1 >>Treatment of the patient with appendicitis includes: ?
- (A) transfusion to replace blood loss.
- (B) bowel prep for cleansing.
- (C) surgical removal of appendix.
- (D) medications to lower pH within stomach.
2 >>Mary, who is diagnosed with osteomyelitis, may not heal properly unless she has: ?
- (A) debridement and drainage of the area.
- (B) immobilization of the area.
- (C) ice packs alternating with moist heat, applied externally.
- (D) internal fixation device inserted.
3 >>A patient who is preparing for surgery asks the nurse why his physician took him off his oral hypoglycemic and placed him on sliding-scale insulin. Which response by the nurse is best? ?
- (A) “It helps us maintain better control of your blood glucose during surgery. You will most likely be back on your pills before you go home.”
- (B) “The stress of surgery often exacerbates diabetes. We will teach you how to give insulin before you go home.”
- (C) “Oral hypoglycemics are ineffective during times of stress. Insulin is the only way to keep your blood glucose under control.”
- (D) “The oral agents must not be controlling your blood glucose any longer. I will check and see which insulin you will be going home on.”
4 >>Joan is diagnosed with a ruptured aneurysm. She wonders why this wasn’t picked up in her annual physicial. You respond by saying: ?
- (A) The physician must have misread the x-ray.
- (B) The aneurysm must have developed since the physical.
- (C) Aneurysms are often asymptomatic.
- (D) Don’t be too concerned because this happens all the time.
5 >>Tom reports abdominal pain that started over the periumbilical area and moved to the right lower quadrant area. Tom probably has: ?
- (A) Crohn’s disease.
- (B) cholecystitis.
- (C) appendicitis.
- (D) diverticulitis.
6 >>Sue is diagnosed with congestive heart failure. What medication would you expect to administer to strengthen myocardial contractility? ?
- (A) Nitroprusside.
- (B) Digoxin.
- (C) Nitroglycerine ointment.
- (D) Furosemide.
7 >>Gregory has gastrointestinal bleeding and is experiencing hematochezia. You recognize this as: ?
- (A) vomiting of bright red or maroon blood.
- (B) passage of black, tarry stool.
- (C) passage of red or maroon-colored stool.
- (D) coffee ground emesis.
8 >>Tim presents with an acute episode of gout. You expect the physician to prescribe: ?
- (A) nonsteroidal anti-inflammatory medications and colchicine.
- (B) allopurinol and aspirin.
- (C) antibiotics and acetaminophen.
- (D) bisphosphonates and calcium.
9 >>Sam is diagnosed with having a myocardial infarction after experiencing chest pain and pain radiating to his arms, jaw, and back. He asks what a myocardial infarction is. You respond by saying: ?
- (A) You had a heart attack.
- (B) Your aortic valve was malformed at birth, causing a disruption in blood flow.
- (C) All patients who are as overweight as you will have a heart attack
- (D) One or more arteries that supply blood to your heart are blocked, thereby preventing blood from flowing to your cardiac muscles.
10 >>John presents with bronchitis. He thinks that he might have chronic bronchitis and asks you to explain the difference between them. You respond by saying: ?
- (A) Acute bronchitis lasts for three consecutive months and is reversible.
- (B) Acute bronchitis lasts seven to ten days.
- (C) Chronic bronchitis lasts three consecutive months in two consecutive years. This results in a blockage of the airways which cannot be reversed. Acute bronchitis is caused by a viral or bacterial infection and lasts about ten days. Blockage of the airways is reversible in acute bronchitis.
- (D) I’ll ask your physician to explain the differences during his rounds.
11 >>The first priority to care for the patient with a new fracture includes assessing: ?
- (A) respiratory rate and effort, as well as pulse.
- (B) the fracture site for bleeding.
- (C) for signs of infection at the wound site of an open fracture.
- (D) for circulation and sensation distal to the fracture site.
12 >>Mary is diagnosed with gastroesophageal reflux disease. You need to teach Mary to: ?
- (A) avoid coffee, tea, and other caffeine-containing beverages.
- (B) take histamine 2 blockers, such as ranitidine, as directed.
- (C) avoid acidic foods such as citrus or tomato.
- (D) all of the above.
13 >>Mary is diagnosed with a brain tumor and is unable to speak. Where is the tumor probably located? ?
- (A) Occipital Lobe.
- (B) Cerebellum.
- (C) Frontal Lobe.
- (D) Parietal Lobe.
14 >>Bob reports chest pains when performing strenuous work. The pain goes away when he sits. What is he likely to be experiencing? ?
- (A) Indigestion.
- (B) Stable angina.
- (C) Unstable angina.
- (D) Prinzmetal’s angina.
15 >>A patient with a history of pulmonary embolism asks how to lower the risk of experiencing another pulmonary embolism. You respond by saying: ?
- (A) Take vitamin K with heparin.
- (B) Avoid confined spaces.
- (C) Avoid sitting and standing for too long and don’t cross your legs.
- (D) Jog five miles each day.
16 >>For which of the following blood glucose results would the nurse administer a fast sugar? ?
- (A) 48
- (B) 80
- (C) 126
- (D) 223
17 >>Tom arrives in the ER and is unable to move his legs as a result of an automobile accident that occurred 30 minutes ago. You respond by saying: ?
- (A) Swelling due to the initial trauma prevents you from moving your legs.
- (B) There are good rehabilitation centers that will help restore sensation to your legs.
- (C) Swelling due to the initial trauma may make the injury seem move severe than it actually is. A more accurate assessment will be made once the swelling goes down.
- (D) You should have been wearing your seatbelt.
18 >>An inflammatory bowel disorder in which the patient develops abdominal pain, bloody diarrhea, tenesmus (feeling of incomplete defecation), and weight loss is: ?
- (A) Crohn’s disease.
- (B) diverticulitis.
- (C) ulcerative colitis.
- (D) appendicitis.
19 >>Tom has Guillain-Barr syndrome and asks what causes his burning, prickling feeling. You respond by saying: ?
- (A) You are lying too long on the affected side.
- (B) This is in response to your medication.
- (C) The myelin cover of the nerve endings is absent.
- (D) This is secondary to dysphagia.
20 >>Anne asks how she developed iron deficiency anemia. You respond by saying: ?
- (A) insomnia.
- (B) an increase in iron intake.
- (C) heavy menses or an inadequate intake of iron.
- (D) low salt intake.