
Which likely takes place in the fourth stage of Kubler-Ross's stages of grieving?
Anger
Bargaining
Depression
Denial
Which set of symptoms are characterized in Korsakoff Syndrome?
Choreiform movement and dementia
Severe dementia and myoclonus
Tremor, rigidity, and bradykinesia
Psychosis, disorientation, delirium, insomnia, and hallucinations
The anti-diuretic hormone is __________ in Diabetes Insipidus and _________ in SIADH.
high, low
absent, absent
low, high
low, low
Systolic murmur, with a blowing sound heard best at the apex and may radiate to the left axilla. Pulse may be regular or irregular due to extrasystole beats or atrial fibrillation
Mitral Stenosis Assessment Findings
Mitral Regurgitation Assessment Findings
Mitral Valve Prolapse Assessment Findings
Aortic Regurgitation Assessment Findings
Loud, Harsh, sytolic murmur is heard over the aortic area, and may radiate to the carotid arteries and apex of the left ventricle. An S4 sound may also be heard. Palpable vibration from the base of the heart, and up along carotid arteries.
Mitral Stenosis Assessment Findings
Aortic Stenosis Assessment Findings
Aortic Regurgitation Assessment Findings
Mitral Regurgitation Assessment Findings
A condition which blood flows from the left ventricle back into the left atrium during systole. The mitral valve leaflets do not close completely due to chordae tendineae thickening and becoming fibrotic, resulting in an abnormal contraction
Aortic Regurgitation
Mitral Regurgitation
Mitral Valve Prolapse
Mitral Stenosis
Which intervention should the nurse implement with the client diagnosed with dilated -
cardiomyopathy?
Keep the client in the supine position with the legs elevated.
Discuss a heart transplant, which is the definitive treatment.
Prepare the client for coronary artery bypass graft.
Teach the client to take a calcium-channel blocker in the morning.
A patient has been receiving 100% oxygen therapy by way of a nonrebreather mask for several days. Now the patient reports tingling in the fingers and shortness of breath, is extremely restless, and describes a pain beneath the breastbone. What condition should the nurse suspect?
Oxygen-induced hypoventilation
Oxygen-Toxicity
Oxygen-Induced Atelectasis
Hypoxia
The nurse is preparing to educate the client on how to perform incentive spirometry. Which concepts should the nurse include?
Incentive spirometry provides visual reinforcement of deep breathing
The client should forcefully exhale into the incentive spirometer and continue to exhale until unable to continue
Decrease oxygen saturation is expected during the first few minutes of incentive spirometry
Proper, frequent use of incentive spirometry can improve pulmonary circulation
The endotracheal tube cuff pressure should be checked every
30 minutes
1 hour
2-4 hours
6-8 hours
[[1]] AV block occurs when all but one of the atrial impulses are conducted through the AV node into the ventricles
[[2]] AV block occurs when no atrial impulses are conducted through the AV node into the ventricles
[[3]] AV block occurs when all atrial impulses are conducted through the AV node into the ventricles at a slower-than-normal rate
[[4]] AV block occurs when only some of the atrial impulses are conducted through the AV node into the ventricles
Second Degree, Type I
Third Degree
First Degree
Second Degree, Type II
The nurse is educating a patient with cirrhosis about the importance of maintaining a low-sodium diet. What food item would be permitted on a low sodium diet?
Peanut Butter
A Pear
Hot Dog
Sliced Ham
The nurse is educating a patient who has been treated for hepatic encephalopathy about dietary restrictions to prevent ammonia accumulation. What should the nurse include in the teaching?
Decrease the amount of fats in the diet
Increase the amount of potassium in the diet
Decrease the amount of protein in the diet
Increase the amount of magnesium in the diet
A patient who is receiving mechanical ventilation is anxious and is fighting the ventilator. Which action should the nurse take first?
Ventilate the patient with a manual resuscitation bag.
