MA FINAL PRACTICE

Where should the cuff be placed on the arm? on the bicep, centered over the brachial artery on the forearm, centered over the brachial artery on the bicep, on the right above the brachial artery on the forearm, under the brachial artery

on the bicep, centered over the brachial artery

ss

one-half

Cervical Os

opening of the cervix

OR

operating room

OHA

oral hypoglycemic agent

A hypertonic enema works primarily on the principle of ______________________ Osmosis Diffusion Facilitative Diffusion

osmosis

pericarditis

outer layer of heart inflamed

OTC

over the counter drugs

OD

overdose, or right eye (know context of how it is used)

What is SpO2?

oxygen saturation

If you see that the ST segment is elevated, flat or concave elevation AND the entire T wave is elevated off baseline, what disease would most likely be happening? Acute Ischema Pericarditis Forgot to take daily Lithium Pleural effusion

pericarditis

PICC line

peripherally inserted central catheter

pt

pint

The physician writes: Pt fo follow up with PT for one month weekly. is an example of.

plan in SOAP

PMI

point of maximal impulse

(Common prescription aberration) pulv

powder via pulverization

MRSA

powerful staph infection

A Hgb AIC result of 6.0 with a fasting Plasma glucose of 115 is considered? Diabetes Pre Diabetes Normal

pre-diabetes

Rx

prescription

Decubitus Ulcer

pressure sore

the purpose of valves in veins is to

prevent backflow of blood as it travels through the body

exogenous

produced outside the body

Endogenous

produced within the body

lying on abdomen flat is which position?

prone

This EKG finding is pathognomonic for which of the diseases below: S1 Q3 T(inverted)3 pulmonary embolism COPD

pulmonary embolism

QNS

quantity non sufficient

qt

quart

What happens if the cuff is too small on a patients arm? readings are accurate readings are low readings are high readings are inaccurate

readings are high

What happens if the cuff is too big on a patients arm? readings are low readings are accurate readings are inaccurate readings are high

readings are low

What happens if the cuff is too loose on a patients arm? readings are inaccurate readings are low readings are high readings are skewed

readings are low

After a fracture, sometimes we place the fractured bone into its correct anatomical alignment. This procedure is called? Reduction Malaise Luxation

reduction

Generally speaking when a phlebotomist is required to draw a HgB/HCT, Platelets and type and cross, it is assumed that they patient .... require a blood transfusion these are surgical labs only the patient has anemia

require a blood transfusion

AD

right ear

RLQ

right lower quadrant

RUQ

right upper quadrant

Prior to assisting a patient to ambulate, it is important to perform

risk assessment

You have just finished drawing a patient's blood, you would? Next label the tubes with the patient's name and medical number Pull the tubes that you have previously labeled with the patient's name and medical record number Label the tubes with the patients name only

Next label the tubes with the patient's name and medical number

Glibizide

OHA (oral hypoglycemic agent)

_______________ is seen in : subendocardial infarct and digitalis toxicity. QRS widening PR interval elongation ST segment elevation ST segment depression

ST segment elevation

Explain how you would clean up an acid spill that is 1 oz?

Sand or NaCO3 Sodium Bicarbonate

The pain management nurse observes a patient with complex regional pain syndrome who is not wearing the right-side jacket sleeve. The patient reports intense, right arm pain upon light touch. The nurse recognizes this pain as: allodynia . hypoalgesia. neuritis . paresthesia.

The right answer was allodynia.

Which of the following are important considerations in caring for patients with behavior problems? Establishing routines Enlisting help when indicated Promoting self-esteem All of the above

all of the above

Which of the following diseases/conditions may cause a patient to need assistance with ADLs? Stroke Severe arthritis Major surgery All of the above

all of the above

Which of the following may lead to behavior problems? Panic disorders Side effects from certain medications Anxiety disorders All of the above

all of the above

Which of the following veins should be avoided when initiating an IV? Lower extremities of a diabetic patient Previously used veins and sclerotic veins Veins in the affected arm of a woman with a mastectomy Veins in the arm of a dialysis AV fistula All of the above

all of the above

osteoporosis Bone deterioration occurs in some as a process of normal aging lack of calcium in the body All Answers are correct.

all of the above

What are the respiratory symptoms of the common cold? runny nose (rhinorrhea) hoarseness (laryngitis) watery eyes sore throat (pharyngitis) sneezing chills coughing fast heart beat muscle aches nasal congestion

runny nose (rhinorrhea) hoarseness (laryngitis) sore throat (pharyngitis) sneezing coughing nasal congestion

(EKG) The x axis is measured in ............

sec

Patient is scheduled for a dilantin level venipuncture trough seizure medication post dosing thyroid medication post dosing seizure medication level pre dosing

seizure medication level pre dosing

Patient's head of bed is placed at a 45-degree angle. Hips may or may not be flexed. This is a common position to provide patient comfort and care.

semi fowlers

Healthy Wound Drainage

serosanguinous

SA node

sinoatrial node

What are the respiratory symptoms of allergic rhinitis? Also known as hay fever. fever nasal itching chills sore throat (pharyngitis) coughing hoarseness (laryngitis) nasal congestion sneezing watery eyes runny nose (rhinorrhea)

sneezing nasal congestion nasal itching runny nose (rhinorrhea)

SC, SQ

subcutaneous

sub-q

subcutaneous

A patient states: "My arm hurts really bad." This is an example of which of the following subjective/objective

subjective

Pain Management is Objective Subjective What you think when you assess the patient

subjective

SOAP

subjective, objective, assessment, plan

What is an induration?

swelling of the area caused by immune reaction

Epinephrine is considered a ...... sympathetic nervous system stimulant a parasympathetic nervous system inhibitor a autonomic nervous system antagonist

sympathetic nervous system stimulant

TAB

tablet

A temperature taken axillary is a temperature taken by

the armpit

What are bronchioles?

the branching passageways inside the lungs

A temperature taken tympanicly is a temperature taken by

the ear

A temperature taken orally is a temperature taken by

the mouth

A temperature taken rectally is a temperature taken by

the rectum

Gerontology

the study of the elderly

What is pulse? a place to check the heart beat the tangible beat of the heart the act of the heart pumping blood, causing pressure in the arteries a heart beat

the tangible beat of the heart

What is the trachea?

the windpipe that splits into the lungs

tinct

tincture

What does the lower respiratory tract include? trachea, bronchial tubes and lungs mouth, trachea and larynx nose, mouth and pharynx nose, pharynx and larynx

trachea, bronchial tubes and lungs

Which of the following is considered to be one of the ADLs? Transferring Using the telephone Doing laundry Washing dishes

transferring

A Myocardial Infarction is a Heart Attack t/f

true

A key to success in improving ADL function is good communication between the home health aide and professionals who are seeing the patient t/f

true

A risk assessment needs to be completed prior to ambulation. t/t

true

Ambulation is defined as moving a patient from one place to another t/f

true

Ask patient how they feel during ambulation. t/f

true

Carpal Tunnel is a narrow opening in the bones at the base of the hand. t/f

true

Chronic hyperglycemia as well as carbohydrate metabolism problems characterizes Diabetes Mellitus t/f

true

Diabetes Insipidus usually has an acute onset. t/f

true

Drawing Blood is called Venipuncture t/f

true

Hyperthyroidism is also known as thyrotoxicosis t/f

true

In order to prevent needle sticks and exposure to HIV and other blood borne pathogens, it is of utmost importance that healthcare professionals dispose of all used IV catheters and cannulas in the proper bio hazard sharps containers. t/f

true

Inability to control bladder or bowel is called Incontinence t/f

true

Insulin must be checked by two nurses prior to giving to patient. t/f

true

Intradermal site is used for allergy testing and TB screening t/f

true

Needles smaller than 23 gauge could potentially damage RBC's as they pass the needle opening. t/f

true

Patients who have been immobile for a long period of time may experience vertigo, a sensation of dizziness, and orthostatic hypotension, a form of low blood pressure that occurs when changing position from lying down to sitting, making the patient feel dizzy, faint, or lightheaded t/f

true

Plasma contains Fibrin t/f

true

Problem focused examination is limited to the single body area and or single system mentioned in the chief complaint t/f

true

Respiratory diseases of the upper respiratory tract are more common than the diseases of the lower tract t/f

true

Rose's position one intended to prevent aspiration or swallowing of blood, as from an injured lip: the patient is supine with head hanging over the end of the table in full extension so as to enable bleeding to be over the margins of the inverted upper incisors. t/f

true

Scoliosis is any abnormal deviation or curvature to the right or left. t/f

true

Signs and symptoms of carpal tunnel pain, weakness, or numbness in the hand and wrist, radiating up the arm t/f

true

Subcutaneous injections are given between the epidermis and the muscle into the adipose tissue t/f

true

Subcutaneous injections may be given in the lower abdomen, back of the arms, Anterior thigh as well as Subscapular portion of the back. t/f

true

Syringes are used in blood draw with patients with very thin arterial walls. t/f

true

Tendonitis is one of the most common causes of pain in the shoulder and elbow. t/f

true

The glands of the endocrine system are the hypothalamus, pituitary, pineal gland, thyroid, parathyroid, thymus, and adrenals , and the reproductive glands, parathyroids, thymus, and adrenals and the reproductive glands. t/f

true

The history and physical exam are the starting point of the patients medical evaluation. t/f

true

The phlebotomist must first ask the patient's permission to draw their blood, regardless of the situation. t/f

true

The providers notes during the History and Physical examination should help whether the patient's problem is minor, acute stable or worsening. t/f

true

The removal of dead tissue is called Debridment t/f

true

The single most important thing you can do when a patient is threatening you is to remain calm as possible. t/f

true

To move or position a patient in bed it requires two healthcare workers. t/f

true

True or false: a hypotonic solution such as D5W may be needed for a patient on dialysis when diuretic therapy dehydrates the cells t/f

true

Walk only as far as the patient can tolerate without feeling dizzy or weak. t/f

true

When a patient Aspirates: aspiration is the medical term for a person accidentally inhaling an object, food or fluid into their windpipe and lungs t/f

true

When an Intradermal injection is administered correctly, a small wheal is raised on the skin. t/f

true

When educating the elderly population, it is important to focus patient teaching and information on the patient rather than the family member who may be present. t/f

true

Subcutaneous injections are given at a 45-90 degree angle. t/f

true - The angle of insertion is is typically 45 degrees, but the needle length determines the angle of administration. For example heparin and insulin may be administered at a 90 degree angle when a microneedle 5/16" is used. The injection may also be administered at 90 degree angle if patient is considerably obese.

Medical assistants should use appropriate barrier precautions when contact with blood or other body fluids is expected. t/f

true, Barrier protection include disposable gloves, face masks, face shields, protective glasses, shoe covers, laboratory coats, barrier gowns, mouthpieces and resuscitation bags.

Ensure patient has a draw sheet or a friction-reducing sheet on the bed prior to repositioning t/f

true- to prevent skin breakdown

What is a good action to take when a patient shows signs of impending physical aggression? Turn around and walk away Confront the patient and let her know you're not afraid of her. Laugh at the patient Try to divert the patient

try to divert the patient

What are bronchial tubes?

tubes that looks like a tree hanging in the chest

US

ultrasound

U

unit

How is the respiratory system divided?

upper and lower

UGI

upper gastrointestinal

Gout is the overproduction or improper elimination of?

uric acid

How do you measure SpO2?

using a pulse oximeter

The order reads: Give 0.5 mg of Ativan I.M. every 6 hours for agitation. The bottle reads; 2 mL equals 2 mg. How many mL's will you give the client? 2 mL's 0.5 mL's 1.5 mL's

using dimensional analysis the problem can be set up as follows:What you need to what you have:0.5mg x 2 mL/ 2 mg = 0.5 mL

The process involved in gaseous exchange is

ventilation

VO

verbal order

a sensation of dizziness is called

vertigo

What are vitals?

vital

apnea

w/o breath

What is the best way of preventing infection in a healthcare setting? using hand sanitizer wearing gloves washing hands

washing hands

Your patient is required to fast at least 8 hours prior to their blood test. However, if they are thirsty, they can drink...?

water

A Peak medication level is typically drawn.......

within 1 hour and 30 minutes after IV infusion begins

s w/ a line over it

without

jaundice

yellow of the skin

Some injections are irritating to the skin tissue, such as iron replacement products. The Injection method we use is known as the

z track- The dorso gluteal should be the muscle used for the Z track method. The Z track is the method, where you find the landmark for your muscle, cleanse the area and then push skin up to the side upon injection.

