NURS 405 Midterm Quizzes
A nurse is planning care for a client who is being treated with chemotherapy and radiation for metastatic breast cancer, and who has neutropenia. The nurse should include which of the following restrictions in the client's plan of care? A. fresh flowers and potted plants B. no overnight visitors C. activities that could result in bleeding D. 1500 mL fluid restriction
A. fresh flowers and potted plants
A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was: A. hoarseness B. dyspnea C. weight loss D. dysphagia
A. hoarseness
A patient is diagnosed with multiple myeloma and asks the nurse about it. The nurse bases the response on which description of this disorder? A. malignant proliferation of plasma cells within the bone B. altered red blood cell production C. Malignant exacerbation in the number of leukocytes D. altered production of lymph cells from lymph nodes
A. malignant proliferation of plasma cells within the bone
A patient who has hepatitis B surface antigen (HBsAg) in the serum is being discharged with pain medication after knee surgery. Which medication order should the nurse question because it is most likely to cause hepatic complications? A. oxycodone with acetaminophen (Percocet) B. hydromorphone (dilaudid) C. tramadol (ultram) D. ketorolac (toreador)
A. oxycodone with acetaminophen (Percocet)
A patient is being prepared for a total hip replacement surgery. The nurse reviews the patient's most recent lab results and anticipates what type of blood product will be ordered? WBC - 8.3, RBC - 2.1, Hgb 5.2, hematocrit 16.1, platelets 160 A. packed red blood cells B. cryoprecipitate C. platelets D. fresh frozen plasma
A. packed red blood cells
The nurse should assess for an important early indicator of acute pancreatitis, which is an elevated level of __________ in the first 24 hours of inflammation onset: A. serum lipase B. serum glucose C. ALT & AST D. serum amylase
A. serum amylase
A 70 year old man with end stage lung cancer is admitted to the hospital with confusion and oliguria for 2 days. Which finding would the nurse report to the provider immediately? A. serum sodium level of 118 mEq/L B. nausea, vomiting, and diarrhea C. urine specific gravity of 1.004 D. weight gain of 6 pounds
A. serum sodium level of 118 mEq/L
The nurse identifies a risk factor for kidney cancer in a patient who relates a history of: A. smoking B. use of artificial sweeteners C. chronic alcohol use D. excessive Tylenol use
A. smoking
A nurse is caring for a client who has Crohn's disease and is receiving parental nutrition (TPN). Which of the following interventions should the nurse include in the care of this client? A. increase the TPN rate as the patient tolerates it B. monitor daily lab values C. remove unused TPN after 12 hours D. warm the TPN prior to administration
B. monitor daily lab values
A patient diagnosed with esophageal cancer tells the nurse "I was told I also have Barrett's esophagus, but I'm not sure what that means." What is the most appropriate response by the nurse? A. "Barrett's esophagus is damage to the esophagus due to long term exposure to stomach acid like acid reflux or heart burn." B. "Barrett's esophagus means you have a tumor at the base of your esophagus." C. "I'll let the provider know you have questions." D. "It is one of the causes of your esophageal cancer."
A. "Barrett's esophagus is damage to the esophagus due to long term exposure to stomach acid like acid reflux or heart burn."
The nurse is educating the patient on potential complications for their 3rd colon resection related to Crohn's disease. Which phrase is the most accurate? A. "as more colon is removed, there is risk for short bowel syndrome." B. "this surgery is usually curative for this disease." C. "you will have an ileostomy bag temporarily following this surgery." D. "you will have a colonoscopy bag for life following this surgery."
