing action should be implimented
FIRST
to manage increased intracranial pressure (ICP)
align the head and body
Give pain medicine
Elevate the head of the bed
sedate the client
10
which elevated value is expected in renal failure?
GFR of 95
Hemoglobin 15.8
Potassium 5.6
BNP 600
11
What is the classic EKG change associated with an acute MI
frequent PVC's
ST elevation
peaked T waves
bundle branch blocks
12
What is an expected symptom of hypercalcemia
nausea
cardiac conduction disturbance
seizures
shallow breathing
13
a client has bleeding esophageal varices, what is the priority nursing diagnosis
Risk for hypertension
Risk for altered nutrition
Risk for ineffective elimination patterns
Risk for decreased tissue perfusion
14
what is a complication of end-stage liver disease with ascites
Nausea
Peritonitis
Heart failure
Hypertension
15
WhO WAS YOUR FAVORITE INSTRUCTOR IN NURSING SCHOOL? ; )
MRS CRIPE
MRS CARREL
MRS LOUIS
MRS BLAIR
16
In a client with a history of angina, which statement requires an intervention by the nurse?
I had chest pain yesterday after eating
I always have chest pain when stair-climbing
my chest pain always goes away with nitroglycerine
my chest pain is 7/10 and effects my jaw
17
Which stage of shock is least responsive to treatment?
compensatory
non-progressive
refractory
progressive
18
What is appropriate diet teaching for warfarin
eat consistent amounts of green vegetables
You may not eat vegetables but supplement vitamin K
eat green vegetables 3 times a week
Do not eat green vegetables
19
Using principles of triage, which is the emergent client?
an elderly adult with chest pain
a child wheezing with an allergic reaction to a bee sting
an adult with an open fracture of the femur
a client who wants to kill himself
20
Which of the following medications are used to reduce myocardial oxygen demand and afterload?
clopidogrel and atorvastatin
Metoprolol and Hydralazine
Esomeprozol and Pravastatin
Heparin and Rosuvastatin
21
What kind of dogs are these
Tall dogs
Cute dogs
Big dogs
Furry dogs
22
what is the BEST assessment of "D" in the ABCDE trauma assessment sequence
"D" Assess for causes of unresponsiveness
"D" Draw labs for a baseline
"D" Identify history of Drug use
"D" Assess the Back of the patient
23
the mean arterial pressure (MAP)is computed with what equasion?
systole plus diastole divided by 3
diastole x2 plus systole divided by 3
systole x2 plus diastole divided by 3
systole x3 divided by diastole
24
A calcium level is 14.6. What order does the nurses implement first
place an IV and start normal saline
assess urine output
administer oral calcitonin
Initiate EKG monitoring
25
which electrolyte abnormality will slow conduction and heart rate
hypokalemia
Hyperkalemia
Hypocalcemia
hypercalcemia
26
what is an intrarenal cause of kidney failure
Heart failure
Diabetes
Prostate cancer
hypotension
27
A client presents with probable shock. There are no vital signs available to the nurse. What should the nurse do first?
assess the breathing
Start a large bore IV
Apply O2
Assess capillary refill
28
What is the role of the RN in rehab
manage weakness of fine motor skills
identify underlying comorbidities and coordinate care
identify resources in the community for clients
assess and treat weakness of the trunk
29
which lab result confirms a diagnosis of shock?
WBC greater than 7000
WBC Left shift
PaO2 of 60
lactic acid over 7
30
how do you compute the MAP?
S+D+D /3=MAP
CO-PERIPHERAL RESISTANCE=MAP
S+S+D /3=MAP
SYSTOLE -DIASTOLE=MAP
31
choose the best way to control pain when clients experience constant intense pain
fentanyl IV q 2 hours
Hydrocodone orally Q 4 hours
Dilaudid IV by PCA pump
Morphine IM q 2 hours
32
lisinopril and captopril are calcium channel blockers
True
False
33
Which cerebral artery occlusion has the greatest risk of death?
The middle cerebral artery
The basilar artery
the right vertebral artery
The anterior cerebral artery
34
which of the following is NOT a platelet inhibitor
Warfarin
IIB-IIIA inhibitors like integrilin
plavix
Aspirin
35
what assessment finding can be associated with a sodium level of 115
paresthesia's
bradycardia
Positive Trousseau sign
change in LOC
36
the RN delegates care to a UAP, what is the best task to delegate?
assure the client's heels are elevated
Help the client understand their diet choices
evaluate the size of the clients calf
examine the clients skin during the bath
37
Which altered electrolyte is associated with acidosis
Hyponatremia
Hypokalemia
Hyperkalemia
Hypocalcemia
38
The provider ordered labs, which confirms your suspicion of shock?
hyperkalemia
hyperglycemia
leukocytosis
lactic acidosis
39
Care for TPN includes all EXCEPT:
CHECK THE TPN WITH A PHARMACIST BEFORE HANGING
CHANGE THE TUBING WITH NEW TPN BAG Q 24 HOURS
HANG D-10 IF TPN RUNS OUT
ALWAYS USE A IV PUMP
40
With fluid resusitation for a trauma client what is the fluid replacement ratio to estimated blood loss?
1 to 1
3 to 1
2 to 1
3 to 1
41
What order will the nurse anticipate to treat diabetes insipidus
assess glucose levels before meals
replace fluid losses with normal saline
administer vasopressors
Assess neuro status more frequently
42
Who should the nurse see first?
a client with dementia who is confused
a COPD client with shortness of breath
a client who received hydralazine and has a drop in the blood pressure
a client started on antibiotics who has a new rash
43
Which abnormality is associated with metabolic alkalosis
weakness of muscles
skin breakdown
hypertension
Hypoxia
44
Which abnormal ABG value is associated with Metabloic acidosis
HCO3 16
PCO2 65
PH 7.45
PO2 90
45
What orders does the nurse QUESTION for a client with pancreatitis
NG tube feedings
Chest X-ray
NG to continuous suction
Central line placement
