Which statement shows that a parent of a sickle cell anemia child needs more teaching?

We are going to the mountains for vacation this year

After a coronary artery bypass graft surgery, what shows collateral circulation to the site?

The clients toes are warm and nonedematous

After reviewing the following results from your pt's ABG's what condition is your pt in?

Partially Compensated Respiratory Alkalosis

A nurse is gathering data for a pt w/ Bells Palsy what finding should the nurse expect to note?

Complaints of right eye feeling dry

A pt has a compound fracture of his tibia, an ORIF was performed, an assessment would include:

Elevated temp and presence of erythema in incision site

Your pt has a diagnosis of pulmonary edema, what will you see in your initial assessment?

Bilateral lung sounds will have crackles, anxiety

A client w/ an amputation says "it feels like my foot is there" what response is appropriate?

This is a common phenomenon which will probably disappear

The pt, 44, has polycythemia Vera, the nurse recognizes the primary feature of this disease is:

Increase in red blood cells, hemoglobin and hyperviscosity

After reviewing the following results from your pt's ABG's what condition is your pt in?

Partially compensated respiratory acidosis

A client has a fractured right tibia. Immediately following cast application, the priority is:

Perform complete neurovascular assessment

The doctor ordered a partial nonrebreathing face mask, the nurses plan of care for the mask is:

Requires the reservoir bag be deflated during inspiration

Your pt had a CVA on his right side what s/s will you see?

Paralyzed left side, short attention span, safety issues

Looking at the strip below what rhythms would this pt be in?

Premature ventricular contractions PVC's

S/S associated with osteomyelitis may include:

Elevated temp, positive blood cultures and pain

What happens during inspiration?

The diaphragm contracts and flattens

Which of the following histories of a pt would relate to a diagnosis of bacterial endocarditis

