Last Years Test 3

Question 1

The practical nurse is reinforcing teaching for a patient who has chronic kidney disease and is on dialysis. Which patient statement indicates the need for further teaching?

Answer 1

As long as I don’t eat protein I’ll be ok

Question 2

The nurse is providing care for a patient who has guillian barre syndrome. Which of the following laboratory results should the nurse evaluate first.

Answer 2

Arterial blood gas

Question 3

The practical nurse is reinforcing teaching for a patient who has been diagnosed with RA. Which of these symptoms indicates to the nurse correct understanding of symptoms of RA?

Answer 3

Fatigue

Question 4

A patient diagnosed with hunting tons disease has developed severe depression. What would be most important of the nurse to assess for?

Answer 4

Suicidal ideations

Question 5

A patient is recently diagnosed with crowns disease and is beginning treatment. What first line treatment does the nurse expect that the patient will be placed on to decrease the inflammatory response?

Answer 5

Azathioprine or imuran

Question 6

A patient is receiving treatment for RA but states that he allergic to eggs. What medication would the client. To be able to receive?

Answer 6

Synvisc

Question 7

A patient with chronic pain is on a sustained release opioid that is ordered every 12 hours. After 6 hours the patient complains of increasing pain. Which of the following interventions by the nurse is most appropriate?

Answer 7

Request an order for a medication order for breakthrough pain relief.

Question 8

A patient with fa has infiltration of the lacrimal and salivary glands with lymphocytes as a result of the disease. The nurse understands this clinical manifestation is consistent with?

Answer 8

Sicca syndrome

Question 9

A patient scheduled to have an oleo story asks the nurse. Will I have to wear a bag on my abdomen after my ileostomy? What is the most appropriate response by the nurse?

Answer 9

Your stool will be liquid so you will need a bag

Question 10

The nurse is caring for a patient with terminal cancer pain. His family is very supportive.

Answer 10

Teach the family how to help provide for the patients basic needs

Question 11

The Lon is making rounds on the unit. Which patient should the nurse assess first?

Answer 11

The patient who is 1 day post of abdominal surgery with a hard rigid abdomen.

Question 12

The nurse is caring for a patient who has amottrophic lateral sclerosis. The patient has difficulty swalling and has copious pulmonary secretions. What equipment is most important to have at the bedside at all times?

Answer 12

Suction

Question 13

You are the nurse caring for a patient with GBS. The patient also has an ascending paralysis. Knowing the potential complications of the disorder, what should you ensure is ready at the bedside if needed?

Answer 13

Intubation a tray and suction apparatus

Question 14

The nurse is assisting with admission of a patient with GBS to a medical unit. The patients legs are weak, making it impossible to walk without assistance. The patient says how did I get this I am not usually sick. Which response by the nurse is most accurate

Answer 14

It is believed to be an autoimmune reaction to a virus

Question 15

The nurse is preparing a patient with RA for a surgical procedure that will allow visualization of the extent of joint damage of the knee and also obtain a sample of synovial fluid. What procedure will the nurse prepare the client for?

Answer 15

Arthroscopy

Question 16

Which of the following are benefits that support the use of a closed method wound care in the management of a patient burns select all that apply

Answer 16

Creates antimicrobial barrier

Discourage hypertrophic scarring

Question 17

Which assessment finding is most important in determining nursing care for a patient with acute glomerulonephritis

Answer 17

Dark smoky urine

Question 18

The nurse is caring for a patient with RA who suffers with chronic pain in the hands. When would be the best time for the nurse to perform range of motion exercises?

Answer 18

After the patient has had a warm paraffin hand bath

Question 19

A patient with Crohn’s disease informs the nurse that he is allergic to aspirin. What medication ordered for the treatment of Crohn’s does the nurse know is contraindicated when a patient is allergic to asipirin.

Answer 19

Mesalamine

Question 20

A patient has had several diagnostic tests to determine if he has SLE. What result is a very specific indicator of this diagnosis.

Answer 20

Positive Ana

Question 21

During data collection on a postoperative patient which finding are indicative of sepsis

Answer 21

Mental confusion
Hypotension
Tachycardia

Question 22

A 30 year old was diagnosed with ALS. Which statement by the patient would indicate a need for more teaching from the nurse

Answer 22

My children are at greater risk to develop this disease

Question 23

A patient comes in the ER pith signs and symptoms of smoke inhalation, which of the following signs And symptoms indicate smoke inhalation

Answer 23

Hoarseness
Sob
Soren throat
Stridor

Question 24

A client with renal calculi is advised to restrict calcium in the diet. The nurse determines that the client understands the restriction when the client states to avoid which types of foods

Answer 24

Chocolate, smoked fish, and low fat milk

Question 25

The hrs is caring for a patient who has a nephronstomy tube. What action should the nurse take to ensure adequate urinary drainage?

