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NUR213 Final Review
NUR213 Final Review
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Review for Nursing Final Second Year April 2019
Flashcards
100 cards
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Practice quiz
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Host live
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Questions
100
Answers
1
Diagnosis of myasthenia gravis is confirmed by:
a positive edrophonium (Tensilon) test.
Kernig's sign.
Brudzinski's sign.
a positive sweat chloride test.
2
What food would the nurse provide for a client who has hypokalemia?
Bananas
Bread
Cheese
Canned vegetables
3
Which nursing intervention would reduce cardiac workload in a client with myocarditis?
Eliminate all phone calls and visitors.
Administer a prescribed antipyretic.
Maintain the client on bed rest.
Lower the client's head.
4
Which type of burn is similar to a sunburn?
Electrical
Full-thickness
Superficial partial-thickness
Deep partial-thickness
5
Which patient is at highest risk for PTSD?
Client newly diagnosed with lung cancer.
Client with post-partum depression.
Client who lost a spouse due to illness.
Client whop was a victim of rape and beating.
6
What food supplies the greatest amount of calcium for a patient with osteoporosis?
Cauliflower
Salad
Cheese
Meat
7
Which laboratory test results indicates renal failure?
Increased serum calcium level
Decreased serum potassium level
Increased serum creatinine level
Increased red blood cell count
8
A client history of alcoholism is diagnosed with cirrhosis. The goal of therapy is:
increasing alcohol tolerance.
restoring fat-soluble vitamin absorption.
preserving liver function.
curing the illness.
9
An ED patient is experiencing an acute MI. What drug will the nurse expect to administer?
Wafarin
Morphine
Lisinopril
Oxycodone
10
A client is pulseless and unresponsive. What would be the
first
treatment of choice?
IV Lidocaine
Chemical cardioconversion
Immediate CPR
Electro-cardioconversion
11
A client with CHF has 2+ pitting edema in the legs. What does this suggest?
Hypovolemia
Fluid volume excess
Hypernatremia
Metabolic acidosis
12
The nurse can't hear a friction rub in a patient with pericarditis. What should the nurse do?
Document that the pericarditis has resolved.
Ask the patient to lean forward and listen again.
Prepare to insert a unilateral chest tube.
Notify the health care provider
13
All of the following are included in a liver panel
EXCEPT:
Aspartate aminotransferase (AST)
Gamma-glutamyl transferase (GGT)
Alanine amniotransferase (ALT)
C-reative protien (CRP)
14
A client with a history of rheumatic fever takes what before any dental work ?
NSAIDS
Antibiotics
Aspirin
Steroids
15
What crystalloid is most commonly used to treat hypovolemic shock?
Lactated Ringers's
Albumin
3% NaCl solution
Dextran
16
What is the
priority
in the care of a client who has been burned and suffered smoke inhalation?
Airway management
Pain
Fluid balance
Anxiety
17
What should you keep ready at the bedside of a patient with Guillain-Barré syndrome (GBS)?
Incentive spirometer
Nebulizer and thermometer
Intubation tray and suction apparatus
Blood pressure apparatus
18
Which nursing assessment is
most
important in a client diagnosed with ascites?
Auscultation of abdomen
Daily measurement of weight and abdominal girth
Palpation of abdomen for a fluid shift
Assessment of the oral cavity for foul-smelling breath
19
What therapy is initiated for a symptomatic bradycardia, unresponsive to atropine?
An implantable pacemaker
Transcutaneous pacemaker
An asychronous defibrillator
An ICD
20
Triage activity in a n MCI is guided by what principle?
Resources allocated to the youngest first.
The greatest good for the greatest number.
Highest priority to the most critically injured
First come, first served.
21
The client’s HR is 55 bpm with a BP of 90/66 mm Hg. Which medication is indicated?
Atropine
Metropolol
Lidocaine
Epinephrine
22
What action precedes defibrillating a pulseless client in VF?
Stating, “Charging”
Checking the ECG rhythm
Shouting, “All clear”
Placing gel on the chest
23
What portion of the EKG complex represents ventricular repolarization?
The U wave
The T wave
The P wave
The Q wave
24
Which diuretic is most commonly given to a cirrhotic patient with ascites?