Polydipsia, polyuria, good appetite with weight loss, and blurred vision are signs and symptoms of which of the following conditions? (A) Diabetes mellitus (B) Gout (C) Hypothyroidism (D) Marasmus (E) Polyposis coli

A

Which of the following suffixes refers to eating? (A) "phagia" (B) "phasia" (C) "phonia" (D) "plegia" (E) "praxia"

A

Which of the following terms refers to pain? (A) Arthralgia (B) Diplopia (C) Dysplasia (D) Hemiplegia (E) Urticaria

A

Which of the following patient's you would see first? A 35 year old male with a history of alcoholism and cirrhosis of the liver is hospitalized for Ascites. Upon receiving report from the midnight shift that he has been alert and oriented x3, you notice that one hour into the shift he is confused and is calling out loudly at people that are not in the room. A 84 year old woman has a history of COPD and has a O2 sat of 94 while on 2liters of O2. She is complaining that she has not moved her bowels in 2 days. A 24 year old female hospitalized for a breast biopsy is weeping in her room quietly. 74 year old female who had her foley catheter removed 6 hours ago has not yet voided, and states that she does not have the urge to go, although she has been drinking fluid

A 35 year old male with a history of alcoholism and cirrhosis of the liver is hospitalized for Ascites. Upon receiving report from the midnight shift that he has been alert and oriented x3, you notice that one hour into the shift he is confused and is calling out loudly at people that are not in the room. ADCB

Korotkoff sounds are evaluated by which of the following procedures? (A) Counting the apical heartbeat (B) Determining the blood pressure (C) Performing ultrasonography (D) Counting the respirations (E) Evaluating the pulse

B

The combining form "cephal/o" refers to which of the following? (A) Abdomen (B) Head (C) Neck (D) Ribs (E) Spine

B

The general meaning of "corpus" is best described by which of the following? (A) Abdomen (B) Body (C) Chest (D) Head (E) Trunk

B

The patient's complaint of painful menstrual periods will be documented in the medical record as which of the following? (A) Amenorrhea (B) Dysmenorrhea (C) Menorrhagia (D) Menorrhea (E) Metrorrhagia

B

Which of the following are round bacteria that grow in pairs? (A) Streptococci (B) Diplococci (C) Bacilli (D) Spirilla (E) Staphylococci

B

Which of the following is a procedure in which synovial fluid is removed for analysis? (A) Apheresis (B) Arthrocentesis (C) Arthrography (D) Arthroscopy (E) Articulation

B

Which of the following is an incision made to enlarge the opening of the external urethra? (A) Cystotomy (B) Meatotomy (C) Nephrostomy (D) Pyelostomy (E) Ureterotomy

B

Which of the following physicians specializes in treating patients with diseases of the liver? (A) Hematologist (B) Hepatologist (C) Nephrologist (D) Oncologist (E) Rheumatologist

B

Which of the following terms is used to describe a lateral curvature of the spine? (A) Kyphosis (B) Scoliosis (C) Osteoporosis (D) Lordosis (E) Stenosis

B

Which of the following would be considered a behavior problem? Being nervous about having a medical test Washing one's hands several time a day Being afraid to leave one'e own home All of the above

Being afraid to leave one's own home

Which of the following would be important for the home health aide to do in order to help the patient improve in doing ADLs? Learn how to use the assistive devices the patient may need. Encourage the patient to do as much for himself/herself as possible. Provide enough time for the patient to do things. All of the above are important.

all of the above are important

Hyperthermia is considered

an increase in temperature above 98.7 degrees Farenheight

.What would you think the significance of pale red blood cells indicate?

anemia

ad lib

as desired

pm

as desired

A client has Pancreatitis. Which of the following assessment criteria would be most appropriate?

assess serum amylase - For amylase, an abnormal finding would be a value of > 200 U/L. This is due to cellular injury and cellular death of pancreatic cells due to the process of infection.

AV node

atrioventricular node

AC

before meals

HCO3-

bicarbonate ion

hemoptysis

blood in sputum

hematuria

blood in the urine

Upon applying the chemical reagent to the stool card, what color will it turn if the stool is positive for blood?

blue

endocrine system

bodies system of hormonal regulation

Crenated blood cells.... means that the blood cells are notched blood cells are biconcave both answers are true

both answers are true

OU

both eyes

What is respiration?

breathing

Arterial blood obtained by mistake is.......

bright red and frothy, the phlebotomist went too deep, this is a gross error, the phlebotomist did indeed do harm to the patient and could be fired on the spot.

Peculiar down sloping shape of ST seen in leads V1, V2 is pathognomonic for what disease Inferior MI STEMI Brugada Pulmonary Embolism

brugada

sublingual

buccal cavity

po

by mouth

CPR

cardiopulmonary resuscitation

C

celsius

List the three veins in the Ante Cubital fossa cephalic, basilic, cardio basilic, caudal, medial cubital cephalic, basilic, medial cubital

cephalic, basilic, medial cubital

CVA

cerebral vascular accident

Chemo

chemotherapy

Coag

coagulation

The 10 panel drug screen tests for what drugs?

cocaine amphetamines methamphetamines tetrahydrocannabinol (marijuana) methadone opiates phencyclidine barbiturates benzodiazepines tricyclic antidepressants

Which of the following is not considered an activity of daily living (ADL)? Bathing Toileting Transferring Cooking

coking

CBC is a lab test done in a Lavender tube and is called...

complete blood count

The Lab ESR is found under which set of labs?

complete blood count

CT scan

computerized tomography scan

CHF

congestive heart failure- Heart failure does not mean the heart has stopped working. Rather, it means that the heart's pumping power is weaker than normal. With heart failure, blood moves through the heart and body at a slower rate, and pressure in the heart increases. As a result, the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart may respond by stretching to hold more blood to pump through the body or by becoming stiff and thickened. This helps to keep the blood moving, but the heart muscle walls may eventually weaken and become unable to pump as efficiently. As a result, the kidneys may respond by causing the body to retain fluid (water) and salt. If fluid builds up in the arms, legs, ankles, feet, lungs, or other organs, the body becomes congested

Your patient has a blood pressure of 138/89. You understand that a blood pressure in this range signifies.. Considered hypertension is a normal blood pressure considered hypotension

considered hypertension

A client who has been receiving opioids would most likely complain about which of the following side effects? Headache Insomnia Constipation Nausea

constipation- most common side effect

CABG

coronary artery bypass graft

cc

cubic centimeter

cardiomyopathy

damage to heart muscle layer

Digoxin can have which of the effects on a patient? increase potassium decreases potassium Increases calcium

decreases potassium

Definition of ischemia

depriving tissues of oxygen

A Hgb AIC of 7.9, with a fasting glucose of 139 is considered? Normal Diabetes Pre Diabetes

diabetes

The most common complication of diabetes Diabetic Retinopathy Diabetic Neuropathy Hypoglycemia

diabetic neuropathy

dyspnea

difficulty breathing

D & C

dilation and curettage

DC

discontinue

diabetes

disease of the pancreas

dr

dram

Being a hospital phlebotomist means that from time to time you may have to go into an isolation room. There are many types of illnesses which are contagious and require isolation. Choose the correct answer that lists the most common types of isolation. droplet precautions, contact precautions and airborne respiratory, reverse and liquid contact, sneezing and coughing

droplet precautions, contact precautions and airborne

gtt

drops

problems swallowing

dysphagia

(ekg) the y axis is measured in

eV

EKG

electrocardiogram

What is hemochromatosis?

elevated iron levels

glucose

energy molecule

cardiomegaly

enlargement of the heart

The medication used to treat anemia is: Epogen Heparin Lidocaine Zemplar

epogen

What is considered a high respiration rate? equal to or higher than 21 breaths per minute equal to or higher than 22 breaths per minute equal to or higher than 28 breaths per minute equal to or higher than 23 breaths per minute

equal to or higher than 23 breaths per minute

What is considered a low respiration rate? equal to or less than 22 breaths per minute equal to or less than 13 breaths per minute equal to or less than 11 breaths per minute equal to or less than 18 breaths per minute

equal to or less than 11 breaths per minute

ETHO

ethanol

q

every

q2h

every 2 hours

q3h

every 3 hours

q4h

every 4 hours

qD

every day

qPM

every evening

q hr

every hour

qH

every hour

qMO

every month

qAM

every morning

q Hs

every night

qOD

every other day

qod

every other day

qWK

every week

q_H

every_hours

The movement of waste gases from the alveoli into the atmosphere is

expiration

EENT

eye, ear, nose, throat

18 gauge needles are smaller than 23 gauge needles. t/f

false

A home health aide should never set limits when caring for patients with behavior problems. t/f

false

All patients can improve in doing ADLs if they really want to. t/f

false

Hip arthroplasty always means completely replacing the entire hip joint. t/f

false

Is an MI the same as a cardiac arrest? t/f

false

Medical Asepsis is the spreading of infection. t/f

false

Painful inflammation of a joint bursa that most commonly follows immobilization or prolonged pressure on a joint. t/f

false

Refusing to swallow is called dysphagia t/f

false

Serum contains Fibrin t/f

false

horizontal heart is moat typically found in slender patients t/f

false

BMI formula is weight x 703 divided by height in inches t/f

false - BMI is weight in pounds x 703 divided by height in inches and then again divided by height in inches

Diabetes patients are informed to go without shoes to prevent pressure ulcers from forming. t/f

false - Diabetic patients are informed to where good quality shoes / diabetic shoes. To monitor their feet for any discoloration, cuts, blisters etc.

In an infant/child the Deltoid is the muscle that should be used t/f

false - Vastus lateralis or the ventro gluteal site are the IM areas for Infant/child.

The tourniquet is to be applied 1" above venipuncture site t/f

false, 1.5 inches above

As a Professional it is not important to be sensitive to diverse patient populations? t/f

false, You as a professional must take the initiative to learn about the cultures

A TB test can be read after 72-96 hours after having it done. t/f

false, has to be read btwn 48-72 hrs

The act of puncturing a vein is called Phlebotomy t/f

false, that is venipuncture

When a patient comes in and states they are experiencing "Cough, sore throat, bilateral ear pain." this is objective information t/f

false, this is subjective because it is what the patient states.

Allowing a patient to rest prior to ambulation helps prevent fatigue. t/f

false- Allowing a patient to rest after ambulation helps prevent fatigue

The patient's chief complaint is not part of the H&P t/f

false- CC begins the H&P

The IM injection sites are the Deltoid, Vastus Lateralis t/f

false- The IM injections sites are the Delotid, Vastus Lateralis as well as the Gluteus Medius.

In adults, the Deltoid region can hold up to 3ml of medication due to the size of the muscle. t/f

false- The deltoid region can hold up to 2 ml. The vastus lateralis and gluteal sites can hold up to 3ml.

