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NSG-3250 EXAM 2 with verified solutions, Exams of Nursing

NSG-3250 EXAM 2 with verified solutions

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2024/2025

Available from 01/08/2025

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NSG-3250 EXAM 2 with verified solutions

1. pruritus:|itching |of |the |skin

|redness raised |areas | release |of|histamine

  1. Meds|for|Pruritis:|TREAT|THE |CAUSE |Topical |tricyclic |for |severe |itching oral |h1 |antagonist |(benadryL, |vistaril, |atarax) |Topical |corticosteroids
  2. Pruritus |may |be |the |first | of|a|systemic|internal|disease|such|as |diabetes, |blood |disorders, |or |cancer: |indication
  3. Exposure |to |a |type |of | can |cause |pruritus:|laundry |detergent
  4. Pruritus |is |frequent |in | because |their |skin |is |commonly |dry:|Older |adults Other |illnesses |can |also |trigger |pruritus.
  5. urticaria:|Type | 1 |hypersensitive |reaction |of |the |skin |leading |to |a |release |of |histamines |and |other |naturally |occurring |vasodilators Sudden |appearance |of |wheals, |edematous |papules, |pruritus
  6. Urticaria |is |commonly |a |result |of:|allergic |reactions
  7. You |can |treat |urticaria |with | :|Antihistamines |or |a |course |of |steroids
  8. Herpes|simplex|1:|cold |sores, |fever |blisters |embedded |on |the |nerve |ganglion Happens|above|the|waist |No |cure red, |elevated |bumps |with |puss
  9. Herpes|simplex | 1 |treatments:|antiviral |meds |such |as:|acyclovir, |valacyclovir, |or

