the final hoot

The patient with cirrhosis has a high ammonia level. The RN expects and order for which medication?

Which of the following patients should the burn ICU nurse assess first?

The patient has a blood transfusion reaction. What type of hypersensitivity is this?

The RN is caring for a pt with MS who is taking oxybutynin. The RN evaluates effectiveness by asking which question?

A pt presents to the ED with flu-like symptoms, a temp of 103.4, HR 130, and BP 88/47. The RN suspects which problem?

The skin is responsible for synthesis of which vitamin?

The RN is educating a newly-diagnosed Croh's pt about diet during exacerbations. Which statement requires correction?

Which term refers to an abnormal decrease in white blood cells, red blood cells, and platelets?

The RN is caring for a patient with Ménière's disease. The RN knows which medication is contraindicated?

The RN is educating the pt about pre-op care for cataract surgery. The RN states to hold which med before surgery?

The patient correctly identifies which action as increasing intraocular pressure?

A pt with cancer is being treated w/ radiation therapy. What statement by the pt demonstrates understanding of skin care

Pt with Crohn's is admitted with hx of chronic bloody diarrhea. He is anemic w/ low albumin Which deficiency is this r/t

Which components make up the Glasgow coma scale?

The pt with glaucoma reports taking eyedrops for management of the condition. The RN anticipates this patient is using:

The RN is giving diet education for a pt s/p cholecystectomy. The RN knows teaching is understood when the pt says:

The pt with GBS is paralyzed from the waist down. Which items are most important to have available in the room?

A pt has partial thickness burns on both lower extremities and the trunk. Which IV fluid does the RN administer first?

An ED RN is caring for a pt with partial thickness burns covering 60% TBSA. Which finding must be reported immediately?

The RN observes cloudiness of a pt's pupil. The pt reports blurred vision & decreased color perception. The RN suspects:

A student complains of discomfort after getting dirt in her eye at recess. What is the student nurse's first action?

In the emergent phase, which type of shock will the nurse observe in a patient with extensive burns?

Immediately after sev burn, electrolytes need to be monitored for a major indicator of massive cell destruction which is

A pt with thermal burn injuries to the arms & legs complains of thirst & asks for a drink. What is the RN's best action?

ED RN is caring for a pt w/ SCI after MVA. Pt is hypotensive, bradycardia, and has dry skin. The RN suspects this is ___

The RN is reviewing the labs for a pt w/ cirrhosis and notes the ammonia level is 85. Which meal does the RN suggest?

A RIC student has contracted hepatitis A after eating at Donovan. Which clinical manifestation does the RN suspect?

The RN visits a pt with a spinal cord injury. Which intervention would the RN take to prevent autonomic dysreflexia?

The pt has partial thickness burns to the entire surface of both legs. Using the rule of 9s what % of the body is burned

A pt is admitted with a stroke manifested by complete hemiplegia. Which medical diagnosis is the RN most concerned about

The nurse is caring for a patient after liver biopsy. The nurse monitors for which complication?

A patient w/lupus is prescribed an antineoplastic drug. Why would the dr order an antineoplastic for autoimmune disease?

True or false: a Braden scale score below 16 indicates high risk for skin breakdown.

Which hematologic disease has a primary characteristic of erythrocytosis?

During IV vanco infusion, pt becomes flushed, hypotensive, & has a rash. After pausing the pump what is the next action?

The RN is caring for a patient who sustained a major burn. She monitors for which serious GI disturbance?

The RN is caring for a pt with acute pancreatitis. Which intervention is contraindicated?

Pt who has partial thickness superficial burns on the back&legs is getting IV fluid. Best indicator of effectiveness is:

Superior vena cava syndrome is caused by all of the following EXCEPT:

After a house fire, the skin on the pt's trunk is tan, dry, hard, edematous & non painful. What type of burn is this?

The ICU pt with sepsis is receiving pantoprazole (Protonix). The RN knows the patient is receiving this drug for:

The nurse develops a latex allergy after wearing gloves repeatedly. What type of hypersensitivity is this?

A paraplegic pt living in a nursing home becomes diaphoretic, flushed with systolic BP of 210. What does the RN suspect

A pt has sustained damage to Wernicke's area from a stroke. Upon assessment, which sign or symptom would be noted?

After a liver biopsy, the RN positions the pt on the right side. What is the rationale for this action?

The chemo patient's platelet count is 20,000. Which action should the nurse take?

The patient has ascites. Which intervention is contraindicated?

A patient has an anaphylactic reaction to peanuts. What type of hypersensitivity is this?

A pt with myasthenia gravis says they are going to have surgery to improve symptoms. Which surgery does the RN expect?

Which instruction is important to include for a pt with myelosuppression r/t cancer treatment?

A pt with ALS has severe dysphagia. Which intervention would the nurse NOT implement?

The pt w/ retinal detachment reports seeing bright flashing light and floaters. The RN educates her about which surgery?

