Test 6 Sth

Front 1

After a through examination, the physician suspects that your patient may have developed rheumatic fever following an infection with beta-hemolytic streptococci. Which of the following lab tests to confirm the diagnosis is he most likely to order?

Back 1

C-reactive protein

Front 2

During your assessment of a three-year-old, you discover the presence of Koplik's spots. She most likely is suffering from what disease?

Back 2

rubeola

Front 3

Lottie Charleston had a total hip replacement yesterday. Today she is in good spirits and has reported very little discomfort. You have just finished making her bed, and as you adjust the sheets to make sure she has plenty of toe room, you notice that one of her legs appears to be shorter than the other. You should immediately

Back 3

notify the physician

Front 4

Your doctor is going to perform a blood test to rule out the presence of a sexually transmitted disease. Which STD can be diagnosed in this manner?

Back 4

syphilis

Front 5

After Jed Hampton was diagnosed with Lyme disease, he was given a prescription for a form of tetracycline. He should be taught to

Back 5

never take the medication with any mineral preparatlon(e.g., vitamins with iron) or with any type of dairy product

Front 6

Martha Samuels has notices a flat spot, less than one centimeter, on her right forearm. It has a different color than normal pigment. This is termed a

Back 6

macule

Front 7

A fifteen year old boy is being seen at the health department clinic today for a routine sports physical. He will also receive an Immunization while he is there. Which one will he most likely receive?

Back 7

DT

Front 8

A patient with frostbite would be most in need of which intervention to help prevent complications?

Back 8

bed cradle

Front 9

Two year old Billy Johnson has meningitis. He needs to remain quiet and get as much rest as possible. Which intervention is most appropriate in his case?

Back 9

decrease environmental stimuli of all forms

Front 10

Marc Townsend had rheumatic heart disease as a child. He is most likely to be prone to have all of the following residual symptoms as an adult except

Back 10

chorea

Front 11

Upon physical examination, you notice that your patient has the classic symptoms of Rocky Mountain Spotted Fever. He is complaining of joint and muscle pain and has

Back 11

had a sudden onset of an extremely elevated body temperature

Front 12

Greg Hammer had a go-kart wreck going nearly twenty miles per hour. He hit his head on the ground several times as the go-kart rolled over. He has been admitted for observation but now his ICP is rising rapidly. Which drug will the physician most likely order?

Back 12

mannitol

Front 13

Your patient is being given her preoperative medication, including an anticholinergic. What is the primary purpose for this type of medication?

Back 13

reduce secretion of saliva and gastric juices

Front 14

Martha Grayson has been having recurrent urinary tract infections over the past three years. She suspects that she has another UTI. Which symptom would you most expect for her to exhibit

Back 14

frequency

Front 15

Four year old Helena Kessler has viral rhinitis. Her mother should be told to carry out the following interventions (3)

Back 15

administer Tylenol, not aspirin, if her temperature goes up, offer her favorite fluids frequently and wash your hands and her hands frequently

Front 16

Michael Avery was admitted to the burn unit three days ago after suffering second and third degree burns in a house fire. As you empty his bedpan, you notice that he has begun to have black stools. This changes is most likely caused by

Back 16

the development of a Curling's ulcer

Front 17

Following the administration of the oral polio vaccine there is a remote possibility that the live virus can be transmitted through direct contact with the child's

Back 17

feces

Front 18

Which immunization is least likely to be given to a ten year old?

Back 18

pertussis (whooping cough)

Front 19

Fred Valer is having draining from his incision that contains and accumulation of dead cell debris, white blood cells and dead bacteria. The proper term to use to chart this type of drainage is

Back 19

purulent

Front 20

Harvey Keller, who had never received a tetanus immunization, contracted tetanus following a minor injury. What type of wound did he most likely have?

Back 20

a puncture wound on his thigh

Front 21

Reye's syndrome can cause permanent changes in mental status. These changes are most often related to an increase in which level?

Back 21

ammonia

Front 22

The doctor has told the patient that his wound should heal by third intention. What is his most likely diagnosis?

Back 22

duodenal ulcer

Front 23

Three day old Suzanna Delk acquired which type of immunoglobulin prior to birth?

Back 23

IgG

Front 24

Your burn patient is in the hypovolemic phase following her injury. Which finding is consistent with this stage?

Back 24

hyperkalemia

Front 25

During your initial interview with the mother of a child who is about to receive an MMR vaccine, you should ask specifically if the child has ever shown any allergy or sensitivity to

Back 25

eggs or chicken feathers

Front 26

Nelson Carlisle is going for nuclear magnetic resonance imaging this afternoon. In preparation, he should be given which information?

