Hondros NUR 212 - EXAM 1 2024 Latest Update Complete Questions & Answers, Exams of Nursing

Download Hondros NUR 212 - EXAM 1 2024 Latest Update Complete Questions & Answers and more Exams Nursing in PDF only on Docsity! Hondros NUR 212 - EXAM 1 2024 Latest Update Complete Questions & Answers A nurse is explaining the differences among the various agencies that address health care. The nurse should note that which of the following are health care regulatory agencies? (select all that apply) a. American Nurses Association (ANA) b. joint commission c. state boards of nursing d. national league for nursing e. food and drug administration - ANSWER b, c, e A nurse is explaining the various types of heath care coverage pts might have to a group of nursing students. The nurse should mention that which of the following health care financing mechanisms are federally funded? (select all that apply) a. preferred provider organization b. medicare c. long-term insurance d. exclusive provider organization e. medicaid - ANSWER b, e A hospital is conduction a community BP screening in its lobby. This is an example of which of the following levels of care? a. preventive b. primary c. secondary d. tertiary - ANSWER b A pt in a managed care organization requires hospitalization. Which of the following parties must approve the admission? a. ER physician b. utilization review committee c. provider d. managed care administration - ANSWER c A nursing instructor is explaining the various levels of health care services to a group of nursing students. Which of the following examples of care or care settings should the nurse classify as tertiary care? (select all that apply) a. ICU b. oncology treatment center c. burn center d. cardiac rehab e. home health - ANSWER a, b, c A nurse is providing instructions to a young adult female pt. who has a new prescription for beclomethasone (QVAR). Which of the following should the nurse include in the teaching? a. "Rinse your mouth out after each use" b. Limit fluid intake while taking this med c. Increase your intake of Vit. B12 while take this med d. You can take the med as needed - ANSWER A A nurse is providing instructions to a pt. who has been prescribed albuterol (Proventil) and beclomethasone (QVAR). inhalers for the control of asthma. Which of the following should the nurse include in the teaching? a. alternate which inhaler is used so that both are not taken at the same time of day. b. use the albuterol inhaler prior to using the beclomethasone inhaler c. only use beclomethasone is experiencing an acute episode d. use the beclomethasone inhaler first and immediately follow with albuterol inhaler - ANSWER B A nurse is providing instructions to the parent of an adolescent who has a new prescription for albuterol (Proventil) PO. Which of the following should the nurse include? a. You can take this med to abort an acute attack of asthma b. Tremors are an adverse effect of this medicine. c. Prolonged use of this med can cause hyperglycemia d. this med can slow skeletal growth rate - ANSWER B A pt. is prescribed LT use of oral prednisone for tx. of chronic asthma. The nurse should instruct the pt. to watch for which of the following? a. weight gain and fluid retention b. nervousness and insomnia c. chest pain and tachycardia d. dry mouth and constipation - ANSWER A A nurse is caring for a pt. who states she has been taking phenylephrine (Neo- Synephrine) nasal drops for the past 10 days for her upper resp. symptoms. For which of the following adverse effects should the nurse assess? a. sedation b. nasal congestion c. productive cough d. constipation - ANSWER B A nurse is teaching a pt. to self-administer nasal drops for allergic rhinitis symptoms. The nurse should teach the pt. to lie in which of the following positions to obtain the best effect of the med? a. supine with head flexed b. sitting with head in neutral position d. Rheumatoid arthritis - ANSWER B A nurse is providing info about probiotic supplements to a male pt. Which of the following info should the nurse include? (select all that apply) a. Probiotics are micro-organisms that are normally found in the GI tract. b. Probiotics are used to treat C. Diff. c. Probiotics are used to treat benign prostatic hyperplasia. d. You may experience bloating while taking probiotic supplements e. If you are prescribed an antibiotic, you should take it at the same time you take your probiotic supplement - ANSWER A, B, D Jeri is a 22-year old female who has been on a 3 day party binger. Her friends bring her to the ED after being unable to awaken her. Assessment reveals shallow respirations with a rate of 8/min, diminished breath sounds, and decreased level of consciousness. 1. What type of acid-base imbalance would you expect Jeri to have? 2. What is causing it? 3. What type of compensation would you expect or not expect? Explain. 4. What would Jeri's ABGs look like? 5. What is the tx? - ANSWER 1. Respiratory acidosis (because she's retaining CO2) 2. hypoventilation r/t alcohol indigestion 3. In less than 24 hrs, not much change yet. However after 24 hrs, there is increased HCO3- as a result of renal compensation. 4. pH: <7.35, <24 bicarbonate will be 22-26, >24 hrs bicarb will increase more than 26, PaCO2 increases=hypoxemia 5. Get drugs/alcohol out of system (flush system with saline), Adm: Narcan to reverse opioid effects, possible mechanical ventilation to normalize rate/rhythm and allow more CO2 to be excreted. Mayna is an 18 year old female who presents to the ED after a sexual assault. She is hysterical and is severe emotional distress. Her BP is 140/96, HR 104, RR 38, and O2% 96%. Lung sounds are clear. 