History of heart valve replacement

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Answers

1
Which statement shows that a parent of a sickle cell anemia child needs more teaching?
I will make sure that she doesn't get chilled when it's cold
We are going to the mountains for vacation this year
If she is in pain, I will give her acetaminophen
It's a good thing she likes to drink juice
2
After a coronary artery bypass graft surgery, what shows collateral circulation to the site?
The clients heart rate remains regular
The clients toes are warm and nonedematous
The client is free from chest pain
The client moves the operative leg easily
3
What rhythm is this pt in by this ekg strip?
Sinus tachycardia
Ventricular tachycardia
A-fib
Supraventricular Tachycardia
4
Who is the universal donor of blood?
AB-
O-
AB+
O+
5
After reviewing the following results from your pt's ABG's what condition is your pt in?
Compensated Respiratory Acidosis
Uncompensated Resipiratory Alkalosis
Partially Compensated Respiratory Alkalosis
Partially compensated Metabolic Acidosis
6
Which of the individuals has a higher risk of developing TB?
HIV positive individuals
People working with asbestos
Patients with pneumonia
Coal miners
7
Which tracing in a normal EKG is the repolarization of the ventricles represented?
It is not represented
The P Wave
The QRS Complex
The T Wave
8
A nurse is gathering data for a pt w/ Bells Palsy what finding should the nurse expect to note?
Complaints of right eye feeling dry
Complaints of dizziness and vertigo
Complaints of headache
Complaints of muscle spams in jaw and cheek area
9
Common treatment for osteomyelitis includes:
I & D, chemotherapy
Physical therapy, antibiotics
Amputation, radiation, antibiotic therapy
Antibiotics, immobilization
10
A nurse is caring for a patient with an arthroscopy in post op what's the nursing priority?
Check the CBC
Monitor pedal pulses
Monitor I & O
Check the surgical site
11
A pt has a compound fracture of his tibia, an ORIF was performed, an assessment would include:
Ecchymosis and edema at incision site
Complaints of inactivity intolerance
Hyperactive bowel sounds
Elevated temp and presence of erythema in incision site
12
A resident has clostridium difficile, to prevent it from spreading what are appropriate actions
Wash hands with soap and water on entering and exiting room
Use alcohol foam to wash hands when providing care to client
A and B
Place patient in contract isolation
13
What is the deadliest type of Meningitis?
Meningococcal
Listeria
Strep
HIB
14
What is the order of bone healing?
3,2,4,1
4,1,2,3
4,1,3,2
4,2,1,3
15
A nurse is caring for a pt w/ an ischemic stroke which started 1HR ago, what med will be given?
Plavix
Coumadin
Streptokinase
Heparin
16
The first heart sound is the closing of the:
Bicuspid and pulmonary semilunar valves
Tricuspid and mitral valves
Pulmonary and aortic semilunar valves
Mitral and bicuspid valves
17
Your pt has a diagnosis of pulmonary edema, what will you see in your initial assessment?
Bilateral lung sounds will have crackles, anxiety
Normal lung sounds but cough and lethargy
Decreased or diminished breathe sounds, tachycardia
Orthostatic hypertension, dyspnea, hemoptysis
18
A client w/ an amputation says "it feels like my foot is there" what response is appropriate?
May be a complication for which you may require surgery
The mind has a storage way of playing tricks
This is a common phenomenon which will probably disappear
The feeling is probably due to walking with crutches
19
The ______and _______in the brain are responsible for the basic rhythm & depth of respirations
Medulla oblongata and pons
Pons and cerebellum
Pons and cerebrum
Cerebellum and medulla oblongata
20
A pt is admitted after a pacemaker b/c of bradycardia, she asks what 2nd degree heart block is
A defect in the AV node
Sclerosis of cardiac valves causing slow pulse
Coronary blockage causing slow contraction R ventricle
A defect in the SA node
21
The pt, 44, has polycythemia Vera, the nurse recognizes the primary feature of this disease is:
Capillary fragility and hemorrhage
Increase in red blood cells, hemoglobin and hyperviscosity
Hyperproduction of erythropoietin
Fatty infiltration of the bone marrow
22
After reviewing the following results from your pt's ABG's what condition is your pt in?
Partially compensated respiratory acidosis
Compensated respiratory alkalosis
Compensated metabolic alkalosi
Uncompensated metabolic acidosis
23
The lungs are cone shaped, the right lung has___lobes, the left lung has___lobes:
2,2
2,3
3,3
3,2
24
