Exam Part 1 of Nursing 112 FInal GBCC

Frage 1 von 60

1

Informed consent prior to surgery is obtained by the...

Wähle eine der folgenden:

Scrub Nurse
Surgeon
Surgical Tech
Circulating Nurse

Erklärung

Frage 2 von 60

1

Select all of the following that are commonly used induction drugs for general anesthesia

Wähle eine oder mehr der folgenden:

Mirtazapine (Remeron)
Versed (Midozalem)
Sublimaze (fentanyl)
valium (lorazipam)

Erklärung

Frage 3 von 60

1

A child is being put to sleep and while the medications are being administered he suddenly starts moving uncontrollably. What stage of induction is being shown by these symptoms....

Wähle eine der folgenden:

analgesia
excitment
medullary paralysis
surgical anesthesia
movement

Erklärung

Frage 4 von 60

1

Which pt. is going to have the hardest time excreting anesthesia postoperatively

Wähle eine der folgenden:

Small child, never had surgery before
Thin 70 year old adult, with glaucoma
Slightly overweight 30 year old with hernia
76 year old obese male w/ trunk fat

Erklärung

Frage 5 von 60

1

Epinephrine can be dangerous when given on an appendage because it may...

Wähle eine der folgenden:

often causes a rash
cause circulation to be compromised due to vasodilation
May cause bleeding due to it's interference with Factor 8
cause circulation to be compromised due to vasoconstriction

Erklärung

Frage 6 von 60

1

Fully reactive pts in the PACU should be placed in which position to promote respiratory expansion

Wähle eine der folgenden:

semifowlers (head of bed at 45 degrees)
placed on side
supine and head of bed completely flat

Erklärung

Frage 7 von 60

1

A pt. in the PACU weighs 100kg and has a urine output of 200 mg/ an hour. The nurse notes that this is...

Wähle eine der folgenden:

Below satisfactory output
above satisfactory output
Just meeting the criteria of satisfactory output

Erklärung

Frage 8 von 60

1

A pt. who is allergic to NSAIDs could safely be given Ketorolac (Toradol) for pain management postoperatively

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 9 von 60

1

You have a pt. that is seen at the wound clinic. The wound has begun healing and has been left open and the base of the wound is undergoing treatment... This wound is healing by

Wähle eine der folgenden:

Primary intention
Secondary intention
tertiary intention

Erklärung

Frage 10 von 60

1

An appropriate diagnosis for a pt. who has had psychotic symptoms for 4 months would be...

Wähle eine der folgenden:

Psychosis NOS
Schizophrenia
Schizoaffective disorder
Schizophreniform disorder

Erklärung

Frage 11 von 60

1

Mr. J has came on to the psych unit and is speaking with the nurse. He denies any Auditory or visual hallucinations. When speaking to Mr. J the nurse notes that he only speaks when prompted to and seems to never smile.... These symptoms are...

Wähle eine der folgenden:

The negative symptoms of apathy and anhedonia
The positive symptoms of alogia and apathy
The negative symptoms of alogia and affective blunting
the positive symptoms of asociality and avolition

Erklärung

Frage 12 von 60

1

The difference between delusions and illusions are ...

Wähle eine der folgenden:

delusions have a relationship to real life
illusions are misinterpretations of real stimulus
delusions are misinterpretations of real stimulus
delusions are always violent

Erklärung

Frage 13 von 60

1

You greet Camille on the unit in the morning and ask "How are you?"; Camille responds "good, should, could, would". This response is a symptom associated with schizophrenia known as...

Wähle eine der folgenden:

Disordered Behavior: Anergia
Disordered thought: mutism
Delusion: echopraxia
Disordered Thought: Clang association

Erklärung

Frage 14 von 60

1

When designating the task of taking vitals to an LNA; The nurse must make sure the LNA is careful when positioning the following pt.

Wähle eine der folgenden:

Schizophrenic pt. with perseveration
Schizophrenic pt. with associative looseness
Schizophrenic pt. with waxy flexibility
Schizoaffective pt. with delusions of thought broadcasting

Erklärung

Frage 15 von 60

1

Interventions for Delusions: In the statement by the nurse "I understand that you are hearing a man talking to you, I don't hear a man. This must be scary for you, why don't we take a walk down to the kitchen and get a snack. "... When the nurse says "this must be scary for you" she is implementing which intervention for delusions ?

