Physiological Adaptation - 1

A nurse is providing care for a 49 year old male patient who has been diagnosed with Hodgkin’s Lymphoma. He is admitted to the unit after undergoing a bone-marrow transplant and for continued monitoring for complications. His lab results reveal: Hgb: 7.2, Hct: 25%, Platelets: 50,000, WBCs: 5,000. Based on these lab results, the nurse must:

Remove all live plants and flowers from patient's room

Correct Incorrect Correct answer

Ensure all visitors wear masks

Correct Incorrect Correct answer

Monitor for occult bleeding

Correct Incorrect Correct answer

All of the above

Correct Incorrect Correct answer

A nurse is providing care for a 74 year old female patient who has been admitted following a CVA. The patient has had an NG tube placed for nutrition and is NPO. She is alert, oriented to self only, lung sounds are diminished in the bases, and has left sided paralysis secondary to her CVA. Her vital signs are as follows: T-102.3, P-98, R-20, BP-135/65, Sp02-90% on room air. What should be the initial action performed by the nurse?

Stop the feeding

Correct Incorrect Correct answer

Administer oxygen at 2 liters nasal cannula

Correct Incorrect Correct answer

Suction the airway

Correct Incorrect Correct answer

All of the above

Correct Incorrect Correct answer

Which of the following is classified as a prerenal condition that affects urinary elimination?

Nephrotoxic medications

Correct Incorrect Correct answer

Pericardial tamponade

Correct Incorrect Correct answer

Neurogenic bladder

Correct Incorrect Correct answer

Polycystic kidney disease

Correct Incorrect Correct answer

A client is having difficulties reading an educational pamphlet. He cannot find his glasses. In order to read the words, he must hold the pamphlet at arm’s length, which allows him to read the information. Which vision deficit does this client most likely suffer from?

Cataracts

Correct Incorrect Correct answer

Glaucoma

Correct Incorrect Correct answer

Astigmatism

Correct Incorrect Correct answer

Presbyopia

Correct Incorrect Correct answer

A client with an enlarged prostate is having trouble starting his flow of urine when using the bathroom. Another name for this condition is:

Hesitancy

Correct Incorrect Correct answer

Oliguria

Correct Incorrect Correct answer

Retention

Correct Incorrect Correct answer

Urgency

Correct Incorrect Correct answer

Which of the following statements best describes substance P?

Substance P decreases a client's sensitivity to pain

Correct Incorrect Correct answer

Substance P levels are drawn before administration of narcotic analgesics

Correct Incorrect Correct answer

Substance P is found in the brain and is responsible for pain control and management of depression

Correct Incorrect Correct answer

Substance P is found in the dorsal horn of the spinal column

Correct Incorrect Correct answer

Preload refers to:

The volume of blood entering the left side of the heart

Correct Incorrect Correct answer

The volume of blood entering the right side of the heart

Correct Incorrect Correct answer

The pressure in the venous system that the heart must overcome to pump the blood

Correct Incorrect Correct answer

The pressure in the arterial system that the heart must overcome to pump the blood

Correct Incorrect Correct answer

The term, “Afferent Nerve,” means:

Carrying an impulse to the brain

Correct Incorrect Correct answer

Carrying an impulse away from the brain

Correct Incorrect Correct answer

Carrying impulses to the motor neurons of the appendicular muscles

Correct Incorrect Correct answer

None of the above

Correct Incorrect Correct answer

The medical term, “basophilia,” refers to:

an attachment of the epithelial cells of the skin to a basement membrane

Correct Incorrect Correct answer

An overabundance of a particular white blood cell in the peripheral blood

Correct Incorrect Correct answer

An underrepresentation of basophils on a blood smear.

Correct Incorrect Correct answer

None of the above

Correct Incorrect Correct answer

A patient has been told to monitor her LH levels. Which of the following potential conditions might the patient be suffering from?

Menorrhagia

Correct Incorrect Correct answer

Grave's Disease

Correct Incorrect Correct answer

Menopause

Correct Incorrect Correct answer

Infertility

Correct Incorrect Correct answer

A nurse is providing dismissal instructions for a child who was admitted for rotavirus. Which of the following statements by the parent indicates the need for further teaching?

