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50 Cards in this Set
- Front
- Back
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The best time to perform these percussion & postural drainage treatments is: a) After breakfast & after lunch; b) Before breakfast & after lunch; c) After breakfast & before dinner; d) Before breakfast & before bedtime
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d) Before breakfast & before bedtime
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What symptoms would be most indicative of hypovolemia? a) Decreased heart rate; b) Increased heart rate; c) Increased cardiac output; d) Peripheral vasodilation
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b) Increased heart rate
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A 4-month-old infant with anemia would most likely be showing which symptoms? a) Paleness, irritability; b) Dehydration, petechiae; c) Enlarged lymph nodes; d) poor appetite
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a) Paleness, irritability
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Skin tone changes, jaundiced conjunctivae. Children need about how many servings from the fruit & vegetable group each day? a) 1; b) 2; c) 3; d) 4
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d) 4
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Your Pt has red swollen gums with loose teeth- This condition is most likely the result of which vitamin deficiency? a) A; b) C; c) D; d) K
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b) C
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What physiologic changes occur during inspiration? a) The diaphragm expands; b) The ribs lift outward & upward; c) Intrapleural pressure becomes increasingly more negative; d) The abdominal organs move forward & shift downward
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a) The diaphragm expands
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Your Pt is receiving supplemental O2 by nasal cannula, you should: a) Encourage fluid intake; b) Keep mucous membranes moist; c) Maintain Pt in semi-Fowler's position; d) Encourage turn, cough & deep breathing exercises
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b) Keep mucous membranes moist
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The primary purpose for changing the dressing on an IV site is: a) To insure patency; b) To prevent infection; c) To inspect the insertion site; d) To make sure the catheter does not accidentally fall out
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b) To prevent infection
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During your assessment, you notice that your Pt intake has been scant & her skin turgor is poor. Your actions should include all except: a) Offer preferred fluids frequently; b) Increase IV rate to 150 cc/hour; c) Assess personal preferences & usual fluids taken; d) Inform the Pt why increased fluids are necessary
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b) Increase IV rate to 150 cc/hour
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Which meal would be most appropriate for a Pt following a kosher diet? a) Sliced ham, potato chips, Jell-O; b) Lobster Newburg, tomato salad, baked potato; c) Roast turkey, mashed potatoes, cottage cheese; d) Tuna salad sandwich, potato chips, sugar cookie
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d) Tuna salad sandwich, potato chips, sugar cookie
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A Pt with a Dx of cholecystitis is C/O abdominal pain & distention with large amount of flatus. She should be taught to avoid which food? a) Cauliflower; b) Grapes; c) Peas; d) Carrots
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a) Cauliflower
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Your 15 yo Pt is suffering from a nutritional deficiency most commonly found in adolescent females: a) Iron; b) Calcium; c) Vitamin C; d) Vitamin B12
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a) Iron
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The MD has ordered hypertonic saline be given to your Pt. The most likely Dx is: a) Hyponatremia; b) Hypokalemia; c) Hyperkalernia; d) Hypernatremia
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a) Hyponatremia
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Sudden withdrawal of Hyperalimentation can cause: a) Rebound hypokalemia; b) Rebound hypoglycemia; c) Rebound hyperkalemia; d) Rebound hyperglycemia
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b) Rebound hypoglycemia
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What symptoms should you watch for in a person with a high calcium level? a) Seizures; b) Muscle spasms; c) Muscle weakness; d) Tingling of fingers & around mouth
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c) Muscle weakness
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The use of which OTC remedy may cause hypercalcemia & may lead formation of kidney stones? a) Antacids; b) Analgesics; c) Antidiarrheals; d) Antihistamines
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a) Antacids
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Which symptom would a Pt with respiratory alkalosis most likely be experiencing? a) A dull headache; b) Hyperventilation; c) Muscular hypertonicity; d) Tingling of the fingers & toes
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b) Hyperventilation
