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WorksheetsNRS
Total questions: 48
Worksheet time: 33mins
Dyspnea- first actions
Provide oxygen
Elevate HOB
Check vitals
Auscultate lungs
Bronchoscopy procedures
Monitor respiratory status
Assess gag reflex
Fever
Sore throat is normal
Administered oxygen
Interventions for COPD
Administered 5 L of oxygen
Group personal activities together
Check gag reflex
Check for hyperoxia
TB skin test exposure
10 mm bump
Cool to the touch
No bump is present
5-6 mm bump
What medicine can adverse the effects of opioids in respiratory clients
Ibuprofen
Naloxone
Mophine
Furosemide
Suctioning a client
Suction for 20 seconds
Rotate suction
Hyperoxygenate before procedure
Suction down and up
What underlying diagnosis puts this patient at increased risk for pneumonia?
COPD
Hypercholesterolemia
HTN
GERD
What, in this patient's history, may be contributing factors to his SOB? (SELECT ALL THAT APPLY)
Hypertension
Left sided heart failure
right sided heart failure
COPD
NKDA
AB experiences a sudden hypoxic episode when ambulating. His O2sat drops to 82% on 2 L NC and his respiratory rate increases to 40 bpm.
During the hypoxic episode, what would be the priority nursing intervention?
Administer pain medication and call the pharmacist.
Start another IV and call the nurse manager.
Administer additional oxygen via a non-rebreather mask and call the physician.
Reassure the patient and family.
The physician orders furosemide 40 mg IV daily. Available is a vial containing 20mg/ml. How many ml will the nurse administer?
4ml
2ml
1ml
0.5 ml
When someone has swelling in their leg, they have
anemia
high blood pressure
low blood sugar
edema
The medical word for high blood pressure is
Hypertension
Hypercapnea
Hyperbolic
Hyperthyroidism
A CHRONIC condition is one that lasts
for a short time.
until next year
a lifetime
for 2 weeks
A Myocardial Infarction is a
brain bleed
stroke
broken arm
heart attack
A nurse provides education to a client who is 1 day postpartum about receiving a rubella vaccine. Which of the following instructions should be included.
breastfeeding is not recommended
an allergy to peanuts is a contraindication
a method of contraception is required for the next weeks
contact the provider if the injection site is sore within 24 hours.
While assessing a 29 y/o G2 P2 who had a normal Spontaneous vaginal delivery 30 minutes ago, the nurse notes a large amount of red vaginal bleeding. What would be the first priority nursing action.
check V/S
notify the HCP
firmly massage the uterine fundus
put the baby to breast
The nurse in a newborn nursery is monitoring a preterm infant for respiratory distress syndrome. Which assessment findings should alert the nurse to the possibility of this syndrome. Select all that apply.
Cyanosis
Tachypnea
Hypotension
Retractions
Audible grunts
On assessment of a postpartum client, the nurse notes that the uterus feels soft and boggy. The nurse should take which initial action?
document the findings
elevate the clients legs
massage the fundus until its firm
push on the uterus to assist in expressing clots
A postpartum client is diagnosed with cystitis. The nurse should plan for which priority action in the care of the client?
providing sitz baths
encouraging fluid intake
placing ice on the perineum
motioning H&H levels
A nurse is instructing a client on the use of an incentive spirometer. Which statement by the client indicates understanding?
I will place the adapter on my finger to read my blood oxygen saturation level
I will lie on my back with my knees bent
I will rest my hand over my abdomen
I will take in a deep breath and hold it before exhaling
A nurse is caring for a client who just experienced a generalized seizure. What action should the nurse preform first?
Keep the client in a side-lying position
Document the duration of the seizure
Reorient the client to the environment
Provide client hygiene
A client tells the healthcare provider, "My leg itches." The complaint of itching is considered to be __________ data.
subjective
objective
The nurse reviews the arterial blood gas results of an assigned client and notes that the laboratory report indicates a pH of 7.30, PCO2 of 58 mm Hg, PO2 of 80 mm Hg, and HCO3 of 27 mEq/L. The nurse interprets that the client has which acid-base disturbance?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
A client who is positive for human immunodeficiency virus (HIV) delivers a newborn infant. The nurse provides instructions to help the client with care of her infant. Which client statement indicates the need for further instruction?
“I will be sure to wash my hands before and after bathroom use.”
“I need to breast-feed, especially for the first 6 weeks postpartum.”
“Support groups are available to assist me with understanding my diagnosis of HIV."