Furosemide
Actazolamide
Ammonium Chloride
Spironolactone
25
Select the high-potassium food that should be restricted in acute renal failure.
salad oil
peanut butter
Butter
white rice
26
How long should the nurse withhold food and fluids after an endoscopy?
Until the patient expresses thirst
Until the gag reflex returns
For 2 hours.
For 6 hours after the procedure
27
How are the pathophysiologic changes from burns treated in the initial burn-shock period?
Administer IV potassium chloride
Administer broad-spectrum antibiotics
Administer packed red blood cells
Administer IV fluids
28
When prioritizing care in a MCI, clients tagged with which color would be treated first?
Red
Yellow
Black
Green
29
When caring for a client with cirrhosis, which symptom(s) should the nurse report immediately?
Anorexia and dyspepsia
Diarrhea and constipation
Changes in mental status
Fatigue and weight loss
30
A female is complaining of fatigue, shortness of breath and shoulder pain may be experiencing:
Deep vein thrombosis (DVT)
Myocardial infarction (MI)
Pulmonary emboli
Stroke
31
What diagnostic test differentiates ARDS symptoms from those of a cardiac etiology?
Carboxyhemoglobin level
C-reactive protein (CRP) level
Brain natriuretic peptide (BNP) level
Complete blood count
32
Lactulose (Cephulac) given in hepatic encephalopathy reduces which of the following?
Calcium
Ammonia
Bicarbonate
Alcohol
33
What is the best way for the nurse to assess the patient's oxygenation status at the bedside?
Obtain serial ABG samples.
Monitor pulse oximetry readings.
Monitor incentive spirometry volumes.
Test pulmonary function.
34
What sign may indicate a decrease in cardiac output in a post-MI patient?
Bounding pulses
Increased blood pressure
Change in level of consciousness
Skin flushing
35
Which statement indicates the need for further teaching in a patient with hepatitis A?
"I'll take all my medications as ordered."
"I'll be very careful when preparing food for my family."
"How could this happen? I've been faithful!"
"I'll wash my hands often."
36
Describe the characteristic pattern of the atrial waves in atrial flutter.
Sawtooth
Sinusoidal
Square
Triangular
37
A 78-year-old has an MI. Which type of shock is the client most likely to develop?
Neurogenic shock
Septic shock
Anaphylactic shock
Cardiogenic shock
38
What is recommended to minimize risk with a family history of early cardiac deaths?
Mild meals
Liquid diet
Smoking cessation
Protein-rich diet
39
A client with acute kidney injury (AKI) and a K+ level of 6.5 mEq/L. will receive what drug?
Sorbitol
Calcium supplements
IV dextrose 50%
sodium polystyrene sulfonate (Kayexalate)
40
What intervention is initiated with mechanical ventilation of an intubated patient with ARDS?
Increased oxygen (FiO2) to more than 50%.
Frequent endotracheal suctioning
Supine positioning at all times.
Positive end-expiratory pressure (PEEP)
41
Which Glasgow Coma Scale score is indicative of a severe head injury?
11
9
13
7
42
Which is a
priority
nursing diagnosis for a post-liver transplant patient?
Risk for injury
Alteration in coping
Risk for impaired gluconeogenisis
Risk for infection
43
During the acute phase of a burn, a nurse should assess:
the client's lifestyle.
tobacco use.
circulatory status.
alcohol use.
44
A typical work uniform is considered what level of personal protective equipment?
Level C
Level B
Level A
Level D
45
Which statement about peritoneal dialysis indicates that students need more teaching?
“It is important to use strict aseptic technique.”
“It is appropriate to warm the dialysate in a microwave.”
“The effluent should be allowed to drain by gravity.”
“The infusion clamp should be open during infusion.”
46
Which is a modifiable risk factor for coronary artery disease (CAD)?
Increasing age
Hyperlipidemia
Male gender
Male gender
47
A 6-year-old in the ED stung by a bee is dyspneic, hypotensive, and has hives.
She is having neurogenic shock.
She is having cardiogenic shock.
A. obstructive shock.
She is having anaphylactic shock.
48
A client with a history of alcohol addiction has jaundice, that likely indicates:
liver disorder.
gallbladder disease.
bile overproduction.
glucose underproduction.
49
A firefighter has signs of ARDS and is intubated. What supportive are initiated ?
Occupational therapy
Psychological counseling
High-protein oral diet
Nutritional support
50
A patient is exposed to a nerve agent. What drug should be given STAT?