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What type of electrolyte Imbalance would a Pt with continuous nasogastric suction be most at risk to develop? a) Metabolic alkalosis; b) Hypokalemia, hypercalcemia; c) Metabolic acidosis; d) Hyponatremia, hyperkalemia
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a) Metabolic alkalosis
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A Pt with a Dx of CHF has been on diuretics for several days. His specific gravity of 1.039 which indicates: a) Nephritis; b) Dehydration; c) Hypervolemia; d) Urinary tract infection
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b) Dehydration
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Which med would you be most likely ordered to give to a Pt who is an alcoholic with severe liver failure & a potassium level of 6-8 mEq/L? a) Kochlor; b) Kaylixer; c) Kayexalate; d) Kaopectate
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c) Kayexalate
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Which laboratory value is the best indicator of protein status? a) PT; b) Serum lipid; c) Serum albumin; d) Serum osmolality
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c) Serum albumin
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Which life threatening physiological complications can be caused by the overuse of laxatives? a) Dependency & loss of muscle tone; b) Frequent impactions; c) Serum electrolyte imbalances; d) Frequent diarrhea
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c) Serum electrolyte imbalances
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A good alternative to more expensive meat purchases would be: a) Potatoes, b) Rice, wheat; c) Yogurt; d) Beans, black-eyed peas
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d) Beans, black-eyed peas
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Cranberry juice is thought to: a) Increases the amount of urine; b) Increase the acidity of the urine; c) Decrease the acidity of the urine; d) Decrease the concentration of the urine
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b) Increase the acidity of the urine
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Hyper & hypokalemia can both cause: a) Edema; b) Diarrhea; c) Dysrhythmias; d) Muscle cramps, Tetany
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c) Dysrhythmias
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The most common side effects of oral iron preparations are: a) Headache, itching; b) Indigestion, diarrhea; c) Headache, bloody stools; d) Indigestion, constipation
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d) Indigestion, constipation
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Which fruit has the most potassium per serving? a) Orange; b) Tomato; c) Apricot; d) Avocado
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d) Avocado
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1000cc of D5NS q 8 hours using a 12 gtt/cc set – calculate the gtt/min: a) 8 drops per minute; b) 12 drops per minute; c) 25 drops per minute; d) 50 drops per minute
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c) 25 drops per minute
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Evidence that a problem may exist at the IV site: a) A backflow of blood can be seen if the IV fluid container is lowered below the level of the insertion site; b) The insertion site is warm, dry & pink; c) The flow rate increases as the IV fluid container is raised; d) The area around the insertion site is slightly puffy & cool to the touch
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d) The area around the insertion site is slightly puffy & cool to the touch
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What does the BUN assess? a) Fluid status; b) Renal function; c) Renal perfusion; d) Electrolyte balance
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b) Renal function
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A breakfast menu which includes all food groups would be: a) Toast, grapefruit half, tomato juice, egg, & milk; b) Scrambled eggs, sausage, toast, milk, prune juice; c) Dry cereal with milk & bananas, & tomato juice; d) Pancakes with butter, bacon, orange juice, coffee, & milk
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a) Toast, grapefruit half, tomato juice, egg, & milk
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Which set of specific gravity findings would indicate fluid volume overload? a) The specific gravity was 1.011 & is now 1.001; b) The specific gravity was 1.012 & is now 1.043; c) The specific gravity was 1.031 & is now 1.034; d) The specific gravity was 1.032 & is now 1.009
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d) The specific gravity was 1.032 & is now 1.009
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Which symptoms would your Pt most likely be experiencing from folic acid deficiency? a) Depression; b) Confusion; c) Vertigo & syncope; d) Gastrointestinal disturbances
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d) Gastrointestinal disturbances
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What symptom is the most likely symptom of UTI? a) Dyspnea; b) Frequency; c) Diarrhea, vomiting; d) Dark colored urine
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b) Frequency
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A Pt on a 2mg Na restricted diet should not eat: a) Apples; b) Cheeses; c) Macaroni; d) Navy beans