DM type 1 most often develops in the geriatric population. t/f

false- most often develops in children and young adults

A patient that is lying on their back is called Prone Position t/f

false- that is supine if lying on back

Hyperthermia is also known as

fever

Why would respirate rates increase? resting playing video games eating too much sugar respiratory medical conditions illness exercise fever

fever illness respiratory medical conditions exercise

What are the common respiratory disease symptoms? fever hypertension productive or non-productive cough brusing hoarseness/sore throat joint pain general malaise sneezing altered breathing sounds

fever productive or non-productive cough hoarseness/sore throat general malaise sneezing altered breathing sounds

fl

fluid

a position in which the head of the patient's bed is raised 30 to 90 degrees above the level, with the knees sometimes also elevated

fowlers

The primary function of veins is to carry blood

from the body to the heart

gal

gallon

Choose the correct steps of doffing PPE (Personal Protective Equipment) goggles, mask, gloves, gown gloves, gown, goggles, mask gloves, gown, mask, goggles

gloves, gown, goggles, mask

When leaving the isolation room the healthcare worker must doff their equipment in which of the following orders? Gown, gloves, goggles, mask Goggles, mask, gloves, gown gloves, gown, goggles, mask

gloves, gown, goggles, mask

When going into an isolation room the healthcare worker must don personal protective equipment in which of the following orders? Gloves, gown, goggles, mask Gown, gloves, goggles, mask gown, mask goggles, gloves

gown, mask goggles, gloves

gr

grain

Which of the following is not a common reason that people need help with ADLs? Having a baby Having paralysis Having a fracture Having chronic lung disease

having a baby

The medication Digoxin is given to patient's with congestive heart failure or poor cardiovascular circulation. Prior to giving this medication the PCT must be sure that the patient's heart rate is > (greater than 60 beats per minute). Digoxin can also lower the patients potassium. Knowing this, what can the PCT expect to assess prior to giving the medication? check all that apply. Heart rate Potassium level Blood pressure Lung sounds

heart rate, potassium level

separation of red blood cells

hemolysis

Hep

hepatitis

HepBsAG

hepatitis B surface antigen

HSV

herpes simplex virus

A Calcium level of 13mg/dl is considered...

high

Your patient is on beta blockers, typically beta blockers are given for which of the following? High blood pressure and tachycardia migraines and cramps arrhythmia's originating from the ventricles

high BP and tachycardia

Nosocomial infection

hospital acquired infection

HIV

human immunodeficiency virus

HPV

human papillomavirus

You would typically see a peaked, tent like T wave in what condition Hyperkalemia Hypokalemia Hypercalemia Hyponatremia

hyperkalemia

Weight loss, tachycardia, palpitations, hypertension, agitation, nervousness, depression, tremor, excessive sweating, goiter and exophthalmia. Hypothyroidism Rheumatoid Arthritis Hyperthyroidism

hyperthyroidism

Why would pulse rate fluctuate? emotions illness candy exercise smog injury

illness exercise injury emotions

stat

immediately

When would it be NORMAL to see two p waves on every EKG? In a pt with an ICD In a pt with a heart transplant In a pt with a previous infarct

in a patient with a heart transplant

Apheresis refers to a process:

in which blood is temporarily withdrawn from a donor, one or more components are removed (plasma, etc), and the rest of the blood is reinfused back into the donor.

Mr. Rogers needs an I & D of his wound.

incision and drainage

Your patient has a white cell count of 40,000, explain this result?

increase, sign of infection

hepatitis

inflammation of the liver

inj

injection

endocarditis

inner layer of the heart inflamed

The movement of oxygen from the atmosphere into the alveoli is

inspiration

exogenous insulin

insulin given externally via insulin syringe

ICU

intensive care unit

What are the two primary functions of the respiratory system?

internal and external respiration

ID

intradermal

IM

intramuscular

Rapid absorption injections are Intradermal Intramuscular Subcutaneous

intramuscular

IV

intravenous

fe 2+

iron

A soapsuds enema stimulate peristalsis by ______________________

irritation

Hgb A1C is a test done with a grey tube measuring the blood cells in glucose is a test done in a lavender tube, measuring the amount of glucose bound to the hemoglobin over a period of 120 days is a test done in a grey top tube to rule out diabetes

is a test done in a lavender tube, measuring the amount of glucose bound to the hemoglobin over a period of 120 days

TIBC

is done in a SST tube, measures the efficacy of the hemoglobin to bind to iron (Fe+2)

If you see an inverted, symmetric T wave on an EKG, especially in V2-V6, what does the pt most likely have? Ischemia MI Brugada Digitalis toxicity

ischemia

A client is receiving blood products. Which of the following I.V. solutions is compatible? Isotonic Hypertonic Hypotonic

isotonic

Why do asthma attacks occur?

it's a response to a number of triggers that cause inflammation and bronchospasm with resultant airflow obstruction

the patient resting on the knees and elbows with the chest elevated.

knee elbow position

Patient lies on the side of the body with the top leg over the bottom leg. This position helps relieve pressure on the coccyx.

lateral

Reticulocyte count is done in which color tube?

lavender

Pb

lead

BKA

left below the knee amputation

AS

left ear

OS

left eye or opening

What is considered a normal systolic blood pressure reading? less than 120 less than 100 more than 120 more than 80

less than 120

What is considered a normal diastolic blood pressure reading? less than 60 more than 80 less than 80 more than 100

less than 80

Factor V, IX, X are blood tests that look for specific clotting abnormalities. What color tube will these test be done in? What special preparation is needed?

light blue, fill the tube completely, freeze immediately

the patient lies on the back with the legs well separated, thighs acutely flexed on the abdomen, and legs on thighs; stirrups may be used to support the feet and legs

lithotomy

Where is the apical pulse located? Located in the groin area where the top of the groin and the hip meet Located at the apex of the heart Located at the thumb side of the wrist Located on the back of the knee

located at the apex of the heart

Where is the temporal pulse located? Located under the angle of the jaw Located at the temple Located in the inner elbow Located on top of the foot

located at the temple

Where is the brachial pulse located? Located under the angle of the jaw Located on top of the foot Located at the temple Located in the inner elbow

located in the inner elbow

The medical term 'pulmonary' refers to

lungs

MMR

measles, mumps, rubella

med

medicine

glucophage

metformin OHA

mcg

microgram

What are alveoli?

microscopic air sacs

mn

midnight

MOM

milk of magnesia

meq

milliequivalent

myocarditis

muscle layer of heart inflamed

A client was recently medicated with an opioid. Upon checking on them 30 minutes later you notice that their breathing is shallow, their heart rate is 50 beats per minute and they are not responding. The most likely order that the doctor will give for your patient is which of the following? Epinephrine Tylenol Stadol Narcan

narcan

What are the respiratory symptoms of sinusitis? sneezing nasal congestion sore throat (pharyngitis) mucus hoarseness (laryngitis) chills runny nose (rhinorrhea) fever pressure in face

nasal congestion sore throat (pharyngitis) mucus hoarseness (laryngitis) runny nose (rhinorrhea)

pm

night

aphasia

non verbal

When administering two incompatible medications into the same IV line, you would flush the line before and after the first medication with heparin D5W normal saline sterile water

normal saline

What does the upper respiratory tract include? nose, mouth and pharynx nose, pharynx and larynx trachea, bronchial tubes and lungs mouth, trachea and larynx

nose, pharynx and larynx

npo

nothing by mouth

The systolic BP value is the Numerator Denominator the quotient

numerator

The patient is limping into the physicians office, you document, Patient is favoring right leg as evidenced by a limp. This is an example of subjective/objective

objective

OB/GYN

obstetrics and gynecology

ung

ointment

The tourniquet is allowed to be on the patient for

60 sec

What is a normal pulse rate? 70 80 40 60

80 70 60

What is considered the normal percentage range of oxygen saturation?

94-100

What is a normal body temperature? 93.7 degrees Farenheight 98.7 degrees Farenheight 99.7 degrees Farenheight 95.7 degrees Farenheight

98.7 degrees Farenheight

An abnormal Q wave is: >1mm wide or > 0.04 sec < 1mm wide or < 0.04 sec > 0.5mm wide or > 0.12 sec > 1mm wide or > 0.12 sec

>1mm wide or > 0.04 sec

You have just taken your patient's blood pressure and the reading is 103/60. They have an order for a beta blocker medication that is due now. Your first action would be to..... Notify the nurse with the suggestion to withhold the medication Do nothing and allow medication to be given since this is a normal blood pressure give the patient some water and assess for dehydration and fatigue 1 and 3 only

1 and 3 only

Adipose tissue is made of which of the following? (A) Fat cells (B) Lymph nodes (C) Muscles (D) Skin (E) Tendons

A

A stat Hepatic panel is ordered along with the medication level Tegretol. What is the order of draw? 2 SST's 1 red SST followed by a PST (Lithium Heparinized) 1 PST (Sodium Heparinized) followed by 1 red SST

1 red SST followed by a PST (Lithium Heparinized)

Menarche refers to which of the following? (A) Beginning of menstruation (B) Development of female characteristics (C) End of childhood (D) End of pregnancy (E) Primary infertility

A

A pyloromyotomy is performed in which of the following body systems? (A) Cardiovascular (B) Gastrointestinal (C) Musculoskeletal (D) Nervous (E) Reproductive

B

For an Mantoux test you will administer how many ml's?

0.1 ml

Medication Ordered: Biaxin 250 mgMedication Available: Biaxin 500 mg tablet 0.5,1,2

0.5 tablet

0.9 NS

0.9 normal saline

Dysphonia is a common symptom of which of the following conditions? (A) Iritis (B) Laryngitis (C) Pneumonitis (D) Rhinitis (E) Stomatitis

B

Aerobic bacteria can best be defined as,

Microorganisms which need air to be able to grow

An inflammatory condition that the joint loses its shape and alignment causing deformity and pain Osteoarthritis Rheumatoid Arthritis Bursitis

Rheumatoid Arthritis

The order reads: give 75mg of Metropolol Tartrate (Lopressor®). On hand you have 50mg tablets that are scored. How many tablets will you give the client?

1 1/2 tablet - The key to this question is the word "scored". Only medication that come in scored tablets can be halved. Un-scored tablets may not have the same strength when halved. Therefore it is acceptable to give one tablet of 50mg and a half of a 50mg tablet which will be equal to 25mg to equal the 75mg that is prescribed. Also remember that this medication is a beta blocker, so it is important to take the client's blood pressure prior to administering the medication.

What are the patient Medication Rights you must use in your practice? (6)

Right Drug, Right Patient, Right Dose, Right Route, Right time/frequency, Rite Documentation

Order is Evista 90 mg po daily. You have on hand 60 mg tablets. How many tablet(s) will you give daily?

1.5

Your patient is to receive Metoprolol tartrate (Lopressor) 25 mg po daily. The pharmacist dispenses 50 mg scored tablets. How many should your patient take each day?

1/2

1 mL

100 units- Unit of measurement in the metric system. 1 mL is = to 100 Units

how many mL's are in 1000cc's

1000

How many cc's in 1 liter?

1000 mL's

When irrigating a colostomy, the nurse should hold the irrigating container _________ to ___________ above the colostomy. Incorrect 12-14 inches 12-18 inches 7-10 cm

12-18 inches

What is a normal respiratory rate?

12-22 breaths/min

What is the range considered to be pre-hypertenstion? 120-140/80-90 120-139/80-89 119-138/80-84 80-89/120-139

120-139/80-89

What is the range considered to be Stage 1 Hypertension? 128-150/85-109 138-150/80-99 140-160/90-100 140-159/90-99

140-159/90-99

Visibly soiled hands should be washed for a minimum of seconds with antibacterial soap and warm running water 45 30 15

15

What size gauge needles are used for blood donations and for obtaining large amounts of blood? 20,18,23

18 gauge

Physician ordered Cleocin 150 mg IM every 12 hours. You have on hand Cleocin 300 mg/2ml

1ml

Physician orders Zantac 300 mg po daily at bedtime. Zantac 150 mg tablets are available. How many tablets will the patient take daily?

2

The spaces between each two whole numbers on a Blood Pressure dial is in amounts of 2, 4, 1

2

The order reads; give 0.5mg. The drug label reads 500 micrograms per 2 mL. How many mL's will you give? 0,5,1,2

2 - Always start the problem with what you are ordered to give;[0.5mg] x [1000 micrograms/1mg] x [2mL/500 micrograms] = 2 mL

What gauge need is preferred for lab draws in Infants/children? 22,21,23

23 gauge

Subcutaneous injections are given with a 20 -23 gauge needle 1/2"-5/8" 25-27 gauge needle 1/2"-5/8" 21-23 gauge needle 1/2"-5/8"

25-27 gauge needle 1/2"-5/8"

What gauge needle is used for Intradermal injections? 18-20 gauge needles 1/4" 26-28 gauge needles 3/8" 22-23 gauge needles 1/2 "

26-28 gauge needles 3/8"

The patient is 210 pounds and 6' tall. The patients BMI is

28.5

A infant/child may receive no more than __ ml for an IM injection

2ml

You need to administer Prochlorperazine (Compazine) 10 mg IM to a nauseated patient. You have on hand Compazine 5mg/ml. How many ml(s) will you give?