“My newborn infant should be on antiviral medications for the first 6 weeks after delivery.”
APGAR score is said to be normal if the baby is in this state
d. Appearance :
extremities blue
Pulse : above 100
Grimace : vigorous cry
Activity : limp
Respiration : slow
c. Appearance :extremities blue
Pulse : below 100
Grimace : grimace
Activity : limp
Respiration :slow
b. Appearance :
pale
Pulse : absent
Grimace : absent
Activity : limp
Respiration : absent
Appearance : extremities blue
Pulse : above 100
Grimace : vigorous cry
Activity : active motion
Respiration : crying
What are included hormones that produced in
the placenta?
HGH, HCL, HCG, progesterone
Dopamine, adrenaline, insulin, HGH
Progesterone, estrogen, testosterone
Progesterone, estrogen, HCL, HCG
A newborn’s one minute APGAR score is 8. Which of the following nursing interventions will you provide to this newborn?
Some resuscitation assistance such as oxygen
Continue to monitor and reassess the APGAR score in 10 minutes
Full resuscitation assistance is needed and reassess APGAR score
Routine post-delivery care
What is the phase that starts with true labor starts up to 4 cm in cervical dilation?
Labor phase
Transition phase
Active phase
Latent phase
A nurse is caring for a client in labor. The nurse determines that the client is beginning in the 2nd stage of labor when which of the following assessment is noted?
The contractions are reguler
The membrane have ruptured
The cervix is dilated completely
The client begins to expel clear vaginal fluid
Downward movement of the fetal head into the birth canal is…
Extension
Flexion
Descent
Engagement
If the fetal presentation is at -3, -2, -1 then the fetus is already in the mother's body in the ...
At spines
Above spines
Below spines
On perineum
The nurse is performing an initial assessment on a newborn infant. When assessing the infant’s head, the nurse notes that the ears are low-set. Which nursing action is most appropriate?
Document the findings.
Arrange for hearing testing.
Notify the health care provider.
Cover the ears with gauze pads.
The charge nurse evaluates the care provided by a new RN for a client receiving mechanical ventilation (MV). Which action by the new RN indicates the need for further education?
Administers morphine to relieve anxiety and restlessness
Applies suction when inserting the catheter into the airway
Increases O2 concentration on the MV before suctioning
Suctions when MV high-pressure alarm continues to sound and rhonchi are present
A client admitted to the cardiac care unit with markedly elevated blood pressure and heart failure is receiving a continuous infusion of nitroprusside (vasodilator). Thirty minutes later, the client appears pale with cold, clammy skin and reports being lightheaded. Which is the PRIORITY nursing action?
Auscultate the client's lungs
Check the client's cap refill
Measure the client's blood pressure
Review the clients ECG
A nurse is providing education to a client who is to undergo an electroencephalogram (EEG) the next. What information should the nurse include?
Do not wash your hair the morning of the procedure
Try to stay awake most of the night prior to the procedure
The procedure will take approximately 15 minutes
You will need to lie flat for 4 hours after the procedure
A nurse is caring for a client who just experienced a generalized seizure. What action should the nurse preform first?
Keep the client in a side-lying position
Document the duration of the seizure
Reorient the client to the environment
Provide client hygiene
What does RN stand for?
Runny Nose
Registered Nurse
Registered Narwhal
Random News
Health Promotion and Maintenance 177
Which of the following substances is detected in a home pregnancy test giving a positive result?
Estrogen
Progesterone
Human chorionic gonadotropin (hCG)
Follicle-stimulating hormone (FSH)
What structure in the kidneys filters the blood?
Ureters
Nephrons
Bladder
Urethra
What are treatment options for someone with kidney failure?
Hemodialysis
Peritoneal dialysis
Kidney transplant
All of the answers are correct
UTIs are most common in
men
women
What is another word for stone?
Calculus
Geometry
Algebra
Calcium
What is one way to prevent UTIs from occurring?
Drink more coffee
Wipe from back to front
Wipe from front to back
Wear rayon undergarments
What term means scanty urine?
anuria
polyuria
oliguria
hematuria
What can cause anuria?
UTI
KUB
Kidney failure
Diabetes insipidus
If someone has hematuria, they are experiencing
pus in the urine
blood in the urine
glucose in the urine
urea in the urine
What is a symptom of a UTI?
dysuria
dyspepsia
dysphagia
dyspnea
What is the function of the kidneys?
Filter blood to distribute proteins.
Filter blood to remove waste.
Help your urethra.
All of them.