Atropine
Erythromycin
Amyl nitrate
Dimercaprol
51
Potassium is needed for neural, muscle, and:
optic function.
cardiac function.
skeletal function.
auditory function.
52
Chronic renal failure results in anemia. What is rationale for this symptom?
Impaired immunologic response
Electrolyte imbalances
Diminished erythropoietin production
Azotemia
53
A patient in septic shock has developed DIC. What is the nurse's
priority
of care?
Monitor for changes in level of consciousness
Assess for peripheral edema
Monitor intake and output
Maintain skin integrity
54
A client receiving a blood transfusion is short of breath and itchy. What is the
priority
?
Listen to the client’s lungs.
Stop the transfusion.
Reassure the client.
Increase the rate to replace volume quickly.
55
What is the term for flapping of the hands associated with metabolic liver dysfunction?
Ascites
Dialysis
Asterixis
Paracentesis
56
What is a depression of reflex activity in the spinal cord below the level of injury?
neurogenic shock
autonomic dysreflexia
cardiogenic shock
spinal shock
57
There are 9 RR intervals on a client’s 6-second rhythm tracing. The client’s heart rate is:
110 bpm.
60 bpm.
90 bpm.
54 bpm.
58
A throat culture is positive for strep culture. Which prescription medication may be ordered?
Amoxicillin
Acetaminophen
Alprazolam
Prednisone
59
What would be the
priority
goal for the client with a cardiac dysrhythmia.?
Maintain adequate cardiac output.
Maintain normal cardiac structure.
Maintain adequate control of chest pain.
Maintain a resting heart rate below 70 bpm.
60
Chest pain brought on by physical or emotional stress and relieved by rest or medication is:
Ischemia
Atheroma
Atherosclerosis
Angina pectoris
61
A client has numbness and tingling in the left leg and foot. What is the term for this?
neuralgia
paresthesia
paralysis
sciatica
62
Myasthenia gravis (MG) is a decrease in the receptor sites of which neurotransmitter?
Epinephrine
Acetylcholine
Norepinephrine
Dopamine
63
What is the goal of care for a patient with a cardiac arrhythmia?
Adequate cardiac output
Heart rate less than 70 bpm
Adequate control of chest pain
Maintain normal cardiac structure
64
What basic information should the nurse provide to the patient with MS?
MS is sometimes caused by a bacterial infection.
MS is a progressive demyelinating disease.
MS usually occurs more frequently in men.
MS typically has an acute onset.
65
After an explosion, a victim has tinnitus, dizziness, and otorrhea. What is the cause?
Increased intracranial pressure
Tympanic rupture
Blast Lung
Closed head trauma
66
A client with an MI is receiving nitroglycerin. Which statement indicates therapeutic effect?
"My chest pain is decreasing."
"I feel a tingling sensation in my mouth."
"I have a bad headache."
"My vision is blurred."
67
A client with a T-5 SCI is sweaty with a pounding headache. What should you do
first
?
Reposition the patient
Administer apresoline IV STAT
Sit the patient up
Flush the Foley catheter with sterile saline.
68
A client in shock may have hypoxia and acidosis. What lab should be reviewed?
A CBC
Arterial blood gas
Lactic acid
A chemistry panel
69
A client has acute pancreatitis. Which therapy is most appropriate for pain management?
IV hydromorphone
Oral oxycodone
IM Meperidine
Oral naproroxen
70
What should the nurse include when teaching client with myasthenia gravis about medications?
There is no conflict with the disorder and dental work.
Medications must be taken on time.
Medications can be taken whenever convenient.
Take medications in a reclining position.
71
Which is the
most
common cause of spinal cord injury (SCI)?
Acts of violence
Motor vehicle crashes
Sports related injuries
Falls
72
A patient after a MVC has abdominal bruising and hematuria. The nurse suspects:
Peritonitis
Internal hemorrhage
Acute renal failure
Congestive heart failure
73
The most accurate indicator of fluid volume status in an acutely ill client is:
pulse rate
urine output
blood pressure
edema
74
Which of the following would be the last resort response in an active shooter incident?
Run
Hide
Pull the fire alarm
Fight
75
What is the goal of care for a child with muscular dystrophy?
Family participation in care.
Ensuring compliance with care regimen
Recovery from the disease
Maximizing level of functioning
76
How fast could a gunshot victim bleed to death before help comes?
