Quiz
Exam Part 1 of Nursing 112 FInal GBCC
Questions in this quiz (60)
1Informed consent prior to surgery is obtained by the...
- AScrub Nurse
- BSurgeon
- CSurgical Tech
- DCirculating Nurse
2Select all of the following that are commonly used induction drugs for general anesthesia
- AMirtazapine (Remeron)
- BVersed (Midozalem)
- CSublimaze (fentanyl)
- Dvalium (lorazipam)
3A 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....
- Aanalgesia
- Bexcitment
- Cmedullary paralysis
- Dsurgical anesthesia
- Emovement
4Which pt. is going to have the hardest time excreting anesthesia postoperatively
- ASmall child, never had surgery before
- BThin 70 year old adult, with glaucoma
- CSlightly overweight 30 year old with hernia
- D76 year old obese male w/ trunk fat
5Epinephrine can be dangerous when given on an appendage because it may...
- Aoften causes a rash
- Bcause circulation to be compromised due to vasodilation
- CMay cause bleeding due to it's interference with Factor 8
- Dcause circulation to be compromised due to vasoconstriction
6Fully reactive pts in the PACU should be placed in which position to promote respiratory expansion
- Asemifowlers (head of bed at 45 degrees)
- Bplaced on side
- Csupine and head of bed completely flat
7A pt. in the PACU weighs 100kg and has a urine output of 200 mg/ an hour. The nurse notes that this is...
- ABelow satisfactory output
- Babove satisfactory output
- CJust meeting the criteria of satisfactory output
8A pt. who is allergic to NSAIDs could safely be given Ketorolac (Toradol) for pain management postoperatively
- ATrue
- BFalse
9You 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
- APrimary intention
- BSecondary intention
- Ctertiary intention
10An appropriate diagnosis for a pt. who has had psychotic symptoms for 4 months would be...
- APsychosis NOS
- BSchizophrenia
- CSchizoaffective disorder
- DSchizophreniform disorder
11Mr. 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...
- AThe negative symptoms of apathy and anhedonia
- BThe positive symptoms of alogia and apathy
- CThe negative symptoms of alogia and affective blunting
- Dthe positive symptoms of asociality and avolition
12The difference between delusions and illusions are ...
- Adelusions have a relationship to real life
- Billusions are misinterpretations of real stimulus
- Cdelusions are misinterpretations of real stimulus
- Ddelusions are always violent
13You 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...
- ADisordered Behavior: Anergia
- BDisordered thought: mutism
- CDelusion: echopraxia
- DDisordered Thought: Clang association
14When designating the task of taking vitals to an LNA; The nurse must make sure the LNA is careful when positioning the following pt.
- ASchizophrenic pt. with perseveration
- BSchizophrenic pt. with associative looseness
- CSchizophrenic pt. with waxy flexibility
- DSchizoaffective pt. with delusions of thought broadcasting
15Interventions 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 ?
- AAcknowledge
- Bempathize
- Csympathy
- Dredirect
16The main differences between normal grief and depression include the following
- AIn depression feelings of hopelessness prevail
- BIn grief the pt is able to accept comfort and support from others
- CIn depression physical complaints are not usually present
- DIn depression anhedonia is prevalent
- EGrief is characterized by overwhelming hopelessness and guilt
17Which of the following loved ones would be at risk for complicated/dysfunctional grief?
- AA parent who lost a child from SIDS
- BA man who lives with his daughters and who's wife died in his arms after a long battle with cancer.
- CA man who lost his best friend to homocide
- DA women who lost her husband while he was a soldier in Iraq and the body could not be recovered
- EA young women who lost her elderly father to Alzheimer's Disease after 6 months on hospice care.
- FA daughter who's alcoholic father passed away from liver disease before they could reconcile
18On an I and O sheet, the nurse should expect a healthy pt.'s flow sheet to balance out after...
