1 >>The patient asks you what the clip on his finger is for. The best response is: ?
- (A) This is a cardiac monitor that alerts us to any arrhythmia that you might experience during the night.
- (B) This measures your temperature.
- (C) This is pulse oximetry and is used to give us an idea of how much oxygen is in your blood.
- (D) This tells us the number of red blood cells you have. These cells provide oxygen throughout your body.
2 >>What cell ingests invading or foreign cells? ?
- (A) Macrophage.
- (B) T-cell.
- (C) B-cell.
- (D) Erythrocyte.
3 >>Your patient’s physician told him that he has hemophilia. You are asked to teach the signs and symptoms of this disease. You respond by saying: ?
- (A) Clot formation, especially in the veins of the lower extremities.
- (B) Low blood counts and fatigue due to lack of adequate red blood cell production.
- (C) High blood counts and clot formation under the nails.
- (D) Excessive bleeding after minor trauma.
4 >>Your patient is often fatigued as a result of having anemia. She asks you why she is fatigued. You respond by saying: ?
- (A) Destruction (hemolysis) of the red blood cells.
- (B) Paleness (pallor) of the skin.
- (C) Lack of nutritional intake of essential nutrients, such as iron or B12.
- (D) Decreased oxygen-carrying capability of the blood.
5 >>What is the priority intervention for a patient admitted to your unit diagnosed with advanced ALS? ?
- (A) Develop a method of communication.
- (B) Provide six small meals high in protein and assist with feeding.
- (C) Don’t involve the patient in decisions about his health care because he does not have the mental status to respond.
- (D) Provide six normal meals high in protein and assist with feeding.
6 >>Bob, who has Huntington’s disease, tells you that he sees the same symptoms of the disease in his 13-year-old son. You respond by saying: ?
- (A) Your son probably has the early symptoms of the disease.
- (B) Symptoms usually appear between the ages of 30 and 50; however, you may want to ask your physician about genetic testing that can detect if your son has the gene that is associated with Huntington’s disease.
- (C) Symptoms usually appear before the age of 30; you may want to ask your physician about genetic testing.
- (D) Huntington’s disease is genetically transmitted.
7 >>It is important to teach a patient who is receiving immunosuppressive therapy for a bone marrow transplant to: ?
- (A) avoid other people with signs of infection.
- (B) report signs of infection, such as sore throat or fever.
- (C) take the medications as directed.
- (D) all of the above.
8 >>What is the best way for patients to avoid long-term complications of diabetes? ?
- (A) See the doctor for a complete checkup every 6 months.
- (B) Check feet daily.
- (C) Maintain premeal blood glucose levels under 130 mg/dL.
- (D) Follow a strict meal plan for diabetes.
9 >>Joan is apprehensive about undergoing bronchosopy. You respond by saying: ?
- (A) The thought of this procedure seems to be disturbing you. You will be sleeping during this procedure. I’ll ask your physician to visit you again and answer any questions that you might have regarding the procedure.
- (B) Your physician has performed this procedure frequently.
- (C) I had it performed three years ago and I was fine.
- (D) You won’t feel a thing. You’ll be fine.
10 >>Tom is diagnosed with congestive heart failure and asks why fluid accumulates in his lungs. You respond by saying: ?
- (A) Because of the excessive volume of IV fluid that is being administered.
- (B) The right side of your heart is weakened and is losing the capability to pump blood to your lungs.
- (C) You stand too long at work.
- (D) The left side of your heart is weakened and is losing the capability to pump blood to your lungs.
11 >>Patients returning from the operating room should be monitored for atelectasis. Why is this important? ?
- (A) Immobility, anesthesia, and lack of deep breathing places the patient at risk for collapsed lung.
- (B) All postoperative patients are at risk for infection.
- (C) Postoperative patients might have received too much oxygen during surgery.
- (D) Postoperative patients don’t receive enough oxygen during surgery.
12 >>For your patient with a CD4 count < 200, the most important nursing assessment would include: ?
- (A) bowel movements.
- (B) urinary output.
- (C) fever.
- (D) blood pressure.
13 >>A nurse criticizes the attending physician and suggests that a different physician should care for the patient. What is your best response? ?
- (A) Call the nurse away from the patient and remind him that the patient can still hear even if unconscious.
- (B) Report the nurse to the attending physician.
- (C) Ask the nurse why he has such feelings.
- (D) Simply nod your head in agreement.
14 >>Signs of clotting and bleeding concurrently indicate: ?
- (A) hemophilia.
- (B) multiple myeloma.
- (C) disseminated intravascular coagulation.
- (D) polycythema vera.
15 >>Protein in the urine is a sign of which long-term complication of diabetes? ?
- (A) Nephropathy
- (B) Neuropathy
- (C) Retinopathy
- (D) Gastroparesis
16 >>A father asks you how to prevent another asthmatic attack in his son. You respond by: ?
- (A) saying asthmatic attacks cannot be prevented.
- (B) asking his son’s physician to change his medication.
- (C) instructing him to move his family immediately to a dry climate.
- (D) helping him identify triggers that cause asthmatic attacks and showing him how to avoid them.
17 >>Tom presents with sudden difficulty breathing, tachypnea, tachycardia, and localized chest pain. The physician suspects a pulmonary embolism and would order what test? ?
- (A) EKG.
- (B) Helical CT scan.
- (C) ECC.
- (D) Vital capacity.
18 >>The joints most commonly involved with rheumatoid arthritis include the: ?
- (A) spine, from the sacrum to the cervical spine.
- (B) symmetrical involvement of major joints.
- (C) small joints of hands and feet.
- (D) slightly movable joints of the axial skeleton.
19 >>Mary asks how the pulmonary function test ordered by her physician is performed. You respond by saying: ?
- (A) You breathe into a spirometer to measure your lung capacity.
- (B) You breathe through a mouthpiece into a spirometer until all air in your lungs is expelled; then you take a deep breath through the mouthpiece. This is done three times and a computer calculates the capacity of your lungs.
- (C) A computer is used to measure your volume and vital capacity.
- (D) A tube is inserted into your lungs while you’re asleep to expand your lungs to their full capacity.
20 >>Bob presents with emphysema. He has difficulty breathing and has a barrel chest. He asks why increasing oxygen therapy doesn’t relieve his difficulty breathing. You respond by saying: ?
- (A) You must lie on your right side for oxygen therapy to work properly.
- (B) Your barrel chest has decreased, causing your lungs to overly expand.
- (C) You must take deeper breaths when receiving oxygen therapy.
- (D) Your difficulty in breathing is due to air trapped in your lungs, reducing the lungs’ ability to exchange oxygen and carbon dioxide. Increasing oxygen does not resolve the trapped air.