2ml -10 mg (to be given to patient) Divided by 5mg/1ml on hand. 10mg divided by 5mg = 2You would give 2ml .

BID

2x a day

How many immunizations are required for a Hepatitis B vaccine 1,2,3

3

Medication ordered: Erythromycin 750mgMedication Available: Erythromycin 250mg tablet 2 tables 3 tablets 1 tablets

3

How long is a heart beat measured for to get a pulse rate? 15, 30, 60, 90 sec

60 sec

The order reads: Give I.V. of 1000 cc's 0.9 Normal Saline to run over 8 hours. If the tubing is equal to15 gtts/mL what will be the drip rate per minute? 31 gtts/min 30 gtts/min 31.25 gtts/min

31 gtts/min [1000 cc/8hr] x [1hr/60min] x [15 gtts/mL] = 31.25 gtts/min = 31 gtts/minNotice that the units cancel from numerator to denominator leaving drops per min. Also notice the rounding rules.

tid

3x a day

You have an order that reads Furosemide (lasix) 40 mg IV push. You have on hand 20mg/2ml. How many ml will you give to patient?

4 ml- 40 mg prescribed divided by 20 mg on hand = 22ml = 20 mg so you multiply 2ml x 2ml = 4ml

Keep IV open

40 gtts/min

qid

4x a day

Each small box on the ekg strip has ___________ spaces, with each space corresponding to _______

5, and 0.04 sec

How many activities are commonly called the ADLs?

6

Prioritize the following scenarios as to which patient you would see first. A Patient: 64 year old male, long time smoker is hospitalized for a cardiac catheterization and awaiting the procedure, begins complaining of chest pain, you note that he is diaphoretic, and is having trouble breathing, the cardiac monitor is reading V-tachycardia A Patient two hours post-op abdominal surgery displays bright red blood on their dressing A Patient who is walking in the halls, has blood work that shows an elevated potassium level of 5.7 A patient two days post-op appendectomy is complaining of pain in the back of their right calf, numbness in their toes and is positive for Homans signs.

A Patient: 64 year old male, long time smoker is hospitalized for a cardiac catheterization and awaiting the procedure, begins complaining of chest pain, you note that he is diaphoretic, and is having trouble breathing, the cardiac monitor is reading V-tachycardia ADBC

While in the process of inserting an IV, which of the following is NOT acceptable Enter the skin at a 30-40 degree angle A device may be reused as long as it is in the same site as the original attempt Enter the skin directly over the vein Enter the skin slightly adjacent to the vein and direct the needle into the side of the vein wall

A device may be reused as long as it is in the same site as the original attempt Enter the skin slightly adjacent to the vein and direct the needle into the side of the vein wall

The order reads to give regular humulin insulin 4 Units for a blood glucose reading of 135 - 145. The client has a blood glucose reading of 134. You proceed to draw up 4 Units of insulin because the charge nurse told you that their blood sugar will go up after he eats. This would be considered.... Proper, since the client's blood glucose is so close to 135 and he will be eating directly A medication error A pharmacy error

A medication error- This is a medication error, and had you given the insulin, you would have to write up a quality control report and inform the supervisor. Never listen to anyone who tells you to give a medication that is not according to specific orders. Your license would be liable, not the charge nurse.

Why is COPD so deadly

A patient with COPD is unable to ventilate their lungs freely, resulting in an ineffective exchange of respiratory gases, dyspnea, and a productive cough

A client's blood type is AB positive. Which of the following blood products can the client receive? A,B, AB, and O Only AB A, B, and AB

A,B, AB, and O

The labs SGOT and SGPT are used synonymously with...... AST and ALT SMP and SLT HgB and HCT

AST and ALT

Check all leads except ______to look for presence of significant Q waves.

AVF

ST segment elevation is a sign of: Acute ischemic injury COPD Previous MI Heart transplant

Acute ischemic injury

Larger cuffs are used for? Adults Children Patients who are considered obese/heavier weight who may have thicker arms Patients who are considered muscular who may have thicker arms Infants Underweight adults Overweight Children

Adults Patients who are considered obese/heavier weight who may have thicker arms Patients who are considered muscular who may have thicker arms

What does MRSA stand for? Methicillin Resistant Staphylococcus Aureus Flesh eating disease Necrotizing fasciitis All answers are correct

All answers are correct

When a patient who needs an IV has cold extremities and few veins are visible or small, which of the following are acceptable techniques to help improve the likelihood of a successful IV insertion? Turn up the heat in the room and return in about an hour when the patient is warmer Apply warm packs to the extremity for 5-10 minutes Allow the tourniquet to remain in place for a few minutes while you prepare your equipment

Apply warm packs to the extremity for 5-10 minutes

You have just left the lab with your schedule of draws for the morning and you notice a patient in a wheel chair crying quietly in the corridor. You would... Approach the patient and kneel down so that you were at eye level and ask them if they would like to talk about what is bothering them. Walk over to them and ask them if they are ok... Find a nurse on the floor and let them know about the patient then continue your day

Approach the patient and kneel down so that you were at eye level and ask them if they would like to talk about what is bothering them.

Upon walking into a patients room, you notice that the patient is sleeping. You would... Approach the patient from the end of the bed where their feet are and ask in a even polite tone of voice, "hello Mr. Smith, I am sorry to have to wake you" Realize that the patient is sleeping and that they probably wont feel the needle puncture and prep the site for a draw. Approach the patient and tap on their shoulder asking them to wake up.

Approach the patient from the end of the bed where their feet are and ask in a even polite tone of voice, "hello Mr. Smith, I am sorry to have to wake you"

The medication ASA (acetylsalicylic acid) is another name for ___________ and is given in dosages of ______________ for onset of angina. Tylenol, 500mg Aspirin, 360mg Ibuprophen, 250mg

Aspirin, 360mg

You are getting ready to draw a patient that has a herparin lock (IV access port which is not connected to any IV tubing). Knowing that blood is accessible from this port, you would do which of the following... Cleanse the port access with alcohol, wait until it is dry, then draw blood from the port Assess the other arm for possible veins to draw from and proceed to draw Draw on the hand of the arm with the access port

Assess the other arm for possible veins to draw from and proceed to draw

You are about to draw on a patient who has been talking with you for a few minutes and then you notice that they closed their eyes nodded their head. You would... Assume that they went to sleep, leave the room and draw another patient then come back Keep talking to the patient until they wake up Attempt to wake the patient by calling their name in a low gentle tone, if unable to rouse them, check to see if they are breathing and if they cannot be aroused, remain in the room and call for help

Attempt to wake the patient by calling their name in a low gentle tone, if unable to rouse them, check to see if they are breathing and if they cannot be aroused, remain in the room and call for help

A patient scheduled for echoencephalography will undergo a study of which of the following? (A) Abdomen (B) Brain (C) Heart (D) Lungs (E) Spine

B

You are assessing a patient in the emergency room and they are stating that they are in pain. They rate their pain at a 10 on a 1-10 scale. You assess the client. The patient does not appear to you to be in such pain, since they are sitting up and speaking calmly. The best nursing action would be which of the following? Ignore the patient's plea for pain medication and continue with other work. Believe the patient and treat their pain. Offer them pain medication in placebo form. Ask them why they are not grimacing if they are in pain.

Believe the patient and treat their pain. - Always believe the patient. Never give a placebo; you are violating a patient's right. Answer D is a condescending response and is not acceptable behavior for a nurse.

Which of the following should be reported to the supervisor? Even a small amount of swelling in the legs and feet Bleeding from the gums when the patient is brushing teeth Any amount of discomfort the patient tells you about The patient is having normal bowel function.

Bleeding from the gums when the patient is brushing teeth

A patient with encephalitis is most likely to be treated by which of the following specialists? (A) Endocrinologist (B) Hematologist (C) Neurologist (D) Oncologist (E) Radiologist

C

Inflammation of a sweat gland is known as which of the following terms? (A) Colitis (B) Fasciitis (C) Hidradenitis (D) Pimelitis (E) Rhinitis

C

The term "lithiasis" is best described by which of the following? (A) Constriction of tissue (B) Dissolving (C) Abnormal condition of stones (D) Penetrating a cavity (E) Stretching of tissue

C

Which of the following branches of medicine specializes in the study of the musculoskeletal system? (A) Gynecology (B) Nephrology (C) Orthopedics (D) Pediatrics (E) Urology

C

Which of the following is the CORRECT spelling for the plural of bronchus? (A) Bronchuses (B) Bronchii (C) Bronchi (D) Bronchae (E) Broncha

C

Which of the following is the definition for aphagia? (A) Extreme thirst (B) Inability to hear (C) Inability to swallow (D) Loss of hair (E) Pain free

C

Which of the following is the term for abnormally large breasts in men? (A) Gynander (B) Gynecomania (C) Gynecomastia (D) Gynephobia (E) Gynoplastics

C

Which of the following procedures is indicated when an abnormal growth is identified on barium enema X-ray study? (A) Arthroscopy (B) Bronchoscopy (C) Colonoscopy (D) Cystoscopy (E) Colposcopy

C

Which of the following terms describes surgical fixation of the uterus in a suspended position? (A) Hysterectomy (B) Hysterodesis (C) Hysteropexy (D) Hysteroscopy (E) Hysterotripsy

C

Which of the following terms is used to describe a condition in which the body produces too much cortisol? (A) Gigantism (B) Myxedema (C) Cushing's syndrome (D) Diabetes insipidus (E) Grave's Disease

C

What disease do you see QRS complexes of small amplitude in all leads? COPD Posterior/Inferior MI LAD

COPD

The best plan of action as a nurse would be to... Pull out the call light in the wall to get help, stay with the client and increase I.V. fluid rate from keep open to 100mL per minute. Leave the client and obtain the blood glucose monitor to test the client's blood sugar Call a code, stay with the client and try to keep the client from loosing consciousness.

Call a code, stay with the client and try to keep the client from loosing consciousness.

Your patient is demonstrating the following behavior, moving about in bed, lying down, sitting up, struggling to catch their breath. They are 3 hours post postpartum. During delivery they suffered abrupto placenta. They were given 2 units of Whole Blood. They tolerated the transfusion well. They are coughing frequently and you notice small petechia on their chest. You actions would be to do which of the following? Check O2 saturation, Blood pressure, pules, respiration, lung sounds and raise the head of the bed to a 60 degree position. She may be in pain, offer patient some pain medication after pain assessment. The petechia were probably caused by baby lying on chest of mother. She is anxious most likely due to giving birth. Call physician for possible anxiety medication and or check chart to see if anxiety medication was already prescribed.

Check O2 saturation, Blood pressure, pules, respiration, lung sounds and raise the head of the bed to a 60 degree position. - the patient may be suffering from DIC along with pulmonary embolism.

You are reading the client's labs and you notice that their neutrophil count is elevated. You interpret this finding as a sign that the.... Client has a long term infection. Client has a recent infection Client needs to be placed in isolation

Client has a recent infection

Which microorganism, present on the skin, poses the greatest threat to the client receiving an IV infusion via a central venous catheter? gram negative spirilla Lysteria Coagulase-negative staphylococcus.

Coagulase-negative staphylococcus.

