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WorksheetsNOA 56-60
Total questions: 91
Worksheet time: 8hrs 35mins
A 25-year-old female patient has sustained burns to the back of the right arm, posterior trunk, front of the left leg, anterior head and neck, and perineum. Using the Rule of Nines, calculate the total body surface area percentage that is burned?
(a)
A 68-year-old male patient has partial-thickness burns to the front and back of the right and left leg, front of right arm, and anterior trunk. Using the Rule of Nines, calculate the total body surface area percentage that is burned?
(a)
A 35-year-old male patient has full-thickness burns to the anterior and posterior head and neck, front of left leg, and perineum. Using the Rule of Nines, calculate the total body surface area percentage that is burned?*
(a)
A burn wound may be covered using the patient’s own skin.
Skin graft
Autograft
Meshed graft
Split-thickness graft
What do you do if inhalation injury is suspected?:
Start o2 therapy
Instruct the patient to begin coughing
Administer an inhaler
Get a STAT chest x-ray
What may the patient with inhalation injuries suffer from?:
carbon monoxide poisoning
Barking cough
smoke poisoning
thermal damage
Vary in size and have multiple tiny slits that allow the skin to be stretched to cover a larger area.
What is this?:
(a)
After the graft is placed, How long should the area be immobilized to permit attatchment?:
24 hours
72 hours
3-7 days
6 weeks
A patient had a deep skin biopsy. How should the nurse respond to the patient’s concern about postprocedure care?
"An appointment will be made for you to return for suture removal."
“The area must be examined at intervals beginning 48 hours after the procedure.”
“No postprocedure care is required, and the results will be available immediately.”
“Be prepared to spend a minimum of 1 night in the hospital.”
A patient presents with a Stage 3 pressure ulcer to the sacrum. The wound has a large amount of exudate. What type of dressing would be utilized for this type of wound?
Absorptive
Occlusive
Wet
Dry
The LVN/LPN is preparing to change a dressing on a patient with negative pressure wound therapy. Which of these is the most important nursing intervention?
Cleanse the wound with normal saline.
Apply a transparent adhesive dressing.
Medicate the patient about 1 hour before the procedure.
Check the suction canister for drainage.
The nurse is determining the presence of jaundice in a dark-skinned patient. Observation of which areas would assist in the visual evaluation? (Select all that apply.)
Helix of the ear
Soles of feet
Oral mucous membranes
Palms of hands
Absence of seborrheic keratosis
Which of these is a general term used to document a wound, sore, tumor, or other tissue damage?
Patch
Papule
Lesion
Nevi
An older adult patient is admitted to the hospital with multiple large, purplish bruises on the arms. When questioned further, the patient states “these happen when I barely bump into something”. How are these lesions documented?
Lentigines
Potential elder abuse
Senile angiomas
Senile purpura
A patient presents for a shave biopsy of a skin lesion on the shoulder. What type of excision is done with this procedure?
A wedge of tissue is removed with an incision
Deep surgical excision
Specimen obtained from the dermis with a scalpel
Shallow excision using a circular tool
The LVN/LPN is conducting an assessment on a patient with anxiety and notes that the patient has white lips, mucous membranes, and nail beds. How is this documented?
Cyanosis
jaundice
pallor
Erythema
An older adult patient is complaining about her wrinkled skin. How could the nurse explain this occurrence to her?
“This is caused by increased dryness of your skin as you age.”
“This is caused by thinning of the skin and degeneration of elastin fibers.”
“You have less melanin as you age.”
“This is caused by decreased production of vitamin D.”
A patient with a minor skin infection has orders to apply which of these topical medications?
Acyclovir (Zovirax)
Septal perforation hydrocortisone (Cortizone)
Bacitracin and polymyxin B (Polysporin)
Silver sulfadiazine (Silvadene)
An obese patient is admitted with intertrigo between the abdominal skinfolds. The physician treats the patient for the presence of C. albicans. Which interventions are used for this condition?
Apply cornstarch to skinfolds after bathing.
Keep tissue soft with the use of baby oil.
Apply wet soaks using iodine solution.
Apply antifungals and corticosteroids as ordered.
A woman of childbearing age is to begin taking Soriatane. Which instructions should the patient receive concerning this medication?
Avoid extreme temperatures while taking this medication.
The medication may increase the risk for lymphomas.
No reliable drug studies have been completed concerning the use of this medication during pregnancy.
Use reliable contraception during therapy and for 3 years after therapy with Soriatane.
The nurse is caring for a patient who sustained a burn injury 1 week ago and has been transferred to the nursing unit. The patient has a bounding pulse and hypertension. This would signify which condition?
hypoxia
Fluid volume excess
infection
hypovalemia
Which of these are accurate descriptions of basal cell carcinomas? (Select all that apply.)
