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nurse state exam > Nurse State Exam > Flashcards

Nurse State Exam Flashcards

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1
Q

Post op Mastectomy position

A

90 degree flexion at the solider with 90 degrees flexion of the elbow with hand pointing across

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2
Q

Post op Lymphoma?

A

Raise arm above level of heart when possible. Lets gravity help drain the fluid

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3
Q

Effects of radiotherapy on skin

A

Mild erythema to ulceration skin can be red

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4
Q

Management of burns

A

Maintain skin integrity such as hydrate the peripheral areas, use perscribed ointments

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5
Q

Side effects of chemo

A

Fatigue, Nausea, hair loss, anaemia Infection

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6
Q

When to start chemo post operatively

A

6-8 weeks

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7
Q

When is the best time for breast exam

A

3-4 days after periods in menstrual cycle

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8
Q

Most accurate way to diagnose Breast CA

A

Biopsy, mammogram

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9
Q

Can Men get breast CA?

A

Yes

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10
Q

How do pregnancy & breast feeding affect breast Ca risk ?

A

It reduced the risk of devloping Cancer

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11
Q

Signs & symptoms of Type 1 Diabetes ?

A

Increased thirst (polydipsia)
Frequent urination (Polyuria)
Increased hunger (polyphagia)
Fatigue
Blurred Vision

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12
Q

What Lab value states that pt is in hypoglycaemia state ?

A

<4mmol

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13
Q

Hypoglycaemia sympthoms

A

Pallor
Sweating
Irritability
Hunger
Sleepiness
Lack of coordination

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14
Q

Immediate treatment of hypoglycaemic patient that is awake

A

Quick acting carbohydrates (juice, jelly, glucose tablets). Retest 10 mins

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15
Q

Immediate intervention for hypoglycaemic patient that is unconscious

A

Glucagon Injection
Retest after 10 mins

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16
Q

Hyperglycaemic symptoms

A

Dry mouth
Increased thirst
Weakness
Headache
Blurry vision
Frequent urination

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17
Q

Pt has flu & is not eating - give insulin ?

A

Monitor for hypoglycaemia, if low withhold insulin, encourage intake.

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18
Q

What advice will you give diabetic patients about foot care ?

A

Inspect feet DAILY
Bathe feet in like warm water NEVER HOT
Moisturise feet but NOT between your toes
Never treat corn and calluses yourself
Clean, dry socks

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19
Q

How long after S/C rapid acting insulin should the pt eat ?

A

5-10 mins

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20
Q

How long after Rapid insulin should a patient eat ?

A

5-10 mins

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21
Q

How long do the effects of Rapid Insulin lasts

A

1-2 hours

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22
Q

Examples of rapid act insulin

A

Novo rapid, apidra solostar, Humalog

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23
Q

When short acting insulin is injected how long does it take to work

A

15-20 mins

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24
Q

How long does the effects of short insulin last ?

A

3-4 hrs

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25
Q

Examples of short acting insulin

A

Actarapid, Humulin R

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26
Q

Long acting insulin examples ?

A

Lantus, Protophane

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27
Q

Normal GFR range

A

Above 90

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28
Q

Normal HBA1C

A

<41 mmol

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29
Q

Pre diabetic HBA1C

A

> 41

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30
Q

Diabetic HBA1C ?

A

> 50

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31
Q

4 Stage of Shock

A

Initial
Compsentary
Progressive
Irreversible

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32
Q

Compensatory Signs & Symptoms

A

Tachycardia
Tachypenea
Increased BP

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33
Q

Earliest Sign of Shock

A

Cool clammy skin
Mental status changes
Delayed capillary refill <3

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34
Q

Septic shock Signs & Symptoms

A

Cool Clammy skin
Delayed Capillary refill
Mental status changes
High WBC (Over 10,000)
Temp HIGH or LOW

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35
Q

Neurogenic shock Signs & Symptoms

A

Low BP
Bradycardia <60 BPM
Skin that is warm/Pink & Dry

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36
Q

Priority Intervention for Neurogenic Shock

A

IV Normal Saline
Foley
Laxatives
Loose clothing

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37
Q

Hypovalemic Shock Signs & Sympthoms

A

Low BP
Tachycardia
Low CVP (<2)
Low Urinary output

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38
Q

Priority Interventions for Hypovalemic shock

A

Lower HOB
IV normal saline
IV norepiphrine/ Dopamine
MAP >65 MMHG
CVP 2-6

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39
Q

Cariogenic shock Signs & Symptoms

A

Severe LOW BP
Tachycardia

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40
Q

Medications for Cariogenic Shock

A

Dopamine & Digoxin

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41
Q

Anaphylactic Shock Intervention

A

EPI pen every 5-15 mins
Diphenhydramine
Albuterol

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42
Q

Risk Factors for type 2 Diabetes

A

Weight
Family History
Race or ethnicity
Age
PCOS
High blood pressure

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43
Q

2000ML in /1500 out in 24 hours is this ok ?

