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Final Exam

Total questions: 90

Worksheet time: 45mins

Name
Class
Date
1.

A colonoscopy would be considered which level of cancer prevention?

a)

primary

b)

secondary

c)

tertiary

2.

If a patient is post-op thyroidectomy, what lab value should the nurse monitor?

a)

Calcium

b)

Magnesium

c)

Sodium

d)

Potassium

3.

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

a)

hypomagnesemia

b)

pancreatitis

c)

hyperphosphatemia

d)

Cholecystitis

4.

If a patient has a moon face and buffalo hump, what would then nurse expect for the patient to be diagnosed with?

a)

Cushing's syndrome

b)

Addison's disease

c)

Hyperthyroidism

d)

SIADH

5.

A patient with metastatic cancer has the following lab values which is concerning as an emergency?

a)

Potassium of 3.5

b)

Calcium of 13.8

c)

Magnesium of 2.0

d)

Calcium of 9.0

6.

A patient diagnosed with hyperthyroidism is inquiring about what diet to eat, what would the nurse educate for this patient?

a)

small frequent meals, low calories and high fiber

b)

High fat diet

c)

small frequent meals, high calories and protein

d)

intermittent fasting

7.

Which signs and symptoms indicate Diabetic Insipidus?

a)

Headache

b)

Increased serum sodium

c)

Hypertension

d)

abdominal discomfort

8.

A patient is diagnosed with type 1 diabetes, how should the nurse ensure education for blood glucose monitoring and administration of insulin?

a)

Show the patient a video

b)

Have the patient return demonstration of both actions

c)

give the patient and family member a handout

d)

ask the CNA to teach the patient how to check their own blood glucose

9.

A nurse is caring for a patient with hypocalcemia and tetany, what would the nurse expect to administer?

a)

Calcium gluconate IV

b)

Potassium IV bolus

c)

Magnesium oxide IV

d)

Phosphorus

10.

Which lab values indicate a diabetic is well-controlled?

a)

Fasting blood glucose of 90 and HgA1c of 12

b)

Fasting blood glucose of 88 and HgA1c of 6

c)

Random blood glucose of 230 and HgA1c of 10

d)

HgA1c of 9

11.

A patient is admitted for a peptic ulcer exacerbation, what is the nurses first priority?

a)

Administer 4 tums

b)

assess the patient's abdomen and take an initial set of vitals

c)

have the patient give a urine sample

d)

administer activated charcoal

12.

A 52-year-old female patient was diagnosed with cholecystitis, what meal should the patient avoid?

a)

3 piece fried chicken dinner from popeyes with french fries and strawberry lemonade

b)

A steak, rice and avocado bowl from Chipotle with water

c)

Chicken salad chick croissant with grapes with water

d)

Chicken caesar salad from panera with apples with water

13.

An adolescent is admitted with RLQ pain and possible appendicitis, what is the nurse's priority concern?

a)

malnutrition

b)

constipation

c)

infection from rupture

d)

acute pain

14.

A client with peptic ulcer disease is having increased abdominal pain, what is the patient at risk for?

a)

cholecystitis

b)

urinary tract infection

c)

gastrointestinal perforation

d)

appendicitis

15.

Which lab value would indicate SIADH?

a)

increased serum sodium

b)

decreased serum sodium

c)

decreased GFR

d)

increased serum potassium

16.

A client is suspected of having DKA, which insulin would you administer IV?

a)

NPH

b)

insulin aspart

c)

insulin lispro

d)

regular insulin

17.

A patient with hypocalcemia would have which of the following

a)

Trousseau's sign

b)

Homans sign

c)

fluid restriction

d)

Acne

18.

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?

a)

call a rapid response

b)

notify the wound ostomy continence nurse STAT

c)

notify the provider

d)

this is an expected finding, the nurse should document in the patient's electronic health record

19.

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.

a)

I don't have to flush my tube if I have a continuous feed going

b)

I will flush my tube with water before and after medications

c)

I will flush my tube once a day with coca cola

d)

I only need to flush my tube once a week

20.