Pearly appearance
Treated with surgical excision
Rapid growth and tend to metastasize
Related to sun exposure
A patient reveals the use of angelica as an alternative therapy. Which instruction should the nurse provide for this patient?
No known side effects have been noted.
The agent requires the use of an occlusive dressing.
The agent causes skin atrophy.
The agent can cause a skin rash if a patient is exposed to sunlight.
Patients who are pregnant, malnourished, immunosuppressed, or taking antibiotics are among those who are at risk for which condition?
Psoriasis
Acne
Fissures
Candidiasis
A patient is being treated with intravenous amphotericin B for a severe fungal infection. This drug treatment is highly toxic to which body system?
Renal
Cardiovascular
hepatic
mucoskeletal
A patient has received an order for ketoconazole (Nizoral). The nurse knows that this medication is used for which purpose?
To treat an overgrowth of keratin
To treat a viral infection
To treat bacterial infection
To treat a fungal infection
The nurse is working in the postoperative area and just received a patient recovering from a blepharoplasty. For which possible complications should the nurse monitor? (Select all that apply.)
Temporary or permanent facial nerve damage
Hematoma
Phlebitis
Corneal injury
Which of these are accurate descriptions of basal cell carcinomas? (Select all that apply.)
Pearly appearance
Treated with surgical excision
Rapid growth and tend to metastasize
Related to sun exposure
A patient with liver dysfunction is seen in the clinic. What does the nurse expect to note during the examination of the eye?
Macula
Scotomata
Icterus
Arcus senilis
The nurse observes an adult patient in self-administration of eardrops. Which action by the patient indicates the need for more teaching?
The patient lies down with the affected ear up after administering drops.
The patient holds the dropper near the opening of the canal during administration.
The patient warms the drops to body temperature before administration.
The patient pulls the auricle down and back during administration.
The patient with a hearing aid asks the nurse to repeat questions multiple times. Which is the nurse’s priority intervention?
Soak the hearing aid in normal saline.
Irrigate the canal with normal saline.
Change the hearing aid battery.
Check the hearing aid’s placement.
The LPN is collecting assessment data on a patient complaining of seeing double. How is this documented?
Hyperopia
Scotomata
Photophobia
Diplopia
A patient is treated with mydriatic drops for an ophthalmologic examination in the clinic. What does the nurse tell the patient to do after the exam?
advise patient to drive carefully if visual acuity is poor.
Observe for greenish urine.
Maintain bed rest for 4 hours.
Wear sunglasses because the eyes will be sensitive to light.
A patient comes to the clinic complaining of visual disturbances. Which medications would the nurse suspect are most likely related to the disturbances? (Select all that apply.)
Digitalis (Lanoxin)
Sulfisoxazole (Gantrisin)
Cimetidine (Tagamet)
Indomethacin (Indocin)
A severely stressed patient is being seen in the clinic. What should the nurse expect to notice upon assessment of the eye?
Contracted iris and constricted pupil
Relaxed iris and dilated pupil
Contracted iris and dilated pupil
Relaxed iris and constricted pupil
A patient who had eye surgery on the right eye is being discharged from the hospital. What statement made by the patient would suggest that patient education has been effective?
"I am excited that I will be able to go bowling this weekend.”
“I have been straining trying to have a bowel movement.”
“It is okay for me to rub my eyes if I get something in them.”
“I will make sure to sleep on my left side for a little while.”
During a teaching session, a patient frequently asks the nurse to repeat questions. What is the best action by the nurse?
Shout loudly in patient's ear.
Use exaggerated facial expressions.
Place a bright light behind you.
Speak slowly in lower tones.
The nurse is conducting an admission assessment on a patient with bulging eyes. What medical history is suspected in this patient?
Hypertension
Hyperthyroidism
Liver failure
Diabetes
What is the leading cause of blindness worldwide?
Retinal detachment
Macular degeneration
Cataracts
Glaucoma
An older adult patient with chronic asthma was recently diagnosed with open-angle glaucoma. What drug order received from the health care provider would the nurse question?
Betaxolol (Betoptic)
Timolol (Timoptic)
Brimonidine (Alphagan)
Levobetaxolol (Betaxon)
A patient comes into the clinic complaining of inflammation of the eyelids. The nurse suspects that the patient is experiencing which disorder?
Chalazion
Hordeolum
Blepharitis
Stye
A patient who had keratoplasty of the left eye 1 week ago comes in for a follow-up appointment complaining of redness, swelling, increased light sensitivity, and pain. Which patient statement indicates the need for further education on postoperative care?
“I must immediately notify the health care provider of these signs and symptoms.”
“These are normal signs and symptoms related to keratoplasty.”
“Corticosteroid drops usually help prevent the risk for rejection.”
