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Exam 3 Review

Total questions: 32

Worksheet time: 21mins

Name
Class
Date
1.

True or False: A patient diagnosed with end stage kidney disease will need renal replacement therapies to sustain life.

a)

True

b)

False

2.

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:

a)

50 ml/day

b)

200 ml/day

c)

400 ml/day

d)

1200 ml/day

3.

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?

a)

Prerenal

b)

Intrarenal

c)

Postrenal

d)

End Stage Kidney Disease

4.

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.

a)

Infection

b)

Female Sex

c)

Immobility

d)

Urinary Stasis

5.

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:

a)

This medication will relax the smooth muscle of the bladder neck and prostate to improve urine flow

b)

This medication prevents the conversion of testosterone to DHT and decreases prostate size

c)

This medication will make it so that I never have to go to the bathroom in the middle of the night again

d)

This medication will cause vasoconstriction to improve urine flow

6.

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:

a)

Prostatitis

b)

Benign Prostatic Hypertrophy

c)

Pyelonephritis

d)

Nephrolithiasis

7.

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:

a)

Increased risk for UTI

b)

Stent Migration

c)

Benign Prostatic Hypertrophy

d)

Hematuria

8.

Your patient has chronic kidney disease. You can anticipate which of the following potential clinical manifestations? Select all that apply.

a)

Anemia

b)

Fluid Retention

c)

Electrolyte Imbalances

d)

Rapid loss of renal function

9.

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:

a)

Follow a high fiber diet

b)

Take your iron supplement with orange juice

c)

Go to the ER if you experience darker than normal stools

d)

Use a straw to prevent staining of your teeth

10.

True or False: Hydroxyurea is contraindicated during childbearing years.

a)

True

b)

False

11.

All of the following except what are potential complications of sickle cell disease:

a)

Acute Chest

b)

Vitamin B12 Deficiency

c)

Pulmonary Hypertension

d)

Reproductive Problems

12.

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:

a)

400,000

b)

150,000

c)

50,000

d)

20,000

13.

You are discussing treatment options with a patient diagnosed with ITP. You explain that a platelet infusion is not effective in managing ITP because:

4 lines
14.

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.

a)

True

b)

False

15.

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:

a)

Myocardial Infarction

b)

Stable Angina

c)

Unstable Angina

d)

Pericarditis

16.

All of the following are used to managing angina EXCEPT:

a)

Beta blockers

b)

Calcium Channel Blockers

c)

Adenosine

d)

Nitroglycerin

17.

True or False: Angina and Myocardial Infarctions are often the result of atherosclerosis

a)

True

b)

False

18.

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:

a)

Cardiac Catheterization

b)

Stent Placement

c)

PTCA

d)

CABG

19.

Heart failure can be caused by: Select all that apply

a)

History of MI

b)

HTN

c)

Valvular Disorders

d)

Renal Dysfunction

20.

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?

a)

Left sided heart failure

b)

Right sided heart failure

c)

Myocardial Infarction

d)

Unstable Angina

21.

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:

a)

Lasix

b)

Smoking cessation

c)

Lisinopril

d)

Increased fluid intake

22.

True or False: Heart failure is characterized by signs and symptoms of fluid volume overload or inadequate tissue perfusion.

a)

True

b)

False

23.

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?

a)

Hypertensive Emergency

b)

Hypertensive Urgency

c)

Essential Hypertension

24.

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?

a)

Stenosis

b)

Insufficiency

c)

Murmur

d)

MI

25.

All of the following medications reduce afterload except:

a)

Calcium Channel Blocker

b)

ACE Inhibitor

c)

Adenosine

d)

Beta Blocker

26.

Your patient has ulcers on their legs secondary to venous insufficiency. Which of the following interventions should be implemented? select all that apply.

a)

Massage affected limb

b)

Elevate legs

c)

Anticoagulation therapy

d)

Keep legs in a dependent position

27.

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?

a)

Administer mannitol

b)

Administer tPA

c)

Administer heparin

d)

Consult physical therapy

28.

The dysrhythmia associated with irregular, disorganized quivering of the atria is:

a)

Atrial Flutter

b)

Atrial Fibrillation

c)

Premature Atrial Complexes

d)

Sinus Tachycardia

29.

All of the following may be used in the management of ventricular tachycardia EXCEPT:

a)

Anti arrhythmia medication

b)

Direct Cardioversion

c)

Defibrillation

d)

Atropine

30.

Your patient explains that his grandfather died after having strep throat infection. His death was likely as a result of:

a)

Pericarditis

b)

Myocarditis

c)

Rheumatic Endocarditis

d)

Infective Endocarditis

31.

You feel confident your patient understands what continuous bladder irrigation is when he states:

a)

It is a sterile tube that is inserted into the urethra and drains urine.

b)

It will be used to flush fluid through a catheter into my bladder and can help prevent clot and sediment formation

c)

It is a procedure to remove kidney stones from the body when they cannot pass on their own

d)

I will receive a continuous infusion of fluid through my IV to facilitate with urination

32.

You explain to your patient that heart failure is either right sided or left sided, you cannot have both. True or False.

a)

True

b)

False