Back 26

You will be asked to lie still on a flat platform which moves through a magnetized tube.

Front 27

The organism that is thought to cause Reye's syndrome is a

Back 27

virus

Front 28

You have been told to monitor your patient for respiratory sufficiency. Which type of assessment is the best indicator of respiratory status?

Back 28

ABGs

Front 29

All of the following have been exposed to an active case of rubella. Who is most at risk?

Back 29

Unborn fetus

Front 30

Some illnesses and some medications can cause an extrapyramidal effect. This effect is caused by degeneration of parts of the

Back 30

basal ganglia

Front 31

As you care for the older adults in the retirement village where you work, you should remember that all of the following are common changes associated with aging (3)

Back 31

sensation of pain may be diminished or absent, infection may cause little or no elevation in body temperature and hypersensitive reactions to antigens are delayed

Front 32

Hilda Bennett is going to have a supratentorial craniotomy. You should tell her that in the immediate postoperative period following surgery, she can expect to

Back 32

rest in Fowler's position with a pillow under her shoulders

Front 33

Linda Myles has just had a full-thickness skin graft. How should you care for the site in the immediate postoperative period?

Back 33

keep the site covered with a bulky occlusive dressing

Front 34

Kendra Hendricks has called the Poison Control Center where you work. Her three-year-old son has just swallowed over 50 acetaminophen (Tylenol) tablets. She should be instructed to

Back 34

give Ipecac and water as directed on the bottle

Front 35

Jay Fowler has cholecystitis. The doctor has order vitamin K administration Q.I.D. The purpose of this order is to minimize the tendency for (3)

Back 35

bleeding, itching and jaundice

Front 36

Hematopoietic radiation trauma would most likely produce which symptom?

Back 36

thrombocytopenia

Front 37

Lizzie Cantrella has been diagnosed with toxic shock syndrome. This disorder is well known to significantly after which level?

Back 37

magnesium

Front 38

Which symptoms would be most consistent with a diagnosis of cholelithiasis?

Back 38

ultrasound shows stones in the common bile duct

Front 39

Mononucleosis is caused by which organism?

Back 39

Epstein-Barr virus

Front 40

The most important nursing intervention for a patient with extensive second degree burns is

Back 40

maintenance of adequate ventilation

Front 41

Martha Gennison is 75 pounds overweight. Prior to signing the surgical consent before her abdominal cholecystectomy, the physician warned her that she is at increased risk for complications following surgery as a direct result of her obesity. He would say that because

Back 41

lack of adequate blood supply common in adipose tissue impedes the wound healing process

Front 42

On this shift, you will be taking care of a patient who suffered a C7 spinal injury. You know that he will most likely be able to

Back 42

control his head and neck muscles

Front 43

Mrs. Williams is considering having cataract surgery. She should be told that during the immediate postoperative period, she will be expected to (3)

Back 43

remain on complete bedrest, avoid lying on her stomach and avoid sneezing and coughing

Front 44

Michael Peterson is a 2-day-old infant born to a cocaine-addicted mother. Which symptoms would he be most likely to manifest as a result of his mother's addiction?

Back 44

irritability, respiratory alkalosis, hyperacusia, rhinorrhea

Front 45

The patient Just brought in by ambulance is suffering from severe carbon monoxide poisoning which was the result of a failed suicide attempt. Which finding regarding skin color is most consistent with this diagnosis?

Back 45

cherry red mucus membranes and skin undertones

Front 46

Mr. Filmore is a 79 year old man who is taking all of the following medications. During this visit, he is reporting yellow vision. Which medication is known to cause this type of vision change?

Back 46

Lanoxin

Front 47

Chester Kline is taking all of the following medications: amoxicillin, lanoxin, prednisone and valium. He is at increased risk for illness because all of the following may reduce the body's natural defenses except

Back 47

Lanoxin

Front 48

What type of diet is recommended for a patient who is taking probenecid and colchicine (Colbenemid)?

Back 48

alkaline/ash

Front 49

Lillian Copas is being discharged today after having an abdominal cholecystectomy. During her discharge instructions, she should be told to report which finding to the physician immediately?

Back 49

leakage around the tube

Front 50

The physician suspects that Seth Adams Is suffering from Crohn's disease. Which diagnostic test will he most likely order to confirm his suspicions?

