1. You are to obtain informed consent for a Span- ish-speaking patient scheduled for surgery. You do not speak Spanish and are having diffi- culty
... [Show More] communicating with your patient. Which of the following resources would be most ap- propriate to utilize in order to obtain consent? 2. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which of the following medication should you question? The hospitals language in- terpreter Acetylsalicylic acid ( Bauer buffered aspirin) 3. When taking care of a patient with pancreatitis, Lipase and amylase which of the following lab should be reviewed? 4. You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding would indicate an emergency? 5. Which of the following actions would be con- sidered a violation of Hyppa? Laryngeal strider Looking through the chart of a coworker admitted to your unit 6. Sinus tachycardia 7. You are taking care of a patient who is admitted Due to the size of the kid- for left flank pain with a kidney stone of 1.5 cm. ney stone it is an appropri- He asks you about the procedure what would be the most therapeutic response? 8. The nurse is taking care of a patient who is ter- minally ill and has a DNR on file. Their patient has a sudden cardiac arrest and family wants CPR initiated. How should you respond? ate treatment? NOT:Print reading materi- als about the subject and give it to the patient Honor the patient's wishes 9. Not normal sinus rhythm into a flutter 10. Your patient began deteriorating rapidly after complaining of shortness of breath. And ABG was drawn and the results are pH? HCO3 - 23. These values indicate the patient is experienc- ing: 11. Your inserting a urinary catheter into a male patient. As you inflate a balloon, the patient complains of discomfort what is the best ac- tion? 12. When assessing a patient, you notice crepi- tus on the right upper shoulder. You notify the physician and anticipate which diagnosis? 13. You are providing patient education to a pa- tient prior to administering IV Protonix When there is no history of GERD Correct answer is ventricu- lar fibrillation Aspirate the fluid, advance the catheter farther, then re-inflate the balloon Subcutaneous emphyse- ma Protonix is given as G.I. prophylaxis to prevent stress ulcers 14. Normal sinus with VTach 15. The patient has a morphine PCA post opera- tively. On rounding you notice respirations at eight per minute O2 saturation of 82%. What medication would be given in the situation? 16. You were caring for a patient who is 18 hours postop after a right BKA a. They report sudden chest pain pulse ox at 86%. The patient may be experiencing: Narcan Pulmonary embolism 17. Cardiac strip Unable to determine 18. At 0500, you know your patient to be diaphoret- ic, clammy, and their hands are shaking. The patient's blood sugar is currently 60. Which of Have the patient drink 120 ML's of orange juice the following is the most appropriate interven- tion 19. Ventricular tachycardia 20. Normal sinus rhythm 21. Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? 22. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? Wheat bread A respiratory rate of 8 breaths per minute 23. Paced rhythm 24. Your patient was admitted with severe dehy- dration. Which of the following orders would you question 25. What is the first sign of increased intracranial pressure? 26. A patient suddenly complains of new onset of chest pain. The doctor is suspecting a possi- ble?... What is most likely to be ordered? KCI 40 mEq IV push STAT Change in LOC Morphine Duramorph, oxygen, nitrates, Aceticsalicylic acid, bayer buffered aspirin 27. The Glasgow, scale ranges from: 3 to 15 28. You deserve the nurse aid removing her gloves and immediately using alcohol hand sanitizer in a room with a patient who has C-Diff. What education should you provide to the nurse aide And washing with soap and water is mandato- ry because alcohol based hand sanitizers do not kill C-diff 29. Heart rate 80 30. Which of the following assessment findings should you report immediately to the physi- cian for a patient who just had a bronchoscopy and biopsy? 31. Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? 32. Patient is admitted for shortness of breath. Do you notice the spouse adjusting the oxygen on Sputum with streaks of blood NOT: increased salivation Compress the drain, then plug the bulb to establish suction Educate the spouse on oxygen use as a medical the wall and she states "she always takes care device in the hospital of my husband" what would be an appropriate response? 33. Deposition has ordered for your patience to begin a 24 hour urine collection. Your patient voids for the first time two hours after the or- ders received. What should be done with this urine sample? 34. Which of the following lab values would you expect to see in a patient diagnosed with?.... 35. You were caring for a patient admitted with ab- dominal pain. Your patient has a bowel move- ment and you know dark tarry stool what would be the diagnosis? 36. Your COPD patient is complaining of wheezing and increased shortness of breath 37. What information is vital for you to know prior to administering an ordered dose of digoxin 38. Your patient has been diagnosed with a hem- orrhagic CVA 39. A 56-year-old man has an acute onset of short- ness of breath, chest pain, apprehension, rapid Discarded, then begin the 24 hour collection Lipase - 196 Upper G.I. bleed Assess your patient for a change in condition Heart rate Heparin infusion per phar- macy protocol Pulmonary embolism? NOT: tuberculosis pulse, cough with bloody sputum, diaphoresis, and syncope. The symptoms are indicative of: 40. You're reviewing the menu list of a patient on Warfran what food should they not eat? 41. Which of the following issues should be re- ported up the chain of command 42. You're providing discharge instructions to a CHF patient. Spinach A coworker arriving to work under the influence of alcohol Increase shortness of breath 43. cardiac rhythm V-Tach 44. Which of the following electrolyte value should be Addressed immediately by the nurse 45. Which of the following medication may cause urine discoloration 46. Calculate the 12 hour intake for a patient that has received the following during your shift: normal saline 750 ML, 24 ounces of sprite, Lev- aquin 50 ML, 650 ML urine in Foley catheter 47. When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing intervention is: 48. You went to the room of a 58-year-old female. You find that the patient's cardiac monitor shows asystolye, what should be your first ac- tion? 49. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction Potassium 2.5 mEq/L Rifampin 1520 Protecting the patient's head and extremities from contact with surrounding objects Assess the patient Not: start CPR Women could have pain in their arm, neck, back or jaw 50. While performing the narcotic count at the end Refused to sign for the of the shift, my coworker admits to something, waste coworker to sign for the ways that you did not witness 51. Cardiac strip Sinus rhythm with PAC 52. You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the pa- tient to avoid? 53. Your patient complains of not being able to urinate since 0500. It is now 1900. What should be your next step? 54. The doctor ordered Lasix 40 mg IV push, 100mg/10 mL 55. After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? 56. Your patient fell and hit his head on the bed rail during a physical therapy session. Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. The patient is lying in a supine position. What should be your first response? 57. Which of the following antidiabetic medica- tion is contraindicated 48 hours after receiving contrast dye 58. You're a king for a patient who is postop after surgical removal of fibroids. She hears a pop sound after coughing in her surgical wound has dehisced 59. One of the signs of left sided heart failure is: Canned meats Perform a bladder scan 4ml NOT: ammonia Call a rapid response Metformin Apply sterile saline soap towels over the extruding site 60. Your patient had a TB skin test done on Thurs- day at 2:45 PM Pulmonary edema NOT: pedal edema Saturday at 3 PM [Show Less]