A. "as more colon is removed, there is risk for short bowel syndrome."
Which lab orders would the RN expect for a patient presenting with symptoms consistent with hepatitis B? A. ALT, AST, Bilirubin B. cholesterol, triglycerides C. BUN, creatinine D. bilirubin, potassium, sodium
A. ALT, AST, bilirubin
Junctional rhythms originate from what area of the heart? A. AV node B. purkinje fibers C. SA node D. ventricles
A. AV node
Treatment plan for a cancer patient includes intrathecal chemotherapy. The nurse knows this method is used to treat some forms of: A. Acute Lymphocytic Leukemia (ALL) B. Non-Hodgkins Lymphoma C. Acute Myeloid Leukemia (AML) D. Chronic Myelogenous Leukemia (CML)
A. acute lymphocytic leukemia (ALL)
A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching? A. bottled water is a good choice to increase fluid intake B. all you can eat buffets provide variety and high calorie options to prevent weight loss C. soft boiled eggs are a good option to add protein to meals D. opt for the salad bar at restaurants to increase fiber intake
A. bottled water is a good choice to increase fluid intake
A nurse is preparing to transfuse one unit of packed red blood cells to a patient with chronic anemia. The nurse obtain the following vital signs. What is the appropriate nursing action? Temp - 100.8F, pulse - 95, BP - 125/83, SpO2- 94% on room air A. call the ordering provider and delay the transfusion B. begin the transfusion as ordered C. apply nasal cannula and administer O2 at 2L/min D. administer 1000mg of acetaminophen/Tylenol and begin the transfusion
A. call the ordering provider and delay the transfusion
The nurse is assessing a patient's nephrostomy tube and notices there's been no output for 4 hours. What action should the nurse take first? A. check for kinks in the tube B. contact the physician C. flush with 10mL of NSS D. Encourage the patient to increase their fluid intake
A. check for kinks in the tube
A patient with Crohn's disease is taking Methylprednisolone (solumedrol) for a flare up. The patient is complaining of extreme thirst, polyuria, and blurred vision. What is your next nursing action? A. check the patient's blood glucose B. check a manual blood pressure C. assess bowel sounds and time of last BM D. prepare an ampule of Dextrose 50% for administration
A. check the patient's blood glucose
A patient with Crohn's disease is scheduled to receive an infusion of infliximab (Remicade). What intervention by the nurse will determine the effectiveness of treatment? A. checking the frequency and consistency of bowel movements B. checking for occult blood in the stool after infusion C. monitoring the leukocyte count for 2 days after the infusion D. checking serum liver enzymes before and after the infusion
A. checking the frequency and consistency of bowel movements
A nurse has completed preparing a patient to receive one unit of platelets. The nurse has prepared all appropriate supplies and obtained the platelets from the blood bank. Prior to beginning the infusion, the nurses responsible is to complete the following tasks (select all that apply): A. consult the hospital's policy for initial rate of infusion B. call the patient's family to explain the plan of care C. complete documentation within the patient's medication administration record (MAR) D. Verify the patient and blood product with another nurse
A. consult the hospital's policy for initial rate of infusion C. complete documentation within the patient's medication administration record (MAR) D. Verify the patient and blood product with another nurse
A provider recommends Neulasta injections to a patient undergoing weekly chemotherapy treatments. The nurse knows the purpose of this medication is to... Select all that apply. A. decrease the risk of infection B. treat an existing infection C. boost production of white blood cells D. decrease the risk of bleeding E. improve nausea and vomiting side effects
A. decrease the risk of infection C. boost production of white blood cells
The nurse is reviewing the record of a patient with Crohn's disease. Which stool characteristic should the nurse expect to note documented in the chart? A. diarrhea B. dark, tarry stools C. fluffy and clay colored D. constipatioon
A. diarrhea
A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first? A. evaluate the patient's electrolyte values B. assess the patient's emotional state C. assess the patient's perianal skin integrity D. obtain a thorough diet history
A. evaluate the patient's electrolyte values
A 36-year-old patient's lab work show anti-HAV and IgG present in the blood. As the nurse you would interpret this blood work as? A. the patient has recovered from a previous Hepatitis A infection and is now immune to it B. the patient has an active infection of hepatitis A C. the patient is in the icteric phase of viral hepatitis D. the patient is in the preicteric phase of viral hepatitis
A. the patient has recovered from a previous Hepatitis A infection and is now immune to it
You're admitting a patient to the hospital and collecting a medical history, The patient tells you that they have IBD but can't remember the specific name. They describe it as "frequent occurrences of blood diarrhea, severe and constant abdominal pain, but no weight loss." Which disease are they most likely describing? A. ulcerative colitis B. gastroenteritis C. Crohn's disease D. diverticulitis
A. ulcerative colitis
Chemotherapy is frequently based on total body surface area (BSA), so it is important for the nurse to do which of the following before administering chemo? A. weigh and measure the patient on the day of chemo administration B. calculate Body Mass Index (BMI) C. measure abdominal girth D. ask the patient for their height and weight
A. weigh and measure the patient on the day of chemo administration
A patient arrives for an elective cardioversion for persistent a-fib. What comment by the patient requires further investigation by the RN? A. "I'll be sedated for this procedure and likely won't remember much." B. "there was a mix up in my pharmacy a few days ago so I missed some doses of my meds. I'm back on them regularly now." C. "I signed the informed consent paperwork with the doctor a few minutes ago." D. "after the procedure I'll have to take a new medication to keep my heart in a normal rhythm."
