Exam Part 1 of Nursing 112 FInal GBCC

Questão 1 de 60

1

Informed consent prior to surgery is obtained by the...

Selecione uma das seguintes:

Scrub Nurse
Surgeon
Surgical Tech
Circulating Nurse

Explicação

Questão 2 de 60

1

Select all of the following that are commonly used induction drugs for general anesthesia

Selecione uma ou mais das seguintes:

Mirtazapine (Remeron)
Versed (Midozalem)
Sublimaze (fentanyl)
valium (lorazipam)

Explicação

Questão 3 de 60

1

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....

Selecione uma das seguintes:

analgesia
excitment
medullary paralysis
surgical anesthesia
movement

Explicação

Questão 4 de 60

1

Which pt. is going to have the hardest time excreting anesthesia postoperatively

Selecione uma das seguintes:

Small child, never had surgery before
Thin 70 year old adult, with glaucoma
Slightly overweight 30 year old with hernia
76 year old obese male w/ trunk fat

Explicação

Questão 5 de 60

1

Epinephrine can be dangerous when given on an appendage because it may...

Selecione uma das seguintes:

often causes a rash
cause circulation to be compromised due to vasodilation
May cause bleeding due to it's interference with Factor 8
cause circulation to be compromised due to vasoconstriction

Explicação

Questão 6 de 60

1

Fully reactive pts in the PACU should be placed in which position to promote respiratory expansion

Selecione uma das seguintes:

semifowlers (head of bed at 45 degrees)
placed on side
supine and head of bed completely flat

Explicação

Questão 7 de 60

1

A pt. in the PACU weighs 100kg and has a urine output of 200 mg/ an hour. The nurse notes that this is...

Selecione uma das seguintes:

Below satisfactory output
above satisfactory output
Just meeting the criteria of satisfactory output

Explicação

Questão 8 de 60

1

A pt. who is allergic to NSAIDs could safely be given Ketorolac (Toradol) for pain management postoperatively

Selecione uma das opções:

VERDADEIRO
FALSO

Explicação

Questão 9 de 60

1

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

Selecione uma das seguintes:

Primary intention
Secondary intention
tertiary intention

Explicação

Questão 10 de 60

1

An appropriate diagnosis for a pt. who has had psychotic symptoms for 4 months would be...

Selecione uma das seguintes:

Psychosis NOS
Schizophrenia
Schizoaffective disorder
Schizophreniform disorder

Explicação

Questão 11 de 60

1

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...

Selecione uma das seguintes:

The negative symptoms of apathy and anhedonia
The positive symptoms of alogia and apathy
The negative symptoms of alogia and affective blunting
the positive symptoms of asociality and avolition

Explicação

Questão 12 de 60

1

The difference between delusions and illusions are ...

Selecione uma das seguintes:

delusions have a relationship to real life
illusions are misinterpretations of real stimulus
delusions are misinterpretations of real stimulus
delusions are always violent

Explicação

Questão 13 de 60

1

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...

Selecione uma das seguintes:

Disordered Behavior: Anergia
Disordered thought: mutism
Delusion: echopraxia
Disordered Thought: Clang association

Explicação

Questão 14 de 60

1

When designating the task of taking vitals to an LNA; The nurse must make sure the LNA is careful when positioning the following pt.

Selecione uma das seguintes:

Schizophrenic pt. with perseveration
Schizophrenic pt. with associative looseness
Schizophrenic pt. with waxy flexibility
Schizoaffective pt. with delusions of thought broadcasting

Explicação

Questão 15 de 60

1

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 ?

Selecione uma das seguintes:

Acknowledge
empathize
sympathy
redirect

Explicação

Questão 16 de 60

1

The main differences between normal grief and depression include the following

Selecione uma ou mais das seguintes:

In depression feelings of hopelessness prevail
In grief the pt is able to accept comfort and support from others
In depression physical complaints are not usually present
In depression anhedonia is prevalent
Grief is characterized by overwhelming hopelessness and guilt

Explicação

Questão 17 de 60

1

Which of the following loved ones would be at risk for complicated/dysfunctional grief?

Selecione uma ou mais das seguintes:

A parent who lost a child from SIDS
A man who lives with his daughters and who's wife died in his arms after a long battle with cancer.
A man who lost his best friend to homocide
A women who lost her husband while he was a soldier in Iraq and the body could not be recovered
A young women who lost her elderly father to Alzheimer's Disease after 6 months on hospice care.
A daughter who's alcoholic father passed away from liver disease before they could reconcile

Explicação

Questão 18 de 60

1

On an I and O sheet, the nurse should expect a healthy pt.'s flow sheet to balance out after...

