stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
Spring 22 Final Flashcards | StudBud
Explore
/
Spring 22 Final
Spring 22 Final
75 terms
·
StudBud Administration
·
49 plays
Imported from external platform
Flashcards
75 cards
F
Practice quiz
P
Host live
L
Questions
75
Answers
1
What should the fundal height be in centimeters in a pt that is 28 weeks gestation?
22
36
40
30
2
Which of the following findings should indicate to the nurse that the pt might need to decrease levothyroxine?
Hand tremors
Pallor
Bradycardia
Slow speech
3
The nurse turns off oxytocin after a period of hyperstimulation, which of the following actions indicates effectiveness
Attitude flexed
Intensity moderate
Duration 130 seconds
Frequency 3mins
4
Define a SMART goal.
supportive, measureable, attainable, responsible, timed
specific, measurable, attainable, realistic, timed
specific, monitored, appropriate, realistic, timed
supportive, measureable, attainable, realistic, timed.
5
A nurse is describing fetal circulation to a client during a prenatal visit. The nurse accurately tells the client
There are two umbilical arteries and one vein
There is two umbilical veins and one artery
Ateries carry oxygenated blood to the fetus
Veins carry deoxygenated blood to the fetus
6
Most common test to confirm pregnancy?
Urine test
Ultrasound
Blood test
Amniocentesis
7
A pt with a suspected diagnosis of cataract, what manifestations would be reported in the early stages cataracts
Diplopia
Eye pain
Floating spots
Blurred vision
8
Which of these nutrients are important for a pregnant woman and her unborn child?
Vitamin A
All of them
Folic acid
Protein
9
Before administering intravenous (IV) penicillin, the nurse should do what?
Determine the latest creatinine clearance result.
Flush the IV site with normal saline.
Review the patient's intake and output record
Assess the patient for allergies.
10
A 32yo female is diagnosed with gestational diabetes. You should anticipate this test to diagnose this condition.
24-hour urine collection
3-hour glucose tolerance test
1 hour glucose tolerance test
Hemoglobin A1C
11
Crohn's disease pain is mainly felt in the
LUQ
LLQ
RUQ
RLQ
12
What treatment can prevent sensitization to Rh-D antigen in a Rh-negative mother carrying a Rh-positive fetus?
Rho(D) immune globulin
Rh-D fetal serum injections
Short-course immunosuppressant treatment
Therapeutic abortion
13
Pt DX nausea and vomiting x 3d. D5 1/2 NS with K is ordered. Which action by the nurse is the most appropriate?
Check the pt vitals hourly
Insert an 18g IV for the infusion
Obtain and IV pump
check the sodium level
14
Which disorder is progressive, begins with superficial inflammation and gradually leads to atrophy of gastric mucosa
gastritis
irritable bowel syndrome
diverticulitis
paralytic ileus
15
Terbutaline is a tocolytic medication that is administered to treat preterm labor and uterine hyperstimulation
False
True
16
A patient is 36 weeks pregnant with severe preeclampsia. Which lab findings correlate with HELLP syndrome
WBC 9,000, AST 15, ALT 50
Platelets 50,000, HGB 11.5, Glucose 85
Platelets 100,000, ALT 100, AST 90
HBG 9.5, HCT 33, Glucose 110
17
During this month the fetus reacts to loud to loud noises?
6
7
8
9
18
What are foods that are allowed in a LOW-RESIDUE DIET?
baked chicken with white rice
Wheat toast with jam
hot dog with potato chips
uncooked broccoli with ranch for snack
19
A nurse is providing teaching for a pt who has Addison disease on hydrocortisone. All should be included except
Take the medication on an empty stomach
Eat a low-sodium diet
Notify the provider of any illness or stress
Report manifestations of weakness or dizziness
20
A patient with Cushing's disease is at risk for all of the following except
infection
gastric ulcers
bone fractures
dysphagia
21
Which of the following nursing interventions can be done to prevent hypotension for a patient undergoing hemodialysis?
Stop infusion.
Document vitals and infuse a hypotonic solution
Slow the filtration rate of the solution & infuse a hypertonic solution
Call the provider.
22
nurse is assessing a client who suspects that she is pregnant. All are probable signs except
nausea and vomiting
ballottment
chadwick's sign
Abdominal enlargement
23
The nurse in the dialysis center is initiating the morning dialysis run. Which client should the nurse assess first?
The client who does not have a palpable thrill or auscultated bruit.
The client who is complaining of being exhausted and is sleeping.
The client who did not take antihypertensive medication this morning.
The client who has hemoglobin of 9.8 g/dL and hematocrit of 30%.
24
What are signs and symptoms of appendicitis?
low grade fever, left upper quad pain, epigastric fullness
nausea, epigastric fullness, low grade fever
low grade fever, nausea, vomiting
nausea, vomiting, low grade fever, turner's sign
25
This test uses a small needle and takes a small amount of amniotic of fluid drawn by needle through the abdomen.