A

Yes

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44
Q

what alerts you need Rapid response

A

Urine output<30ML hr

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45
Q

Sign of Hypoxia in a pt

A

Confusion
Sweating
Hypotension
Cyanosis
Rapid R&R

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46
Q

when do you start CPR

A

Unconscious Not breathing

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47
Q

1 st Priority Spinal Injury

A

Immobilisation of head or neck

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48
Q

What if Patient is unconscious but breathing ?

A

Roll them into recovery position on their side. Tilt their head back slightly to keep airway open

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49
Q

Child - Pencil in ear Intervention ?

A

Sit up, Bring to docter/ED

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50
Q

Signs & Symptoms of pneumothorax

A

SOB
Tachycardia
Cyanosis
Fatigue
Cough

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51
Q

Purpose of wound drain

A

To drain Pus

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52
Q

5 rights of delegation

A

Right person
Right Task
Right environment
Right direction
Right Supervision

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53
Q

Pts Jewellery pre-op ?

A

Remove, Document, hand it over to family

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54
Q

why teach deep breathing pre op

A

Prevents Pneumonia & DVT

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55
Q

Fire On ward who to evacuate first

A

Mobile Patients

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56
Q

Which assessment finding would you report to the HCP with clients with Ulcerative Colitis?

A

Rebound tenderness

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57
Q

Correct way of cleaning a wound

A

From middle outwards

58
Q

5 P

A

Pain
Pulse
Pallor
Parsethsia
Paralysis

59
Q

Sympthoms of appendicitus

A

Poor appetite, Fever
Chills

60
Q

postion leg Ulcer

A

Leg elevated

61
Q

Women hasn’t used PCA in the last 7 hours, you ?

A

Ask why, educate

62
Q

Pt is restless, has hypertension & back pain with Blood transfusion?

A

Stop Transfusion
Inform Dr, Blood bank

63
Q

RN should never delegate

A

New Admissions
Post Op
Unstable blood sugar
Suden Neuro change

64
Q

Reason for shallow breathing after abdo Hysterectomy ?

A

DVT, Sepsis, Morphine & Pain

65
Q

EN can not perform

A

IV push meds
Titrating meds
Blood Transfusions

66
Q

Developed Pink frothy sputum & Dyspnea

A

PE/Edema

67
Q

Tuberculosis Signs & Symptoms

A

Night sweats
Anorexia
Coughs & Blood tinged sputum
Dysnea & SOB
Fever & Chills

68
Q

How to mobilise first time post op

A

Give slow support to abdomen & move slowly roll onto side prevent bleeding

69
Q

Airborne precautions (MTV)

A

Measles
Tuberculosis
Varicella

70
Q

Airborne precaution rules

A

PPE
N95 mask
Neg pressure room
Door closed
Transport with surgical mask

71
Q

Women already has high dose Morphine what do you do

A

Provide non Pharmacological treatment

72
Q

Droplet Precautions PPE Gear

A

Surgical Mask & Googles
Single room

73
Q

Droplet precautions (PIMP)

A

P- pertussis
I- Influenza
M- Meningitis
P- pneumonia

74
Q

Pre op checklist

A

Weight
NBM
OBS
Medical HX
Meds
Allergy
ECG
Chest Xray

75
Q

TB Diagnostic tests

A

Intradermal TB skin Chest xray
Sputum culture 3 consecutive days

76
Q

why nil by mouth ?

A

Reduce the risk of aspiration of stomach content during surgery

77
Q

Positive Signs of pregnancy

A

Foetal heartbeat heard by a Doppler device at 10-12 weeks
Ultrasound visualisation of the foetus
Foetal movement (palpated by or observed by the HCP)

78
Q

Best way to Increase awareness for breast self examination

A

Look at breast after shower

79
Q

Pt had mastectomy + Radiation Reoccurrence ?

A

10 years, 3-15%

80
Q

Uterine growth & Fundal height at 12 weeks ?

A

above the symphysis pubis

81
Q

Uterine growth & Fundal height at 16 weeks

A

Galway between the symphysis pubis and umbilicus

82
Q

Uterine growth & Fundal height 20 weeks ?

A

on the umbilicus

83
Q

First Aid Action of burns

A

Cool the burn under luke warm water
Cover the burn cling wrap

84
Q

Which layer of the skin is nerves in ?

A

Dermis

85
Q

Meds to avoid during Pregnancy (NSAIK)

A

N-Naproxen (aspirin)
S-Salycic acid
A- Aspirin
I - Ibuprofen & Indomethacin
Ketorolac

86
Q

Safe Vaccines for Pregnancy

A

Inactivated Influenza (flu shot)
Tdap
Diphtheria
Pertussis

87
Q

Not safe vaccines

A

Varicella zoster (2 does 4-8 weeks, birth control 1 month to prevent pregnancy)
Rotovarius
Live inactivated Influenza
MMR (not get pregnant 1 month after vaccine)

88
Q

Weight Gain Appropriate for pregnancy

A

(11-15kg)
18.25- 24.9 BMI

89
Q

Signs & symptoms of anaemia.

