Tess Nicholson
Quiz by , created more than 1 year ago

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Tess Nicholson
Created by Tess Nicholson almost 9 years ago
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Final 211:

Final 211:

Question 1 of 25

1

Your patient had a lymph node biopsy, the results indicate the presence of a Reed-Sternberg Cell. Which condition do you expect the doctor to educate your patient on?

Select one of the following:

  • Aplastic anemia

  • Chronic Lymphocytic Anemia

  • Hodgkin's Lymphoma

  • Non-Hodgkin's Lymphoma

Explanation

Question 2 of 25

1

Your patient who is being started on iron supplements for iron-deficient anemia related to poor iron intake demonstrates that she needs further teaching when she says which comment?

Select one of the following:

  • I will take my iron supplements between meals, but have a small snack if they upset my stomach.

  • I will take my iron supplements with a tall glass of OJ.

  • I will sip my liquid iron supplement through a straw.

  • I will have some yogurt after my iron pill to help settle my stomach.

Explanation

Question 3 of 25

1

You are explaining x-linked recessive disorders to a new graduate nurse. You should include all of the following EXCEPT?

Select one of the following:

  • GLucose 6 Phosphate Deficiency Anemia and Hemophilia are both examples of x-linked recessive disorders.

  • Males can be both carriers and can be affected by the illness, depending on which gene they inherit.

  • If the mother is a carrier and the father is unaffected the female offspring have a 50% chance of being a carrier.

  • If the father has the x-linked recessive illness, none of his sons will be suffer from the illness but all his daughters will be carriers.

Explanation

Question 4 of 25

1

A nurse is taking care of an acutely ill patient with DIC. Which fluid does she get ready to administer to the patient?

Select one of the following:

  • Packed red blood cells

  • D5w

  • Whole blood & tells blood bank to stay to units ahead

  • Fresh frozen Plasma (FFP)

Explanation

Question 5 of 25

1

Anorexia often develops in pt's who have what characteristics present in their home life?

Select one of the following:

  • perfectionism & enmeshment

  • physical abuse

  • all family activities revolve around food

  • many brothers and sisters

Explanation

Question 6 of 25

1

A student is explaining the differences between bulimia and anorexia to her classmates. Which statement indicates understanding?

Select one of the following:

  • Anorexia is much easier to treat than bulimia once normal eating habits are restored.

  • Bulimia is dependent on compensatory mechanisms for diagnosis, while anorexia is dependent on BMI and fear of gaining weight.

  • Client's with bulimia do not suffer the health risks that those with anorexia do.

  • Anorexia benefits from family therapy while bulimia benefits more from medication.

Explanation

Question 7 of 25

1

A client is brought into the psych unit by CRISIS. Her precipitating event for admission is S/I with plan to overdose on Nyquil and slit her wrists. She has an Axis 2 diagnosis of Borderline personality disorder, which behaviors do you expect to read about in the patient's history? Select all that apply (4)

Select one or more of the following:

  • Ritualistic, obsessive behavior

  • patterns of idealization and devaluing

  • reckless spending, sexual behavior, substance abuse, or binge-eating

  • Lack of guilt for crimes committed

  • labile moods

  • Self-harm

  • Demands to be the center of attention

Explanation

Question 8 of 25

1

A client makes every conversation about himself, is theatrical, provocative and uses his physical appearance to direct attention to himself. Which personality disorder is he likely to have?

Select one of the following:

  • Narcissistic

  • Antisocial

  • Borderline personality disorder

  • Histrionic

Explanation

Question 9 of 25

1

The treatment plan for a pt with Borderline personality d/o should include all but?

Select one of the following:

  • ensuring that certain restrictions and rules are followed

  • setting limits when boundaries are ignored

  • Self check ins for the client suffering from S/I

  • flexibility in schedule

Explanation

Question 10 of 25

1

The nurse should do which interventions to decrease the common side effect of headache post lumbar puncture?

Select one of the following:

  • encourage a large meal of simple carbohydrates

  • encourage ambulation then rest

  • apply ice packs to the needle puncture

  • encourage fluids and a supine position

Explanation

Question 11 of 25

1

The nurse identifies that which blood product can be infused without ABO compatibility

Select one of the following:

  • platlets

  • packed red blood cells

  • whole blood

  • fresh frozen plasma

Explanation

Question 12 of 25

1

A pt with a previous febrile nonhemolytic reaction to blood would be premedicated and which intervention would be performed?