- A4 hours
- B14 hours
- C48 hours
- D72 hours
19Hypotonic solutions have a lower osmalarity than serum (<240) : Select all the characteristics associated with this type of fluid
- ACause fluid to shift out of blood vessels into cells and interstitial spaces
- BCause fluid to shift out of cells increasing circulating volume
- CThe fluid to hydrates cells while reducing fluid in circulatory system
- DCan increase a hypotensive state
- EAre a good choice for a pt. experiencing fluid volume excess
20Select all the hypertonic solutions:
- ATPN & PPN
- B5% DNS
- CNS
- DLR
- ED5W
- FD10W
21A 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- ADehydration, Hyponatremia
- BDehydration, hypernatremia, hyperkalemia
- CHypovolemia, hypokalemia
- DHypovolemia, hyperkalemia
22A pt. who has 3rd spacing can have both excessive fluid and dehydration
- ATrue
- BFalse
23A pt. has a specific gravity of 1.040 and asks you what this means you reply.
- A"This means your NS iv fluids have done there job re-hydrating you"
- B"This means you need to drink less water and watch your sodium intake"
- C"This means your body is putting out very concentrated urine."
- D"This means your body is putting out too much dilute urine"
- E" This is a normal lab value."
24Hypotonic overhydration can be caused by:
- ATap water enemas
- B.9% NS at a rate of 100ml/hour
- CTPN
- Doveruse of .45%NS
- Einappropriate formula for children
- Fusing a water bottle as a pacifier
- GSaline enemas
25The most important assessment for a pt at risk for CHF or volume excess is...
- ARespiratory rate
- Bdaily weights
- CBlood pressure
- DPain level on exertion
26Hydrochlorothiazide, HCTZ (Hydrodiuril) is a
- AThiazaide diuretic & antihypertensive
Mild
blocks absorption of water in distal tubule - BLoop diuretic; exerts action of loop of henle
loose water and potassium - CPotassium sparing and conserving (avoid K+ rich foods)
Inhibits action of aldosterone in distal tubule - DVery Powerful osmotic diuretic
used to decrease intracranial pressure and cerebral edema
- AThiazaide diuretic & antihypertensive
27Spironolactone (aldactone) is a
- ALoop diuretic; exerts action of loop of henle
loose water and potassium - BVery Powerful osmotic diuretic
used to decrease intracranial pressure and cerebral edema - CPotassium sparing and conserving (avoid K+ rich foods)
Inhibits action of aldosterone in distal tubule - DThiazaide diuretic & antihypertensive
Mild
blocks absorption of water in distal tubule
- ALoop diuretic; exerts action of loop of henle
28Mannitol (osmitrol) is a
- AThiazaide diuretic & antihypertensive
Mild
blocks absorption of water in distal tubule - BVery Powerful osmotic diuretic
used to decrease intracranial pressure and cerebral edema - C
Loop diuretic; exerts action of loop of henle
loose water and potassium - DPotassium sparing and conserving (avoid K+ rich foods)
Inhibits action of aldosterone in distal tubule
- AThiazaide diuretic & antihypertensive
29 A pt. on Furosemide (lasix) should be counseled on eating foods rich in which nutrient
- ASodium
- BPhosphorous
- CPotassium
- DCalcium
- ASodium
30Ideal age of fetus when mother goes into labour
- A24-28wks
- B35-36wks
- C38-42wks
31Progesterone levels are to maintaining a pregnancy as _____________ levels are to maintaining labor
- AAldosterone
- BEstrogen
- CLH
- Doxytocin
32Identify the 4 p's of labour
- APassage
- BPulmonary
- CPassenger
- DPowers
- EPsyche
- FPhyscian
- GPortal
33A baby with a station of 0 is considered engaged
- ATrue
- BFalse
34The most favorable positions for the baby to be in at the start of labor Include:
- ALongitudinal lie
- Btransverse lie
- CAttitude: flexion
- DAttitude: extension
- ECephalic presentation: vertex
- FCephalic Presentation: Brow
35With breech presentation the concern is _______________ and with shoulder presentation the concern is _______________.
- ACord compression
- Bairway obstruction
- CMeconium
- Dhead entrapment
36This baby would be documented as in which position
- ARSA
- BLSA
- CLOP
- DLMA
37What would you document the fetal position as? Is this a good position for labor?
- ALMA, no
- BLOA, yes
- CROA
- DRSA
38The nurse in this picture is performing?