Answer 25

Ensure tube is not kinked or clamped

Question 26

The patient recently diagnosed with GBS is drooling and having difficulty swallowing secretions. When the family asks why this occurs, the nurse indicates that which of the following is the cause

Answer 26

Demyelination of cranial nerves responsible for swallowing and gag reflex

Question 27

A burn victim comes into the emergency department and it is determined that he has a full thickness burns on the body. What characteristics of the burn would indicate that this is a full thickness burn

Answer 27

Charring | Scarring

Question 28

The nurse is completing an assessment on a patient with myasthenia gravis. Which of the following historical assessment findings provides the most significant evidence regarding when the disorder began

Answer 28

Drooping eyelids

Question 29

Which is the initial intervention in the care of. Client with burns exceeding 20% of total body surface area

Answer 29

Fluid resuscitation

Question 30

A patient is experiencing symptoms that are suspected to be related to SLE. What cutaneous symptom occurs in about 50% of clients affected by the diasese

Answer 30

Butterfly shaped rash on the face over the bridge of the nose and cheeks

Question 31

The patient with glomerulonephritis is exhibiting gross peri orbital edema. Which is the best nursing intervention to relieve this symptoms

Answer 31

Monitor intake and output

Question 32

A patient has a blockage of the passage of bile from a stone in the common bile duct. What type of jaundice does the nurse suspect this client to have

Answer 32

Obstructive jaundice

Question 33

The LPN is assisting with discharging a patient with MG after hospitalization for severe respiratory distress. Which statement by the patient indicates the nurses teaching was effective

Answer 33

I have to take my neostigmine exactly as prescribed without skipping a dose

Question 34

The nurse is at the scene of a fire caring for a patient with a thermal burn on the face, chest, and abdomen. What action should receive first priority

Answer 34

Ensure an open airway

Question 35

A patient who is on hemodialysis for ckd is given a phosphate binder serve lamer hydrochloride with meals. What explanation should be provided to the patient as the primary reason the medication is being given

Answer 35

To prevent damage to bones from low calcium levels and high phosphorus levels

Question 36

The nurse is caring for a patient with burns covering the entire surface of both arms and the anterior trunk. What percentage of the patients body is affected

Answer 36

36

Question 37

Dissolve gallstones

Answer 37

Chenodiol

Question 38

A patient is admitted to the emergency department with chemical burns to the chest and abdomen, he RN immediately begins lavaging the area with sterile saline. What should the LPN anticipate their role to be in this procedure

Answer 38

Remove the patients clothing

Question 39

An explosion of a fuel tanker has resulted in melting of clothing

Answer 39

The client has experienced extensive full thickness burns

Question 40

When performing a physical examination on a patient with cirrhosis, a nurse notices that the patients abdomen is enlarged. Which of the following interventions should the nurse consider?

Answer 40

Measure abdominal girth according to a set protocol

Question 41

A 91 year old nursing home resident has been receiving hydro morphing injections for right shoulder pain. During the morning assessment the nurse finds the resident irritable and jumpy. Which of the following nursing actions and rationales is most appropriate

Answer 41

Notify the RN or physician because the resident may be experiencing adverse effects of Delilah

Question 42

The nurse is caring for a patient in the initial phase of treatment for a partial thick skin burn

Answer 42

Blood pressure of 140/56

Question 43

Which of the following possible side effects should the nurse discuss with a patient prescribed a corticosteroid for lupus select all that apply

Answer 43

Facial hair Moon face Mood changes Increased weight

Question 44

The nurse is assisting with teaching a patient who is beginning therapy with neostigmine for newly diagnosed with MG. the patient asks how does this work. What is the best response

Answer 44

It makes more neurotransmitter available so that your muscles can contract

Question 45

When assisting a patient with cirrhosis of the liver which of the following stool characteristics is the patient likely to report

Answer 45

Clay colored or whitish

Question 46

What distinctive symptom do patients with huningtons disease manifest select all that apply

Answer 46

Severe irritability Cognitive changes Inability to tolerate frustrations Ability to remember words and stories

Question 47

What action should the nurse take before entering the room of a patient with to

Answer 47

Wear a fitted high efficiency particulate air respirator

Question 48

The nurse would suspect to observe which of the following when assessing a patient with cholelithiasis

