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Final Review
Final Review
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1
A patient has a high HbA1C test result. What is the most accurate statement by the nurse when discussing the results?
"The test must be repeated following a 12-hour fast."
"Your insulin regimen must be altered significantly."
"It tells us about your sugar control for the last 3 months."
"It looks like you aren't following the ordered diabetic diet."
2
The following medications may be part of regimen for someone with migraine headaches except:
Lisinopril
Sumatriptan
Propanolol
Ibuprofen
3
Your patient with newly diagnosed diabetes has presbycusis in their health history. Teaching strategies include:
Turn on bright overhead light
Speak in low pitched tones
Speak in high pitched tones
Use large font for printed instructions
4
The wound bed is 90% red and 10% slough tissue, with no visible bone or muscle. What stage?
I
III
IV
II
5
For a client with chronic obstructive pulmonary disease, which nursing intervention helps maintain a patent airway?
Restricting fluid intake to 1,000 ml/day
Enforcing absolute bed rest
Administering medications to suppress coughing.
Teaching the client how to perform controlled coughing
6
The nurse should teach what when giving preoperative instructions to a total thyroidectomy patient?
Your head and neck must be supported when you move.
Do not deep breathe or cough for the first 24 hours.
You should not be hoarse following the surgery.
The head of your bed must remain flat for 24 hours.
7
What is priority information for the nurse to give the patient who is prescribed long-term corticosteroid therapy?
The client is at a decreased risk for development of thrombophlebitis
The patient may experience short-term changes in cognition.
The patient is at an increased risk for developing infection.
The patient's diet should be low protein with ample fat.
8
Which of the following is an isotonic solution?
0.45% Normal Saline
D5 Normal Saline
0.3% Normal Saline
0.9% Normal Saline
9
Your pt has been started on lisinopril. Teaching should include
Take on an empty stomach
Check pulse before taking
Eat foods high in potassium
Report dry cough to MD
10
A pt with COPD and cor pulmonale is being prepared for discharge. The nurse should provide which instruction?
"Eat a high-sodium diet."
"Weigh yourself daily and report a gain of 2 lb in 1 day."
"Limit yourself to smoking only 2 cigarettes per day."
"Maintain bed rest."
11
Patient with severe asthma is using a LABA. Which of the pts statement indicates further teaching is needed.
“I'll make sure to use this each time I feel an asthma attack coming on.”
“I've heard that this drug sometimes gets less effective over time.”
“I know that these drugs can sometimes make my heart beat faster.”
“I've heard this drug is good at preventing asthma attacks with exercise"
12
pH 7.30, PCO2 39, HCO 17, o2 sat 98%. What am I
Respiratory Acidosis
Metabolic Acidosis
Respiratory Alkalosis
Metabolic Alkalosis
13
Pt has the following ABG pH 7.54, pCO2 20, HCO3 24, pO2 89. Which nursing intervention is most appropriate?
Administer oxygen at 2L NC
Educate patient on guided imagery
Administer sodium bicarbonate
Encourage slow, deep breaths
14
When assessing a patient for signs of fluid overload, the nurse would expect to observe
Weight loss
Thready Pulse
Poor skin tugor
Bounding pulse
15
COPD pt with O2 sat of 88%. What is the priority nursing intervention?
Administer 6L O2 per NC
Obtain ABG
Assist with ambulation
Sit patient in chair slightly leaning forward.
16
A patient is diagnosed with hypothyroidism. What treatment will the patient need?
Levothyroxine
Radioactive Iodine
Propylthiouracil
Total Thyroidectomy
17
Which information should the RN include when teaching a newly diagnosed HTN pt?
Annual BP checks are needed to monitor treatment effectiveness
Dietary sodium restriction will control BP for most patients
Most pts are able to control BP through lifestyle modifications
HTN is often asymptomatic until organ damage has occured
18
What drugs should the nurse expect to be ordered for a pt to gain underlying control of persistent asthma?
