Last Flashcards

(86 cards)

1
Q
A
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2
Q

Which of the following food should the nurse recommend to a client with osteoporosis when discussing sources of dietary calcium?

A

CHEESE, YOGURT AND DARK GREEN LEAFY VEGETABLE

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3
Q

The nurse is assisting with discharging a client who had a total hip replacement which statement indicates further teaching is needed?

A

AFTER 3 WEEKS I CAN CROSS MY LEGS

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4
Q

The client is diagnosed with osteoarthritis which signs and symptoms should the nurse not expect for the client to exhibit?

A

JOINT STIFFNESS

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5
Q

A 27-year-old client has a right above the knee amputation from a motorcycle accident which statement to the nurse indicate that the client has accepted his amputation?

A

I WON’T NEED PROSTHESIS, IM GETTING A WHEELCHAIR

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6
Q

The nurse is gathering functional data on a patient with rheumatoid arthritis which of these areas should be included?

A

ABILITY TO DRESS

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7
Q

The nurse is caring for a client with a fractured right leg which neurovascular finding should the nurse realize is a priority to report to the health care provider?

A

PALLOR OF THE RIGHT LEG

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8
Q

The nurse is reinforcing teaching to a patient who has gout about dietary restrictions which food should the patient state indicates teaching has been effective?

A

ORGAN MEAT

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9
Q

The nurse observes respiratory distress in a patient recovering from a fractured femur what should these findings suggest to the nurse?

A

FAT EMBOLISM

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10
Q

The client with a long arm cast is complaining of unrelenting severe pain and feeling as if the fingers are asleep which complication should the nurse suspect the client is experiencing?

A

COMPARTMENT SYNDROME

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11
Q

The nurse reinforces teaching on prevention of osteomyelitis with a patient with an open fracture of the right leg which patient statement indicates that teaching has been effective?

A

I WILL WASH MY HANDS BEFORE TOUCHING THE FRACTURED SITE

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12
Q

Which signs and symptoms indicate to the nurse the client has developed osteoporosis?

A

THE CLIENT HAS LOST 1 INCH IN HEIGHT

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13
Q

The nurse is caring for a patient who is 1-day post-transurethral resection of the prostate he says he was having pain in his bladder the nurse notices a decrease in urine output which of the following would be best response from the nurse?

A

YOUR CATHETER MIGHT BE BLOCKED I WILL SCAN YOUR BLADDER TO SEE IF YOU ARE RETAINING URINE

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14
Q

A young woman is seen at a walk-in clinic and is diagnosed with a sexually transmitted infection, she says how could I have one? I only have sex with my boyfriend I don’t sleep around which of the following response by the nurse is best?

A

YOUR BOYFRIEND COULD BE INFECTED FROM PAST SEXUAL ENCOUNTERS HE SHOULD BE TESTED AT THIS TIME

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15
Q

An older man is admitted to the hospital with mental status changes, as the nurse begins the shift assessment the patient begins to cry and says his doctor thinks his problem stems from untreated syphilis infection. What should the nurse say?

A

THAT MUST BE UPSETTING FOR YOU. DO YOU WANT TO TALK ABOUT IT?

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16
Q

At what age would a DEXA scan reveal the lowest result?

A

YOUR 60S

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17
Q

Which men should do a testicular self-examination?

A

ALL MEN AFTER PUBERTY

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18
Q

What disorder is evaluated with a digital rectal exam?

A

PROSTATE DISORDER

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19
Q

A patient undergoing TURP returns from surgery with a three-way urinary catheter with continuous bladder irrigation. What should the nurse do?

A

MANUALLY INSTILL 50ML OF SALINE AND TRY TO REMOVE THE CLOTS

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20
Q

This is acute inflammation of the testes.

A

ORCHITIS

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21
Q

The healthcare provider is assessing a female patient diagnosed with trichomoniasis, which of the following characteristics should the nurse expect?

A

FROTHY AND MALODOROUS

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22
Q

The priority nursing diagnosis for the patient exhibiting signs and symptoms of angioedema is?

A

DECREASED TISSUE PERFUSION

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23
Q

The nurse understands that the universal blood donor is?

A

O

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24
Q

The nurse understands the universal blood recipient is?