Wähle eine der folgenden:

Acknowledge
empathize
sympathy
redirect

Erklärung

Frage 16 von 60

1

The main differences between normal grief and depression include the following

Wähle eine oder mehr der folgenden:

In depression feelings of hopelessness prevail
In grief the pt is able to accept comfort and support from others
In depression physical complaints are not usually present
In depression anhedonia is prevalent
Grief is characterized by overwhelming hopelessness and guilt

Erklärung

Frage 17 von 60

1

Which of the following loved ones would be at risk for complicated/dysfunctional grief?

Wähle eine oder mehr der folgenden:

A parent who lost a child from SIDS
A man who lives with his daughters and who's wife died in his arms after a long battle with cancer.
A man who lost his best friend to homocide
A women who lost her husband while he was a soldier in Iraq and the body could not be recovered
A young women who lost her elderly father to Alzheimer's Disease after 6 months on hospice care.
A daughter who's alcoholic father passed away from liver disease before they could reconcile

Erklärung

Frage 18 von 60

1

On an I and O sheet, the nurse should expect a healthy pt.'s flow sheet to balance out after...

Wähle eine oder mehr der folgenden:

4 hours
14 hours
48 hours
72 hours

Erklärung

Frage 19 von 60

1

Hypotonic solutions have a lower osmalarity than serum (<240) : Select all the characteristics associated with this type of fluid

Wähle eine oder mehr der folgenden:

Cause fluid to shift out of blood vessels into cells and interstitial spaces
Cause fluid to shift out of cells increasing circulating volume
The fluid to hydrates cells while reducing fluid in circulatory system
Can increase a hypotensive state
Are a good choice for a pt. experiencing fluid volume excess

Erklärung

Frage 20 von 60

1

Select all the hypertonic solutions:

Wähle eine oder mehr der folgenden:

TPN & PPN
5% DNS
NS
LR
D5W
D10W

Erklärung

Frage 21 von 60

1

A pt. presents in the emergency room with the following
Heart rate (110), BP (96/56), Temp (36.7); he feels dizzy when he stands
Labs: Sodium (150), Potassium (5.4), H&H is high
What medical language would MOST appropriately describe this pt's conditon

Wähle eine oder mehr der folgenden:

Dehydration, Hyponatremia
Dehydration, hypernatremia, hyperkalemia
Hypovolemia, hypokalemia
Hypovolemia, hyperkalemia

Erklärung

Frage 22 von 60

1

A pt. who has 3rd spacing can have both excessive fluid and dehydration

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 23 von 60

1

A pt. has a specific gravity of 1.040 and asks you what this means you reply.

Wähle eine der folgenden:

"This means your NS iv fluids have done there job re-hydrating you"
"This means you need to drink less water and watch your sodium intake"
"This means your body is putting out very concentrated urine."
"This means your body is putting out too much dilute urine"
" This is a normal lab value."

Erklärung

Frage 24 von 60

1

Hypotonic overhydration can be caused by:

Wähle eine oder mehr der folgenden:

Tap water enemas
.9% NS at a rate of 100ml/hour
TPN
overuse of .45%NS
inappropriate formula for children
using a water bottle as a pacifier
Saline enemas

Erklärung

Frage 25 von 60

1

The most important assessment for a pt at risk for CHF or volume excess is...

Wähle eine der folgenden:

Respiratory rate
daily weights
Blood pressure
Pain level on exertion

Erklärung

Frage 26 von 60

1

Hydrochlorothiazide, HCTZ (Hydrodiuril) is a

Wähle eine der folgenden:

Thiazaide diuretic & antihypertensive
Mild
blocks absorption of water in distal tubule
Loop diuretic; exerts action of loop of henle
loose water and potassium
Potassium sparing and conserving (avoid K+ rich foods)
Inhibits action of aldosterone in distal tubule
Very Powerful osmotic diuretic
used to decrease intracranial pressure and cerebral edema

Erklärung

Frage 27 von 60

1

Spironolactone (aldactone) is a

Wähle eine der folgenden:

Loop diuretic; exerts action of loop of henle
loose water and potassium
Very Powerful osmotic diuretic
used to decrease intracranial pressure and cerebral edema
Potassium sparing and conserving (avoid K+ rich foods)
Inhibits action of aldosterone in distal tubule
Thiazaide diuretic & antihypertensive
Mild
blocks absorption of water in distal tubule

