Final 211:

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lets get this over with
Tess Nicholson
Quiz by Tess Nicholson, updated more than 1 year ago
Tess Nicholson
Created by Tess Nicholson over 8 years ago
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Resource summary

Question 1

Question
Your patient had a lymph node biopsy, the results indicate the presence of a Reed-Sternberg Cell. Which condition do you expect the doctor to educate your patient on?
Answer
  • Aplastic anemia
  • Chronic Lymphocytic Anemia
  • Hodgkin's Lymphoma
  • Non-Hodgkin's Lymphoma

Question 2

Question
Your patient who is being started on iron supplements for iron-deficient anemia related to poor iron intake demonstrates that she needs further teaching when she says which comment?
Answer
  • I will take my iron supplements between meals, but have a small snack if they upset my stomach.
  • I will take my iron supplements with a tall glass of OJ.
  • I will sip my liquid iron supplement through a straw.
  • I will have some yogurt after my iron pill to help settle my stomach.

Question 3

Question
You are explaining x-linked recessive disorders to a new graduate nurse. You should include all of the following EXCEPT?
Answer
  • GLucose 6 Phosphate Deficiency Anemia and Hemophilia are both examples of x-linked recessive disorders.
  • Males can be both carriers and can be affected by the illness, depending on which gene they inherit.
  • If the mother is a carrier and the father is unaffected the female offspring have a 50% chance of being a carrier.
  • If the father has the x-linked recessive illness, none of his sons will be suffer from the illness but all his daughters will be carriers.

Question 4

Question
A nurse is taking care of an acutely ill patient with DIC. Which fluid does she get ready to administer to the patient?
Answer
  • Packed red blood cells
  • D5w
  • Whole blood & tells blood bank to stay to units ahead
  • Fresh frozen Plasma (FFP)

Question 5

Question
Anorexia often develops in pt's who have what characteristics present in their home life?
Answer
  • perfectionism & enmeshment
  • physical abuse
  • all family activities revolve around food
  • many brothers and sisters

Question 6

Question
A student is explaining the differences between bulimia and anorexia to her classmates. Which statement indicates understanding?
Answer
  • Anorexia is much easier to treat than bulimia once normal eating habits are restored.
  • Bulimia is dependent on compensatory mechanisms for diagnosis, while anorexia is dependent on BMI and fear of gaining weight.
  • Client's with bulimia do not suffer the health risks that those with anorexia do.
  • Anorexia benefits from family therapy while bulimia benefits more from medication.

Question 7

Question
A client is brought into the psych unit by CRISIS. Her precipitating event for admission is S/I with plan to overdose on Nyquil and slit her wrists. She has an Axis 2 diagnosis of Borderline personality disorder, which behaviors do you expect to read about in the patient's history? Select all that apply (4)
Answer
  • Ritualistic, obsessive behavior
  • patterns of idealization and devaluing
  • reckless spending, sexual behavior, substance abuse, or binge-eating
  • Lack of guilt for crimes committed
  • labile moods
  • Self-harm
  • Demands to be the center of attention

Question 8

Question
A client makes every conversation about himself, is theatrical, provocative and uses his physical appearance to direct attention to himself. Which personality disorder is he likely to have?
Answer
  • Narcissistic
  • Antisocial
  • Borderline personality disorder
  • Histrionic

Question 9

Question
The treatment plan for a pt with Borderline personality d/o should include all but?
Answer
  • ensuring that certain restrictions and rules are followed
  • setting limits when boundaries are ignored
  • Self check ins for the client suffering from S/I
  • flexibility in schedule

Question 10

Question
The nurse should do which interventions to decrease the common side effect of headache post lumbar puncture?
Answer
  • encourage a large meal of simple carbohydrates
  • encourage ambulation then rest
  • apply ice packs to the needle puncture
  • encourage fluids and a supine position