Guaifenesin
Albuterol
Fluticasone
Vilanterol
19
Many seizure medications have similar side effects, especially when started or increased. One common one is
Gingival hyperplasia
Drowsiness
HTN
Weight gain
20
To effectively evaluate established goals, they need to be
Measurable, specific, and realistic
Prioritized, understandable, timely
Simple, clear, prioritized
Pertinent, prioritized, clear
21
Your 80-year-old pt has been taking hydrocodone q4H as ordered PRN. Related nursing interventions include all except
Monitor pulse and BP
Monitor BP and BM’s
Monitor BM’s and pain scale
Monitor LOC and BP
22
Which clinical manifestation would lead the nurse to suspect that a client is experiencing hypermagnesemia?
Muscle pain and rigidity
Decreased deep tendon reflexes
Increased RR and Depth
Increased deep tendon reflexes
23
Tanner’s Model of Clinical Judgement includes all of the following elements except:
Planning
Reflecting
Responding
Noticing
24
You have admitted a 78-year-old diabetic pt with has age related macular degeneration. What is priority in your care
Always set the bed alarm before leaving the room
Describe the placement of the meal try using the clock method
Use the overhead light to increase the brightness in the room
Plan care to meet the patient’s individualized needs
25
What principle should guide the nurse's management of urinary incontinence in older adults?
Restricting fluid intake is recommended
Diuretics should be promptly discontinued
Urinary incontinence is not considered a normal consequence of aging.
Urinary catheterization is a first-line treatment
26
What is the preferred intervention to alleviate airflow obstruction during an asthma attack?
Administer corticosteroids by metered dose inhaler
Administer inhaled anticholinergics
Utilize a peak flow monitoring device
Administer an inhaled beta-adrenergic agonist
27
What is the most appropriate example of an easily attainable and measurable goal for a patient trying to lose weight?
Do not gain any weight
eat only 3 meals per day
lose 30 pounds
Lose 2 pounds per week
28
Nursing interventions for a patient with hyponatremia include:
administering hypotonic IV fluids
restricting sodium intake
encouraging oral fluid intake
restricting oral fluid intake
29
What drugs should the nurse expect to be ordered for a patient to gain underlying control of persistent asthma?
Antitussives
Anti-inflammatory drugs
Rescue inhalers
Antibiotics
30
Lifestyle modifications for HTN include
Maintain adequate intake of fruits and veggies
Abstain from alcholic beverages
Limiting smoking to 2 cigarettes/day
Limit aerobic activity to 15 min/day
31
Left sided heart failure includes:
Shortness of breath and fluid in lungs
Ascites and weight gain
Jugular Vein Distension (JVD) and shortness of breath
Weight gain and swelling in extremities
32
A RN is teaching adults about preventing and treating HTN. The RN should encourage the monitoring of
Heart rate
Potassium levels
Cholesterol levels
Magnesium levels
33
Which of the following patients is not a candidate for a non-selective beta blocker medication?
A 39 year old female with asthma.
A 55 year old male with a history of two heart attacks.
A 25 year old female with migraines.
A 45 year old male with angina.
34
You are caring for a pt with HF. The AM meds include metoprolol & furosemide. Nursing interventions include all except
Check Apical
Check BP
Encourage PO fluid
Monitor potassium levels
35
What is the difference between osteoarthritis (OA) and rheumatoid arthritis (RA)?
OA is associated with impaired immune function
RA is a consequence of physical damage.”
OA ia a noninflammatory joint disease. RA is inflamed, swollen joints.
There is no difference
36
A young mother is experiencing fatigue related to anemia and cannot keep up. What should the nurse have the patient do?
Finding a babysitter to take care of her children.
Obtaining assistance from someone to help with cleaning inthe home.
Prioritizing and balancing activities and rest.
Requesting a leave of absence from her job.
37
What guideline applies to periods of illness in a diabetic client?
Eat three substantial meals a day, if possible.
Report elevated glucose levels greater than 150 mg/dL (8.3mmol/L).
Reduce food intake and insulin doses in times of illness.
Do not eliminate insulin when nauseated and vomiting.
