WorksheetsAdult Health II/Medical-Surgical E1
Total questions: 44
Worksheet time: 23mins
How are we feeling about Exam 1?
What have YOU done to prepare for Exam 1?
These dietary sources INCREASE Potassium: SATA
Bananas
Sweet Potatoes
Milk (2%)
Green leafy veggies
The RN knows which medications can treat HYPERkalemia?
Furosemide
Spironolactone
IV Insulin
Sodium Polystyrene Sulfonate
3% NS
The RN knows which clinical manifestations match HYPERkalemia?
Tall T Waves
Vomiting
Lethargy
Weak, irregular Pulses
Hypokalemia treatment options include (SATA):
IV infusion of Potassium over 20 minutes
furosemide injection
Dietary increase of K rich foods
20 mEq K IV over 2 hours
Foods high in Sodium include SATA:
Celery
Sardines
Pickled Okra
Pringles
The nurse is assessing patients with alterations in sodium. The nurse knows that which of the following conditions cause HYPERnatremia SATA:
Excessive diuretic use
dehydration
Use of 3% NaCl
0.9% NaCl infusion
When considering the priority body system for alterations with hypernatremia, the RN knows to look for which priority concerns SATA:
Seizures
Cardiac Rhythm Changes
Altered Mental Status
Prolonged QT intervals
Deep Tendon Reflexes Increased
The nurse is caring for a patient with HYPOnatremia. Based on this alteration, the nurse is concerned about: SATA
Lethargy
AMS
Seizures
Confusion
The RN knows which dietary sources are high in Magnesium? SATA
Pumpkin Seeds
When in doubt, guess green leafies
Bananas
Chicken
The nurse is caring for a patient with HYPOmagnesemia. The RN knows which body system's changes take priority: SATA
It causes Torsade's de Pointes
warm, flushed appearance
Cardiac
Dysphagia
Your patient is showing s/s of HYPERcalcemia. The RN knows which of the following match this clinical picture? SATA
Chvostek's Sign
Trousseau's
Lethargy
Bradycardia
Foods high in Calcium include SATA:
Sardines
Broccoli
Tofu
Yogurt
When Calcium values rise, phosphorus values:
Decrease
Increase
Are not effected
Which fluids are HYPERtonic? SATA
5% dextrose in NaCl
5% dextrose in 0.45% NaCl
3% NaCL
5% dextrose in water
Which fluids are hypotonic?
0.45% sodium chloride
0.33% sodium
chloride
2.5% dextrose in water
0.9% NaCl
The nurse is monitoring for s/s of hypovolemia related to dehydration. The nurse knows to look for which s/s? (SATA)
elevated hematocrit
Orthostatic Hypotension
Potential Weight Loss
Dry Mucus Membranes
The nurse is monitoring for s/s of Fluid Volume Overload. They know to look for? SATA
Flattened jugular veins
decrease in BP by 20 points systolic
Bounding peripheral pulses
decreased hematocrit
The RN is preparing to use a newly placed PICC line. The RN knows to check what priority diagnostic prior to use?
Flush the line
Check for blood return
Check Chest XR for placement
Check the markings on the line to confirm placement
The nurse recognizes the following food sources as being high in IRON (SATA):
Green Leafies
Fried Chicken Livers
Beef
Chickpeas
When considering dietary Iron intake, the RN knows to teach the patient to pair dietary intake with intake of?
foods high in Calcium
foods high in Vitamin C
foods high in Magnesium
Foods high in Vitamin D
When considering supplemental Iron intake, the RN knows to educate the client on which of the following:
Iron should be given subcutaneously
Liquid Iron should be swallowed expeditiously
Black stools are to be expected
The RN knows who is most at risk for iron deficiency anemia?
A 32 yo female with a hx of peptic ulcer disease
an 80 yo male with no hx of bleeds
A 29 yo male with a family hx of colon cancer
A 29 yo with sickle cell anemia
The RN is monitoring a patient with IRON deficiency anemia. The RN expects to see which s/s that match this dx process? SATA
PICA
Oral Fissures
koilonychia
atrophic glossitis
A nurse is caring for a patient with sickle cell crisis. The nurse's priority during an acute flair is?
Genetic Counseling
educating on vaccinations
educating on triggers
Pain management
The RN recognizes which s/s as sickle cell anemia exacerbation concerns? (May have more than one correct answer)
Increased reticulocyte counts & palpable spleen
decreased joint pain
increased peripheral pulses
jaundice
Warm, swollen joints
The RN recognizes which food sources as high in B12? SATA
Salmon
Eggs
Liver
Fortified Cereals
The RN recognizes which s/s as specific to B12 deficiency anemia? SATA
pallor
strawberry tongue
fatigue
paresthesia of extremities
What factor is needed to absorb B12 and is made by parietal cells?
(a)
When considering "plain jane anemia", the nurse knows to look for which generalized symptoms? SATA
increased energy levels
pallor
dry brittle nails/hair
bradycardia
Thrombocytopenia can be seen with aplastic anemia. The nurse knows to look for which s/s related to this concern?
decreased bruising
increased concern for bleeding
blood oozing from IV site
prescription for ASA
Your patient has metabolic acidosis. Which values match?
pH 7.35, CO2 45, HCO3 24
pH 7.50, CO2 30, HCO3 27
pH 7.45, CO2 45, HCO3 28
pH 7.31, CO2 43, HCO3 18
Your patient has COPD and is experiencing an acute exacerbation. The RN knows which interventions may be needed? SATA
The use of IS q1-2, turn cough deep breathe q2 to improve resp. status
The use of antibiotics and steroids if infection present
The use of a bipap
the use of antacids
You're panicking about the upcoming exam and note increased RR. What ABG abnormality can you experience due to this?
metabolic alkalosis
metabolic acidosis
respiratory acidosis
respiratory alkalosis
Your patient has a paralytic ileus following a gastrectomy. The RN knows to look for which ABG abnormality due to NGT suction?
respiratory acidosis
respiratory alkalosis
metabolic acidosis
metabolic alkalosis
When considering compensatory mechanisms, the RN knows that:
Both the lungs and Gi/renal work together to bring the pH back to normal
The lungs are the real MVP and do all the work
renal function is the most important factor
the RN is the only compensatory mechanism that matters
Diabetic ketoacidosis can cause which ABG abnormality?
respiratory acidosis
respiratory alkalosis
metabolic acidosis
metabolic alkalosis
The nurse views the following ABG results and determines the client is experiencing what ABG abnormality? pH 7.49, CO2 42, HCO3 30
metabolic alkalosis
metabolic acidosis
respiratory acidosis
respiratory alkalosis
Could you identify which lab values are helpful in to determine a client's fluid volume status?
No
Yes
No, but I promise to learn them by test day
No, I'm willing to miss some points.
Which fluid is the best option to replete a fluid volume deficit client?
NS
3% NS
0.45% NS
Platelets
TPN is often given for clients who cannot intake enteral nutrition. This fluid is HYPERtonic. As such, what intervention should the nurse take to promote client safety? SATA
Run it at 999 through the PIV.
Utilize a PICC or CVC
This fluid requires hemodilution to prevent vascular necrosis.
This fluid has no speciality requirements.
What is the best indicator of fluid volume status?
I&O
VS
Daily Weights
Protein levels
Your client presents to the ER with complaints of a stomach bug. You note poor skin turgor, dry mucus membranes, and other signs of dehydration. What is your priority?
Volume repletion; isotonic fluids
antidiarrheal and antiemetics
volume repletion; hypotonic fluids
application of cardiac monitor
