Nursing Exam Questions PDF

1. RN completed discharge instructions for kid who have leukemia.Which statement from parent indicates learning has occurred- treat our child the same as her siblings 2. RN caring for pt with hallucinations. Which intervention is most therapeutic- distract pt attention 3. RN assessing pt with delusi...

1. RN completed discharge instructions for kid who have leukemia.Which statement from parent indicates learning has occurred- treat our child the same as her siblings 2. RN caring for pt with hallucinations. Which intervention is most therapeutic- distract pt attention 3. RN assessing pt with delusional disorder with paranoia. What is the BEST initial communication by the nurse- You seem to be having trouble trusting the staff 4. SATA: RN giving chlorpromazine to pt. What potential side effects? Tardive dyskinesia, NMS, Acute dystonia, akathisia 5. RN talking with family. Husband and wife fighting a lot. Husband having an affair with secretary. This dynamic is example of- Triangulation 6. RN completed family assessment. Primary goal for family should include- assisting the fam in learning about differentiation 7. SATA: RN received in report that pt is receiving chemo have severe neutropenia. Which action should RN implement- Inspect skin and mucous membrane, assess fever every 4hrs, monitor wbc count 8. SATA: Pt on oncology unit who is receiving chemo begin to experience difficulty swallowing with painful sores. Which interventions should be implemented- rinse 2% viscous lidocaine, examine for blisters, provide soft sponge or soft bristle 9. Pt with CKD receiving epoetin. Which lab results indicate therapeutic effect- HCT 35% 10. When taking admission of pt with right heart failure. RN should expect the pt to complain of- dyspnea, fatigue, edema 11. Which nursing action is PRIORITY for the pt who experience generalized tonic clonic seizure- keep the pt in side lying position 12. Rn caring pt with hepatic encephalopathy and the fam expresses distress that the pt’s protein intake has been reduce. What response by rn is appropriate- less protein in diet will help prevent confusion associated with liver failure 13. During assessment of pt with cirrhosis which data the nurse should be concernedblood noted in vomitus 14. RN caring pt following mastectomy. Which rn interventions should assist in preventing lymphedema of affected arm- encouraging early arm exercise 15. RN caring a pt with hx of dm reviews lab results that include hgba1c of 5.9%. How should rn interpret this finding- pt has maintained good glycemic control 16. The nurse is preparing a patient newly diagnosed with diabetes about home glucose monitoring. Which blood glucose measurement indiactes impending hypoglycemia? - 50 17. Patient is placed on fluid restrictions because of CKD. Which assessment finding should alert the nurse that the patient’s fluid balance is stable at this time? - No adventitious lungs sounds 18. Cardiac nurse is teaching a client diagnosed with CHF. Which teaching interventions should the nurse discuss with the client? SATA a. Notify the healthcare provider if client gains more than 2 lbs in 1 day b. Keep the head of the bed elevated when sleeping c. Teaching client which foods are high in sodium and should be avoided d. Perform isotonic exercises like walking or swimming at least once a day 19. A nurse evaluates the following VS result for a pt with COPD, HR 110, RR 12, BP 145/65, O2 76% - Initiate oxygen therapy to increase saturation 20. What health teaching by the nurse is important for clients diagnosed with systemic lupus erythematosus? SATA a. Take frequent rest periods to prevent fatigue b. Avoid over exposure to the sun c. Report fever to your healthcare provider immediately d. Use a mild soap for bathing to prevent skin irritation 21. The nurse caring for the patient with exacerbation of ulcerative colitis should expect to implement which nursing interventions? SATA a. Monitor for bleeding b. Administer antidiarrheal med c. Help pt identify dietary triggers 22. The nurse is reviewing the record of a patient with Crohn's disease. Which stool characteristic should the nurse expect to see documented? - Constipation and diarrhea 23. The nurse is reviewing trigger factors that can cause a seizure with a patient newly diagnosed with generalized seizures. Which of the following would the nurse include in this review (SATA) a. Avoid overwhelming fatigue b. Remove caffeine products from diet c. Limit exposure to flashing lights 24. Nurse is analyzing the lab results of a patient with leukemia who has received a regimen of chemotherapy. Which value does the nurse specifically note is a result of massive cell destruction that occurred with chemotherapy - increased potassium 25. Rn is assessing a patient with Cushing’s disease. Which of the following assessment findings is the priority? - Weight gain 26. Rn is caring for a pt who is taking prednisone for an exacerbation of inflammatory bowel disease. Which assessment finding does the nurse recognize as a priority? - pt has elevated body temp these are highlighted infos from our study guide that were on the test Thrombocytopenia - monitor platelets Secondary prevention - detect early and screen for them Breast cancer ○ Women aged 40 and older: at 45 absolutely gets it ○ Annual mammogram until age 55 could be every 2 years after Disease manifestation of cancer ○ Change in bowel or bladder ○ A sore or lesion that does not heal ○ Unusual bleeding or discharge ○ Thickening or lump in breast or elsewhere ○ Indigestion or difficult swallowing ○ Obvious changes in wart or mole ○ HIV: ○ Nagging cough or persistent hoarseness ART: antiretroviral therapy for HIV individual: stick to this so virus does not become resistant ○ Below 200: considered to have AIDS Diabetes ○ Macrovascular: damage to the large arteries that supply the heart and brain The risk of stroke is 2-4 times higher in patients with diabetes ○ Hypoglycemia - cool and clammy, less than 70 mg/dl Kidney disorders ○ CKD: Complications Electrolyte imbalance Hyperkalemia Hyperphosphatemia: R/T limited excretion of phosphate secondary to low kidney function Hypermagnesemia Hyponatremia Hypocalcemia: R/T the inability of the GI tract to absorb calcium in the absence of activated vitamin D. Anemia Hematuria ○ CKD: management Fluid Restriction: Edema, crackles, dyspnea Reduce intake of Potassium, Phosphorus, Sodium, & Magnesium Reduce salt substitutes: high in K Reduce processed foods: high in Na ○ PKD: management ACE/ARBS: to manage hypertension Cardiac ○ A fib is the most common: No P waves ○ CHF right side: know symptoms JVD, ascites, dependent edema, hepatomegaly ○ PVD Okay sige thank you