Nursing 211: Exam 2 Practice

You are the nurse preparing discharge instructions for a 9 y.o. ♀ newly prescribed methylphenidate (Daytrana) for the treatment of ADHD. The pt's mother appears a bit overwhelmed but reluctant to express any concerns, you take note of this and make sure to emphasize which of the following in her discharge:

A 17 y.o. ♂ patient was admitted yesterday evening for a Crohn's exacerbation. An NG-tube was placed to enforce bowel-rest. She made several comments to the nurse during the 9 AM med pass, one of which potentiated the need for some education. Which of the following statements made by the patient perpetuates the need for further teaching?

A nurse is caring for a febrile 11 y.o. ♂ who is awaiting transport to the OR for an emergency appendectomy—as she disconnects the monitor from the wall unit the patient vomits and begins to cry. He proceeds to tell her that he actually feels a little bit better and that the “pain isn’t as bad”. She immediately suspects rupture, and anticipates which of the following:

You are the charge RN on WMCH, a unit inundated with 3 sick babies all of whom need transport to higher-acuity facilities. You receive word that DHART is now available for heli-transport. Prior to consulting with the physicians, your nursing judgment clues you into advocate for which of the following patients:

Which of the following diagnostic studies confirms the diagnosis of Hirschsprung’s Disease?

A nurse is caring for a newborn with Omphalocele, a defect of the umbilical ring into which varying amounts of abdominal organs may herniate. She recognizes the priority nursing intervention is:

Correct placement of Fat emulsion (lipid infusion) is:

Which of the following sets of symptoms are consistent with re-feeding syndrome?

A nurse is assuming the care of a 56 y.o. ♂ who has throat CA with severe esophageal metastasis. He underwent esophageal re-section last evening. The patient is unable to communicate with the nurse but has obvious chills + dyspnea. The nurse obtains a full-set of VS, notes a 101.4 temperature and suspects which of the following:

The nurse knows that all of the following may confirm correct placement of the nasogastric tube but is the golden standard:

Dumping Syndrome & Postprandial Hypoglycemia are both complications of?

A mother frantically carries her 4 yr. old ♂ in the ED yelling “it all started with a sore throat!” You note the boy’s color is good but he’s clammy, his tongue is out and he’s drooling. Your next step:

The nurse recognizes ___________________ is the most specific marker of myocardial infarction (MI)

Which of the following sets of EKG findings are consistent with Chronic Stable Angina?

The first line of treatment for patient's with confirmed STEMI:

Baby X was rushed to the ED following her mother's complaint that the infant has been irritable, difficult to breastfeed and has had diarrhea for the past 3 days. The infant's respiratory rate is elevated and the fontanels are sunken. The ED physician orders ABGs after assessing ABCs, with results as follows: pH 7.39, PaCO2 27 mmHg and HCO3 19 mEq/L. What does this mean?

A 3 y.o. ♂ is admitted to the hospital with a diagnosis of asthma and respiratory distress syndrome. The mother of the child tells you that she has witnessed slight tremors and behavioral changes in her child over the past 4 days. The attending physician orders routine ABGs following an assessment of the ABCs. The ABG results are pH 7.35, PaCO2 72 mmHg and HCO3 38 mEq/L. What acid-base disorder is shown?

X, was drinking a glass of wine when she syncopized and hit her head. Her friend dials "911" because AP is unconscious, with depressed ventilation (shallow and slow respirations), rapid heart rate, and is profusely bleeding from both ears. Which primary acid-base imbalance is AP at risk for if medical attention is not provided?

X is admitted to the hospital and is to undergo brain surgery. You note the patient is reluctant to ask any questions or express concerns but has become increasingly anxious. He begins to hyperventilate, hands contract tries to articulate that he "feels dizzy" before he loses consciousness. STAT ABGs reveal pH 7.61, PaCO2 22 mmHg and HCO3 25 mEq/L. What is the ABG interpretation based on the findings?

Why is it important to encourage oral rinse mouth after using inhaled corticosteroids?

___________________ = the most important indicator of Asthma in an asymptomatic patient

A nurse is evaluating suitable treatment options for a 61 yr. old ♀ who has a history of Asthma & Parkinson's Disease. Which of the following would be most-appropriate for this patient and increase her compliance?

Prinzmetal's Angina can be best described as:

A child diagnosed with ADHD is reprimanded for taking the nurse's pen without asking first. He reponds by shouting, "You don't like me! You won't let me have anything, even a pen!" The nurse is most therapeutic when responding:

Freddy is a 7 y.o. ♂ who was recently diagnosed with ADHD. He is taking methylphenidate (Ritalin) to help him cope with the symptoms of the disorder. As the school nurse, you are assisting in planning his care. Which of the following statements by Freddy's mother best indicates an accurate understanding of the treatment that has been planned for him?

The priority nursing diagnosis for a child diagnosed with ADHD is:

While talking with you (the school nurse), Freddy's mother states "I feel like I caused all of his problems." Which response would be most appropriate?



Freddy is a 7 y.o. ♂ who was recently diagnosed with ADHD. He is taking methylphenidate (Ritalin) to help him cope with the symptoms of the disorder. As the school nurse, you are assisting in planning his care. Which of the following best indicates to you that the time of Kevin's methylphenidate administration may need to be adjusted?

A nurse is caring for a 27 y.o. ♂ with a Paralytic Ileus. Which of the following medication orders would prompt immediate intervention by the nurse: