Your Duties As A Nurse- MCQ Test
(235).jpg "Your Duties As A Nurse- MCQ Test")
Are you preparing or aspiring to be a nurse? Or have your nursing exam coming up soon? In that case, you need to have clarity about your duties as a nurse. Do you know enough about it? Well, this MCQ test will clear that out in minutes. All the best!
- 1.A client who is s/p clipping for an aneurysm in the past 48 hours reports severe intermittent headache. He is notably less alert while he is experiencing the headache. As a nurse, what is your immediate concern?
- A.
These are expected post clipping symptoms, continue to monitor and record progress.
- B.
The client may be experiencing transient vasospams and may need his Nimodipine dose increased - call provider who may wish to order a transcranial Doppler study.
- C.
The client may be re-bleeding and should be sent for a CT scan to determine this- call neuro PA or NP.
- D.
The client is probably experiencing a post bleed- ischemic injury d/t reperfusion, and altered free oxygen radical release- call PA who may wish to increase antioxidant thearpy.
- 2.A client who experienced a minor hemorrhagic stroke from an aneurysm 1 week ago[aneurysm was not repaired] reports a severe headache accompanied by nausea and vomiting. What is your immediate concert.
- A.
The client may be re-bleeding
- B.
The clients warfarin dose is inadequate
- C.
The client is experiencing stroke related pyschological stress
- D.
The client is experiencing increased ICP
- 3.Your head injury patient develops decreased urinary output 20-30ml/hour, his serum NA+ is < 130mg/dl and they have +3 generalized edema. What is the treatment of this pathology in the head injured patient?
- A.
DI may be treated with hypotonic fluids [ the only time hypotonic fluid is given in a neuro patient) and vasopressin
- B.
SIADH is treated with administration of vasopressin and rapid replacement of sodium
- C.
Although DI is generally treated with hypotonic fluids, this is inappropriate in head injury and therefore the fluid of choice is NS
- D.
SIADH is best treated with fluid restriction and strict I&O
- 4.A patient arrives in the ICU with an altered LOC. After an initial assessment of ABCs[including VS and spo2] and GCS, the next test should be...
- A.
Non contrast head CT
- B.
ETOH level
- C.
CXR
- D.
Finger stick glucose
- 5.When developing a teaching plan for a patient who had an embolic stroke, the nurse considers which history as a significant risk factor?
- A.
Hx of atherosclerosis of cerebral arteries
- B.
A.fib
- C.
Hypertension
- D.
Use of anticoagulants
- 6.Which assessment finding increases the concern that a patient with cerebral vascular accident would aspirate?
- A.
Absence of interest in eating or drinking
- B.
Continuous clearing of the throat
- C.
Eating only foods on one side of the tray
- D.
Refusal to allow the nurse to assist with feeding
- 7.A patient with a moderate diffuse head injury is demonstrating a variety of neruo symptoms. What is the priority when caring for this patient?
- A.
Supporting nutritional needs
- B.
Maintaining stable CPP
- C.
Electrolyte replacements
- D.
Maintaining adequate fluid volume
- 8.A patient with a TBI continues to have increased ICP despite conventional therapeutic interventions. The nurse would anticipate which tier three intervention?
- A.
Hyperosmolar thearpy
- B.
Hyperbaric oxygen thearpy
- C.
High-dose barbiturate thearpy
- D.
High volume intravenous fluids
- 9.An ICU nurse is documenting a high- acuity patient's clinical response following administration of morphine sulfate for anginal pain using PQRST. What data should the nurse expect to document as "s"
- A.
Patient reports burning in the chest area
- B.
Patient states that the pain subsided after 10 mins
- C.
Patient reports pain has decreased from a 9 to a 6 on pain scale
- D.
Patient reports that the majority of pain is located in left jaw
- 10.The nurse is preparing to administer tPA thearpy to a HA patient with an acute ischemic stroke. which findings should cause the nurse to abort procedure
- A.
Stroke symptoms suddenly appearing an hour ago
- B.
Lumbar puncture 2 months ago
- C.
Current use of warfarin
- D.
Evidence of embolic stroke on a ct scan
- 11.You are caring for a patient who arrived from the cath lab post PCI. They have an angioseal device to the L femoral artery. Which is your priority nursing action?
- A.
Maintain head of the bed at 30 degrees
- B.
