WorksheetsExam 3 Review
Total questions: 32
Worksheet time: 21mins
True or False: A patient diagnosed with end stage kidney disease will need renal replacement therapies to sustain life.
True
False
You are caring for a patient with acute kidney injury. You note a decrease in his urinary output over the course of the last 24 hours. You know that in order to remove waste products through the urine, a patient must urinate at least:
50 ml/day
200 ml/day
400 ml/day
1200 ml/day
You are caring for a patient that is admitted to the hospital for shock. The patient is diagnosed with acute kidney injury. You would expect to see what category of AKI in this patient?
Prerenal
Intrarenal
Postrenal
End Stage Kidney Disease
You are providing education for a patient with nephrolithiasis. You advise him that all of the following except what puts him at risk for developing nephrolithiasis.
Infection
Female Sex
Immobility
Urinary Stasis
You are caring for a patient with benign prostatic hypertrophy. He is prescribed an alpha-adrenergic blocker. You know that the patient has an understanding of the medications mechanism of action when he states:
This medication will relax the smooth muscle of the bladder neck and prostate to improve urine flow
This medication prevents the conversion of testosterone to DHT and decreases prostate size
This medication will make it so that I never have to go to the bathroom in the middle of the night again
This medication will cause vasoconstriction to improve urine flow
You have a 67 year old male patient that presents to the hospital with concerns of urinary frequency, nocturia, hesitancy and dribbling. The patient reports symptoms have been present for over a year. You suspect the patient has which of the following:
Prostatitis
Benign Prostatic Hypertrophy
Pyelonephritis
Nephrolithiasis
Your patient recently underwent stent placement for kidney obstruction. You educate the patient that all of the following EXCEPT what can be a potential complication:
Increased risk for UTI
Stent Migration
Benign Prostatic Hypertrophy
Hematuria
Your patient has chronic kidney disease. You can anticipate which of the following potential clinical manifestations? Select all that apply.
Anemia
Fluid Retention
Electrolyte Imbalances
Rapid loss of renal function
You are caring for a patient with iron deficiency anemia. You are providing education on iron supplementation. It is important to include all of the following except:
Follow a high fiber diet
Take your iron supplement with orange juice
Go to the ER if you experience darker than normal stools
Use a straw to prevent staining of your teeth
True or False: Hydroxyurea is contraindicated during childbearing years.
True
False
All of the following except what are potential complications of sickle cell disease:
Acute Chest
Vitamin B12 Deficiency
Pulmonary Hypertension
Reproductive Problems
You are caring for a patient with thrombocytopenia. You note petechiae to his trunk and lower extremities. Based off of his presentation, you suspect his platelet count is likely close to:
400,000
150,000
50,000
20,000
You are discussing treatment options with a patient diagnosed with ITP. You explain that a platelet infusion is not effective in managing ITP because:
True or False: Based on the eligibility criteria for tissue plasminogen activator administration, the patient is not eligible for TPA if they had heparin in the last 24 hours.
True
False
A 72 year old male patient presents to the emergency room complaining of squeezing chest pain while exercising. He states that the pain is improved now that he is sitting down, but that he was feeling dizzy, light headed and felt like his heart was beating very quickly. He is likely experiencing:
Myocardial Infarction
Stable Angina
Unstable Angina
Pericarditis
All of the following are used to managing angina EXCEPT:
Beta blockers
Calcium Channel Blockers
Adenosine
Nitroglycerin
True or False: Angina and Myocardial Infarctions are often the result of atherosclerosis
True
False
A patient recently suffered an myocardial infarction and is explaining her procedure to the nurse. She reports that one of her blood vessels was grafted to an occluded coronary artery so that blood could flow beyond the occlusion. She was describing:
Cardiac Catheterization
Stent Placement
PTCA
CABG
Heart failure can be caused by: Select all that apply
History of MI
HTN
Valvular Disorders
Renal Dysfunction
A patient presents to the Emergency Room with complaints of dyspnea, cough and having a hard time sleeping for the past few nights. On exam, you auscultate crackles in her lungs and an S3 heart sound. What do you suspect is going on with this patient?
Left sided heart failure
Right sided heart failure
Myocardial Infarction
Unstable Angina
A 74 year old woman with a history of left sided heart failure presents with complaints of lower extremity edema and weight gain. On exam, she appears to have jugular vein distention and hepatomegaly. Patient management will likely include all of the following except:
Lasix
Smoking cessation
Lisinopril
Increased fluid intake
True or False: Heart failure is characterized by signs and symptoms of fluid volume overload or inadequate tissue perfusion.
True
False
A 54 year old patient presents with a blood pressure of 210/166. EKG reveals a STEMI. You are trying to discern whether the patient is experiencing hypertensive emergency or hypertensive urgency. What is this patient presenting with?
Hypertensive Emergency
Hypertensive Urgency
Essential Hypertension
Your patient is diagnosed with valvular heart disease. The cardiologist states that the patient has blood that regurgitates through the heart. What is he explaining?
Stenosis
Insufficiency
Murmur
MI
All of the following medications reduce afterload except:
Calcium Channel Blocker
ACE Inhibitor
Adenosine
Beta Blocker
Your patient has ulcers on their legs secondary to venous insufficiency. Which of the following interventions should be implemented? select all that apply.
Massage affected limb
Elevate legs
Anticoagulation therapy
Keep legs in a dependent position
A patient presents to the emergency room with a suspected ischemic stroke. The patient began showing symptoms approximately 75 minutes ago. CT confirms the presence of stroke. What is the next priority action?
Administer mannitol
Administer tPA
Administer heparin
Consult physical therapy
The dysrhythmia associated with irregular, disorganized quivering of the atria is:
Atrial Flutter
Atrial Fibrillation
Premature Atrial Complexes
Sinus Tachycardia
All of the following may be used in the management of ventricular tachycardia EXCEPT:
Anti arrhythmia medication
Direct Cardioversion
Defibrillation
Atropine
Your patient explains that his grandfather died after having strep throat infection. His death was likely as a result of:
Pericarditis
Myocarditis
Rheumatic Endocarditis
Infective Endocarditis
You feel confident your patient understands what continuous bladder irrigation is when he states:
It is a sterile tube that is inserted into the urethra and drains urine.
It will be used to flush fluid through a catheter into my bladder and can help prevent clot and sediment formation
It is a procedure to remove kidney stones from the body when they cannot pass on their own
I will receive a continuous infusion of fluid through my IV to facilitate with urination
You explain to your patient that heart failure is either right sided or left sided, you cannot have both. True or False.
True
False