Erklärung

Frage 28 von 60

1

Mannitol (osmitrol) is a

Wähle eine der folgenden:

Thiazaide diuretic & antihypertensive
Mild
blocks absorption of water in distal tubule
Very Powerful osmotic diuretic
used to decrease intracranial pressure and cerebral edema
Loop diuretic; exerts action of loop of henle
loose water and potassium
Potassium sparing and conserving (avoid K+ rich foods)
Inhibits action of aldosterone in distal tubule

Erklärung

Frage 29 von 60

1

A pt. on Furosemide (lasix) should be counseled on eating foods rich in which nutrient

Wähle eine der folgenden:

Sodium
Phosphorous
Potassium
Calcium

Erklärung

Frage 30 von 60

1

Ideal age of fetus when mother goes into labour

Wähle eine der folgenden:

24-28wks
35-36wks
38-42wks

Erklärung

Frage 31 von 60

1

Progesterone levels are to maintaining a pregnancy as _____________ levels are to maintaining labor

Wähle eine der folgenden:

Aldosterone
Estrogen
LH
oxytocin

Erklärung

Frage 32 von 60

1

Identify the 4 p's of labour

Wähle eine oder mehr der folgenden:

Passage
Pulmonary
Passenger
Powers
Psyche
Physcian
Portal

Erklärung

Frage 33 von 60

1

A baby with a station of 0 is considered engaged

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 34 von 60

1

The most favorable positions for the baby to be in at the start of labor Include:

Wähle eine oder mehr der folgenden:

Longitudinal lie
transverse lie
Attitude: flexion
Attitude: extension
Cephalic presentation: vertex
Cephalic Presentation: Brow

Erklärung

Frage 35 von 60

1

With breech presentation the concern is _ and with shoulder presentation the concern is _.

Wähle eine oder mehr der folgenden:

Cord compression
airway obstruction
Meconium
head entrapment

Erklärung

Frage 36 von 60

1

This baby would be documented as in which position

Wähle eine der folgenden:

RSA
LSA
LOP
LMA

Erklärung

Frage 37 von 60

1

What would you document the fetal position as? Is this a good position for labor?

Wähle eine der folgenden:

LMA, no
LOA, yes
ROA
RSA

Erklärung

Frage 38 von 60

1

The nurse in this picture is performing?

Wähle eine der folgenden:

Leopald's maneuvers
Chicovstky signs
Pavlov maneuver
Gestational age

Erklärung

Frage 39 von 60

1

When does fetal o2 and waste exchange occur during the contraction cycle

Wähle eine der folgenden:

acme
increment
Interval

Erklärung

Frage 40 von 60

1

Effacement is to thinning and shortening (%) as Dilation is to _____________ (_)

Wähle eine der folgenden:

drawing up (mm)
Opening (cm)
Relaxing (%)
shortening (cm)

Erklärung

Frage 41 von 60

1

Primary powers are involuntary and cause effacement and dilation; Secondary powers are voluntary pushing

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 42 von 60

1

Estrogen; Progesterone _

Wähle eine der folgenden:

Evacuate, Preserve
eliminate, power

Erklärung

Frage 43 von 60

1

Signs of impending labor include

Wähle eine oder mehr der folgenden:

Pain in abdomen
bloody show
lightening
Braxton Hicks Contractions
Cervical changes
Resting/Bath decrease contractions
Weight loss (1-3lb)
ROM
Backache, pain in sacrum

Erklärung

Frage 44 von 60

1

Most appropriate precautions to take when A mother had a rupture of membranes but did not go into labor.