Selecione uma ou mais das seguintes:

4 hours
14 hours
48 hours
72 hours

Explicação

Questão 19 de 60

1

Hypotonic solutions have a lower osmalarity than serum (<240) : Select all the characteristics associated with this type of fluid

Selecione uma ou mais das seguintes:

Cause fluid to shift out of blood vessels into cells and interstitial spaces
Cause fluid to shift out of cells increasing circulating volume
The fluid to hydrates cells while reducing fluid in circulatory system
Can increase a hypotensive state
Are a good choice for a pt. experiencing fluid volume excess

Explicação

Questão 20 de 60

1

Select all the hypertonic solutions:

Selecione uma ou mais das seguintes:

TPN & PPN
5% DNS
NS
LR
D5W
D10W

Explicação

Questão 21 de 60

1

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

Selecione uma ou mais das seguintes:

Dehydration, Hyponatremia
Dehydration, hypernatremia, hyperkalemia
Hypovolemia, hypokalemia
Hypovolemia, hyperkalemia

Explicação

Questão 22 de 60

1

A pt. who has 3rd spacing can have both excessive fluid and dehydration

Selecione uma das opções:

VERDADEIRO
FALSO

Explicação

Questão 23 de 60

1

A pt. has a specific gravity of 1.040 and asks you what this means you reply.

Selecione uma das seguintes:

"This means your NS iv fluids have done there job re-hydrating you"
"This means you need to drink less water and watch your sodium intake"
"This means your body is putting out very concentrated urine."
"This means your body is putting out too much dilute urine"
" This is a normal lab value."

Explicação

Questão 24 de 60

1

Hypotonic overhydration can be caused by:

Selecione uma ou mais das seguintes:

Tap water enemas
.9% NS at a rate of 100ml/hour
TPN
overuse of .45%NS
inappropriate formula for children
using a water bottle as a pacifier
Saline enemas

Explicação

Questão 25 de 60

1

The most important assessment for a pt at risk for CHF or volume excess is...

Selecione uma das seguintes:

Respiratory rate
daily weights
Blood pressure
Pain level on exertion

Explicação

Questão 26 de 60

1

Hydrochlorothiazide, HCTZ (Hydrodiuril) is a

Selecione uma das seguintes:

Thiazaide diuretic & antihypertensive
Mild
blocks absorption of water in distal tubule
Loop diuretic; exerts action of loop of henle
loose water and potassium
Potassium sparing and conserving (avoid K+ rich foods)
Inhibits action of aldosterone in distal tubule
Very Powerful osmotic diuretic
used to decrease intracranial pressure and cerebral edema

Explicação

Questão 27 de 60

1

Spironolactone (aldactone) is a

Selecione uma das seguintes:

Loop diuretic; exerts action of loop of henle
loose water and potassium
Very Powerful osmotic diuretic
used to decrease intracranial pressure and cerebral edema
Potassium sparing and conserving (avoid K+ rich foods)
Inhibits action of aldosterone in distal tubule
Thiazaide diuretic & antihypertensive
Mild
blocks absorption of water in distal tubule

Explicação

Questão 28 de 60

1

Mannitol (osmitrol) is a

Selecione uma das seguintes:

Thiazaide diuretic & antihypertensive
Mild
blocks absorption of water in distal tubule
Very Powerful osmotic diuretic
used to decrease intracranial pressure and cerebral edema
Loop diuretic; exerts action of loop of henle
loose water and potassium
Potassium sparing and conserving (avoid K+ rich foods)
Inhibits action of aldosterone in distal tubule

Explicação

Questão 29 de 60

1

A pt. on Furosemide (lasix) should be counseled on eating foods rich in which nutrient

Selecione uma das seguintes:

Sodium
Phosphorous
Potassium
Calcium

Explicação

Questão 30 de 60

1

Ideal age of fetus when mother goes into labour

Selecione uma das seguintes:

24-28wks
35-36wks
38-42wks

Explicação

Questão 31 de 60

1

Progesterone levels are to maintaining a pregnancy as _____________ levels are to maintaining labor

Selecione uma das seguintes:

Aldosterone
Estrogen
LH
oxytocin

Explicação

Questão 32 de 60

1

Identify the 4 p's of labour

Selecione uma ou mais das seguintes:

Passage
Pulmonary
Passenger
Powers
Psyche
Physcian
Portal

Explicação

Questão 33 de 60

1

A baby with a station of 0 is considered engaged

Selecione uma das opções:

VERDADEIRO
FALSO

Explicação

Questão 34 de 60

1

The most favorable positions for the baby to be in at the start of labor Include:

Selecione uma ou mais das seguintes:

Longitudinal lie
transverse lie
Attitude: flexion
Attitude: extension
Cephalic presentation: vertex
Cephalic Presentation: Brow

Explicação

Questão 35 de 60

1

With breech presentation the concern is _ and with shoulder presentation the concern is _.

