Final Exam Review

Question 1

SATA What education should be given to a patient with Sickle Cell Disease regarding triggers?

Accepted Answer

You will need to get a flu shot every year, You should ensure you are getting proper hydration, Places with higher altitude can cause exacerbations

Question 2

Which action by the student nurse should be questioned when taking care of a PT experiencing ascites?

Accepted Answer

Ensuring the patient's lunch follows 20 g carb diet

Question 3

Which of the following would be an UNEXPECTED finding in a patient with compensated cirrhosis?

Accepted Answer

Increased pressure in portal veins causing bleeding in the esophagus

Question 4

Which statement indicates the need for further teaching following discharge for a PT with PUD?

Accepted Answer

"I should avoid the use of acetaminophen, as it can cause ulcers"

Question 5

All of the following EXCEPT what are topics of education for a PT with PAD at discharge?

Accepted Answer

Ways to reduce edema

Question 6

A PT who's dad has obstructive sleep apnea asks if he will develop it too. How should the nurse respond?

Accepted Answer

OSA is most likely to occur due to poor lifestyle, which are modifiable

Question 7

Which of the following is NOT a goal for a PT with CAD?

Accepted Answer

Lowering heart rate via Anticholinergic

Question 8

The PT's chart with PAD reports a stage II ulcer that hasn't healed over the last year. What are expected findings?

Accepted Answer

The ulcer has a round border, and the patient reports muscle cramps in legs

Question 9

SATA When caring for a PT with an ANC of 350, what interventions would the nurse preform?

Accepted Answer

Educate the PT on not eating fresh fruits or vegetables & undercooked meat, Isolating the patient to a private room, Washing hands prior to each interaction with patient

Question 10

A PT w/CKD has a K 7.2 BP 167/95, absent bowel sounds, clear lung sounds. What action by the RN would need intervention?

Accepted Answer

Administration of kayexalate

Question 11

A patient with pancreatitis has been prescribed pancrelipase. Which statement about this medication is true?

Accepted Answer

This should be taken right before or with meals and snacks

Question 12

Which of the following treatments would not qualify the PT for hospice care?

Accepted Answer

Ochiectomy to remove testicular cancer

Question 13

A PT with an unknown renal related complication is undergoing a pyelogram. The nurse understands this is used to find?

Accepted Answer

Presence of cysts, tumors, or stones by injecting IV dye

Question 14

Following placement of chest tubes for a PT 2 hour ago there's drainage of 164 mL. What action is required NEXT?

Accepted Answer

Report findings to primary provider

Question 15

A PT w/cirrhosis with esophageal and gastric varices is ready for morning meds. Which med would the RN question?

Accepted Answer

Aspirin

Question 16

Which of the following labs would be expected with the corresponding complication?

Accepted Answer

A PT with hepatic encephalopathy has an ammonia level of 150 (high)

Question 17

A PT diagnosed with HIV is being discharged. What education is MOST important for this PT?

Accepted Answer

You will need to report any signs of infection to the HCP

Question 18

A PT with a gastric ulcer is receiving IV fluids and packed RBC's. What are PRIORITY assessments?

Accepted Answer

Lung sounds and respiratory rate

Question 19

A PT presents with BP 305/105 HR 45 and severe headache. What would the nurse assess to find the causative agent?

Accepted Answer

Catheterizing the patient to decompress the bladder

Question 20

After genetic testing, a PT finds she is a carrier of hemophilia. How will this impact her future children?

Accepted Answer

Her future sons have a 50% chance of inheriting the mutation

Question 21

A PT presents with oliguria, anasarca, and HTN. What lab result would NOT be expected for this PT?

Accepted Answer

BUN of 5

Question 22

Which of the following statements would require further education when asked about modifiable risk factors for CAD?

Accepted Answer

"Those who are genetically predisposed are going to get CAD no matter what"

Question 23

Following an MI this morning, a PT is taken to the CICU. The RN is MOST concerned for what?

Accepted Answer

The ECG indicating the patient has gone into ventricular tachycardia

Question 24

After a liver transplant, the PT asks how long he will need to take immunosuppressive meds. What is the BEST response?

Accepted Answer

"You will have to take them for the rest of your life to prevent rejection"

Question 25

A PT presents with dyspnea at rest and reports feelings of palpitations. What diagnostic would confirm cardiomyopathy?

Accepted Answer

Ejection fraction of less than 40% (low) confirmed by echocardiogram

Question 26

A PT with SCD is experiencing hypoxia and severe pain. What interventions will need to be completed for his PT?

