Comp #1 NU280 Galen Exam Questions with
Correct Answers
1. Besides checking the IV therapy site for REED, what is another
primary assess- ment for during I V infusion therapy? correct answer: respiratory
assessment, check lungs for crackles. Also check for SOB, cough, elevated BP, putty eyes,
edema, neck vein distention.
2. What is the infusion therapy intervention for fluid overload? correct
answer: Slow I V rate, notify physician, monitor vitals, elevate HOB, administer oxygen,
and give diuretics
3. If the order is to infuse over 4 hours but your late starting it, can
you speed up the rate? correct answer: No, because this will cause fluid overload.
4. What is the difference between graves and hyperthyroidism? correct
answer: Graves is autoimmune disorder that produces too much thyroid hormone causing
hyperthyroidism.
5. What causes hyperthyroidism? correct answer: multiple thyroid nodules, tumors, or
excessive use of thyroid replace- ment hormones
6. What are classic symptoms of hyperthyroidism? correct answer:
SWEATING correct answer: sweating, Weight loss, Emo- tional liability and exophthalmos,
Appetite increased, Tremors and tachycardia, Intolerance to heat/irritability/irregular menstrual, nervous,
goiter and GI problems like diarrhea
7. What is thyroid storm correct answer: life-threatening condition associated with untreated
hyperthyroidism.
8. What are the symptoms of thyroid storm correct answer: A dangerously increase
in heart rate, blood pressure, body temperature by one degree, without prompt aggressive
treatment thyroid storm is fatal.
9. What is the intervention for thyroid storm correct answer: PCP's correct answer:
Propylthiouracil [PTU] 1 gram PO, Corticos- teroids, propranolol, SSKI [saturated solution of
potassium iodine], radio active iodine, methimazole
10. What does thyroid storm, organ rejection, and infection have in
common? correct answer: -
elevated temperature/hyperpyrexia
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, 11. What does CHF and Pericarditis have in common? correct answer: SOB,
chest/shoulder pain, cough, JVD, edema
12. What are the symptoms for pericarditis? correct answer: pain radiates to
left side of neck/shoulder/back, aggravated breathing, cough, swallowing, friction rub, chronic -
right sided HF, elevated venous pressure with JVD, hepatic engorgement, edema
13. What are symptoms for cardiac tamponade? correct answer: JVD, paradoxical
pulse, decreased HR, dyspnea,
fatigue, muffled heart sounds, hypotension
14. What is the treatment for cardiac tamponade correct answer:
pericardiocentesis to remove fluid, monitor in case emergency sternotomy is needed for
tamponade recurs
15. What are the symptoms for left sided heart failure correct answer: DO
CHAP - dyspnea, orthopnea, cough, hemoptysis, adventitious breath sounds, pulmonary
congestion [crackles]
2/
13
Correct Answers
1. Besides checking the IV therapy site for REED, what is another
primary assess- ment for during I V infusion therapy? correct answer: respiratory
assessment, check lungs for crackles. Also check for SOB, cough, elevated BP, putty eyes,
edema, neck vein distention.
2. What is the infusion therapy intervention for fluid overload? correct
answer: Slow I V rate, notify physician, monitor vitals, elevate HOB, administer oxygen,
and give diuretics
3. If the order is to infuse over 4 hours but your late starting it, can
you speed up the rate? correct answer: No, because this will cause fluid overload.
4. What is the difference between graves and hyperthyroidism? correct
answer: Graves is autoimmune disorder that produces too much thyroid hormone causing
hyperthyroidism.
5. What causes hyperthyroidism? correct answer: multiple thyroid nodules, tumors, or
excessive use of thyroid replace- ment hormones
6. What are classic symptoms of hyperthyroidism? correct answer:
SWEATING correct answer: sweating, Weight loss, Emo- tional liability and exophthalmos,
Appetite increased, Tremors and tachycardia, Intolerance to heat/irritability/irregular menstrual, nervous,
goiter and GI problems like diarrhea
7. What is thyroid storm correct answer: life-threatening condition associated with untreated
hyperthyroidism.
8. What are the symptoms of thyroid storm correct answer: A dangerously increase
in heart rate, blood pressure, body temperature by one degree, without prompt aggressive
treatment thyroid storm is fatal.
9. What is the intervention for thyroid storm correct answer: PCP's correct answer:
Propylthiouracil [PTU] 1 gram PO, Corticos- teroids, propranolol, SSKI [saturated solution of
potassium iodine], radio active iodine, methimazole
10. What does thyroid storm, organ rejection, and infection have in
common? correct answer: -
elevated temperature/hyperpyrexia
1/
13
, 11. What does CHF and Pericarditis have in common? correct answer: SOB,
chest/shoulder pain, cough, JVD, edema
12. What are the symptoms for pericarditis? correct answer: pain radiates to
left side of neck/shoulder/back, aggravated breathing, cough, swallowing, friction rub, chronic -
right sided HF, elevated venous pressure with JVD, hepatic engorgement, edema
13. What are symptoms for cardiac tamponade? correct answer: JVD, paradoxical
pulse, decreased HR, dyspnea,
fatigue, muffled heart sounds, hypotension
14. What is the treatment for cardiac tamponade correct answer:
pericardiocentesis to remove fluid, monitor in case emergency sternotomy is needed for
tamponade recurs
15. What are the symptoms for left sided heart failure correct answer: DO
CHAP - dyspnea, orthopnea, cough, hemoptysis, adventitious breath sounds, pulmonary
congestion [crackles]
2/
13