2 to 5 minutes
10 to 25 minutes
over an hour
less than an hour
77
Which medication is the drug of choice for sinus bradycardia?
Atropine
Pronestyl
Cardizem
Lidocaine
78
How can a client with a family history of CAD reduce the risk of developing the disorder?
Do everything in moderation.
Take the new reverse lipid drugs.
Increase soy in the diet
Exercise, keep blood sugar in check, and manage stress.
79
A client is in pulseless ventricular tachycardia (VT). What is the correct intervention?
Synchronized cardioversion
Echocardiogram
Defibrillation
Cardiac catheterization
80
Which of the following would be least helpful to victims of trauma after a disaster?
Tell victims to return to normal activities.
Referring victims to appropriate social service agencies.
Actively listening to the victims' concerns
Tell victims to watch TV reports.
81
What diagnostic tool would be the most helpful in diagnosing cardiomyopathy?
Arterial blood gases (ABGs)
Cardiac catheterization
Swan-Ganz analysis
Echocardiogram
82
Which of the following types of shock will a nurse observe in a client with extensive burns?
Cardiogenic shock
Septic shock
Hypovolemic shock
Neurogenic shock
83
There was a radiation leak. How should risk of contamination at the hospital be handled?
Have hospital staff put on personal protective equipment.
limit staff shifts to four hours.
Place all potential victims on reverse isolation.
Establish a triage outside the hospital.
84
What is the theraputic effect of pyridostigmine bromide in the patient with myasthenia gravis?
Improved cognition
Decreased pain
Improved GI function
Increased muscle strength
85
Which client with diarrhea for three days is most at risk for fluid and electrolyte imbalance?
An infant
a school-aged child
A young adult
An adolescent
86
Which of the following is the effect of protein catabolism in a client with severe burns?
It compromises dexterity and mobility.
It maximizes the risk of impaired ventilation.
It compromises wound healing and immunocompetence.
It maximizes the risk of sodium retention and hypotension.
87
A football player lies immobile after a tackle. What should the nurse do?
Assess the player's reflexes.
Perform a rapid assessment of the player's range of motion.
Ensure that the player is not moved.
Obtain the player's vital signs, if possible.
88
A client with cardiomyopathy, has dyspnea and fluid retention. What is the nursing diagnosis ?
Autonomic dysreflexia
Disturbed sensory perception
Decreased cardiac output
Ineffective airway clearance
89
Which action decreases a nurse's risk for hepatitis C?
Annual vitamin B12 injections
Recapping all needles
Vaccination
Standard precautions
90
What nursing diagnosis is a
priority
for a patient with amyotrophic lateral sclerosis (ALS)?
Alteration in cognition
Alteration in bowel elimination
Alteration in verbal communication
Impaired urinary elimination
91
What stage of shock features normal BP, tachycardia, hypoactive bowels, and cold, clammy skin?
Primary
Irreversible
Compensatory
Progressive
92
What is the most important factor in the chance of survival in acute radiation syndrome (ARS)?
Dosage of radiation
Concentration of nerve gas
Mode of infection
Direct physical contact
93
A patient with liver dysfunction and episodes of bleeding and bruising has a deficiency in:
Vitamin K
Vitamin C
Riboflavin
Thiamine
94
Which exposure route develops into the most severe form of anthrax?
inhalation
contact with contaminated objects
skin infection
ingestion
95
Studying for the NCLEX exam is an example of what type of stressor?
Chronic, intermittent
Acute, time-limited
A stressor sequence
Crisis-inducing
96
What is the
priority
of care for a patient who suffered smoke inhalation in a fire?
Pain management
Anxiety and fear
Airway management
Fluid balance
97
Which individual will take longer to sense thirst?
50-year-old
18-year-old
70-year-old
30-year-old
98
Root cause analysis looks at all types of causes of an event
EXCEPT:
Physical
Human
Organizational
Societal
99
Which of the following is a common complication of an electrical burn injury?
Localized edema
Loss of mobility
Cardiac dysrhythmias
Absent bowel sounds
100
Which action is contraindicated with an arteriovenous fistula (AVF) for hemodialysis ?
Obtaining a blood pressure reading from the same arm
Placing the client’s watch on the wrist
Palpating the fistula for a “thrill”
Obtaining blood samples from the opposite arm