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AREx-PN Study Quiz Flashcards | StudBud
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AREx-PN Study Quiz
AREx-PN Study Quiz
59 terms
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StudBud Administration
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42 plays
Based off attempt 09/08/22
Flashcards
59 cards
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Practice quiz
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Questions
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Answers
1
Which of the following tasks can NOT be delegated to a HCA?
Measure and record urine output
Assess client's ability to swallow before feeding
Turn clients at least every 2 hours
Obtain VS and report results
2
Which of the following is NOT a potential trigger of asthma?
Scented candles
Pillows w/synthetic material
Carpeted floors in child's playroom
Outdoor smoking area
3
Which of the following hygiene practices of a 5yr prevents further complications of their DM?
Shoes may produce cuts on feet, encourage to walk barefoot
Child should get an eye check-up Q5 years
Cleanse cuts with plain soap and water
Do not cut child's toenails until they are troublesome
4
RPN files incident report after finds 3% NS running instead of 0.9%. Which may occur as a result?
Reporting nurse is also responsible
Nurse manager follows up w/client care, they are also legally responsible
Nurse who hung 3% is immune because incident report was completed
Nurse who hung 3% could be reported to nursing regulator - unsafe practice
5
Which of the following indicates client is experiancing severe level of anxiety?
Client benefits from guidance of others
Client is unable to focus on surrounding environment
Client shows disorganized or irrational reasoning
Client has greatly reduced perceptual field and demos scattered attention
6
When using an autocratic leadership style, what is the responsibility of the nurse manager during a fire?
NM is responsible to ensure the cause of the fire is determined
NM is responsible for the outcomes of their actions
NM is responsible for the safety of clients and staff
NM does not hold the responsibility of others during an emergency event
7
Pt sees HCP about possible lifestyle changes w/FHx. cardiovascular disease. Which is the least important consideration?
Go for a walk daily
Substitute butter with vegetable and plant oils
Eat a diet rich in fiber
Follow a ketogenic diet plan (increases fats)
8
Which of the following micro-organisms is spread by direct and indirect contact transmission?
Clostridium difficile
Influenza
Mycobacterium tuberculosis
Pseudomonas
9
2-month old infant exp nonbilious projectile emesis post feeding. What is most likely diagnosis?
Hypertrophic pyloric stenosis
Intussusception
Celiac disease
Omphalocele
10
When maintaining correct body alignment for a client with Russell's traction, what should the nurse remeber to do?
Ensure client foam boot's velcro straps are secured tightly
Ensure client's hips and knee are immobilized in flexed position
Ensure single pully system provide weight to upper ext+upper above elbow
Instruct lie in supine position in order to maintain cervical alignment
11
Which of the following is the best indication for a safe drug?
High potency
Small theraputic window
Large theraputic window
Low potency
12
Pt has a chest tube attached to suction at -20cm of H20, when assessing the system which of the following is a priority?
Assess if the tubing is obstructed, pinched or compressed
Record the level of drainage visible in the drainage chamber
Ensure the tubing connections are securely taped
Assess for fluctuating of water in the water seal chamber
13
Which of the following statements should be included in the explanation of a hypophysectomy (pt has hyperpituitarism)?
It treats adrenal disorders, not pituitary disorders
It will not relieve sexual dysfunction related to hyperpituitarism
The surgery reverses body and appearance changes caused by hyperpituitarism
A nasal packing dressing is necessary for 2-3 days post surgery
14
A client w/suspected endocarditis was admitted to CVICU. Which complication would RPN monitor for?
Pericardial Effusion
Embolization
Tamponade
Heart attack
15
What is a partial agonist?
Molecule stims response <100% when bound to receptor
Molecule sometimes acts agonist other times as antagonist for same receptor
Molecule produces response below baseline measured in absence of drug
Molecule may stim 100% or <100% activation of receptor
16
FPt presents w/acute pain (heavy, throbbing pressure) in lower abdo, often pre menstrual flow. What is suspected cause?
Endometriosis
Polycystic ovarian syndrome
Amenorrhea
Dysfunctional uterine bleeding
17
Pt w/ GBS is having difficulty communicating. Which should the nurse implement to meet their needs?
Providing the client with a notepad and pencil
Simple techniques such as blinking, or moving a finger for "yes" or "no"
Reading client's facial expressions to determine basic needs
Helping the client with vocal exercises
18
Nurse is explaining pattern of inflammation for Crohn's disease. Which made by client demos need for further teaching?
