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Adult Health II/Medical-Surgical E1

Total questions: 44

Worksheet time: 23mins

Name
Class
Date
1.

How are we feeling about Exam 1?

2 lines
2.

What have YOU done to prepare for Exam 1?

2 lines
3.

These dietary sources INCREASE Potassium: SATA

a)

Bananas

b)

Sweet Potatoes

c)

Milk (2%)

d)

Green leafy veggies

4.

The RN knows which medications can treat HYPERkalemia?

a)

Furosemide

b)

Spironolactone

c)

IV Insulin

d)

Sodium Polystyrene Sulfonate

e)

3% NS

5.

The RN knows which clinical manifestations match HYPERkalemia?

a)

Tall T Waves

b)

Vomiting

c)

Lethargy

d)

Weak, irregular Pulses

6.

Hypokalemia treatment options include (SATA):

a)

IV infusion of Potassium over 20 minutes

b)

furosemide injection

c)

Dietary increase of K rich foods

d)

20 mEq K IV over 2 hours

7.

Foods high in Sodium include SATA:

a)

Celery

b)

Sardines

c)

Pickled Okra

d)

Pringles

8.

The nurse is assessing patients with alterations in sodium. The nurse knows that which of the following conditions cause HYPERnatremia SATA:

a)

Excessive diuretic use

b)

dehydration

c)

Use of 3% NaCl

d)

0.9% NaCl infusion

9.

When considering the priority body system for alterations with hypernatremia, the RN knows to look for which priority concerns SATA:

a)

Seizures

b)

Cardiac Rhythm Changes

c)

Altered Mental Status

d)

Prolonged QT intervals

e)

Deep Tendon Reflexes Increased

10.

The nurse is caring for a patient with HYPOnatremia. Based on this alteration, the nurse is concerned about: SATA

a)

Lethargy

b)

AMS

c)

Seizures

d)

Confusion

11.

The RN knows which dietary sources are high in Magnesium? SATA

a)

Pumpkin Seeds

b)

When in doubt, guess green leafies

c)

Bananas

d)

Chicken

12.

The nurse is caring for a patient with HYPOmagnesemia. The RN knows which body system's changes take priority: SATA

a)

It causes Torsade's de Pointes

b)

warm, flushed appearance

c)

Cardiac

d)

Dysphagia

13.

Your patient is showing s/s of HYPERcalcemia. The RN knows which of the following match this clinical picture? SATA

a)

Chvostek's Sign

b)

Trousseau's

c)

Lethargy

d)

Bradycardia

14.

Foods high in Calcium include SATA:

a)

Sardines

b)

Broccoli

c)

Tofu

d)

Yogurt

15.

When Calcium values rise, phosphorus values:

a)

Decrease

b)

Increase

c)

Are not effected

16.

Which fluids are HYPERtonic? SATA

a)

5% dextrose in NaCl

b)

5% dextrose in 0.45% NaCl

c)

3% NaCL

d)

5% dextrose in water

17.

Which fluids are hypotonic?

a)

0.45% sodium chloride

b)

0.33% sodium

chloride

c)

2.5% dextrose in water

d)

0.9% NaCl

18.

The nurse is monitoring for s/s of hypovolemia related to dehydration. The nurse knows to look for which s/s? (SATA)

a)

elevated hematocrit

b)

Orthostatic Hypotension

c)

Potential Weight Loss

d)

Dry Mucus Membranes

19.

The nurse is monitoring for s/s of Fluid Volume Overload. They know to look for? SATA

a)

Flattened jugular veins

b)

decrease in BP by 20 points systolic

c)

Bounding peripheral pulses

d)

decreased hematocrit

20.

The RN is preparing to use a newly placed PICC line. The RN knows to check what priority diagnostic prior to use?

a)

Flush the line

b)

Check for blood return

c)

Check Chest XR for placement

d)

Check the markings on the line to confirm placement

21.

The nurse recognizes the following food sources as being high in IRON (SATA):

a)

Green Leafies

b)

Fried Chicken Livers

c)

Beef

d)

Chickpeas

22.

When considering dietary Iron intake, the RN knows to teach the patient to pair dietary intake with intake of?

a)

foods high in Calcium

b)

foods high in Vitamin C

c)

foods high in Magnesium

d)

Foods high in Vitamin D

23.

When considering supplemental Iron intake, the RN knows to educate the client on which of the following:

a)

Iron should be given subcutaneously

b)

Liquid Iron should be swallowed expeditiously

c)

Black stools are to be expected

24.

