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Level 4 Midterm Exam Quiz Activity (Julna) Flashcards | StudBud
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Level 4 Midterm Exam Quiz Activity (Julna)
Level 4 Midterm Exam Quiz Activity (Julna)
38 terms
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Just quick refresher as we jump into midterms. Good luck!
Flashcards
38 cards
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Practice quiz
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Questions
38
Answers
1
What should you do if you are not sure about something in your practice?
Ignore it and hope for the best
Ask your colleagues
Ask the patient
Find something else to do
2
A patient has a GFR of 55 mL/min and a history of uncontrolled hypertension and CAD. What medication treats both?
Lisinopril
Amlodipine
Verapamil
Metoprolol
3
What is the primary goal of nursing care for a patient with cardiac myopathy?
Smoking Cessation
Preventing weight gain
Managing hypertension
Strengthening the heart muscle
4
Patient has aspiration pneumonia with a 100% non-rebreather mask. What is the HALLMARK sign & symptom of developing ARDS
The patient is experiencing bradypnea
The patient’s blood pressure is 180/96
The patient;s PaO2 remains at 45 mmHg
The patient is tired and confused
5
What is the most common cause of dilated cardiomyopathy?
Hypertension
Congenital heart defects
Viral infections
Atherosclerosis
6
A COPD patient complains of shortness of breath when doing simple tasks like dressing. Forced expiratory volume is 35%
Patient is in stage 1 (Gold 1)
Patient is in stage 4 (Gold 4)
Patient is in stage 2 (Gold 2)
Patient is in stage 3 (Gold 3)
7
A patient has been diagnosed with HF and has or had signs and symptoms of HF. Which stage of heart failure is this?
Stage A
Stage C
Stage B
Stage D
8
If ST segment elevation is present in leads II, III, and AVF, the possible occlusion could be on…
RCA
PDA
LCX
LCA
9
Culture is a test to find germs that can cause an infection while, sensitivity test checks to _____
See what know whether it is gram positive or negative
See what kind of medicine to fight the infection
See what specific bacteria causes CAP
See the sensitivity of the patient to the bacteria
10
This program aims to ease pain and helps with problems if your illness is serious but not conspired life threatening
Hospice Care
Supportive Care
Palliative Care
Respite Care
11
A nurse is giving discharge teaching for a patient who had an PE after a total knee surgery…Heparin to sodium warfarin
He should take a vitamin supplement containing vitamin K
Nurse teaches: Coumadin is taken along with ASA to achieve anticoagulation
Nurse teaches: Coumadin will continue to break up the clot over weeks
Nurse teaches: Anticoagulant therapy usually lasts between 3 and 6 months
12
Which of the following is the most common effect of dysrhythmias?
Decreased cardiac output
Heart failure
Stroke
Sudden cardiac death/arrest
13
A patient is on mechanical ventilation with PEEP. Which finding indicates the patient is developing a complication…
Blood pressure 75/45
PaCO2 38 mmHg
HCO3 26 mmHg
PaO2 80 mmHg
14
A corticosteroid drug that reduces flare-ups in patients with COPD
Albuterol
Levalbuterol
Prednisone
O2 Therapy
15
A patient complains of dyspnea, chronic cough, and difficulties sleeping at night. What lab findings supports HF
Troponin <0.03
BNP 780
BUN 9
K+ 5.8
16
When giving medication, what should be the basis of your practice?
Hospital protocol
Personal preference
Patient’s request
Evidence-based practice and outcome-based
17
A patient has been admitted with a PE, the nurse notes a change in the patients O2 Sat from 94% to 88%. The nurse will:
Suction the patient’s oropharynx
Increase the oxygen flow rate
Assist the patient to cough and deep breathe
Help the patient to sit in a more upright position
18
What is the difference between sickness, illness, and disease?
Sickness = medical condition, Illness = Physical state, Disease = psycho…
They all mean the same thing
Sickness = psychological state, illness = medical condition, disease = ph..
Sickness = physical state, illness = psychological state, Disease = medical
19
In patients with pneumonia, what is the BEST nursing intervention to improve oxygenation?