Afp
Amniocentesis
Ultrasound
Paracentesis
26
A nurse expects a person with acute glomerulonephritis to manifest all the following symptoms except.
Azotemia
Hypertension
Anuria
Proteinuria
27
Which symptom should the nurse expect observe in postpartum client with hematoma?
Redness
Warmth
Bleeding
Pain
28
During an admission assessment of a pt with detached retina, what manifestations would you expect with this eye problem
total loss of vision
a sense of a curtain falling across the field of vision
a yellow discoloration of the sclera
pain in the affected eye
29
SBO is caused by volvulus, tumors, hernia, intussesception and ?
pseudopolyops
swallowing a foriegn body
irritable bowel syndrome
diverticulum
30
Which is NOT a potential complication following a thyroidectomy
Thyroid Storm
Hypercalcemia
Airway Obstruction
Hypoparathyoidism
31
The client with COPD is admitted: C02 42, 02 sat 86%, glucose 190. The pt condition might require which of the following
Renal dialysis using an AV shunt
A prescription for a bronchodilator
Oxygen via venturi mask
An injection of NPH insulin
32
Which of the following orders would you question on 35yo pregnant women who has been admitted with painful urination?
Administer Bactrim every 6 hours.
Administer Pyridium as needed for pain.
Obtain a urine sample.
Administer ampicillin every 6 hours.
33
A client asks why the fertilized ovum stays in the fallopian tube for 3 days, the nurse responds
Promotes the fertilized ovum's changes of survival.
Promotes the fertilized ovum's exposure to estrogen & progesterone.
Promotes the fertilized ovum's implantation in the top of the uterus
Promotes the fertilized ovum's exposure to LH and FSH
34
After 12 weeks gestation, the gender of the baby can be confirmed due to
The sex can be determined by the testes descending into the scrotom
The sex of the fetus can be determined by appearance of external genitalia.
The sex can be determined due to apparent internal differences in the sexes
The sex can be determined due to external genitalia differentiation
35
A patient is receiving vancomycin (Vancocin). The nurse identifies what as the most common toxic effect of this therapy?
Hepatotoxicity
Cardiac toxicity
Nephrotoxicity
Ototoxicity
36
A nurse is assessing a client who has Cushing’s disease. Which of the following findings is priority?
Fragile skin
Weight gain
Fatigue
Joint pain
37
Pt gravid with twins. delivered 5yo at 37 weeks, never had a miscarriage or abortion. GTPAL?
G = 2, T = 0, P = 1, A = 0, L =1
G = 3, T = 2, P = 0, A = 0, L =1
G = 1, T = 1. P = 1, A = 0, L = 1
G = 2, T = 0, P = 0, A = 0, L = 1
38
A nurse is collecting an admission history from a client who has hypothyroidism. Which is
not
an expected finding
Dry skin
Menorrhagia
Increased libido
Hoarseness
39
The client receiving a blood transfusion exhibits lower back pain, fever, and dyspnea. What is the nurse initial action?
Obtain a set of vital signs
Administer epinephrine per unit protocol
Stop the transfusio and keep the vein open with normal saline
Notify the physician
40
Clinical manifestations of cystitis include all the following except?
Pyuria
Frequency
Incontinence
Urgency
41
Pt TSH levels come back high. What symptoms would you expect to have seen in the pt before getting those result back.
tremors
tachycardia
cold intolerance
weight loss
42
The instructor asks the student specifically to describe fetal circulation through the umbilical cord. Which is correct?
2 veins carry blood that contains C02 and waste from the fetus to placenta
2 arteries carry freshly oxygenated blood from the placenta to the fetus.
The 1 artery carries oxygenated/nutrient-rich blood back from the placenta
2 arteries carry deoxygenated blood and waste from fetus to placenta
43
The client is admitted with PH 7.30, PaCO2 48, HCO3 of 30. The nurse assesses these findings as which of the following?
Metabolic acidosis
Metabolic alkalosis
Respiratory alkalosis
Respiratory acidosis
44
Which of the following urinary diversion does not have a stoma?
Bilateral cutaneous ureterostomy
Ileal conduit
Continent urinary diversion
Colostomy
45
Which cause of HTN is the most common in acute renal failure?
Hypovolemia
Anemia
Hypervolemia
Pulmonary edema
46
Ulcerative colitis has remissions and exacerbations
True
False
47
What prep instructions for prostate antigen test should you include?
Annual PSA screenings for men begin at age 45
Avoid ejaculating for 12 hours before the PCA test
Expected Annual screenings will result in increased lab values as men age
Fast for 12 hours before the test
48
What is the initial action that should be taken with a postop cataract pt with nausea, severe eye pain in operative eye
Call the surgeon
Reassure the client that this is normal
Turn the client onto her or his operative side
Administer the prescribed pain medication and antiemetic
49
Which criterion is required before a patient can be considered for continuous peritoneal dialysis?