Maintain manual pressure to affected area for at least 2 hours
- C.
Maintain patient flat for at least 30 minutes
- D.
Early ambulation
- E.
Lay patient on good side
- 12.HA patient has a suspected acute stoke. Which patient condition may result in impaired airway clearance
- A.
Hemiplegia
- B.
Nausea
- C.
Aphasia
- D.
Loss of vision
- 13.The nurse is providing post procedure care for HA patient after a carotid endarterectomy. Which action should the nurse take to facilltate carotid blood flow?
- A.
Elevate the head of the bed 30 degrees
- B.
Position patient on the non operative side
- C.
Maintain head and neck alignment
- D.
Support the head during position change
- 14.You have a patient dx with CAD, and is started on simvastatin. What baseline lab test is required prior to initiation of therapy.
- A.
CBC
- B.
Sedimentation rate
- C.
Liver function test
- D.
Triglycerides
- E.
PTT
- 15.The nurse has administered thrombolytic therapy to a 65 yr old female patient diagnosed with STEMI. Ten hours following administration of the thrombolytic, the patient is uncharacteristically irritable and somnolent. Which complication should the nurse suspect?
- A.
Allergic reaction
- B.
Cardiac tampondae
- C.
Intracranial hemorrhage
- D.
Reocclusion
- 16.The nurse is reviewing pharm management for HA patient diagnosed with unstable angina[UA]. Which collaborative therapy should the nurse expect to see in a plan of care?
- A.
Hydrochlorothiazide
- B.
Metoprolol
- C.
Mannitol
- D.
Furosemide
- 17.A pt is admitted to the ED for a suspected MI. Which lab test should the nurse anticipate being performed for this PT[ which is most accurate]
- A.
Serum potassium
- B.
Troponin
- C.
C-reactive protein
- D.
Lipid profile
- E.
CK-MB
- 18.The nurse is performing an assessment on a HA patient with severe right sided heart failure. Which finding should indicate to the nurse an exacerbation of this condition?
- A.
Movement at the fifth intercostal space at the precordium
- B.
Lower extremity edema
- C.
Increased urine output
- D.
The presence of an s2 sound
- 19.What is the first action a nurse should take when they see VT[tachy] on monitor?
- A.
Check patients urine output
- B.
Check pulse
- C.
Prepare for defibrillation
- D.
Prepare for cardioversion
- 20.Your patient has a HR of 108. The rhythm is regular, patient has a p wave before each QRS complex, PR interval is .20 seconds and the QRS that follows each p is narrow. How would you label this rhythm?
- A.
Normal sinus rhythm
- B.
First degree heart block
- C.
SVT
- D.
Sinus tachycardia
- 21.Which of the following is true of the QT interval
- A.
Measures atrial and ventricular depolarization
- B.
Measures ventricular depolarization and repolarization. it should be corrected for HR
- C.
It is an unimportant measure and rarely considered
- D.
Measurement of resting membrane potential
- 22.An adult patient with a heart rate of 50bpm should be?
- A.
Worked up for possible bradycardic cardiomyopathy
- B.
Assessed for his perfusion response to this HR[ this may be perfectly normal in a healthy adult]
- C.
Given 0.5mg atropine and repeated to a total of 3mg
- D.
Placed on transcutaneous pacing until HR is at least 60
- 23.A patient with a.flutter with a 4:1 block is to be started on medications to convert this new rhythm. Which of the following meds would be appropriate?
- A.
Calcium channel blocker [like diltiazem] or an antiarrhythmic[amiodrane]
- B.
A beta blocker [lopressor or digoxin]
- C.
A magnesium salt to buffer the effects of calcium in the atria
- D.
An ace inhibitor to affect afterload- addressing cause of rhythm
- 24.A patients cardiac monitor frequently sounds false rate alarms. Which nursing intervention is indicated?
- A.
Ask the patient to lie still
- B.
Adjust the high and low rates on the alarm
- C.
Shut the room door so the alarm will not disturb the other patients
- D.
Set the alarms on silent
- 25.The nurse has determined that the patients has a bundle branch block. Which condition likely exists?
- A.
PR interval longer than .20 seconds
- B.
An elevated ST segment
- C.
A QRS segment longer than 0.12 seconds
- D.
A PR interval that lengthens with each beat
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