Verbally coach the patient to breathe with the ventilator.
Sedate the patient with the ordered PRN lorazepam (Ativan).
Increase the rate for the ordered propofol (Diprivan) infusion.
A nurse is working in an oncology treatment center. Which clinical manifestation when reported by a client would the nurse know may be related to metastasis from prostate cancer?
Large amounts of dilute urine when voiding
Weight gain of 3 pounds in 1 month
Frequent nighttime urination
Constant hip aching and discomfort
The client diagnosed with cancer of the bladder is scheduled to have a cutaneous urinary diversion procedure. Which preoperative teaching intervention specific to the procedure should be included?
Demonstrate turn, cough, and deep breathing.
Explain a bag will drain the urine from now on.
Instruct the client on the use of a PCA pump.
Take the client to the ICU to become familiar with it.
True or False: Non-small cell lung cancer is very aggressive and metastasizes quickly.
True or False: Bilroth I procedures cause dumping syndrome, but Bilroth II procedures do not.
A patient is presenting with bright red lips, headache, and nausea. The physician suspects carbon monoxide poisoning. As the nurse, you know the patient needs:
Venturi Mask 6 L Oxygen
100% oxygen via non-rebreather mask
Continuous BiPaP
Oxygen cannula 5-6 liters
Semi-Fowler position is maintained for at least which timeframe following completion of an intermittent tube feeding?
2 hours
1 hour
30 minutes
90 minutes
What is the PRIORITY treatment of cardiogenic shock
Oxygen & Pharmacological Therapy
Fluid Therapy
Oxygenation
Circulation
Which symptoms would the nurse expect to assess in a client experiencing serotonin
syndrome?
Confusion, restlessness, tachycardia, labile blood pressure, and diaphoresis.
Hypomania, akathisia, cardiac arrhythmias, and panic attacks.
Dizziness, lethargy, headache, and nausea.
Orthostatic hypotension, urinary retention, constipation, and blurred vision.
Clients with schizotypal personality disorder are most likely to benefit from which nursing intervention?
Improving Community Functioning
Teaching Social Skills
Cognitive Restructuring Techniques
Providing Emotional Support
A primary mechanism used by people with personality disorders is:
Euphoria
Depression
Manipulation
Projection
A client diagnosed with schizophrenia states, "I want to go home, go home, go home." This is an example of which speech pattern?
Clang Association
Neologism
Word Salad
Verbigeration
Which speech pattern is exhibited by the client stating, "I will take a pill if I go up the hill but not if my name is Jill, I don't want to kill?"
Neologism
Word Salad
Verbigeration
Clang Association
Which personality disorder is diagnosed more often in women?
Narcissistic
Schizoid
Histrionic
Antisocial
A patient who has committed multiple crimes would probably have which of the following personality disorders?
Narcissistic
Schizoid
Borderline
Antisocial
Exacerbation of anorexia nervosa results from the client's effort to do what?
A client diagnosed with bipolar I disorder in the manic phase is yelling at another
peer in the milieu. Which nursing intervention takes priority?
Calmly redirect and remove the client from the milieu.
Administer prescribed prn intramuscular injection for agitation.
Ask the client to lower his or her voice while in the common area.
Obtain an order for seclusion to help decrease external stimuli.
The nurse working with a client with Antisocial Personality Disorder would expect which behaviors? (3)
Compliance with expectations and rules
The exploitation of other clients
Seeking special privileges
Superficial friendliness towards others
Utilization of rituals to allay anxiety
Withdrawal from social activities
What term is used to describe the speech pattern being used when the client imitates or repeats what the nurse is saying?
Clang associations
Word salad
Neologisms
Echolalia
A QRS complex should measure no more than?
0.04 seconds
0.08 seconds
0.12 seconds
0.20 seconds
On an EKG/ECG strip each small square represents how many seconds of time?
