Kaplan Predictor B- Exam Questions and Answers

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UAP: never gave bath; hip replacement patient - ANSWER Review and help when necessary Patient has acetamenophen poisoning, what lab values should the nurse monitor? - ANSWER Check AST ALT Patien... t is getting agitation and behavior is escalating. What is the nurses responsibility? - ANSWER Don't send them back to their room Allergian desensitization - ANSWER Stay for 30minutes after test The mother of a baby is HIV positive. At what age would the physician test to look for HIV antibodies for the newborn? - ANSWER 12-16 months Allergic Rhinitis - ANSWER Drapes instead of curtains taken down to reduce side effects The nurse intervenes when observing the patient when self-administering albuterol? - ANSWER Patient is not compressing the canister. Always compress the canister before inhaling Side Effects of Antipsychotics - ANSWER Pseudoparkinsonianism Side Effects: Antipsychotic Clozapine - ANSWER Weight gain, orthostatic hypotension, hyperglycemia Nurse notices that a patient is having an allergic reaction? What is the nurses priority response? - ANSWER Give epi-pen Anxiety - ANSWER Decrease environmental stress/clutter, brief orientation; Goal: establish coping, increase self esteem Autonomic dysreflexia - ANSWER Palpate the bladder: s&s: pounding headache, profuse sweating esp on the forehead, nasal congestion. Pileric erection, HTN. Place in fowlers position and adm Hydralazine-antihypertensive and smooth muscle relaxant. Bipolar defense mechanism - ANSWER "I am having test done today" Bursitis Pain - ANSWER upon extension and flexion Cardioversion: Pre-Op - ANSWER Digoxin level is the issue, should be held 48hrs pre-op A nurse is assessing a newborn whose Apgar score of 3. What is the nurses priority action? - ANSWER Begin CPR Cardioversion: Post-Op - ANSWER post-op intervention If O2 was on before and now it is not Nurse is assessing a patient with arterial insufficiency. What interventions should the nurse apply? - ANSWER Check pedal pulses, tell client not to don't cross legs, regular exercise Carotid endarterectomy - ANSWER Trach set by bed side Dressing change on gunshot wound victim: - ANSWER Don't pull the tape quickly or put tape in the middle to outer Dressing change: wet to damp - ANSWER Cover with occlusive dressing, remove before it dries Chest Tube Removal - ANSWER Let it open to air after it's taken out Chlorpromazine (antipsychotic) - ANSWER Pt at the zoo, exposed to sun, no hat = very bad because med is photosensitive. Cognitive therapy - ANSWER Don't expose source for depression Constipation - ANSWER Fiber, increase h20 in poop Patient Education: CT Scan - ANSWER Keep still during the procedure Client Deafness - ANSWER Speak slowly, face client when speaking, remove hand from mouth, make apt gestures Carpenter: Signs and Symptoms - ANSWER Elbow tendonitis ECT: Succholine (Muscle Relaxant) - ANSWER NPO before, monitor for memory loss post procedure" Enalapril (ACE Inhibitor) - ANSWER Problem of dry cough; take at night ET feeding - ANSWER Flush with 10ml Epilepsy in lunch room - ANSWER Sit down, take vs and let them remain sitted Nurse is most concerned for patient post-op? - ANSWER Dizziness (fall risk) LPN/LVN Delegation - ANSWER Answer is NOT Alzheimer pt rubbing their chest Welt itching - ANSWER Put in documentation Estimated date conception - ANSWER 16 weeks Gastric lavage - ANSWER After you finish, don't clamp the tube Gastrostomy tube - ANSWER Flush the tube with 10ml sterile water Hearing aid care - ANSWER Clean with dry cloth, don't submerge in water After a MI, patient asks nurse when he can return to having sex. The best response by the nurse is: - ANSWER When you can walk around the block without having chest pain Herpes simplex - ANSWER Acyclovir; no sex during active symptoms Hand washing school age children - ANSWER Tell them to rub hands together thoroughly Hypoglycemia - ANSWER Give carbs if pt. is conscious (orange juice, wait 15mins, recheck BS, give cheese crackers). Give glucagon if unconscious Scoliosis - ANSWER Poor uneven, kyphosis-hump, bent at waist and see Isometric exercise - ANSWER Sit ups, pelvic tilt exercise Milwaukee brace - ANSWER Wear for 30-40-degree scoliosis, it's a 4-6yrs plan at 23.5hrs/day. Wear over protective shirt. provide skin care No emotion - ANSWER Daughter found pt. in bed of urine Influenza vaccine for elderly pt - ANSWER Give the shot Interview technique - ANSWER Start with informal discussion of family and friends Interview - ANSWER Confidentiality Pediatric IM injection Location - ANSWER Vastus lateralis Ipratropium (Atrovent) - ANSWER Used to prevent asthma attacks IV flow rate - ANSWER Running too fast, change the flow rate to 100ml for the 4hrs remaining of 400ml IV flow site - ANSWER Not on the wrist Kidney biopsy - ANSWER Position supine post procedure Labor stages 3rd stage - ANSWER 10-15mins Laproscopic cholecystectomy - ANSWER Lay supine for 24hrs Lung scan - ANSWER VQ scan MRI - ANSWER Not done in pt with knee