Practice Questions Flashcards
Which of the following should the nurse recognize as a risk factor for sickle cell disease?
A. Fluid overload
B. Low attitude
C. Hypoxia
D. Hypernatremia
C. Hypoxia
— Lack of oxygen to the cells
— RBCs turn into C-shape and clump together causing clots
— Pulm embolism
— Sickle cells go into micro circulation = hands + feet dead tissue
Tx = pt are given RBC transfusion due to decreased oxygen carrying capacity
What is the primary nursing dx for a client who suffers from thrombocytopenia?
A. Risk for injury
B. Risk for bleeding
C. Risk for aspiration
D. Risk for altered tissue perfusion
B. Risk for bleeding
Know neutropenic precautions and attach lab values to them
Steps for blood transfusion
Is the risk for bleeding an appropriate nursing dx for a pt being tx for primary polycythemia vera?
Yes
What is the difference between Hodgkin’s and Non-Hodgkin’s lymphoma?
A. Only non-Hodgkin’s involves lymph nodes
B. They are both incurable
C. Both have spread to the organs by time of dx
D. Only Hodgkin’s starts in one lymph node
D. Only Hodgkin’s starts in one lymph node
Which of the following best describes leukemia?
A. Under production of normal WBC
B. Overproduction of abnormal RBC
C. Overproduction of abnormal WBC
D. Underproduction of normal RBC
C. Overproduction of ABNORMAL WBC
Segs= mature cells
— not effective at fighting infection with leukemia
— “soldiers”
Bands= abnormal/immature cells
— not helpful with fighting infection
A nurse should know which of the following hormones are produced in the pituitary gland? SATA
A. Antidiuretic hormone
B. Thyroid-stimulating hormone
C. Adrenocorticotropic hormone
D. Aldosterone
E. Growth hormone
A. Antidiuretic hormone
B. TSH
C. Adrenocorticotropic hormone
E. Growth hormone
Anterior:
— FSH
— LSH
— ACTH
— growth hormone
— prolactin
— TSH
Posterior:
— oxytocin
— ADH
A nurse should know that DI and SIADH has which of the following in common?
A. Both cause >205ml of urine produced per hour
B. Both can be caused by neurological issues
C. Both cause extreme thirst
D. Both require tx of underlying cause
B. Both can be caused by neurological issues
DI = Dry Inside
— body diuretics everything that comes into the body
— thirsty = all fluid into urine
— electrolyte imbalance
— HYPONATREMIA = CONFUSION
— do not correct sodium too fast = brain hernia
SIADH = Sodium Is Always Down
— too much fluid retention
— fluid volume overload
— decrease in sodium = confusion
The nurse should know that which of the following are manifestations of adrenocortical excess? (Cushing syndrome) SATA
A. Hyperglycemia
B. Trunk enlargement
C. Sodium wasting
D. Moon face
E. Buffalo hump
A. Hyperglycemia
B. Trunk enlargement
D. Moon face
E. Buffalo hump
**replace fluids + cortisol
— D5 NS
C. Sodium wasting = low cortisol -> addison’s disease
— deficient of salt, sugar + steroids
— opposite of cushings
— dehydration
— sodium RETENTION
A nurse should know that the difference between hypothyroidism and hyperthyroidism is which of the following?
A. Hypothyroidism causes increase in T3 + T4
B. Hyperthyroidism causes increase T3 + T4
C. Only hyperthyroidism requires medication for tx
D. Hyperthyroidism is more likely to affect men
B. Hyperthyroidism causes increased T3 + T4
— LOW TSH
— Graves’ disease
— exophthalmos is permanent change
— tx = remove thyroid -> induced hypothyroidism -> Levothyroxine
— swelling after surgery -> ABCs
HYPO = ↑TSH ↓T3 + T4
HYPER = ↓TSH ↑T3 + T4
A homeowner purchases flood insurance because they live in a flood plain, but it has not flooded in over 50 years. What phase of disaster management does this speak to?
A. Mitigation
B. Preparedness
C. Response
D. Recovery
A. Mitigation
— insurance
— houses with basements
** act of putting plan together so we know what to do in an emergency situation
Preparedness = drill or immediate time preceding event
Response = the event happening or has just happened
Recovery = return to some level of normalcy
Which patient would you give a red tag? SATA
A. Struck by falling debris in the head
B. No pulse
C. Intracranial swelling
D. Chest pain
A. Struck by falling debris in the head
C. Intracranial swelling
No pulse = black
Chest pain = yellow