The patient must be in a home setting
Hemodialysis must have failed
The patient must be hemodynamically stable
The vascular access must have healed
50
What is a complication of gastroenteritis?
hemorrhage
UTI
obstruction
metabolic alkalosis
51
Post-op teaching following a corneal transplant does not include which of the following?
Sudden eye pain is normal
Take pain medication as needed
Sleep sitting up or with the head elevated
Check eye dressing for drainage or bleeding
52
Nystagmus is shaking movements of the eye.
False
True
53
Which of the following manifestations would be seen in a pt with hyperthyroidism
Constipation
Weight gain
Hair loss
Heat intolerance
54
The nurse is preparing to give potassium to aclient with hypokalemia. The best liquid to dilute the potassium in is:
chocolate milk
cranberry juice
prune juice
tomato juice
55
During assessment on a 38 week gestation pt, you note FHR 174. Based on this, what action is appropriate
notify the physician
tell the client this is normal
document the fingings
check the mother's heart rate
56
A pt is C/O of muscle cramps while undergoing hemodialysis. What intervention is effective in relieving muscle cramps?
Encourage active ROM exercises
Infuse normal saline solution
Increase the rate of dialysis
Administer a 5% dextrose solution
57
This is the respect for an individual's right to self determination
Fidelity
Justice
Nonmaleficence
Autonomy
58
The nurse should identifdy which of the following lab results as an expected finding in grave's disease
decreased tsh
decreased thyrotropin receptor antibodies
decreased triiodothyronine
drecreased free thyroxine index
59
What medications is NOT used to treat complications of cirrhosis?
propanolol
sertraline
Lactulose
Spironolactone
60
The most common early sign of kidney disease is:
Elevated BUN level
Development of metabolic acidosis
Sodium retention
Inability to dilute or concentrate urine
61
Which of the following medications is contraindicated for a neonate in NICU exhibiting signs of NAS?
Opium
Phenobarbital
Narcan
Morphine
62
A nurse is giving DX teaching to a DM type 2 pt. which statement by the pt indicates successful teaching?
"if I get a blister, I will clean it with alcohol and put a bandage on it"
"I will check my feet for cuts and bruises every night"
"I will always buy my shoes first thing in the morning"
"I will walk barefoot as long as I am in the house"
63
What medication is prescribed during an Addisonian crisis?
Loop diuretic
Potassium
Dopamine
Hydrocortisone
64
What should a nurse include in the discharge teaching for a patient who is to start taking tetracycline (Sumycin)?
"Take the medication with yogurt or milk so you won't have nausea."
"Use sunscreen and protective clothing when outdoors."
"You may stop taking the pills when you begin to feel better."
"You'll have to come back to the clinic for weekly blood work."
65
All these factors make a women at high risk for prolapsed cord except?
oligohydramnios
breech presentation
transverse lie
-3 station
66
A pt senses the urge to void and is incontinent on the way to the bathroom. What diagnosis fits this description?
Stress Urinary Incontinence
Urge Urinary Incontinence
Reflex Urinary Incontinence
Functional Urinary Incontinence
67
The following are risk factors associated with cataracts except..
diabetes
impaired vision
steroid use
ageing
68
What medication should you NOT take with H2 receptor antagonists (ranitidine/famotidine)
Corticosteroids
antacids (tums, Milk of mag)
Proton pump inhibitors (PPI's)-omeprazole, pantoprazole, lansoprazole
Prostaglandin analogs (misoprostol)
69
Which lab should the nurse report as being consistent with HELLP syndrome?
Potassium 5.5 mEq/L
Hematocrit 46%
Sodium 130 mEq/L
Platelets 70,000
70
The nurse should identify that which of the following lab results is an expected finding in Grave's disease
Decreased thyroid-stimulating hormone (TSH)
Decreased triiodothyronine
Decreased thyrotropin receptor antibodies
Decreased free thyroxine index
71
Which drug is indicated for pain r/t acute renal calculi?
Muscle relaxants
Salicylates
NSAIDs
Narcotic analgesics
72
If trauma to the eye occurs, the injured eye is kept covered.
True
False
73
Which lab would you NOT expect to see in a pt with Addison's disease
Glucose 148
BUN 28
Calcium 11.6
Sodium 130
74
Gastroenteritis (enteritis) is caused by
perforated ulcer, necrotic bowel, PID, ruptured gallbladder
feces, calculi, tumor, inflammation, or parasite (pinworm)
alcohol use. chronic hep C/B, right heart failure, biliary obstruction
bacteria, viruses, parasites, or toxins
75
Irritable bowel syndrome is curable
False
True
