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WorksheetsRotational Quiz: Med-Ped BSN 3C-2b
Total questions: 15
Worksheet time: 10mins
Which of the following serum cholesterol excess levels significantly increases the risk of coronary artery disease?
200 mg/dl
175 mg/dl
150 mg/dl
100 mg/dl
Prolonged occlusion of the right coronary artery produces an infarction in which of the following areas of the heart?
Apical
Inferior
Anterior
Lateral
Which of the following blood tests is most indicative of cardiac damage?
Complete Blood Count
Lactate dehydrogenase
Troponin I
Creatinine Kinase
What is the primary reason for administering morphine to a client with myocardial infarction?
To sedate the client
To decrease the client’s pain
To decrease the client’s anxiety
To decrease oxygen demand on the client’s heart
What supplemental medication is most frequently ordered in conjunction with furosemide (Lasix)?
Potassium
Sodium
Digoxin
Chloride
Nurse Jao is caring for a client recovering from gastrointestinal bleeding. The nurse should:
Provide milk every 2 to 3 hours.
Make sure that the client takes food and medications at prescribed intervals.
Plan care so the client can receive 8 hours of uninterrupted sleep each night.
Monitor vital signs every 2 hours.
While monitoring a male client several hours after a motor vehicle accident, which assessment data suggest increasing intracranial pressure?
Blood pressure has decreased from 160/90 to 110/70.
Pulse is increased from 87 to 95, with an occasional skipped beat.
The client is oriented when aroused from sleep and goes back to sleep immediately.
The client refuses dinner because of anorexia.
A patient was given morphine sulfate for pain. She is sleeping and her respiratory rate is 4 breaths/minute. If action isn’t taken quickly, she might have which of the following reactions?
Wake up on her own
Asthma attack
Seizure
Respiratory arrest
Nurse Blake is caring for a male client receiving lidocaine I.V. Which factor is the most relevant to the administration of this medication?
Presence of premature ventricular contractions (PVCs) on a cardiac monitor
Increase in intracranial pressure (ICP)
Increase in systemic blood pressure
Decrease in arterial oxygen saturation (SaO2) when measured with a pulse oximeter
Nurse Whitney is caring for a client who has suffered a severe cerebrovascular accident. During routine assessment, the nurse notices Cheyne- Stokes respirations. Cheyne-stokes respirations are:
Shallow breathing with an increased respiratory rate.
Rapid, deep breathing with abrupt pauses between each breath.
Progressively deeper breath followed by shallower breaths with apneic periods.
Rapid, deep breathing and irregular breathing without pauses.
When a child injures the epiphyseal plate from a fracture, the damage may result in which of the following?
Permanent nerve damage
Bone growth disruption
Osteomyelitis
Rheumatoid arthritis
When performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. This finding is associated with:
Otogenous tetanus
Congenital heart defects
Tracheoesophageal fistula
Renal anomalies
Jenny is admitted to the med-ped ward of CHDG for diabetic ketoacidosis. Which of the following is of primary importance when caring for the child?
Evaluating the child for cardiac abnormalities
Limiting fluids to prevent aggravating cerebral edema
Monitoring and recording the child's vital signs for hypertension
Giving I.V. NPH insulin in high doses
Zoe is an 11-year-old girl diagnosed with type 1 diabetes mellitus (DM). She asks her attending nurse why she can’t take a pill rather than shots like her grandmother does. Which of the following would be the nurse’s best reply?
"The pills correct fat and protein metabolism, not carbohydrate metabolism."
"The pills work on the adult pancreas, you can switch when you are 18."
"Your body does not make insulin, so the insulin injections help to replace it."
"If your blood glucose levels are controlled, you can switch to using pills."
Hydrocortisone cream 1% is given to a child with eczema. The nurse gives instruction to the mother to apply the cream by?
Apply the cream to other areas to avoid occurrence.
Apply a thick layer of the cream to affected areas only.
Apply a thin layer of cream and spread it into the area thoroughly.
Avoid cleansing the area before the application.