A pt's breath urea test positive for H Pylori. The nurse anticipates the following meds:
Carafate
Tagamet
Triple therapy:Flagyl,Tetracycline, & Zantac or Pepto
A, B and D
25
The spleen is a highly vascularized organ located in the left upper quadrant,the functions are:
Destroys worn out RBC's
All of the above
Serves as a reservoir for blood
Promotes phagocytosis
26
Your pt has hypertension, what medications is given to lower blood pressure?
Labetalol
Lisinopril
All of the above
HCTZ
27
A client has a fractured right tibia. Immediately following cast application, the priority is:
Air dry the cast
Elevate the leg
Perform complete neurovascular assessment
Monitor drainage through the cast
28
The doctor ordered a partial nonrebreathing face mask, the nurses plan of care for the mask is:
Delivers accurate fraction of O2 to the client
Conserves O2 by having pt rebreathe his own exhaled air
Requires a low liter flow to prevent rebreathing of CO2
Requires the reservoir bag be deflated during inspiration
29
Your pt had a CVA on his right side what s/s will you see?
Paralyzed left side, short attention span, safety issues
Paralyzed right side, impaired judgement
Paralyzed left side, depression/ anxiety
Paralyzed right side, spatial perceptual deficits
30
A pt who develops peritonitis should be evaluated for fever and:
Reduced urine output
Abdominal muscular rigidity
Nervousness
Increased bowel motility
31
Which are functions of the lymphatic system:
A,B and D
Absorbs fat from the digestive tract
Stores extra lymphocytes in case of emergency
Defends from foreign substances & harmful microorganisms
32
Looking at the strip below what rhythms would this pt be in?
Premature ventricular contractions PVC's
Premature atrial contractions PAC's
3rd degree heart block
Ventricular tachycardia
33
An elderly woman has been recently diagnosed with type two diabetes, which a related symptom?
Cough
Belching
Pruitius Vulva
Hiccups
34
This a common arterial disorder by yellowish plaques of cholesterol, it's also the cause of CAD
Angina Pectosis
Cardiac Arrest
Atherosclerosis
Coronary Artery Disease
35
S/S associated with osteomyelitis may include:
Scoliosis, elevated parathyroid hormone, back pain
Bone pain, purulent drainage, decreased Sed rate
Elevated temp, positive blood cultures and pain
Nausea, chills, increased calcium
36
A pt is prescribed Lipitor for cholesterol, the pt knows the med when they say this side effect
Muscle pain
Weight loss
Palpitations
Visual changes
37
What happens during inspiration?
The diaphragm contracts and flattens
The diaphragm relaxes and returns to its convex position
The diaphragm contracts and relaxes
The diaphragm relaxes and flattens
38
Pt 23 w/ enlarged lymph nodes, ⬇️RBC's, thrombocytopenia, &⬆️ in wbc this is which disease?
Sickle cell anemia
Hemophilia
Acute leukemia
Thrombocytopenia
39
Which of the following histories of a pt would relate to a diagnosis of bacterial endocarditis
History of CHF
History of heart valve replacement
History of smoking 2 packs per day
History of hyperlipidemia
40
This lobe is used for recognition of body parts, spatial distance, and sensory information
Temporal
Occipital
Parietal
Frontal
41
Pt has leaking aneurysm gets bedrest, anticonvulsants &sedatives what is important to check?
The client's skin is warm and clammy
The client develops diarrhea
The client is becoming jittery
The client has a chronic cough
42
a pt has a fracture w/ cast & has gotten analgesics & the pt is still in pain what's the cause?
Impaired tissue perfussion
Newness of the fracture
Infections under the cast
Incorrect dosage of pain medications
43
What are classic signs of AD (Autonomic Dysreflexia)?
A and C
Increased BP and decreased HR, HA
Blurred vision
Decreased BP and increased HR, HA
44
Which exercise would you recommend for a person with osteoarthritis?
Running
Field hockey
Swimming
Volleyball
45
Identify the conditions that could result in your pt developing peritonitis:
Perforated appendix
Gerd
Perforated gastric ulcer
A and C
46
The term that refers to fracture in which the broken bone pierces through the skin is:
Impacted
Greenstick
Compound
Displaced
47
During a Neuro check the LPN saw the tissue color is blanched, cool,& white this is a sign of?
Venous stasis
Poorly oxygenated tissue
Increased blood supply
Fluid accumulating in the tissue
48
A client is taking albuterol per nebulizer for wheezing, which reaction do you watch for?
Tachycardia
Bradycardia
Diarrhea
Drowsiness
49
Where is compartment syndrome most likely to occur?
Hands and feet
Arms and legs
Legs and feet
Hands and arms
50
