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 nurse is preparing a bolus feeding for a patient. She aspirates for gastric residual with a return of 520 mL’s. Which of the following are appropriate interventions going forward?

A nurse is documenting her assessment findings on a 2 wk. old infant with pyloric stenosis. Which of the following statements made by the nurse might you expect to find in the chart: (Hint=3)

XX is a clinical nurse specialist formulating the care-plan for a 6-day-old baby girl who has a cleft lip + palate she recognizes the 2 most important nursing diagnoses are:

A long-time L&D nurse who conducts home-visits for parents + babies with extra needs. She reviews the chart of a 22 y.o. first-time mom who is 37 wks. pregnant with a baby boy who has an ultrasound-establish cleft-lip & palate. She knows which of the following will be needs of mom + baby within the first several weeks:

You are doing a medication teaching with a patient newly prescribed cholestyramine (Questran) which of the following might you include in the teaching:

XX is the CRNA scrubbing in on 1-day old meconium-ileus obstruction with a student nurse. After sedating and intubating the neonate she begins to describe the disorder to the SN, including which of the following:

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:

Which of the following assessment finding(s) are consistent with Acute Epiglottitis?

You are the nurse caring for a 6 yr. old ♀ with Acute Laryngotracheobronchitis (LTB). She is stridorous, with an occasional bark, has a temp of 99.6° F and is saturating at 93% on RA. Using your nursing judgment you plan to implement which of the following intervention(s):

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

A nurse is preparing to administer Nitro-BID (paste) to a patient with CP. Which of the following are important action(s) preformed by the nurse prior to medicating:

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

Which of the following patient(s) are NOT candidates for Fibrinolytic Therapy?

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

Morphine Sulfate is utilized in the collaborative treatment of ACS by working in which of the following way(s):

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 on a pulmonary-rehab floor is reconciling med's with a patient and his wife. The nurse notes the patient, despite being on safer and equally effective therapies, is still prescribed theophylline (Theo-Dur). She stars the medication so that she can SBAR with the pulmonologist. Fondly recalling nursing school the nurse knows the following are true of Methylxanthines:

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?

Earl is a 56 y.o. ♂ cruising the tropics with his wife. On the 2nd day of his trip, he develops a a gnarley sinus infection and present's to the ship infirmary. The practitioner asks Earl about PMH, but after a couple of morning libations he forgets to disclose the fact he takes daily carvediolol (Coreg) + rosuvastatin (Crestor). He is prescribed pseudoephedrine (Sudafed) and sent back up to the deck for a limbo contest. Where in lays the problem?

Clinical Manifestations of Myocardial Infarction (MI) include which of the following:

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?

An 8 y.o. ♀ just moved in a couple of houses down. You miss out on much of the neighborhood action because your a night-shift nurse. Your neighbors however have described her as "extremely obstinate" for an 8 yr. old as well "aggressive" and "deceitful." One neighbor witnessed her kicking a dog at the bus stop, and another destroying a garden. You recognize her behaviors are consistent with:

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: