2671723
Descripción
Test por Tess Nicholson, actualizado hace más de 1 año
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Creado por Tess Nicholson
hace casi 9 años
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Pregunta 1
Pregunta
Informed consent prior to surgery is obtained by the...
Respuesta
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Scrub Nurse
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Surgeon
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Surgical Tech
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Circulating Nurse
Pregunta 2
Pregunta
Select all of the following that are commonly used induction drugs for general anesthesia
Respuesta
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Mirtazapine (Remeron)
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Versed (Midozalem)
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Sublimaze (fentanyl)
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valium (lorazipam)
Pregunta 3
Pregunta
A child is being put to sleep and while the medications are being administered he suddenly starts moving uncontrollably. What stage of induction is being shown by these symptoms....
Respuesta
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analgesia
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excitment
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medullary paralysis
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surgical anesthesia
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movement
Pregunta 4
Pregunta
Which pt. is going to have the hardest time excreting anesthesia postoperatively
Respuesta
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Small child, never had surgery before
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Thin 70 year old adult, with glaucoma
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Slightly overweight 30 year old with hernia
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76 year old obese male w/ trunk fat
Pregunta 5
Pregunta
Epinephrine can be dangerous when given on an appendage because it may...
Respuesta
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often causes a rash
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cause circulation to be compromised due to vasodilation
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May cause bleeding due to it's interference with Factor 8
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cause circulation to be compromised due to vasoconstriction
Pregunta 6
Pregunta
Fully reactive pts in the PACU should be placed in which position to promote respiratory expansion
Respuesta
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semifowlers (head of bed at 45 degrees)
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placed on side
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supine and head of bed completely flat
Pregunta 7
Pregunta
A pt. in the PACU weighs 100kg and has a urine output of 200 mg/ an hour. The nurse notes that this is...
Respuesta
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Below satisfactory output
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above satisfactory output
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Just meeting the criteria of satisfactory output
Pregunta 8
Pregunta
A pt. who is allergic to NSAIDs could safely be given Ketorolac (Toradol) for pain management postoperatively
Respuesta
- True
- False
Pregunta 9
Pregunta
You have a pt. that is seen at the wound clinic. The wound has begun healing and has been left open and the base of the wound is undergoing treatment... This wound is healing by
Respuesta
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Primary intention
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Secondary intention
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tertiary intention
Pregunta 10
Pregunta
An appropriate diagnosis for a pt. who has had psychotic symptoms for 4 months would be...
Respuesta
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Psychosis NOS
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Schizophrenia
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Schizoaffective disorder
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Schizophreniform disorder
Pregunta 11
Pregunta
Mr. J has came on to the psych unit and is speaking with the nurse. He denies any Auditory or visual hallucinations. When speaking to Mr. J the nurse notes that he only speaks when prompted to and seems to never smile.... These symptoms are...
Respuesta
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The negative symptoms of apathy and anhedonia
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The positive symptoms of alogia and apathy
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The negative symptoms of alogia and affective blunting
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the positive symptoms of asociality and avolition
Pregunta 12
Pregunta
The difference between delusions and illusions are ...
Respuesta
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delusions have a relationship to real life
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illusions are misinterpretations of real stimulus
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delusions are misinterpretations of real stimulus
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delusions are always violent
Pregunta 13
Pregunta
You greet Camille on the unit in the morning and ask "How are you?"; Camille responds "good, should, could, would". This response is a symptom associated with schizophrenia known as...
Respuesta
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Disordered Behavior: Anergia
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Disordered thought: mutism
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Delusion: echopraxia
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Disordered Thought: Clang association
Pregunta 14
Pregunta
When designating the task of taking vitals to an LNA; The nurse must make sure the LNA is careful when positioning the following pt.
Respuesta
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Schizophrenic pt. with perseveration
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Schizophrenic pt. with associative looseness
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Schizophrenic pt. with waxy flexibility
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Schizoaffective pt. with delusions of thought broadcasting
Pregunta 15
Pregunta
Interventions for Delusions: In the statement by the nurse "I understand that you are hearing a man talking to you, I don't hear a man. This must be scary for you, why don't we take a walk down to the kitchen and get a snack. "... When the nurse says "this must be scary for you" she is implementing which intervention for delusions ?