After 2 unsuccessful attempts at insertion of an IV, the best thing for a health care professional to do would be: Call the doctor to tell him you can't get the IV Keep trying until you get the IV Consult another professional to initiate therapy Hydrate the patient with oral fluids and try again in a few hours

Consult another professional to initiate therapy

Which ADL limitation is reported most often? Requires assistance with eating Requiring assistance with bathing Requiring assistance with toileting Require assistance with dressing

Requiring assistance with bathing

Which of the following would not be considered a behavior problem? Continuous wandering with no particular destination Crying when learning of the death of a loved one Exposing genitals in front of others Hearing voices when no one is there

Crying when learning of the death of a loved one

Increased levels of cortisol is known as Addison Disease Cushing Disease Hashimoto Disease

Cushing disease

A patient who has hypergonadism, prolactinoma, and hirsutism will most likely be referred to which of the following specialists? (A) Immunologist (B) Pathologist (C) Rheumatologist (D) Endocrinologist (E) Gerontologist

D

An area of dead myocardial tissue is best described by which of the following? (A) Angina pectoris (B) Hypertrophy (C) An induration (D) An infarct (E) Stenosis

D

The prefix "brady-" means which of the following? (A) Away from (B) Downward (C) Irregular (D) Slow (E) Without

D

The prefix meaning outside or outer is which of the following? (A) Ana- (B) Dia- (C) Epi- (D) Exo- (E) Peri-

D

Which of the following is a nonsterile procedure? (A) Amniocentesis (B) Cystoscopy (C) Peritoneal dialysis (D) Proctosigmoidoscopy (E) Renal biopsy

D

Which of the following is a surgical procedure in which a pendulous breast is lifted and fixed to the chest wall? (A) Mastostomy (B) Mastotomy (C) Mastectomy (D) Mastopexy (E) Mesopexy

D

Which of the following is the medical term for hair loss? (A) Folliculitis(B) Eczema(C) Pediculosis(D) Alopecia(E) Impetigo

D

Which of the following is the term for an abnormally low white blood cell count? (A) Anemia (B) Leukemia (C) Leukocytosis (D) Leukopenia (E) Leukoplakia

D

Select the best answer. What are the components of the patients Medical History? family history, social history, systems review, past history Database, Chief Complaint, Past history, family history, social history Database, chief complaint, past history, family history, social history, systemic review

Database, chief complaint, past history, family history, social history, systemic review

What would you most likely see in Left Ventricular Hypertrophy? Right axis deviation Deep S wave in V1 and Large R wave in V5 Steep R wave in V1 and Wide QRS in V5

Deep S wave in V1 and Large R wave in V5

Low blood pressure in pediatric patients may indicate the presence of? Hypertension Dehydration Fluid volume overload

Dehydration

When a patient presents with polyuria, polydipsia, nocturia or low urine specificic gravity what disorder are these symptoms associated with? Hyperthyroidism Diabetes Insipidus Hypothyroidism

Diabetes Insipidus

If you see a gradual downward curve of ST segment , what disease would you think of? Digitalis toxicity Brugada Hyponatremia Pulmonary Embolism

Digitalis toxicity

a supine position with the patient on a plane inclined with the head higher than the rest of the body and appropriate safety devices such as a footboard.

Reverse Trendelenburg

Your patient has a feeding tube running at 35mL's per hour. You shut off the flow and prepare to give the patient their medication twenty minutes later. You are able to aspirate over 40 mL's from the tubing prior to infusing medication. Why is this amount significant? Give the medication Do not give the medication and call the patient's physician Give the medication so that you will be in the time frame of one hour after the medication is due.

Do not give the medication and call the patient's physician - The ability to aspirate over 30mL's from the stomach, 20 min after shutting of the infusion set for tube feeding, indicates that they patient is not digesting their food. This may be an ominous sign.

used in vaginal examination, application of obstetrical forceps, and other procedures.

Dorsal recumbent position

Difficulty in speaking. Unable to produce and understand spoken language

Dysphasia

"K" is the chemical symbol for which of the following substances? (A) Barium (B) Calcium (C) Iron (D) Hydrogen (E) Potassium

E

A cystoscope is an instrument used most commonly by a specialist in which of the following? (A) Endocrinology (B) Gastroenterology (C) Gynecology (D) Radiology (E) Urology

E

Colporrhaphy is the repair of which of the following? (A) Bladder (B) Intestines (C) Spleen (D) Uterus (E) Vagina

E

The prefix pertaining to fingernail is which of the following terms? (A) Odont- (B) Olfact- (C) Omphal- (D) Onco- (E) Onych-

E

Which of the following is a malignant tumor of the eye that is known to be hereditary? (A) Glioblastoma (B) Neuroblastoma (C) Osteosarcoma (D) Pheochromocytoma (E) Retinoblastoma

E

Which of the following is the plural form of the medical term that means chest? (A) Alveoli (B) Apices (C) Calyces (D) Pleurae (E) Thoraces

E

Which of the following is the term for reconstruction of the eardrum? (A) Myringotomy (B) Otoplasty (C) Stapedectomy (D) Tympanocentesis (E) Tympanoplasty

E

Which of the following suffixes means "cutting operation"? (A) -ectomy (B) -plasty (C) -scopy (D) -stomy (E) -tomy

E

Which of the following terms means drainage from the nose? (A) Rhinolalia (B) Rhinomycosis (C) Rhinophyma (D) Rhinorrhaphy (E) Rhinorrhea

E

Which of the following terms refers to the ability to breathe comfortably only when in an upright position? (A) Apnea (B) Dyspnea (C) Eupnea (D) Hypercapnia (E) Orthopnea

E

Which of the following assistive devices is typically not required for a patient recovering from hip surgery? Reaching stick Walker Elevated toilet seat Eating utensils with sivels

Eating utensils with sivels

EMG

Electromyelogram

You notice that one of the geriatric client's has been confused and is wandering the halls and going into other patient's rooms. The most therapeutic nursing action would be to do which of the following? Engage the patient in conversation re-orientating client to person, place and time Place a sign on the patent's room with her name in bold letters. Escort the client to bed and put up all four side rails. Give the patient a prn dose of Ativan

Engage the patient in conversation re-orientating client to person, place and time

What is the most important step when discontinuing IV therapy? (check all that apply) Ensure the patient isn't bruised. Inspect the extremity for any signs of edema and apply a warm compress if swelling is noted. Inspect the condition of the catheter tip and notify the physician immediately if any damage is noted. Document the date, time and initials of the professional who removed the IV in the patient's chart. Make sure to apply direct controlled pressure on the IV site until there is not evidence of bleeding.

Ensure the patient isn't bruised. Inspect the extremity for any signs of edema and apply a warm compress if swelling is noted. Document the date, time and initials of the professional who removed the IV in the patient's chart. Make sure to apply direct controlled pressure on the IV site until there is not evidence of bleeding.

The medication used to treat anemia is: Epogen Heparin Lidocaine Zemplar

Epogen

Polycythemia Versa is

Extremely thick blood from an increased blood cell count

Patients of Asian backgrounds may have been raised in a culture that considers it extremely rude to Shake Hands Eye contact Hold the door for you

Eye contact

F

Fahrenheit

Which of the following is the chemical symbol for iron? (A) F(B) Fe(C) Fr(D) I(E) Ir

Fe

Which of the following is the best placement of the feet while the patient is standing or sitting? Feet close together, toes out straight Feet at least 12 inches apart, toes turned inward Feet at least 6-10 inches apart, toes out straight Feet close together, toes turned around

Feet at least 6-10 inches apart, toes out straight

What is the term for a high body temperature? Temporal Temperature Hypothermia Fever Hyperthermia

Fever Hyperthermia

You are instructed to give 200,000 Units of Penicillin. The bottle reads as follows; 3 grams of penicillin; dilute with 4 mL of sterile saline to yield 5 million units. How many mL's will you give the client?

First you must prepare the solution with the 4 mL of sterile saline to yield a 4 mL solution containing 5 million units of penicillin. Next you must determine how many milliliters will yield 200,000 Units. To do this, it is best to use dimensional analysis. [200,000 Units] x [4 mL/ 5,000,000 Units] = 0.16 mL You would draw up exactly this amount of medication in a 3 mL syringe. It is not supposed to be rounded up. This would yield 0.2 Units, which would translate into a higher dosage of what was originally intended.

FDA

Food and Drug Administration

A patient arrives in the Emergency Room complaining of chest pain. In administrating Nitroglycerine you would give which of the following? Ask them why they are not grimacing if they are in pain. Administer 2 nitroglycerine tablets five minutes apart. Give 1 nitroglycerine sublinguinal, if chest pain does not cease after 5 minutes administer 1 more. If after 5 minutes the patient still has chest pain give the third dose.

Give 1 nitroglycerine sublinguinal, if chest pain does not cease after 5 minutes administer 1 more. If after 5 minutes the patient still has chest pain give the third dose.-

19.List the tests included in a chemistry profile?

Glucose, Albumin, SGOT also called (AST), SGPT also called (ALT), Direct Bilirubin, Alk PHos, K, Na, Cl, CO2, BUN/CREAT, Ca,

You walk into a room and see a child holding their doll tightly, looking away with fear. Your first approach would be to... Walk up to the child and tell them what you are about to do (explain venipuncture) Get another phlebotomist or or nurse to assist you with the child Greet the child with a smile and ask, "what is the name of your doll?"

Greet the child with a smile and ask, "what is the name of your doll?"

The order reads: Give 70 mg of Zantac. On hand is Zantac 50 mg in non- scored tablets. You would do which of the following? Give 1 and 1/2 tablet. Have pharmacy send the correct amount. Give 1 tablet and call pharmacy to send up another tablet for 25 mg through the tube system.

Have pharmacy send the correct amount. - the crucial term in this question is, "non- scored. Any non-scored tablet cannot be divided into smaller dosages. Pharmaceutical companies do not make non-scored tablets evenly distributed with medication. One half of a non-scored tablet could yield less than what the dosage specifies.

Your patient is on Lisinopril 25 mg daily. They have just received their medication at 0900 and now it is 1000 and they want to get out of bed and ambulate down the hall. Their physicians orders are to ambulate with help. You would....check all that apply. Help the patient go from a lying to sitting position first, let them rest a few minutes, then ask them to stand at the bedside for one minute to check for dizziness prior to ambulation. Understand that Linsinopril and other anti hypertensive medications can cause orthostatic hypotension This is a small dose and cannot cause dizziness Ambulate the patient as per Dr.'s order

Help the patient go from a lying to sitting position first, let them rest a few minutes, then ask them to stand at the bedside for one minute to check for dizziness prior to ambulation. Understand that Linsinopril and other anti hypertensive medications can cause orthostatic hypotension

List the different divisions of the laboratory.

Hematology, Microbiology, Blood Bank, Cytology, Histology, Toxicology, Serum Chemistry

HCsAG

Hepatitis C surface antigen

insulin

Hormone that puts glucose back into the cells

What is the difference between hypertension and hypotension? Hypertension is the same as hypotension, which is low blood pressure. Hypotension is the opposite of hypertension, which is high blood pressure. Hypotension is the same as hypertension, which is high blood pressure. There is no difference between them.

Hypotension is the opposite of hypertension, which is high blood pressure.

A low heart rate, heat loss, poor mental and physical development are indicative of what disease? Hypothyroidism Diabetes Insipidus Hyperthyroidism

Hypothyroidism

If the dressing date on a client's peripheral cannula say July 1, when/s the dressing and the cannula be changed?

IV site s/be change q 72 hrs., depending on agency policy.

When should the patient recovering from hip surgery not sit in her favorite chair? If its too comfortable, because she'll sit in it too much won't get enough activity If it is made of leather, because it will be sticky If the seat is too low, because it will make her knees higher than her hips If its in the living room, because she would stay in her bedroom.

If the seat is too low, because it will make her knees higher than her hips

Explain how you would clean up an acid spill that is 1 gallon?

Immediately evacuate area of all personnel, and call hazardous materials cleanup crew.

You are making morning rounds and notice a patient's I.V. site is slightly red and warm to the touch. You notice that the I.V. was put in 5 hours ago and they had a difficult time finding their vein. The patient complains of pain at the site. The best course of action is to do which of the following? Explain to the patient that they only have an hour to go before their I.V. is comlete Immediately remove the I.V. from the patient. Ask the opinion of another nurse.

Immediately remove the I.V. from the patient. - Always believe the patient and provide comfort. Though another nurse may tell you to wait before taking out the I.V., your prime responsibility is a patient advocate first. The site could become more inflamed very quickly or there may be extravasation

Choose the best answer which describes a chronic infection: Infection that persists for a short period of time. Infection that persists for a long period time, sometimes for life Persistent infection win which the symptoms cycle through periods of relapse and remission.

Infection that persists for a long period time, sometimes for life

Pre-analytical variables are important concepts which the phlebomomist must keep in mind when obtaining and preparing specimens for laboratory transport. One type of pre-analytical variable is that of drawing out out order. Check the box which indicates a blood draw out of order. SST, K2 EDTA, Na Fluoride/K Oxalate Na Citrate, K2 EDTA, SST Blood Cultures, Na Citrate, K2 EDTA

Na Citrate, K2 EDTA, SST

A patient is two hours post-op for a hip replacement. You notice that her pain shot will be due soon. The client rates her pain at a 6 on a scale of 1 to 10. The best nursing intervention would be to do which of the following? Inquire if she would like her pain medication to prevent having the patient subject to breakthrough pain. Tell her to wait until the pain is at a 10 and then call for her pain medication. Ask her if that is a tolerable level for her Help her get up to go to the bathroom

Inquire if she would like her pain medication to prevent having the patient subject to breakthrough pain.