|famciclovir or|topical|anesthetics |Tylenol

  1. Can |the |viral |skin |infections |be |transmitted |in |nonactivated |stages?:|YES
  2. immunosuppression, |sun |exposure, |and |hormones |can :|worsen |the |herpes |simplex
  3. Herpes |simplex |2:|lifelong |viral |infection |via |hepatic |lesions |on |the |genitalia |transferred |sexually |and |asexually no |cure |or |vaccine latent |or |exacerbated |phases
  4. The |initial |infection |of |herpes |simplex | 2 |is | :|very|painful|and |last |2-4 |weeks and |increases |the |risk |for |other |STDs |and |HIV
  1. If |you |are |experiencing |immunosuppression, |you |are | likely|to|have |a |herpes |break |out: |more
  2. shingles |(herpes |zoster):|development |of |painful, |inflamed |blisters |that |follow |the |nerve |routes |of |people |who |have |had |chickenpox can |be |reactivated |by |stress, |radiation, not |transmitted |SEXUALLY airborne |precautions |required
  3. Treatment |for |shingles:|antiviral |medications |(acyclovir)
  4. Candidiasis:|(moniliasis)|white,|cheesy,|curdlike|infection|that|can|happen|oral- |ly, |skin |folds, |or |vaginally. vaginal |discharge, |itching |and |burning, |and |inflammation
  5. Wood's|lamp:|Filtered|black|light|that|is|used|to|illuminate|skin|disorders,|fungi, |bacterial |disorders, |and |pigmentation.
  6. Candidiasis |is |a | infection:|secondary/opportunistic
  7. Treatment |for |candidacies:|Nystatin
  8. Diabetes |can | fungal|infections:|enhance |due |to |the |excretion |of |sugars |from |skin
  9. Tinea |(ringworm):|can |be |detected |under |woods |lamp |head, |body, |groin, |feet anti |fungal |cream
  10. Impetigo:|superficial |contagious |skin |infection |characterized |by |pustules |that |can |rupture |and |cause |raw, |red |areas
  11. Impetigo |treatment:|Mupirocin always |wear |gloves |when |applying
  1. Cellulitis:|inflammation|of|the|skin|and|subcutaneous|tissue|caused|by|infection, |characterized |by |redness, |swelling, |and |fever WBC |would |be |elevated Infection |in |the |blood
  2. pediculosis:|infestation |with |lice |that |causes |itching |and |dermatitis |Transmitted |via |contact occurs |in |hair |bearing |areas
  1. pediculosis |treatment:|prescription |or |OTC |lice |treatments/shampoos |Ivermectin Dip |a |comb |in |vinegar |and |brushing |hair |can |kill |the |lice |that |way
  2. Scabies:|contagious |skin |disease |transmitted |by |the |itch |mite, |commonly |through |sexual |contact intense |itching
  3. Scabies |treatments:|scabicides
  4. Lyme |disease:|Tick-borne |disease |caused |by |the |spirochete |Borrelia |burgdor- |feri. Bull|eye |rash|indicates |lymez |joint |pains later |stages |of |Lyme |disease |will |cause |more |severe |conditions
  5. Psoriasis:|chronic |skin |condition |producing |red |lesions |covered |with |silvery |scales exacerbation |and |remission |periods |overstimulation |of|the|immune |system |hormonal |changes obesity beta |blockers
  6. At |what |location |is |the |epidermis |the |thickest?:|Palms |of |hands
  7. What |is |the |medical |term |for |bruising?:|ecchymosis
  8. What |is |a |common |skin |alteration |in |older |adults |that |looks |like |bright |red |moles?: |Cherry |angiomas |or |hemangioma
  9. What |is |characterized |by|the |destruction |of |melanocytes |in |circumscribed |areas |of |the |skin |that |looks |like |milky-white |patches?: |Vitiligo
  10. flat |non-palpable |lesions:|macule, |patch
  11. When|looks|for|areas|of|jaundice|especially|on|a|dark|patient,|where|would |you |assess?: |sclera |of |eye
  1. If |a |patient |presents |with |a |rash |that |is |not |crusted |over,|what |kind |of |diagnostic |testing |should |you |do?: |patch |testing
  2. What |clinical |manifestation |would |appear |on |the |integumentary|system |of |a |patient |with |Cushing |syndrome?: |Hirsutism
  3. A | is |an |example |of |a |primary |skin |lesion:|pustule
  4. are |examples |of |secondary |skin |lesions:|crusts, |keloids, |and |ulcers
  5. Carbon |monoxide |poising |will |present |as |a | coloration|on|the |patients |face |and |chest |and |nail |beds: |bright |cherry |red
  6. and | are|known|to|have|a|genetic|competent:|eczema |and|psori- |asis
  1. What |should |be |done |first |if |a |patient |has |an |open |lesion?:|assess |it
  2. If |a |patient |with |HIV |comes |in |with |a |newly |identified |skin |rash |or |lesions, |what |is |the |probable |cause?: |reduction |of |the |pts |CD4 |count
  3. Pitted |surface |of |finger |nails |is |a |indication |of | :|psoriasis
  4. If|a|patient|presents|with|suspected|herpes,|what|kind|of|testing|should|be |done?: |Tzanck |smear
  5. What |is |a |reliable |treatment |for |acne?:|Benzoyl |peroxide |and |erythromycin
  6. Psoriasis |will |require:|lifelong |management
  7. a |pt |with |a |squamous |cell |carcinoma |will |likely |be |treated |with |a:|surgical |excision
  8. Black |and |blue |lesions |are |indicative |of:|malignant |melanoma
  9. Kaposi |sarcoma |originates |in |e:|endothelial |cells |lining |small |blood |vessels
  10. seborric |keratosis:|noncancerous |skin |growth |usually |black,brown |or |light |tan does |not |require |medical |intervention |unless |cosmetically |unacceptable
  11. in |a |patient |with |psoriasis,|what |should |also |be |assessed:|any |joint |pain |or |immobility
  12. What |medication |treats |psoriasis:|methotrexate
  13. If |a |patient |has |to |use |a |corticosteroid |around |their |eyes,|what |is |a |likely |consequence?: |cataracts
  14. Bluish |marbling |on |skin:|mottling
  15. A |group |of |disorders |characterized |by |inflammation |and |irritation |of |the |mucous |membranes |of |the |nose: |rhinitis
  16. excessive|nasal|congestion,|discharge,|sneezing,|and|pruritus|of|the|nose, |roof |of |mouth, |throat, |eyes, |and |ears: |rhinorrhea
  17. Viral |Rhinitis:|common |cold acute |inflammation |of |the |mucous |membranes |and |the |nasal |cavity
  18. clinical |manifestations |of |viral |rhinitis: |low-grade |fever, |nasal |congestion, |rhi- |norrhea

|and |nasal |discharge, |halitosis, |sneezing, |watery |eyes, |sore |throat, |general |malaise, |chills, |muscle |and |head |aches.