Respuesta
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Acknowledge
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empathize
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sympathy
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redirect
Pregunta 16
Pregunta
The main differences between normal grief and depression include the following
Respuesta
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In depression feelings of hopelessness prevail
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In grief the pt is able to accept comfort and support from others
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In depression physical complaints are not usually present
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In depression anhedonia is prevalent
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Grief is characterized by overwhelming hopelessness and guilt
Pregunta 17
Pregunta
Which of the following loved ones would be at risk for complicated/dysfunctional grief?
Respuesta
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A parent who lost a child from SIDS
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A man who lives with his daughters and who's wife died in his arms after a long battle with cancer.
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A man who lost his best friend to homocide
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A women who lost her husband while he was a soldier in Iraq and the body could not be recovered
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A young women who lost her elderly father to Alzheimer's Disease after 6 months on hospice care.
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A daughter who's alcoholic father passed away from liver disease before they could reconcile
Pregunta 18
Pregunta
On an I and O sheet, the nurse should expect a healthy pt.'s flow sheet to balance out after...
Respuesta
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4 hours
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14 hours
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48 hours
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72 hours
Pregunta 19
Pregunta
Hypotonic solutions have a lower osmalarity than serum (<240) : Select all the characteristics associated with this type of fluid
Respuesta
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Cause fluid to shift out of blood vessels into cells and interstitial spaces
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Cause fluid to shift out of cells increasing circulating volume
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The fluid to hydrates cells while reducing fluid in circulatory system
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Can increase a hypotensive state
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Are a good choice for a pt. experiencing fluid volume excess
Pregunta 20
Pregunta
Select all the hypertonic solutions:
Respuesta
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TPN & PPN
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5% DNS
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NS
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LR
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D5W
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D10W
Pregunta 21
Pregunta
A pt. presents in the emergency room with the following
Heart rate (110), BP (96/56), Temp (36.7); he feels dizzy when he stands
Labs: Sodium (150), Potassium (5.4), H&H is high
What medical language would MOST appropriately describe this pt's conditon
Respuesta
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Dehydration, Hyponatremia
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Dehydration, hypernatremia, hyperkalemia
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Hypovolemia, hypokalemia
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Hypovolemia, hyperkalemia
Pregunta 22
Pregunta
A pt. who has 3rd spacing can have both excessive fluid and dehydration
Respuesta
- True
- False
Pregunta 23
Pregunta
A pt. has a specific gravity of 1.040 and asks you what this means you reply.
Respuesta
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"This means your NS iv fluids have done there job re-hydrating you"
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"This means you need to drink less water and watch your sodium intake"
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"This means your body is putting out very concentrated urine."
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"This means your body is putting out too much dilute urine"
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" This is a normal lab value."
Pregunta 24
Pregunta
Hypotonic overhydration can be caused by:
Respuesta
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Tap water enemas
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.9% NS at a rate of 100ml/hour
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TPN
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overuse of .45%NS
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inappropriate formula for children
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using a water bottle as a pacifier
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Saline enemas
Pregunta 25
Pregunta
The most important assessment for a pt at risk for CHF or volume excess is...