The RN knows who is most at risk for iron deficiency anemia?

a)

A 32 yo female with a hx of peptic ulcer disease

b)

an 80 yo male with no hx of bleeds

c)

A 29 yo male with a family hx of colon cancer

d)

A 29 yo with sickle cell anemia

25.

The RN is monitoring a patient with IRON deficiency anemia. The RN expects to see which s/s that match this dx process? SATA

a)

PICA

b)

Oral Fissures

c)

koilonychia

d)

atrophic glossitis

26.

A nurse is caring for a patient with sickle cell crisis. The nurse's priority during an acute flair is?

a)

Genetic Counseling

b)

educating on vaccinations

c)

educating on triggers

d)

Pain management

27.

The RN recognizes which s/s as sickle cell anemia exacerbation concerns? (May have more than one correct answer)

a)

Increased reticulocyte counts & palpable spleen

b)

decreased joint pain

c)

increased peripheral pulses

d)

jaundice

e)

Warm, swollen joints

28.

The RN recognizes which food sources as high in B12? SATA

a)

Salmon

b)

Eggs

c)

Liver

d)

Fortified Cereals

29.

The RN recognizes which s/s as specific to B12 deficiency anemia? SATA

a)

pallor

b)

strawberry tongue

c)

fatigue

d)

paresthesia of extremities

30.

What factor is needed to absorb B12 and is made by parietal cells?

(a)  

31.

When considering "plain jane anemia", the nurse knows to look for which generalized symptoms? SATA

a)

increased energy levels

b)

pallor

c)

dry brittle nails/hair

d)

bradycardia

32.

Thrombocytopenia can be seen with aplastic anemia. The nurse knows to look for which s/s related to this concern?

a)

decreased bruising

b)

increased concern for bleeding

c)

blood oozing from IV site

d)

prescription for ASA

33.

Your patient has metabolic acidosis. Which values match?

a)

pH 7.35, CO2 45, HCO3 24

b)

pH 7.50, CO2 30, HCO3 27

c)

pH 7.45, CO2 45, HCO3 28

d)

pH 7.31, CO2 43, HCO3 18

34.

Your patient has COPD and is experiencing an acute exacerbation. The RN knows which interventions may be needed? SATA

a)

The use of IS q1-2, turn cough deep breathe q2 to improve resp. status

b)

The use of antibiotics and steroids if infection present

c)

The use of a bipap

d)

the use of antacids

35.

You're panicking about the upcoming exam and note increased RR. What ABG abnormality can you experience due to this?

a)

metabolic alkalosis

b)

metabolic acidosis

c)

respiratory acidosis

d)

respiratory alkalosis

36.

Your patient has a paralytic ileus following a gastrectomy. The RN knows to look for which ABG abnormality due to NGT suction?

a)

respiratory acidosis

b)

respiratory alkalosis

c)

metabolic acidosis

d)

metabolic alkalosis

37.

When considering compensatory mechanisms, the RN knows that:

a)

Both the lungs and Gi/renal work together to bring the pH back to normal

b)

The lungs are the real MVP and do all the work

c)

renal function is the most important factor

d)

the RN is the only compensatory mechanism that matters

38.

Diabetic ketoacidosis can cause which ABG abnormality?

a)

respiratory acidosis

b)

respiratory alkalosis

c)

metabolic acidosis

d)

metabolic alkalosis

39.

The nurse views the following ABG results and determines the client is experiencing what ABG abnormality? pH 7.49, CO2 42, HCO3 30

a)

metabolic alkalosis

b)

metabolic acidosis

c)

respiratory acidosis

d)

respiratory alkalosis

40.

Could you identify which lab values are helpful in to determine a client's fluid volume status?

a)

No

b)

Yes

c)

No, but I promise to learn them by test day

d)

No, I'm willing to miss some points.

41.

Which fluid is the best option to replete a fluid volume deficit client?

a)

NS

b)

3% NS

c)

0.45% NS

d)

Platelets

42.

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

a)

Run it at 999 through the PIV.

b)

Utilize a PICC or CVC

c)

This fluid requires hemodilution to prevent vascular necrosis.

d)

This fluid has no speciality requirements.

43.

What is the best indicator of fluid volume status?

a)

I&O

b)

VS

c)

Daily Weights

d)

Protein levels

44.

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?

a)

Volume repletion; isotonic fluids

b)

antidiarrheal and antiemetics

c)

volume repletion; hypotonic fluids

d)

application of cardiac monitor