A intervention for a client taking maintenance dosages of lithium carbonate for psychosis are:
Performing a weekly ECG
Monitoring daily serum lithium levels
Observing for remission of depressive status
Monitoring intake and output
51
You pr has iron deficiency anemia which symptoms do you expect your pt to exhibit?
Fatigue
Dyspnea
Pale skin and mucous membranes
A, B, and D
52
Medications that are found to help relieve symptoms of fibromyalgia are:
Elavil
All of the above
Lyrica
Klonopin
53
A pt was taught to administer his own insulin, he would rotate sites because:
It's less difficult to give your own injections
Of danger of damage to the nerves after repeated injections
It reduces the danger of irritation & increases absorbing
Infection is less likely to occur if sites are rotated
54
Identify the nursing interventions implemented for a post-op total knee patient:
Knee immobilizer when ambulating
CPM machine
A and B
Ice to the knee
55
When assessing a pt w/ possible osteoporosis the LPN, which would be most significant?
65 yr old male, obese, active in contact sports
40 yr old Asian female,active inadequate calcium intake
70 yr old black female, who walks 3 miles daily, smoker
57 yr old white female, steroid dependent, inactive
56
What is a normal PT/INR?
4-5
0.8-1.5
2-3
0.6-1.2
57
Prevention of acute respiratory failure in surgical pts is a nursing goal that involves what?
Teach all pre-op pts to use IS & cough/deep breathe
Keeping at risk pts in an upright during post-op course
Obtaining baseline pulmonary function tests for pre-op pts
Obtain baseline ABG for all pre-op pts over 65 yrs old
58
What does AKA stand for?
Above knee amputation
Ak-47 lol
Also known as
Above knee arms
59
Which should be done after a lumbar puncture?
Have client lie flat for 6-8 hrs
Keep the HOB up 30 degrees for 24hrs
Monitor pedal pulses q4hr
Keep client NPO for 4 hours
60
Your caring for a overweight patient w/ osteoarthritis. What would you suggest for joint pain?
Applying intermittent cold packs
Low sodium diet
Reducing and maintaining weight
Exercising the involve join exercising that involved joint
61
Look at question below:
Position him in prone position on a backboard
Position in an upright position with a firm neck collar
Log roll him to a rigid backboard
Apply a neck collar and position supine on backboard
62
A test that measures absorption of radioactive vitamin B12 is____obtained through____.
Gastric analysis, gastric juice
Red cell indices, blood
Megaloblastic anemia profile, urine
Schilling test, urine
63
An adult pt is admitted w/ left sided congestive heart failure what finding would be present
Dyspnea
Hepatomegaly
Distended neck veins
Pitting edema
64
This is a relay station for sensory impulses, it's SIT's.
Thalamus
Medulla
Pons
Hypothalamus
65
A pt comes in needing a blood transfusion and is type AB+ who can he receive from?
AB-
O-
All of the above
A+
66
A pt diagnosed with osteoporosis has routine blood work drawn, the results should show:
Decreased CSR rate
Elevated WBC
Elevated C-reactive protein
Elevated calcium
67
What are the complications associated with ulcerative colitis?
Colon cancer
Not as frequent
Fissures
Strictures
68
How long does a knee arthroplast last?
20-30 years
5-10 years
10-20 years
10-15 years
69
What are the functions of the skeletal system?
Strength, function
A and B
Hematopoiesis, mineral storage
Support, movement, protection
70
A client has bipolar disorder & is having a manic episode, an appropriate menu choice would be:
Beef stew, fruit salad, tea
Macaroni and cheese, Apple, milk
Scrambled egg, orange juice, coffee
Cheeseburger, banana, milk
71
Which of the following is the correct lab value of a normal hemoglobin level?
Males 14-18; Females 12-16
Males 40-50; Females 35-45
Males 16-18; Females 14-16
Males 42-52;Females 37-47
72
A child is in a leg cast for a fracture femur. The most important nursing intervention is to:
Keep traction on the cast at all times
Palate for a pedal pulse
Palpate for a popliteal pulse
Report any drainage on the cast
73
The pt has a platelet count of 75,000,on basis of the pt's labs which is the best intervention:
Using small gauge needles for injections
Providing rest periods between activites
Limiting the pt's visitors to family
Placing the client in protective isolation
74
A pt with meningitis will need which of the following nursing interventions:
Bright lights, narcotic analgesic, and antipyretic
Antipyretic, subdued lighting, Neuro assessment
Quiet room, non-narcotic analgesics, & frequent stimulation
Narcotic analgesic,Neuro assessment qshift,speak loud to pt