replacement Lactulose - ANSWER Decrease ammonia level, improves memory Malignant hyperthemia - ANSWER Call Dr. Dantrolene is a muscle relaxant. It can be used in tx of malignant hyperthermia Input calculation - ANSWER 145ml" Irregular heart beat @ labor - ANSWER Place on left side, start IV Why give......? - ANSWER Liver problem Manipulative behavior - ANSWER Set limits Medical interpreter - ANSWER Says everything the nurse says Mechanical ventilation weaning - ANSWER UAP reports if breaths fall below 10-30 Med adm phsch pt - ANSWER When adm meds to a phsych pt, look under the tongue to see if med is hidden there Meniere Disease Education - ANSWER Rides on a train at the amusement park Nurse is caring for four patients who all have morphine pca. Which patient does the nurse see first? - ANSWER Patient with low respirations Naloxone - ANSWER Monitor respirations Naproxen - ANSWER Red, faky rash; call Dr 24 hours new born with low temp of 35.6 degree - ANSWER Neonatal sepsis Oxytocin - ANSWER Stop if contractions are lasting greater than 2mins AIDs pt ask why they are taking parenteral nutrition - ANSWER So they don't use protein stores in the body Peanut allergy - ANSWER Tell them to eat Italian food Percutaneous central cath - ANSWER Tell pt to do valsalva maneuver when it's being removed Peripherally Arterial occlusion - ANSWER Place on the dominant hand because it enables blood flow and reduces edema Peripheral artery occlusion - ANSWER Cant distinguish between sharp and dull pain Phenytoin - ANSWER Frequent dental care Purpose of Phototherapy - ANSWER Breaks down bilirubin to expel in urine Phytondasine - ANSWER Vit K shot in New Borns, vastus lateralis, helps cloting factor, monitor PT Post-op - ANSWER Worry about dizziness, do ROM Pre-eclampsia - ANSWER +2 edema. Check baseline VS Pregnancy: Type 1 DM - ANSWER Increased demand for insulin during pregnancy, reduces after birth Pre-op lobectomy - ANSWER Cotton bra for lumpectomy pt Pressure ulcer - ANSWER Tell UAP not to massage the area Pulmonary Embolism Risk - ANSWER Patient two-days post-op with chest pain Restraints - ANSWER Everyone must maintain their position when applying restraints Nurse is caring for a patient with a central venous line. The nurse checks on the patient who suddenly has difficulty with breathing. What is the nurses first priority? - ANSWER Elevate the HOB The nurse is caring for a patient who he susspects is in shock when the patient blood pressures decreases and pulse increases. What is the first thing the nurse should do? - ANSWER Call the physician. Nurse is talking to a new mother who expresses pain while breast feeding. What feelings does the nurse observe the client have? - ANSWER Let down feeling MRI - ANSWER No hair pins Hyperthyroidism: Symptoms - ANSWER Tremors When holding down a patient's leg, the nurse should place her hands at what position on the clients lower extremity? - ANSWER Hold above the knee and at the ankle The nurse is caring for a client in a posey vest. How often should the nurse make rounds on this patient to ensure safety? - ANSWER Check every 30-1hr Salam sump pump - ANSWER Clear liquid diet before removal Spinal Anesthesia: Patient Post-Op - ANSWER Check for return of sensation STD precaution - ANSWER All blood, fluid and secretions place the nurse at risk. Wash hands before, during and after procedure. Sprays - ANSWER Mask, shield, gown A nurse is caring for a client post-CVA who has left sided weakness. What should the nurse do with the arm? - ANSWER Elevate left side Nurse is teaching a class of soon-to-parents on preventing sudden infant death syndrome (SIDS). What should the nurse specify how to lay the newborn to sleep? - ANSWER Sleep on back, turn to the side Surgical Incision - ANSWER Red after 48hrs A nurse is discussing with a client who tested positive for syphilis. What education should the nurse tell her client who expresses concerns about having sex? - ANSWER No sex with boyfriend until he's treated Teletherapy - ANSWER External radiation, permanent tattoo TENS: What is wrong - ANSWER Putting pads on the opposite side of the painful site Therapeutic communication - ANSWER No why, yes/no questions except in cases of self harm, don't explore, no don't worry statement Thermal injury: Patient is restless and agitated - ANSWER Listen to lungs/breath sounds Throat culture - ANSWER Expected to order for inflamed epiglottis Tocodynamometer Placement - ANSWER Place over the uterine fundus which is the active contraction portion of the uterus Total hip arthroplasty - ANSWER BAD if the feet are internally rotated --> external rotation with abduction Dad feels helpless - ANSWER Say to him, this must be hard for him What is the goal of a pt complaining ....... - ANSWER Not attend meetings Long term 20yrs pts what class not to hold - ANSWER Community resources TURP - ANSWER They can feel their feet What order to question? - ANSWER Lower the head of the bed down slowly Weber test - ANSWER Hearing loss in the left ear [Show More]

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