Exam 4 Quiz Review MED SURG NUR209

Question 1

Which of the following statements is not true?

Accepted Answer

Exposure to bacterial meningitis does not require prophylactic antibiotics

Question 2

The goal of vasopressor therapy is to achieve and maintain a mean arterial pressure:

Accepted Answer

greater than 65 mm Hg

Question 3

Hemorrhagic stroke manifestations include:

Accepted Answer

neurological deficits, Headache, Decreased LOC, HTN, Nausea

Question 4

Which lab value is NOT within normal limits?

Accepted Answer

aPTT 120 sec, Platelets 75,000

Question 5

A contusion is bruising of the brain tissue within a focal area and may include edema, bleeding & necrosis.

Accepted Answer

True

Question 6

Types of stroke include:

Accepted Answer

subarachnoid, Hemorrhagic - 13%, Thrombotic, Intracerebral, Ischemic - 87% of strokes, Embolic

Question 7

Chronic low back pain lasts more than 3 months.

Accepted Answer

True

Question 8

During rehab a patient with spinal cord injury begins to ambulate with leg braces. Which level is the injury?

Accepted Answer

L1

Question 9

Which type of shock below is not correct?

Accepted Answer

Septic Shock: high BP that responds to fluid resuscitation, bradycardia

Question 10

A mass or trauma can cause spinal cord injury with low BP and bradycardia, what is it?

Accepted Answer

neurogenic shock from massive vasodilation

Question 11

Atrial fibrillation (select all that apply):

Accepted Answer

atrial rate may be as high as 350-600 bpm, most common, clinically significant dysrhythmia r/t morbidity & mortality, develops abruptly with ETOH intox. caffeine, stress, electrolyte imbalance, thrombi can develop & move to the brain, making pt. high risk for stroke, prevalence increases with age

Question 12

Epidural hematomas:

Accepted Answer

S/S: unconsciousness, brief lucid interval, then ↓LOC, H/A, N/V, medical neurologic emergency requiring intervention to evacuate hematoma, bleeding between the dura and inner surface of the skull, Nrsg intervention: be aware of and prevent increasing ICP, Can be arterial or venous

Question 13

What is not true of acute back pain?

Accepted Answer

Backache is most common pain problem

Question 14

Treatment for a patient with meniscus injury includes all of the following but:

Accepted Answer

immobilization for protection and pain relief, use of crutches with weight braring as tolerated, ice application, Teach patient to do warm-up exercises & stretching to reduce injury risk, physical therapy to regain flexion and muscle strength

Question 15

Osteoporosis:

Accepted Answer

Kyphosis or Dowager&#x27;s hump can occur, Often occurs in spine, hips, and wrists, diseases related: inflammatory bowel disease, kidney disease, RA, & DM, risk for fracture is highest in white women, risk factors: smoking, female, sedentary, estrogen deficiency, asian

Question 16

Brain tumors of the frontal lobe:

Accepted Answer

can cause behavioral and emotional changes, memory loos, impulsivity, and depression may occur, patient may be unaware of any changes in behavior or emotional status, can be frightening to the caregivers and cause distancing to occur

Question 17

Compartment syndrome (select all that apply), p. 1460:

Accepted Answer

often invloves leg, but can occur in any muscle group, is when swelling causes increased pressure within limited spaces, capillary perfusion is reduced below a level needed for tissue life, 2 causes are splint, casts and restrictive dressings and blood or edema

Question 18

Osteolamacia is caused by vitamin D deficiency that causes bone to lose calcium.

Accepted Answer

True

Question 19

Cushing&#x27;s Triad indicates a medical emergency.

Accepted Answer

True

Question 20

Complications related to a mechanically ventilated patient include all but which of the following?

Accepted Answer

Lack of attention due to sedation and no family at the bedside.

Question 21

Hemorrhage in the pons is the most serious because basic life functions are rapidly affected.

Accepted Answer

True

Question 22

Complications related to fractures include (select all the apply): KNOW NURSING INTERVENTIONS!

Accepted Answer

Venous Thromboembolism - esp. hip; r/t immobility and muscle inactivity, Compartment syndrome r/t inability of fascia surrounding muscle to stretch, Infection r/t contamination and damaged blood vessels, Fat embolism resulting in inflammation, ischemia, pneumonitis with s/s ARDS

Question 23

Your patient has a mass causing spinal cord compression. What information tells you there is possible nerve damage?

