Exam 3 Questions

Question 1

Metabolic syndrome. What would we see that would tell us its metabolic syndrome?

Answer 1

Waist size and blood glucose

Question 2

What interview question would you ask in obese patient?

Answer 2

What led to your weight gain?

Question 3

Your patient is on prolonged prilosec therapy may experience watery stools and a fever. What interventions would you take?

Answer 3

Call the provider
Check vitals
give tylenol
place in contact precautions

Question 4

What item should the nurse offer to the patient restarting oral intake after being NPO due to an IV?

Answer 4

Dish of lemon gelatin

Question 5

What is an appropriate GERD diet?

Answer 5

No caffeine
No spicy food
3-5 small meals a day with a small bedtime snack

Question 6

A 26 year old woman is being evaluated for vomiting and abdominal pain. Which question from the nurse will be most useful

Answer 6

Can you tell me more about the pain?

Question 7

A person gets a needle stick who does not have the hep B vaccine, what do you do first?

Answer 7

Give the Hep B vaccine
Test for antibodies to hep b
Give hep b immunoglobulin

Question 8

A young adult contracts hepatitis from contaminated food. What should the nurse
expect serologic testing to reveal during the acute (icteric) phase of the patient’s illness?

Answer 8

Anti-Hepatitis A virus immunoglobulin (anti-HAV IgM)

Question 9

The nurse is reviewing the medical record for 5 patients who are scheduled for their
yearly physical examination in September. Which patients should receive the inactivated flu vaccination?

Answer 9

A 76-year-old nursing home resident
A 36-year-old female patient who is pregnant
A 30-year-old patient who takes corticosteroids for rheumatoid arthritis

Question 10

The clinic nurse us teaching a patient with acute sinusitis. Which interventions should the nurse plan to include in the teaching session?

Answer 10

Decongestants can be used to relieve swelling
Taking a hot shower will increase sinus drainage and decrease pain
Saline nasal spray can be made at home and used to wash out secretions
You will be more comfy if you keep your head in an upright position

Question 11

The nurse discusses management of upper respiratory infection (URIs) with a patient who has acute sinusitis. Which statement by the patient indicates the need for more teaching?

Answer 11

“I can use nasal decongestant spray until the congestion is gone”

Question 12

The nurse has just auscultated coarse crackles bilaterally on a patient with a
tracheostomy tube in place. If the patient is unsuccessful in coughing up secretions,
what action should the nurse take?

Answer 12

Put on sterile gloves and use a sterile catheter to suction

Question 13

A nurse obtains a health history from a patient who has a 35 pack-year smoking history. The patient reports hoarseness and tightness in the throat and difficulty swallowing. Which question is important for the nurse to ask?

Answer 13

“How much alcohol do you drink in an average week

Question 14

Which action should the nurse take first when a patient develops epistaxis?

Answer 14

Apply squeezing pressure to the nostrils for 10 minutes

Question 15

Which patient in the ear, nose, and throat clinic should the nurse assess first?

Answer 15

A patient who reports having a sore throat and a muffled voice

Question 16

Which health promotion information should the nurse include when teaching a patient with a 42 pack-year history of cigarette smoking?

Answer 16

Resources for support in smoking cessation
Computer tomography screening (CT) for cancer
Importance of obtaining a yearly influenza vaccination

Question 17

Which finding by the nurse most specifically indicates that a patient is not able to
effectively clear the airway?

Answer 17

Weak cough effort

Question 18

A patient with a possible pulmonary embolism reports chest pain and difficulty
breathing. The nurse finds a heart rate of 142 bpm, blood pressure of 100/60 mm Hg, and respirations of 42 breaths/min. Which action should the nurse take?

Answer 18

Elevate the head of the bed to a semi-fowlers position

Question 19

After receiving change of shift report on the medical unite, which patient should the
nurse assess first?

Answer 19

A patient with septicemia who has intercostal and suprasternal retractions

Question 20

A patient in a mechanical vent is at risk for fluid overload. What is the best way to
monitor this?

Answer 20

A foley catheter

Question 21

A nurse is caring for a patient who is orally intubated and receiving mechanical
ventilation. To decrease the risk for pneumonia, which action should the nurse include in the plan of care?

Answer 21

Elevate the head of the bed 30-45 degrees

Question 22

A patient who has GERD is experiencing increasing discomfort. Which patient statement to the nurse indicates a need for teaching?

Answer 22

“I eat small meals and have a bedtime snack”

Question 23

A patient preparing to undergo a colon resection for cancer in the colon ask about the elevated carcinoembryonic antigen CEA test result. What should the nurse explain?

Answer 23

Monitor the tumor status after surgery

Question 24

After change of shift report, who should the nurse assess first?