"These are signs and symptoms of a rejection of the corneal graft.”
The nurse is caring for a patient who has sustained a traumatic facial injury. The patient begins to complain of sudden flashes of light accompanied by cloudy vision. What is the likely cause?
Astigmatism
Glaucoma
Retinal detachment
Macular degeneration
The LPN is assisting with admission and needs to have the patient sign forms. The patient requests their glasses and states they cannot see images that are close. Which condition does this patient have?
Hyperopia
Astigmatism
Myopia
Presbyopia
The LPN is caring for a patient after cataract surgery. What is the most important nursing intervention in the care of the postoperative cataract patient?
Maintain bed rest for 12 hours.
Have the patient use caution when driving home.
Prevent strain on the operative side.
Have the patient reinsert contact lenses after 1 hour.
An older adult patient with a cloudy lens is scheduled for keratoplasty. What preoperative medication should the nurse expect to be ordered by the health care provider?
Mydriatic agent
Topical corticosteroid
Systemic antimicrobial agent
Miotic agent
A patient is prescribed brinzolamide (Azopt) ophthalmic solution for the treatment of glaucoma. The nurse educates the patient about which side effect?
Bitter taste
Increased urine output
Tingling of fingers
Sore throat
The nurse is preparing a patient for a stapedectomy. Which information will the nurse include in the patient’s preoperative teaching?
Vertigo and nausea may occur after surgery.
Tinnitus is common for weeks after surgery.
Change the sterile packing and dressing daily.
Hearing will return immediately after surgery.
What is the most common cause of obstruction of the external ear canal?
Insects
Impacted cerumen
Foreign body
Swimmers ear
A patient is complaining of malaise, headache, and soreness behind one ear. The nurse notes redness and swelling upon assessment. What condition does the nurse suspect based on this information?
Foreign body
Otitis media
Labyrinthitis
Mastoiditis
The nurse is caring for a patient with Ménière disease. Which symptoms would the nurse expect to observe in this patient? (Select all that apply.)
Nausea
Tinnitus
Vertigo
Pallor
A patient with Ménière disease is experiencing severe vertigo. Which instruction should the nurse give to the patient to assist in controlling the vertigo? (Select all that apply.)
Lie still and watch television.
Increase daily fluid intake.
Avoid sudden head movement.
Decrease sodium in the diet.
A patient tells the nurse, “My ears are ringing.” The nurse reviews the patient’s medication list and determines which drug may be causing this?
Warfarin (Coumadin)
Meperidine (Demerol)
Acetaminophen with codeine (Tylenol with Codeine)
Furosemide (Lasix)
A patient who swims regularly has been diagnosed with external otitis. Which instructions should the nurse include when educating the patient?
Irrigate the ears with warm water.
Avoid placing eardrops on the ear wick.
Use ear buds while jogging.
Use ear plugs while swimming.
A child is brought into the emergency department with an upper respiratory infection, fever, and a painful ear. What does the nurse expect the patient to be treated for?
Otitis media
Labyrinthitis
Impacted cerumen
Otitis externa
A patient with chronic swimmers ear is taught measures to avoid exacerbation. Which of these does the LPN tell the patient to do?
Use a drying agent after swimming or bathing.
Dry the ear canal with cotton-tipped applicators.
Wear earplugs when sleeping.
Consult a surgeon to have ear tubes placed.
The patient with an upper respiratory infection complains of vertigo and nausea. What does the nurse suspect with these symptoms?
Labyrinthitis
Mastoiditis
Otitis media
Foreign body
IOP is increased above normal.
Cataracts
Glaucoma
Conjunctivitis
Macular Degeneration
When the lens of the eye becomes opaque (i.e cloudy) it is no longer transparent.
Glaucoma
Cataracts
Retinal detatchment
Enucleation
What symptoms should the LPN tell the patient who was diagnosed with Cataracts to expect?:
Ghost images/floaters
Cloudy vision
Seeing spots
Blindness
What's this?
(a)
What is this?:
(a)
If the patient is prescribed 2 eyedrops. How long should you wait in between?:
10 minutes
1 minute
5 minutes
You don't need to wait.
How long should you or the patient apply gentle pressure to the lacrimal sac at the inner canthus of the eye after administering eye drops?:
30 seconds
15 seconds
1 minute
5 minutes
Dilate pupil. Used before examinations and uveitis.
Meclizine
cyclopentolate eye drops
Mydriatics
Miosis
Prevent or treat nausea and vomiting and motion sickness.
Acetaminophen
Pepto Bismol
Meclizine
Epinephrine
Treatment of chronic open-angle glaucoma.
Timolol
Latanoprost
Epinephrine
silver sulfadiazine
Increases aqueous outflow in open-angle glaucoma and ocular hypertension.