I'll start giving him his antibiotics as soon as we get home."

Correct Incorrect Correct answer

I will call the physician if he becomes dizzy or overly fussy."

Correct Incorrect Correct answer

He will need to wash his hands a lot to keep this from spreading."

Correct Incorrect Correct answer

I'll watch to see when he stops having diarrhea stools."

Correct Incorrect Correct answer

You are caring for a patient with newly diagnosed multiple sclerosis. Discharge instructions will likely include all of the following EXCEPT:

PT referral for development of a planned exercise program.

Correct Incorrect Correct answer

Avoidance of prolonged sun exposure.

Correct Incorrect Correct answer

Hot baths to promote muscle relaxation.

Correct Incorrect Correct answer

Instructions to evaluate the home environment to ensure safety

Correct Incorrect Correct answer

The BRAT diet is often prescribed for patients with gastroenteritis. This acronym stands for:

Bananas, Rice, Applesauce, and Toast

Correct Incorrect Correct answer

Bread, Rice, Apricots, and Tapioca

Correct Incorrect Correct answer

Bananas, Rolls, Apricots, and Toast

Correct Incorrect Correct answer

Bananas, Rolls, Applesauce, and Tapioca

Correct Incorrect Correct answer

The family of a patient who is receiving therapeutic hypothermia states they do not understand why the patient is being kept so cold. What objective information can you provide to help address their concerns?

Let them talk to another patient who has had the same therapy

Correct Incorrect Correct answer

Provide research-based information about therapeutic hypothermia

Correct Incorrect Correct answer

Connect them with the nurse manager

Correct Incorrect Correct answer

Call the physician and ask him to talk to the family

Correct Incorrect Correct answer

Which of the following nursing interventions is appropriate for a client who is suffering from a fever?

Avoid giving the client food

Correct Incorrect Correct answer

Increase the client's fluid volume

Correct Incorrect Correct answer

Provide oxygen

Correct Incorrect Correct answer

All of the above

Correct Incorrect Correct answer

A client has started sweating profusely due to intense heat. His overall fluid volume is low and he has developed electrolyte imbalance. This client is most likely suffering from:

Malignant hyperthermia

Correct Incorrect Correct answer

Heat exhaustion

Correct Incorrect Correct answer

Heat stroke

Correct Incorrect Correct answer

Heat cramps

Correct Incorrect Correct answer

Mr. N is a client who entered the hospital with a diagnosis of diabetic ketoacidosis. The nurse enters his room to check his vital signs and finds him breathing at a rate of 32 times per minute; his respirations are deep and regular. Which type of respiratory pattern is Mr. N most likely exhibiting?

Kussmaul respirations

Correct Incorrect Correct answer

Cheyne-Stokes respirations

Correct Incorrect Correct answer

Biot's respirations

Correct Incorrect Correct answer

Cluster breathing

Correct Incorrect Correct answer

A nurse is assessing a client with right-sided heart failure. Which of the following symptoms would the nurse most likely see in this client?

Weight loss and vomiting

Correct Incorrect Correct answer

Coughing and 3+ pitting edema

Correct Incorrect Correct answer

Muscle cramps and hyperreflexia

Correct Incorrect Correct answer

Lethargy and paroxysmal nocturnal dyspnea

Correct Incorrect Correct answer

A nurse is educating a client about her cholesterol. Which of the following statements from the client indicates the need for further teaching?

I would like my HDL levels to be over 50."

Correct Incorrect Correct answer

It is better for me to have high HDL levels and low LDL levels."

Correct Incorrect Correct answer

It is better for me to have high LDL levels and low HDL levels."

Correct Incorrect Correct answer

My goal is to get my total cholesterol down below 200."

Correct Incorrect Correct answer

Which of the following situations might warrant a laboratory magnesium level?

Hyperthyroidism

Correct Incorrect Correct answer

Arthritis

Correct Incorrect Correct answer

Ulcerative colitis

Correct Incorrect Correct answer

Depression

Correct Incorrect Correct answer

A client with asthma is being admitted for breathing difficulties. His arterial blood gas results are pH 7.26, PCO2 49, PaO2 90, and HCO3- 21. Which of the following best describes this condition?