  1. The|common|cold|(viral|rhinitis)|can|exacerbate: |herpes|simplex|(cold|sores)
  2. inflammation |of |the |paranasal |sinuses |and |nasal |cavity:|rhinosinusitis |(si- |nusitis)
  3. Acute |Rhinosinusitis:|less |than | 4 |weeks
  4. Subacute |rhinosinusitis:|Lasts |from | 4 |weeks |to |less |than | 12 |weeks
  5. Chronic |Rhinosinusitis:|Lasts |beyond | 12 |weeks
  6. pharyngitis:|inflammation |of |the |pharynx

the |back |portion |of |the |throat, |soft |palate, |and |tonsils |viral |and |bacterial |infection acute |and |chronic

  1. Inflammation |of |the |larynx,|can |be |as |a |result |of |voice |abuse |or |exposures |most |common |cause |is |viral |infection feels |worse |in |morning |and |better |in |warm/wet |climate |avoid |cigarette |smoking corticosteroids |can |cause |thin |skin:|laryngitis
  2. GERD |can |be |associated |with looks |fiery |red: |laryngitis
  3. aphonia:|the |loss |of |the |ability |of |the |larynx |to |produce |normal |speech |sounds
  4. recurrent |episodes |of |upper |airway |obstruction |and |reduction |on |ventila- |tion: |Upper |sleep |apnea
  5. Always |check |for |lung |collapse |and |LOC |for |patients |with:|laryngitis
  6. If |anyone |is |overweight,|excessive |day|time |sleepy,|most |likelt |likely:|lung |collaps, |insomnia, |loud |snoring, |arrhythmia increased |risk |for |MI |and |stroke
  7. collapse |of |alveoli:|atelectasis
  8. chronic |airway |inflammation:|asthma cough, |chest |tightness, |wheezing |and |dysmia
  9. Viral |infection |that |is |acute |and |highly |contagious Manifestation|include |muscle |and |headaches,|chills,|severe |diarrhea,|fever, |cough, |hypoxia: |influenza
  10. pneumoconiosis:|abnormal|condition|caused|by|dust|in|the|lungs,|with|chronic

|inflammation, |infection, |and |bronchitis occupational |lung |disease

  1. pursed |lip |breathing: |a |technique |of |exhaling |against |pursed |lips |to |prolong |exhalation, |preventing |bronchiolar |collapse |and |air |trapping;|done |to |increase |ex-

piratory |airway |pressure, |improve |oxygenation |of |the |blood, |and |help |prevent |early |airway |closure. increases |extratrachial |pressure

  1. diaphragmatic |breathing:|breathing |with |the |use |of |the |diaphragm |to |achieve |maximum |inhalation |and |slow |respiratory |rate. put |one |hand |on |abs |and |the |other |on |the |chest |to |know |positioning |breath |slowly |through |nose |and |protrude |abs |as |far |as |possible press |firmly |inward |and |upward |on |the |abs |while |breathing |out
  2. Instructions |for |incentive |spirometry:
  3. diseases |caused |from |pneumoconiosis:|Silicosis |Asbestosis
  4. Nursing |interventions |for |all |respiratory |infections:|elevate |head
  5. obstructive |sleep |apnea: |a |disorder |in |which |a |person, |while |asleep, |stops |breathing |because |his |or |her |throat |closes;|the |condition |results |in |frequent |awak- |enings |during |the |night more |than | 10 |seconds obesity, |asthma, |diabetes, |HTN, |being |male,
  6. symptoms |of |sleep |apnea: |Loud |snoring, |frequent |nocturnal |awakening, |ex- |cessive |daytime |sleepiness, |difficulties |falling |asleep |at |night, |morning |headaches, |memory |of |cognitive |problems, |irritability, |loss |of |functioning, |high |blood |pressure, |increased |risk |of |heart |attack |and |stroke
  7. MRSA,|VRE, |pediculosis, |scabies, |and |RSV |are |all:|contact |precautions
  8. influenza, |mumps, |pertussis, |meningitis:|droplet |precautions
  9. TB,|measles, |chickenpox, |and |shingles:|airborne |precautions
  1. C.|diff, |MRSA, |and|VRE |are:|most |common |HAIs
  2. Using | is |the |only |acceptable |way |to |sanitize |from |C.|diff:|- soap |and |water
  3. HAP: |hospital |acquired |pneumonia |usually |occurs | 48 |hours |after |admission |has |high |virulence