Back 50

biopsy

Front 51

Patients with urinary tract Infections are often given phenazopyridine (Pyridium) because this medication helps

Back 51

Minimize pain of bladder spasm

Front 52

Margaret Adams has been diagnosed with myasthenia gravis. Her the majority of her symptoms are caused by

Back 52

inadequate acetylcholine release

Front 53

Your patient is at high risk for hemorrhagic shock. These three are common symptoms

Back 53

restlessness, hypotension and decrease in hematocrit

Front 54

Which diet would be most appropriate to recommend for a patient with glomerulonephritis?

Back 54

high calorie, low-sodium, protein-modified

Front 55

As you are doing your weekly grocery shopping, you notice a woman lying on the floor having a grand mal seizure. You should

Back 55

turn her on her side

Front 56

Terry Hanson was born with necrotizing enterocolitis and underwent a surgical removal of the affected bowel when he was an infant. He was left with a bowel of inadequate length. Which lifelong vitamin deficiency is common in this type of situation?

Back 56

B12

Front 57

Your patient is suffering from chronic glomerulonephritis. Which laboratory finding is most consistent with this disease process?

Back 57

hypoalbuminemia

Front 58

Martha Dodson is being given zoster immune globulin to stimulate her immunity to

Back 58

varicella

Front 59

Your patient who suffers from Meniere's disease is having an increased amount of discomfort. You should recommend which intervention?

Back 59

use of diphenhydramine (Benedryl)

Front 60

After taking his prescribed medications to treat active tuberculosis. the physician has order laboratory tests to detect the presence of side effects common to these drugs. Which tests did he most likely order?

Back 60

SGOT/SGPT

Front 61

The opportunistic infection most commonly affecting people with AIDS is

Back 61

Pneumocystis carinii

Front 62

Kendra Alford has been hospitalized following an overdose of acetaminophen (Tylenol). Which organ has been most likely affected as a result?

Back 62

liver

Front 63

Which statement is true regarding the use of a Jackson-Pratt drain?

Back 63

You must squeeze and expel air before recapping after draining.

Front 64

Betsy Caine is a 36-year-old with multiple sclerosis. Her husband, Bill, has been her primary caretaker since she was diagnosed 8 years ago. To help her relieve muscle spasms he

Back 64

helps her take a hot bath

Front 65

All of the following may cause a reactivation of tuberculosis (3)

Back 65

AIDS, leukemia and Hodgkin's disease

Front 66

Bertha Stephenson's husband of 38 years has just suffered a massive stroke that has left him in a coma. To help her cope with her husband's condition, your best intervention would be to

Back 66

help her identify and mobilize her support network

Front 67

You are reading the nurses notes about the patient you will be caring for on this shift. You were told in report that his abdominal wound is healing by secondary intention. Which finding is abnormal?

Back 67

"edges of incision appear black in spots"

Front 68

As a result of a skiing accident, your patient is suffering from hypothermia among other injuries. Which symptom is not consistent with the diagnosis of hypothermia?

Back 68

alkaiosis

Front 69

Your patient has is recovering from second-degree bums. Which foods should you recommend to promote healing?

Back 69

meat, milk and citrus fruits

Front 70

Five year old Mark Potter has strep throat again for the third time this winter. He has no known allergies, so he will most likely be given which medication?

Back 70

Pen Vee K (penicillin)

Front 71

Kenneth Fields has been faithfully taking the medicines the physician prescribed for his tuberculosis. At what point should he consider himself to be no longer contagious?

Back 71

2-4 weeks after beginning the prescriptions

Front 72

Harold Kennedy has been in the hospital for 24 hours after suffering major burns. Which of the following lab reports would be most onsistent with his condition?

Back 72

metabolic acidosis with increased Hgb., Hct., K+ and decreased Na+

Front 73

Hilda Bentley has a UTI. As most nurses do, you have suggested to her that drinking cranberry juice could be beneficial. You should tell her that drinking cranberry juice will

Back 73

acidify her urine

Front 74

Risks are present in nearly every occupation. Which career would carry the most risk for becoming infected with hepatitis C?

Back 74

phlebotomy

Front 75

Which statement regarding the phenomenon of pain is most accurate?

