NCLEX style questions Flashcards
(13 cards)
These drugs are used as first-line treatment of heart failure. They work by allowing more blood to flow to the heart which decreases the work load of the heart and allows the kidneys to secrete sodium. However, some patients can develop a nagging cough with these types of drugs. This description describes:
a) beta-blockers
b) diuretics
c) ARB’s
d) ACEi’s
d) ACEi’s
During your morning assessment of a patient with heart failure, the patient complains of sudden vision changes that include seeing yellowish-green halos around the lights. Which of the following medications do you suspect is causing this issue?
a) lisinopril
b) losartan
c) furosemide
d) Digoxin
c) furosemide
True or false: patients with left-sided heart diastolic HF usually have a normal ejection fraction.
True
(EDV and SV both decrease, so the EF stays the same)
What is the priority intervention for a HF patient experiencing difficulty breathing?
a) DB & C
b) put them in semi-fowlers
c) put them in high-fowlers
d) give them a glass of water
c) put them in high fowler’s
A patient is admitted with uncontrolled atrial fibrillation. The patient’s medication history includes vitamin D supplements and calcium. What type of stroke is this patient at MOST risk for?
A. Ischemic thrombosis
B. Ischemic embolism
C. Hemorrhagic
D. Ischemic stenosis
B. Ischemic embolism
A patient who suffered a stroke one month ago is experiencing hearing problems along with issues learning and showing emotion. On the MRI what lobe in the brain do you expect to be affected?
A. Frontal lobe
B. Occipital lobe
C. Parietal lobe
D. Temporal
D. Temporal
- A patient has right side brain damage from a stroke. Select all the signs and symptoms that occurs with this type of stroke:
A. Right side hemiplegia
B. Confusion on date, time, and place
C. Aphasia
D. Unilateral neglect
E. Aware of limitations
F. Impulsive
G. Short attention span
H. Agraphia
BDFG
T or F: patients with left side strokes can have agraphia?
true
A patient was admitted to the intensive care unit 48 hours ago for treatment of a gunshot wound. The patient has recently developed a productive cough and a fever of 104.3 ‘F. The patient is breathing on their own and doesn’t require mechanical ventilation. On assessment, you note coarse crackles in the right lower lobe. A chest x-ray shows infiltrates with consolidation in the right lower lobe. Based on this specific patient scenario, this is known as what type of pneumonia?
A. Aspiration pneumonia
B. Ventilator acquired pneumonia
C. Hospital-acquired pneumonia
D. Community-acquired pneumonia
C. Hospital-acquired pneumonia
- Which of the following are typical signs and symptoms of pneumonia? Select-all-that-apply:
A. Stridor
B. Coarse crackles
C. Oxygen saturation less than 90%
D. Non-productive, nagging cough
E. Elevated white blood cells
F. Low PCO2 of less than 35
G. Tachypnea
BCEG
The nurse is assessing a client who reports SOB, fever, and a productive cough. Which diagnostic test should the nurse anticipate being prescribed?
A. HIV serology
B. Bronchoscopy
C. CT scan
D. Sputum culture and sensitivity
D. Sputum culture and sensitivity
CT Scan is good for suspected pneumonia, but it doesn’t identify the specific pathogen (bacteria/virus)
priority is knowing how to treat it
Which of the following indicates that a patient is experiencing acute decompensated heart failure?
A. dry, nonproductive cough
B. bradycardia
C. pink, frothy sputum
D. hypertension
C. pink, frothy sputum
What assessment finding would differentiate viral from bacterial pneumonia in a young adult?
A. elevated WBC
B. crackles
C. dry, non productive cough
D. sharp, pleuritic chest pain
C. dry, non productive cough
