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WorksheetsNUR 114 Exam 1 Study Guide Quiz
Total questions: 29
Worksheet time: 15mins
Which of the following are modifiable risk factors for coronary artery disease, and how can they be managed?
Age and gender; managed by regular check-ups
Genetics and family history; managed by medication
Smoking, high blood pressure, high cholesterol, physical inactivity, unhealthy diet, obesity, and diabetes; managed by lifestyle changes and medical treatment
Ethnicity and race; managed by stress reduction
Which risk factors for coronary artery disease are considered unmodifiable?
Age, gender, and family history
Smoking and obesity
Hypertension and diabetes
High cholesterol and physical inactivity
Which of the following dietary choices support the prevention of coronary artery disease?
High intake of saturated fats
Low intake of fruits and vegetables
Increased consumption of whole grains and lean proteins
Frequent consumption of processed foods
How do the symptoms of stable angina differ from those of unstable or variant (Prinzmetal’s) angina?
Stable angina occurs with exertion and is relieved by rest, while unstable angina can occur at rest and is not relieved by rest; variant angina occurs at rest due to coronary artery spasm.
Stable angina occurs at rest, while unstable angina only occurs with exertion; variant angina is unrelated to coronary artery spasm.
Stable angina and unstable angina both occur only during sleep, while variant angina occurs with exercise.
Stable angina is always associated with myocardial infarction, while unstable and variant angina are not.
Which of the following describes the proper administration instructions for sublingual nitroglycerin and the expected side effects?
Place the tablet under the tongue and allow it to dissolve; common side effects include headache and dizziness.
Swallow the tablet whole with water; common side effects include cough and rash.
Chew the tablet before swallowing; common side effects include constipation and dry mouth.
Dissolve the tablet in water before drinking; common side effects include blurred vision and insomnia.
Nitroglycerin tablets should be stored to maintain their effectiveness:
In a tightly closed, original glass container away from heat, light, and moisture
In a plastic bag at room temperature
In the refrigerator
In direct sunlight
What are the normal ranges for LDL, HDL, triglycerides, and total cholesterol?
LDL < 100 mg/dL, HDL > 40 mg/dL (men) or > 50 mg/dL (women), triglycerides < 150 mg/dL, total cholesterol < 200 mg/dL
LDL < 130 mg/dL, HDL > 30 mg/dL, triglycerides < 200 mg/dL, total cholesterol < 250 mg/dL
LDL < 160 mg/dL, HDL > 20 mg/dL, triglycerides < 300 mg/dL, total cholesterol < 300 mg/dL
LDL < 70 mg/dL, HDL > 60 mg/dL, triglycerides < 100 mg/dL, total cholesterol < 150 mg/dL
Elevated or decreased values in which of the following lipid measures are most strongly correlated with increased cardiovascular risk?
HDL cholesterol, LDL cholesterol, and triglycerides
Only total cholesterol
Only HDL cholesterol
Only triglycerides
What laboratory monitoring is necessary for patients taking statins like atorvastatin, and why?
Liver function tests and creatine kinase, to monitor for hepatotoxicity and myopathy
Blood glucose levels, to monitor for diabetes
Thyroid function tests, to monitor for hypothyroidism
Electrolyte levels, to monitor for hyperkalemia
Common adverse effects of statin medications and their management include:
Muscle pain and liver enzyme elevation; monitor symptoms and consider dose adjustment or switching statins.
Hypertension and bradycardia; increase statin dose.
Hyperglycemia and weight loss; discontinue statin immediately.
Cough and rash; prescribe antihistamines.
The hallmark symptoms of peripheral neuropathy are:
Muscle weakness, numbness, and tingling in the extremities
Fever and chills
Chest pain and shortness of breath
Abdominal pain and diarrhea
Which of the following signs or symptoms would NOT typically be associated with peripheral neuropathy?
Numbness and tingling in the extremities
Muscle weakness
Loss of reflexes
Fever
Important nursing considerations when caring for patients with painful diabetic neuropathy include:
Monitoring blood glucose levels, providing pain management, and assessing for foot injuries.
Encouraging high sugar intake and limiting physical activity.
Avoiding medication administration and ignoring patient complaints.
Focusing only on wound care and neglecting pain assessment.