Epinephrine
silver sulfadiazine
Latanoprost
corticosteroids
Dilate pupil. Used in open-angle glaucoma. Decrease corneal congestion. Control hemorrhage.
corticosteroids
Miotics
Mydriatics
Epinephrine
Prevent/treat wound infections in patients with second and third-degree burns.
Mydriatics
silver sulfadiazine
Miotics
naproxen
Prevent redness and swelling caused by inflammation from causes other than a bacterial infection. For short-term use only.
corticosteroids
Icy-hot
Biofreeze
Florasone
Constrict pupils.
Miotics
Mydriatics
Dilate pupils.
Mydriatics
Miotics
What should the nurse be on alert for when assessing a burn victim?
hypoxia
excess fluid volume or deficient fluid volume
hypovolemia
infection.
What are possible behaviors you may see in a patient with a hearing deficit?:
Speech deterioration slurring or dropping ends of words
Pain from wearing hearing aids
Social withdrawal afraid to participate in social activities
depression from mental disability.
Suspiciousness - fear that people are talking about them because of the inability to hear the entire conversation
When caring for a client who is visually impaired, what are the best techniques for communication? Select all that apply.
Avoid using words such as "see" or "look"
Explain where items are on the diet tray
Provide a visual description of the room
Speak clearly and loudly to the client
Touch the client's arm when communicating
Which of the following should you not do when taking care of a patient who has difficulty hearing?:
Speak loudly in their good ear.
Provide adequate lighting directed toward your face.
Do not eat, smoke, or chew gum if the patient reads lips.
Ensure that the patient knows you are present. Try to move in the patient’s line of vision.
Your patient is being treated for open-angle glaucoma. What assessment finding is NOT typically present with this type of glaucoma?
Tunnel vision
Cloudy vision
Optic disc cupping
High intraocular pressure
What signs and symptoms are present with angle-closure glaucoma? Select all that apply:
Sudden vision changes (halos around lights or blurred vision)
No pain
Patients are mainly asymptomatic
Red eyes
Severe eye pain
Difficulty reading
Changes in color vision ( colors look faded or yellow)
One of the earliest symptoms is seeing a halo around lights
Glaring of objects in bright lights
Distortion of objects
Blurred vision
Poor night vision
Double vision in one eye
Glaucoma
Cataracts
Retinal detatchment
The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which of the following is associated with this eye disorder?
Pain in the affected eye
Total loss of vision
sense of a curtain falling across the field of vision
A yellow discoloration of the sclera.
Which of the following symptoms would occur in a client with a detached retina?
Flashing lights and floaters
Homonymous hemianopia
Loss of central vision
Ptosis
True or False: Basal and squamous cell carcinoma are both considered nonmelanoma types of skin cancer.
TRUE
FALSE
Identify the patients below who are at a HIGH risk for developing skin cancer. Select all that apply:
A 22-year-old female who reports using a tanning bed three times per week.
A 55-year-old male with dark skin that reports always wearing sunscreen while outdoors.
A 35-year-old female with light-colored skin and eyes that reports frequent sunburns as a child.
A 29-year-old who reports a family history of melanoma.
What's this?
Melanocytes
Basal cells
Squamous cells
What's this?
Squamous cells
Basal cells
Melanocytes
What's this?
Melanocytes
Squamous cell
Basal cell
What needs to be included in Patient teaching regarding skin cancer prevention:
Always use sunscreen SPF of at least 15, higher is better if sunburn easily (reapply Q2H)
Avoid prolonged sun exposure between 10 am and 4 pm; avoid artificial tanning.
Use a lip balm with sunscreen, wear a hat with a wide brim and cover the back of the neck; stay in shade; wear tightly woven, loose-fitting clothing
Apply sunscreen q5h
Commonly called shingles. The first symptoms are pain, itching, and heightened sensitivity along a nerve pathway, followed by the formation of vesicles.
Lesions typically last approximately 2 weeks.
The infection is contagious to people who have not had previous exposure to the virus.
Treated with antivirals.
Herpes zoster
Herpes simplex
HIV
Dematitis
Characterized by scaly, dermal patches caused by overproduction of keratin. Can occur at a rate up to seven times the rate of normal cells. Thought to be autoimmune has periods of exacerbations and remissions. Affects both men and women, the onset is young and middle adulthood.
The classic sign is the appearance of bright-red lesions that may be covered with silvery scales
It May affect a limited body area or maybe extensive
Risk factors: Infections, Skin trauma, Genetics, Stress, Seasons, Hormones, Medications, Obesity, Female sex
Dermatitis
Pruritis
Dermatitis
Psoriasis
Which of the following is not a function of the skin?
Synthesis of vitamin D
Secretion of hormones
Blood reservoir
Body temperature regulation
