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Level 4 Midterm Exam Quiz Activity (Julna) Flashcards | StudBud
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Level 4 Midterm Exam Quiz Activity (Julna)
Level 4 Midterm Exam Quiz Activity (Julna)
38 terms
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Just quick refresher as we jump into midterms. Good luck!
Flashcards
38 cards
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Questions
38
Answers
1
A patient is on mechanical ventilation with PEEP. Which finding indicates the patient is developing a complication…
Blood pressure 75/45
HCO3 26 mmHg
PaCO2 38 mmHg
PaO2 80 mmHg
2
A patient complains of dyspnea, chronic cough, and difficulties sleeping at night. What lab findings supports HF
BUN 9
K+ 5.8
BNP 780
Troponin <0.03
3
In patients with pneumonia, what is the BEST nursing intervention to improve oxygenation?
Monitor O2 saturation and RR
Deep breathing exercises
Administer bronchodilators and oxygen
Place the patient in lateral decubitus position
4
The following are the possible complications of Pneumonia except:
ARDS
Pulmonary embolism
Lung abscess
Bacteremia
5
A patient has chest pain that started 3-4 hours ago. What is the most reliable and accurate indicator of heart damage?
CKMB
Myoglobin
LDH
Troponin I & T
6
Which of the following is the most common effect of dysrhythmias?
Decreased cardiac output
Stroke
Heart failure
Sudden cardiac death/arrest
7
A patient has a GFR of 55 mL/min and a history of uncontrolled hypertension and CAD. What medication treats both?
Amlodipine
Lisinopril
Verapamil
Metoprolol
8
In caring for the patient with AKI, what should the nurse be aware of?
Taking accurate daily weigh ins
The most common cause of death in AKI is irreversible metabolic acidosis.
Daily fluid intake is limited to 1000 mL during the oliguric phase
Dietary NA and K during the oliguric phase of AKI are managed by I/O
9
The earliest electrocardiographic finding of acute myocardial infarction is sometimes the…
Prolonged QT interval
Hyperacute T wave
ST segment elevation
ST segment depression
10
What is the difference between sickness, illness, and disease?
Sickness = physical state, illness = psychological state, Disease = medical
They all mean the same thing
Sickness = medical condition, Illness = Physical state, Disease = psycho…
Sickness = psychological state, illness = medical condition, disease = ph..
11
What is the purpose of utilizing NANDA-approved nursing diagnosis?
To make the nursing diagnosis shorter and less specific
To ensure that the nursing diagnosis is complete and accurate
To use medical diagnosis instead of nursing diagnosis
To make the nursing diagnosis longer and more detailed
12
What is the immediate key nursing intervention for a patient with cardiac myopathy experiencing fluid overload?
Discouraging salt intake
Administering oxygen
Administering more fluids
Elevating lower extremities
13
Also known as end-tidal CO2, a test that assesses the amount of CO2 in exhaled air:
Spirometerty
Capnography
ABG
Forced expiratory volume
14
During the exudative phase of ARDS the patients lung cells that produce surfactant are damaged. This will lead to…
Bronchoconstriction
Upper airway blockage
Pulmonary edema
Atelectasis
15
Patient complains of acute chest pain that spreads to his jaw, neck and left arm. What ECG reading supports an MI?
Absent of P wave
Absent Q wave
QRS
ST elevation and marked Q wave
16
What is the primary goal of nursing care for a patient with cardiac myopathy?
Strengthening the heart muscle
Preventing weight gain
Smoking Cessation
Managing hypertension
17
A dehydrated patient is in the injury stage of RIFLE in AKI. What would the nurse first anticipate for this patient?