B. "there was a mix up in my pharmacy a few days ago so I missed some doses of my meds. I'm back on them regularly now."
A nurse is preparing to transfuse fresh frozen plasma (FFP) to a 65 year old patient. How long should the nurse plan to stay at the patient's bedside after the transfusion is started? A. 30 minutes B. 15 minutes C. 45 minutes D. 60 minutes
B. 15 minutes
A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following orders by the provider should the nurse clarify? A. low sodium diet B. MRI C. physical therapy D. daily 12 lead EKG
B. MRI
The nurse knows the following patient is at highest risk for a Central Line Associated Blood Stream Infection (CLABSI): A. a patient with an intrajugular line that sleeps on their right side B. a patient with a femoral line who is incontinent of bowel and bladder C. a patient with a reaccessed mediport and double lumen PICC line D. a patient receiving TPN through a PICC line
B. a patient with a femoral line who is incontinent of bowel and bladder
The nurse is monitoring the lab results of a patient receiving chemotherapy via the intravenous route. The nurse plans to initiate bleeding precaution if which lab result is noted? A. A WBC count of 5,000/mm3 B. A platelet count of 50,000/mm3 C. A clotting time of 10 minutes D. An INR of 1.1
B. a platelet count of 50,000/mm3
The nurse is planning care for a patient with acute pancreatitis. The nurse knows to place a priority on monitoring which electrolyte? A. potassium B. calcium C. sodium D. phosphorus
B. calcium
A nurse is caring for a client who has lung cancer and is scheduled for a lobectomy. The nurse should prepare the client to expect which of the following after the procedure? A. minimal pain B. chest tube C. bedrest D. wound vac on the incision
B. chest tube
A gastrectomy is performed on a client with gastric cancer. In the immediate postoperative period, the nurse notes bloody drainage from the NG tube. Which of the following is an appropriate nursing intervention? A. notify the physician immediately B. continue to monitor C. measure abdominal girth D. irrigate the NG tube
B. continue to monitor
A patient who was NPO for 2 days is now allowed to advance their diet. So far, chicken broth and juice have been tolerated. Which food choice is now most appropriate? A. pancakes with syrup B. dry toast C. plain yogurt D. milkshake
B. dry toast
The nurse is caring for a patient admitted to the hospital with acute pancreatitis. Which of the following interventions would the nurse expect to be ordered for this patient? Select all that apply. A. give small, frequent, high calorie meals B. give pain medication as prescribed C. maintain the patient in a supine, flat position D. encourage coughing and deep breathing E. administer anticholinergics as prescribed F. administer antacids as prescribed
B. give pain medication as prescribed D. encourage coughing and deep breathing E. administer anticholinergics as prescribed F. administer antacids as prescribed
The nurse is reviewing the lab results of a patient diagnosed with multiple myeloma. Which would the nurse expect to note specifically in this disorder? A. increased white blood cells B. increased calcium levels C. decreased BUN level D. decreased number of plasma cells in the bone marrow
B. increased calcium levels
According to a staging classification of Hodgkin's disease, which of the following criteria reflects Stage III? A. involvement of single lymph node region or structure B. involvement of lymph node regions or structures on both sides of the diaphragm C. involvement of two or more lymph node regions or structures D. involvement of extra lymphatic organs or tissues
B. involvement of lymph node regions or structures on both sides of the diaphragm
A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy. The nurse should monitor the client for which of the following clinical manifestations? A. metabolic acidosis B. metabolic alkalosis C. respiratory acidosis D. respiratory alkalosis
B. metabolic alkalosis
Which of the following is true about the process of obtaining patient consent to receive blood products? Select all that apply. A. may include persuasive language in cases of emergency B. must be obtained by a provider C. involves discussion of risks and benefits D. considers cultural and religious preferences of the patient
B. must be obtained by a provider C. involves discussion of risks and benefits D. considers cultural and religious preferences of the patient
Which of the following data points is most concerning in a patient undergoing treatment for chronic myelogenous leukemia (CML)? A. white blood cell count of 6,000/L B. new onset moderate pain in the left upper quadrant C. anxiety regarding treatment plan D. excessive fatigue and loss of appetite
