WorksheetsFinal Exam
Total questions: 90
Worksheet time: 45mins
A colonoscopy would be considered which level of cancer prevention?
primary
secondary
tertiary
If a patient is post-op thyroidectomy, what lab value should the nurse monitor?
Calcium
Magnesium
Sodium
Potassium
A patient present with alcoholism and bruising in the flank area, which of the following would the nurse expect to see? Select all that apply
hypomagnesemia
pancreatitis
hyperphosphatemia
Cholecystitis
If a patient has a moon face and buffalo hump, what would then nurse expect for the patient to be diagnosed with?
Cushing's syndrome
Addison's disease
Hyperthyroidism
SIADH
A patient with metastatic cancer has the following lab values which is concerning as an emergency?
Potassium of 3.5
Calcium of 13.8
Magnesium of 2.0
Calcium of 9.0
A patient diagnosed with hyperthyroidism is inquiring about what diet to eat, what would the nurse educate for this patient?
small frequent meals, low calories and high fiber
High fat diet
small frequent meals, high calories and protein
intermittent fasting
Which signs and symptoms indicate Diabetic Insipidus?
Headache
Increased serum sodium
Hypertension
abdominal discomfort
A patient is diagnosed with type 1 diabetes, how should the nurse ensure education for blood glucose monitoring and administration of insulin?
Show the patient a video
Have the patient return demonstration of both actions
give the patient and family member a handout
ask the CNA to teach the patient how to check their own blood glucose
A nurse is caring for a patient with hypocalcemia and tetany, what would the nurse expect to administer?
Calcium gluconate IV
Potassium IV bolus
Magnesium oxide IV
Phosphorus
Which lab values indicate a diabetic is well-controlled?
Fasting blood glucose of 90 and HgA1c of 12
Fasting blood glucose of 88 and HgA1c of 6
Random blood glucose of 230 and HgA1c of 10
HgA1c of 9
A patient is admitted for a peptic ulcer exacerbation, what is the nurses first priority?
Administer 4 tums
assess the patient's abdomen and take an initial set of vitals
have the patient give a urine sample
administer activated charcoal
A 52-year-old female patient was diagnosed with cholecystitis, what meal should the patient avoid?
3 piece fried chicken dinner from popeyes with french fries and strawberry lemonade
A steak, rice and avocado bowl from Chipotle with water
Chicken salad chick croissant with grapes with water
Chicken caesar salad from panera with apples with water
An adolescent is admitted with RLQ pain and possible appendicitis, what is the nurse's priority concern?
malnutrition
constipation
infection from rupture
acute pain
A client with peptic ulcer disease is having increased abdominal pain, what is the patient at risk for?
cholecystitis
urinary tract infection
gastrointestinal perforation
appendicitis
Which lab value would indicate SIADH?
increased serum sodium
decreased serum sodium
decreased GFR
increased serum potassium
A client is suspected of having DKA, which insulin would you administer IV?
NPH
insulin aspart
insulin lispro
regular insulin
A patient with hypocalcemia would have which of the following
Trousseau's sign
Homans sign
fluid restriction
Acne
A patient is post-op day one with a new stoma, it is bright red with a scant amount of blood, what would be the nurses next step be?
call a rapid response
notify the wound ostomy continence nurse STAT
notify the provider
this is an expected finding, the nurse should document in the patient's electronic health record
A home health care nurse is educating a patient on how to care for their gastrostomy tube, what would indicate the patient has an understanding.
I don't have to flush my tube if I have a continuous feed going
I will flush my tube with water before and after medications
I will flush my tube once a day with coca cola
I only need to flush my tube once a week
A nursing instructor is educating a group of clinical students regarding complications of TPN, and what the nurse would assess for, which of the following is the appropriate assessment?
listening to heart sounds
listening to bowel sounds
bladder scan
checking blood glucose
What medication is used to treat hypothyroidism?
Tapazole
Vasopressin
Levothyroxine sodium
Famotidine
A patient presents to the ED with diverticulitis and left lower quadrant pain, two hours later he develops "excruciating pain," and the nurse assesses a board like abdomen. What is the priority action of the nurse?
position the patient supine
administer a proton pump inhibitor
notify the provider
increase the IV fluids
A patient just had an EGD diagnostic procedure, what is the priority intervention for the patient post procedure?
make sure the patient passes flatulence
Make sure the patient urinates
Keep the patient NPO until the gag reflux returns
allow the patient a snack
An LPN is caring for a patient with cirrhosis of the liver. Which of the following finding should he report to the provider?
