Care II Exam II

Question 1

Most people with HIV are aware that they have it.

Accepted Answer

True

Question 2

What is an important teaching for a patient with diabetes before surgery?

Accepted Answer

Stop taking metformin 48-72 hours before any procedures with iodine

Question 3

An HIV positive patient presents for a PPD test for TB. What would be considered a positive test?

Accepted Answer

> 5 cm induration

Question 4

A patient with Cushing's syndrome is at higher risk for which of the following?

Accepted Answer

Infection

Question 5

Conn's Syndrome is an overproduction of aldosterone.

Accepted Answer

True

Question 6

Which of the following potential nursing diagnoses are related to a patient's pneumocystis pneumonia?

Accepted Answer

Ineffective breathing pattern

Question 7

What lab values would you expect to see in a patient with hypothyroidism? SATA:

Accepted Answer

Low T3/T4, Elevated triglycerides, Elevated TSH

Question 8

What would be a priority patient teaching for a patient with Addison's disease?

Accepted Answer

How to administer emergency IM injections of hydrocortison

Question 9

What is the hallmark of a pheochromocytoma?

Accepted Answer

Elevated blood pressure

Question 10

What is the CD4+ level that is indicative of development of AIDS?

Accepted Answer

< 200

Question 11

PrEP should be taken by health care providers after they experience an exposure.

Accepted Answer

False

Question 12

Which manifestation of Cushing's syndrome is related to the altered metabolism of protein?

Accepted Answer

Thin arms and legs

Question 13

A patient presents for their viral load monitoring and has a dry cough, fever, and SOB. What do you expect?

Accepted Answer

Pneumocystics pneumonia

Question 14

What nutritional guidelines will a patient living with HIV need to prioritize? SATA:

Accepted Answer

Softer foods that can be easily chewed and swallowed, High calorie meals and snacks

Question 15

When educating a patient about their diagnosis of HIV, what statements from a new nurse would a preceptor correct? SATA:

Accepted Answer

If you adhere to your antiretroviral therapy regimen, you can cure your HIV, HIV will progress to AIDS in 2-3 years

Question 16

Basal insulin closely mimics endogenous insulin production.

Accepted Answer

True

Question 17

A patient with cytomegalovirus might experience all of the following except:

Accepted Answer

Colitis

Question 18

Which of the following patients with HIV would be at the highest risk for toxoplasmosis? SATA:

Accepted Answer

A line cook at a restaurant that specializes in fried chicken, A person who feeds all the neighborhood stray cats

Question 19

After a thyroidectomy, all of the following are important post-operative teachings except:

Accepted Answer

Avoid neck ROM to prevent damage to surgical site

Question 20

When instructing a patient with newly diagnosed diabetes mellitus, what statement would you correct?

Accepted Answer

I may need more insulin in the beginning before tapering down

Question 21

Signs and symptoms of tuberculosis will depend on the CD4+ count of the HIV/AIDs patient.

Accepted Answer

True

Question 22

Hypoparathyroidism is more common than hyperparathyroidism.

Accepted Answer

False

Question 23

A TB+ patient is presenting with extrapulmonary involvement and diffuse pulmonary disease. Their CD4+ count might be:

Accepted Answer

190

Question 24

Which of the following are expected signs and symptoms of hyperthyroidism? SATA:

Accepted Answer

Altered menses, Increased appetite, Increased number of stools

Question 25

What patient statement would you correct for someone with a pheochromocytoma?

Accepted Answer

I will begin my beta-blocker therapy first to control my elevated HR

Question 26

Which of the following are important patient teachings for storing and administering insulin? SATA:

Accepted Answer

In use insulin vials can be stored at room temperature, Soap and water can be used to clean the site prior to home administration

Question 27

Pheochromocytomas are the leading cause of hypertension in the general population.

Accepted Answer

False

Question 28

What lab value would you not expect to see in a patient with Addison's disease?

Accepted Answer

Decrased BUN

Question 29

A patient presents with decreased TSH and normal T3/T4. What do you suspect?

Accepted Answer

Subclinical hyperthyroidism

Question 30

Oral and esophageal candidiasis presents with white patches that cannot be scraped off.

Accepted Answer

False

Question 31

Which of the following is important sick day management exclusively for a patient with T1DM?

Accepted Answer

Test urine for ketones every 4 hours

Question 32

Which diuretic would you administer to a patient with hyperaldosteronism?

Accepted Answer

Spironolactone

Question 33

Which of the following would you do when caring for a patient with exophthalmos?

Accepted Answer

Encourage cessation of smoking

Question 34

Which of the following should included in post-exposure prophylaxis for HCWs with an HIV exposure? SATA:

Accepted Answer

Wash the site with soap and water, Flush mucus membranes

Question 35

What foods would be recommended for a patient with hypoparathyroidism? SATA:

Accepted Answer

Dark green vegetables, Soybeans, Tofu

Question 36

All of the following are important patient teachings following a hypophysectomy except:

Accepted Answer

Bend down to touch toes q2h to prevent atelectasis

Question 37

Which of the following are common s/s of diabetes mellitus? SATA:

Accepted Answer

Polydipsia, Polyuria, Polyphagia

Question 38

A patient presents to the ER with a moon shaped face, buffalo hump, and purple striae. What do you suspect?

Accepted Answer

Cushing's syndrome

Question 39

Which of the following is not proper nursing care for a patient with hyperparathyroidism?

Accepted Answer

Avoid activity to avoid fractures

Question 40

To prevent complications after an adrenalectomy, it is important to teach your patient to:

Accepted Answer

Begin steroid therapy a week prior to surgery

Question 41

Addison's disease is most commonly an autoimmune process.

Accepted Answer

True

Question 42

Which of the following is the CDC recommended test for diagnosis of HIV?

Accepted Answer

Rapid HIV-antibody testing

Question 43

What is the best time of day to take levothyroxine?

Accepted Answer

An hour before eating breakfast

Question 44

A pheochromocytoma is a tumor that causes an overproduction of what?

Accepted Answer

Catecholamines

Question 45

Patient presents to the ER with hepatomegaly, increased perspiration, and enlarged lips, nose, and tongue. You suspect:

Accepted Answer

Acromegaly

Question 46

The Somogyi effect is rebound hyperglycemia at night.

Accepted Answer

True

Question 47

Which patient teaching is incorrect for a patient who is post-adrenalectomy?

Accepted Answer

Begin taking oral cortisol replacement drugs as soon as surgery is over

Question 48

Which of the following is NOT a nursing care priority for a patient with AIDS dementia?

Accepted Answer

Leave patient alone since they are easily agitated

Question 49

What electrolyte level would you expect to monitor in a patient post parathyroidectomy?

Accepted Answer

Calcium

Question 50

What should a nurse do if they suspect CSF leakage post-hypophysectomy?

Accepted Answer

Test nasal drip for glucose

Care II Exam II

Questions 50

Care II Exam II

Questions 50