B. new onset moderate pain in the left upper quadrant
The nurse is monitoring the IV infusion of a chemotherapy medication. During the infusion, the patient complains of pan at the insertion site. On inspection of the site, the nurse notes redness and swelling and that the infusion of the medication has slowed. What actions does the nurse take next? Select all that apply. A. increase the flow rate of the solution B. notify the physician C. prepare to administer an antidote to the site D. restart the IV at a distal part of the same vessel E. stop the infusion F. prepare to apply heat or ice to the site
B. notify the physician C. prepare to administer an antidote to the site E. stop the infusion F. prepare to apply heat or ice to the site
What is the rationale behind synchronizing with the QRS during cardioversion? A. decrease damage to the heart tissue B. prevent arrhythmia development C. prevent clot dislodgment D. less pain for patient
B. prevent arrhythmia development
The nurse is preparing an IV chemotherapy agent. Safe handling of the drug should be implemented to protect the nurse from injury. Which of the following actions by the nurse should be corrected? A. abstaining a second RN to verify the medication B. prime the IV line and expel air bubbles into the trash can C. Don PPE prior to administration D. assess lab values prior to administration
B. prime the IV line and expel air bubbles into the trash can
Defibrillation is used to treat the following rhythms. Select all that apply: A. third degree heart block B. pulseless ventricular tachycardia C. 2nd degree heart block type 2 D. ventricular fibrillation E. asystole F. pulseless electrical activity
B. pulseless ventricular tachycardia D. ventricular fibrillation E. asystole
The rapid response team is called to the bedside of a patient who just underwent a liver biopsy. There is cancer for a right sided pneumothorax. Which signs and symptoms are consistent with this complication? Select all that apply. A. hard, rigid abdomen B. shortness of breath C. asymmetrical chest expansion D. bleeding from the site E. hypoxia
B. shortness of breath C. asymmetrical chest expansion E. hypoxia
A nurse is monitoring the transfusion of PRBC's to a 42 year old patient. The patient reports feeling warm, itchy, and begins to wheeze. The nurse understand that the priority intervention in this situation is to: A. administer diphenhydramine/Benadryl 50mg PO B. stop the transfusion C. call the provider D. consult respiratory for a breathing treatment
B. stop the transfusion
The nurse is monitoring a patient for the early signs and symptoms of dumping syndrome. Which of the following indicate this occurrence? A. double vision and chest pain B. sweating and pallor C. bradycardia and indigestion D. abdominal pain and cramping
B. sweating and pallor
What is the correct description of a Second Degree Heart Block Mobitz Type I? A. there is no relationship between the atrial and ventricular rhythm B. the PR interval progressively lengthens until it is not conducted C. the PR interval is longer than 0.20 seconds C. the atrial rate is regular and faster than the ventricular rate, which is irregular
B. the PR interval progressively lengthens until it is not conducted
A nurse is caring for a client who has a single lumen central venous catheter. Which of the following actions should the nurse take when accessing the catheter? A. flush the lumen with sterile water after use B. use a 10 mL syringe to flush the catheter C. use clean technique when accessing the line D. reuse alcohol caps on all access points
B. use a 10 mL syringe to flush the catheter
You are a charge nurse making out patient assignments for the oncoming shift. What is the best choice for assigning care of a patient that has an implantable radiation device in place? A. a nurse who is 15 weeks pregnant B. you decide to rotate staff and assign someone who hasn't yet cared fo this patient C. assign the same nurse as yesterday to promote continuity of care D. assign the same nurse to care for all patients receiving radiation of therapy
B. you decide to rotate staff and assign someone who hasn't yet cared for this patient
A patient recently diagnosed with non-infectious hepatitis expressive confusion about their condition. They state, "I thought hepatitis only happened to drug addicts and prostitutes. I don't understand how I got this." Which response from the nurse is most appropriate? A. "You're right, hepatitis is mostly caused from high risk activities." B. "I will let the doctor know you have questions about your diagnosis." C. "Hepatitis can occur for a variety of reasons. You have the non-infectious type, which is not caused by a virus." D. "Don't worry, all forms of hepatitis are treatable now and rarely cause long term problems."