Respiratory rate of 16
heart rate of 69
Sp02 of 96% on room air
change in cognition
A patient's potassium is 2.6 meq/L. the nurse knows that potassium will be administered via IV pump
True
False
A patient with Addison's disease would have which of the following clinical manifestations? select all that apply.
muscle weakness
hyperpigmentation
anorexia
hypertension
A patient with hypocalcemia will display which of the following clinical manifestations?
tingling and numbness in the fingertips
diarrhea
constipation
ringing in the ears
A newly diagnosed diabetic should be educated on checking blood glucose, sick days, how to administer insulin and
signs of hypoglycemia and hyperglycemia
going to the dr once a month for HgA1c check
eating bread with every meal
having a friend drive them to their appointments
Please interpret the following ABG pH 7.12, Co2 71, HCo3 26
Fully compensated respiratory alkalosis
Uncompensated respiratory acidosis
Metabolic acidosis with partial compensation
Uncompensated Metabolic alkalosis
Please interpret the following ABG pH 7.56, Co2 45, Hco3 40, Paco2 80
Uncompensated respiratory alkalosis
Respiratory acidosis with partial compensation
Metabolic acidosis with partial compensation
Uncompensated metabolic alkalosis
Please interpret the following ABG pH 7.22, Co2 36, Hco3 18, PaCo2 90
Uncompensated respiratory acidosis
Partially compensated respiratory alkalosis
uncompensated metabolic acidosis
Fully compensated metabolic alkalosis
Please interpret the following ABG pH 7.65, Co2 20, Hco3 22
uncompensated respiratory alkalosis
partially compensated respiratory acidosis
fully compensated metabolic acidosis
Partially compensated metabolic alkalosis
A patient is suffering from hypoglycemia what is the recommended food choice during a hypoglycemic episode?
15 grams of rapid acting carbohydrate
30 grams of carbs
45 grams of protein
12 grams of sugar
Please identify the ABG pH 7.51, Co2 29, Hco3 22
Fully compensated respiratory acidosis
respiratory alkalosis with partial compensation
metabolic acidosis with partial compensation
uncompensated respiratory alkalosis
A patient is admitted for a small bowel obstruction, what is the nurse's priority in caring for this patient? Select all that apply
inserting a nasogastric tube to decompress the bowel
administer antidiarrheal
Monitoring for electrolyte balance
administer stool softener
A patient with GERD is at risk for which of the following?
mouth cancer
throat cancer
esophageal cancer
autoimmune disorder
A nurse noticed the parenteral nutrition (TPN) ran out, what would you anticipate the nurse hanging until a new solution arrives from the pharmacy?
normal saline
d50
isotonic dextrose
hypertonic solution
Which of the following are potential complications of parenteral nutrition? Select all that apply.
pneumothorax
sepsis
hyperglycemia
clot at the tip of the catheter
A patient with end stage liver disease presents with ascites, which assessment is a priority?
measuring daily weight and abdominal girth
measuring blood glucose
measuring blood pressure every 2 hours
monitoring for skin breakdown
Which medication would be administered for esophageal varicies
(a)
A patient with hepatic encephalopathy presents with a tremor, the nurse notes that this is referred to as
(a)
A patient with cirrhosis of the liver was prescribed lactulose four times daily, the nurse notes expected outcome with which of the following?
patient has moments of clarity
patient's temperature is within normal range
patient has 3 to 4 soft bowel movements
patient remains free from nausea
A blocked bile duct can result in which of the following, select all that apply.
jaundice
orange urine
clay colored stools
low bilirubin
A patient with ascites should reduce intake of which of the following?
calcium
potassium
sodium
phosphorus
A patient suffering from pain radiating to the right shoulder would have the diagnosis of
(a)
A patient that suffers from alcoholism and hypomagnesemia is at highest risk for which GI disorder?
(a)
A patient underwent a colon resection 3 days ago and is now presenting with increased pain, hypotension, tachycardia and fever, the nurse suspects which of the following complication?
paralytic ileus
urinary tract infection
atelectasis
peritonitis
A patient with Addison's disease understands he or she will need lifelong (a) therapy
A patient with adrenal insufficiency would most likely be given which of the following electrolytes.
postassium
calcium
sodium
magnesium
A patients insulin levels are inadequate if the urine presents with
(a)
A nurse is teaching a group of diabetics about exercise, she knows that exercise can lower the body's need for insulin. True or False
True
False
A student nurse is teaching her classmates about diabetes and risk factors which of the following would be included? Select all that apply.
obesity
increased triglycerides
hypertension
taking vitamins daily
A cancer patient presents with fatigue and shortness of breath, which of the following would the nurse suspect.
anemia
infection
aspiration pneumonia
lung metastasis
A physician is explaining to a patient that her cancer that was originally in the lung is now also in the liver, which indicates which of the following has happened?
(a)
A client that has exhausted all cancer treatment options and has less than 6 months to live would be a good candidate for
(a)
A nurse is teaching a client about fluid restriction which of the following would be included? select all that apply.
daily weights
purpose of fluid restrictions
plan a reduced sodium diet
increase sodium to 10 grams daily
A patient admitted for nausea, vomiting and diarrhea would benefit from which type of Intravenous fluids.
(a)
A nurse notes leakage around the IV infusion site, which is the priority intervention?
stop the infusion
complete an incident report
call the provider
insert a new peripheral IV
A patient with PUD states "Pain goes away after I eat", which indicates this is a (a) ulcer.