"It is not unusual for Crohn's to reoccur even after therapy"
"I am at an increased risk for intestinal cancer"
"Crohn's only affects the colon and the rectum"
"Crohn's is an inflammatory bowel disorder like ulcerative colitis"
19
Ordered digoxin at 5mcg/kg/min. Client is 75lbs, and pharm sends 62.5mg in 250mL. What rate should the nurse set the IV
40.9
34.09
40.908
0.25
20
Which is an essential legal task to complete when taking a phone order from a HCP?
Ensure abbreviation VO is used when writing down the HCP order
Ensure telephone order is signed by HCP in chart within 24 hours
Ask another nurse to sign the order after it is written down in chart
Ensure HCP repeats order back three times over phone
21
F20 pt w/thalassemia major + weekly blood transfusions, Sx fatigue + pain LUQ. Which value is linked/req HCP report
K 4.9 mmol/L
Hemoglobin 170 g/L
Iron 60 mcg/dL
Creatinine 1.1 mg/dL
22
Which of the following is an example of client abandonment?
Nurse documents she completed newborn home visits, but only phoned client
Nurse refuses mandatory overtime
Nurse arranges case-management services for complex client with multi needs
Nurse refuses mech vent care d/t lack of training/education
23
A nurse is preparing to admin acetaminophen (tylenol) to prevent hyperthermia d/t IIPC, which one contraindicates med?
Cushing's disease
Liver disease
ASA use
Hodgkin's lymphoma
24
Which is NOT a risk factor contributing to the development of Cleft Lip?
Maternal radiation exposure
Male gender
Premature delivery
Maternal consumption of alcohol during pregnancy
25
Client sustained # to tibia and fibula, suspected compartment syndrome. Which intervention should be completed first?
Notify the HCP
Elevate the affected limb
Bivalve the cast
Prepare the client for fasciotomy
26
HIV client prescribed strict calorie counting diet by HCP. Which are NOT included in proper nutritious diet?
High fat
High calorie
High protein
Gaining weight
27
Client with non-Hodgkin's lymphoma, which lifestyle modification would be inappropriate for this client?
Wash dishes between use with hot, sudsy water
Incorporate leafy green salads and fresh fruits/vegetables into diet
Avoid drinking beverages that have been at room temp for >1 hour
Bathe daily using antimicrobial soap
28
Which of the following would NOT be characteristic of a client with Graves' disease?
Hepatomegaly (enlarged liver)
Exophthalmos (eye protrusion)
Thick nails and dry skin
Difficulty sleeping
29
What is the definition of cardiac output, in relation to heart failure?
The volume of blood ejected from the heart with every contraction
The pressure in the arteries when the heart contracts
The total volume of blood ejected from the ventricles in one minute
The number of times the heart beats in one minute
30
For which of the following clients must the nurse contact the MRP?
Pt 4: platelet count of 160,000/mm3
Pt 2: theraputic level of INR: 2.7 seconds
Pt 1: K level of 5.5 mmol/L
Pt 3: Na level of 136 mmol/L
31
All of the following are targeted by antibiotics EXCEPT:
ATP synthesis
Protein synthesis
DNA synthesis
Cell wall synthesis
32
Caring for a 2-day old just diagnosed with PKU (phenylketonuria). Which member is the most important to consult ASAP?
Midwife
PT
SW
Dietician
33
Which of the following medications interact with levothyroxine?
Fluconazole
Propranolol
Ferrous sulfate
Ranitidine
34
During discharge teaching to a post-op pt, which would be inappropriate to include when dicussing dietary needs?
High vitamin C diet helps with wound healing
Iron supplements help with wound healing
Low calorie diet helps with wound healing
High protein diet helps with wound healing
35
Client just recieved epidural anesthesia and is being monitored, which of th efollowing is a possible complication?
Increased platelets
Increased oxytocin
Tachypnea
Hypotension
36
Which of the following should NOT be avoided with seizure disorders?
Emotional and physical stress
Polypharmacy
Increased physical activity
Alcohol/caffeine consumption
37
Which of the following is NOT true regarding nurses and witnessing consent
The nurse should follow hospital policy and notify a notary to witness
Nurse ensures doc signed by aware client, not under undue influence of meds
It is illegal for the nurse to sign the consent form
Nurse can legally sign form+becomes legally resposible to testify @ lawsuit
38
Which of th efollowing statements demonstrates anticipatory grief?