1. What type of acid-base imbalance would you expect Mayna to have? 2. What is causing it? 3. What type of compensation would you expect or not expect? Explain. 4. What would Mayna's ABGs look like? 5. What is the tx? - ANSWER 1. Respiratory alkalosis 2. anxiety 3. compensation would not be occurring yet but buffer system begins immediately shifting cells in and out of ICF. There is a shift of HCO3- into the cells in exchange for Cl- 4. pH= >7.35, 5. Help regulate breathing (slower, deeper breaths), breathing into a paper bag will increase CO2, reduce anxiety Alan is a 17 year old male who comes to the clinic with c/o feeling "bad", fatigue, constant thirst, and frequent urination. Focused assessment revels rapid deep respirations (rate 28) with a fruity breath odor. He has a capillary blood glucose of 484mg/dl. 1. What type of acid-base imbalance would you expect Alan to have? 2. What is causing it? 3. What type of compensation would you expect or not expect? Explain. 4. What would Alan's ABGs look like? 5. What is the tx? - ANSWER 1. Metabolic acidosis 2. Breakdown of fats, ketones develop as an acid byproduct, secondary to insulin no used correctly 3. Kussmals respirations 4. pH: <7.35, HCO3-: <20, PaCO2: could be low resulting from compensation, PaO2:should not see an effect 5. Give insulin to promote normal glucose metabolism, replace electrolytes and give fluids to rehydrate. Anthony is a 54 year old male with a hx. of nausea and vomiting the past week. He has been self-medicating himself with baking soda to control his abdominal discomfort. 1. What type of acid-base imbalance would you expect Anthony to have? 2. What is causing it? 3. What type of compensation would you expect or not expect? Explain. 4. What would Anthony's ABGs look like? 5. What is the tx? - ANSWER 1. Metabolic alkalosis 2. Loss of gastric acid & excess HCO3- from baking soda indigestion 3. Renal=increased secretion of HCO3-, Resp.= decreased resp. rate...causes more acidotic state 4. pH= >7.35, HCO3-= >26 5. antiemetics, stop baking soda, determine underlying cause of nausea/vomiting, administer IV fluids and electrolytes. A nurse is planning care for a pt. who is receiving furosemide/ Lasix IV for peripheral edema. Which of the following should the nurse include in the POC? (select all that apply) A. assess for tinnitus. B. Report urine output of 50ml/hr C. Monitor serum potassium levels. D. Elevate the HOB slowly before ambulation. E. Recommend eating a banana daily. - ANSWER A, C, D, E A nurse is providing info to a pt. who has a new prescription for hydrochlorothazide (Hydrodiuril). Which of the following info should the nurse include? A. Take the med with food B. Plan to take the med at bedtime C. Expected increased swelling of the ankles D. Fluid intake should be limited in the morning - ANSWER A A nurse is monitoring a pt. who is receiving spironolactone (Aldactone). Which of the following findings should the nurse report to the provider? A. Serum sodium 148 B. Urine output of 120ml in 4hr C. Serum potassium 5.2 D. BP 140/90 - ANSWER C A pt. who has increased intracranial pressure is receiving mannitol (Osmitrol). Which of the following findings should the nurse report? A. Blood glucose 150 B. Urine output 40ml/hr C. Dyspnea d. Headache - ANSWER C A nurse is reviewing a pts medication hx. and notes that the pt. is taking digoxin (Lanoxin), an antihypertensive med, and NSAIDs. The pt. has a new prescription for torsemide (Demadex). The nurse should plan to monitor for which of the following med. interactions? (select all that apply) A. decrease in serum digoxin level B. Hypokalemia C. Hypotension D. Low urine output E. Ventricular dysrhythmias - ANSWER B, C, E A nurse is reviewing the health record of a pt. who is starting propranolol (Inderal) to tx. hypertension. Which of the following conditions is a contraindication for taking propranolol? A Asthma B. Diabetes C. Angina D. Tachycardia - ANSWER A A nurse is teaching a pt. who is starting verapamil (Calan) to control HTN. Which of the following should the nurse include in the teaching? A. Increase the amount of dietary fiber in the diet B. Drink grapefruit juice daily to increase vitamin C intake. C. Decrease the amount of calcium in the diet. D. Withhold food for 1hr after the med is taken - ANSWER A A nurse is caring for a pt. who is starting captopril (Capoten) for HTN. For which of the following adverse effects should the nurse monitor for the pt.? A. Hypokalemia B. Hypernatremia C. Neutropenia D. Anemia - ANSWER C A apread the ointment onto a premarked paper using an applicator B Rub the ointment directly into your skin until it is no longer visible C Cover the applied ointment with a clean gauze pad D Apply the ointment to the same skin area each time - ANSWER A Patient teaching for ranitidine (Zantac) will include all except: a. Avoid NSAIDS b. Contact MD if you notice signs of GI bleeding such as coffee-ground emesis and black/tarry/sticky stool c. Take this medication 30 minutes before meals d. Do not use alcohol or tobacco while taking this medicine - ANSWER c What will the nurse teach her patient who is going home on PO prednisone? a. You will need to stop taking your arthritis medication while on the prednisone b. You will need to monitor yourself for weight gain and fluid retention c. Your doctor will need to periodically check your