Foundations Of Nursing

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6. You are going to give your patient his medication. What is the first step you will take?

Crush the medication if your patient cannot swallow

Make sure your patient has water

Check patient's name, date of birth, and allergy

Document that you gave the medication

7. Sepsis is a severe illness caused by overwheming infection of the bloodstream by toxin-producing bacteria. Part of diagnosis criteria is to do blood culture, which is a test to determine if microorganisms such as bacteria, mycobacteria, or fungus are present in the blood. A sample of blood is put in a special laboratory preparation and is incubated (in a controlled environment) for 1 to 7 days. The normal value is "no growth of microorganisms in the culture medium." Four blood samples for blood cultures have been obtained fromthe following 4 patients. According to the results provided here, which of these patients is most likely septic?

Sample A: No growth

Sample B: Positive to MRSA

Sample C: No growth

Sample D: No growth

8. Blood pressure is a measurement of the force applied to the walls of the arteries as the heart pumps blood through the body. The pressure is determined by the force and the amount of blood pumped and the size and flexibility of the arteries. Which of the following readings is considered hypertension?

110/70

120/50

148/91

90/60

9. Anemia is a lower than normal number of red blood cells (erythrocytes) in the blood, usually measured by a decrease in the amount of hemoglobin and hematocrit (H and H). Hemoglobin is the red pigment in red blood cells that transports oxygen. The hematocrit is the percent of whole blood that is comprised of red blood cells. The hematocrit is a measure of both the number of red blood cells and the size of red blood cells. The normal values are: Hemoglobin: Male: 13.8 to 17.2 gm/dl, Female: 12.1 to 15.1 gm/dl Hematocrit: Male: 40.7-50.3% and Female: 36.1-44.3% Note: Normal values are varied from institution to institution. Which of the following patient is anemic?

Mrs. D whose hemoglobin (Hb) is 12.9 and hematocrit is 39%

Mrs. F whose hemoglobin (Hb) is 11.0 and hematocrit is 33%

Mrs. J whose hemoglobin (Hb) is 14.1and hematocrit is 40%

Mr. A whose hemoglobin (Hb) is 14.1 and hematocrit is 39%

10. A stroke (CVA) is an interruption of the blood supply to any part of the brain, resulting in damaged brain tissue. If you noticed that your patinet's left side (face, arm, leg) is weak, which part of his brain is being affected by the stroke?

Left

Right

11. Watch the video and then answer the following question:

What is the name of the hormone that is secreted by the pancreas and controls the glucose level in the body?

Glucose

Insulin

Lipase

Glycogen

12. Deep venous thrombosis (DVT) is a condition where there is a blood clot in a deep vein (a vein that accompanies an artery). Deep venous thrombosis (DVT) affects mainly the veins in the lower leg and the thigh. It involves the formation of a clot (thrombus) in the larger veins of the area. This thrombus may interfere with circulation of the area, and it may break off and travel through the blood stream (embolize). The embolus thus created can lodge in the brain, lungs, heart, or other area, causing severe damage to that organ. If an embolus cause blockage of an artery in the lungs, it is then called:

Stroke (CVA)

Pulmonary Embolism (PE)

Congestive Heart Failure (CHF)

Acute Respiratory Distress (ARD)

13. Pneumonia is an inflammation of the lungs caused by an infection. Many different organisms can cause it, including bacteria, viruses, and fungi. Crackles are heard when listening to patient's chest with a stethoscope. Do you expect the white blood cells (WBC) for a patient with pneumonia to:

Increase

Decrease

14. While you are assessing your patient's skin, you notice several bruises. Should these bruises related to medication, which of the following medication most likely causes these bruises?

Coumadin (Warfarin)

Lasix (Furosemide)

Coreg (Carvedilol)

Colace (Docusate sodium)

15. Hemodialysis fistulas are surgically created communications between the native artery and vein in an extremity. Direct communications are called native arteriovenous fistulas (AVFs). The access that is created is routinely used for hemodialysis 2-5 times per week. If your patient has AV fistula for dialysis in his right arm, you can draw blood and measure his blood pressure from that arm:

True

False

16. Your patient is diagnosed with dehydration. His skin is dry and urine color is dark amber. What is your best nurse diagnosis?

Fluid volume deficit

Fluid volume excess

Decreased cardiac output

Impaired skin integrity

17. _________________________is an operation to create an opening from an area inside the body to the outside.

Ectomy

Itis

Ostomy

Centhesis

18. Your patient tells you that she is taking a "water pill" but she cannot remember the name of it. Which of the following would this medication be?

Lasix

Coumadin

Norvasc

Tylenol

19. Your patient is having a temperature of 101.5, your nursing diagnosis should be:

Pain

Fluid volume deficit

Hyperthermia

Risk for fall

20. __________________________________ is the surgical removal of the gallbladder.

Cholecystectomy

Canthectomy

Laminectomy

Appendectomy

21. Before you administer PO medication, what is the best position you should put your patinet in?

Supine

High Fowler position

Low Fowler position

Lateral position

22. Your patient has prescribed Norvasc 10 mg PO at 09:00. You checked his blood pressure at 08:45. His blood pressure was 88/65. Are you going to give the Norvasc?

Yes

No

23. Watch this video and answer the following question:

HDL is more useful to the body that LDL because HDL removes cholesterol from the blood stream and therefore decreases the risk for attack and stroke.

True

False

24. Watch the video and answer the following question:

The classical symptom of asthma is:

Fever

Bronchoconstriction

Cough

Headache

25. Your patient's blood pressure is 130/55. What is the pulse pressure?

75

185

55

130

26. For any medical term that ends with "itis" it means:

Infection

Inflamation

Opening

Fracture

27. Your patient tells you that he takes a "blood thinner" pilll but cannot remember the name of the pill. Which of the following could be that pill?