Accepted Answer

Loss of sphincter tone; monitor I&O and report to MD

Question 24

Common problems of ICU patient include all of the following but:

Accepted Answer

bedrest and sleep are good for several days when patients are in ICU

Question 25

Drugs used to treat shock often mimic the sympathetic nervous system.

Accepted Answer

True

Question 26

When 2 or more organ systems in a patient fail it is called:

Accepted Answer

Multiple Organ Dysfunction Syndrome

Question 27

Three phases of weaning a patient off positive pressure ventilation include all but which of the following?

Accepted Answer

postweaning phase

Question 28

Colles fracture is includes all the following but:

Accepted Answer

most often in patients over 80

Question 29

Assessment of ABCs are of utmost priority in nursing and stand for:

Accepted Answer

Airway, Breathing, Circulation

Question 30

Your patient is trying to get OOB and suddenly feels light-headed. What are your interventions?

Accepted Answer

Offer them drink of water, Use bed alarm, Have the patient remain in bed, Take vitals, make sure MD is aware

Question 31

Every nurse should use appropriate body mechanics when caring for their patients to prevent self-injury.

Accepted Answer

True

Question 32

What is not true about aphasia?

Accepted Answer

The right hemisphere is dominant for language skills in everyone human

Question 33

Pathological fracture is the most common complication and often the first sign of Paget&#x27;s Disease.

Accepted Answer

True

Question 34

The nurse suspects an ankle sprain when a patient at the urgent care clinic describes:

Accepted Answer

twisting his ankle while running bases during a baseball game

Question 35

Treatment for Trigeminal Neuralgia might include antidepressants, antiseizure drugs, nerve block, or surgery.

Accepted Answer

True

Question 36

Complications of bone tumors include all of the following except:

Accepted Answer

strength of bone improves with steroids and pain control

Question 37

Motor deficits are the most obvious effect of stroke & include mobility, resp fx, speech, swallowing, and self care.

Accepted Answer

True

Question 38

The most accurate assessment for a patient with MODS is:

Accepted Answer

LOC, urine output, skin color and temperature

Question 39

Assessment of penetrating trauma to the spinal cord r/t gunshot, stab, laceration, or tears includes:

Accepted Answer

neurogenic shock, bowel and bladder incontinence, urinary retention, or difficulty voiding, paralysis, respiratory distress/difficulty breathing

Question 40

Traumatic injury with basiliar skull fracture manifestations:

Accepted Answer

Battle&#x27;s sign, CSF leakage (rhinorrhea or otorrhea), vertigo

Question 41

Modifiable risk factors for stroke include all of the following except:

Accepted Answer

Age

Question 42

Subdural Hematoma occurs from bleeding between the dura matter and arachnoid space; which answer is false?

Accepted Answer

usually aterial in nature

Question 43

Soft tissue injuries and open fractures are less likely to develop an infection.

Accepted Answer

False

Question 44

At discharge patients and families need support. Who can help to provide resources for post discharge?

Accepted Answer

case manager, chaplain, business office, nurse, Anyone on the care team that can teach or provide information or assistance, surgeon

Question 45

Treatment choice for management of cardiogenic shock would be (select all the apply):

Accepted Answer

restore blood flow with angioplasty & stenting, support stroke volume and cardiac output to maintain perfussion, goal: restore heart function and O2 supply and demand in myoccardium, cardiac cath ASAP, treat dysrhythmias, reduce workload of heart with circulatory assist devices ie balloon pump

Question 46

Which strategy is essential to reducing the morality associated with MODS?

Accepted Answer

Early recognition and managment of MODS

Question 47

Which of the following is true of neck pain (select all)?

Accepted Answer

May result from poor posture or herniated disc, Preventing neck pain from prolonged sitting is important, Neck pain affects 10-20% of adults & is almost as common as back pain, Weakness/paresthesia of arm & hand suggest cervical nerve root compression, Pain may radiate to head, thoracic spine, chest, & shoulders

Question 48

BE FAST means:

Accepted Answer

Balance, Eyes, Face, Arm, Speech, Time to call

Question 49

Complications of fractures include all of the following but:

Accepted Answer

Syndrome X

Question 50

Acute, usually temporary, facial paresis of one or both sides of the face is all of the following but:

Accepted Answer

Permanent damamage of Cranial nerve V.

Exam 4 Quiz Review MED SURG NUR209

Questions 50

Exam 4 Quiz Review MED SURG NUR209

Questions 50