PT/INR levels d. You will need to inhale this medication first before your short-acting bronchodilator - ANSWER b A nurse is caring for a client who is starting omeprazole (Prilosec) PO for management of GERD. The nurse should recognize that this medication works by: a. Improving gastric motility b. Decreasing the production of gastric acid c. Neutralizing gastric acid d. Antagonizing serotonin receptors - ANSWER b A patient who has a history of asthma is experiencing an acute episode of shortness of breath and needs to take his short-acting bronchodilator for immediate relief. The nurse will choose which medication? a. A corticosteroid, such as fluticasone b. A leukotriene receptor antagonist, such as montelukast c. A beta agonist, such as albuterol d. An anticholinergic, such as ipratropium - ANSWER c A client taking sucralfate (Carafate) PO for PUD has been started on phenytoin (Dilantin) to control seizures. Which of the following should be included in the client's teaching? a. Take both of these medications at the same time b. Take sucralfate with a glass of milk c. Allow a 2-hour interval between these medications d. Chew the sucralfate thoroughly before swallowing - ANSWER c For which of the following clients with PUD is misoprostol (Cytotec) contraindicated? a. 27 year-old client who is pregnant b. 75-year-old client who has osteoarthritis c. 37-year-old client who has a kidney stone d. 46-year-old client who has a UTI - ANSWER a After the patient takes a dose of an inhaled corticosteroid, such as fluticasone (Flovent), what is the most important action the patient needs to do next? a. Hold their breath for 60 seconds b. Rinse out the mouth with water c. Follow the corticosteroid with a bronchodilator inhaler, if ordered d. Repeat the dose in 15 minutes if the patient feels short of breath - ANSWER b A patient comes into the ED complaining of abdominal pain, cramping, nausea, and a confirmed bowel obstruction is diagnosed. In this case, a laxative would be indicated. True False - ANSWER false The patient is scheduled to take an inhaled corticosteroid as well as a SABA at the same time. Which one will you give the patient to inhale first? - ANSWER SABA A researcher is using data collected by the government on the use of prescription drugs by older adults. The new research question, "Why do older adults adhere to a prescription drug regimen?" was based on data from the previous study. The researcher is participating in which type of research? A. Meta-analysis B. Secondary data analysis C. Quasi-experimental D. Pilot study - ANSWER B The advantage of meta-analysis is that multiple studies are statistically analyzed, enhancing the power of the results. The disadvantage is that: A Generalizability is limited B. Confidence is small C. The findings are only as reliable and valid as the original studies D. The results are expressed qualitatively - ANSWER C The nurse is teaching a pt about an antihistamine that was prescribed. Which statement by the patient indicates that further teaching is needed? - ANSWER A nurse is caring for a pt. who took amiodarone for 2 months before it was d/c'd due to toxicity. Which of the following should guide the nurse when assessing the pt. for toxicity of amiodarone? A. visual impairment resolves when the medication is withdrawn B. Ototoxicity is irreversible C. Lung damage continues after med is stopped D. Myopathy is common manifestation of ototoxicity - ANSWER C A nurse is caring for a pt. whose supraventricular tachycardia (SVT) was treated with verapamil (Calan) IV. The pt's pulse rate is now 98/min and his BP is 74/44mm Hg. For which of the following IV meds should the nurse anticipate a prescription? A. calcium gluconate B. sodium bicarbonate C. Potassium chloride D. Magnesium sulfate - ANSWER A A nurse is caring for four pts. who are each taking digoxin. The pt. who is taking which of the following meds concurrently is at risk for digoxin toxicity? A. Procainamide (Pronestyl) for premature ventricular contractions B. Ranitidine (Zantac) for PUD C. Phentyoin (Dilantin) for a seizure dso D. Amiodarone (Cordarone) for ventricular dsyrhythmias - ANSWER D A nurse is preparing to administer propranolol (Inderal) to a hospitalized pt. who has a dysrhythmia. Which of the following nursing actions should the nurse plan to take while the pt. is receiving propranolol? A. Hold propranolol for an apical pulse of greater than 100 B. Administer propranolol to increase the pt's BP c. Assist the pt. when she sits up or stands after taking this med D. Check for hypokalemia frequently due to the risk for propranolol toxicity - ANSWER C A nurse in an outpatient facility is assessing a pt who has taken procainamide (Pronestyl) to tx. dysrhythmias for the last 12 mon. The nurse should assess the pt. for which of the following adverse effects? (select all that apply) A. HTN B. widened QRS complex C. Narrowed QT interval D. easy bruising E. swollen joints - ANSWER B, D, E A nurse is providing teaching to a pt. who is starting simvastatin (Zocor). Which of the following should the nurse include in her teaching? A. Take the med in the evening B. change position slowly when rising from a chair C. Maintain a steady intake of green leafy vegies D. Consume no more than 1 L of fluid/day - ANSWER A A nurse is collecting data from a pt. who is taking gemfibrozil (Lopid). Which of the following assessment findings is an adverse reaction to the med? A. Mental status changes B. tremor C. jaundice D. pneumonia - ANSWER C