Lasix

Coumadin

Norvasc

Tylenol

28. Your patient refuses to take his medication. He is alert and oriented. He tells you that he does not feel any difference when he takes his medicine. What action are you going to take next?

Put the medicine in the patient's water without letting him know

Tell the patient that he must take his medicine if he want to live

Teach the patient about the medication, indications, and mechanism of action

Just leave the patient and document that he refuses his medication

29. when do you document that you give a medication?

Before you administer the medication

Right after you administer the medication

On your convenience

Only if your patient takes his medicaion

30. Acute renal failure (ARF) is defined as an abrupt or rapid decline in renal filtration function. This condition is usually marked by a rise in serum creatinine concentration or azotemia (a rise in blood urea nitrogen [BUN] concentration). Creatinine is a breakdown product of creatine, which is an important constituent of muscle. A serum creatinine test measures the amount of creatinine in the blood. BUN (blood urea nitrogen) is a test that measures the amount of urea nitrogen (a breakdown product of protein metabolism) in the blood. The normal value of serum (blood) creatinine is 0.6- 1.5 mg/dL, and for BUN is 10-20 mg/dL. Which of the following patients is having acute renal failure (ARF)?

Mr. S whose serum creatinine level is 1.2 and BUN 19.

Mr. A whose serum creatinine level is 1.4 and BUN 18.

Mr. J whose serum creatinine level is 2.3 and BUN 56.

Mr. F whose serum creatinine level is 0.4 and BUN 8.

31. Watch the video and answer the following question:

The majority of UTIs is cause by:

E. Coli

MRSA

S. Cocci

S. Bacilli

32. One of your patient's medication is Dilantin (Phenytoin). Which of the following diagnosis do you expect your patient to have?

CHF

HTN

DM

Seizures

33. Which of the following is true regarding Lasix (Furosemide)?

It's action last for 8 hours

It inhibits loop of Henle and proximal and distal convoluted tubule sodium and chloride resorption

It can cause hyperkalemia

It cannot be given to patients with CHF

34. A Foley catheter is a soft plastic or rubber tube that is inserted into the bladder to drain the urine. Urinary catheters are sometimes recommended as way to manage urinary incontenence and urinary retention in both men and women. There are several different types of catheters which may be used for a variety of different reasons. After advancing the catheter and beginning to inflate the balloon, the patient complains of severe discomfort. You should:

Finish inflation and then move the catheter slightly back into the bladder

Explain to the patient that this discomfort is normal and will stop shortly

Stop inflation and aspirate any fluid injected into the balloon

Advance the catheter about 3 cm and then complete inflation

35. Your patient has prescribed Pepcid (Famotidine) 20 mg PO. When you checked the medication label it said: Pepcid 20 mg PO BID- AC. This means:

Pepcid 20 mg PO twice a day before meal

Pepcid 40 mg PO once a day before meal

Pepcid 20 mg PO twice a day after meal

Pepcid 20 mg PO twice a day with meal

36. For a patient who is having difficulty swallowing tablets and capsules, the nurse should:

Administer the tablets one at a time with plenty of liquid

Insert a nasogastric tube and instill the medication

Crush the medications and administer with a small amount of food

Administer the medication with less fluid

37. Watch the video and answer the following question:

Which of the following is a proton pump inhibitor (PPI) medication?

Reglan (Metoclopramide )

Protonix (Pantoprazole)

Ranitidine (Zantac)

Pepcid (Famotidine)

38. Watch the video and answer the following question:

Which cells contain and secrete histamine and prostaglandins

T cells

B cells

Mast cells

Red blood cells

39. Watch the video and answer the following question:

Which of the following is true?

Secondary hypertension is more common than primary hypertension

Systolic BP of 110 mm Hg is considered hypertension

The most common cause of secondary hypertension is cancer

Confusion and coma can present in case of severe hypertension

40. Hypertension means high blood pressure. This generally means systolic blood pressure is consistently over 140 and/or diastolic blood pressure is consistently over 90. There are several medications to treat high blood pressure. Medications may include diuretics, beta-blockers, calcium channel blockers, angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), or alpha blockers. Medications such as hydralazine, minoxidil, diazoxide, or nitroprusside may be required if the blood pressure is very high. Which of the following medication is ACE inhibitor?

Norvasc

Coreg

Clonidine

Enalpril

41. Norvasc (amlodipine) and Coreg (Carvedilol) are two anti-hypertension medications. What is the difference between them?

Norvasc is a calcium channel blocker while Coreg is ACE-inhibitor

Norvasc is an ACE-inhibitor and Coreg is a diuretic

Norvasc is a diuretic and Coreg is a beta-blocker

Norvasc is a calcium channel blocker and Coreg is a beta-blocker

42. Which of the following statements is true?

Normal human body temperature ranges from 94.8 to 101

Temperature > 100.4 is considered hyperthermia

Temperature of 97.1 is considered hypothermia

Smoking, exercise, and hot and cold food do not affect oral temperature

43. Which of the following nursing diagnosis is more pertinent to a patient with Cerebrovascular Accident (CVA)?

Risk for Falls

Constipation

Neurologic deficit

Memory loss

44. Hip joint replacement (Hip Arthroplasty) is a surgery that is performed to replace all or part of the hip joint with an artificial device (a prosthesis). Hip dislocation is a common postoperative complication. In order to prevent dislocation, the nurse must keep the leg in which position?