0.12 seconds
0.20 seconds
0.04 seconds
0.02 seconds
A registered nurse (RN) who is working with a nursing student assigns the student to care for a client with a diagnosis of Cushing's syndrome. The RN asks the student questions about this disorder. Which statement made by the student indicates understanding of Cushing's syndrome?
"Cushing's syndrome is caused by excessive amounts of cortisol."
"Cushing's syndrome is caused by decreased amounts of aldosterone."
"Cushing's syndrome is caused by excessive amounts of antidiuretic hormone."
"Cushing's syndrome is caused by decreased amounts of parathyroid hormone."
Which client behavior is indicative of negative symptoms associated with schizophrenia? Select all that apply.
Verbal communication is almost nonexistent.
Gross motor skills are impacted by involuntary body movements.
The client needs frequent redirection because of short attention span.
Interpersonal relationships are negatively impacted because of delusional thoughts.
Conversations are difficult to follow because of demonstration of loose associations of thought.
[[1]] is a decrease in neutrophils
[[2]] is an abnormally low absolute neutrophil count
[[3]] a decreased platelet level
[[4]]is a decrease in circulating WBCs
Granulocytopenia
Neutropenia
Thrombocytopenia
Leukopenia
A client with a short arm cast is suspected to have compartment syndrome. Which actions should the nurse include in the plan of care? Select all that apply
Assess Neurovascular Status Every 8 Hours
Provide Support To the Injured Extremity
Apply ice to the Extremity
Elevate the arm above heart level
Prepare to remove the cast
The registered nurse (RN) is educating a new nurse on mitral stenosis. Which statement by the new nurse indicates that the teaching has been effective?
"Left ventricle to aorta narrowing will impede flow of blood."
"Left atrium to left ventricle narrowing will impede flow of blood."
"Right atrium to right ventricle narrowing will impede flow of blood."
"Right ventricle to pulmonary artery narrowing will impede flow of blood."
The client is diagnosed with hypothyroidism. Which signs/symptoms should the nurse expect the client to exhibit?
Complaints of extreme fatigue and hair loss
Exophthalmos and complaints of nervousness
Complaints of profuse sweating and flushed skin
Tetany and complaints of stiffness of the hands
An adolescent client with type 1 diabetes mellitus is admitted to the emergency department for treatment of diabetic ketoacidosis. Which assessment findings would the nurse expect to note?
Sweating and tremors
Hunger and hypertension
Cold, clammy skin and irritability
Fruity breath odor and decreasing level of consciousness
For a client with salivary calculi, which procedure uses shock waves to disintegrate the stone?
Which term most precisely refers to the incision of the common bile duct for removal of stones?
A client has been admitted to the intensive care unit with myxedema coma. What predisposing factor is considered when diagnosing myxedema coma?
central nervous system (CNS) stimulant abuse
serum sodium level of 112 mEq/L
core body temperature of 94°F (34°C)
congenital heart disease
Unilateral, come on in groups of one to eight, daily. Excruciating pain localized to the eye and orbit and radiates to facial and temporal regions. Attacks can last 15 minutes to hours. Often described as a penetrating pain
Tension Headaches
Migraine Headaches
Cluster Headaches
Cranial Arteritis
Which phase of a migraine headache usually lasts less than an hour?
Premonitory
Postdrome
Headache
Aura
A client underwent a continent ileostomy. Within which time frame should the client expect to empty the reservoir?
Which is a clinical manifestation of cholelithiasis?
You are caring for a client with frostbite on the feet. Place the following interventions in the correct order.
Remove the victim from the cold environment.
Administer pain medication
Immerse the feet in warm water 100° F to 105° F (40.6º C to 46.1° C)
Apply a loose, sterile, bulky dressing
Monitor for signs of compartment syndrome
A patient has ingested corrosive products. Gastric Emptying by Gastric Lavage is only useful when done within _______ of ingestion
2 hours
4 hours
1 hour
30 minutes