75
This fractured is splintered in 3 or more fragments. Often called the "butterfly fracture".
Oblique
Comminuted
Transverse
Spiral
76
Your pt developed painless enlarged cervical lymph nodes, fatigue,sweats&fever this is what?
Polycythemia
Non-Hodgkin's Lymphoma
Thrombocytopenia
TB Infection
77
Leukotriene receptor antagonists are ordered to treat:
Chronic bronchitis
Asthma
Pulmonary edema
Emphysema
78
After reviewing the following results from your pt's ABG's what condition is your pt in?
Compensated Resipiratory alkalosis
Partially compensated respiratory acidosis
Compensated Respiratory Acidosis
Uncompensated Respiratory Acidosis
79
Your pt has ankylosis spondylitis, he has severe back pain, what's encouraged for this pt?
Application of back brace
Starting an exercise program that includes swimming
Lie on abdomen 15-30 mins QID to stretch spine
All of the above
80
What gathering nursing data, which finding will adults w/ chronic cardiac diseases mostly have?
Clubbed fingertips
Chest pain
Flushed facial skin
Barrel shaped chest
81
Who is the universal receiptiant of blood?
O-
A-
AB-
AB+
82
A 72 yr old female is admitted w/ emphysema. The 1st s/s of emphysema is usually:
Copious sputum
Clubbing of the fingers
Polycythemia
The use of accessory muscles to breathe
83
Pneumonia can be caused by all of the following:
Retained secretions
All of the above
Viruses
Mycoplasm
84
Which of the following are possible treatments for rheumatoid arthritis?
Anti-inflammatory diet
Fish oil
All of the above
Restasis
85
Pt w/ Berger's disease asks what can be done for the symptoms,what will you tell the pt?
Exercise and smoking cessation
There is no treatment
Femoral popliteal by pass surgery
Narcotics to control the pain
86
A pt had a stroke, when positioning & supporting the pt & voluntary control of muscles is lost:
The flexor muscles will become stronger than the extensors
The hip joint will rotate internally
The upper extremities will rotate externally
The feet will maintain a position of eversion
87
See image below:
1,3,4,2
3,1,2,4
2,4,3,1
3,1,4,2
88
The _____covers the lung, the_____lines the walls of the thoracic cavity.
Pleural, parietal
Parietal, visceral
Visceral, parietal
Parietal, pleural
89
What is the excercise of choice for RA (Rheumatoid Arthritis)?
Swimming
Running
Golfing
Walking
90
Identify the signs and symptoms associated with chronic arterial disorders:
Achy pain in calf w/ exercise, pedal pulses, warm toes
Achy pain relief w/ elevation, no pedal pulse, edema, ulcers
Edema in legs, pedal pulses, shiny dry skin on legs
Intermittent claudication, dismissed pedal pulses, no edema
91
All of the following are s/s of lymphadema except for:
Recurrent infections in the affected area
Low grade fever with night sweats
Hardening or thickening of the skin
May notice watches or rings too tight
92
Your pt is taking nitroglycerin for chest pain, the nurse knows that:
The pt will take the medication q 5 min x 3
The drug causes pallor
The drug is used for acute attacks of chest pain
The drug is an ACE inhibitor
93
A pt had a CVA w/ diet as tolerated,has a gag reflex w/ a cough what helps best w/ swallowing?
Suction equipment is available during feedings
Place pt in semi fowler so with head flexed forward w/food
Insist food be puréed, liquified and bland
Ensure pt in semi fowlers position w/ head hyper extended
94
Pt has left arm fracture, & is checked for impaired venous return distal of arm, what are signs
Pallor and cool to touch
Weakened left radial pulse
Edema of the left hand
Continued pain despite medication
95
Your given a 70 yr old pt w/ right sided heart failure, when you assess you expect to find:
2+ pedal edema
Nocturnal dyspnea
Blood tinged sputum
Crackles in lower bases of the lungs
96
Signs of autonomic dysreflexia are:
Hypertension
Flushed face
Severe HA
A, B, C
97
Which of the following are medications commonly prescribed for a patient with a herniated disk?
Lyrica
Plaquenil
A, B and C
Flexeril
98
A priority patient problem for a patient with anemia would be:
Risk for infection
Acute pain
Activity intolerance
Imbalanced nutrition, more than body requirements
99
A pt with a lead injury has been ordered Mannitol, they are receiving this because:
The chance for infection is increased
Of the patients potential for seizures
He has increased intracranial pressure
He has edema in the lower extremities
100
Your patient has an elevated ESR. This test result would be seen in these conditions:
Gout
Osteomyelitis
Rheumatoid arthritis
All of the above
101