Wähle eine oder mehr der folgenden:

Decrease the vaginal exams to only once an hour.
Check the fetal heart rate and d/c vaginal exams
Check vaginally to see if the baby is engaged at a station of +1
Give oxytocin and wait for the doctor

Erklärung

Frage 45 von 60

1

Latent (early) Labour is characterized by

Wähle eine oder mehr der folgenden:

Cervix opens 0-3cm
mild-moderate contractions, mild discomfort (may go unnoticed)
uterus easily indented when contracting
behavior changes increased concentration
ctx about 3-30min apart; 20-40 sec duration by end
ctx 2-5 min apart, duration 40-60sec by end
cervix 8cm to fully dilated

Erklärung

Frage 46 von 60

1

1 stage: Active labor is characterized by:

Wähle eine oder mehr der folgenden:

3-7 cm dilated
0-3 cm dilated
effacement complete
internal rotation begins; descent of fetus into pelvis
fetus ballotable, unengaged
contractions 2-5 min apart, duration 40-60 sec; mod-strong
behavior changes: anxious, helpless, unsocial
social, excited, cooperative

Erklärung

Frage 47 von 60

1

1st Stage of Labor: Transition Phase characterized by

Wähle eine oder mehr der folgenden:

8cm to full dilation (10cm)
short intense
ctx. 2-5 min apart duration 40-60 sec
ctx. strong, 1.5-2 min apart, duration 60-90 sec
no epidural= most difficult stage
wants to push, must resist urge to push
Rn should encourage good strong pushes and adequate rest periods

Erklärung

Frage 48 von 60

1

Second Stage of Labour begins with _ and full __ and ends with birth of the baby.

Wähle eine oder mehr der folgenden:

complete dilation (10cm) and 100% effacement
3 cm dilation and 25 % effacement
6 cm dilation and 50 % effacement
40-50 sec frequency and full dilation

Erklärung

Frage 49 von 60

1

Cardinal Movements of Labor in Order

Wähle eine oder mehr der folgenden:

Flexion, Rotation, extension, expulsion
Engagement, eternal rotation (shoulder), extension, internal rotation, flexion, expulsion
Engagement, Flexion, Internal Rotation, Extension, External Rotation (shoulder, expulsion
Engagement, Flexion, external roation, extension, internal rotation, expulsion

Erklärung

Frage 50 von 60

1

Third Stage of Labor is all about the...

Wähle eine oder mehr der folgenden:

crowning
placenta
cardinal movements
meconium

Erklärung

Frage 51 von 60

1

Shiny Schultze_ side; Dirty Duncan: __side

Wähle eine oder mehr der folgenden:

Baby, Mom
Mom, Baby

Erklärung

Frage 52 von 60

1

Normal Fetal heart Rate (Bradycardia has to persist for at least _____ min for diagnosis)

Wähle eine der folgenden:

90-120; 30 min
120-190; 5 min
110-160; 10 min

Erklärung

Frage 53 von 60

1

A fetal heart rate monitor is showing:
HR: 140; presence of variability, accelerations with movement at 155 lasting 14 seconds, and a deceleration to 130 following the contraction end.
Identify the non-reassuring result.

Wähle eine der folgenden:

HR of 140
Presence of variability
accelerations with movement at 155 lasting 14 seconds
Deceleration to 130 following the contraction end

Erklärung

Frage 54 von 60

1

Accelerations are good things! Indicates intact CNS and fetal well being; shown by a 15x15 patter for older than 32 weeks and a 10x10 patter for younger than 32 weeks.
Accelerations can be caused by all but what?

Wähle eine der folgenden:

movement
vaginal exam
baby sleeping
vibro-acoustic stimulation

Erklärung

Frage 55 von 60

1

Early Deceleration are associated with head compression which causes vagus nerve to slow HR but they are not associated with fetal compromise. Rate at lowest point usually above 100 bpm. Begin near onset + return to baseline by end of ctx.

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 56 von 60

1

In terms of _______________ it is okay to be early but never to be late.

Wähle eine der folgenden:

accelerations
deccelerations
variability

Erklärung

Frage 57 von 60

1

A nurse taking care of a pt. whose baby is experiencing late decelerations is documenting her interventions. She notes that she gave pain medication, administered o2, performed a vaginal exam to assess head station and cord, decreased the pt's Oxytocin and increased the IV fluid infusion, placed pt on her side, checked the mother's vital signs and offered a warm compress. Which interventions were directly related to improving placental blood flow?

Wähle eine oder mehr der folgenden:

administering pain meds
administering oxygen
vaginal exam to assess head station and cord
Decreasing oxytocin infusion and increasing IV fluids
Placing pt. on her side
Vital signs
Giving the pt. a warm compress

Erklärung

Frage 58 von 60

1

VEAL: CHOP
Variable: Cord (no uniform patter)
Early: Head Compression (occuring during ctx)
Accelerations: Optimal
Late: Placental Dysfunction (begin after peak of contraction and rate returns to baseline after contraction ends)

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 59 von 60

1

Re-positioning to hands and knees position or side to side and amnioinfusion are interventions for...