When using a blue top tube, the following can be inferred. The patient is a bleeder The lab could be a PT (Prothrombin Time) or PTT (Partial Thrombin Time) and the patient may have bleeding tendencies It is the first tube to be used if no blood cultures are ordered. The lab could be a PT (Prothrombin Time) or PTT (Partial Thrombin Time) and the patient may have bleeding tendencies

It is the first tube to be used if no blood cultures are ordered. The lab could be a PT (Prothrombin Time) or PTT (Partial Thrombin Time) and the patient may have bleeding tendencies

Why wouldn't you clean the alcohol breathalyzer with alcohol pads?

It would cause the patient to have a false positive

What does JNC stand for? Joint National Committee Johns National Coordination Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure Joint National Committee on Prevention, Detection, and Treatment of Blood Pressure

Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure

In an anterior hemiblock you would typically see_____ In a posterior hemiblock you would typically see ______ LAD; RAD RAD; LAD

LAD; RAD

A Lipid Panel contains which of the following tests? LDL, HDL, THC, TC, Triglycerides LDL, Total Cholesterol, HDL, Lipids LDL, HDL, Total Cholesterol, Triglycerides

LDL, HDL, Total Cholesterol, Triglycerides

What would you most likely see in Right Ventricular Hypertrophy? Large R wave in V1,with R wave getting smaller from V2-V3-V4 Biphasic P wave Deep S wave in V1, with s wave getting smaller from V2-V3-V4 Q wave

Large R wave in V1,with R wave getting smaller from V2-V3-V4

You must prepare the serum dilantin. Your first step would be? Let the specimen sit after 5 inversions, then centrifuge for approximately 15 minutes, then pipette off the serum and place into another red tube for freezing. Let the specimen sit after 10 inversions, then centrifuge for approximately 15 minutes, then pipette off the plasma, leaving the serum and then freeze the serum. Let the specimen sit, then after 4 minutes centrifuge for approximately 15 to 20 minutes, then pipette off the serum from the top, place into a container for fresh frozen specimens and freeze.

Let the specimen sit after 10 inversions, then centrifuge for approximately 15 minutes, then pipette off the plasma, leaving the serum and then freeze the serum.

As an MA when collecting information, educating and or speaking with a patient it is important to use these guidelines: listen to main points in the discussion, attend to both verbal and nonverbal messages, be patient and non-judgmental, interrupt, never intimidate your patient, restatement and clarification. Listen to main points in the discussion, attend both verbal and nonverbal messages, be patient, be non-judgmental, do not interrupt, never intimidate your patient, use active listening skills such as restatement, reflection and clarification. Do not interrupt, do not intimidate, restate and clarify

Listen to main points in the discussion, attend both verbal and non-verbal messages, be patient, be non-judgmental, do not interrupt, never intimidate your patient, use active listening skills such as restatement, reflection and clarification.

Where is the radial pulse located? Located in the groin area where the top of the groin and the hip meet Located on the back of the knee Located at the thumb side of the wrist Located at the apex of the heart

Located at the thumb side of the wrist

Where is the femoral pulse located? Located in the groin area Located at the temple Located in the inner elbow Located at the apex of the heart

Located in the groin area

Where is the popliteal pulse located? Located at the thumb side of the wrist Located at the apex of the heart Located in the groin area where the top of the groin and the hip meet Located on the back of the knee

Located on the back of the knee

Where is the dorsalis pedis pulse located? Located on top of the foot Located in the inner elbow Located at the apex of the heart Located at the temple

Located on top of the foot

Where is the carotid pulse located? Located under the angle of the jaw where it meets the neck Located on top of the foot Located at the temple Located in the inner elbow

Located under the angle of the jaw where it meets the neck

Lantus

Long Acting Insulin lasts up to 26 hours Each insulin type is characterized by:Onset — how long it takes to begin workingPeak — when it's working the hardestDuration — how long it lastsMany types of insulin are available. Here's how they compare. Keep in mind that your doctor may prescribe a mixture of insulin types to use throughout the day and night.Insulin type Generic and brand names Onset Peak DurationRapid-actingInsulin aspart (NovoLog)Insulin glulisine (Apidra)Insulin lispro (Humalog)15 minutes 30 to 90 minutes 3 to 5 hoursShort-actingInsulin regular (Humulin R, Novolin R)30 to 60 minutes 2 to 4 hours 5 to 8 hoursIntermediate-acting Insulin NPH human (Humulin N, Novolin N) 1 to 3 hours 8 hours 12 to 16 hoursLong-actingInsulin glargine (Lantus)Insulin detemir (Levemir)1 hour No clear peak 20 to 26 hours

Which of the following statements is true about range of motion exercises for patients with hip surgery? They must be done more slowly Patients with hip surgery should not have range of motion exercises Lower extremity range of motion is more limited All range of motion should be active

Lower extremity range of motion is more limited

List the White Blood Cells of the Body

Lymphocytes, eosinophils, basophils, neutrophils, monocytes

morphine sulphate

MSO4

An example of verbal disruption would include which of the following? Hearing voices Making inappropriate sexual remarks Throwing things Taking off one's clothing in public

Making inappropriate sexual remarks

Glucotrol

OHA - DRUG CLASS AND MECHANISM: Glipizide is an oral drug that is used for treating patients with type 2 diabetes. It belongs to the sulfonylurea class of drugs which also includes glimepiride (Amaryl), glyburide (Micronase, Diabeta), tolbutamide (Orinase) and tolazamide (Tolinase). Insulin is a hormone that is made in the pancreas that when released into the blood causes cells in the body to remove sugar (glucose) from the blood and reduces the formation of glucose by the liver. Patients with type 2 diabetes have high glucose (sugar) levels in their blood because the cells in their bodies are resistant to the glucose-removing effect of the insulin, and the liver produces too much glucose. In addition, in type 2 diabetes the pancreas is unable to produce the increased amounts of insulin that are necessary to overcome the resistance. Glipizide reduces blood glucose by stimulating the pancreas to produce more insulin.

metformin

OHA- Oral Hypoglycemic Agent given to type II diabetics typically. Those patient's who do not need insulin are prescribed these types of medications.

Which of the following is commonly performed following hip fracture? ORIF ACL repair Knee replacement Hip spica cast

ORIF

What is the first step in the insertion of a peripheral IV line or saline lock? Get permission from the patient/family member. Obtain a physician's order. Educate the patient about the need for IV access.

Obtain a physician's order.

If the above I.V. has infused 435 cc after four hours, what would be the new rate in gtts/min for the I.V. to finish on time? 36 gtts/min 35 gtts/min 38 gtts/min

Only 435 cc's or mL's have infused after four hours. The question that you need to ask yourself is how many milliliters should have actually infused? Since 1000 cc have to infuse over 8 hours, then after 4 hours, 500 cc's should have infused. However this is not the case. Less than 500 cc's have infused. Now calculate how many milliliters you have left to infuse, which would be 500cc - 435 cc = 65 cc's + 500 cc's = 565 cc's left to infuse over the next 4 hours. Now recalculate the drip rate.[565 cc/ 4hr] x [1hr/60min] x [15gtts/mL] = 35.31 gtts /min or rounding, 35 gtts/min

This position is used for patients with breathing difficulties.

Orthopneic

a form of low blood pressure that occurs when changing position from lying down to sitting, making the patient feel dizzy, faint, or lightheaded

Orthostatic hypotension

A disease in which calcium deposits in the bone gradually decline. Bones become increasingly weak and brittle. Lupus Osteoporosis Scoliosis

Osteoporosis

Peripheral Arterial disease

PAD- Peripheral artery disease (also called peripheral arterial disease) is a common circulatory problem in which narrowed arteries reduce blood flow to your limbs.

Someone who is on the medication Heparin would be expected to have which of the following tests? PT PTT CBC Both B and C

PTT

Peripheral Vascular Disease

PVD- Peripheral vascular disease (PVD) is a slow and progressive circulation disorder. It may involve disease in any of the blood vessels outside of the heart and diseases of the lymph vessels - the arteries, veins, or lymphatic vessels. Organs supplied by these vessels such as the brain, heart, and legs, may not receive adequate blood flow for ordinary function. However, the legs and feet are most commonly affected, thus the name peripheral vascular disease.

A PTT is called.......

Partial Thrombin Plastin Time and is used for those patients on Heparin

A patient appears disheveled and their clothes are stained with food, you are able to smell old urine. check the correct the answer. Patient appears dirty Patient is homeless Patients clothes are wrinkled with dried food stains

Patients clothes are wrinkled with dried food stains

The blood pressure cuff has an arrow that is visible on the cuff. This arrow must be... Point upward toward the brachial artery Pointing downward toward the brachial artery medially Pointing downward toward the thumb laterally

Pointing downward toward the brachial artery medially

What step would you take if you have attempted IV access and are unsure of proper placement? Remove the catheter and try again. Attempt to flush the catheter. Pull the catheter back a few millimeters and check for blood return Go ahead and begin IV infusion.

Pull the catheter back a few millimeters and check for blood return

You notice one of your client's crying softly in bed having found out that morning that she has been diagnosed with breast cancer. Which of the statements would be most therapeutic? As you walk by ask, "Would you like some more Kleenex?" Go into the room and ask, "Is there something I can do for you?" Pull up a chair next to the bed and say, "I noticed that you are weeping, would you like to talk about how you are feeling?"

Pull up a chair next to the bed and say, "I noticed that you are weeping, would you like to talk about how you are feeling?"

QNS is something that a phlebotomist does not want to occur too frequently. What does it mean?

Quantity non sufficient, the specimen cannot be used due to an insufficient amount blood.

You are about to draw on a patient and notice a bulging vein in their right hand. You would... Realize that this is a varicose vein and that these types of veins, though big, have poor venous flow Apply the tourniquet and draw from that vein Draw from that vein but do not use tourniquet

Realize that this is a varicose vein and that these types of veins, though big, have poor venous flow

In the administration of a Duramorph® patch your first action after the five rights of medication administration would be to.. Remove the previous patch Cleanse the skin with alcohol prior to applying Don sterile gloves and then place the patch on the client.

Remove the previous patch- the most important step is to first remove the former patch on the client prior to administration of another narcotic pain patch. Without this step, you could overmedicate the client. You do not cleanse the skin with alcohol, nor are sterile gloves necessary to apply the patch.

What is an important role for the home health aide when a patient talks about suicide? Pretend not to hear the remarks Tell the patient that suicide is a mortal sin Report the information to the supervisor as soon as possible Tell the patient not to talk about that

Report the information to the supervisor as soon as possible

You are to perform a venipuncture on a patient whom has two IVs in each antecubital fossa. Understanding the rules of draw, your first action would be to.. Turn off the IV drip, wait 3 minutes, then draw below the site Seek out a nurse and ask them to shut off the IV, wait 3 minutes, then draw below the IV and remind the nurse to turn the IV back on Ask the nurse to turn the IV off, wait 10 minutes, then draw above the IV

Seek out a nurse and ask them to shut off the IV, wait 3 minutes, then draw below the IV and remind the nurse to turn the IV back on

What is the blood pressure cuff's medical term? Stethoscope Thermometer Sphygmomanometer Speedometer

Sphygmomanometer

EHR Stands for Electronic Health Record T/F

T

It is important Using restatement, reflection and clarification to gather pertinent and comprehensive patient information. T/F

T

It is important to address patient in a proper respectful manner such as Mr. or Ms. T/F

T

Make sure the room you use is unoccupied for the entire time allowed for the interview. The patient needs to feel sure that no one can overhear the conversation or interrupt. T/F

T

To correctly Verify Patient ID you must ask for DOB and spelling of full name. T/F

T

Using a BP cuff that is too large for a patient will cause their blood pressure value to be artificially low T/F

T

Using a cuff that is too small on a large arm will cause their blood pressure to be artificially elevated. T/F/depends

T

Vital signs are objective findings T/F

T

You need to modify communication methods as needed to meet the needs of diverse patient population. T/F

T

A mantoux test is

TB test

You are making rounds at 1600 and you notice that one of your patients who is a diabetic has had the following blood sugars @ 0600 B.S. of 68, @1200 B.S. 264. The client is on a insulin sliding scale. The patient appears lethargic, and is difficult to arouse. You notice that the patient is sweating. Which of the following interventions would you begin first? Give the client 6 oz of fruit juice Take the client's blood sugar stat Administer 1mg of glucagon Cover client with 10 Units of Lantus as ordered. 1.5 mL's

Take the client's blood sugar stat- You would only give the client fruit juice if there was no way to take a blood glucose level. Taking the B.S. level is the best plan of action. You would not administer 1mg of glucagon unless prescribed by the doctor based on a very low blood sugar. Glucagon precipitates the release of glucose from the liver by transforming glycogen to glucose. If the client's blood sugar is below normal you would not want to administer the Lantus. Instead you would call the doctor and report the client's blood sugar level. The doctor will probably concur with your judgment to withhold the Lantus at the present time until the client's blood sugar increases back to normal.