Answer 48

Urine that appears dark brown

Question 49

The nurse is administering medications to a patient that has elevated Adonis due to cirrhosis of the liver. What medication may be ordered to detox ammonium and to act as an osmotic agent

Answer 49

Lactulose

Question 50

The nurse is caring for a patient who has an exacerbation of chrons disease. Which nursing action is most important to recommend for inclusion in the patient plan of care

Answer 50

Encourage oral fluids

Question 51

The nurse is caring for a patient who sustained a partial thickness burn to the face. Which of the following assessment findings would the nurse expect select all that apply

Answer 51

Blisters Blanching when touched Bright red color

Question 52

The nurse is caring for a patient who had renal calculi. Which of these actions is essential for the nurse to take

Answer 52

Strain all urine

Question 53

An LPN is working with three patients. One patient is receiving it oush morphine for left shoulder pain rated at a 7.

Answer 53

The administration of it Morphine for the client with pain

Question 54

A patient with terminal cancer describes a pain rating of 7 on a 0-10 scale

Answer 54

The patient has adapted to chronic pain and may not appear to be in pain

Question 55

A patient with cirrhosis of the liver is complaining of itching why

Answer 55

By the accumulation of bile salts

Question 56

A 42 year old patient who was adopted at birth is diagnosed with HD.

Answer 56

Availability of genetic testing to determine the risk for the patients children to develop HD

Question 57

What is the best way for the nurse to know if the pain medication worked

Answer 57

The patient states that pain is relieved

Question 58

The nurse is preparing a patient with MG to undergo plasmapheresis

Answer 58

Complete blood counts platelets, and clotting

Question 59

One major antimicrobial used in the treatment of burns is silver ointment

Answer 59

Cleanse skin prior to application

Question 60

When the burns are irregular shaped and scattered all over what method is used

Answer 60

Lund and browser burns assessment

Question 61

A patient comes to the clinic and informs the nurse that he is there to see the doctor for right Upper abdominal discomfort, nausea, and frequent bleaching

Answer 61

Biliary colic

Question 62

The LPN has reinforced teaching who has RA

Answer 62

Ibuprofen

Question 63

The patient diagnosed with active TB tells the public health nurse

Answer 63

You just take your TB meds or repeat

Question 64

36 burn replacement

Answer 64

Increase the amount of if fluid administered per hour

Question 65

The nurse is caring for four patients with diarrhea

Answer 65

A 24 year old female Caucasian Jewish female

Question 66

The LPN is contributing to the teaching plan

Answer 66

Distribute fat intake in small portions throughout the day to prevent excessive fat in the intestine at any one time

Question 67

The nurse is caring for a patient 3 days following a partial thickness burn

Answer 67

Blood pressure is 128/66

Question 68

The nurse is caring for a patient hospitalized with a severe exacerbation of MG

Answer 68

Administer medication at exact intervals ordered

Question 69

The nurse should administer how many tablets

Answer 69

4

Question 70

The LPN is caring for a patient who is diagnosed with acute renal failure.

Answer 70

Increased bp | Weight gain

Question 71

A patient with chronic glomerulonephritis has generalized edema

Answer 71

Increased intake of sodium in the diet results in anasarca

Question 72

New order for fentanyl

Answer 72

The patch may take awhile to work

Question 73

Patient admitted for full thickness burns to 75 percent of body

Answer 73

Anura Hypotension Tachycardia

Question 74

A patient has been fatigued for the past 2 months

Answer 74

The patient is temporarily improved

Question 75

The LPN taking care of a patient with bph

Answer 75

Alpha adrenergic blocker

Question 76

The nurse is caring for a patient with cirrhosis of the liver. What symptoms exhibited by the patient would indicate experiencing cns

Answer 76

Asterixis Sulfurous breath odor Positive Babinski reflex

Question 77

Skin substitutes are often used for the wound and debrided

Answer 77

Diminishes pain | Lessen potential for infection

Question 78

Which of these dats collection techniques is the best determinant if a patients fluid volume status that must be completed daily.

Answer 78

Daily weight

Question 79

The nurse should implement which of the following interventions to prevent infection for a patient with burn

Answer 79

Apply antimicrobial as prescribed by Doctor Restrict the number of visitors Use correct personal protective equipment Restrict live flowers and plants

Question 80

The nurse is admitting a patient to their room at then hospital and observes that the patient skin and sclera are jaundice

Answer 80

3.0 mg