Final Exam Quiz Bowl Flashcards

1
Q

A client diagnosed with a pulmonary embolism returns to the ICU following percutaneous placement of a vena cava filter via the right femoral vein. When caring for this client, the nurse should anticipate:

A

Checking the femoral puncture site frequently for hematoma formation.

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2
Q

Which of the following abnormal blood values would not be improved by dialysis treatment?

A

Decreased hemoglobin concentration.

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3
Q

Which of the following heart muscle diseases is unrelated to other cardiovascular disease?

A

Cardiomyopathy

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4
Q

Acute pulmonary edema caused by heart failure is usually a result of damage to which of the following areas of the heart?

A

Left ventricle

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5
Q

When conducting discharge teaching, the nurse advises a patient with myasthenia gravis to:

A

Perform physically demanding activities early in the day.

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6
Q

Which of the following conditions is the predominant cause of angina?

A

Inadequate oxygen supply to the myocardium

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7
Q

The nurse is caring for a 27-year-old patient with a diagnosis of head trauma. The nurse notes that the patient’s urine output has increased tremendously over the past 18 hours. The nurse suspects that the patient may be developing:

A

Diabetes insipidus.

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8
Q

The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which of the following is associated with this eye disorder?

A

A sense of a curtain falling across the field of vision

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9
Q

A client is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen activator, alteplase (Activase, tPA). Which of the following is a priority nursing intervention?

A

Monitor for signs of bleeding.

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10
Q

Which of the following is a LATE sign of the development of a tension pneumothorax?

A

Tracheal deviation

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11
Q

What information about nutrition does the nurse teach a client with chronic obstructive pulmonary disease (COPD)? (Select all that apply.)

A

“Avoid drinking fluids just before and during meals.”
“Rest before meals if you have dyspnea.”
“Have about six small meals a day.”

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12
Q

A 22-year-old client with quadriplegia is apprehensive and flushed, with a blood pressure of 210/100 and a heart rate of 50 bpm. Which of the following nursing interventions should be done first?

A

Assess patency of the indwelling urinary catheter

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13
Q

The nurse is caring for a client with Ménière’s disease. The client asks the nurse how to prevent another acute episode from occurring. Which is the nurse’s best response?

A

“Stop or reduce cigarette smoking.”

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14
Q

A male patient’s X-ray result reveals bilateral white-outs, indicating adult respiratory distress syndrome (ARDS). This syndrome results from:

A

Increased pulmonary capillary permeability

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15
Q

A male patient has a sucking stab wound to the chest. Which action should the nurse take first?

A

Applying a dressing over the wound and taping it on three sides

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16
Q

Which of the following blood tests is most indicative of cardiac damage?

A

Troponin I

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17
Q

The nurse obtains the following assessment data on an older patient who has influenza and pneumonia. Which information will be most important for the nurse to communicate to the health care provider?

A

Fever of 101.4° F (38° C)

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18
Q

A client diagnosed with a pulmonary embolism returns to the ICU following percutaneous placement of a vena cava filter via the right femoral vein. When caring for this client, the nurse should anticipate:

A

Checking the femoral puncture site frequently for hematoma formation.

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19
Q

The nurse assesses a client with asthma and finds wheezing throughout the lung fields and decreased pulse oxygen saturation. In addition, the nurse notes suprasternal retraction on inhalation. What is the nurse’s best action?

A

Administer oxygen and a rescue inhaler.

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20
Q

The client diagnosed with Parkinson’s disease (PD) is being admitted with a fever and patchy infiltrates in the lung fields on the chest x-ray. Which clinical manifestations of PD would explain these assessment data?

A

Difficulty swallowing and immobility

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21
Q

Acute pulmonary edema caused by heart failure is usually a result of damage to which of the following areas of the heart?

A

Left ventricle

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22
Q

You are conducting an assessment of a patient’s abdomen and you find a pulsating abdominal mass. Which of the following should be your next action?

A

Assess femoral pulses

23
Q

What is an effect of valvular regurgitation?

A

There is a backward flow of blood and volume overload in the preceding chamber.

24
Q

Which drugs would the nurse expect to be included in those prescribed for patients with a mechanical valve replacement?

A

Anticoagulants

25
Q

When teaching a patient with a seizure disorder about the medication regimen, what is it most important for the nurse to emphasize?

A

Non-compliance or stopping the medication abruptly may increase the intensity and frequency of seizures.

