1 >>Tom is diagnosed with an aortic aneurysm. He asks why this didn’t show up on his annual physical examination. You respond by saying: ?
- (A) It did show and your physician did not want to alarm you.
- (B) You probably don’t remember that your physician told you about your condition
- (C) Aortic aneurysms are asymptomatic.
- (D) Aortic aneurysms are always symptomatic.
2 >>Joan asks you why she is being administered so many arterial blood gas tests. You respond by saying: ?
- (A) This test determines if your liver and kidneys are functioning properly.
- (B) This test determines if you have sufficient WBC to fight infection.
- (C) This test determines if you are hyperglycemic, which is a side effect of your medication.
- (D) This test determines how well your tissues are oxygenated.
3 >>Following a bone marrow transplant the patient has an increased risk for: ?
- (A) bleeding.
- (B) infection.
- (C) clot formation.
- (D) nausea and vomiting.
4 >>You have been caring for a patient with osteomyelitis. In preparing the patient for discharge, you include teaching about: ?
- (A) the importance of multiple-week treatment with antibiotics.
- (B) the side effects and interactions of the medications.
- (C) symptoms that necessitate a call to the physician, nurse practitioner, or physician assistant.
- (D) all of the above.
5 >>Joan is diagnosed with a gastric ulcer. What symptoms would she exhibit? ?
- (A) Epigastric pain worse before meals, pain on awakening, and melena.
- (B) Decreased bowel sounds, rigid abdomen, rebound tenderness, and fever.
- (C) Boring epigastric pain radiating to back and left shoulder, bluish-gray discoloration of periumbilical area, and ascites.
- (D) Epigastric pain that is worse after eating and weight loss.
6 >>Tom reports a history of carpal tunnel syndrome. What else would you expect to find in his history? ?
- (A) Crepitus (grating feeling on palpation over joint during range of motion) due to loss of articular cartilage and bony overgrowth in joint.
- (B) Excessive forward curvature of the thoracic spine (kyphosis) due to pathologic vertebral fractures and collapsing of the anterior portion of the vertebral bodies in the thoracic area.
- (C) Pain and numbness or tingling sensation in the hand over the palmar surface of the thumb, index, and middle fingers, and lateral aspect of the ring finger, that is worse at night.
- (D) Acute onset of excruciating pain in joint due to accumulation of uric acid within the joint.
7 >>Bob is diagnosed with idiopathic thrombocytopenic purpura (ITP). You realize that he has an increased risk of bleeding and you must monitor: ?
- (A) WBC and bleeding time.
- (B) PT and PTT.
- (C) platelet count and RBC.
- (D) iron and ferritin levels.
8 >>Mary, who is scheduled for a thoracentesis, asks why there is so much fluid in the pleural space. You respond by saying: ?
- (A) Your body is unable to remove fluid, resulting in a build-up of fluid in the pleural space around your lungs.
- (B) An error occurred and you were administered too much IV medication.
- (C) This is the result of oxygen therapy.
- (D) This is a normal side effect of bumetanide, which is medication ordered by your physician.
9 >>Patients with rheumatoid arthritis typically have pain: ?
- (A) with activity.
- (B) only upon awakening.
- (C) late in the evening.
- (D) all day without remission.
10 >>Roger presents with blurred and double vision, muscle weakness, and intolerance of temperature changes. In order to rule out multiple sclerosis, the physician will likely order: ?
- (A) CBC showing a very low WBC count.
- (B) Endocrine function study showing a low growth hormone and high T3 and T4.
- (C) CT scan showing plaque formation.
- (D) Fasting glucose test showing a result over 300 mg/dl.
11 >>Priority treatment of a fracture is: ?
- (A) surgical reduction of the fracture.
- (B) immobilization of the area.
- (C) insertion of an internal fixation device.
- (D) reduction of the fracture.
12 >>Place the steps for mixing insulin in correct sequential order. ?
- (A) Draw up cloudy insulin.
- (B) Draw up clear insulin.
- (C) Roll cloudy vial.
- (D) Inject air into cloudy insulin.
13 >>Anne returned from carpal tunnel surgery. Her hand and arm must remain elevated above the heart after the surgery. She asks you why. You respond by saying: ?
- (A) to reduce lymphatic drainage.
- (B) to restrict hand movements.
- (C) to decrease possibility of nosocomial infection.
- (D) to reduce postoperative swelling.
14 >>A patient with sickle cell anemia will be given supplemental oxygen and which of the following? ?
- (A) IV fluids to adequately hydrate.
- (B) Narcotic pain management when pain is severe.
- (C) Transfusion of red blood cells to correct anemia.
- (D) All of the above.
15 >>Which breakfast menu is most appropriate for a patient with diabetes? ?
- (A) Two eggs, two strips bacon, orange juice, coffee
- (B) Oatmeal with artificial sweetener, whole-grain toast, tea
- (C) One half grapefruit, cranberry juice, bagel with sugar-free jelly
- (D) One slice whole-grain toast with peanut butter, skim milk, orange juice
16 >>Mary presents difficulty breathing, fatigue, orthopnea, and palpitation, and is diagnosed as having aortic insufficiency. After undergoing aortic valve repair, what medication would you expect her physician to prescribe? ?
- (A) Ativan.
- (B) Haldol.
- (C) Heparin.
- (D) Thorazine.
17 >>Which of the following would have the highest priority in septic shock? ?
- (A) Monitoring temperature.
- (B) Monitoring pupillary reaction.
- (C) Monitoring ABC (airway, breathing, circulation).
- (D) Monitoring ANA and RF levels.
18 >>Anne asks how a chest x-ray would help the physician examine her heart. You respond by saying: ?
- (A) A chest x-ray is used to rule out that a fractured rib caused your pain.
- (B) The chest x-ray is an error. I’ll cancel the order.
- (C) A chest x-ray is used to detect the size and position of the heart.
- (D) All patients who are admitted must have a chest x-ray.
19 >>Joan is a data-entry specialist who types most of the day. She has an increased risk for: ?
- (A) osteomyelitis.
- (B) osteoporosis.
- (C) fracture of the overused area.
- (D) carpal tunnel syndrome.
20 >>Your patient is experiencing exacerbations of systemic lupus erythematosus. What would you expect the physician to prescribe? ?
- (A) Antiemetics.
- (B) Corticosteroids.
- (C) Antineoplastics.
- (D) Antibiotics.