A

AB

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25
Which of the following is a sign of kidney organ transplant rejection?
BLOOD GLUCOSE
26
Which of the following foods is most appropriate for a patient with goiter?
STEAK
27
The nurse is caring for a patient with an indwelling catheter which of the following is the most important action for the nurse to use to prevent infection?
MAINTAIN A CLOSED URINARY DRAINAGE SYSTEM
28
The nurse is caring for a patient receiving an antibiotic, which of the following statement indicates to the nurse that the patient understands the medication instructions?
I'LL TAKE ALL OF THIS AS DIRECTED ON THE MEDICATION LABEL
29
Which of the following is a primary skin lesion?
MACULE
30
The nurse would document this as?
STAGE 1
31
The nurse is caring for a patient who has sustained a right anterior leg burn in a house fire, approximately what percent of the patient body is burned?
18%
32
The nurse is caring for a patient admitted with chest pain and suspect myocardial infarction which laboratory value should the nurse expect to see elevation?
TROPONIN
33
The medication class of epoetin alfa is?
ERYTHROPOIETIN
34
Cancer that originates from the tissue of skin, glands and digestive tracts are?
CARCINOMA
35
Using the 6 seconds method the nurse documents the heart rate on the rhythm strip as?
70
36
The nurse documents this rhythm as?
NORMAL SINUS RHYTHM
37
A neoplasm is a cluster of cells not normal to the body and is noncancerous is described as?
BENIGN
38
The highest incidence of cancer is diagnosed in which age group?
50 YEARS OF AGE AND OLDER
39
Surgery performed for symptom control is called?
PALLIATION
40
Doxorubicin is classified as?
ANTITUMOR ANTIBIOTICS
41
The nurse is caring for a group of clients after receiving report which patient is a priority to be seen first?
A PATIENT WITH A WBC COUNT OF 3000
42
The nurse is contributing to a patient care plan risk for infection related to diminished immunity and bone marrow suppression. What should be included?
KEEP FRESH FLOWERS AND POTTED PLANTS OUT OF PATIENT'S ROOM
43
Superior vena cava syndrome, an oncological emergency occurs in patients with lung or mediastinal cancers causing?
REMOVE RINGS AND RESTRICTIVE CLOTHING
44
The nurse would document the following as?
STAGE 4
45
The nurse is assessing the patient with a red itchy rash on their hands and arms after doing yard work the patient signs and symptoms indicate?
ALLERGIC CONTACT DERMATITIS
46
Therapeutic measures for the patient with psoriasis include all the following except?
HEAT LAMP
47
The nurse is caring for a group of patients after receiving report which patient is a priority to be seen first?
A PATIENT WITH SCABIES
48
A nurse is teaching a patient about prevention of skin cancer which statement by the patient indicates the teaching has been effective?
I WILL USE A SUNSCREEN WITH SPF OF 15 OR MORE WHEN I'M OUTSIDE
49
The primary pacemaker of the heart is?
SA NODE
50
The nurse is assessing a patient and finds the radial pulse is 50 and the apical pulse is 60 which actions should the nurse take?
NOTIFY THE HEALTH CARE PROVIDER
51
The nurse is caring for a patient with potassium level of 7.6 mEq/L the nurse would prepare the patient for which HCP first?
ELECTROCARDIOGRAM
52
The nurse is caring for a patient with hypertensive urgency, the patient asks the nurse what hypertensive urgency is. What should the nurse say?
HYPERTENSIVE URGENCY IS AN ELEVATED BLOOD PRESSURE WITHOUT PROGRESSION TO TARGET ORGAN DYSFUNCTION
53
The nurse is caring for a patient who has been prescribed chlorothiazide for the treatment of hypertension, the nurse would monitor for which side effect?
HYPOKALEMIA
54
The nurse is taking the medication history of a patient with a chronic cough which medication can the nurse suspect?
LISINOPRIL
55
Digoxin is classified as?
CARDIAC GLYCOSIDE
56
A patient is being prepared for cardiac surgery which of the following medication would the nurse expect to be stopped preoperatively?
ASPIRIN
57
A nurse is caring for a group of patients after completing morning rounds which of the following patient requires priority care?
A PATIENT WITH CARDIOMYOPATHY REPORTING SUDDEN ONSET OF SHORTNESS OF BREATH AND CHEST PAIN
58
The nurse is caring for a client who is on cardiac monitor in a room at the end of the wall, the nurse sees the following rhythm on the monitor. What should the nurse do?
ESTABLISH UNRESPONSIVENESS, CALL FOR HELP AND BEGIN CPR
59
Rosuvastatin is classified as?