Uncompensated respiratory acidosis

Correct Incorrect Correct answer

Compensated respiratory alkalosis

Correct Incorrect Correct answer

Uncompensated metabolic acidosis

Correct Incorrect Correct answer

Compensated metabolic alkalosis

Correct Incorrect Correct answer

Mrs. O is seen for follow-up after an episode of acute pancreatitis. Her physician orders a serum amylase level and the result is 200 U/L. Which of the following is a potential cause of this result?

The client is pregnant

Correct Incorrect Correct answer

The client has hypertension

Correct Incorrect Correct answer

The client is in renal failure

Correct Incorrect Correct answer

The client has pancreatitis

Correct Incorrect Correct answer

Which of the following situations warrants a measurement for orthostatic hypotension?

A 36-year old male with a spinal injury

Correct Incorrect Correct answer

An 86-year old female with significantly altered mental status

Correct Incorrect Correct answer

A 58-year old female with near-syncope

Correct Incorrect Correct answer

A 41-year old male with acute deep vein thrombosis

Correct Incorrect Correct answer

A nurse is caring for a client who has a sodium level of 126 mEq/L. Which of the following symptoms should the nurse expect to see with this client?

Nystagmus

Correct Incorrect Correct answer

Orthostatic hypotension

Correct Incorrect Correct answer

Hallucinations

Correct Incorrect Correct answer

Dry skin

Correct Incorrect Correct answer

A 58-year old client is being tested for rheumatoid arthritis. Her physician orders an erythrocyte sedimentation rate (ESR). Which of the following results is most likely to be associated with arthritis?

5 mm/hr

Correct Incorrect Correct answer

12 mm/hr

Correct Incorrect Correct answer

28 mm/hr

Correct Incorrect Correct answer

40 mm/hr

Correct Incorrect Correct answer

Which of the following statements best describes compartment syndrome?

An injury causes pain and tingling that starts in the buttock and travels down the leg

Correct Incorrect Correct answer

An injury causes swelling within muscle tissue that leads to anoxia of nerves and muscles

Correct Incorrect Correct answer

An injury causes permanent flexion of the interphalangeal joint, resulting in deformity

Correct Incorrect Correct answer

An injury causes pain and swelling of the median plantar nerve

Correct Incorrect Correct answer

Mrs. G is seen for follow-up after testing for chronically high blood glucose levels. Her physician diagnoses her with type 1 diabetes. Which of the following information is part of this client’s education about this condition?

Type 1 diabetes occurs from increased carbohydrate intake and decreased exercise

Correct Incorrect Correct answer

Type 1 diabetes is treated through diet and exercise

Correct Incorrect Correct answer

Type 1 diabetes occurs from destruction of beta cells in the pancreas

Correct Incorrect Correct answer

Type 1 diabetes results in the cells rejecting the body's insulin

Correct Incorrect Correct answer

Mrs. F has been diagnosed with hyperparathyroidism. Which of the following complications is Mrs. F at highest risk of developing?

Hyponatremia

Correct Incorrect Correct answer

Hypocalcemia

Correct Incorrect Correct answer

Hypermagnesemia

Correct Incorrect Correct answer

Hypercalcemia

Correct Incorrect Correct answer

A client has entered disseminated intravascular coagulation (DIC) after becoming extremely ill after surgery. Which of the following laboratory findings would the nurse expect to see with this client?

Elevated fibrinogen level

Correct Incorrect Correct answer

Prolonged PT

Correct Incorrect Correct answer

Elevated platelet count

Correct Incorrect Correct answer

Depressed d-dimer level

Correct Incorrect Correct answer

A client is admitted to a nursing unit with a remittent fever. Which statement best describes this pattern of fever?

A persistent fever that has lasted over 24 hours

Correct Incorrect Correct answer

A fever that lasts 2 days followed by normal temperature for 2 days, followed by fever again

Correct Incorrect Correct answer

A fever that lasts 2 days followed by normal temperature for 12 hours, followed by fever again

Correct Incorrect Correct answer

A fever that spikes and then lowers without returning to normal

Correct Incorrect Correct answer

Which of the following components is associated with hypertonic dehydration?

