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NUR 170 Exam 3 Quiz Flashcards | StudBud
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NUR 170 Exam 3 Quiz
NUR 170 Exam 3 Quiz
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1
An RN assesses a pt. with PAD. Which of the following findings is the nurse most likely to observe?
Brownish discoloration of the lower legs
Pale, shiny skin with loss of hair on the legs
Warm, reddened skin around the ankles
Bounding pedal pulses
2
Disruption of blood flow with Raynaud’s disease is due to spasms in the vessels & causes green discoloring of the skin
True
False
3
A pt with DM has a scheduled cardiac cath. Which medication would be held for 24 hrs before the procedure & 48 hrs after
Regular insulin
Metformin (Glucophage)
Repaglinide
Insulin glargine (Lantus)
4
The QRS complex on an EKG rhythm strip represents:
Atrial Repolorazation
Ventricular Depolorazation
Ventricular Repolorazation
Atrial Depolarization
5
A client is coughing frothy, pink-tinged sputum. The RN recognizes that this finding is associated with which condition?
Left-sided heart failure
Tuberculosis
Pulmonary embolism
Right-sided heart failure
6
True or False: Glucose is the main fuel for the CNS
True
False
7
An RN is giving a mixture of NPH & regular insulin to a pt. The RN will give this medication via which route?
Intramuscular
Orally
Subcutaneous
Intravenous
8
Your pt. complaining of syncope is placed on a heart monitor. Which medication would you give to treat the rhythm below?
Epinephrine
Magnesium
Bicarbonate
Potassium
9
Which of the following is not a risk factor for DM Type 2?
History of Gestational Diabetes
History of Alcoholism
Inactivity
Obesity
10
I will know my insulins, cardiac meds, and MS slide decks before this exam on Tuesday. And check Canvas this weekend.
True
False
11
An RN educates a pt. regarding Dawn Phenomenon. Which statement indicates a correct understanding of this condition?
Dawn Phenomenon will cause my blood sugar to lower if I don't eat at night
I can manage the Dawn Phenomenon by skipping my bedtime insulin dose
I should reduce insulin at bedtime to prevent the Dawn Phenomenon
I should take insulin later at night before bed to manage Dawn Phenomenon
12
Which of the following are not part of the triad of symptoms for women with chest pain & possible CAD?
Feeling full or indigestion
Dyspnea
Dizziness
Chronic Fatigue
13
An RN assesses a pt reporting increased thirst & frequent urination. Which further symptom indicates undiagnosed DM?
Constipation
Shortness of breath
Dry skin
Excessive Hunger
14
A pt. in sinus bradycardia, with a HR of 45 bpm reports dizziness. Which intervention would the nurse anticipate?
Administer a beta-blocker.
Place the client in Trendelenburg position
Prepare for transcutaneous pacing
Continue to monitor the client
15
An RN is explaining Starling’s law to nursing students. Which statement indicates an understanding of this principle?
Stroke volume for both sides should be equal
The heart rate increases in response to increased stroke volume
The heart contracts more forcefully when it receives less blood
Increased SV is achieved by higher levels of calcium in the cardiac muscle
16
A cardiac monitor shows no P waves, a wide QRS complex, regular ventricular rate & a HR of 140bpm. Which rhythm is this?
Ventricular tachycardia
Asystole
Supraventricular tachycardia
Ventricular fibrillation
17
Which statement made by a pt. with DM II regarding managing diabetes during sick days shows a need for further teaching?
If my blood sugar is above 240 mg/dL I should check for ketones in my urine
I should drink fluids regularly, even if I don’t feel like eating
I should take my insulin or oral medications even if I'm not eating as much
It is okay to stop taking my diabetes medications if I am unable to eat
18
An RN is educating a diabetic pt. about medications. Which statement indicates a correct understanding of Lantus?
Lantus has a steady release and does not have a peak like other insulins
Lantus should be mixed with my regular insulin in the same syringe
I should take Lantus with my meals to prevent high blood sugar
Lantus will peak in about 4 hours so I should check my blood sugar then
19
True or False: Diabetic Ketoacidosis occurs only in Type 2 Diabetics
True
False
20
Which medication reduces preload to decrease volume and pressure in the left ventricle
Carvedilol
Furosemide
Captopril
Spironolactone
21
Which of the following is not a key sign of arterial insufficiency?
Paraesthesia
Petechiae
Pain
Pallor
22
True or False: Secretagogues lower glucose level by triggering release of insulin from beta cells
True
False
23
The RN suspects the Somogyi effect in her diabetic pt. Which intervention should the RN anticipate?
Advise the patient to skip the bedtime insulin dose
Decrease the morning dose of rapid-acting insulin
Instruct the patient to consume a bedtime snack
Increase the evening dose of long-acting insulin
24
True or False: Men have a higher risk for CAD than women of ALL ages
False
True
25
Rapid Acting Insulin has an onset of:
15-25 minutes
20-30 minutes
3-5 minutes
5-15 minutes
26
True or False: Beta cells in the pancreas are destroyed in Type I Diabetes
False
True
27
An RN is preparing a care plan for a diabetic pt with hyperglycemia. The nurse places priority on which pt. problem?
Impaired skin integrity
Inadequate fluid volume
Lack of knowledge about insulin administration
Inability to adhere to prescribed diet
28
True or False: NPH has an onset of 1-2 hours and a peak of 4-12 hours
False
True
29
An RN assesses a patient with left-sided heart failure. Which findings should the nurse expect to observe?
Jugular vein distention
Hepatomegaly
Peripheral edema
Crackles in the lungs
30
Short-acting insulin has an onset of ____ & a peak of _____
Onset of 20-30 minutes and a peak of 2-4 hours
Onset of 5-15 minutes and a peak of 30min-1 hour
Onset of 30-60 minutes and a peak of 2-4 hours
Onset of 60-90 minutes and a peak of 3-5 hours