STATIN
60
The nurse is assessing a patient with angina pectoris; the patient states his angina occurs with moderate exertion when walking briskly and lasts only a few minutes. What type of angina is this?
STABLE ANGINA
61
The nurse is caring for a group of patients which of the following patient is a priority?
A PATIENT WITH AN ABNORMAL AORTIC ANEURYSM REPORTING SUDDEN BACK PAIN
62
Using the 6 second method the nurse documents the heart rate on the rhythm strip below as?
30
63
The nurse would document the rhythm below as?
SINUS BRADYCARDIA
64
The nurse is teaching a class on coronary artery disease which modifiable risk factor should be included?
STRESS
65
Which assessment data would warrant immediate intervention by the nurse?
THE CLIENT WHO HAS A DEEP VEIN THROMBOSIS WHO COMPLAINS OF PAIN ON INSPIRATION
66
The nurse is caring for a patient with chronic venous insufficiency, the nurse understands the patient is at risk for?
MEDIAL MALLEOLUS OF THE ANKLE
67
The nurse is adding to the care plan of a patient with chronic heart failure the nursing diagnosis is decreased cardiac output related to the heart. What should the nurse monitor?
MONITOR DAILY WEIGHT AFTER VOIDING IN THE MORNING
68
The nurse is caring for a patient in skeletal traction which of the following actions should the nurse take?
CHECK THE PATIENT POSITION FREQUENTLY, OBSERVE THE PIN SITES EVERY 4 HOURS, ENSURE THE WEIGHT ARE HANGING FREELY
69
The nurse is caring for a patient who suddenly develops dyspnea, a heart rate of 120 and bilateral crackles. What should the nurse do?
ADMINISTER OXYGEN, ADMINISTER FUROSEMIDE, ADMINISTER MORPHINE SULFATE
70
What are signs and symptoms of localized infection?
WARMTH, REDNESS, SWELLING
71
Which of these are links in the chain of infection?
RESERVOIR, PORTAL OF ENTRY, TRANSPORTATION, CAUSATIVE AGENT
72
The nurse is contributing to a patient teaching plan what should be included when teaching a patient with the use of nitroglycerin?
PLACE TABLET UNDER THE TONGUE, RISE SLOWLY AFTER TAKING THE TABLET, TAKE BEFORE ACTIVITY KNOWN TO CAUSE ANGINA, SIT OR LIE DOWN WHEN TAKING THE TABLET
73
The nurse understands that all the following are components of a normal sinus rhythm EKG?
REGULAR RHYTHM, PRI<0.2, UPRIGHT P WAVE
74
A nurse is completing the admission assessment of a client who has suspected pulmonary edema which of the following are expected findings?
TACHYPNEA, PERSISTENT COUGH, ORTHOPNEA, PINK FROTHY SPUTUM
75
The nurse is reviewing the client chart and reads impaired mobility for a client diagnosed with fractured right hip which would the nurse include in the care plan?
REQUEST A PHYSICAL THERAPY REFERRAL, ADMINISTER ENOXAPARIN, UTILIZE A GAIT BELT WHEN AMBULATING CLIENT, ASSESS PAIN LEVEL ON A SCALE OF 1 TO 10
76
A nurse is caring for a patient who sustained a fracture of the right arm which of the following actions should the nurse take?
ELEVATE THE RIGHT ARM, CHECK NEUROVASCULAR STATUS FREQUENTLY, STABILIZE THE INJURY
77
The nurse is performing orthostatic blood pressure measurement which of the following indicate an abnormal finding?
A DROP OF SYSTOLIC GREATER THAN 15 MMHG, INCREASE IN HR GREATER THAN 20 BPM, A DROP OR SLIGHT INCREASE IN DIASTOLIC BP GREATER THAN 10MMHG
78
Your patient is to receive 500 mg ampicillin it is supplied in 0.25 gm capsule how many capsules are needed for the dose?
2
79
Your patient is due for Toradol 60mg IM it is supplied as 30 mg/ml how many ml are needed for the dose?
2
80
Your client weighs 110lbs the client needs to receive 100 mg/kg Tylenol how many mg will they receive?
0.5
81
Your patient is to receive 62.5 mg of solumedrol it is supplied 125mg/2ml how many ml are needed for the dose?
1
82
Solumedrol 1.5mg/kg is ordered for a child weighing 33lbs solumedrol is available as 75 mg/1ml how many ml must the nurse administer? Round to the nearest 10th.
0.3
83
MD writes an order for Tylenol 160mg by mouth as needed every 6 hours for pain for a child pharmacy dispenses you with 80 mg/ml how many ml will you administer per dose?
2
84
The health care provider writes an order for viscous lidocaine 15mg by mouth every 4hr for sore throat pharmacy dispenses you 30mg/3ml how many ml will you administer per day?
1.5
85
A patient has an order for Rocephin 50mg/kg the patient weighs 60kg how many ml will the nurse administer per dose?
1.2
86
The physician orders Lanoxin elixir 60mcg po daily for congestive heart failure the dose available is 30mcg/1ml how many ml will the nurse administer?
2