Assessment 5 Knowledge Based Test Resit

Question 1

Q6. Care for a patient who has had joint replacement surgery includes all of the following EXCEPT

Answer 1

C. Preventing extension

Question 2

Q16. Promethazine belongs to which drug group

Answer 2

Antihistamine

Question 3

Q22. Anginine belongs to which drug group

Answer 3

Nitrate vasodilator

Question 4

Q26. List three signs and symptoms of oxygen toxicity

Answer 4

1. Seizures
2. Shortness of breath
3. Muscular twitching

Question 5

Q30. The patient with ulcerative colitis will be on a diet that is low in

Answer 5

C. Residue

Question 6

Q37. List four major clinical manifestations associated with an ear disorder

Answer 6

1. Ear pain
2. Hearing loss
3. Tinnitus
4. Vertigo/dizziness

Question 7

Q44. The purpose of the Glasgow Coma Scale is to

Answer 7

A. Monitor neurological problems

Question 8

Q45. List three determinants of the Glasgow Coma Scale

Answer 8

1. Able to follow instruction (Best motor response)
2. Orientated to time, place and person (Best verbal response)
3. Eyes open spontaneously (Best stimulus response)

Question 9

Q46. What drug groups do Phenytoin and Dexamethasone belong to

Answer 9

Antiepileptics and Corticosteroids

Question 10

Q48a. List five common signs and symptoms of hyperthyroidism

Answer 10

1. Tachycardia
2. Hypertension
3. Diarrhoea
4. Tremors
5. Fatigue

Question 11

Q48b. List five common signs and symptoms of hypothyroidism

Answer 11

1. Bradycardia
2. Low body temperature
3. Constipation
4. Muscular ache and weakness
5. Fatigue

Question 12

Q49. List four specific signs and symptoms of hypoglycaemia

Answer 12

1. Polyphagia
2. Fatigue
3. Tremors
4. Disorientation

Question 13

Q50a. Outline the managment of hypoglycaemia if the patient is conscious and able to swallow

Answer 13

• Give 60 mls of Carbotest OR 15gms of glucose
• Wait 10 minutes, then obtain BGL
• If BGL is still <4 mmol/l, repeat Carbotest
• If BGL is >4 mmol/l, then give a longer acting carbohydrate such as a sandwich or tub of yoghurt
• Continue monitoring BGL as per facility guidelines

Question 14

Q50b. Outline the management of hypoglycaemia if the patient is unconscious or uncooperative

Answer 14

• Activate MET response
• DO NOT give oral treatment
• Place patient into recovery position and commence DRSABCD
• Obtain IV access for administration of 50% Glucose or Glucagon
• Wait 10 minutes, then obtain BGL
• Once BGL is going up, give a longer acting carbohydrate
• Continue monitoring BGL as per facility guidelines

Question 15

Q51. What drug groups do Thyroxine and Metformin belong to

Answer 15

Thyroid hormones and Antidiabetics

Question 16

Q52a. Painful burning urination is defined as

Answer 16

Dysuria

Question 17

Q52b. Reduced excretion of urine of less than 500ml per day is defined as

Answer 17

Oliguria

Question 18

Q53. List four specific signs and symptoms of a urinary tract infection

Answer 18

1. Dysuria
2. Haematuria
3. Urinary frequency
4. Pyuria

Question 19

Q54. List four specific nursing actions you would implement for a client who is admitted with an acute renal colic as a result of renal calculi

Answer 19

1. Administer analgesia as per WHO pain management guidelines
2. Collect urine and test for signs of expelled stones
3. Encourage increased fluid intake
4. Conduct urinalysis and send for additional diagnostic testing

Question 20

Q55. What drug group does Sulfadiazine belong to

Answer 20

Antibacterial