C. "Hepatitis can occur for a variety of reasons. You have the non-infectious type, which is not caused by a virus."
A nurse is teaching a client about the side effects of chemotherapy medication. Which of the following nursing statements should the nurse include in the teaching? A. "nausea is rare and when it does occur, it is manageable." B. "you may gain weight during the treatment phase." C. "hair loss is expected, including eyelashes and eyebrows." D. "fatigue only lasts for a day or two after the chemo infusion."
C. "hair loss is expected, including eyelashes and eyebrows."
A clinical nurse prepared a teaching plan for a patient receiving chemotherapy. When implementing the plan, the nurse tells the patient: A. "we recommend you receive the flu and pneumonia vaccine to prevent infection." B. "when you have a headache, take aspirin as needed." C. "please consult with health care providers before receiving immunizations." D. "aim to consume two times your usual calories to prevent weight loss."
C. "please consult with health care providers before receiving immunizations."
Which of the following are vaccine preventable? A. hepatitis E B. hepatitis C C. Hepatitis A D. Hepatitis B E. Hepatitis D
C. Hepatitis A D. Hepatitis B
Which abnormal lab value is expected for a patient with chronic hepatitis C? A. K+ 5.5 B. Creatinine 4.4 C. INR 1.9 D. Na+ 127
C. INR 1.9
The nurse is aware that a major difference between Hodgkin's lymphoma and non-Hodgkin's lymphoma is that: A. Hodgkin's lymphoma is considered potentially curable Hodgkin's lymphoma only occurs in young adults B. Hodgkin's lymphoma is considered potentially curable C. Non-Hodgkin's lymphoma can manifest in multiple areas D. Non-Hodgkin's lymphoma is treated only with radiation therapy
C. Non-Hodgkin's lymphoma can manifest in multiple areas
Which problem is priority when caring for a patient with renal stones? A. fluid imbalance B. knowledge deficit C. acute pain D. constipation
C. acute pain
A patient presents to the ED with complaints of sharp, unrelenting epigastric and and abdominal pain that shoots to the back. The pain is exacerbated with food and supine positioning. Vital signs are: temp - 102F, HR- 105, RR- 20, BP - 120/82, O2 - 97% on RA The nurse knows these signs and symptoms are consistent with: A. inflammatory bowel disease B. hepatitis E C. acute pancreatitis D. chronic pancreatitis
C. acute pancreatitis
A patient is receiving treatment for Ulcerative Colitis by taking Azathioprine (Imuran), an immunomodulator. Which physician's order would the nurse question if received? A. ambulate the patient twice a day B. low-fiber and high-protein diet C. administer shingles vaccine intramuscularly prior to discharge D. administer calcium by mouth daily
C. administer shingles vaccine intramuscularly prior to discharge
A patient is diagnosed with hepatitis, even though their viral hepatitis testing all came back negative. Their nurse knows that non-infectious hepatitis can occur due to: select all that apply A. unprotected sex B. a diet high in fat and carbs C. autoimmune causes D. drug overdoses E. consuming contaminated food or water
C. autoimmune causes D. drug overdoses
A patient is considering treatments for their leukemia and is comparing an autologous vs. allogenic bone marrow transplant. The nurse knows the following is true: A. allogenic transplant poses the risk of transplanting leukemic cells B. autologous transplants require HLA matching C. autologous transplant cuts out the risk for graft-versus host disease D. both treatment options have high relapse rates
C. autologous transplant cuts out the risk for graft-versus-host disease
A nurse is reviewing the laboratory results of a client who has acute leukemia and received an aggressive chemotherapy 10 days ago. Which of the following hematologic laboratory values should the nurse expect? Select all that apply. A. increased platelets B. increased hemoglobin C. decreased erythrocytes D. decreased leukocytes E. decreased platelets
C. decreased erythrocytes D. decreased leukocytes E. decreased platelets
When a pacemaker fires and doesn't result in myocardial activation, this is called: A. demand pacing B. failure to pace C. failure to capture D. failure to sense
C. failure to capture
You're providing diet teaching to a patient with Ulcerative Colitis about what types of foods to avoid during a "flare-up." Which foods below should the patient avoid? Select all that apply. A. ice cream B. cooked carrots C. fresh peaches and pears D. white rice E. popcorn
C. fresh peaches and pears E. popcorn
You're caring for a 45 year old patient who is admitted with suspected acute pancreatitis. The patient reports having extreme mid-epigastric pain that radiates to the back. The patient states the pain started last night after eating fast food. As the nurse, you know the two most common causes of acute pancreatitis are: A. diabetes and smoking B. high cholesterol and alcohol abuse C. gallstones and alcohol abuse D. alcohol abuse and obesity