Urinalysis to check for sediment, osmolality, sodium, and specific gravity
IV administration of fluid and furosemide (Lasix)
Assess daily weight
IV administration of insulin and sodium bicarbonate
18
If ST segment elevation is present in leads II, III, and AVF, the possible occlusion could be on…
LCX
RCA
PDA
LCA
19
This is the only fibrinolytic agent approved for acute ischemic stroke and must be started 3hr from onset of symptoms
Tenecteplase
Streptokinase
Alteplase
Rateplase
20
A COPD patient complains of shortness of breath when doing simple tasks like dressing. Forced expiratory volume is 35%
Patient is in stage 4 (Gold 4)
Patient is in stage 1 (Gold 1)
Patient is in stage 2 (Gold 2)
Patient is in stage 3 (Gold 3)
21
Patient has aspiration pneumonia with a 100% non-rebreather mask. What is the HALLMARK sign & symptom of developing ARDS
The patient is tired and confused
The patient;s PaO2 remains at 45 mmHg
The patient is experiencing bradypnea
The patient’s blood pressure is 180/96
22
A corticosteroid drug that reduces flare-ups in patients with COPD
Levalbuterol
O2 Therapy
Albuterol
Prednisone
23
This program aims to ease pain and helps with problems if your illness is serious but not conspired life threatening
Supportive Care
Respite Care
Hospice Care
Palliative Care
24
Culture is a test to find germs that can cause an infection while, sensitivity test checks to _____
See what kind of medicine to fight the infection
See what know whether it is gram positive or negative
See the sensitivity of the patient to the bacteria
See what specific bacteria causes CAP
25
True or false, a Left Ventricle Assist Device (LVAD) is considered Stage D therapy
True
False
26
A patient with PE is being treated with a heparin infusion what diagnostic finding shows that the treatment is effective
The patient’s platelet level is below 100,000/mm3
Arterial blood sampling tests positive for the presence of factor XIII
The patient’s PT is within reference ranges
The patient’s aPTT is 1.5 to 2.5 times the control value
27
A patient has been admitted with a PE, the nurse notes a change in the patients O2 Sat from 94% to 88%. The nurse will:
Help the patient to sit in a more upright position
Increase the oxygen flow rate
Assist the patient to cough and deep breathe
Suction the patient’s oropharynx
28
A patient with stage 5 CKD has extreme pruritus and has areas of crystallized white deposits on the skin, this is due to
Excessive phosphate
Excessive erythropoietin
Excessive urea
Excessive calcium
29
What is the most common cause of dilated cardiomyopathy?
Congenital heart defects
Hypertension
Atherosclerosis
Viral infections
30
When giving medication, what should be the basis of your practice?
Patient’s request
Personal preference
Hospital protocol
Evidence-based practice and outcome-based
31
Patient who has history of PE is experiencing sudden dyspnea, rapid breathing, and chest pain. What is the best action?
Manage the patient’s anxiety
Increase the height of the patient’s bed
Rapidly assess the patient’s cardiopulmonary status
Arrange for an ECG
32
Clients undergoing hemodialysis are at risk for disequilibrium syndrome, the nurse assess the client during dialysis for
Hypotension, bradycardia, and hypothermia
Restlessness, irritability, and generalized weakness
Headache, deteriorating LOC, and twitching
Hypertension, tachycardia, and fever
33
What should you do if you are not sure about something in your practice?
Find something else to do
Ignore it and hope for the best
Ask the patient
Ask your colleagues
34
Which of the following is an sign of Left Sided Heart Failure?
Ascites
Hemoptysis
Peripheral Edema
Increase CVP
35
A patient has been diagnosed with HF and has or had signs and symptoms of HF. Which stage of heart failure is this?
Stage C
Stage B
Stage A
Stage D
36
A nurse is giving discharge teaching for a patient who had an PE after a total knee surgery…Heparin to sodium warfarin
Nurse teaches: Coumadin will continue to break up the clot over weeks
Nurse teaches: Coumadin is taken along with ASA to achieve anticoagulation
He should take a vitamin supplement containing vitamin K
Nurse teaches: Anticoagulant therapy usually lasts between 3 and 6 months
37
Patient who has had an acute disturbance in pulmonary perfusion is being treated for PE. These both affect…
The maintenance of constant osmotic pressure in the alveoli
The maintenance of muscle tone in the diaphragm
The pH balance in the pulmonary veins and arteries
The adequate flow of blood through the pulmonary circulation
38
What is the importance of critical thinking in nursing?
It helps in maintaining safety and security
It helps in making logical and analytical decisions
It helps in retaining information
It helps in providing compassionate care