Selecione uma ou mais das seguintes:

Cord compression
airway obstruction
Meconium
head entrapment

Explicação

Questão 36 de 60

1

This baby would be documented as in which position

Selecione uma das seguintes:

RSA
LSA
LOP
LMA

Explicação

Questão 37 de 60

1

What would you document the fetal position as? Is this a good position for labor?

Selecione uma das seguintes:

LMA, no
LOA, yes
ROA
RSA

Explicação

Questão 38 de 60

1

The nurse in this picture is performing?

Selecione uma das seguintes:

Leopald's maneuvers
Chicovstky signs
Pavlov maneuver
Gestational age

Explicação

Questão 39 de 60

1

When does fetal o2 and waste exchange occur during the contraction cycle

Selecione uma das seguintes:

acme
increment
Interval

Explicação

Questão 40 de 60

1

Effacement is to thinning and shortening (%) as Dilation is to _____________ (_)

Selecione uma das seguintes:

drawing up (mm)
Opening (cm)
Relaxing (%)
shortening (cm)

Explicação

Questão 41 de 60

1

Primary powers are involuntary and cause effacement and dilation; Secondary powers are voluntary pushing

Selecione uma das opções:

VERDADEIRO
FALSO

Explicação

Questão 42 de 60

1

Estrogen; Progesterone _

Selecione uma das seguintes:

Evacuate, Preserve
eliminate, power

Explicação

Questão 43 de 60

1

Signs of impending labor include

Selecione uma ou mais das seguintes:

Pain in abdomen
bloody show
lightening
Braxton Hicks Contractions
Cervical changes
Resting/Bath decrease contractions
Weight loss (1-3lb)
ROM
Backache, pain in sacrum

Explicação

Questão 44 de 60

1

Most appropriate precautions to take when A mother had a rupture of membranes but did not go into labor.

Selecione uma ou mais das seguintes:

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

Explicação

Questão 45 de 60

1

Latent (early) Labour is characterized by

Selecione uma ou mais das seguintes:

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
cervix 8cm to fully dilated

Explicação

Questão 46 de 60

1

1 stage: Active labor is characterized by:

Selecione uma ou mais das seguintes:

3-7 cm dilated
0-3 cm dilated
effacement complete
internal rotation begins; descent of fetus into pelvis
fetus ballotable, unengaged
contractions 2-5 min apart, duration 40-60 sec; mod-strong
behavior changes: anxious, helpless, unsocial
social, excited, cooperative

Explicação

Questão 47 de 60

1

1st Stage of Labor: Transition Phase characterized by

Selecione uma ou mais das seguintes:

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
no epidural= most difficult stage
wants to push, must resist urge to push
Rn should encourage good strong pushes and adequate rest periods

Explicação

Questão 48 de 60

1

Second Stage of Labour begins with _ and full __ and ends with birth of the baby.

Selecione uma ou mais das seguintes:

complete dilation (10cm) and 100% effacement
3 cm dilation and 25 % effacement
6 cm dilation and 50 % effacement
40-50 sec frequency and full dilation

Explicação

Questão 49 de 60

1

Cardinal Movements of Labor in Order

Selecione uma ou mais das seguintes:

Flexion, Rotation, extension, expulsion
Engagement, eternal rotation (shoulder), extension, internal rotation, flexion, expulsion
Engagement, Flexion, Internal Rotation, Extension, External Rotation (shoulder, expulsion
Engagement, Flexion, external roation, extension, internal rotation, expulsion

Explicação

Questão 50 de 60

1

Third Stage of Labor is all about the...