Most |common |cause |of |death |in |hospital |due |to |a |HAI

  1. Kaposi |sarcomas |are |more |common |in | and | men|between |the |ages |of | 40 |and |70: |mediterranean |and |jewish
  2. Chemical |face |peeling |us |primarily |used |for:|wrinkles |near |the |eyes |and |lips
  3. If |baths |have |been |prescribed |for |severe |pruritus, | should|be |avoided: |hot |water
  4. What |medication |would |be |best |for |PREVENTING |asthma |attacks:|mon- |telukast
  5. If|a|patient|is|getting|a|skin|test|but|admitted|to|using|a|corticosteroid|prior |to |visit, |what |should |the |nurse |do?: |Reschedule |the |appointment |and |inform |pt |about |immune |susceptibility |after |using |corticosteroids
  6. Increased | will |indicate |a |true |Anaphylaxis |reaction:|eosinophils
  7. More|times|than|not,|severe|anaphylaxic|reactions|that|occur|from|medical |interventions |result |from: |IV |contrast |and |antibiotics
  8. Atopic |dermatitis |is |often |related |with | :|asthma
  9. The |faster |the |onset |of |the |allergic |symptoms |occur, |the | :|more |severe |they |are
  10. A |client |who |is |at | 30 |weeks |gestation |should |avoid |which |medication?: |- Antihistamines
  11. How |often |do |you |leave |in |IV |lines?:| 72 |hours
  12. What |is |a |common |complication |with |leaving |IV |lines |in |for |too |long?:|- Phlebitis |(redness |going |up |the |arm)
  13. How |long |do |you |leave |in |indwelling |catheters?:|5-7 |days
  14. CAUTI |precautions:|BID |Cath|care |early |removal
  15. What |should |a |patient |do |if |a |new |rash |forms |after |taking |a |new |medica- |tion: |notify |the |MD
  1. What|helps|with|side|effects|associated|with|inhalation|corticosteroids?- : |Use |of |a |spacer |rinse |mouth |after |use taking |lowest |dose |possible
  2. What |should |the |first |nursing |intervention |be |for |a|patient |coming |in |with |SOB: |elevate |head |of |bed
  3. What |is |the |best |way |to |prevent |oxygen |toxicity?:|Use |the |lowest |effective |concentration |of |O2 |and |wean |down |as |tolerated
  1. Pain |management |for |malignant |melanoma |is |a | :|priority|nursing |intervention
  2. What |vitals |of |you |monitor |while |suctioning |a |patient |with |a |tracheosto- |my?: |HR |and |O2 |sat
  3. When|caring|for|a|patient|with|acute|bronchitis,|the|nurse|would|prioritize |interventions |by: |auscultating
  4. What |should |the |nurse |teach |the |patient |about |controlling |the |sx |of |allergic |rhinitis?: |keep |a |diary |of |when |it |happens |and |what |activated |it
  5. should |be |given |to |a |patient |experiencing |a |mild |asthma |attack- :|albuterol
  6. What |should |you |do |when |a |patient |starts |ti |develop |a |fever, |dyspnea, |and |crackles |in |the |lungs?: |Take |a |culture |and |give |antibiotics
  7. Of |the |symptoms |described |to |the |nurse, |which |one |suggest |asthma |or |risk |factors |for |asthma?: |alleged |rhinitis, |a |cough |at |night, |and
  8. what |patient |education |should |the |nurse |provide |to |a |patient |with |COPD |to |assist |with |long-term |management |of |their |symptoms: |Use |airway |clearance |techniques, |seek |a |support |group, |make |sleep |a |priority
  9. Wear |cotton |clothing,|use |moisturizer |for |the |skin,|and |use |a |humidifier |to: |reduce |severity |of |contact |dermatitis |symptoms
  10. When |will |a |bullseye |rash |appear |before |Lyme |disease?:| 48 |hours
  11. Stage | pressures |ulcers |appear |as |fluid |filled |blisters:| 2
  12. What |color |shade |would |be |suspect |for |cancer?:|blue |and |black
  13. When |should |you |collect |sputum?: |first |thing |in |the |morning |to |prevent |food |contamination
  14. Should |you |advise |pts |with |acne |to |press |on |pimples?:|Hell |no
  15. Pt |exhibits |a |fever,|severe |arm |pain |and |a |hx |of |neuropathy |and |venous |insufficiency,

