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Worksheets

335 Review

Total questions: 36

Worksheet time: 35mins

Name
Class
Date
1.

While assessing a client recently diagnosed with rheumatoid arthritis, the nurse should focus the assessment on the severity of:

a)

Deformed joints of the hands limited motion of the joints

b)

Limited motion of the joints

c)

Early morning stiffness

d)

Rheumatoid nodules

2.

Your pt is taking furosemide. What do you need to assess before giving the medication?

4 lines
3.

Metoprolol is a ______ drug and the RN needs to assess for_____?

4 lines
4.

A nurse is providing health teachings regarding antiplatelet medications. Which of the following is not true regarding the use of this medication?

a)

Antiplatelet medications cannot be used with anticoagulants.

b)

Take the medication with food to prevent gastrointestinal upset.

c)

A routine bleeding time is monitored during the therapy.

d)

Antiplatelet medication inhibits the aggregation of platelets in the clotting process, thereby prolonging bleeding time.

5.

Which intervention for a patient with a pulmonary embolus could be delegated to the LPN on your patient care team?

a)

Auscultate lung sounds

b)

Review lab results

c)

Call the provider

d)

Initiate heparin drip

6.

A client has a history of chronic renal failure and received hemodialysis treatments three times per week through an arteriovenous (AV) fistula in the left arm. Which of the following interventions is not included in this client’s plan of care?

a)

Assess the AV fistula for a bruit and thrill

b)

Keep the AV fistula site dry

c)

Teach the patient about the fistula

d)

Take the blood pressure in the left arm

7.

Which of the following clients is at greatest risk for developing acute renal failure?

a)

A client with diabetes who had a heart catheterization

b)

A pregnant woman who has a fractured femur

c)

A teenager who has an appendectomy

d)

A dialysis client who gets influenza

8.

A client with osteoarthritis states that her friend with rheumatoid arthritis takes steroid pills for his condition, and asks why she is not prescribed these pills. Which of the following would be the best explanation by the nurse?

a)

Oral corticosteroids pills can be used for osteoarthritis

b)

Osteoarthritis and rheumatoid arthritis are similar conditions

c)

Corticosteroid injections in the joints are used to treat osteoarthritis

d)

Osteoarthritis is treated by using a systemic effect which means it goes throughout th body

9.

A client arrives in the emergency with complaints of chest pain and is diagnosed with acute MI. A morphine 4mg IV was given 5 minutes ago. Which of the following assessments made by the nurse indicates a further immediate action?

a)

BP 88/48

b)

Pain 2/10

c)

Resp 22

d)

c/o abd pain

10.

A client is diagnosed with chronic renal failure and told she must start hemodialysis. Client teaching would include which of the following instructions?

a)

There will be no lifestyle changes.

b)

Stick to your dialysis schedule as directed by provider.

c)

Direct phlebotomy to draw from the fistula.

d)

You will get a shunt put in your abdomen for dialysis.

11.

Steroids may cause (a)   in pts with or without diabetes?

12.

A nurse is giving discharge instructions to a patient who is taking Synthroid (levothyroxine). The nurse instructs the client to notify the physician if which of the following occurs?

a)

Tremors

b)

Muscle cramps

c)

Cold intolerance

d)

Coarse, dry hair

13.

Desmopressin acetate (DDAVP) is given to a patient with diabetes insipidus. Which of the following therapeutic response should you expect?

a)

Decreased attention span

b)

Decreased blood sugar

c)

Decreased urinary output

d)

Decreased blood pressure

14.

Viagra (sildenafil) is given to a patient with erectile dysfunction. Which of the following history is contraindicated with the medication?

a)

Use of vitamins

b)

Use of nitrates

c)

Blurred vision

d)

Neuralgia

15.

A major side effect of insulin use that can be life threatening is:

(a)  

16.

Signs of hypoglycemia include:

a)

Diarrhea, itching, hypertension

b)

C. Anxiety, weakness, pallor, sweating

c)

Fruity breath, thirst, flushed skin

d)

Muscle ache, fever, thirst

17.

Name an ototoxic drug.

4 lines
18.

captopril is a ______ drug

a)

beta 2 adrenergic

b)

ARB

c)

ACE inhibitor

d)

Nitrate

19.

When a client is experiencing diabetic ketoacidosis, the insulin that would be administered is:

a)

Human regular insulin

b)

Insulin glargine injection

c)

Human NPH insulin

d)

Insulin lispro injection

20.

A nurse is caring for a client admitted to the ER with DKA. In the acute phase the priority nursing action is to prepare to:

a)

Administer 5% dextrose intravenously

b)

Apply an electrocardiogram monitor

c)

Correct the acidosis

d)

Administer regular insulin intravenously

21.

Cris, with a history of chronic infection of the urinary system, complains of urinary frequency and burning sensation. To figure out whether the current problem is of renal origin, the nurse should assess whether the client has discomfort or pain in the

a)

Suprapubic area

b)

Pain in the labium

c)

Right or left costovertebral angle

d)

Urinary meatus

22.

A client has 15% blood loss. Which of the following nursing assessment findings indicates hypovolemic shock?

a)

Pulse rate less than 60 bpm

b)

Pupils unequally dilated

c)

Systolic blood pressure less than 90mm Hg

d)

Respiratory rate of 4 breath/min

23.

List the 6 P's

4 lines
24.

The nurse is aware the early indicator of hypoxia in the unconscious client is:

a)

Restlessness

b)

Increased respirations

c)

Hypertension

d)

Cyanosis

25.

Persons with lupus are generally encouraged to do the following except

a)

Avoid sun

b)

Get adequate sleep

c)

Stay sedentary

d)

Get immunizations

26.

Sign and symptoms of fibromyalgia.

a)

GERD

b)

Widespread pain

c)

Extreme thirst

d)

Muscle wasting

27.

You are caring for a patient with a gunshot wound. As a result of the patient’s Coumadin therapy, the prothrombin time is twice the normal amount. Which blood product do you expect the physician to order?

a)

Crystalloids

b)

Platelets

c)

Fresh frozen plasma

d)

PRBCs

28.

Types of incontinence include

(a)  

29.

A client with urolithiasis is scheduled for extracorporeal shock wave lithotripsy (ESWL). The nurse assesses to ensure that which of the following items are in place or maintained before sending the client for the procedure?

a)

signed informed consent, NPO status, and an IV lined.

b)

NPO status and a foley catheter

c)

signed informed consent and clear liquid restriction preprocedure

d)

IV line and a foley catheter

30.

Main cause of bladder cancer (a)  

31.

Assessment for a CVA include ______

4 lines
32.

Test completed asap when a stroke is suspected

4 lines
33.

Chronic bronchitis is caused by

a)

Air trapped in the alveoli

b)

Excess mucous

c)

Inflammation of bronchus

d)

Air trapped in the pleural space

34.

The nurse should visit which of the following clients first?

a)

The client with hypertension being maintained on Lisinopril

b)

The client with Raynaud’s diseased

c)

The client with diabetes with a blood glucose of 95mg

d)

The client with chest pain and a history of angina

35.

Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

a)

Take prescribed anti-inflammatory medications with meals.

b)

Avoid weight-bearing activity

c)

Avoid exercise because it fatigues the joints.

d)

Avoid exercise because it fatigues the joints.

36.

When educating a patient about managing gout, the nurse recommends that the patient avoid foods high in purine. What are the foods that the patient should limit.

a)

Watermelon

b)

Liver

c)

Bananas

d)

Broccoli