RN Comprehensive 2013A Practice

Question 1

Transfusion reaction pt receiving mannitol

Answer 1

Monitor for increased diuresis for therapeutic effect

Question 2

Right CVA

Answer 2

Withhold the morning meds until swallow study can be done

Question 3

Medication error

Answer 3

Document the facts related to the error

Question 4

Nursing process

Answer 4

First step is to assess current knowledge

Question 5

Cyclophosphamide

Answer 5

Maintain hydration with liberal fluid intake

Question 6

Ovarian cancer

Answer 6

Early stages have vague manifestations; often goes undiagnosed until advanced stages

Question 7

VP shunt intervention

Answer 7

Irritability is manifestation of increased ICP

Question 8

Early detection of prostate cancer

Answer 8

PSA levels yearly after 50

Question 9

Severe dehydration

Answer 9

Responding well if Na is within the expected range

Question 10

Evaluation of nurse

Answer 10

Maintain notes over a period of time

Question 11

Bonding

Answer 11

Client tells visitors newborn looks like sister

Question 12

NG placement check

Answer 12

Aspirate contents and verify the pH

Question 13

Admin of insulin

Answer 13

Pinch skin to allow access to sub-q tissue

Question 14

Immediate intervention for newborn

Answer 14

Grunting, nasal flaring, tachypnea

Question 15

Crutches on stairs

Answer 15

Stand in tripod position; place body weight on crutches; place unaffected leg on the stair; move the affects leg and the crutches up to the stair

Question 16

Report to dr regarding relapse of lymphocytic leukemia pt

Answer 16

WBC count below the reference range

Question 17

PTT expected for hemophilia A

Answer 17

45

Question 18

Mild preeclampsia report

Answer 18

Swelling of hands and face; rest in side-lying position; notify of decreased urine output; perform daily fetal kick counts

Question 19

Active TB

Answer 19

Wear a mask when out of room

Question 20

Antisocial personality disorder

Answer 20

Lack of remorse

Question 21

Hemolytic transfusion reaction indication

Answer 21

Low back pain

Question 22

Thrombocytopenia

Answer 22

Avoid nose blowing

Question 23

Surgical aseptic technique

Answer 23

Objects out of line of vision are not considered sterile

Question 24

Estradiol side effect

Answer 24

Headache

Question 25

Mass casualty incident

Answer 25

Nurses should receive training in the disaster triage process

Question 26

Maslow's Hierarchy of needs

Answer 26

Appetite is first priority

Question 27

Increased ICP

Answer 27

Memory loss

Question 28

Autism manifestation

Answer 28

Lack of responsiveness

Question 29

Thoracentesis

Answer 29

Instruct pt to avoid deep breathing during procedure

Question 30

Pt needs PT following discharge

Answer 30

Involve the client in choosing a physical therapist

Question 31

Continuous passive motion

Answer 31

Turn off machine during mealtime to promote comfort and dietary intake

Question 32

Who is recommended for discharge when necessary to make room for injured in disaster

Answer 32

Cellulitis and PO abx

Question 33

Fluid volume deficit

Answer 33

Orthostatic hypotension is indicative

Question 34

Time management strategies

Answer 34

Group activities together that can be performed on the same client; gather all equipment before entering a clients room; delegate appropriate tasks; develop a schedule that prioritized pt care

Question 35

Effective response to PTSD treatment

Answer 35

Recognizes the personal effects of the traumatic experience

Question 36

Portable x-ray interventions

Answer 36

Cover the clients pelvic area with a lead shield

Question 37

Cushings disease

Answer 37

Moon face

Question 38

First action to implement staffing changes

Answer 38

Form task force to investigate current staffing issues

Question 39

Teaching for peripheral arterial disease

Answer 39

Apply lubricating lotion to the feet

Question 40

Hand roll purpose

Answer 40

Maintains functional position

Question 41

Chlorpromazine

Answer 41

Effective: decreased hallucinations | Adverse effect: orthodontic hypotension

Question 42

Prolonged infertility suggestion by nurse

Answer 42

Would you like some information about support groups?

