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NSG 200 Final Review Flashcards | StudBud
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NSG 200 Final Review
NSG 200 Final Review
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1
Which medication according to ACLS should you give a pt. with this rhythm?
Norepinephrine
epinephrine
adenosine
atropine
2
In shock, lack of O2 causes cells to convert to anaerobic metabolism which causes lactic acid production and met. acid
False
True
3
The pt with r/o pancreatitis is made NPO. Which statement indicates he understands why he is NPO?
I may need to have surgery for a blocked pancreatic duct today.
Amylase and lipase labs must be drawn on an empty stomach.
Food will stimulate the secretion of amylase and lipase.
I am going to have a central line placed
4
A troponin level is done every 2 hours to watch the trend during a coronary event.
True
False
5
Which task can the nurse delegate to the unlicensed patient care tech?
I & O on patient with Foley catheter
VS on a new admission
I.S. teaching
check patency of NG tube
6
Choose the best low sodium diet for your patient
Beef tacos with cheese, lettuce and tomato.
Baked chicken breast with garden salad/lemon wedges
Canned tomato soup and low salt crackers
Ham sandwhich and Cole slaw
7
The pt's has this rhythm, c/o dizziness, B/P of 70/40, & HR 135. According to ACLS, which intervention is first?
Placement of temporary pacemaker
Administration of epinephrine
No treatment, continue to monitor
Administration of atropine
8
Mass casualty nurse places a yellow tag on the patient. What is the level of treatment?
no treatment needed
patient can wait
patient needs immediate attention
send patient to morgue
9
Which is incorrect about total parenteral nutrition.
(TPN) total parental nutrition does not require a filter
Wean slowly to prevent rebound hypoglycemia
TPN is infused through central line
Monitor blood glucose levels q4h while on TPN
10
The nurse caring for a patient with a history of autonomic dysreflexia should?
Ensure the pt has a bowel movement at least once a week
Limit bladder catheterization to once every 12 hrs.
Turn and reposition the client at least every 2 hours.
Keep bed flat
11
The pt. underwent pericardiocentesis for cardiac tamponade. Which obs. would indicate it was effective?
Pt reports dyspnea
Mufed heart sounds
Jugular venous distention
A rise in B/P
12
A high pressure alarm may sound on a ventilator if the pt's airway cuff has a leak.
True
False
13
Which of the following labs confirms HIV positivity?
C-reactive protein
CD4 count
EIA
Western Blot
14
Which BUN level reflects normal hydration
3
15
35
29
15
Which lab would the nurse MOST LIKELY expect to see in a pt. with CKD?
Elevated creatinine level
Increased hemoglobin
Increased Red Blood Cell count
Increased WBC
16
Which intervention can be found in an end of life delirium care plan
give phenobarbital as needed
give gentle message
encourage family to leave patient alone
Keep room brightly lit
17
The RN notices flames coming from the electrical outlet in the pt's room. He should pull the fire alarm first?
False
True
18
Which is an early symptom of benign prostatic hyperplasia?
Occasional constipation
Decreased force in the stream of urine
Scrotal edema
Nocturia
19
The pt. has crackles bilat lung fields. Which cardiac disorder should the nurse consider?
Peripheral vascular disease
Right sided heart failure
Cardiac tamponade
Left sided heart failure
20
The nurse knows the pt with HIV and a CD4 count of 200, needs further instruction when he states,
I will most likely take Septra to prevent pneumocystis pneumonia
It is not uncommon to take several combinations of antivirals
My CD4 count is adequate to fight off most infections
I am more at risk for developing an opportunistic infection
21
A burn involving the epidermis, dermis, subcutaneous fat, muscle and bone is classified as
partial thickness
full thickness
deep partial thickness
supercial
22
The Parkland formula = LR 4 ml/kg/%TSBA burn
False
True
23
Which lab result would indicate epoetin alfa is effective?
Plt count 400,000
Hct 33%
WBC 6000
BUN 15
24
A patient c/o lower L quad pain, elevated temp, flatulence, bloating. Which GI disorder should the nurse consider?
Ulcerative colitis
Appendicitis.
diverticulitis
peptic ulce
25
Four hours post TURP, the nurse takes the pt VS and empties the foley, what should the nurse report to the physician?
Pink urine
Pain 2/10
U.O 200 ml > than intake
B/P 100/50, HR 130 bpm
26
Which finding indicates that the AV fistula is patent?
palpation of a thrill
visualization of the enlarged stula vessels
cap rell < 3 seconds in the nailbeds
presence of a radial pulse
27
Which of the following labs would the nurse expect to find decreased in a pt with cirrhosis
SGOT
Alkaline phosphatate
albumin
ammonia
28
Which of the following labs is most likely to be decreased with End Stage Renal Disease (ESRD).
phosphorus
WBC
sodium
potassium
29
Four pts arrived in the ED. Which is the highest priority?
Swelling and deformity of the left hand
Bruising and pain of left hip
Unequal chest expansion
C/O headache with sensitivity to light
30
Successful fluid resuscitation is evaluated by?
all of the above
adequate urinary output
intact LOC
palpable peripheral pulses
31
The patient is scheduled for chemotherapy. Which prelabs will prevent her from receiving tx today.
Platelets 150,000
Platelets 400,000
WBC 1500
WBC 5000
32
Which of the following labs is a finding consistent with sepsis?
WBC of 10,000
WBC of 5000
WBC > 12,000
WBC of > 4000
33
The pt. is on a heparin gtt to treat DVT. His recent aPTT is 65 seconds. The nurse anticipates which action is needed?
Dc the infusion
Leave the rate as is
Decrease the rate of heparin
Increase the rate of heparin
34
Analyze this blood gas: pH 7.45. Paco2 30, HCO3 is 20
Respiratory alkalosis, compensated
Metabolic alkalosis, uncompensated
Metabolic acidosis, compensated
Respiratory acidosis, uncompensated
35
Which hemodynamic monitoring line will measure right atrial pressure?
Central line
pulmonary artery pressure (swan gnaz)
Arterial line
CVP line
36
Inline suctioning has a positive effect on decreasing the rate of ventilator associated pneumonia (VAP)
False
True
37
The pt. has an elevated ST segment in chest leads V3 and V4. Where does the nurse suspect the MI?
Circumferential
Lateral
Anterior
Posterior
38
The RN is making assignments for 3 CNAs and 1 LPN. Which pt should be assigned to the LPN?
A pt requiring abd wound irrigation & drsg change q3h
The pt. requiring a bed bath
The Pt who requires hourly vital sign measurments
An older pt. requiring frequent ambulation
39
The nurse should report which of the following symptom prior to initiating thrombolytic therapy to a pt with a PE
adventitious breath sounds
RR of 28/min
Temp of 99.4
BP of 198/110
40
All of the following are causes of Metabolic acidosis except for:
Excessive vomiting
Severe diarrhea
Acute kidney injury
DKA
41
A patient has thrombocytopenia. Which of the following interventions is appropriate?
Assess for bruising
Monitor temperature
Assess for fatigue
Assess dyspnea
42
Which pt. is the nurse's priority?
Ambulatory pt with a steady gait
A post op pt who just received an opioid pain med.
a pt. scheduled for PT for rst crutch walking session
a pt with WBC of 14,000 and temp of 101.5
