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Medsurg FINAL Exam > FInal Exam > Flashcards

FInal Exam Flashcards

1
Q

(DM)
Which insulin is considered short acting?

A. Lantus
B. Humulin R
C. Humulin N
D. Humalog

A

B. Humulin R

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2
Q

(DM)
Which type of Diabetes is associated with NO insulin production?

A. Type 3
B. Type 1
C. Type 2
D. Type 1 & 2

A

B. Type 1

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3
Q

(DM)
Which type of Diabetes is associated with lifestyle?

A. Type 2
B. Type 1 & 2
C. Type 1
D. None

A

A. Type 2

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4
Q

(DM)
What is the primary corrective treatment for acute hyperglycemia?

A. Exercise
B. Rest
C. A regular Coke
D. Insulin

A

D. Insulin

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5
Q 
(DM)
Diabetic Ketoacidosis (DKA) is a result of untreated \_\_\_\_\_\_\_\_\_\_\_\_\_.

A. Hypoglycemia
B. Hyperglycemia
C. Wounds
D. Hypertension

A

B. Hyperglycemia

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6
Q

(Resp)
Pneumonia and Tuberculosis are diseases that effect which system?

A. Endocrine
B. Cardiovascular
C. Pulmonary
D. Musculoskeletal

A

C. Pulmonary

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7
Q

Risks for coronary artery disease that increase the workload of the heart and increase myocardial oxygen demand are:

A. Hypertension
B. Smokeless Tobacco
C. Obesity
D. Cigarette Smoking

A

A. Hypertension & D. Cig Smoking

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8
Q

A low glomerular filtration rate (gfr) is evidence of what?

A. retinal insufficiency
B. renal insufficiency
C. erectile disfunction
D. cardiac disfunction

A

B. Renal Insufficiency

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9
Q

Blood Pressure is a measure of what factors?

A. Urinary retention
B. Cardiac Output
C. Systemic Vascular Resistance
D. Blood glucose

A

B. Cardiac Output & C. Systemic Vascular Resistance

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10
Q

The following is used as a method of clearing secretions

A. increased fluid intake
B. sleeping with head of bed elevated
C. pain medication
D. oxygen

A

A. increasing fluid intake

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11
Q

The nursing priority when assessing a pt with possible pneumonia is

A. vaccination status
B. hemodynamics (ABCs)
C. ambulation
D. family history

A

B. Hemodynamics (ABCs)

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12
Q

A population of people at highest risk for acquiring opportunistic pneumonia is (Select all that apply)

A. immunocompromised
B. HIV
C. cancer
D. chemotherapy

A

All of them player

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13
Q

When elderly people develop infections, it is common to see an altered level of consciousness

True
False

A

True

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14
Q

Which of the following is considered the priority for a patient diagnosed with bacterial pneumonia?

A. a dietary consult
B. pain medication
C. administer diuretic
D. initiate antibiotic treatment

A

D. Antibiotic treatment

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15
Q

Which of the following are patient harm events?

A. Hospital acquired pneumonia
B. Ventilator acquired pneumonia
C. Opportunistic pneumonia
D. Community acquired pneumonia

A

A= HAP, B=VAP

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16
Q

A tuberculosis diagnosis requires which type of precautions

A. None
B. Contact
C. Airborne
D. Bloodborne

A

C. Airborne

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17
Q

A pt has a known history of TB. You know they have latent TB if

A. They have no symptoms
B. They report having night sweats
C. They are febrile
D. They have an active cough

A

A. No symptoms

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18
Q

Which of the following is shown most effective for improving asthma?

A. exercise
B. long-acting beta adrenergic
C. O2 therapy
D. inhaled corticosteroids

A

D. inhaled corticosteroids

19
Q

A pt experiencing an asthma exacerbation should receive these priority treatments (select all that apply)

A. peak flow measurements
B. O2 therapy
C. albuterol inhaler
D. chest x-ray

A

B. O2 therapy & C. albuterol inhaler

20
Q

When you are teaching a pt the proper use of their inhaler, you put the steps in what order?

A

shake inhaler & remove cap

blow air all the way out

place inhaler or spacer in mouth

firmly press down and inhale simultaneously

21
Q

Pursed lip breathing is a technique used with which type of patients? (select all that apply)

A. Emphysema
B. Heart failure
C. COPD
D. Chronic bronchitis

A

A, C, & D.

