Exam Part 1 of Nursing 112 FInal GBCC

Beschreibung

Nursing exam final 112
Tess Nicholson
Quiz von Tess Nicholson, aktualisiert more than 1 year ago
Tess Nicholson
Erstellt von Tess Nicholson vor mehr als 9 Jahre
522
3

Zusammenfassung der Ressource

Frage 1

Frage
Informed consent prior to surgery is obtained by the...
Antworten
  • Scrub Nurse
  • Surgeon
  • Surgical Tech
  • Circulating Nurse

Frage 2

Frage
Select all of the following that are commonly used induction drugs for general anesthesia
Antworten
  • Mirtazapine (Remeron)
  • Versed (Midozalem)
  • Sublimaze (fentanyl)
  • valium (lorazipam)

Frage 3

Frage
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....
Antworten
  • analgesia
  • excitment
  • medullary paralysis
  • surgical anesthesia
  • movement

Frage 4

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

Frage 5

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

Frage 6

Frage
Fully reactive pts in the PACU should be placed in which position to promote respiratory expansion
Antworten
  • semifowlers (head of bed at 45 degrees)
  • placed on side
  • supine and head of bed completely flat

Frage 7

Frage
A pt. in the PACU weighs 100kg and has a urine output of 200 mg/ an hour. The nurse notes that this is...
Antworten
  • Below satisfactory output
  • above satisfactory output
  • Just meeting the criteria of satisfactory output

Frage 8

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

Frage 9

Frage
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
Antworten
  • Primary intention
  • Secondary intention
  • tertiary intention

Frage 10

Frage
An appropriate diagnosis for a pt. who has had psychotic symptoms for 4 months would be...
Antworten
  • Psychosis NOS
  • Schizophrenia
  • Schizoaffective disorder
  • Schizophreniform disorder

Frage 11

Frage
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...
Antworten
  • 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

Frage 12

Frage
The difference between delusions and illusions are ...
Antworten
  • delusions have a relationship to real life
  • illusions are misinterpretations of real stimulus
  • delusions are misinterpretations of real stimulus
  • delusions are always violent

Frage 13

Frage
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...
Antworten
  • Disordered Behavior: Anergia
  • Disordered thought: mutism
  • Delusion: echopraxia
  • Disordered Thought: Clang association

Frage 14

Frage
When designating the task of taking vitals to an LNA; The nurse must make sure the LNA is careful when positioning the following pt.
Antworten
  • Schizophrenic pt. with perseveration
  • Schizophrenic pt. with associative looseness
  • Schizophrenic pt. with waxy flexibility
  • Schizoaffective pt. with delusions of thought broadcasting

Frage 15

Frage
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 ?
Antworten
  • Acknowledge
  • empathize
  • sympathy
  • redirect

Frage 16

Frage
The main differences between normal grief and depression include the following
Antworten
  • 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

Frage 17

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

Frage 18

Frage
On an I and O sheet, the nurse should expect a healthy pt.'s flow sheet to balance out after...
Antworten
  • 4 hours
  • 14 hours
  • 48 hours
  • 72 hours

Frage 19

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

Frage 20

Frage
Select all the hypertonic solutions:
Antworten
  • TPN & PPN
  • 5% DNS
  • NS
  • LR
  • D5W
  • D10W

Frage 21

Frage
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
Antworten
  • Dehydration, Hyponatremia
  • Dehydration, hypernatremia, hyperkalemia
  • Hypovolemia, hypokalemia
  • Hypovolemia, hyperkalemia

Frage 22

Frage
A pt. who has 3rd spacing can have both excessive fluid and dehydration
Antworten
  • True
  • False

Frage 23

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

Frage 24

Frage
Hypotonic overhydration can be caused by:
Antworten
  • 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

Frage 25

Frage
The most important assessment for a pt at risk for CHF or volume excess is...
Antworten
  • Respiratory rate
  • daily weights
  • Blood pressure
  • Pain level on exertion

Frage 26

Frage
Hydrochlorothiazide, HCTZ (Hydrodiuril) is a
Antworten
  • 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

Frage 27

Frage
Spironolactone (aldactone) is a
Antworten
  • 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

Frage 28

Frage
Mannitol (osmitrol) is a
Antworten
  • 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

Frage 29

Frage
A pt. on Furosemide (lasix) should be counseled on eating foods rich in which nutrient
Antworten
  • Sodium
  • Phosphorous
  • Potassium
  • Calcium