Back 75

pain may increase in direct proportion to an increasing anxiety level

Front 76

Joline Sanders is using miotic eye drops to control her glaucoma. The purpose of this type of medication is to

Back 76

increase outflow of aqueous humor

Front 77

Joyce Stem has been diagnosed with vaginal candidiasis and has been given a prescription for Monostat. She should be instructed to

Back 77

Insert the medication while lying flat and remain flat for 15-20 minutes after insertion

Front 78

Mr. Martin is being seen by a hearing specialist to be fitted with a hearing aid. When questioned about his hearing loss, he said, ''My hearing has become steadily worse every year for the past several years. t can't say exactly when I started having a problem." This type of hearing loss is caused by

Back 78

otosclerosis

Front 79

Jerry Thomson has just been admitted to your unit with pyelonephritis. As you prepare to empty his urinal, you would suspect that his urine will have which type of characteristic odor?

Back 79

fishy

Front 80

Felicia Sanchez is a fifteen year old girl who has been performing self- catheterization to become continent. Which statement best indicates that she has achieved her goal?

Back 80

"I don't have any dribbling between catheterizations any more."

Front 81

Kayla Rogers has been diagnosed with mononucleosis after testing positive using a Mono-Spot. She should be told to avoid strenuous activities because excess strain can damage which organ?

Back 81

spleen

Front 82

Larry Underwood has been admitted to your unit in respiratory isolation with a diagnosis of "rule out tuberculosis". Which laboratory finding would be indicative that the physician's suspicions are correct?

Back 82

positive AFB culture

Front 83

Orville Canter, a 78 year old, was Involved in a motor vehicle accident this afternoon. Now his is going into shock. Which type of shock is he most likely to exhibit?

Back 83

hypovolemic shock

Front 84

The nurse who had your patient during the previous shift charted, "eschar prevent at the wound site." She was referring to which finding?

Back 84

necrotic slough

Front 85

All of the following laboratory results indicate the presence of an infection (3)

Back 85

elevated white blood cell count, a CBC with a differential count showing a "shift to the left" and elevation in sedimentation rate

Front 86

You are giving Mrs. Johnson a bed bath on the third day after her cholecystectomy. Suddenly a sudden gush of serosanguineous drainage erupts from her incision site. The complication is most likely caused by

Back 86

wound dehiscence

Front 87

Which of the following is least likely to play a part in the transmission of Hepatitis A?

Back 87

urine

Front 88

Came Stevens is a fjve-year-old with the flu. She has been vomiting and is running a temperature of 101.2F. She also has a nonproductive cough and stuffy nose. All of the following are appropriate interventions (3)

Back 88

encourage her intake of favorite fluids to replace fluids lost to vomiting, stay on bedrest to help her regain her strength and give her a dose on an expectorant for the nonproductive cough

Front 89

Jill Oppenheim, a fifteen-year-old cheerleader has been admitted to your unit with possible meningitis. Which laboratory finding on spinal fluid would confirm the diagnosis?

Back 89

increased white cell count in the spinal fluid

Front 90

Mrs. Simpson was admitted to your unit with a spontaneous fracture of her right hip that caused her to fall. This type of fracture is most closely associated with which disorder?

Back 90

osteoporosis

Front 91

Your patient is complaining of a symptom that causes you to suspect that he is developing compartment syndrome. Which symptom is he most likely exhibiting?

Back 91

intractable excruciating pain

Front 92

You are conducting a discharge teach session for a patient who has gout. All of the following are appropriate interventions (3)

Back 92

apply ice to the joints to relieve pain

Front 93

Lacey Spellman is a three-year-old being seen in the emergency room. She is very apprehensive and seems afraid of the nurses. She has been diagnosed with a spiral fractures of her right arm and has bruises on the left side other face. Which nursing diagnosis would be most appropriate?

Back 93

suspected child abuse related to type and number of injuries

Front 94

Martin Gregory has lesions on his chest that are thought to be caused by herpes zoster. This type of disorder in an adult is thought be caused by the reactivation of an organism which also causes which childhood disease?

Back 94

chicken pox

Front 95

After being involved in a motor vehicle accident the doctor is concerned that your patient may have suffered a ruptured spleen. Which symptom would be most indicative of this condition?

Back 95

left shoulder pain

Front 96

After being involved in a motor vehicle accident the doctor is concerned that your patient may have suffered a ruptured spleen. Which symptom would be most indicative of this condition?

Back 96

left shoulder pain

Front 97

As you prepare to administer the MMR to a child, you know you should give it

Back 97

intramuscularly by deep Z-track technique

Front 98

Martha Gentry has an open, draining wound on her leg that needs to be debrided. The best way to debride a wound during a dressing change is to

Back 98

remove the dressing without wetting it

Front 99

After an extended illness, your patient has become septic. All of the following symptoms are common in septicemia (3)

Back 99

chills, elevated temperature and generalized malaise

Front 100

Which of the following patients should receive a flu vaccine today?