22
Q

Right heart failure is also called

A

Cor Pulmonale

23
Q

All of the following are signs & symptoms of Cor Pulmonale except:

A. pitting ankle and foot edema
B. liver enlargement
C. jugular vein distention
D. decreased ejection fraction

A

D. decreased ejection fraction

24
Q

O2 therapy must be used with caution in patients with emphysema because they are CO2 ____________.

A

retainers

25
Q

Medications specifically used to manage cholesterol

A

Statins
Atorvastatin
Lipitor

26
Q

A patient experiencing chest pain may have an elevated (select all that apply)

A. ST segment
B. Blood pressure
C. Troponin
D. Glucose

A

A, B, & C

27
Q

A priority treatment for a pt experiencing chest pain related to an MI, is administering Nitroglycerin SL. Why?

A. Nitro causes headaches
B. Nitro is a vasodilator
C. Nitro is an opiate
D. Nitro is a vasoconstrictor

A

B. Nitro is a vasodilator

28
Q

Priority assessment following peripheral vessel bypass surgery is

A. distal pulse and skin color assessment
B. ability to ambulate
C. patient knowledge of disease process
D. blood glucose levels

A

A. distal pulse and skin color assessment

29
Q

The lab most commonly used to measure clotting time for a pt. with a heparin infusion is

A. PT (prothrombin time)
B. aPTT (activated partial thromboplastin time)
C. INR (International Normalized Ratio)
D. All of the above

A

B. aPTT (activated partial thromboplastin time)

30
Q

Discomfort caused by PVD and varicose veins can be managed with

A. compression stockings
B. elevating legs when seated
C. deep tissue massage
D. routine leg exercises

A

A, B, & D

31
Q

When assessing kidney function, which lab value may be used?

A. CBC
B. GFR
C. Lipid panel
D. Serum glucose

A

B. GFR

32
Q

Systolic heart failure is associated with

A. low ejection fraction
B. not enough volume
C. a weak pumping mechanism
D. normal ejection fraction

A

A & B

33
Q

Priority nursing action for a patient with signs of hypoglycemia is

A. insulin injection
B. glucose reading with fingerstick glucometer
C. stat lab draw
D. delivery of a full meal tray

A

B. glucose reading with fingerstick glucometer

34
Q

A pt’s blood sugar is 54 and is lethargic and difficult to arouse. The nurse should

A. give the patient orange juice
B. let the pt rest
C. give the patient insulin
D. administer 50% dextrose (D50)

A

D. administer 50% dextrose (D50)

35
Q

When a diabetic patient becomes ill, their demand for insulin increases

True
False

A

True

36
Q

An A1C of 6 in a diabetic patient indicates that their blood sugars have NOT been controlled

True
False

A

False

5.7 to 6.4 is Prediabetes) & (>6.5 indicates Diabetes

37
Q

Type 1 Diabetes (select all that apply)

A. is reversible
B. typically occurs in younger people
C. requires synthetic insulin forever
D. can be managed with oral medications

A

B. typically occurs in younger people & C. requires synthetic insulin forever

38
Q

Which of the following diuretics are potassium sparing, and therefore put a pt at risk for hyperkalemia?

A. Lasix
B. Aldactone
C. Bumex
D. Hydrochlorothiazide

A

B. Aldactone

39
Q

What is not a risk factor for head/neck cancer?

A. Marijuana
B. poor oral hygiene
C. advanced age
D. alcohol consumption

A

C. advanced age

40
Q

Somogyi Effect is a result of ________ and Dawn Phenomenon is a result of _________

A. hypoglycemia at night and hypoglycemia in the morning
B. blood sugar decline at night and hyperglycemia upon awakening
C. blood sugar increase at night and blood sugar increase in the morning
D. blood sugar decline at night and hypoglycemia upon awakening

A

B. blood sugar decline at night and hyperglycemia upon awakening

41
Q

When does plan of care begin once a patient is diagnosed with cancer?

A. immediately
B. once treatment begins
C. when the patient becomes symptomatic
D. when the patient is non compliant

A

A. Immediatley

42
Q

What is it called when a cancer patient on chemo is needing frequent reminders?

A. cancer amnesia
B. old people syndrome
C. chemo brain
D. xerostomia

A

C. chemo brain

43
Q

True or False : Sickle Cell is exclusive to African Americans?

True
False

A

False, come on now

44
Q

What lab value is used to determine severity of anemia?

A. Hemoatocrit (Hct)
B. Platelets
C. Hemoglobin (Hgb)
D. Red Blood Cells (RBC’s)

A

C. Hemoglobin (Hgb)

Medsurg FINAL Exam (1 decks)

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