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?

a)

listening to heart sounds

b)

listening to bowel sounds

c)

bladder scan

d)

checking blood glucose

21.

What medication is used to treat hypothyroidism?

a)

Tapazole

b)

Vasopressin

c)

Levothyroxine sodium

d)

Famotidine

22.

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?

a)

position the patient supine

b)

administer a proton pump inhibitor

c)

notify the provider

d)

increase the IV fluids

23.

A patient just had an EGD diagnostic procedure, what is the priority intervention for the patient post procedure?

a)

make sure the patient passes flatulence

b)

Make sure the patient urinates

c)

Keep the patient NPO until the gag reflux returns

d)

allow the patient a snack

24.

An LPN is caring for a patient with cirrhosis of the liver. Which of the following finding should he report to the provider?

a)

Respiratory rate of 16

b)

heart rate of 69

c)

Sp02 of 96% on room air

d)

change in cognition

25.

A patient's potassium is 2.6 meq/L. the nurse knows that potassium will be administered via IV pump

a)

True

b)

False

26.

A patient with Addison's disease would have which of the following clinical manifestations? select all that apply.

a)

muscle weakness

b)

hyperpigmentation

c)

anorexia

d)

hypertension

27.

A patient with hypocalcemia will display which of the following clinical manifestations?

a)

tingling and numbness in the fingertips

b)

diarrhea

c)

constipation

d)

ringing in the ears

28.

A newly diagnosed diabetic should be educated on checking blood glucose, sick days, how to administer insulin and

a)

signs of hypoglycemia and hyperglycemia

b)

going to the dr once a month for HgA1c check

c)

eating bread with every meal

d)

having a friend drive them to their appointments

29.

Please interpret the following ABG pH 7.12, Co2 71, HCo3 26

a)

Fully compensated respiratory alkalosis

b)

Uncompensated respiratory acidosis

c)

Metabolic acidosis with partial compensation

d)

Uncompensated Metabolic alkalosis

30.

Please interpret the following ABG pH 7.56, Co2 45, Hco3 40, Paco2 80

a)

Uncompensated respiratory alkalosis

b)

Respiratory acidosis with partial compensation

c)

Metabolic acidosis with partial compensation

d)

Uncompensated metabolic alkalosis

31.

Please interpret the following ABG pH 7.22, Co2 36, Hco3 18, PaCo2 90

a)

Uncompensated respiratory acidosis

b)

Partially compensated respiratory alkalosis

c)

uncompensated metabolic acidosis

d)

Fully compensated metabolic alkalosis

32.

Please interpret the following ABG pH 7.65, Co2 20, Hco3 22

a)

uncompensated respiratory alkalosis

b)

partially compensated respiratory acidosis

c)

fully compensated metabolic acidosis

d)

Partially compensated metabolic alkalosis

33.

A patient is suffering from hypoglycemia what is the recommended food choice during a hypoglycemic episode?

a)

15 grams of rapid acting carbohydrate

b)

30 grams of carbs

c)

45 grams of protein

d)

12 grams of sugar

34.

Please identify the ABG pH 7.51, Co2 29, Hco3 22

a)

Fully compensated respiratory acidosis

b)

respiratory alkalosis with partial compensation

c)

metabolic acidosis with partial compensation

d)

uncompensated respiratory alkalosis

35.

A patient is admitted for a small bowel obstruction, what is the nurse's priority in caring for this patient? Select all that apply

a)

inserting a nasogastric tube to decompress the bowel

b)

administer antidiarrheal

c)

Monitoring for electrolyte balance

d)

administer stool softener

36.

A patient with GERD is at risk for which of the following?

a)

mouth cancer

b)

throat cancer

c)

esophageal cancer

d)

autoimmune disorder

37.

A nurse noticed the parenteral nutrition (TPN) ran out, what would you anticipate the nurse hanging until a new solution arrives from the pharmacy?

a)

normal saline

b)

d50

c)

isotonic dextrose

d)

hypertonic solution

38.

