Beruflich Dokumente
Kultur Dokumente
1.
Discuss
o A.
Tea
o B.
Nuts
o C.
Coffee
o D.
Spicy foods
2.
Addisons disease is an endocrine disorder that develops when the adrenal glands are not
able to produce enough cortisol. A client with Addisons disease is receiving fludrocortisone
acetate. The nurse knows that the therapeutic effect of this is to:
Discuss
o A.
o B.
o C.
o D.
Activate the immune response
3.
Diabetic Mellitus is a disorder in which blood sugar levels are abnormally high because the
body does not produce enough insulin to meet its needs. Discharge plan of diabetic clients
include insulin injection site-rotation. You should emphasize that the space between sites should
be:
Discuss
o A.
2.5 cm
o B.
4.5 cm
o C.
2.5 cm
o D.
4.5 cm
4.
A nurse is caring for a client with type 1 diabetes mellitus. Because the client is at risk for
hypoglycemia, the nurse teaches the client which of the following?
Discuss
o A.
o B.
If the client is exercising, the evening dose of NPH insulin can be discontinued
o C.
o D.
Assess for signs of coma and drowsiness
5.
A nurse prepares discharge instructions for a patient with chronic syndrome of inappropriate
antidiuretic hormone (SIADH). Which statement indicates that the patient understands these
instructions?
Discuss
o A.
I will use a refractometer to check the specific gravity of my urine. If the result gradually
rises, I will consult my physician
o B.
Ill check my pulse every morning and will contact my doctor if its rapid or irregular
o C.
I have to avoid too much sodium intake. I will read all food tablets to make sure I dont
get too much of it in my diet
o D.
I will weigh everyday and I will log it in a notebook. I will call my physician whenever I
gain 2 lbs or more in a day without changing my eating habits
6.
Ms. ALM has been diagnosed with Hashimotos disease, an autoimmune disorder. Which of the
following signs and symptoms were most probably exhibited by the client that led to the
diagnosis?
Discuss
o A.
o B.
o C.
7.
A colostomy is a surgical procedure that brings the end of the large intestine through the
abdominal wall. A nurse is demonstrating colostomy care to a client with a newly-created
colostomy. The nurse demonstrates correct cutting of the appliance by making the opening how
much larger than that of the clients stoma?
o A.
inch
o B.
inch
o C.
1/8 inch
o D.
1/16 inch
8.
The Whipple procedure is the most common operation performed for pancreatic cancer and may
be used to treat cancer and may be used to treat other cancers such as small bowel cancer. This
procedure is done by:
Discuss
o A.
Removing the head of the pancreas, most of the duodenum, portion of the bile duct and
sometimes a portion of the stomach
o B.
Removing the duodenum, portion of liver and sometimes the portion of bile duct
o C.
9.
Peptic ulcer disease (PUD) is characterized by excess gastric acid secretion. It involves a break in
continuity of the esophageal, gastric, or duodenal mucosa. The following are characteristics of
gastric ulcer, except:
Discuss
o A.
o B.
o C.
o D.
10.
Hiatal hernia is a condition in which the upper portion of the stomach protrudes into the
chest cavity through the opening of the diaphragm called the esophageal hiatus. A nurse is
instructing a patient with hiatal hernia about the fluids that the client can drink that will less likely
produce irritation to the gastric mucosa. Which of the following is the correct response of the
nurse?
Discuss
o A.
Tomato juice
o B.
Pineapple juice
o C.
Apple juice
o D.
Grapefruit juice
11.
The main use of nasogastric tube is for feeding and for administering oral medications. A nurse
teaches a postoperative client about the nasogastric tube that will be inserted in preparation for
surgery. The nurse determines that the client understands when the tube will be removed in the
postoperative period when the client states:
o A.
o B.
o C.
o D.
12.
Discuss
o A.
o B.
o C.
13.
The appendix is a small pouch attached to the large intestine. Appendicitis is characterized by
inflammation of the appendix. A patient with appendicitis is at risk for developing:
o A.
Hemorrhage
o B.
Pulmonary edema
o C.
Peritonitis
o D.
Bowel obstruction
14.
The physician prescribes an order for the nurse to discontinue a patients nasogastric tube. Before
removing the tube, the nurse should:
o A.
Aspirate gastric contents to make sure that the residual volume is less than 50 ml
o B.
o C.
Make sure that the client is able to swallow and chew food
o D.
15.
An ileostomy is a stoma that has been constructed by bringing the loop of the small intestine
out on the surface of the skin. When assessing the client with a new ileostomy, the nurse knows
that the effluent from the ileostomy should be:
Discuss
o A.
Soft stool
o B.
o C.
o D.
Well-formed stool
16.
A client has a sliding esophageal hernia. The physician prescribes an H2-receptor antagonist. The
nurse explains that H2 receptor antagonist works by:
o A.
o B.
o C.
o D.
17.
Dietary planning for a client with ileostomy would include telling the client to:
Discuss
o A.
o B.
o C.
o D.
18.
A colostomy was created in a client who was diagnosed with colon cancer. During the first day
post-op, the nurse does not find any measurable fecal drainage from the patients colostomy.
What should the nurse do?
o A.
o B.
o C.
o D.
19.
A client is admitted to the hospital after sustaining a fall from a roof. The client has plaster cast
due to multiple lacerations and a right leg fracture. As the clients nurse, you will position the
clients leg in which manner to promote optimal circulation?
o A.
Neutral position
o B.
o C.
o D.
20.
Triage is used as a system to sort the injured so that the greatest number of patients can be
helped. A nurse is assigned to classify different illness and injuries into the different color coding
system. She saw a victim with a red tag. This tag indicates that the victim:
o A.
Needs medical care at some point, after more critical injuries have been treated
o B.
o C.
Requires observation, condition is stable for the moment and, not in immediate danger of
death. They still need hospital care and would be treated immediately under normal
circumstances
o D.
Is decreased and/or injuries are so extensive that they will not be able to survive given the
care that is available
21.
Poisoning results from the ingestion, inhalation or absorption of agents that cause chemical
actions that injure the body. Your neighbor called asking what she should do after her 4-year
old daughter swallowed some meiotic acid. What advice should you give her?
Discuss
o A.
o C.
o D.
22.
o A.
o B.
o C.
o D.
23.
A client with acute respiratory infection is admitted to the hospital with a diagnosis of sinus
tachycardia. The nurse develops a plan of care for the client and includes which intervention?
o A.
o B.
o C.
Eliminate sources of caffeine
o D.
24.
o A.
Respiratory tract
o B.
GI tract skin
o C.
Skin
o D.
Urinary tract
25.
In an emergency situation like occurrence of fire, which of the following should be done first by
the nurse?
Discuss
o A.
o B.
o C.
o D.
Contain the fire