Wähle eine der folgenden:

early decelerations
variable decelerations
late decelerations
prolonged decelerations

Erklärung

Frage 60 von 60

1

Epidural Blocks are associated with the following possible side effects

Wähle eine oder mehr der folgenden:

maternal hypotension
Fetal hypotension
bladder distension
accelerations
prolonged second stage of labor
Spinal headache
catheter migrations

	Erstellt von Tess Nicholson vor mehr als 9 Jahre

Nursing exam final 112

Exam Part 1 of Nursing 112 FInal GBCC

Frage 1 von 60

Informed consent prior to surgery is obtained by the...

Wähle eine der folgenden:

Erklärung

Frage 2 von 60

Select all of the following that are commonly used induction drugs for general anesthesia

Wähle eine oder mehr der folgenden:

Erklärung

Frage 3 von 60

A child is being put to sleep and while the medications are being administered he suddenly starts moving uncontrollably. What stage of induction is being shown by these symptoms....

Wähle eine der folgenden:

Erklärung

Frage 4 von 60

Which pt. is going to have the hardest time excreting anesthesia postoperatively

Wähle eine der folgenden:

Erklärung

Frage 5 von 60

Epinephrine can be dangerous when given on an appendage because it may...

Wähle eine der folgenden:

Erklärung

Frage 6 von 60

Fully reactive pts in the PACU should be placed in which position to promote respiratory expansion

Wähle eine der folgenden:

Erklärung

Frage 7 von 60

A pt. in the PACU weighs 100kg and has a urine output of 200 mg/ an hour. The nurse notes that this is...

Wähle eine der folgenden:

Erklärung

Frage 8 von 60

A pt. who is allergic to NSAIDs could safely be given Ketorolac (Toradol) for pain management postoperatively

Wähle eins der folgenden:

Erklärung

Frage 9 von 60

You have a pt. that is seen at the wound clinic. The wound has begun healing and has been left open and the base of the wound is undergoing treatment... This wound is healing by

Wähle eine der folgenden:

Erklärung

Frage 10 von 60

An appropriate diagnosis for a pt. who has had psychotic symptoms for 4 months would be...

Wähle eine der folgenden:

Erklärung

Frage 11 von 60

Mr. J has came on to the psych unit and is speaking with the nurse. He denies any Auditory or visual hallucinations. When speaking to Mr. J the nurse notes that he only speaks when prompted to and seems to never smile.... These symptoms are...

Wähle eine der folgenden:

Erklärung

Frage 12 von 60

The difference between delusions and illusions are ...

Wähle eine der folgenden:

Erklärung

Frage 13 von 60

You greet Camille on the unit in the morning and ask "How are you?"; Camille responds "good, should, could, would". This response is a symptom associated with schizophrenia known as...

Wähle eine der folgenden:

Erklärung

Frage 14 von 60

When designating the task of taking vitals to an LNA; The nurse must make sure the LNA is careful when positioning the following pt.

Wähle eine der folgenden:

Erklärung

Frage 15 von 60

Wähle eine der folgenden:

Erklärung

Frage 16 von 60

The main differences between normal grief and depression include the following

Wähle eine oder mehr der folgenden:

Erklärung

Frage 17 von 60

Which of the following loved ones would be at risk for complicated/dysfunctional grief?

Wähle eine oder mehr der folgenden:

Erklärung

Frage 18 von 60

On an I and O sheet, the nurse should expect a healthy pt.'s flow sheet to balance out after...

Wähle eine oder mehr der folgenden:

Erklärung

Frage 19 von 60

Hypotonic solutions have a lower osmalarity than serum (<240) : Select all the characteristics associated with this type of fluid

Wähle eine oder mehr der folgenden:

Erklärung

Frage 20 von 60

Select all the hypertonic solutions:

Wähle eine oder mehr der folgenden:

A pt. presents in the emergency room with the following
Heart rate (110), BP (96/56), Temp (36.7); he feels dizzy when he stands
Labs: Sodium (150), Potassium (5.4), H&H is high
What medical language would MOST appropriately describe this pt's conditon

With breech presentation the concern is _ and with shoulder presentation the concern is _.