Frage 30

Frage
Ideal age of fetus when mother goes into labour
Antworten
  • 24-28wks
  • 35-36wks
  • 38-42wks

Frage 31

Frage
Progesterone levels are to maintaining a pregnancy as _____________ levels are to maintaining labor
Antworten
  • Aldosterone
  • Estrogen
  • LH
  • oxytocin

Frage 32

Frage
Identify the 4 p's of labour
Antworten
  • Passage
  • Pulmonary
  • Passenger
  • Powers
  • Psyche
  • Physcian
  • Portal

Frage 33

Frage
A baby with a station of 0 is considered engaged
Antworten
  • True
  • False

Frage 34

Frage
The most favorable positions for the baby to be in at the start of labor Include:
Antworten
  • Longitudinal lie
  • transverse lie
  • Attitude: flexion
  • Attitude: extension
  • Cephalic presentation: vertex
  • Cephalic Presentation: Brow

Frage 35

Frage
With breech presentation the concern is _______________ and with shoulder presentation the concern is _______________.
Antworten
  • Cord compression
  • airway obstruction
  • Meconium
  • head entrapment

Frage 36

Frage
This baby would be documented as in which position
Antworten
  • RSA
  • LSA
  • LOP
  • LMA

Frage 37

Frage
What would you document the fetal position as? Is this a good position for labor?
Antworten
  • LMA, no
  • LOA, yes
  • ROA
  • RSA

Frage 38

Frage
The nurse in this picture is performing?
Antworten
  • Leopald's maneuvers
  • Chicovstky signs
  • Pavlov maneuver
  • Gestational age

Frage 39

Frage
When does fetal o2 and waste exchange occur during the contraction cycle
Antworten
  • acme
  • increment
  • Interval

Frage 40

Frage
Effacement is to thinning and shortening (%) as Dilation is to _______________ (___)
Antworten
  • drawing up (mm)
  • Opening (cm)
  • Relaxing (%)
  • shortening (cm)

Frage 41

Frage
Primary powers are involuntary and cause effacement and dilation; Secondary powers are voluntary pushing
Antworten
  • True
  • False

Frage 42

Frage
Estrogen__________; Progesterone ___________
Antworten
  • Evacuate, Preserve
  • eliminate, power

Frage 43

Frage
Signs of impending labor include
Antworten
  • Pain in abdomen
  • bloody show
  • lightening
  • Braxton Hicks Contractions
  • Cervical changes
  • Resting/Bath decrease contractions
  • Weight loss (1-3lb)
  • ROM
  • Backache, pain in sacrum

Frage 44

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

Frage 45

Frage
Latent (early) Labour is characterized by
Antworten
  • 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

Frage 46

Frage
1 stage: Active labor is characterized by:
Antworten
  • 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

Frage 47

Frage
1st Stage of Labor: Transition Phase characterized by
Antworten
  • 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

Frage 48

Frage
Second Stage of Labour begins with _________ and full __________ and ends with birth of the baby.
Antworten
  • 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

Frage 49

Frage
Cardinal Movements of Labor in Order
Antworten
  • 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

Frage 50

Frage
Third Stage of Labor is all about the...
Antworten
  • crowning
  • placenta
  • cardinal movements
  • meconium

Frage 51

Frage
Shiny Schultze_______ side; Dirty Duncan: ________side
Antworten
  • Baby, Mom
  • Mom, Baby

Frage 52

Frage
Normal Fetal heart Rate (Bradycardia has to persist for at least _____ min for diagnosis)
Antworten
  • 90-120; 30 min
  • 120-190; 5 min
  • 110-160; 10 min

Frage 53

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

Frage 54

Frage
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?
Antworten
  • movement
  • vaginal exam
  • baby sleeping
  • vibro-acoustic stimulation

Frage 55

Frage
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.
Antworten
  • True
  • False

Frage 56

Frage
In terms of _______________ it is okay to be early but never to be late.
Antworten
  • accelerations
  • deccelerations
  • variability

Frage 57

Frage
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?
Antworten
  • 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

Frage 58

Frage
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)
Antworten
  • True
  • False

Frage 59

Frage
Re-positioning to hands and knees position or side to side and amnioinfusion are interventions for...
Antworten
  • early decelerations
  • variable decelerations
  • late decelerations
  • prolonged decelerations

Frage 60

Frage
Epidural Blocks are associated with the following possible side effects
Antworten
  • maternal hypotension
  • Fetal hypotension
  • bladder distension
  • accelerations
  • prolonged second stage of labor
  • Spinal headache
  • catheter migrations
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