Selecione uma ou mais das seguintes:

crowning
placenta
cardinal movements
meconium

Explicação

Questão 51 de 60

1

Shiny Schultze_ side; Dirty Duncan: __side

Selecione uma ou mais das seguintes:

Baby, Mom
Mom, Baby

Explicação

Questão 52 de 60

1

Normal Fetal heart Rate (Bradycardia has to persist for at least _____ min for diagnosis)

Selecione uma das seguintes:

90-120; 30 min
120-190; 5 min
110-160; 10 min

Explicação

Questão 53 de 60

1

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.

Selecione uma das seguintes:

HR of 140
Presence of variability
accelerations with movement at 155 lasting 14 seconds
Deceleration to 130 following the contraction end

Explicação

Questão 54 de 60

1

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?

Selecione uma das seguintes:

movement
vaginal exam
baby sleeping
vibro-acoustic stimulation

Explicação

Questão 55 de 60

1

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.

Selecione uma das opções:

VERDADEIRO
FALSO

Explicação

Questão 56 de 60

1

In terms of _______________ it is okay to be early but never to be late.

Selecione uma das seguintes:

accelerations
deccelerations
variability

Explicação

Questão 57 de 60

1

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?

Selecione uma ou mais das seguintes:

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

Explicação

Questão 58 de 60

1

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)

Selecione uma das opções:

VERDADEIRO
FALSO

Explicação

Questão 59 de 60

1

Re-positioning to hands and knees position or side to side and amnioinfusion are interventions for...

Selecione uma das seguintes:

early decelerations
variable decelerations
late decelerations
prolonged decelerations

Explicação

Questão 60 de 60

1

Epidural Blocks are associated with the following possible side effects

Selecione uma ou mais das seguintes:

maternal hypotension
Fetal hypotension
bladder distension
accelerations
prolonged second stage of labor
Spinal headache
catheter migrations

	Criado por Tess Nicholson aproximadamente 9 anos atrás

Nursing exam final 112

Exam Part 1 of Nursing 112 FInal GBCC

Questão 1 de 60

Informed consent prior to surgery is obtained by the...

Selecione uma das seguintes:

Explicação

Questão 2 de 60

Select all of the following that are commonly used induction drugs for general anesthesia

Selecione uma ou mais das seguintes:

Explicação

Questão 3 de 60

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....

Selecione uma das seguintes:

Explicação

Questão 4 de 60

Which pt. is going to have the hardest time excreting anesthesia postoperatively

Selecione uma das seguintes:

Explicação

Questão 5 de 60

Epinephrine can be dangerous when given on an appendage because it may...

Selecione uma das seguintes:

Explicação

Questão 6 de 60

Fully reactive pts in the PACU should be placed in which position to promote respiratory expansion

Selecione uma das seguintes:

Explicação

Questão 7 de 60

A pt. in the PACU weighs 100kg and has a urine output of 200 mg/ an hour. The nurse notes that this is...

Selecione uma das seguintes:

Explicação

Questão 8 de 60

A pt. who is allergic to NSAIDs could safely be given Ketorolac (Toradol) for pain management postoperatively

Selecione uma das opções:

Explicação

Questão 9 de 60

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

Selecione uma das seguintes:

Explicação

Questão 10 de 60

An appropriate diagnosis for a pt. who has had psychotic symptoms for 4 months would be...

Selecione uma das seguintes:

Explicação

Questão 11 de 60

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...

Selecione uma das seguintes:

Explicação

Questão 12 de 60

The difference between delusions and illusions are ...

Selecione uma das seguintes:

Explicação

Questão 13 de 60

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...

Selecione uma das seguintes:

Explicação

Questão 14 de 60

When designating the task of taking vitals to an LNA; The nurse must make sure the LNA is careful when positioning the following pt.

Selecione uma das seguintes:

Explicação

Questão 15 de 60

Selecione uma das seguintes:

Explicação

Questão 16 de 60

The main differences between normal grief and depression include the following

Selecione uma ou mais das seguintes:

Explicação

Questão 17 de 60

Which of the following loved ones would be at risk for complicated/dysfunctional grief?

Selecione uma ou mais das seguintes:

Explicação

Questão 18 de 60

On an I and O sheet, the nurse should expect a healthy pt.'s flow sheet to balance out after...

Selecione uma ou mais das seguintes:

Explicação

Questão 19 de 60

Hypotonic solutions have a lower osmalarity than serum (<240) : Select all the characteristics associated with this type of fluid

Selecione uma ou mais das seguintes:

Explicação

Questão 20 de 60

Select all the hypertonic solutions:

Selecione uma ou mais das seguintes:

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

With breech presentation the concern is _ and with shoulder presentation the concern is _.