Swimmer Michael Phelps presents to the clinic with ear pain, fever, & sensation of fullness in the ear. This is likely:

Pt is going to have elective knee replacement & doesn't want blood trans from random donors. What should the RN suggest

The RN is caring for a pt who had a bone marrow biopsy. Which intervention would NOT be implemented after the procedure?

A patient is receiving chemo for leukemia. Which side effect does the RN anticipate?

The patient reports an inability to hear higher pitched sounds. The RN documents this finding as:

True or false: Guillan-Barre syndrome is characterized by descending paralysis.

Which action will the RN take first after a pt undergoes a bone marrow aspiration?

Which topical antibacterial agent has a side effect of leukopenia which the RN must monitor for within 48hrs of applying

A nurse is caring for a pt with pernicious anemia. Which findings should the nurse expect when assessing the client?

The RN is reviewing the burn patient's labs. An elevation in which lab value indicates muscle breakdown?

A patient with myasthenia gravis arrives at the ED with suspected myasthenic crisis. The RN prepares to give which med?

The RN is caring for a pt with cirrhosis and notes a history of asterixis. How would the RN assess for its presence?

Autoimmune diseases like lupus and rheumatoid arthritis indicate which type of hypersensitivity?

The patient with CKD has a high phosphate level. The RN expects to see which additional electrolyte imbalance?

The RN notices a coworker is constantly eating ice. She encourages the coworker to have a workup for ____ anemia

The ED nurse cares for a pt who suffered serious burns. Which complication will the RN take action to prevent first?

A pt with cancer w/suspected liver mets needs a CT w/contrast. Which statement indicates the understands the procedure?

A burn pt receives autografts. 2 days later the RN sees him doing arm exercises. RN provides teaching bc exercises may

Which topical agent does the RN expect the patient with psoriasis to be prescribed?

A pt being treated for acute myeloid leukemia has bruises & petechiae on legs. What is the RN's most appropriate action?

During a tensilon test, the pt's facial muscle weakness and ptosis to resolve for 5mins. The pt is diagnosed with:

The RN is caring for a pt with a stroke who has right-sided hemianopsia. Which intervention would the nurse implement

While assisting with a tensilon test, the RN makes sure to take which key precaution?

A pt with HIV has a CD4 count of 200 and has been diagnosed with PCP pneumonia. What does this indicate to the nurse?

The primary care RN recommends the pt with wet AMD monitors progression of the disease daily using which method?

A pt is has a superficial burn to the arm. Upon assessing the skin at the burn injury, what will the nurse observe?

A pt has not had a BM in 4 days. The Dr orders psyllium (Metamucil) to be given via Gtube. What is the RN's action?

The RN is assessing a patient with very dark skin for jaundice. Where is the best place to assess for this?

Which complication would the RN suspect when a pt getting PRBCs has dyspnea, chest pain, flank pain, and chills?

The patient is s/p liver biopsy. Which intervention is appropriate for monitoring for a post liver biopsy complication?

A pt receiving chemo complains of back pain. What is the nurse's priority action.

The RN is reviewing the labs for a pt with bladder cancer with bone mets. Which value needs requires Dr notification?

Which of the following is NOT a cause of increased intra-ocular pressure?

6 weeks s/p jejunoileal bypass, pt reports dizziness, palpitations, & cramps 30 mins after meals. This complication is:

Which step would the RN take to prevent increased ICP in the pt with a hemorrhagic stroke?

Which is the most effective intervention to help a patient accept a new colostomy?

The pt with HIV has a CD4 count of 250. The nurse knows this type of immunodeficiency is:

The pt presents to the ED with rebound tenderness in the right lower quadrant. The RN suspects which diagnosis?

An RN is assessing a pt with a thrombotic/ischemic CVA. Which question would elicit data specific to this type of stroke

The school nurses is called to a science class to treat a student burned w/ a chemical. How should the nurse intervene?

Pt presents with abdominal distention, absent bowel sounds, & is vomiting green liquid. Which order does the RN expect?

A newly admitted pt has a C4 spinal cord injury. Which assessment takes priority?

The patient receiving antiretroviral therapy for HIV reports not urinating enough. What is the RN's best action?

The RN is caring for a pt w/ suspected leukemia. The RN anticipates that the Dr will prescribe which test to confirm dx?

The nurse should be alert to which adverse assessment finding when infusing a unit of PRBCs too quickly?

The pt reports chronic vertigo, tinnitus, and hearing loss. The RN knows these symptoms are consistent with:

Which assessment indicates the patient with COPD has developed polycythemia?

The RN is educating pt with seizures who will be taking phenytoin. Which statement indicates the education was effective

Which med would the RN anticipate giving to a pt with polycythemia vera?

The nurse caring for a patient with lung cancer assesses for which early sign of vena cava syndrome?

The RN is careful to push IV Lasix no faster than 20mg/min due to which priority adverse effect?

The RN is preparing to apply a topical antimicrobial to the burn pt. Which topical med does she anticipate is ordered?

An RN on a heme/onc floor is caring for a pt with aplastic anemia. Which would not be included in the pt discharge plan?

Which other autoimmune condition is psoriasis associated with?