|what |should |the |nurse |do?: |Have |pt |raise |arm

  1. Localized |redness, |swelling, |warmth, |and |pain |are |indicators |of ,:|cellulitis
  2. Can |oral |antibiotics |cause |vaginal |yeast |infections?:|No
  3. Is |a |sitz |bath |recommended |for |HSV |outbreak?:|yes
  4. What |medication |is |indicated |for |herpes?:|Famciclovir
  5. What |nursing |intervention |should |the |nurse |do |for |a |patient |with |acute |laryngitis: |limit |speech |communication
  6. If |a |patient |is |experiencing |expitaxis |that |does |not |resolve |after | 10 |mins, |what |could |the |nurse |administer What |is |another |intervention |the |nurse |could |do?:|silver |nitrate |application

insert |a |cotton |tampon

  1. What|is|a|common |symptoms |closely|associated|with|laryngeal |cancer?- :|hoarseness
  2. If|a|patient|comes|in |with|an|injury|that|presents|with|a|clear|fluid|leaking |from |the |nose.|What |happened?: |Pt |fractured |their |cribriform |plate
  3. If |a |client |reports |having |angioedema, |what |implication |could |occur?: |- life-threatening |airway|obstruction
  4. If |a |patient |reports |drinking |copious |amounts |of |alcohol |and |is |going |in |for |surgery, |what |is |a |concern?: |Delirium |tremens
  5. What |is |a |possible |complication |of |post |tonsillectomy?: |Hemorrhage
  6. If |a |patient |reports |daytime |sleepiness,|difficulty |going |to |sleep |at |night, |and |snoring, |what |could |this |indicate?: |Chronic |sleep |apnea
  7. VIral |pharyngitis |treatment:|symptomatic |treatment
  8. should |be |followed |up |with |acute |rhinosinusitis:|periorbital |edema
  9. Clients |who |have |NG |tubes |are |more |susceptible |to |getting | infec- |tions: |Sinus
  10. After|laryngectomies,|what|should|the|nurse|prioritize|for|the|client?:|Air- |way |patency
  11. If |a |client |is |in |post |op |day| 1 |for |a |laryngectomy |and |there |is |a |significant |amount |of |blood |in |the |drainage |device.|What |should |the |nurse |do?: |Rapidly |assess |the |patient |and |notify |the |surgeon
  12. Adequate |liquid |intake |can | secretions |that |might |make |it |hard |for |the |client |to |breath: |loosen |or |thin
  13. is |a |common |symptom |of |pulmonary |hypertension: |dyspnea
  14. What|is|the|preferred|method|of|treating|non-small|cell|lung|cancer?: |Sur- |gical |resection
  15. alpha1-antitrypsin |deficiency:|Panacinar |emphysema
  16. A |10-year |old |is |experiencing |an |asthma |attack,|what |should |the |priority |nursing

|intervention |be?: |Administer |an |inhaled |beta-adrenergic |agonist

  1. bronchiectasis: |is |a |chronic, |irreversible |condition |in |which |the |bronchioles |and|and |bronchi|are|dilated|due|to|the|destruction|of|the|muscles|and|elastic|tissues
  2. Postural |drainage |is |a |treatment |for | :|bronchiectasis
  3. Characteristics|of|CF|include::|Bronchial|mucus|plugging,|inflammation,|and |eventual |bronchiectasis