Which of the following are potential complications of parenteral nutrition? Select all that apply.

a)

pneumothorax

b)

sepsis

c)

hyperglycemia

d)

clot at the tip of the catheter

39.

A patient with end stage liver disease presents with ascites, which assessment is a priority?

a)

measuring daily weight and abdominal girth

b)

measuring blood glucose

c)

measuring blood pressure every 2 hours

d)

monitoring for skin breakdown

40.

Which medication would be administered for esophageal varicies

(a)  

41.

A patient with hepatic encephalopathy presents with a tremor, the nurse notes that this is referred to as

(a)  

42.

A patient with cirrhosis of the liver was prescribed lactulose four times daily, the nurse notes expected outcome with which of the following?

a)

patient has moments of clarity

b)

patient's temperature is within normal range

c)

patient has 3 to 4 soft bowel movements

d)

patient remains free from nausea

43.

A blocked bile duct can result in which of the following, select all that apply.

a)

jaundice

b)

orange urine

c)

clay colored stools

d)

low bilirubin

44.

A patient with ascites should reduce intake of which of the following?

a)

calcium

b)

potassium

c)

sodium

d)

phosphorus

45.

A patient suffering from pain radiating to the right shoulder would have the diagnosis of

(a)  

46.

A patient that suffers from alcoholism and hypomagnesemia is at highest risk for which GI disorder?

(a)  

47.

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?

a)

paralytic ileus

b)

urinary tract infection

c)

atelectasis

d)

peritonitis

48.

A patient with Addison's disease understands he or she will need lifelong (a)   therapy

49.

A patient with adrenal insufficiency would most likely be given which of the following electrolytes.

a)

postassium

b)

calcium

c)

sodium

d)

magnesium

50.

A patients insulin levels are inadequate if the urine presents with

(a)  

51.

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

a)

True

b)

False

52.

A student nurse is teaching her classmates about diabetes and risk factors which of the following would be included? Select all that apply.

a)

obesity

b)

increased triglycerides

c)

hypertension

d)

taking vitamins daily

53.

A cancer patient presents with fatigue and shortness of breath, which of the following would the nurse suspect.

a)

anemia

b)

infection

c)

aspiration pneumonia

d)

lung metastasis

54.

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)  

55.

A client that has exhausted all cancer treatment options and has less than 6 months to live would be a good candidate for

(a)  

56.

A nurse is teaching a client about fluid restriction which of the following would be included? select all that apply.

a)

daily weights

b)

purpose of fluid restrictions

c)

plan a reduced sodium diet

d)

increase sodium to 10 grams daily

57.

A patient admitted for nausea, vomiting and diarrhea would benefit from which type of Intravenous fluids.

(a)  

58.

A nurse notes leakage around the IV infusion site, which is the priority intervention?

a)

stop the infusion

b)

complete an incident report

c)

call the provider

d)

insert a new peripheral IV

59.

A patient with PUD states "Pain goes away after I eat", which indicates this is a (a)   ulcer.

60.

Which of the following would be included in gastritis education? select all that apply

a)

smoking cessation

b)

refrain from drinking alcohol

c)

eating a well balanced diet

d)

limiting stress

61.

A patient with chronic gastritis would benefit from not taking which of the following medications. Select all that apply.

a)

ibuprofen

b)

aspirin

c)

metoprolol

d)

metamucil

62.

A patient is admitted for ulcerative colitis flare up. Which of the following would the nurse anticipate being ordered? Select all that apply.

a)

Keep the patient NPO

b)

IV fluids and electrolyte replacement as needed

c)

clear liquid diet

d)

administer fleet enema

63.

A patient with Crohn's disease is admitted for an exacerbation, the nurse would anticipate administering which medication

a)

corticosteroids

b)

beta blocker

c)

benadryl

d)

baby aspirin

64.

A type 2 diabetic patient presents with extreme confusion and a blood glucose of 890, which condition is presented?

a)

DKA

b)

diabetes insipidus

c)

HHS

d)

SIADH

65.