- ALeopald's maneuvers
- BChicovstky signs
- CPavlov maneuver
- DGestational age
39When does fetal o2 and waste exchange occur during the contraction cycle
- Aacme
- Bincrement
- CInterval
40Effacement is to thinning and shortening (%) as Dilation is to _______________ (___)
- Adrawing up (mm)
- BOpening (cm)
- CRelaxing (%)
- Dshortening (cm)
41Primary powers are involuntary and cause effacement and dilation; Secondary powers are voluntary pushing
- ATrue
- BFalse
42Estrogen__________; Progesterone ___________
- AEvacuate, Preserve
- Beliminate, power
43Signs of impending labor include
- APain in abdomen
- Bbloody show
- Clightening
- DBraxton Hicks Contractions
- ECervical changes
- FResting/Bath decrease contractions
- GWeight loss (1-3lb)
- HROM
- IBackache, pain in sacrum
44Most appropriate precautions to take when A mother had a rupture of membranes but did not go into labor.
- ADecrease the vaginal exams to only once an hour.
- BCheck the fetal heart rate and d/c vaginal exams
- CCheck vaginally to see if the baby is engaged at a station of +1
- DGive oxytocin and wait for the doctor
45Latent (early) Labour is characterized by
- ACervix opens 0-3cm
- Bmild-moderate contractions, mild discomfort (may go unnoticed)
- Cuterus easily indented when contracting
- Dbehavior changes increased concentration
- Ectx about 3-30min apart; 20-40 sec duration by end
- Fctx 2-5 min apart, duration 40-60sec by end
- Gcervix 8cm to fully dilated
461 stage: Active labor is characterized by:
- A3-7 cm dilated
- B0-3 cm dilated
- Ceffacement complete
- Dinternal rotation begins; descent of fetus into pelvis
- Efetus ballotable, unengaged
- Fcontractions 2-5 min apart, duration 40-60 sec; mod-strong
- Gbehavior changes: anxious, helpless, unsocial
- Hsocial, excited, cooperative
471st Stage of Labor: Transition Phase characterized by
- A8cm to full dilation (10cm)
- Bshort intense
- Cctx. 2-5 min apart duration 40-60 sec
- Dctx. strong, 1.5-2 min apart, duration 60-90 sec
- Eno epidural= most difficult stage
- Fwants to push, must resist urge to push
- GRn should encourage good strong pushes and adequate rest periods
48Second Stage of Labour begins with _________ and full __________ and ends with birth of the baby.
- Acomplete dilation (10cm) and 100% effacement
- B3 cm dilation and 25 % effacement
- C6 cm dilation and 50 % effacement
- D40-50 sec frequency and full dilation
49Cardinal Movements of Labor in Order
- AFlexion, Rotation, extension, expulsion
- BEngagement, eternal rotation (shoulder), extension, internal rotation, flexion, expulsion
- CEngagement, Flexion, Internal Rotation, Extension, External Rotation (shoulder, expulsion
- DEngagement, Flexion, external roation, extension, internal rotation, expulsion
50Third Stage of Labor is all about the...
- Acrowning
- Bplacenta
- Ccardinal movements
- Dmeconium
51Shiny Schultze_______ side; Dirty Duncan: ________side
- ABaby, Mom
- BMom, Baby
52Normal Fetal heart Rate (Bradycardia has to persist for at least _____ min for diagnosis)
- A90-120; 30 min
- B120-190; 5 min
- C110-160; 10 min
53A 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.- AHR of 140
- BPresence of variability
- Caccelerations with movement at 155 lasting 14 seconds
- DDeceleration to 130 following the contraction end
54Accelerations 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?- Amovement
- Bvaginal exam
- Cbaby sleeping
- Dvibro-acoustic stimulation
55Early 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.
- ATrue
- BFalse
56In terms of _______________ it is okay to be early but never to be late.
- Aaccelerations
- Bdeccelerations
- Cvariability
57 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?
- Aadministering pain meds
- Badministering oxygen
- Cvaginal exam to assess head station and cord
- DDecreasing oxytocin infusion and increasing IV fluids
- EPlacing pt. on her side
- FVital signs
- GGiving the pt. a warm compress
58VEAL: 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)- ATrue
- BFalse
59Re-positioning to hands and knees position or side to side and amnioinfusion are interventions for...
- Aearly decelerations
- Bvariable decelerations
- Clate decelerations
- Dprolonged decelerations
60Epidural Blocks are associated with the following possible side effects
- Amaternal hypotension
- BFetal hypotension
- Cbladder distension
- Daccelerations
- Eprolonged second stage of labor
- FSpinal headache
- Gcatheter migrations
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- Nursing exam final 112
- Author
- Tess Nicholson
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- English
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