FNP questions well answered, Exams of Nursing

Download FNP questions well answered and more Exams Nursing in PDF only on Docsity! FNP Fnp 545 2024/2025 fnp 545 Fnp 545 Normal BP - correct answer ✔✔120/80 mmHg Elevated BP - correct answer ✔✔120-129/<80 HTN stage 1 - correct answer ✔✔130-139/80-89 HTN stage 2 - correct answer ✔✔140/90 or higher Respiratory rate - correct answer ✔✔12-20 Pulse rate - correct answer ✔✔60-100 bpm Temperature - correct answer ✔✔36.5-37.5 C (98-100 F) O2 saturation - correct answer ✔✔95-100% pH - correct answer ✔✔7.35-7.45 PaCo2 - correct answer ✔✔35-45 mmHg PaO2 - correct answer ✔✔75-100 mmHg HCO3- - correct answer ✔✔22-26 mEq/L ROME for pH/CO2 - correct answer ✔✔Respiratory Opposite Metabolic Equal CBG - correct answer ✔✔70-100 mg/dL (fasting) The lower the better HDL - correct answer ✔✔>60 mg/dL Akapulko - correct answer ✔✔Antifungal (Ringworm) Ampalaya - correct answer ✔✔DM Bawang - correct answer ✔✔AntiHTN, toothache Precaution for bawang - correct answer ✔✔Do not take on empty stomach. Take on full stomach to prevent ulcers Guava - correct answer ✔✔Antiseptic wash, wounds Yerba Buena (Peppermint) - correct answer ✔✔bites, bleeding, mens Lagundi - correct answer ✔✔For cough and asthma rheumatism Niyug-niyogan (Quisqualis indica L.) - correct answer ✔✔anti-helminthic (IP) Sambong (Blumea Camphor) - correct answer ✔✔Diuretic Tsaang gubat - correct answer ✔✔abd pain and diarrhea Ulasimang bato/ pansit-pansitan (peperomia pellucida) - correct answer ✔✔Lowers uric acid Mean Arterial Pressure - correct answer ✔✔70-105 mmHg Mean arterial pressure equation - correct answer ✔✔[(2 x diastolic) + systolic] / 3 Pulse pressure - correct answer ✔✔40 - 60 mmHg CK-MB - correct answer ✔✔0-4.7ng/dL onset 4-6H peak 18-24H most sensitive ldh - correct answer ✔✔70-200IU/L onset wn 24H peak 48-72H troponin - correct answer ✔✔<0.6ng/dL onset 3-4H peak 1-3wks most accurate myoglobin - correct answer ✔✔0-85 ng/mL onset 1H peak 4-6H Digoxin (Lanoxin) - correct answer ✔✔0.5-2 ng/mL Digoxin toxicity - correct answer ✔✔>2.5 Carbamezapine (Tegretol) - correct answer ✔✔Anticonvulsant; 4-10 Phenobarbital (Luminal) - correct answer ✔✔Anticonvulsant; 15-40 Lithium - correct answer ✔✔0.5-1.2 mmol/L Valproic Acid (Depakote) - correct answer ✔✔Anticonvulsant; 50-100 Dilantin - correct answer ✔✔Anticonvulsant; 10-20 dilantin toxicity - correct answer ✔✔>20 PT - correct answer ✔✔10-13 seconds INR (no warfarin) - correct answer ✔✔1/sec INR on warfarin - correct answer ✔✔2-3 seconds PTT - correct answer ✔✔25-35 seconds aPTT - correct answer ✔✔30 - 40 seconds control value of heparin - correct answer ✔✔30-45 s therapeutic calue of heparin - correct answer ✔✔2-2.5x control value of warfarin - correct answer ✔✔10-12s therapeutic value of warfarin - correct answer ✔✔1.5-2x ALT - correct answer ✔✔alanine aminotransferase; 7-56 U/L continuous bubbling NOT OK! = air leak intermittent bubbling OK! collection chamber - correct answer ✔✔- chest tube chamber that collects fluid -monitor and document rate and nature of drainage (initially every 30 minutes in first few hours, then every 1 to 4 hours) - no more than 100ml/hr - report if excessively cloudy or unexpectedly bloody tracheostomy - correct answer ✔✔creation of an artificial opening into the trachea to bypass upper AW; may be permanent or temp; for longterm artificial AW (>14 days); aseptic Parts of tracheostomy tube - correct answer ✔✔• Outer cannula, with inflatable cuff and pillow • Inner cannula • Obturator - outer cannula - correct answer ✔✔component of a tracheostomy tube that remains in place until the entire tube is replaced or removed; prevent collapse of stoma The inner cannula of a tracheostomy tube: - correct answer ✔✔removed at intervals (usually every 8 hrs) for cleaning Obturator of tracheostomy - correct answer ✔✔guide used during insertion of the tube removed and kept at bedside for ER situation tracheal opening placement - correct answer ✔✔2nd to 3rd tracheal ring ideal position for pt with trach tube - correct answer ✔✔high fowler if tolerated semi- fowler trach care - correct answer ✔✔aseptic technique hydrogen peroxide - loosen dried secretions nss - rinse inner cannula to remove hydrogen peroxide lock inner cannula - correct answer ✔✔clockwise et/ trach cuff - correct answer ✔✔20-25 mmHg monitor per shift q8 ensure trach ties is not too tight - correct answer ✔✔2 fingers between ties and pt neck Keep at Bedside (trach tube) - correct answer ✔✔ambubag obturator trach set BP reassessment - correct answer ✔✔1-2 minutes BP cuff placement - correct answer ✔✔1 inch (2.5cm) above the brachial artery Bell side BP in both arms - correct answer ✔✔no more than 10mmHg difference arm w/ higher BP should be used for subsequent examination Thigh BP position - correct answer ✔✔supine w/ knee slightly flexed OR sims Thigh BP site - correct answer ✔✔popliteal artery sustolic is 20-30mmHg higher than in brachial artery; diastolic same Primary HTN - correct answer ✔✔unknown cause lifetyle mod, 1 drug, combi of drugs Secondary HTN - correct answer ✔✔identifiable cause; d/t complication correct underlying cause intermittent fever - correct answer ✔✔on and off; hours body temperature that alternates at regular intervals between periods of fever and periods of normal and subnormal temperature Relapsing fever - correct answer ✔✔on and off; days short febrile periods of a few days are interspersed with periods of 1 or 2 days of normal temperature Remittent fever - correct answer ✔✔continuous; wide fluctuations wide range of temperature fluctuations (>2C or 3.6F) that occurs over a 24 hour period all of which are above normal Constant fever - correct answer ✔✔continuous; narrow fluctuation body temperature that fluctuates minimally (<2C or 3.6F) but always remains above normal Fever spike - correct answer ✔✔a temperature that rises to fever level rapidly following a normal temperature and then returns to normal within a few hours; bacterial infection/peritonitis Core temperature sites - correct answer ✔✔rectum, tympanic membrane, oral, temporal artery, esophagus, pulmonary artery, urinary bladder surface temp sites - correct answer ✔✔skin, mouth, axillae Pyrexia - correct answer ✔✔raised body temperature; fever. more O2 demand > inc PR, RR Biot's respirations - correct answer ✔✔varying depth and rate of breathing, followed by periods of apnea; irregular Kussmaul respirations - correct answer ✔✔very deep and rapid respirations TPN bag empty - correct answer ✔✔hang D10 at ordered TPN rate and call pharmacy - TPN sub should be close to glucose content of actual TPN (60-70%) stoma - correct answer ✔✔- beefy red, slightly protruded IF purple, brown, black = stenosis, ischemia, infection Empty colostomy bag - correct answer ✔✔1/3-1/2 full feeling of pressure skin exposed between stoma and appliance - correct answer ✔✔1/8" (3.17mm) foods that cause colostomy odor - correct answer ✔✔eggs, fish, beans, cabbage Colostomy Dietary Considerations - correct answer ✔✔No cabbage, spicy foods, onion, garlic, beans, raw veggies. Anything gas forming if irritating, reintroduce in 6mos diarrhea = cutdown fruits, coffee, cola constipation = prune/apple juice Quarantine procedures - correct answer ✔✔isolation to prevent the spread of disease monitor vs limit mvmt Isolation procedures - correct answer ✔✔Procedures intended to separate patients with certain transmissible infections from contact with others no quarantine - correct answer ✔✔finished primary dose contact w/ asymtomatic case 14 days from exposure - correct answer ✔✔quarantine unvax/ partial contact w/ asymptomatic case 7 days from onset of symptoms/ + result - correct answer ✔✔isolation fully vax asymptomatic/mild sx 10 days from onset of symptoms/ + result - correct answer ✔✔isolation vax w/ moderate sx unvax w/ mild - moderate sx 21 days from onset of symptoms - correct answer ✔✔isolation fully/unvax severe covid or immuno compromised mild covid - correct answer ✔✔no LRTI (fever, cough, sore throat, malaise, headache, muscle pain, nausea, vomiting, diarrhea, loss of taste and smell) Moderate COVID - correct answer ✔✔+ LRTI (dyspnea, SOB, chest pain) + cloudy xray Severe COVID - correct answer ✔✔< 94% O2 sat AND + LRTI 30 bpm resting RR Position for autonomic dysreflexia - correct answer ✔✔high fowler position for COPD - correct answer ✔✔high fowlers position for post lumbar - correct answer ✔✔supine priority action in air embolism - correct answer ✔✔place in left side Trendelenburg px elastic bandages should be applied from - correct answer ✔✔distal to proximal to promote venous return