Answer 24

A 64-year-old with lung cancer and tracheal deviation after subclavian catheter
insertion

Question 25

Which finding indicates to the nurse that lactulose is effective for an older adult who has advanced cirrhosis?

Answer 25

The patient is alert and oriented

Question 26

A patient admitted with an abrupt onset of jaundice and nausea has abnormal liver
function studies, but serologic testing is negative for viral causes of hepatitis. Which
question by the nurse is appropriate?

Answer 26

“Do you use any OTC drugs?”

Question 27

Which action will the nurse include in the plan of care for a patient who has been
diagnosed with chronic hepatitis B?

Answer 27

Schedule for liver screens every 6 months

Question 28

A middle aged person with cancer says I’m not ready to die, what is the appropriate
response?

Answer 28

“Tell me why you feel that way” or “This must be hard for you”

Question 29

A young adult has diarrhea, what is the first thing you do?

Answer 29

Obtain a stool culture

Question 30

.How would you educate a patient on how to prevent constipation?

Answer 30

Ambulate and increase bulk forming fiber

Question 31

When is the best time for bowl movement for someone with chronic constipation?

Answer 31

In the morning after breakfast

Question 32

Patient with ulcerative colitis who is having multiple episodes of bloody diarrhea, what do you advise them?

Answer 32

Do not eat (discontinue food intake)

Question 33

What is Cullins sign?

Answer 33

Bruising around the belly button caused by pancreatitis

Question 34

What topic is most important to include in teaching for a 41-year-old patient diagnosed with early alcohol cirrhosis?

Answer 34

Avoid all alcohol use

Question 35

The nurse plans to teach a patient how to manage allergic rhinitis. Which information should the nurse include in the teaching plan?

Answer 35

Identifying and avoiding environmental triggers are the best way to prevent symptoms

Question 36

Which information will be most important for the nurse to communicate to the health care provider about an older patient with influenza?

Answer 36

Diffuse crackles in the lungs

Question 37

The nurse is caring for a patient who has acute pharyngitis caused by candida albicans. Which action is appropriate for the nurse to include in the plan of care?

Answer 37

Teach the patient to swish and swallow

Question 38

What do you teach a TB patient who is going home?

Answer 38

Sleep in a separate room (husband sleeps in separate room)

Question 39

The er nurse notes tachycardia and absent breath sounds over the right thorax

Answer 39

Chest tube connected to suction

Question 40

While caring for a patient who has been admitted with a pulmonary embolism, the nurse notes a change in the patients O2 stat from 94% to 88%

Answer 40

While caring for a patient who has been admitted with a pulmonary embolism, the nurse notes a change in the patients O2 stat from 94% to 88%

Question 41

A patient with respiratory failure has a RR of 6 breaths/min and O2 of 78%

Answer 41

Endotracheal intubation and positive pressure ventilation

Question 42

A nurse is caring for a patient with right lower lobe pneumonia who is obese. Which position will provide the best exchange?

Answer 42

On the left side

Question 43

ARDS and PE caused by heart failure

Answer 43

Pulmonary artery pressure and Schwan’s scan

Question 44

The nurse obtains the following VS 101.2, bp 90/56, pulse 92

Answer 44

Obtain oxygen saturation using pulse oximetry

Question 45

After bariatric surgery, a patient who us being discharged tells the nurse “I prefer to be independent”

Answer 45

“Tell me what types of resources you think you might use after this surgery?”

Question 46

A woman receiving chemo for breast cancer develops candida albicans oral infection

Answer 46

Nystatin tablets

Question 47

The nurse is caring for a patient in the ED with acute respiratory distress. Which assessment findings by the nurse requires the most rapid response?

Answer 47

The patients PaO2 is 45 mmHG

Question 48

When admitting a patient with possible respiratory failure and a high PaCO2, which assessment info should be emergency?

Answer 48

The patient appears somnolent

Question 49

A patient reports gas pain and abdominal distention for 2 days after a small bowel resection

Answer 49

Encourage the patient to ambulate

Question 50

Which findings indicate to the nurse that the administered Procardia was effective?

Answer 50

Patient reports decrease in external dyspnea

Question 51

The nurse is caring for a patient with idiopathic pulmonary arterial hypertension

Answer 51

The epoprostenol (Flolan) infusion is disconnected

Question 52

The nurse develops a plan of care to prevent aspiration in a high-risk patient

Answer 52

Place patient with altered consciousness in side-lying position

Question 53

Patient in the ed with copd and sob

Answer 53

The patient’s respirations dropped to 10 breaths/min

Question 54

Patient comes to ED with multiple chest traumas

Answer 54

Insertion of chest tube with a chest drainage system

Question 55

why No NSAIDS before nasal surgery?

Answer 55

Risk for bleeding