What finding should signal the nurse to not apply a nitroglycerin patch and call the doctor?
Apical heart rate 90 beats a minute
Temp of 99.8F
Respiratory rate of 24 breaths per minute at rest
Blood pressure of 94/62 mm Hg
102
The nurse monitors 10lb Bucks traction w/ fractured hip, which indicates traction is maintained
The knots in the ropes are secured and taped
The weight hangs freely above the floor
A and D
The 10lbs of weights remove for pt to go to bathroom
103
This is an infection caused by coronavirus, spread by close contact between people:
SARS
Legionnaires Disease
TB
Acute Bronchitis
104
Your neighbor is having pressure in the chest,neck&arm for several hrs. What's the 1st response
Help her get him lying down with legs elevated
Call his physician STAT
Encourage her to give him two aspirin tablets
Call 9-1-1
105
A pt w/ rheumatoid arthritis is taking 15-20 aspirin. What statement would concern the nurse?
My fingers are swollen sometimes
I have a rash under my arms
I sometimes have ringing in my ears
I don't have very much energy
106
As part of discharge instructions, the nurse instructs the pt of a s/s of pacemaker malfunction
Dizziness during activity
Tenderness beneath the skin
Tingling in the chest area
Pain radiating to the arm
107
You are assigned a pt with left spontaneous pneumothorax. You will anticipate that your pt has:
A and C
Tachycardia
Crackles in left lower bases
Absent lung sounds
108
What is the antidote for TPA?
Vitamin B12
Protamine Sulfate
Amicar
Vitamin K
109
What is cranial nerve number V?
Abducens
Vagus
Trigeminal
Facial
110
see question below:
Right sided heart failure
Left sided heart failure
Hyperlipidemia
Valvular heart disease
111
Your pt has a HA, n/v, disoriented with visual changes with decreased LOC these are s/s of what
Epilepsy
Parkinson's
ICP
Guillian Barre
112
The classic symptoms associated with rheumatoid arthritis are:
Subcutaneous nodules on hands and stiffness in the morning
Grating sensation and pain in the points
Stiffness at night and insomnia
Symmetrical joint involvement and Herberdens nodules
113
The typical treatment for polycythemia Vera involves:
Therapeutic phlebotomy
Transfusion of packet cells
Appendectomy
Cryoprecipitate infusion
114
The pt needs coverage for his blood sugar. The pt asks what kind he will get, the nurse replies
A and C
Lantus and NPH
Novolin R and Humalog
Apidra
115
A client with a halo brace demonstrates an understanding of its use with the statement I will:
Be able to walk but my spine will be immobile
Be confined to bed until my spinal fracture heals
Be able to remove this brace for skin care and sleeping
Need to wear this brace except with sleeping
116
Who is most at risk for a fractured hip?
72 year old woman with osteoporosis
40 yr old woman with osteoarthritis
50 year old man with compartment syndrome
60 year old man with previous fracture
117
A pt comes in the ER w/ s/s of joint pain, stiffness, tenderness what would this be?
Osteoporosis
Rheumatoid Arthritis
Gout
Osteoarthritis
118
Troponin in relation to cardiac lab tests shows what in a pt?
Enzyme found in muscles
Shows muscle damage in the heart
Arterial liming of blood vessels
Shows muscle damage in the heart
119
A pt has a brain tumor, they become disoriented what other s/s shows they might have ICP?
Hypotension
Shortness of breath
Chest pain
Vomiting
120
A client w/ a colostomy is concerned about odor, the nurse tells the pt to eat__to reduce odor
Eggs
Yogurt
Broccoli
Cucumbers
121
What is the regimen used for Rheumatoid Arthritis?
Fish oil
Tramadol
Aspirin
Heat packs
122
Osteoarthritis is most often associated with this kind of change
Genetic predisposition
Previous injury, with trauma
Degenerative, with age
Inflammatory process
123
This coordinates muscle tone and movement, helps maintain equilibrium:
Cerebrum
Pons
Medulla
Cerebellum
124
What fractures are common in children?
Avulsion and Transverse
Complete and Displaced
Greenstick and Impacted
Spiral and Oblique
125
A pt with a CVA is getting TPA treatment, what reason could they get the treatment
BP 190/130
Active Bleeding
3-4 after onset
5-6 hours after onset
126
What can be some causes of Valvular heart disease?
Joint pain, epistaxis
Fatigue,streptococci
Elevated temperature, heart murmur
Phen-fen, Endocarditis
127
Who is at the highest risk for Guillian Barre?
Post having baby
Post pain
Post respiratory infection
Post pns reaction
128
Your pt has developed (DIC) syndrome after a vaginal birth what is the priority intervention:
Bed rest with padded side rails
CBC q 4 hrs
Accurate I&O
NPO

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