A type 1 diabetic patient presents with nausea, vomiting, blood glucose of 631 and a pH of 7.28, which condition is present?

a)

hyperthyroidism

b)

DKA

c)

HHS

d)

diabetes insipidus

66.

A patient with hypoglycemia would present with which of the following symptoms? Select all that apply

a)

shaking and tremors

b)

diaphoresis

c)

ringing in the ears

d)

blurred vision

67.

Which medication would be prescribed for hyperthyroidism?

a)

synthroid

b)

corticosteroids

c)

Methimazole

d)

vasopressin

68.

A patient that had a gastric resection will need to be monitored for

(a)  

69.

Increased risk of myocardial infarction is considered a macrovascular complication of diabetes.

a)

True

b)

False

70.

Diabetic ketoacidosis can be caused by taking too much insulin.

a)

True

b)

False

71.

A young girl with a new stoma is worried about attending school and being bullied, which healthcare member would be able to assist her?

a)

gastroenterologist

b)

dietician

c)

wound ostomy continence nurse

d)

GI navigator

72.

A patient with a hiatal hernia would benefit from which of the following education?

a)

eating three large meals

b)

eating small frequent meals

c)

taking famotidine 20mg before every meal

d)

drinking milk before each meal

73.

A patient suffering from metabolic acidosis is most likely to have which acid base imbalance?

a)

hyperkalemia

b)

hypokalemia

c)

hypocalcemia

d)

hypomagnesemia

74.

A patient with diabetic neuropathy would need which of the following education, select all that apply?

a)

inspect feet daily

b)

test bath water with thermometer before entering

c)

wear comfortable fitting shoes

d)

test bathwater with bare feet

75.

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?

a)

MRI with contrast

b)

biopsy

c)

ultrasound

d)

paracentesis

76.

A patient presents to the Emergency dept with Jaundice, what labs would the nurse expect to be ordered? Select all that apply

a)

AST

b)

ALT

c)

Bilirubin

d)

Alkaline Phosphatase

77.

A patient is admitted to the hospital with neutropenia, which of the following would be initiated? Select all that apply.

a)

reverse isolation

b)

do not allow sick guests to visit the patient and limit the amount of visitors

c)

encourage all visitors to properly wash hands

d)

allow all guests to enter without masks.

78.

The nurse notes the patient's IV potassium infusion site is swollen and the patient is complaining of pain, what complication has occured?

(a)  

79.

A patient is ordered a urea breath test; the nurse notes this test is to diagnose which GI disorder?

(a)  

80.

A patient presents with jugular vein distention and facial swelling, which oncological emergency is the patient suffering from?

(a)  

81.

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?

a)

inflammatory bowel disease

b)

irritable bowel disease

c)

H-Pylori

d)

hiatal hernia

82.

A nurse is teaching a patient about congestive heart failure and hypernatremia, which of the following would be included?

a)

read food labels for sodium

b)

drink 2-4L per day

c)

weigh yourself once a week at nighttime

d)

Take your lasix only when your short of breath

83.

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?

a)

hypokalemia

b)

hyponatremia

c)

hypocalcemia

d)

hyperkalemia

84.

An ICU nurse is monitoring a patient for thyroid storm, the student knows she is watching the patients?

a)

temperature and heart rate

b)

blood pressure and respirations

c)

BUN and Creatinine

d)

Spo2 and Respirations

85.

A nurse is caring for a patient with hepatic encephalopathy. Which of the following would she continue to monitor? Select all that apply.

a)

urine output

b)

ammonia levels

c)

neurological status

d)

respirations

86.

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?

a)

True

b)

False

87.

The student nurse knows that the following would be ordered for a patient with DKA. Select all that apply.

a)

electrolytes

b)

insulin

c)

hydration

d)

Furosemide

88.

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?

a)

True

b)

False

89.

A nurse is administering radioactive iodine for hyperthyroidism. Which complication would the nurse be watching for?

(a)  

90.

The nurse practitioner notes the patient's serum calcium level is 15, she knows to order.

a)

4L of fluid per day

b)

Lactulose BID

c)

Kayexelate PO once daily

d)

Lasix 20mg IV now