Monitor O2 saturation and RR
Place the patient in lateral decubitus position
Administer bronchodilators and oxygen
Deep breathing exercises
20
What is the importance of critical thinking in nursing?
It helps in making logical and analytical decisions
It helps in providing compassionate care
It helps in retaining information
It helps in maintaining safety and security
21
What is the purpose of utilizing NANDA-approved nursing diagnosis?
To ensure that the nursing diagnosis is complete and accurate
To make the nursing diagnosis longer and more detailed
To make the nursing diagnosis shorter and less specific
To use medical diagnosis instead of nursing diagnosis
22
In caring for the patient with AKI, what should the nurse be aware of?
The most common cause of death in AKI is irreversible metabolic acidosis.
Daily fluid intake is limited to 1000 mL during the oliguric phase
Taking accurate daily weigh ins
Dietary NA and K during the oliguric phase of AKI are managed by I/O
23
Patient complains of acute chest pain that spreads to his jaw, neck and left arm. What ECG reading supports an MI?
ST elevation and marked Q wave
Absent of P wave
Absent Q wave
QRS
24
A patient with stage 5 CKD has extreme pruritus and has areas of crystallized white deposits on the skin, this is due to
Excessive urea
Excessive erythropoietin
Excessive calcium
Excessive phosphate
25
The earliest electrocardiographic finding of acute myocardial infarction is sometimes the…
Hyperacute T wave
ST segment elevation
ST segment depression
Prolonged QT interval
26
This is the only fibrinolytic agent approved for acute ischemic stroke and must be started 3hr from onset of symptoms
Tenecteplase
Alteplase
Rateplase
Streptokinase
27
Patient who has had an acute disturbance in pulmonary perfusion is being treated for PE. These both affect…
The maintenance of constant osmotic pressure in the alveoli
The adequate flow of blood through the pulmonary circulation
The maintenance of muscle tone in the diaphragm
The pH balance in the pulmonary veins and arteries
28
What is the immediate key nursing intervention for a patient with cardiac myopathy experiencing fluid overload?
Administering oxygen
Elevating lower extremities
Administering more fluids
Discouraging salt intake
29
Clients undergoing hemodialysis are at risk for disequilibrium syndrome, the nurse assess the client during dialysis for
Restlessness, irritability, and generalized weakness
Hypotension, bradycardia, and hypothermia
Hypertension, tachycardia, and fever
Headache, deteriorating LOC, and twitching
30
True or false, a Left Ventricle Assist Device (LVAD) is considered Stage D therapy
True
False
31
A patient has chest pain that started 3-4 hours ago. What is the most reliable and accurate indicator of heart damage?
LDH
Troponin I & T
CKMB
Myoglobin
32
Also known as end-tidal CO2, a test that assesses the amount of CO2 in exhaled air:
Forced expiratory volume
Capnography
ABG
Spirometerty
33
Patient who has history of PE is experiencing sudden dyspnea, rapid breathing, and chest pain. What is the best action?
Manage the patient’s anxiety
Increase the height of the patient’s bed
Rapidly assess the patient’s cardiopulmonary status
Arrange for an ECG
34
The following are the possible complications of Pneumonia except:
ARDS
Pulmonary embolism
Lung abscess
Bacteremia
35
A patient with PE is being treated with a heparin infusion what diagnostic finding shows that the treatment is effective
The patient’s aPTT is 1.5 to 2.5 times the control value
The patient’s platelet level is below 100,000/mm3
Arterial blood sampling tests positive for the presence of factor XIII
The patient’s PT is within reference ranges
36
During the exudative phase of ARDS the patients lung cells that produce surfactant are damaged. This will lead to…
Atelectasis
Bronchoconstriction
Upper airway blockage
Pulmonary edema
37
A dehydrated patient is in the injury stage of RIFLE in AKI. What would the nurse first anticipate for this patient?
Assess daily weight
IV administration of insulin and sodium bicarbonate
IV administration of fluid and furosemide (Lasix)
Urinalysis to check for sediment, osmolality, sodium, and specific gravity
38
Which of the following is an sign of Left Sided Heart Failure?
Hemoptysis
Peripheral Edema
Ascites
Increase CVP