You walk into a room and find a patient lying on the floor. The patient is alert and oriented times three. After taking the patients vitals, and notifying the doctor and nursing supervisor, you would chart all except the following. A detailed explanation regarding the incident without using blame in clear and understandable terms. The vital signs of the patient That an incident report was completed. The time, place and statement of the patient.

That an incident report was completed.

A client tells you during an interview that he is taking corticosteroids. Upon inquiring about his other medications he tells you that he is also taking over the counter Echinacea. What is your main concern? There is no reason to be concerned. That it is dangerous to take Echinacea in conjunction with corticosteroids. Echinacea causes platelet aggregation. Echinacea is beneficial to use with corticosteroids.

That it is dangerous to take Echinacea in conjunction with corticosteroids.

Your patient has a feeding tube running at 35mL's per hour. You shut off the flow and prepare to give the patient their medication twenty minutes later. You are able to aspirate over 40 mL's from the tubing prior to infusing medication. Why is this amount significant? Give the medication Do not give the medication and call the patient's physician Give the medication so that you will be in the time frame of one hour after the medication is due.

The ability to aspirate over 30mL's from the stomach, 20 min after shutting of the infusion set for tube feeding, indicates that they patient is not digesting their food. This may be an ominous sign. Do not give the meds and call their Physician.

You are to give a dose of Lantus 10 Units at 2200 to a client whose blood glucose level is 145. The client is concerned that this will drop their blood sugar dramatically when it peaks at 2330 You tell the client which of the following? You understand that they are concerned and will call the doctor to see what the doctor prefers to do. That they should wake up at 3 A.M. to eat a snack. You are empathetic to their concerns, and that while their blood sugar may possibly drop some, Lantus has no pronounced peak

The best answer is C. Lantus® has no pronounced peak time, and therefore will not cause a drop in blood glucose levels. The client's blood glucose level is 145, which is slightly above the normal range of 70-120. The most important concept is to educate the client, allay the client's fears and encourage participation in their medication regime.

A diabetic client exhibits the following symptoms; pulse rate 120 beats per minute, drop in blood pressure from 120/80 to 90/56 within 30 minutes, rapid shallow breathing. The client is 1 hour post op. You would expect from the following symptoms that.... The client is a going into a diabetic coma. The client is going into shock, possibly due to internal post operative bleeding. The client is dehydrated.

The client is going into shock, possibly due to internal post operative bleeding.

Patient's may be allergic to some of the phlebotomists equipment, such as betadine, laxtex or other such equipment which may cause an anaphylactic reaction. This can best be described as; A minor breakout of hives or itchy bumps about the body The closing of the airway, swelling about the face, and if left untreated may result in death A localized reaction in the surrounding area

The closing of the airway, swelling about the face, and if left untreated may result in death

A client presents with severe pain in their lower right abdominal quadrant. They are running a fever of 100.9. Blood work has been ordered stat. You assess the patient and find that the pain is located two thirds the distance from the umbilicus to the iliac spine. The client most likely presents with what diagnoses? Obstructive bowel Appendicitis Cholecystitis

The location being described is known as McBurney's point and is diagnostic of appendicitis

A nurse is interviewing a client who is being treated for schizophrenia and appears to be talking to himself. What would be the most appropriate questions the nurse should ask? What are the voices saying? Can I help you? Are you alright?

The most appropriate therapeutic interaction the nurse can do is to ask what the voices are saying to the client. The nurse needs to find out if the voices are telling the patient to harm themselves or others. Patient and staff safety are most important

When you make the patients bed, why should you not fan-fold the covers at the bottom of the bed? The patient should not reach down while in bed to pull them up. The bed looks messy if the covers are folded at the bottom A visitor might sit on the clean sheets if the covers are at the bottom If something is spilled on the bed, it's easier to change the covers than the bottom sheet

The patient should not reach down while in bed to pull them up.

How do you measure respiration? The rate is usually measured when a person is at rest and simply involves counting the number of breaths for one minute by counting how many times the chest rises The rate is usually measured when a person is at rest and simply involves counting the number of breaths for one minute by counting how many times the chest rises and falls The rate is usually measured when a person is at rest and simply involves counting the number of breaths for 30 seconds by counting how many times the chest rises The rate is usually measured when a person is at rest and simply involves counting the number of breaths for two minute by counting how many times the chest rises

The rate is usually measured when a person is at rest and simply involves counting the number of breaths for one minute by counting how many times the chest rises

An older adult patient is discharged from the hospital with nortriptyline (Pamelor) for neuropathic pain. Which statement indicates the patient's need for additional education? "I will chew sugarless gum and mints." "I will drink carbonated beverages." "I will take my medication at breakfast." "I will use a humidifier at bedtime."

The right answer was "I will take my medication at breakfast."

A patient is utilizing a heating pad at home for the treatment of a muscle spasm. The pain management nurse notes the patient is on a transdermal fentanyl (Duragesic) patch. What will the nurse include in the patient's education? Avoid using the heating pad directly over the patch. Cover the patch with a cloth while using the heating pad. Remove the patch while using the heating pad. Stop the use of the heating pad until the patch is discontinued.

The right answer was Avoid using the heating pad directly over the patch.

Which nonpharmacologic intervention is difficult to use with older adults who are cognitively impaired? Aromatherapy. Distraction. Guided imagery. Heat application.

The right answer was Guided imagery.

Which statement indicates the development of opioid tolerance? Larger doses of opioids are needed to control pain, as compared to several weeks earlier. Stimulants are needed to counteract the sedating effects of opioids. The patient becomes anxious about knowing the exact time of the next dose of opioid. The patient no longer experiences constipation from the usual dose of opioid.

The right answer was Larger doses of opioids are needed to control pain, as compared to several weeks earlier.

A 45-year-old patient who reports pain in the foot that moves up along the calf says: "My right foot feels like it is on fire." The patient reports that the pain started yesterday, and he or she has no prior history of injury or falls. Which components of pain assessment has the patient reported? Aggravating and alleviating factors .Exacerbation, with associated signs and symptoms .Intensity, temporal characteristics, and functional impact. Location, quality, and onset.

The right answer was Location, quality, and onset.

Which behavioral therapy works best to relieve pain with muscle tension and spasms in patients who are anxious about their pain? Distraction .Hypnosis. Relaxation .Stress management.

The right answer was Relaxation.

A 45-year-old patient is diagnosed with lumbar radiculopathy. The patient's pain is not well controlled by an opioid medication. Which medication class does the pain management nurse identify as being the first-line, adjuvant medication for this diagnosis? Acetaminophen-containing drugs. Nonsteroidal anti-inflammatory drugs. Serotonin reuptake inhibitor antidepressants. Tricyclic antidepressants.

The right answer was Tricyclic antidepressants.

Following surgery to the left elbow, a patient is receiving a continuous, upper-extremity, peripheral nerve block. The pain management nurse immediately notifies the anesthesia provider of: a change in level of sensory or motor function to the left hand. a new complaint of left great-toe pain with a reported history of gout. new orders written by the surgeon to increase frequency of oral oxycodone from every six hours as needed, to every four hours as needed. patient refusal to participate in physical therapy.

The right answer was a change in level of sensory or motor function to the left hand.

A 53-year-old patient who is receiving ibuprofen 400 mg twice a day, for chronic, low back pain develops lower-extremity edema. The pain management nurse suspects that the edema is caused by: a decrease in renal function. a low creatinine level. an increase in glomerular filtration rate .an increase in plasma proteins.

The right answer was a decrease in renal function.

Which observations may indicate complications from hip surgery and should be reported to the supervisor? Drainage or redness at the incision Chest pain or shortness of breath Sudden severe hip pain All of the above

all of the above

The pain management nurse notices a male patient grimacing as he moves from the bed to a chair. The patient tells the nurse that he is not experiencing any pain. The nurse's response is to: clarify the patient's report by reviewing the patient's nonverbal behavior. confronting the patient's denial of pain. obtaining an order for pain medication. supporting the patient's stoic behavior.

The right answer was clarify the patient's report by reviewing the patient's nonverbal behavior.

Biofeedback is a therapy used to: develop psycho-physiologic self-regulation. enhance drug delivery. increase release of serotonin. promote neuronal regeneration.

The right answer was develop psycho-physiologic self-regulation.

The pain management nurse, concerned with metabolite accumulation in a patient with decreased creatinine clearance, decides to utilize: fentanyl transdermal patch (Duragesic).methadone (Dolophine).morphine (MS-IR).oxycodone (Roxicodone).

The right answer was fentanyl transdermal patch (Duragesic).

The pain management nurse is assessing a trauma patient's readiness for discharge, by determining the level of comfort the patient prefers. The nurse completes this portion of the pain assessment by asking about the patient's: aggravating and alleviating factors. functional pain goal. intensity of pain. onset of pain.

The right answer was functional pain goal.

When assessing an infant for pain, the pain management nurse recognizes that: a lack of a physiologic or behavioral response means a lack of pain. if something causes pain in an adult, it can cause pain in an infant. the parent's observations should not be included in the patient's assessment of pain. Wong-Baker FACES Scale is an appropriate assessment tool.

The right answer was if something causes pain in an adult, it can cause pain in an infant.

A patient with fibromyalgia reports symptoms of unrelieved pain. To determine whether the patient is also experiencing other conditions, the pain management nurse will ask the patient about: constipation, dizziness, and pruritus. evening pain and stiffness. hyperactivity, followed by periods of heavy sleep. loss of appetite and increased feelings of anxiety.

The right answer was loss of appetite and increased feelings of anxiety.

A 35-year-old, male patient with testicular cancer is joking and playing cards with his roommate. When assessed by the pain management nurse, the patient rates his pain as a 7 on a Numeric Rating Scale of 0 to 10. The nurse concludes that the patient's behavior: is an emotional reaction to having cancer .is in anticipation of future pain .is more indicative of the need for pain medication than the pain rating. may be in conflict with the pain rating, and accepts the report of pain.

The right answer was may be in conflict with the pain rating, and accepts the report of pain.

A 12-year-old oncology patient who is receiving in-home care without IV access needs medication for breakthrough pain. The pain management nurse's most effective route of administration to recommend is: intranasal. nebulized. oral transmucosal. transdermal.

The right answer was oral transmucosal.

A 73-year-old patient with cancer is in the hospital for pain control and rates pain as a "12" on the Numeric Rating Scale of 0 to 10. Thirty minutes after receiving IV pain medication, the patient reports no pain relief. The pain management nurse calls the physician for additional orders for pain medication. The nurse's actions demonstrate: analgesic titration. empathy. independence .patient advocacy.

The right answer was patient advocacy.

The main responsibilities of the nurse on the interdisciplinary, chronic pain management team are to: assess level of function; design a therapeutic exercise plan; and monitor functional progress. provide a comprehensive, psychosocial evaluation; implement cognitive behavior interventions; and teach problem-solving techniques. provide ergonomic training; develop pain management strategies to apply in the workplace; and facilitate the return to work. review the medical history; monitor medications; and provide education for the patient and family.