Question 43

Delegate to assistive nursing personnel

Answer 43

Arranging a lunch tray for a pt who has a hip fracture

Question 44

Delirium expected finding

Answer 44

Fluctuating LOC

Question 45

Impaired vision

Answer 45

Mark step edges with colored tape

Question 46

Wound care diet

Answer 46

High in protein

Question 47

Valproic acid monitor what lab? | Monitor and report which side effect?

Answer 47

``` Liver function (valorous acid may cause liver toxicity; Report jaundice ```

Question 48

Child with fever and fluid filled vesicles on trunk and extremities

Answer 48

Priority intervention is to implement transmission precautions

Question 49

Esophagogastroduodenoscopy report

Answer 49

Cool, clammy skin

Question 50

Digoxin toxicity

Answer 50

Nausea

Question 51

Multifarious client following vauum assisted birth, assess for

Answer 51

Cervical laceration

Question 52

Pt in labor on oxytocin having frequent variable decelerations

Answer 52

Turn pt to left side

Question 53

Failure to thrive

Answer 53

Develop structured routine

Question 54

Epinephrine adverse effect

Answer 54

Chest pain

Question 55

Radiation therapy pt has dry shines red skin over neck and clavicular area

Answer 55

Instruct pt to wash the area with mild soap and water

Question 56

Toddler undergoes tonsillectomy

Answer 56

Administer pain medication on a regular schedule the first post-op day

Question 57

Warfarin

Answer 57

Report change in color of stools; have blood tests daily for the first 5 days

Question 58

Post op 48 hrs after ruptured appendix: report what?

Answer 58

Rigid board like abdomen; absent bowel sounds; elevated temp; elevated WBC count

Question 59

Adjustable band with pressure on P6 meridian of wrists

Answer 59

Alleviates nausea/vomiting

Question 60

Pt with high cholesterol and iron deficient anemia

Answer 60

Black beans are low in cholesterol and iron rich

Question 61

CPR on infant

Answer 61

Use brachial pulse

Question 62

Amitriptyline instructions

Answer 62

Watch for common reactions like dry mouth and constipation

Question 63

Pt with two prescriptions for eye-drops teaching

Answer 63

Close eyes for one minute following administration of each med

Question 64

Crohn's diet

Answer 64

Low-fiber diet to reduce residue and decrease exacerbations

Question 65

Outcome audit

Answer 65

Examines data to determine the results from a specific nursing intervention

Question 66

Stage II pressure ulcer

Answer 66

Partial thickness skin loss

Question 67

Quality improvement does not focus on

Answer 67

Promoting individual accomplishments

Question 68

Pt receiving enteral tube feedings needs additional nutrients according to

Answer 68

Abnormal albumin level

Question 69

Estimated date of birth by LMP

Answer 69

Add 7 days and subtract 3 months

Question 70

Organ donation postmortem care order

Answer 70

Notify organ procurement team; collect necessary specimens; remove tubs and vascular access; cleanse the body; apply name tags to the body

Question 71

Trochanter rolls

Answer 71

To maintain proper body alignment for a pt who is immobile

Question 72

Pt at risk for developing diabetes insipidus

Answer 72

Monitor for polyuria

Question 73

Osteoporosis risk factor

Answer 73

Sedentary lifestyle

Question 74

Fluoxetine side effect to report

Answer 74

Tremors

Question 75

Chlorpromazine

Answer 75

Teach to sip fluids throughout the day

Question 76

Assess CVA pt for

Answer 76

Functional limitations before getting pt up to bedside commode

Question 77

No blue dye

Answer 77

Added to tube feeding

Question 78

Priority finding first day post-op hip arthroplasty

Answer 78

Dressing saturated with sanguineous drainage

Question 79

Theophylline toxicity

Answer 79

Anorexia

Question 80

Intravenous pyelogram prep

Answer 80

Administer a laxitive

Question 81

Wound evisceration steps

Answer 81

Stay with client and call for help; place saline-soaked gauze on exposed bowels; place pt in supine position with knees and hips flexed to relieve pressure from the open wound; take pts vital signs

Question 82

Antepartum fetal heart monitoring

Answer 82

Premature ruptured membranes; decreased fetal movement; gest HTN;

Question 83

Task to be delegated to assistive personnel on fluid volume overload pt

Answer 83

Measure daily weight

Question 84

Pt with AIDS needs further teaching

Answer 84

I will work for shorter periods of time in the garden for relaxation