Question 11

Question
The nurse identifies that which blood product can be infused without ABO compatibility
Answer
  • platlets
  • packed red blood cells
  • whole blood
  • fresh frozen plasma

Question 12

Question
A pt with a previous febrile nonhemolytic reaction to blood would be premedicated and which intervention would be performed?
Answer
  • vital signs every 15 minutes
  • dilute the blood with normal saline
  • leukocyte reduction filter
  • give only O blood

Question 13

Question
Which type of blood transfusion reaction would be most likely to get an incident report filed ?
Answer
  • Acute hemolytic
  • allergic reaction
  • febrile

Question 14

Question
When educating a family with an infant newly diagnosed with Thalassemia major what comment shows that the pt understands teaching?
Answer
  • I will giver her liquid iron supplement through a syringe
  • Our other children won't need to be tested
  • she will need blood transfusions to be healthy
  • by avoiding triggers and fava beans she can be okay

Question 15

Question
A patient with an absorption b12 deficiency would have all of the following except?
Answer
  • paresthesias of the feet/hands & ataxia
  • negative schilling test
  • large RBC with abnormal shapes
  • decreased serum b12 with normal folate levels

Question 16

Question
Thrombocytopenia is associated with which commonly given medication?
Answer
  • coumadin
  • Heparin
  • Plavix
  • Aspirin

Question 17

Question
Which conditions can not be diagnosed simultaneously with bulimia as part of the diagnostic criteria?
Answer
  • Borderline personality disorder
  • substance abuse disorder
  • binge eating disorder
  • anorexia nervosa

Question 18

Question
Interventions for an acutely ill client with an eating disorder include all of the following except?
Answer
  • art therapy sitting quietly
  • 1 to 1 observation during meals and for 2 hours afterward
  • increasing privileges based on adherence to meal plan
  • walk with staff

Question 19

Question
A client with bulimia is asking the nurse about access to a dentist. The nurse understands that the client most likely has side effects do to what ?
Answer
  • purging
  • Binge food sugar content
  • fasting induced decreased saliva
  • poor ADL performance

Question 20

Question
A client has a fractured femur and suddenly experiences severe dyspnea. His ABG's are as follows: PH: 7.32 PaCO2: 43 HCO3: 20 Pa02: 58 Which result supports the nurse's thought that the dyspnea is caused by a fat embolus?
Answer
  • Ph is normal
  • PaO2 shows hypoxemia
  • HCO3 is acidotic
  • PaCo2 is normal

Question 21

Question
The nurse will plan to administer which medication to the client exhibiting the following symptoms: headache and nausea that is worse in the morning, papilloedema, and drowsiness?
Answer
  • mannitol
  • naloxoner
  • rituxan
  • indomethacin

Question 22

Question
A pt with a concussion will always lose consciousness or "black out"
Answer
  • True
  • False

Question 23

Question
A pt who had a crush injury 12hrs ago to the forearm is exhibiting paralysis and the limb is cool and pulseless. The nurse plans care knowing?
Answer
  • muscle damage in compartment syndrome is irreversible after 4-6hours
  • muscle damage in compartment syndrome is irreversible after 12-24 hours
  • DVT can be treated using anticoagulants
  • fever management is the first priority

Question 24

Question
A nurse is providing teaching on traumatic vs acquired brain injury. She knows the students need further teaching when they state?
Answer
  • whiplash is an acquired brain injury since you can't see anything wrong
  • Acquired brain injury is caused by anything that is not an external force
  • Traumatic brain injury causes include car crash, falls, and sports
  • Stroke, tumor and degenerative disease are examples of acquired brain injury

Question 25

Question
A nurse arrives at the seen of an accident when driving home from work. The appropriate nursing action would be to?
Answer
  • Have the patient get out of the care slowly
  • Treat the patient as if they have a spine fracture untill proven otherwise
  • call 911 before driving away
  • assist the patient to a sitting position slowly so they don't get dizzy
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