1 >>When assessing a skin lesion, you look for A-asymmetry, B-irregular borders, C-variegated colors, D-diameter, and E- ?
- (A) edema.
- (B) erythema.
- (C) elevation.
- (D) ever-changing.
2 >>Sixty-five-year-old Dominic is being transferred into the PACU from the OR. Once there, initial assessment will focus on: ?
- (A) airway, breathing, circulation, and wound site.
- (B) intake, output, and intravenous access.
- (C) abdominal sounds, oxygen level, and level of consciousness.
- (D) pulse oximetry, pupil responses, and deep tendon reflexes.
3 >>Mary has been dieting and exercising daily. Her weight is well below the recommended minimum for her height. Assessment for Mary would include looking for: ?
- (A) ecchymosis and extraocular movements.
- (B) temporal wasting and irregular heart rhythm.
- (C) peripheral edema and rales.
- (D) periorbital edema and chorea.
4 >>Which member of the surgical team does not scrub in the operating room? ?
- (A) The surgeon.
- (B) The circulating nurse.
- (C) The scrub nurse or surgical tech.
- (D) The holding area nurse.
5 >>Karen is suspected of having a hormone imbalance. What would you expect to monitor? ?
- (A) Electrolyte levels.
- (B) Thyroid studies, FSH, and LH.
- (C) Caloric intake.
- (D) All of the above.
6 >>Sue has a mild dermatitis rash and asks for advice. You respond by saying: ?
- (A) Wash the area with an antiseptic soap frequently to keep the area clean.
- (B) Use an antifungal ointment.
- (C) Use talcum powder to soothe the inflamed skin.
- (D) Use a mild steroidal cream.
7 >>Sue is having a minor procedure performed. Which type of anesthesia is most likely to be used? ?
- (A) General.
- (B) Epidural.
- (C) Regional.
- (D) Conscious sedation.
8 >>Alex is a 78-year-old married man with sudden onset of confusion and disorientation; he is exhibiting combative behavior. He has no previous psychiatric history. A psychiatric consultation has been called. You suspect Alex has: ?
- (A) delirium.
- (B) psychosis.
- (C) depression.
- (D) panic disorder.
9 >>Appropriate treatment for a patient with cellulitis includes: ?
- (A) petrolatum and vitamin A&D ointment.
- (B) antibiotics, such as cephalexin, and over-the-counter analgesics.
- (C) weight-bearing exercises and diuretics, such as furosemide.
- (D) wet to dry dressings and steroids.
10 >>Your postoperative patient develops a cellulitis in her leg. Your nursing treatments would include: ?
- (A) keeping both her legs elevated as much as possible.
- (B) encouraging ambulation as much as possible to help with the blood flow.
- (C) application of ice four times a day for one hour each to reduce inflammation.
- (D) application of moisturizing lotion three times daily to keep the skin moist.
11 >>Felicia’s family is concerned because Felicia states that she is hearing voices. This is a sign of: ?
- (A) bipolar disorder.
- (B) schizophrenia.
- (C) panic disorder.
- (D) bulimia nervosa.
12 >>Paralytic ileus may occur as a postoperative complication. Which of the following patients would cause you the greatest concern about the development of paralytic ileus? ?
- (A) Kim, a 27-year-old post-laparscopic appendectomy
- (B) Joyce, a 39-year-old post-open right hemicolectomy
- (C) Nancy, a 56-year-old post-mediastinoscopy
- (D) John, a 47-year-old post-total joint replacement
13 >>Instructions for a patient at risk for testicular cancer include: ?
- (A) restrict potassium, phosphate, sodium, protein in diet.
- (B) self-catheterization of ileal reservoir.
- (C) testicular self exam.
- (D) change in color of urine is to be expected.
14 >>Josie is the mother of a healthy 19-year-old having surgery tomorrow. After the surgeon discusses the surgery, risks, and benefits with the patient and her mother, the mother wants to sign the consent form. The most appropriate response to this would be: ?
- (A) Of course she can sign the consent form; after all, the patient is her daughter.
- (B) While you appreciate the concern for her daughter, the patient is a consenting adult and legally has to sign her own consent form.
- (C) No consent form must be signed.
- (D) Why don’t both the patient and her mother sign the form?
15 >>Following treatment with fluoxetine, a selective serotonin reuptake inhibitor for depression, Mary hardly sleeps, is hyperactive, easily distracted, and appears elated. You would expect her physician to: ?
- (A) continue the selective serotonin reuptake inhibitor.
- (B) start a mood stabilizer.
- (C) switch to a tricyclic antidepressant.
- (D) add a monoamine oxidase inhibitor.
16 >>Steve, who is diagnosed with pneumonia following recent intrathoracic surgery, will likely be prescribed: ?
- (A) cephalosporin, such as cefazolin.
- (B) penicillin, such as amocicillin.
- (C) fluoroquinolone, such as levofloxacin.
- (D) tetracycline, such as doxycycline.
17 >>On assessment of the abdomen in a patient with peritonitis, you would expect to find: ?
- (A) a soft abdomen with bowel sounds every 2 to 3 seconds.
- (B) rebound tenderness and guarding (protecting).
- (C) hyperactive, high-pitched bowel sounds and a firm abdomen.
- (D) ascites and increased vascular pattern on the skin.
18 >>Joan has osteoporosis. She has an increased risk for: ?
- (A) infection in the bone.
- (B) peripheral blood clot formation.
- (C) fracture formation.
- (D) painful joint inflammation.
19 >>Patients with a paralytic ileus typically have: ?
- (A) intravenous fluid replacement and a nasogastric tube connected to suction.
- (B) surgical correction of the problem.
- (C) endoscopic injection of botulinum toxin or esophageal dilation.
- (D) endoscopy to allow biopsy followed with broad-spectrum antibiotics.
20 >>Which meal plan is best for the patient with reactive hypoglycemia? ?
- (A) High-carbohydrate meals
- (B) Small, frequent meals
- (C) Avoidance of fats and proteins
- (D) Three medium to large meals daily
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