Accepted Answer

Administration of analgesics to treat pain, Administration of oxygen

Question 27

A PT's ECG is shown below. What is the PRIORITY action for this PT?

Accepted Answer

Administration of anticoagulants as a preventative against potential stroke

Question 28

SATA The nurse would question which of the following interventions when caring for a PT with thrombocytopenia?

Accepted Answer

Shaving the patient with a plastic blade razor, Providing a toothbrush with firm bristles to brush away potential irritants, The administration of Heparin

Question 29

A PT w/Hep C is receiving a pegylated interferon for treatment. Why is this the best option of drug therapy for this PT?

Accepted Answer

Pegylated interferons have a longer half life

Question 30

Following an endovascular aneurysm repair, which assessment finding requires IMMEDIATE intervention post operatively?

Accepted Answer

Non-palpable pulses in the lower extremities

Question 31

A PT comes in reporting a fever, N/V, frequency voiding, flank pain, and chills. What action would you complete FIRST?

Accepted Answer

The collection of a urine culture to look for E. Coli

Question 32

A PT with hepatic encephalopathy has been prescribed lactulose. What would indicate the drug is effective?

Accepted Answer

The patient's LOC improves

Question 33

Prior to a multidrug regimen therapy a PT is ordered to be genetically tested. When asked why how should the RN respond?

Accepted Answer

"Genetic testing will tell us how effective the new drug therapy will be"

Question 34

After administration of lisinopril, the RN understands she needs to monitor and hold the next dose when?

Accepted Answer

The patient reports their tongue feels heavy and is short of breath

Question 35

A PT on antiretroviral therapy reports they are always thirsty and feel like they have to void. How should we respond?

Accepted Answer

"This is a side effect to your drug therapy and will need to be monitored"

Question 36

Which of the following orders would we question when medicating a PT with dilated cardiomyopathy and A-fib?

Accepted Answer

Lisinopril and spironolactone to decrease afterload

Question 37

SATA Prior to an endoscopy, the RN understands he needs to complete which of the following prior to the procedure?

Accepted Answer

Place the PT on NPO status, Ask to remove any dental hardware like dentures, Confirm consent has been signed

Question 38

A PT with chronic stable angina is prescribed Nitroglycerin. Which statement ensures education has NOT been effective?

Accepted Answer

When I have chest pain I will take it 3 times 5 min apart then drive to ED

Question 39

2 Days after a PT's first chemo treatment, they develop TLS. What drug would be used to treat Tumor Lysis Syndrome?

Accepted Answer

Allopurinol, Sodium Bicarbonate

Question 40

Following a urinary diversion placement, what assessment should be reported to the HCP IMMEDIATELY postoperatively?

Accepted Answer

The absence on urine output 2 hours postoperatively

Question 41

A PT presents with complaints of epigastric pain after meals and recent weight loss. What should be completed NEXT?

Accepted Answer

Make the PT NPO and prepare for EDG

Question 42

The nurse understands that Pepcid is used for patient with PUD because it

Accepted Answer

Blocks activation, decreasing acid secretions

Question 43

A PT has a history of recurring nephrolithiasis. What would this PT BEST benefit from in education?

Accepted Answer

Increasing hydration can decrease the risks for further instances

Question 44

Which of the following patients is MOST at risk for developing an aortic aneurysm?

Accepted Answer

55-year-old male with hyperlipidemia, HTN, and unmanaged diabetes

Question 45

A PT is being educated on radiation. Which statement requires further education?

Accepted Answer

I should practice skin hygiene and ensure I have no marks between sessions

Question 46

After a TURP the patient comes to the PACU. Which statement would indicate teaching has been effective?

Accepted Answer

"I will need to increase my fluid intake to 2-3 Liters"

Question 47

SATA What education should be provided to a patient following a gastric bypass surgery?

Accepted Answer

You will need to have 6 small meals a day rather than 3 normal sized ones, You will have to abstain from sweets, You shouldn't drink anything during meals

Question 48

All of the following assessment findings would indicate a complication related to PUD EXCEPT?

Accepted Answer

Warm and dry skin, low BP, low HR, and loss of vasomotor function

Question 49

The RN administers atorvastatin. Which of the following should be reported to the HCP related to SE of atorvastatin?

Accepted Answer

The patient reports muscle cramps in their legs

Question 50

A PT with a SCI has developed neurogenic shock. What intervention is NOT a part of management?

Accepted Answer

Ensuring the patient is supine and not turned to decrease exacerbations

Final Exam Review

Questions 50

Final Exam Review

Questions 50