Plasma sodium levels between 130 and 150 mEq/L

Correct Incorrect Correct answer

Fluid moves from extracellular space to intracellular space

Correct Incorrect Correct answer

Water loss is greater than electrolyte loss

Correct Incorrect Correct answer

Physical signs and symptoms are grossly apparent

Correct Incorrect Correct answer

Your patient has been diagnosed with herpes simplex virus 2. Which of the following would NOT be included in your teaching of this patient?

If you have symptoms, you should avoid sexual contact with other individuals.

Correct Incorrect Correct answer

With treatment, this condition can be cured.

Correct Incorrect Correct answer

This disease is highly contagious.

Correct Incorrect Correct answer

You may experience tingling in the skin before an active outbreak occurs.

Correct Incorrect Correct answer

Sinusitis is caused by a:

Bacteria

Correct Incorrect Correct answer

Fungus

Correct Incorrect Correct answer

Virus

Correct Incorrect Correct answer

Any of the above

Correct Incorrect Correct answer

A local sign of infection is which of the following?

Swelling.

Correct Incorrect Correct answer

Rapid pulse.

Correct Incorrect Correct answer

Fever.

Correct Incorrect Correct answer

High white blood count.

Correct Incorrect Correct answer

A systemic sign of infection is _________.

swelling

Correct Incorrect Correct answer

redness

Correct Incorrect Correct answer

heat

Correct Incorrect Correct answer

a lack of appetite

Correct Incorrect Correct answer

A complication of osteoporosis is __________.

rheumatoid arthritis

Correct Incorrect Correct answer

gouty arthritis

Correct Incorrect Correct answer

dorsal flexion

Correct Incorrect Correct answer

joint deformity

Correct Incorrect Correct answer

A nurse finds one of her clients unresponsive in his room. He is not breathing and does not have a pulse. After calling for help, what is the next action of the nurse?

Administer 2 ventilations

Correct Incorrect Correct answer

Perform a head-tilt, chin lift to open the airway

Correct Incorrect Correct answer

Begin chest compressions

Correct Incorrect Correct answer

Perform a jaw thrust to open the airway

Correct Incorrect Correct answer

A nurse is caring for a client with severe mitral regurgitation and decreased cardiac output. The nurse assesses the client for mental status changes. What is the rationale for this intervention?

Decreased cardiac output can cause hypoxia to the brain

Correct Incorrect Correct answer

Mental status changes may be a side effect of the client's medication

Correct Incorrect Correct answer

Mitral regurgitation is a complication associated with some neurological disorders

Correct Incorrect Correct answer

The client may be confused about his diagnosis

Correct Incorrect Correct answer

Which of the following interventions must the nurse implement while a client is having a grand mal seizure?

Open the jaw and place a bite block between the teeth

Correct Incorrect Correct answer

Try to place the client on his side

Correct Incorrect Correct answer

Restrain the client to prevent injury

Correct Incorrect Correct answer

Place pillows around the client

Correct Incorrect Correct answer

You have measured the urinary output of your resident at the end of your 8 hour shift. The output is 25 ounces. You should do what next?

Convert the number of ounces into cc s.

Correct Incorrect Correct answer

Convert the number of ounces into cm s.

Correct Incorrect Correct answer

Immediately report this poor output to the nurse.

Correct Incorrect Correct answer

Know that 25 ounces of urine is too much in 8 hours.

Correct Incorrect Correct answer

Physiological Adaptation – 1

Quiz Summary

Information

Results

Results

Categories

1. Question

2. Question

3. Question

4. Question

5. Question

6. Question

7. Question

8. Question

9. Question

10. Question

11. Question

12. Question

13. Question

14. Question

15. Question

16. Question

17. Question

18. Question

19. Question

20. Question

21. Question

22. Question

23. Question

24. Question

25. Question

26. Question

27. Question

28. Question

29. Question

30. Question

31. Question

32. Question

33. Question

34. Question

35. Question

36. Question

37. Question

38. Question

39. Question

40. Question

Related Posts

What’s It Really Like to Be a Cruise Ship Nurse?

Can Nurses Afford a House? Complete Financial Guide

How to Recruit Nurses on Social Media: A 7-Step Job Fair Plan

Sign in

Sign up