Back 100

72 year-old with cardiovascular disease

Front 101

Which behavior is frequently observed in adoescents who have acquired sexually transmitted diseases (STDs)?

Back 101

Adolescents deny having the disease (due to stigma and threat to relationships)

Front 102

A patient develops diarrhea several days after being treated for a severe respiratory infection. Which information is needed by the nurse to assess teh cause of the diarrhea?

Back 102

The medications used for treatment of the infection (such as antibiotics)

Front 103

Which discharge instruction should the nurse include in the plan of care for a patient with a urinary tract infection?

Back 103

Drink 2-3 liters of fluid daily.

Front 104

Which pathophysiological factor accounts for the increased incidence of opportunisitic infectionis and tumors among patients with acquired immunodeficiency syndrome (AIDS)?

Back 104

A decreased number of T-helper cells

Front 105

The nurse is evaluating a patient who is on warfarin sodium (Coumadin) therapy. Which patient behavior indicates the need for further instruction regarding the medication?

Back 105

Taking ibuprofen for a headache (NSAIDS can produce gastric irritation and possible bleeding)

Front 106

Why should tetanus toxoid be administered to a patient who has a puncture wound?

Back 106

To stimulate antibody production

Front 107

The parents of a four-year-old child who has varicella express concern about scarring and ask haow to best discourage their child from scratching. Which suggestion by the nurse would be most appropriate?

Back 107

Teach the child to apply pressure to pruritic areas.

Front 108

What is the rationale for using the multiple puncture skin test for tuberculosis?

Back 108

To screen large groups.

Front 109

When administering the initial parenteral dose of amphotericin B to a patient with severe histoplasmosis, the nurse should monitor the patient for which side effect?

Back 109

Shaking chills (evidence of anaphylactic shock)

Front 110

Which assessment of a patient with severe frostbite should receive priority?

Back 110

Neurovascular

Front 111

Immediately following an above-the-knee amputation, a patient has rigid cast dressing applied. Which observation indicates the desired outcome of this treatment?

Back 111

Uniform compression of the stump (desired for early fitting of a prothesis)

Front 112

Which assessment indicates that a wound is healing by secondary intention?

Back 112

The wound base contains granulation tissue.

Front 113

Which assessment data whould lead the nurse to suspect that a toddler may have recently ingested a caustic substance?

Back 113

White, swollen oral mucosa

Front 114

Which nursing measure is appropriate when providing immediate care to a patient with a thermal burn?

Back 114

Soak the burned area briefly in cold water.

Front 115

Which action should the nurse take when caring for an older adult who has suffered heatstroke?

Back 115

Administer a cool sponge bath.

Front 116

What is the expected effect of an antacid such as aluminum hydroxide (Amphojel) on the stomach?

Back 116

It decreases gastric acidity

Front 117

Which is the first sign of altered neurological status related to brain injury?

Back 117

Change in the level of consciousness

Front 118

The nurse is taking the history of a patient who is scheduled for magnetic resonance imaging (MRI). Which data whould the nurse consider significant when preparing the patient for the MRI?

Back 118

Claustrophobia

Front 119

The nurse performs a neurovascular assessment on a seven-year-old child who had a cast applied for a fractured tibia. Which evidence indicates possible neurovascular compromise?

Back 119

Compaint of pain on movement of the toes.

Front 120

Which class of medications is generally administered to reduce cerebral edema?

Back 120

Corticosteroids (they reduce cerebral edema by acting as an anti-inflammatory)

Front 121

The nurse is caring for a patient who has a history of multiple sclerosis with numerous exacerbations of the condition. Which instruction should the nurse give to this patient?

Back 121

Avoid emotionally stressful situations.

Front 122

Which statement best describes decerebrate posture?

Back 122

The arms and legs are extended, with pronation of the hands and feet (Decerebrate posture results from damage or trauma at the midbrain. The arms and legs are extended, with pronation of the hands and feet)

Front 123

Which condition describes a swayback posture of the lumbar spine?

Back 123

Lordosis (excessive curvature of the lumbar spine)

Front 124

Which assessment confirms the presence of gout?

Back 124

Presence of urate crystals in joint cavity aspirate

Front 125

Which action should the nurse take when caring for a patient witha newly applied cast?

Back 125

Keep the cast uncovered. (An exothermic reaction occurs when the plaster is placed in water prepatory to application. This heat can cause discomfort to the patient. The cast is left uncovered to facilitate drying and thus cooling.)