Symptoms that might suggest the presence of autonomic neuropathy in a patient with diabetes include:
Numbness and tingling in the feet
Chest pain on exertion
Orthostatic hypotension, gastroparesis, and erectile dysfunction
Sudden loss of vision
To calculate the correct number of tablets when the prescribed dose does not match the available tablet strength, you should:
Divide the prescribed dose by the tablet strength
Multiply the tablet strength by the prescribed dose
Add the prescribed dose and tablet strength
Subtract the tablet strength from the prescribed dose
To calculate the correct volume to administer when the ordered dose differs from the concentration available, you should use which formula?
(Ordered Dose / Concentration Available) x Volume
(Concentration Available / Ordered Dose) x Volume
Ordered Dose x Concentration Available x Volume
Ordered Dose + Concentration Available
Which of the following are side effects patients should watch for when taking hydrochlorothiazide, and when should they notify a provider?
Dizziness, muscle weakness, irregular heartbeat, and signs of dehydration; notify a provider if these occur.
Increased appetite and weight gain; notify a provider if these occur.
Improved vision and increased energy; notify a provider if these occur.
Hair growth and skin rash; notify a provider if these occur.
The best time of day to take a diuretic like hydrochlorothiazide is:
In the morning
At noon
In the evening
At bedtime
Auditory hallucinations often take clinical priority over other types because:
They are more common and associated with severe psychiatric conditions.
They are easier to diagnose than other hallucinations.
They are less distressing to patients.
They are always caused by neurological disorders.
Therapeutic communication strategies that should be used when a patient expresses delusional thoughts include:
Challenging the delusion directly
Encouraging the patient to talk about their feelings without reinforcing the delusion
Agreeing with the delusion to build rapport
Ignoring the patient's statements
What are the risks associated with clozapine, and what lab values must be monitored?
Risks include agranulocytosis, seizures, myocarditis; monitor white blood cell count and absolute neutrophil count.
Risks include hypertension and hyperglycemia; monitor blood pressure and blood glucose.
Risks include renal failure and hyperkalemia; monitor creatinine and potassium.
Risks include liver failure and thrombocytopenia; monitor liver enzymes and platelet count.
What symptoms suggest acute dystonia in a patient taking fluphenazine?
Muscle spasms and abnormal postures
Weight gain and increased appetite
Dry mouth and blurred vision
Tremor and bradykinesia
What common side effects may occur with risperidone, and how can they be addressed through diet or lifestyle?
Weight gain, which can be managed by a balanced diet and regular exercise
Hair loss, which can be managed by taking vitamin supplements
Hearing loss, which can be managed by avoiding loud noises
Vision problems, which can be managed by wearing glasses
Negative symptoms of schizophrenia include which of the following, and how do they affect patient functioning?
They include hallucinations and improve social functioning.
They include delusions and enhance motivation.
They include flat affect and reduce social and occupational functioning.
They include agitation and increase communication skills.
What visual changes might a patient report if they are developing cataracts?
Blurred or cloudy vision
Sharp and clear vision
Loss of peripheral vision
Double vision in one eye
Which of the following is an appropriate postoperative instruction for a patient following cataract removal?
Avoid heavy lifting and bending over.
Apply pressure to the eye if it feels uncomfortable.
Rub the eye frequently to promote healing.
Resume all normal activities immediately.
Which of the following signs and symptoms should prompt the patient to contact their healthcare provider after cataract surgery?
Mild itching and slight discomfort
Sudden vision loss, severe pain, or increased redness
Mild tearing and sensitivity to light
Slightly blurred vision that improves over a few days
The classification ranges for normal, elevated, Stage 1, and Stage 2 hypertension are:
Normal: <120/80 mmHg, Elevated: 120-129/<80 mmHg, Stage 1: 130-139/80-89 mmHg, Stage 2: ≥140/90 mmHg
Normal: <130/85 mmHg, Elevated: 130-139/85-89 mmHg, Stage 1: 140-159/90-99 mmHg, Stage 2: ≥160/100 mmHg
Normal: <110/70 mmHg, Elevated: 110-119/70-79 mmHg, Stage 1: 120-129/80-89 mmHg, Stage 2: ≥130/90 mmHg
Normal: <125/80 mmHg, Elevated: 125-134/80-84 mmHg, Stage 1: 135-144/85-89 mmHg, Stage 2: ≥145/90 mmHg
A blood pressure of 128/78 mmHg should be interpreted as which of the following? What is an appropriate health promotion strategy for a patient in this category?
Normal blood pressure; No intervention needed
Elevated blood pressure; Encourage lifestyle modifications
Stage 1 hypertension; Start antihypertensive medication
Hypertensive crisis; Immediate hospitalization