A

Dyspnea
Pallor
Tachycardia

90
Q

Benzodiapines risks for long term use ?

A

Can cause addiction & dependence

91
Q

How fast does Benzodiapines work ?

A

Acts fast within Minutes

92
Q

MOA Benzodiapines

A

Increases GABA which decreases Neuron Activity. Low HR, BP, RR

93
Q

Take Benzo at night or day ?

A

Night

94
Q

What to teach patients on Benzo

A

Avoid valerian root
Avoid heavy operation machines

95
Q

Antidote fr Benzo

A

Flumazenil

96
Q

Antidote for opiates

A

Naloxone

97
Q

Barbituates last how long in the body ?

A

3-5 days

98
Q

Droplet precaution diseases

A

Measles
Tuberculosis
Varicella

99
Q

Airborne precaution diseases

A

Pertusis
Influenza
Meningitis
Pneumonia

100
Q

PPE gear On

A

Gown
Mask
Google
Gloves

101
Q

PPE gear Off

A

Gloves
Gown
Googles
Mask

102
Q

Benefits of Busipirone?

A

Does not sedate
2-4 weeks to take effect
No withdrawal symptoms

103
Q

3 common side effects SSRI ?

A

Weight Gain
Sexual Dysfunction
Insomnia

104
Q

SSRI+ ST JOHNS WORT ALLOWED TO BE MIXED ?

A

NO

105
Q

Maoi + Antidepressants allowed to be mixed ?

A

No

106
Q

Amitryptiline Side effects

A

Anticholergenic effects
Cant pee
Cant see
Cant spit
Can shii

107
Q

MAOI cannot eat

A

No fermented fruits, veges, meats, chocolates & cheese

108
Q

Which OTC meds is not allowed with MAOI?

A

C- Calcium
A- Antacids
A- Acetomiphen
N- Nsaids

109
Q

Buporian XL, XR, how to take meds ?

A

Never Chew
Crush
Cut

110
Q

Signs & Symp serotonin syndrome

A

Sweaty + Hot fever
Rigid muscles
Agitation

111
Q

SSRI Take in morning or Night ?

A

Morning

112
Q

Creatinine Range

A

Over 1.3 = Bad Kidney

113
Q

Urine ranges

A

30 ML Hour/ or less= Kidney distress

114
Q

Contraintradiction to taking Lithium

A

Cant give when low in sodium (Hyponatremia) 135.

115
Q

Pa02 normal ranges

A

80-100

116
Q

C02 ranges

A

35-45

117
Q

Leukopenia range

A

Below 5,000 WBC

118
Q

Hypoexemic ranges

A

<60

119
Q

Hypercapnic lab values

A

> 50

120
Q

Priority Intervention Hypercapnic ?

A

Bipap machine

121
Q

Antidote for Warfarin?

A

Vitamin K

122
Q

Antidote for Heparin?

A

Protomine Sulfate

123
Q

Interventions priority for burns

A

IV Lactated Ringers
IV normal solution
Input & output

124
Q
A
124
Q
A
125
Q

What is Audiotory Hallucinations

A

Hearing voices & sounds that are not there

125
Q

What is Tactile Hallucanations?

A

Sensation of being touched

126
Q

Best Intervention for Auditory Hallucinations ?

A

Headphones & Music

127
Q

Positive symp of Schizo?

A

Tactile Hallucination
Auditory Hallucination
Loose associations
Neogilism

128
Q

“This song is just for me” is an example of what delusion

A

delusion of reference

129
Q

“I do not go online, that’s how the FBI control you” is an example of what type of delusions ?

A

DELUSION OF CONTROL

130
Q

“ I have a very Important meeting with the queen today” is an example of what type of delusion

A

Delusions of Grandeur

131
Q

“The hospital food is trying to poison me” is an example of what type of delusion ?

A

Persecutory Delusions

132
Q

Flight of Ideas Definition ?

A

Sentences that dont relate to situation

133
Q

Akathasia means

A

Inability to sit still

134
Q

Normal side effects for Haliperidol

A

Dystonic behaviours

135
Q

Priority side effects NMS

A

High fever
Sweating
Tremours
Muscle rigidity

136
Q

2nd gen Antiphycotics meds?

A

Respiradone
Colonzapine

137
Q

Clozapine, respiradone side effects

A

Weight Gain
Hypesalivation
sedation

138
Q

first Gen antiphycotics meds

A

Haliparedol

139
Q

Major Adverse effects to clozapine & Respiradone

A

Sore throat
Fever
Flu like Sympthoms

140
Q

Contraindications to medications like respiradone & Clonzapine

A

Do not give to patients with dementia

nurse state exam (2 decks)

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