"I would like to spend time with him and talk about our happy times"
"I love my husband very much and we will all dearly miss him"
"I feel very fortunate to have had 35 years of marriage"
"I don't want him to suffer, I will sit to make sure he gets good care"
39
Which of the following is the most important to monitor for a client on antidysthrythmic drugs?
Serum drug level
BP
Serum potassium
HR
40
Which of the following lab findings are expected for a client with diverticulitis?
Elevated white blood cell count
Elevated hematocrit
Decreased white blood cell count
Elevated hemoglobin
41
A client taking macrolides likely has which type of infection?
Protozoal
Bacterial
Viral
Fungal
42
What should a nurse know when transitioning a client from IV to PO procainamide therapy?
Advise client not to crush or chew the medication
Review hepatic and renal functioning prior to administering first oral dose
Allow 3 hours to elapse between stopping infusion and giving first PO dose
Recommended switching to an IM dose before starting oral therapy
43
Which of the following best describes an idiopathic disease?
Psychologic diease that is manifested by ohysiologic symptoms
Disease with a long duration requiring continued management
Disease with an unknown cause
Disease resulting from deterioration or impairment of organs or tissues
44
Pt waiting to enter coro-cath lab for percutaneous coronary intervention (PCI). Which med is the nurse concerned about?
Metoprolol
Morphine
Nitroglycerin
Enoxaparin
45
Using the Holliday-Segar method, calculate the total daily maintenance fluid volume for a client who weighs 26kg in mL
1500
1620
1200
1520
46
Which of the following symptoms would most likely indicate that client has AKI
Hematuria
Anuria
Oliguria
Dysuria
47
Which is NOT example of movement that increases intra-abdominal pressure?
Sneexing/blowing nose
Isometric exercises
Yawning
Straining for BM
48
Pt w/small cell lung carcinoma experiancing Sx of SIADH and Na levels 130 mEq/L. Which intervention is highest priority?
Help client to void due to increased urination
Observe for nausea, vomiting, muscle cramps
Fluid restrict no more than 1000mL/day
Complete daily weights
49
Which of the following statements is NOT a principle related to hand hygiene?
Water-soluble/silicone-based lotions should be avoided
It is helpful to make a fist to clear the cracks within the hand
Alcohol-based solutions have kill factor w/effects within 15 seconds
Soap and water used w/handwashing take over a minute to kill bacteria
50
Which are potential signs of infection for an infant post open heart surgery for a congenital heart defect?
Poor feeding, freq vomits, foul Sx site
The surgical site is pink and dry, but the drsg is lifting
Axillary temperature of 36.5, sweating
51
Using the GCS: pt opens eyes to voice, is confused and disoriented, able to detect painful stimuli
14
7
10
12
52
Client arrives with exposure to diaster involving caustic/corrosive industrial chemicals. What's the best first action?
Complete decontamination process
Assess client's physiological response
Begin IV fluids per the Parkland Formula
Identify toxic agent
53
Preparing to administer propylthiouracil to a pt w/hyperthyroidism. Which finding is unrelated to this med's effects?
Arthalgia (joint pain)
Agranulocytosis (low WBC)
Sweating
Severe hepatotoxicity (liver damage)
54
Prior to a dressing change for a stage 3, which of the following steps should the nurse ensure first?
Knowledge about client's dressing protocol
Correct materials are collected
Client is educated about procedure
Adequate pain management
55
A client has just recieved a 1-hour acupressure treatment, which statement indicates a NEGATIVE outcome of this therapy?
"I feel more pain after the treatment"
"I feel less nauseous than before the therapy"
"My lower back feels sore"
"It felt relaxing having the deep tissue massage"
56
Nurse should ask client with COPD to return to hospital if which of the following occurs?
Increase in dyspnea
Fatigue
Increase in appetite
Increase in urine output
57
Which of the following medications is not likely to cause constipation?
Metformin
Verapamil
Iron supplements
Clonidine
58
88F just had a coronary angiogram, ADMIN, what should they be assessed for?
Muscle atrophy
Paralytic Ileus
Skin integrity
Vomiting
59
Catecholamine lab testing completed for blood and urine, what is NOT measured in this type of test?
Norepinephrine levels
Dopamine levels
Acetylcholine levels
Epinephrine levels