Which of the following would be included in gastritis education? select all that apply
smoking cessation
refrain from drinking alcohol
eating a well balanced diet
limiting stress
A patient with chronic gastritis would benefit from not taking which of the following medications. Select all that apply.
ibuprofen
aspirin
metoprolol
metamucil
A patient is admitted for ulcerative colitis flare up. Which of the following would the nurse anticipate being ordered? Select all that apply.
Keep the patient NPO
IV fluids and electrolyte replacement as needed
clear liquid diet
administer fleet enema
A patient with Crohn's disease is admitted for an exacerbation, the nurse would anticipate administering which medication
corticosteroids
beta blocker
benadryl
baby aspirin
A type 2 diabetic patient presents with extreme confusion and a blood glucose of 890, which condition is presented?
DKA
diabetes insipidus
HHS
SIADH
A type 1 diabetic patient presents with nausea, vomiting, blood glucose of 631 and a pH of 7.28, which condition is present?
hyperthyroidism
DKA
HHS
diabetes insipidus
A patient with hypoglycemia would present with which of the following symptoms? Select all that apply
shaking and tremors
diaphoresis
ringing in the ears
blurred vision
Which medication would be prescribed for hyperthyroidism?
synthroid
corticosteroids
Methimazole
vasopressin
A patient that had a gastric resection will need to be monitored for
(a)
Increased risk of myocardial infarction is considered a macrovascular complication of diabetes.
True
False
Diabetic ketoacidosis can be caused by taking too much insulin.
True
False
A young girl with a new stoma is worried about attending school and being bullied, which healthcare member would be able to assist her?
gastroenterologist
dietician
wound ostomy continence nurse
GI navigator
A patient with a hiatal hernia would benefit from which of the following education?
eating three large meals
eating small frequent meals
taking famotidine 20mg before every meal
drinking milk before each meal
A patient suffering from metabolic acidosis is most likely to have which acid base imbalance?
hyperkalemia
hypokalemia
hypocalcemia
hypomagnesemia
A patient with diabetic neuropathy would need which of the following education, select all that apply?
inspect feet daily
test bath water with thermometer before entering
wear comfortable fitting shoes
test bathwater with bare feet
A CT result shows a spot on a patient's liver, which diagnostic test would be the next step in diagnosing if the patient has cancer?
MRI with contrast
biopsy
ultrasound
paracentesis
A patient presents to the Emergency dept with Jaundice, what labs would the nurse expect to be ordered? Select all that apply
AST
ALT
Bilirubin
Alkaline Phosphatase
A patient is admitted to the hospital with neutropenia, which of the following would be initiated? Select all that apply.
reverse isolation
do not allow sick guests to visit the patient and limit the amount of visitors
encourage all visitors to properly wash hands
allow all guests to enter without masks.
The nurse notes the patient's IV potassium infusion site is swollen and the patient is complaining of pain, what complication has occured?
(a)
A patient is ordered a urea breath test; the nurse notes this test is to diagnose which GI disorder?
(a)
A patient presents with jugular vein distention and facial swelling, which oncological emergency is the patient suffering from?
(a)
A student nurse is reviewing a patients record on the medical surgical unit and notes a sentence stating cobblestone appearance in the colon, which gastrointestinal disorder would the student expect to see on the diagnosis tab?
inflammatory bowel disease
irritable bowel disease
H-Pylori
hiatal hernia
A nurse is teaching a patient about congestive heart failure and hypernatremia, which of the following would be included?
read food labels for sodium
drink 2-4L per day
weigh yourself once a week at nighttime
Take your lasix only when your short of breath
A student nurse asks her instructor about salt substitutes as she overheard a nurse telling a patient to avoid them, which disorder would she expect the patient to have?
hypokalemia
hyponatremia
hypocalcemia
hyperkalemia
An ICU nurse is monitoring a patient for thyroid storm, the student knows she is watching the patients?
temperature and heart rate
blood pressure and respirations
BUN and Creatinine
Spo2 and Respirations
A nurse is caring for a patient with hepatic encephalopathy. Which of the following would she continue to monitor? Select all that apply.
urine output
ammonia levels
neurological status
respirations
A nurse knows that she would limit visitors to 30 minutes at a time 6 feet away with her patient that has implanted seeds for prostate cancer. True or False?
True
False
The student nurse knows that the following would be ordered for a patient with DKA. Select all that apply.
electrolytes
insulin
hydration
Furosemide
A newly diagnosed diabetic would be taught the signs and symptoms of hypoglycemia, hyperglycemia, how to check blood glucose, how to administer insulin and sick day rules. True or False?
True
False
A nurse is administering radioactive iodine for hyperthyroidism. Which complication would the nurse be watching for?
(a)
The nurse practitioner notes the patient's serum calcium level is 15, she knows to order.
4L of fluid per day
Lactulose BID
Kayexelate PO once daily
Lasix 20mg IV now