Select one of the following:

  • vital signs every 15 minutes

  • dilute the blood with normal saline

  • leukocyte reduction filter

  • give only O blood

Explanation

Question 13 of 25

1

Which type of blood transfusion reaction would be most likely to get an incident report filed ?

Select one of the following:

  • Acute hemolytic

  • allergic reaction

  • febrile

Explanation

Question 14 of 25

1

When educating a family with an infant newly diagnosed with Thalassemia major what comment shows that the pt understands teaching?

Select one of the following:

  • I will giver her liquid iron supplement through a syringe

  • Our other children won't need to be tested

  • she will need blood transfusions to be healthy

  • by avoiding triggers and fava beans she can be okay

Explanation

Question 15 of 25

1

A patient with an absorption b12 deficiency would have all of the following except?

Select one of the following:

  • paresthesias of the feet/hands & ataxia

  • negative schilling test

  • large RBC with abnormal shapes

  • decreased serum b12 with normal folate levels

Explanation

Question 16 of 25

1

Thrombocytopenia is associated with which commonly given medication?

Select one of the following:

  • coumadin

  • Heparin

  • Plavix

  • Aspirin

Explanation

Question 17 of 25

1

Which conditions can not be diagnosed simultaneously with bulimia as part of the diagnostic criteria?

Select one of the following:

  • Borderline personality disorder

  • substance abuse disorder

  • binge eating disorder

  • anorexia nervosa

Explanation

Question 18 of 25

1

Interventions for an acutely ill client with an eating disorder include all of the following except?

Select one of the following:

  • art therapy sitting quietly

  • 1 to 1 observation during meals and for 2 hours afterward

  • increasing privileges based on adherence to meal plan

  • walk with staff

Explanation

Question 19 of 25

1

A client with bulimia is asking the nurse about access to a dentist. The nurse understands that the client most likely has side effects do to what ?

Select one of the following:

  • purging

  • Binge food sugar content

  • fasting induced decreased saliva

  • poor ADL performance

Explanation

Question 20 of 25

1

A client has a fractured femur and suddenly experiences severe dyspnea. His ABG's are as follows:
PH: 7.32
PaCO2: 43
HCO3: 20
Pa02: 58
Which result supports the nurse's thought that the dyspnea is caused by a fat embolus?

Select one of the following:

  • Ph is normal

  • PaO2 shows hypoxemia

  • HCO3 is acidotic

  • PaCo2 is normal

Explanation

Question 21 of 25

1

The nurse will plan to administer which medication to the client exhibiting the following symptoms:
headache and nausea that is worse in the morning, papilloedema, and drowsiness?

Select one of the following:

  • mannitol

  • naloxoner

  • rituxan

  • indomethacin

Explanation

Question 22 of 25

1

A pt with a concussion will always lose consciousness or "black out"

Select one of the following:

  • True
  • False

Explanation

Question 23 of 25

1

A pt who had a crush injury 12hrs ago to the forearm is exhibiting paralysis and the limb is cool and pulseless. The nurse plans care knowing?

Select one of the following:

  • muscle damage in compartment syndrome is irreversible after 4-6hours

  • muscle damage in compartment syndrome is irreversible after 12-24 hours

  • DVT can be treated using anticoagulants

  • fever management is the first priority

Explanation

Question 24 of 25

1

A nurse is providing teaching on traumatic vs acquired brain injury. She knows the students need further teaching when they state?

Select one of the following:

  • whiplash is an acquired brain injury since you can't see anything wrong

  • Acquired brain injury is caused by anything that is not an external force

  • Traumatic brain injury causes include car crash, falls, and sports

  • Stroke, tumor and degenerative disease are examples of acquired brain injury

Explanation

Question 25 of 25

1

A nurse arrives at the seen of an accident when driving home from work. The appropriate nursing action would be to?

Select one of the following:

  • Have the patient get out of the care slowly

  • Treat the patient as if they have a spine fracture untill proven otherwise

  • call 911 before driving away

  • assist the patient to a sitting position slowly so they don't get dizzy

Explanation

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