C. gallstones and alcohol abuse
A nurse is teaching for a client who is to begin taking Tamoxifen (Nolvadex) to treat breast cancer. The nurse should instruct the client to expect which of the following findings as an adverse effect of the medication? A. chronic constipation B. tinnitus C. hot flashes D. urinary urgency
C. hot flashes
A patient receiving total parental nutrition (TPN) for Crohn's disease experiences a medical emergency and the TPN infusion must be stopped abruptly. The nurse needs to monitor for which potential result of this action? A. infection B. hyperglycemia C. hypoglycemia D. increased heart rate
C. hypoglycemia
A patient who has undergone an esophagectomy for esophageal cancer develops increasing pain, fever, and dyspnea when a full-liquid diet is started postoperatively. The nurse recognizes that these symptoms are most indicative of: A. esophageal perforation with fistula formation into the lung B. extension of the tumor into the aorta C. leakage of fluids into the mediastinum D. an intolerance of feedings
C. leakage of fluids into the mediastinum
The nurse is caring for a patient after bariatric surgery. What should be included in the plan of care? Select all that apply. A. teach the patient to consume more liquids with meals B. encourage a diet high in carbohydrates and fat C. maintain elevation of bed at 45 degrees D. assist with early ambulation E. monitor for nausea and vomiting as a complication
C. maintain elevation of bed at 45 degrees D. assist with early ambulation E. monitor for nausea and vomiting as a complication
A patient has developed hepatitis A after eating contaminated oysters. The nurse assesses the patient for which of the following symptoms? A. weight gain B. dark stools C. malaise D. left upper quadrant pain
C. malaise
A nurse in the emergency room is caring for a 25 year old victim of a MVA. The patient has extensive injuries and has experience large volumes of blood loss. Due to the emergent need to replace blood volume and lack of time to obtain a blood type and crossmatch, the nurse anticipates an order of packed red blood cells of what blood type? A. o postive B. a negative C. o negative D. a positive
C. o negative
In planning care for the patient with Crohn's disease, the nurse recognizes that the major difference between ulcerative colitis and Crohn's disease is that Crohn's disease: A. often results in toxic megacolon B. is manifested by rectal bleeding and anemia more than UC C. often recurs after surgery, while UC is curable with surgery D. causes fewer nutritional deficiencies than UC
C. often recurs after surgery, while UC is curable with surgery
A patient with pancreatic cancer is admitted to the hospital for evaluation for treatment options. The patient asks the nurse to explain the Whipple procedure that the surgeon has described. The explanation includes the information that a Whipple procedure involves: A. creating a bypass around the obstruction caused by the tumor by joining the gallbladder to the jejunum B. removal of the pancreas, duodenum, and spleen with attachment of the stomach to the duodenum C. removal of part of the pancreas, part of the stomach, the duodenum, and the gallbladder. The pancreatic duct, common bile duct, and stomach are joined to the jejunum. D. resection of the entire pancreas and the distal part of the stomach, with anastomosis of the common bile duct and stomach to the duodenum.
C. removal of part of the pancreas, part of the stomach, the duodenum, and the gallbladder. The pancreatic duct, common bile duct, and stomach are joined to the jejunum.
The occupational health nurse is teaching staff nurses about prevention of hepatitis C. Which of the following strategies would the nurse emphasize? A.routine testing B. prevention of food borne illness C. sharps safety D. vaccination
C. sharps safety
Methotrexate is prescribed for a 33 year old female patient with an extensive history of Ulcerative Colitis. Which of the following is the priority test to collect prior to the start of treatment? A. ALT & AST B. hemoglobin & hematocrit C. urine pregnancy test D. BUN & creatinine
C. urine pregnancy test
A nurse is caring for a client who has advanced lung cancer. The client's provider has recommended palliative care services. Which of the following statements by the client indicates a correct understanding of palliative care? A. "My palliative care physician will continue to look for a cure for my cancer." B. "I will have to be admitted to a long-term facility in order to receive palliative care." C. "I can only be on palliative care if I have less than 6 months to live." D. "I should expect the palliative team to help me manage my dyspnea."