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b) Cheeses
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Which foods contain a high amount of calcium? a) Fish; b) Eggs; c) Red meat; d) Broccoli & other green leafy vegetables
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d) Broccoli & other green leafy vegetables
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Your Pt has a serum Na level of 129 & a serum K+ level of 6.1mEq/L. Which diet would you recommend? a) A low sodium, low potassium diet; b) A high potassium, low sodium diet; c) A low potassium, high sodium diet; d) A high sodium, high potassium diet
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c) A low potassium, high sodium diet
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Your Pt has been on total bed rest for several weeks, you should assess which area for edema? a) Face; b) Hands; c) Sacrum; d) Feet, ankles
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c) Sacrum
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A nursing Dx stating "will have less than 5Occ urinary residual" if appropriate for a Pt having problems with: a) Urinary frequency; b) Urinary retention; c) Urinary incontinence; d) Urinary tract infection
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b) Urinary retention
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In a Pt with pulmonary edema, the sputum is most likely: a) Rusty; b) Pink, frothy; c) Thin, mucoid; d) Purulent yellow
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b) Pink, frothy
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A Pt on a clear liquid diet may receive: a) Popsicle, beef broth, custard; b) Lemonade, gelatin, tomato juice; c) Tea, Pepsi, & gelatin; d) Gelatin, 7-Up, sherbet
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c) Tea, Pepsi, & gelatin
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The major world source of carbohydrates is: a) Rice, wheat; b) Red meat, fish; c) Beans, potatoes; d) Sugar & honey
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a) Rice, wheat
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To assist in oxygen transport & absorption you should encourage your Pt with Cardiovascular disease to increase his dietary intake of: a) Protein & iron; b) Calcium & protein; c) Carbohydrates & protein; d) Iron & fat-soluble vitamins
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a) Protein & iron
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A soft diet is recommended for post CVA because: a) It leaves no residue; b) It leaves low residue; c) It is fat free, easily digested; d) It is easily chewed & digested
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d) It is easily chewed & digested
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Your Pt c/o extreme gas & bloating after eating. She should be taught to avoid all except: a) Walking after meals; b) Hard candies & chewing gum; c) Drinking carbonated soft drinks; d) Drinking with a straw
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a) Walking after meals
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A negative nitrogen balance is least likely to be caused by: a) Infection; b) Starvation; c) Excessive caloric intake; d) Prolonged immobilization
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c) Excessive caloric intake
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A young mother is concerned because her 2-year-old to the clinic is not eating as much as usual. The most therapeutic response you can offer would be to say: a) "She has most likely just completed a growth spurt. Her appetite will resume soon; b) "You may need to let her have a bottle of formula at night to supplement her nutritional needs”; c) "She is trying to develop her independence, so now is the time to let her know you are in charge"; d) "Continue to offer her a variety of favorite foods several times a day until she has taken in enough nutrients for the day
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a) "She has most likely just completed a growth spurt. Her appetite will resume soon
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Your Pt has been on bed rest for 7 days, which laboratory finding would be most likely? a) Hypokalemia; b) Hypocalcaemia; c) Hyperkalemia; d) Hypercalcemia
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d) Hypercalcemia
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What instructions about the potassium elixir should be given? a) Always dilute it with water; b) Never give it with fruit juice; c) Urine may become orange or rust colored; d) Always give it on an empty stomach for best absorption
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a) Always dilute it with water
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Which statement best Indicates that your Pt understands what it takes to lose weight? a) "I must increase both the amount of energy I expend & the amount of calories I take in”; b) “My caloric intake must exceed my energy expenditure"; c) “My energy expenditure must equal my caloric intake"; d) “The amount of calories I take in must be less than the amount of energy I use"
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d) “The amount of calories I take in must be less than the amount of energy I use"
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