WorksheetsExam 3 SATA
Total questions: 26
Worksheet time: 20mins
The RN is caring for a patient diagnosed with iron deficiency anemia in the acute care setting. Your patient asks which menu items are going to be the most beneficial for them. You advise them to choose which of the following menu items? Select all that apply.
Hamburger with Frenchfries, and dried apricots for dessert.
Smoked salmon with kale salad and green peas.
grilled cheese sandwich with a cup of soup and ice cream.
Spaghetti with sauce, garlic bread and pudding.
Ribeye steak with creamed spinach and a baked potato.
The nurse is taking care of an 8-year-old male child with Cystic Fibrosis. During the child's clinic visit the mother asks the nurse "What complications can arise from this disease?" The most appropriate response by the nurse would be? Select all that apply.
Excessive over production of mucous.
Infertility.
Chronic diarrhea.
Dyspnea.
Diabetes.
A 20-year-old male diagnosed with cystic fibrosis, weight loss, and acute pancreatitis is admitted on your Med-Surgical Unit. As the new assigned nurse you know that which non-pharmacological interventions are best at helping mobilize secretions for your patient: Select all that apply.
Prone positioning
Percussion
Breathing and coughing techniques
Mechanical devices
Extreme exercise
A nurse is assessing a client who has a pulmonary embolism. Which of the following clinical manifestations should the nurse expect to find?
Bradypnea
Pleural friction rub
Hypertension
Diaphoresis
Tachycardia
As the registered nurse you are developing a plan of care for a patient with Tetralogy of Fallot. Select all the appropriate nursing diagnoses below that would be specific to this patient:
Risk for deficient fluid volume
Ineffective airway clearance
Activity intolerance
Failure to thrive
Risk for impaired liver function
A patient presents to the ER and is diagnosed with having a Pulmonary Embolism. Which signs and symptoms would you expect the patient to present with? Select all that apply.
tachypnea
Hypertension
Sense of impending doom
Chest pain
Bradycardia
A 73-year-old female, has been admitted to the ICU with ARDS. When the patient arrives to the unit, the nurse begins to perform a physical assessment. Which of the following are considered physical manifestations of ARDS? Select all that apply.
Dyspnea
Clubbing of nail beds
Thick and sticky Mucus
Nasal flaring
Tachypnea
The nurse is working with a patient who has iron deficiency anemia. The patient has just recently been diagnosed with this problem what would the newly hired RN want to watch for? Select all that apply.
Heart murmur
High serum ferritin levels
Check for blood in the stools
Low iron levels
high hemoglobin levels
The nurse is taking care of a patient who is suspected to have a pulmonary embolism. Which of the following interventions would be appropriate when caring for the patient? Select all that apply.
Ambulate the patient every 15 minutes to prevent stasis
Apply supplemental oxygen as needed
Position the patient in high fowlers position
Massage a red area on the back of the patients leg
Monitor abnormal lung sounds
A toddler who has a diagnosis of Tetralogy of Fallot presents to the pediatric clinic for a well child visit. The nurse knows that which of the following are signs and symptoms of Tetralogy of Fallot? Select all that apply.
Weight gain
Clubbing
Failure to thrive
Decreased coagulation
Bluish pale skin when feeding or crying
A nurse is educating a newly licensed nurse on the signs and symptoms to assess in a patient with B12 deficiency. Which manifestations should the nurse review with the new nurse? Select all that apply.
Red beefy tongue
Bradycardia
Nueropathy
Decreased serum RBC
Increased serum B12
A nurse is developing discharge education plans for a 53-year-old male who is being sent home with a prescription for Warfarin. What educational points would the nurse not include when teaching the patient? Select all that apply.
Use a soft bristle toothbrush and an electric razor.
Eat a diet that consists of plenty of green leafy vegetables.
Encourage patient to participate in contact sports.
Teach patient to monitor for signs and symptoms of bleeding.
Keep all appointments as scheduled to monitor lab values.
A 42-year-old female comes to the clinic complaining of headache, dizziness, SOB and malaise. Her husband informs you she is on Coumadin. As the nurse you recognize these manifestations as Anemia. You expect what labs to be ordered? Select all that apply.
Hemoglobin & Hematocrit
PT/INR
RBC
BMP
Vitamin B12
The nurse is caring for a patient with a suspected pulmonary embolism. The patient is going to procedure for a pulmonary angiogram, which of the following nursing considerations should the nurse expect to follow after the patient returns from procedure? Select all that apply.
Monitor strict I&O for 12 hours.
Monitor the patient frequently for bleeding.
Monitor the puncture site for hematoma formation.