26
Q

A health care provider is conducting a community education class on stroke prevention. The teaching plan for this class will include which of these instructions?

A

“It is important to maintain a healthy weight and to control your blood pressure.”

27
Q

Which of the following laboratory values could indicate that a client has leukemia?

A

WBCs 32,000/mm3

28
Q

A nurse is teaching a group of older adults about the value of including foods containing antioxidants in their diet. Which of the following statements best captures the rationale underlying the nurse’s advice?

A

Antioxidants inhibit the actions of reactive oxygen species.

29
Q

Which of the following would account for cellular injury due to cellular swelling?

A

Reduction in Na+, K+- ATPase pump activity

30
Q

While waiting to perform x-rays on a client with an injured right hand, according to non-pharmacological pain management practice, pain can be modulated or reduced if the nurse:

A

Applies ice to the right elbow

31
Q

While waiting to perform x-rays on a client with an injured right hand, according to non-pharmacological pain management practice, pain can be modulated or reduced if the nurse:

A

Applies ice to the right elbow

32
Q

A 32-year-old client with a history of sickle cell anemia is admitted to the hospital during a sickle cell crisis. The physician orders all of these interventions. Which order will you implement first?

A

Administer oxygen at 100% per non-rebreather mask

33
Q

Which of the following is the most important assessment parameter the nurse should consider when assessing a fluid and electrolyte imbalance?

A

Intake and output

34
Q

The nurse is working in a clinic that is designed to provide health education and immunizations. As such, this clinic is designed to provide:

A

Primary prevention.

35
Q

A baby develops hydrops fetalis. Which of the following signs/symptoms would the nurse expect to see?

A

Generalized edema

36
Q

Which statement is FALSE concerning rheumatoid arthritis?

A

Rheumatoid arthritis is different from osteoarthritis in that it doesn’t affect other systems of the body.

37
Q

An elderly adult patient fell in the bathtub three days ago. Now she is exhibiting decreased level of consciousness and difficulty with speaking and walking. Which of the following injuries is most likely?

A

Subdural hematoma

38
Q

Which of the following symptoms do you expect to see in a patient diagnosed with acute pyelonephritis?

A

Flank or groin pain and chills

39
Q

A patient diagnosed with active tuberculosis is in a negative pressure room for respiratory airborne isolation. How long should the nurse maintain this type of isolation?

A

Until three consecutive sputum specimens for acid fast bacilli are negative

40
Q

A patient diagnosed with HIV has an HIV viral load test of 102,000 copies/mL. Which of the following does this test’s result suggest to the nurse?

A

The current prescribed medication therapy is not effective.

41
Q

Which is anticipated that will happen to CD4 cells infected by the HIV virus?

A

CD4 cell death

42
Q

Which of the following data would a clinician consider as most indicative of acute kidney injury?

A

Increased nitrogenous waste levels; decreased glomerular filtration rate (GFR)

43
Q

When instructing clients on how to slow the progression of chronic obstructive pulmonary disease (COPD), the nurse should emphasize which of the following?

A

Abstain from cigarette smoking.

44
Q

The nurse is teaching a class about the joints commonly affected by osteoarthritis (OA). Which joints should the nurse include?

A

Hands, knees, and hips

45
Q

Of the options below, which is NOT a symptom of BPH?

A

Intestinal pain

46
Q

Which of the following is a possible symptom of a bowel obstruction?

A

Vomiting

47
Q

A 32-year-old woman is admitted to the intensive care unit with a diagnosis of diabetic ketoacidosis. Following aggressive fluid resuscitation and IV insulin administration, the blood glucose begins to normalize. In addition to glucose monitoring, which of the following electrolytes requires close monitoring?

A

Potassium

48
Q

Which of the following below is NOT a sign or symptom of Addison’s disease?

A

Hypernatremia

49
Q

During the examination portion of her annual checkup, a 55-year-old client has several new complaints. Which subjective symptoms of menopause would the nurse expect to find during data collection?

A

Night sweats

50
Q

The most critical adverse effects of chemotherapy and radiation therapy are:

A

Thrombocytopenia and leucopenia.

51
Q

The warning signs for cancer include all of the following except:

A

Development of diabetes mellitus

?

52
Q

What are the early signs of hypovolemic shock?

A

Pale moist skin

Anxiety and restlessness

53
Q

Compensation for shock would include:

A

Increased heart rate and oliguria.