Respuesta
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Respiratory rate
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daily weights
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Blood pressure
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Pain level on exertion
Pregunta 26
Pregunta
Hydrochlorothiazide, HCTZ (Hydrodiuril) is a
Respuesta
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Thiazaide diuretic & antihypertensive Mild blocks absorption of water in distal tubule
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Loop diuretic; exerts action of loop of henle loose water and potassium
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Potassium sparing and conserving (avoid K+ rich foods) Inhibits action of aldosterone in distal tubule
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Very Powerful osmotic diuretic used to decrease intracranial pressure and cerebral edema
Pregunta 27
Pregunta
Spironolactone (aldactone) is a
Respuesta
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Loop diuretic; exerts action of loop of henle loose water and potassium
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Very Powerful osmotic diuretic used to decrease intracranial pressure and cerebral edema
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Potassium sparing and conserving (avoid K+ rich foods) Inhibits action of aldosterone in distal tubule
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Thiazaide diuretic & antihypertensive Mild blocks absorption of water in distal tubule
Pregunta 28
Pregunta
Mannitol (osmitrol) is a
Respuesta
-
Thiazaide diuretic & antihypertensive Mild blocks absorption of water in distal tubule
-
Very Powerful osmotic diuretic used to decrease intracranial pressure and cerebral edema
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Loop diuretic; exerts action of loop of henle loose water and potassium
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Potassium sparing and conserving (avoid K+ rich foods) Inhibits action of aldosterone in distal tubule
Pregunta 29
Pregunta
A pt. on Furosemide (lasix) should be counseled on eating foods rich in which nutrient
Respuesta
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Sodium
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Phosphorous
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Potassium
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Calcium
Pregunta 30
Pregunta
Ideal age of fetus when mother goes into labour
Respuesta
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24-28wks
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35-36wks
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38-42wks
Pregunta 31
Pregunta
Progesterone levels are to maintaining a pregnancy as _____________ levels are to maintaining labor
Respuesta
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Aldosterone
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Estrogen
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LH
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oxytocin
Pregunta 32
Pregunta
Identify the 4 p's of labour
Respuesta
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Passage
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Pulmonary
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Passenger
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Powers
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Psyche
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Physcian
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Portal
Pregunta 33
Pregunta
A baby with a station of 0 is considered engaged
Respuesta
- True
- False
Pregunta 34
Pregunta
The most favorable positions for the baby to be in at the start of labor Include:
Respuesta
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Longitudinal lie
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transverse lie
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Attitude: flexion
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Attitude: extension
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Cephalic presentation: vertex
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Cephalic Presentation: Brow
Pregunta 35
Pregunta
With breech presentation the concern is _______________ and with shoulder presentation the concern is _______________.
Respuesta
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Cord compression
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airway obstruction
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Meconium
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head entrapment
Pregunta 36
Pregunta
This baby would be documented as in which position
Respuesta
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RSA
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LSA
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LOP
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LMA
Pregunta 37
Pregunta
What would you document the fetal position as? Is this a good position for labor?
Respuesta
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LMA, no
-
LOA, yes
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ROA
-
RSA
Pregunta 38
Pregunta
The nurse in this picture is performing?
Respuesta
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Leopald's maneuvers
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Chicovstky signs
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Pavlov maneuver
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Gestational age
Pregunta 39
Pregunta
When does fetal o2 and waste exchange occur during the contraction cycle
Respuesta
-
acme
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increment
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Interval
Pregunta 40
Pregunta
Effacement is to thinning and shortening (%) as Dilation is to _______________ (___)
Respuesta
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drawing up (mm)
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Opening (cm)
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Relaxing (%)
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shortening (cm)
Pregunta 41
Pregunta
Primary powers are involuntary and cause effacement and dilation; Secondary powers are voluntary pushing
Respuesta
- True
- False
Pregunta 42
Pregunta
Estrogen__________; Progesterone ___________
Respuesta
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Evacuate, Preserve
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eliminate, power
Pregunta 43
Pregunta
Signs of impending labor include
Respuesta
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Pain in abdomen
-
bloody show
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lightening
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Braxton Hicks Contractions
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Cervical changes
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Resting/Bath decrease contractions
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Weight loss (1-3lb)
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ROM
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Backache, pain in sacrum
Pregunta 44
Pregunta
Most appropriate precautions to take when A mother had a rupture of membranes but did not go into labor.
Respuesta
-
Decrease the vaginal exams to only once an hour.
-
Check the fetal heart rate and d/c vaginal exams
-
Check vaginally to see if the baby is engaged at a station of +1
-
Give oxytocin and wait for the doctor
Pregunta 45
Pregunta
Latent (early) Labour is characterized by
Respuesta
-
Cervix opens 0-3cm
-
mild-moderate contractions, mild discomfort (may go unnoticed)
-
uterus easily indented when contracting
-
behavior changes increased concentration
-
ctx about 3-30min apart; 20-40 sec duration by end
-
ctx 2-5 min apart, duration 40-60sec by end
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cervix 8cm to fully dilated
Pregunta 46
Pregunta
1 stage: Active labor is characterized by:
Respuesta
-
3-7 cm dilated
-
0-3 cm dilated
-
effacement complete
-
internal rotation begins; descent of fetus into pelvis
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fetus ballotable, unengaged
-
contractions 2-5 min apart, duration 40-60 sec; mod-strong
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behavior changes: anxious, helpless, unsocial
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social, excited, cooperative
Pregunta 47
Pregunta
1st Stage of Labor: Transition Phase characterized by
Respuesta
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8cm to full dilation (10cm)
-
short intense
-
ctx. 2-5 min apart duration 40-60 sec
-
ctx. strong, 1.5-2 min apart, duration 60-90 sec
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no epidural= most difficult stage
-
wants to push, must resist urge to push
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Rn should encourage good strong pushes and adequate rest periods
Pregunta 48
Pregunta
Second Stage of Labour begins with _________ and full __________ and ends with birth of the baby.