The right answer was review the medical history; monitor medications; and provide education for the patient and family.

The pain management nurse assesses a patient with complex regional pain syndrome. The nurse is concerned about the patient's depressed mood, because she or he has said: "I can't live with this pain." The nurse further assesses for suicide risk, because: decreased pain thresholds lead to suicidal thoughts. suicidal thoughts are common in patients with chronic pain. suicidal thoughts are often expressed by patients with acute pain. verbalization of suicidal thoughts is a way for patients to get attention.

The right answer was suicidal thoughts are common in patients with chronic pain.

An 85-year-old, male patient with a history of prostate cancer and metastasis to the lumbar spine, is receiving methadone (Dolophine), 10 mg, three times a day. The patient's spouse tells the pain management nurse that the patient exhibits a lack of motivation, loss of appetite, and an inability to get out of bed. The nurse initially focuses on: need for antidepressants. physical therapy evaluation. psychological evaluation. the patient's pain assessment.

The right answer was the patient's pain assessment.

The pain management nurse assesses a 67-year-old patient for reports of episodic, sudden-onset, right-sided facial pain. The patient describes the pain as fleeting, electric-like and triggered by light touch and brushing of the teeth. The nurse suspects: facet syndrome. myofascial pain syndrome. temporomandibular disorder. trigeminal neuralgia.

The right answer was trigeminal neuralgia.

A distinguishing feature of a cluster headache is that it occurs: bilaterally. globally. occipitally. unilaterally

The right answer was unilaterally.

The pain management nurse follows the recommended protocol for preventing constipation when starting a patient on opioids by: adding bulk fiber to the diet .giving the patient enemas as needed. increasing fluids and exercise .using a bowel stimulant and stool softener.

The right answer was using a bowel stimulant and stool softener.

What are Korotkoff sounds? The tapping of the heart beat against the stethoscope as one takes a blood pressure The gurgling of the abdomen as the sounds of the stomach are checked The beating of the heart in the blood pressure cuff The sound of the blood flowing through the veins as you take a blood pressure

The tapping of the heart beat against the stethoscope as one takes a blood pressure

The needle gage indicates the... The size of the bevel The length of the needle The thickness of the needle

The thickness of the needle

Which of the following is true about ADLs? If you are unable to do any of them you are considered homebound. They include such household chores as washing dishes and doing laundry. They are the basic activities of caring for oneself that are essential for day-to-day living All the above

They are the basic activities of caring for oneself that are essential for day-to-day living

Which of the following is not true about mentally healthy people? They never have inappropriate behavior They can usually adapt to change They accept responsibility for their own actions They can usually tolerate stressful situations

They never have inappropriate behavior

You patient has a PT/INR of 3.8, Choose the best explanation below.

This is considered above the normal range and the Doctor must be called. It indicates that the patient 's blood is taking too long to clot.

The lab TSH is the abbreviation for which of the following?

Thyroid Stimulating Hormone

17. Why do you add saline to the HIV test card prior to adding the blood?

To act as a medium to transport the blood upwards on the strip.

You are teaching a client about taking the medication Digoxin. What is the most important aspect that you need the client to understand regarding this medication? To always take their pulse rate before taking the medication, and if their pulse is less than 60 beats per minute, not to take the medication, and to call their doctor. To take their pulse and blood pressure before taking the pill. If their blood pressure and pulse is too low, then withhold taking the medication That this medication can cause a drop in blood pressure, and they need to get up slowly from a sitting to standing position You are empathetic to their concerns, and that while their blood sugar may possibly drop some, Lantus has no pronounced peak time

To always take their pulse rate before taking the medication, and if their pulse is less than 60 beats per minute, not to take the medication, and to call their doctor. You are empathetic to their concerns, and that while their blood sugar may possibly drop some, Lantus has no pronounced peak time

Why is it important to measure blood gases? What are the body's blood gases?

To make sure that the bodies pH is balanced. pH, PCO2, PO2, HCO3

Gerentologic changes that occur in normal aging include all except which of the following? Fat and collagen increased Heart muscle decreased Vessel rigidity increased Total lung volume decreased

Total lung volume decreased-Total lung volume does not change with normal aging, although lung compliance is decreased as well vital capacity.

The patient is on the back on a table or bed whose upper section is inclined 45 degrees so that the head is lower than the rest of the body; the adjustable lower section of the table or bed is bent so that the patient's legs and knees are flexed. There is support to keep the patient from slipping.

Trendelenburg

According to OSHA Bloodborne Pathogens Standard hand washing must be performed after the removal of gloves or other PPE T/F

True

Acute Infection is an infection with a rapid onset of symptoms but last relatively a short time. T/F

True

Universal Precautions means all blood and body fluids are to be treated as if known to be infectious for blood borne pathogens. T/F

True

Ms. Random was ordered 1 tab Metropolol Tratrate B.I.D. P.O.

Twice a day by mouth

The doctor's order reads, give Tylenol® grains X every 4 hours prn for pain. This amount is equal to which of the following? 365mg Two tablets at 325mg each One tablet of 500mg

Two tablets at 325mg each

During an assessment of an 82 year old female, you notice that she is not alert and oriented. Her daughter tells you that she was fine just the other day. She appears healthy otherwise. Your first assumption would be which of the following? Stroke Urinary tract infection Dehydration Pneumonia

UTI - Since older adults have an depressed immune system, they do not exhibit the natural signs of infection that would be more noticeable in younger people. The most likely cause of the woman's dementia is a urinary tract infection. With proper administration of antibiotics her symptoms will disappear.

Smaller cuffs are used for? Underweight adults Children Muscular/Fit Adults Obese/Overweight Adults Infants Overweight Children

Underweight adults Children Infants Overweight Children

The following medication levels must be obtained on one patient using a butterfly needle: Depekane, Theophylline and Phenobarbital.What is the correct procedure? Using a red SST, prime the line of the butterfly needle, then waste the tube, next use 3 red SSTs one for each medication. Using any SST, prime the line of the butterfly needle, then waste the tube, next use only 1 red SST, since all medications can be drawn in one tube Using a PST, first prime the line of the butterfly needle, then waste the tube, next 3 red SSTs one for each medication

Using a red SST, prime the line of the butterfly needle, then waste the tube, next use 3 red SSTs one for each medication.

Why is it important that hip surgery patient sit in a chair with arms? Using the chair arms to help rise to standing position makes the patients arms stronger and he or she can use the walker better. Chairs with arms are bigger and more comfortable Using the chair arms to help rise to a standing position makes it less likely that the patient will bend forward Is really doesn't matter if the chair has arms or not

Using the chair arms to help rise to a standing position makes it less likely that the patient will bend forward

The name given to the needle which is specific to phlebotomy?

Vaccutainer Needle

Identify the behavior that is not likely to indicate that a patient might become physically aggressive. Firmly holding an object that could be used as a weapon Tightly clenching fists Wandering about looking for a photograph Shouting with increasing intensity

Wandering about looking for a photograph

When using a transparent semi-permeable membrane dressing on an IV site, it is important to avoid Cleansing the site before applying the dressing Smoothing the dressing from the center to the edges Applying tape around the edges of the dressing All of the above

all of the above

Your client has just returned from a cardiac catheterization. Upon arriving to the floor you take a set of vital signs. What sign would alert you to the fact that there is something wrong? The client complains of pain in their groin area, rating it at a 10 on the visual analogue scale. The client's blood pressure has dropped from 145/90 to 138/85 in one hour. Weak left pedal pulse, and bounding right pedal pulse with toes that are cool.

Weak left pedal pulse, and bounding right pedal pulse with toes that are cool.

It is NOT the best choice to use a gauze dressing in which of the following patient care situations: When the patient is diaphoretic When the IV needs to be viewed routinely With a patient at end of life

When the IV needs to be viewed routinely

Many times patient's are given very strong antibiotics when wounds are very deep or take a long time to heal. Some of these antibiotics include Gentamycin, Vancomycin and Rocephin. while these patient's are on antibiotics, it is important to be sure that the medication is working. This can be accomplished by...check all that apply. Wound cultures if applicable Blood cultures Urine cultures Patient's vital signs

Wound cultures if applicable Blood cultures Patient's vital signs

: How can you verify that you have entered the vein with the IV catheter? You will be able to see the catheter through the skin You learn through experience where the vein should be located You observe a flashback of blood You palpate with your non-dominant hand for the "pop" of the vein when the needle enters it

You observe a flashback of blood

The medication used to improve calcium absorption is: Epogen Heparin Lidocaine Zemplar

Zemplar, Lidocaine

How is sleep apnea treated? a CPAP machine Surgery to remove excess tissue from the nose or throat Taking sleep medication that helps the body relax Oxygen tank tube in the nose A dental device that opens the throat by bringing the jaw forward

a CPAP machine Surgery to remove excess tissue from the nose or throat A dental device that opens the throat by bringing the jaw forward

Hypothermia is considered

a drop in temperature below 95 degrees Farenheight

Why must we quickly inflate the pressure in a blood pressure cuff? a slow inflation causes venous congestion, which in turn causes the Korotkoff sounds to be faint; this results in false readings with the systolic value being too low and the diastolic reading too high. a slow inflation causes capillary congestion, which in turn causes the Korotkoff sounds to be faint; this results in false readings with the systolic value being too high and the diastolic reading too high. a slow inflation causes venous congestion, which in turn causes the Korotkoff sounds to be loud; this results in false readings with the systolic value being too low and the diastolic reading too high. a slow inflation causes arterial congestion, which in turn causes the Korotkoff sounds to be faint; this results in false readings with the systolic value being too low and the diastolic reading too high.

a slow inflation causes venous congestion, which in turn causes the Korotkoff sounds to be faint; this results in false readings with the systolic value being too low and the diastolic reading too high.

a PT is a test.....

a test that is called a prothrombine time

Type and Cross Match refers to .......

a test used to identify a persons blood type and match it with someone that has the same type, using a pink top tube

pc

after meals

Artifact can occur when....... Patient removes one of their leads moving about in bed Looks like atrial flutter All answers are correct

all answers are correct

Lipemic specimens are usually white and frothy located on top of the serum liquid cholesterol, a sign of hyperlipidemia normal for some people All answers are true

all answers are true

your patient is a post MI 2 hours, you are scheduled to draw a Myoglobin level. Knowing this you would expect the following.... Patient will probably have a stat draw Myoglobin is a muscle protein that should not be in the body, this is marker for a heart attack, all blood work is stat. you will also draw a series of cardiac enzyme panels all answers are true

all answers are true

A nurse is calculating the drip rate prior to initiating an IV infusion. Upon which factor s/the calculation of the drip rate depend? Dr.s order indicating amount of fluid that is to be infused over prescribed amount of time. Drip rate constant associated with the tubing to be used. diameter of the patient's veins Viscosity of the infusing fluid All of the above

all of the above

A nurse is initiating IV therapy on a client who is receiving anticoagulant therapy. Which techniques s/the nurse use when starting an IV line on this client? Avoid excess pressure when cleansing the skin. Avoid use of a tourniquet if possible or apply loosely. Use alcohol to loosen dressing. All of the above

all of the above

After flushing a saline/heparin lock device, why is it important to clamp the connection tubing prior to removing the syringe? Positive pressure prevents backflow of blood into the cannula and can increase patentcy of your IV. If you take the syringe out first, you risk contamination of the IV site because the system is no longer closed. Clamping the tubing prevents blood from coming out of the IV site, preventing the risk of exposure to blood for the professional. If you do not clamp the tubing first, air may be allowed to enter the tubing and the patient's life may be at risk. All of the above

all of the above

How is pneumonia diagnosed? chest x-ray sputum culture sensitivity testing all of the above

all of the above

Lung cancer is caused by a tumor cigarettes second-hand smoke airborne carcinogens all of the above

all of the above

What information is important to include on the label of the IV dressing? Date IV was initiated Time IV was initiated The initials of the professional who initiated the IV All of the above

all of the above

What is tuberculosis? a serious infectious bacterial disease the mainly affects the lungs and requires a yearly test or chest x-ray in order to monitor and diagnose a disease that affects almost a third of the world population a disease that can spead easily through coughing or sneezing All of the above

all of the above