1 >>Mick arrived in the ER showing signs of fear, tension, apprehension and persistent worry. He reports trouble concentrating. Mick is showing signs of: ?
- (A) Biopolar Disorder
- (B) Schizophrenia
- (C) Delirium
- (D) Anxiety
2 >>Sam presents with impairment in reality testing, flat affect, deluisions and auditory hallucinations. What medical diagnoses would you expect to find in Sam’s chart? ?
- (A) Biopolar Disorder
- (B) Schizophrenia
- (C) Delirium
- (D) Anxiety
3 >>Joan presents with signs and symptoms of Bipolar Disorder. What medication would you anticipate the physician prescribing to stabilize Joan’s mood? ?
- (A) Aripiprazole
- (B) Lithium
- (C) Bupropion
- (D) Tricyclics
4 >>Mandy is a 17-year-old female. On physical examination you note partial erosion of her tooth enamel and callus formation on the posterior aspect of the knuckles of her hand. This is indicative of: ?
- (A) a connective tissue disorder and she should be referred to dermatology.
- (B) self-induced vomiting and she likely has bulimia nervosa.
- (C) self-mutilation and correlates with anxiety.
- (D) a genetic disorder and her siblings should also be tested.
5 >>Teresa was recently started on fluoxetine, a selective serotonin reuptake inhibitor for treatment of her depression. After just a few days she is hardly sleeping, hyperactive, easily distracted, and appears elated. You would expect her treatment to include: ?
- (A) continuation of the selective serotonin reuptake inhibitor.
- (B) switching to a tricyclic antidepressant.
- (C) starting a mood stabilizer.
- (D) adding a monoamine oxidase inhibitor.
6 >>Felicia’s family brings her in for an evaluation. They are concerned because she states that she is hearing voices. You recognize this as symptomatic of: ?
- (A) bipolar disorder.
- (B) panic disorder.
- (C) schizophrenia.
- (D) bulimia nervosa.
7 >>Ongoing management of Karen would include monitoring of: ?
- (A) electrolyte levels.
- (B) thyroid studies, FSH, LH.
- (C) caloric intake.
- (D) All of the above.
8 >>Karen has been dieting and exercising daily. Her weight is well below the recommended minimum for her height. Assessment for Karen 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.
9 >>Appropriate treatment for Alex would include: ?
- (A) selective serotonin reuptake inhibitors.
- (B) monoamine oxidase inhibitors.
- (C) atypical antipsychotic medication.
- (D) identification and treatment of the underlying disorder.
10 >>Alex is a 78-year-old married man with sudden onset of confusion and disorientation. He is exhibiting combative behavior, which is upsetting to his wife because it is so unlike his normal, easy-going nature. A psychiatric consult has been called. He has no previous psychiatric history. You suspect Alex has: ?
- (A) delirium.
- (B) psychosis.
- (C) depression.
- (D) panic disorder.
11 >>Liz is an elderly woman brought in by concerned family members. After physical examination, she was diagnosed with dehydration. What assessment findings would you expect to see? ?
- (A) Bradycardia, slowed respirations, low body temperature, and weight gain.
- (B) Rales, peripheral edema, palpitations, and diaphoresis.
- (C) Tachypnea, tachycardia, hypotension, poor skin turgor, and decreased urinary output.
- (D) Malaise, lymphadenopathy, fever, shortness of breath, and nausea.
12 >>Vince has been taking excessive amounts of over-the-counter antacid tablets. He has been exhibiting signs of irritability, anxiety, muscle cramping, and weakness, and has recently developed tetany. You have initiated seizure precautions. You recognize that the patient is being monitored and treated for: ?
- (A) hyperkalemia.
- (B) hyperphosphatemia.
- (C) metabolic acidosis.
- (D) metabolic alkalosis.
13 >>You are monitoring intravenous fluids for Tom who is currently being treated for metabolic acidosis. You monitor his signs and symptoms typical of metabolic acidosis which include: ?
- (A) elevated blood pressure, bradycardia, elevated respiratory rate, and muscle twitching.
- (B) hypotension, altered heart rate, elevated respiratory rate, and muscle weakness.
- (C) hypertension, tachycardia, slowed respiratory rate, and muscle spasms.
- (D) hypotension, hypoxia, irritability, and paresthesia.
14 >>Brendan has chronic obstructive pulmonary disease, causing a constant state of respiratory acidosis. He has a history of chronic trimethoprim and NSAID use, leading to hyperkalemia. Which of the following are associated with hyperkalemia? ?
- (A) Irritability, circumoral paresthesia, muscle spasms, tetany, abdominal pain, laryngospasm, and prolonged QT intervals.
- (B) Muscle cramps, malaise, diminished deep tendon reflexes, anorexia, constipation, palpitations, and rhabdomyolysis.
- (C) Cardiac arrhythmia, nausea, vomiting, constipation, dehydration, kidney stones, muscle weakness, and sinus arrest.
- (D) Weakness, dizziness, abdominal distention, nausea, vomiting, diarrhea, palpitations, and cardiac arrhythmias.
15 >>Grace was diagnosed with hyperparathyroidism after a work-up to determine the cause of her elevated calcium levels. The greatest concern in a patient with hypercalcemia would be: ?
- (A) cardiac arrhythmia and sinus arrest.
- (B) nausea and vomiting.
- (C) kidney stones and muscle weakness.
- (D) Non of the above
16 >>When performing a neurological assessment on Ken, you notice that there is contraction of his facial muscle after tapping the facial nerve anterior to his ear. You recognize this as Chvostek’s sign. This is seen in: ?
- (A) hyponatremia.
- (B) hypokalemia.
- (C) hypocalcemia.
- (D) hypomagnesemia.
17 >>Rocco was admitted to the hospital with a diagnosis of hypomagnesemia. He is complaining of painful paresthesia. Which of the following do you recognize as part of his treatment plan? ?
- (A) Dialysis and removal of legumes and whole grains from the diet.
- (B) Monitoring cardiac rhythm and checking deep tendon reflexes.
- (C) Monitoring urinary output and auscultating bowel sounds.
- (D) Palpating peripheral pulses and checking pupil reactions.
18 >>Derek has recently converted his outdoor garage to a gym. He has been exercising frequently in his new gym due to the convenience, even in the extreme heat. He has started taking salt tablets. You think his current symptoms may be due to hypernatremia. You recognize these as: ?
- (A) cardiac arrhythmias, palpitations, and sinus arrest.
- (B) weakness, dizziness, abdominal distention, nausea, vomiting, and diarrhea.
- (C) weight gain, irritability, muscle twitching, and decreased myocardial contractility.
- (D) muscle cramps, malaise, constipation, rhabdomyolysis, and pupilary constriction.
19 >>Rob has a history of using ectasy. He is exhibiting symptoms of hypotension, nausea, diarrhea, personality change, diminished level of consciousness, and decreased deep tendon reflexes. Lab results confirm your suspicion of hyponatremia. Treatment would include: ?
- (A) water restriction.
- (B) 0.33 percent sodium chloride intravenously.
- (C) use of salt substitute.
- (D) calcium carbonate orally.
20 >>Bernadette’s morning lab results have just come in. Her serum potassium level is currently 5.4 mEq/L. You recognize this as: ?
- (A) hypokalemia.
- (B) hyperkalemia.
- (C) hypocalcemia.
- (D) hypercalcemia.
What does a medical surgical nurse do? What is medical/surgical nursing class? How do I become a medical surgical nurse? How much do Med Surg nurses make?
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