Hold the patients next dose of metformin.
Maintain the patient on bedrest.
What assessment in a child with Tetralogy of Fallot would indicate that the child is having a "tet" spell? Select all that apply.
Spontaneous cyanosis
Dyspnea
Weakness
Dry cough
Syncope
The nurse is teaching a class of prospective parents about respiratory distress syndrome in newborns. Which of the following statements would alert the nurse that the mother needs further clarification? Select all that apply.
Because I have diabetes my baby will have and increased risk for respiratory distress syndrome.
If I have a scheduled cesarean section, my baby might experience respiratory distress syndrome.
Respiratory distress syndrome can occur if my baby is born with too much surfactant in his lungs that block oxygen from entering.
My baby may experience respiratory distress syndrome because I am a teenager.
If my baby is premature, he may experience respiratory distress syndrome.
A patient was newly diagnosed with aplastic anemia, prior to discharge you ensure the patient has fully understood the complications that can arise from this condition. the nurse knows that the teaching was effective when the patient states which of the following? Select all that apply.
" I will tell my family not to bring me any flowers"
" I will make sure to wear my mask when I leave the room"
"my mom is picking me up! She feels a bit under the weather, but I made sure she didn't forget her mask."
"its not necessary to isolate myself, I can be around crowds as long as I wear my mask."
"I will be sure to throw out my old toothbrush and buy a new soft bristle toothbrush."
The new graduate nurse has just received a patient being admitted for anemia. After remembering the causes of anemia the RN thinks what could be causing the anemia? Select all that apply.
Bleeding
Poor Diet
Heart Disease
Infections
Iron Deficiency
A patient is complaining of chest pain. On the bedside cardiac monitor you observe pronounce T-wave inversion. You obtain the patient's vital signs and find the following: Blood pressure 190/98, HR 110, oxygen saturation 96% on room air, and respiratory rate 20. Select-all-that-apply in regards to the MOST IMPORTANT nursing interventions you will provide based on the patient’s current status:*
A. Obtain a 12-lead EKG
B. Place the patient in supine position
C. Assess urinary output
D. Administer Nitroglycerin sublingual as ordered per protocol
E. Collect cardiac enzymes as ordered per protocol
F. Encourage patient to cough and deep breath
G. Administer Morphine IV as ordered per protocol
H. Place patient on oxygen via nasal cannula
I. No interventions are needed at this time
(a)
As a nurse you know that which statements are TRUE about tetralogy of Fallot? Select all that apply.
Tetralogy of Fallot is a cyanotic heart defect.
In this condition the heart has to work harder to pump blood to the lungs, which causes the right ventricle to work harder and enlarge.
Tetralogy of Fallot is treated only with palliative surgery.
Many patietn with this condition experience clubbing of the nails.
A young, single, primigravida who has had no pre-natal care is being assessed for iron-deficiency anemia due to her complaint of fatigue. The nurse is aware that manifestations of iron-deficiency anemia can include? Select all that apply.
Tachycardia
Lack of financial resources
bradycardia
weakness
Numbness and tingling of the extremities
A nurse working in a general surgeon office is doing a intake on a patient who complains of a palpable mass in her abdomen with pain in the mid back. The patient had a history of abdominal aneurysms. The nurse recognize what as risk factors for an aneurysm? Select all that apply.
Being a female
Hypertension
Being African American
Smoking
Being over the age of 40
You receive a new patient to your unit with a diagnosis of acute respiratory distress syndrome (ARDS). You know that ARDS can be caused by either direct or indirect injury. What would be classified as a direct lung injury? Select all that apply.
Drowning
Aspiration
Pneumonia
Drug overdose
Inhaling a toxic substance
Tetralogy of Fallot (TOF) involves which defects? Select all that apply.
1. Ventricular septal defect (VSD).
2. Right ventricular hypertrophy.
3. Left ventricular hypertrophy.
4. Pulmonic stenosis (PS).
5. Pulmonic atresia.
6. Overriding aorta.
7. Patent ductus arteriosus (PDA).
(a)
A 76-year-old female is brought to the emergency room by her daughter. She states that her Mom had a total right hip replacement about 2 weeks ago. After assessment patients is diagnosed with pulmonary emboli. What are the manifestations for pulmonary emboli?
Sharp stabbing pain on inspiration.
Tachycardia.
Hypertension.
Sense of impending doom.
Hypotension.
A newly registered nurse is discharging a patient with congestive heart failure who will be starting warfarin. The nurse realizes the patient needs additional teaching when the patient states which labs will need to be monitored? Select all that apply.
Platelets
PT
aPTT
INR
Hemoglobin & Hematocrit