Respuesta
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complete dilation (10cm) and 100% effacement
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3 cm dilation and 25 % effacement
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6 cm dilation and 50 % effacement
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40-50 sec frequency and full dilation
Pregunta 49
Pregunta
Cardinal Movements of Labor in Order
Respuesta
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Flexion, Rotation, extension, expulsion
-
Engagement, eternal rotation (shoulder), extension, internal rotation, flexion, expulsion
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Engagement, Flexion, Internal Rotation, Extension, External Rotation (shoulder, expulsion
-
Engagement, Flexion, external roation, extension, internal rotation, expulsion
Pregunta 50
Pregunta
Third Stage of Labor is all about the...
Respuesta
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crowning
-
placenta
-
cardinal movements
-
meconium
Pregunta 51
Pregunta
Shiny Schultze_______ side; Dirty Duncan: ________side
Respuesta
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Baby, Mom
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Mom, Baby
Pregunta 52
Pregunta
Normal Fetal heart Rate (Bradycardia has to persist for at least _____ min for diagnosis)
Respuesta
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90-120; 30 min
-
120-190; 5 min
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110-160; 10 min
Pregunta 53
Pregunta
A fetal heart rate monitor is showing:
HR: 140; presence of variability, accelerations with movement at 155 lasting 14 seconds, and a deceleration to 130 following the contraction end.
Identify the non-reassuring result.
Respuesta
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HR of 140
-
Presence of variability
-
accelerations with movement at 155 lasting 14 seconds
-
Deceleration to 130 following the contraction end
Pregunta 54
Pregunta
Accelerations are good things! Indicates intact CNS and fetal well being; shown by a 15x15 patter for older than 32 weeks and a 10x10 patter for younger than 32 weeks.
Accelerations can be caused by all but what?
Respuesta
-
movement
-
vaginal exam
-
baby sleeping
-
vibro-acoustic stimulation
Pregunta 55
Pregunta
Early Deceleration are associated with head compression which causes vagus nerve to slow HR but they are not associated with fetal compromise. Rate at lowest point usually above 100 bpm. Begin near onset + return to baseline by end of ctx.
Respuesta
- True
- False
Pregunta 56
Pregunta
In terms of _______________ it is okay to be early but never to be late.
Respuesta
-
accelerations
-
deccelerations
-
variability
Pregunta 57
Pregunta
A nurse taking care of a pt. whose baby is experiencing late decelerations is documenting her interventions. She notes that she gave pain medication, administered o2, performed a vaginal exam to assess head station and cord, decreased the pt's Oxytocin and increased the IV fluid infusion, placed pt on her side, checked the mother's vital signs and offered a warm compress. Which interventions were directly related to improving placental blood flow?
Respuesta
-
administering pain meds
-
administering oxygen
-
vaginal exam to assess head station and cord
-
Decreasing oxytocin infusion and increasing IV fluids
-
Placing pt. on her side
-
Vital signs
-
Giving the pt. a warm compress
Pregunta 58
Pregunta
VEAL: CHOP
Variable: Cord (no uniform patter)
Early: Head Compression (occuring during ctx)
Accelerations: Optimal
Late: Placental Dysfunction (begin after peak of contraction and rate returns to baseline after contraction ends)
Respuesta
- True
- False
Pregunta 59
Pregunta
Re-positioning to hands and knees position or side to side and amnioinfusion are interventions for...
Respuesta
-
early decelerations
-
variable decelerations
-
late decelerations
-
prolonged decelerations
Pregunta 60
Pregunta
Epidural Blocks are associated with the following possible side effects
Respuesta
-
maternal hypotension
-
Fetal hypotension
-
bladder distension
-
accelerations
-
prolonged second stage of labor
-
Spinal headache
-
catheter migrations
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