D. "I should expect the palliative team to help me manage my dyspnea."
A nurse prepares supplies to transfuse one unit of PRBC's. The nurse understands that to avoid red blood cell hemolysis, which intravenous solution should be infused with the PRBC's? A. lactated ringers B. 5% dextrose in 0.9% sodium chloride C. 5% dextrose in 0.45% sodium chloride D. 0.9% sodium chloride
D. 0.9% sodium chloride
Which part of an EKG is assessed for acute myocardial ischemia? A. QT interval B. PR interval C. QRS complex D. ST segment
D. ST segment
A nurse is admitting a patient who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate? A. neutropenic precautions B. chemotherapy precautions C. seizure precautions D. bleeding precautions
D. bleeding precautions
A nurse counsels a patient on dietary restrictions to prevent recurrent oxalate calculi formation. Which foods should the patient avoid? A. shellfish, venison, liver B. milk, yogurt, ice cream C. lentils, legumes D. cabbage, tea, asparagus
D. cabbage, tea, asparagus
The nurse is caring for a patient with an internal radiation implant. When caring for the patient, the nurse should observe which principle? A. teach the patient and family about proper hand hygiene B. limit the time with the patient to 1 hour per shift C. restrict visitors D. do not allow pregnant women into the patient's room
D. do not allow pregnant women into the patient's room
A patient is admitted to the hospital with a suspected diagnosis of Hodgkin's disease. Which assessment finding would the nurse expect to note specifically in the patient? A. weakness B. fatigue C. weight gain D. enlarged lymph nodes
D. enlarged lymph nodes
An allogenic bone marrow donor is found to be a match for your patient, but the HLA match is only to the minimum standard. What is the biggest risk if the bone marrow transplant occurs? A. immunosuppression B. graft rejection C. anaphylaxis D. graft vs. host disease
D. graft vs. host disease
A nurse is caring for a client who is scheduled for a bone marrow aspiration. The client asks the nurse about the sites the provider might use for the procedure. Which of the following locations should the nurse identify as one of the sites used for this procedure? Select all that apply. A. humerus B. ribs C. femur D. iliac crest E. sternum
D. iliac crest E. sternum
The patient has been admitted to the hospital with a diagnosis of acute pancreatitis and the nurse is assessing pain. What type of pain is consistent with this diagnosis? A. burning and aching, located in the lower left quadrant B. burning and aching, located in the epigastric area and radiating to the umbilicus C. severe and unrelenting, located in the right lower quadrant with radiation to the back D. severe and unrelenting, located in the epigastric area and radiating to the back
D. severe and unrelenting, located in the epigastric area and radiating to the back
A patient is prescribed a course of oral corticosteroids for an acute Crohn's flare up. The nurse emphasizes which of the following while educating on this medication? A. avoiding dairy products and spicy foods B. the importance of regular lab draws to check liver enzymes C. instructions on keeping a food diary D. tapering the doses and not stopping abruptly
D. tapering the doses and not stopping abruptly
Multiple drugs are often used in combinations to treat leukemia and lymphoma because a. there are fewer toxic and side effects. b. the chance that one drug will be effective is increased. c. the drugs are more effective without causing side effects. d. the drugs work by different mechanisms to maximize killing of malignant cells.
D. the drugs work by different mechanisms to maximize killing of cancer cells
Nurse is planning care for a client who is to start receiving total parental nutrition (TPN). Which of the following interventions should the nurse include in the plan of care? A. change the TPN solution every 48 hours B. change TPN tubing every 36 hours C. infuse lipids over 18 hours D. use a 1.2 micron filter when infusing TPN with fat emulsions
D. use a 1.2 micron filter when infusing TPN with fat emulsions
Which best describes the development of cachexia in a client with stomach cancer? A. abdominal swelling because of fluid shifts due to protein energy malnutrition B. limited appetite C. the need for total parenteral nutrition because of vitamin deficiencies D. wasting of fat and muscle tissue
D. wasting of fat and muscle tissue
