PNH 301 FINAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
In ||a ||severely ||anemic ||patient, ||the ||nurse ||would ||expect ||to ||find:
a. ||dyspnea ||and ||tachycardia
b. ||cyanosis ||and ||pulmonary ||edema
c. ||cardiomegaly ||and ||pulmonary ||fibrosis
d. ||ventricular ||dysrhythmias ||and ||wheezing
a. ||dyspnea ||+ ||tachycardia
When ||obtaining ||assessment ||data ||from ||a ||client ||with ||a ||microcytic, ||hypochromic ||anemia, ||
what ||would ||the ||nurse ||question ||the ||client ||about?
a. ||folic ||acid ||intake
b. ||dietary ||intake ||of ||iron
c. ||Hx ||of ||gastric ||surgery
d. ||Hx ||of ||sickle ||cell ||anemia
b. ||dietary ||intake ||of ||iron
Nursing ||interventions ||for ||a ||client ||w/ ||severe ||anemia ||r/t ||PUD ||include ||which ||of ||the ||
following? ||(SATA):
a. ||giving ||instructions ||in ||high-iron ||diet
b. ||taking ||VS ||q8h
c. ||monitoring ||stools ||for ||occult ||blood
d. ||teaching ||self-injection ||of ||erythropoietin
,e. ||administering ||cobalamin ||(V.B12) ||injections
a, ||c
- ||high ||iron ||diet
- ||monitor ||stools ||for ||blood
Which ||nursing ||management ||actions ||apply ||for ||a ||client ||in ||sickle ||cell ||crisis? ||(SATA):
a. ||monitoring ||CBC
b. ||providing ||optimal ||pain ||management ||and ||O2 ||therapy
c. ||doing ||blood ||transfusions ||if ||required ||and ||iron ||chelation
d. ||recommending ||rest ||as ||needed ||and ||DVT ||prophylaxis
e. ||administering ||IV ||iron ||and ||a ||diet ||high ||in ||iron ||content
a, ||b, ||c, ||d
-monitor ||cbc
-pain ||management ||+ ||o2
-blood ||transfusions; ||iron ||chelation
-rest ||prn ||+ ||dvt ||prophylaxis
The ||healthcare ||provider ||prescribes ||levothyroxine ||(synthroid) ||for ||a ||client ||w/ ||myxedema. ||
After ||teaching ||regarding ||this ||drug, ||the ||nurse ||determines ||that ||further ||instruction ||is ||
needed ||when ||the ||client ||says ||which ||of ||the ||following?
a. ||"I ||can ||expect ||the ||medication ||dose ||may ||need ||to ||be ||adjusted"
b. ||"I ||only ||need ||to ||take ||this ||drug ||until ||my ||symptoms ||are ||improved"
c. ||"I ||can ||expect ||to ||return ||to ||normal ||function ||with ||the ||use ||of ||this ||drug"
d. ||"I ||will ||report ||any ||chest ||pain ||or ||difficulty ||breathing ||to ||the ||doctor ||right ||away"
b. ||levothyroxine ||is ||lifelong ||treatment
,Which ||of ||the ||following ||are ||important ||nursing ||intervention(s) ||when ||caring ||for ||a ||patient ||
w/ ||Cushing's ||syndrome? ||(SATA):
a. ||restrict ||protein ||intake
b. ||monitor ||blood ||glucose ||levels
c. ||observing ||signs ||of ||hypotension
d. ||administer ||medication ||in ||equal ||doses
e. ||protect ||the ||client ||from ||exposure ||to ||infection
b ||+ ||e
- ||monitor ||blood ||glucose
- ||protect ||client ||from ||infection
How ||does ||the ||nurse ||instruct ||the ||client ||who ||is ||taking ||corticosteroids ||to ||control ||adverse ||
effects ||of ||drug ||therapy?
a. ||increase ||calcium ||intake ||to ||1500mg/day
b. ||perform ||glucose ||monitoring ||for ||hypoglycemia
c. ||obtain ||immunizations ||due ||to ||high ||risk ||for ||infections
d. ||avoid ||abrupt ||position ||changes ||b/c ||of ||orthostatic ||hypotension
a. ||increase ||calcium ||intake
What ||does ||the ||nurse ||teach ||the ||client ||regarding ||the ||best ||time ||to ||take ||corticosteroids ||for
||replacement ||purposes?
a. ||once ||a ||day ||@ ||bedtime
b. ||every ||other ||day ||on ||awakening
, c. ||on ||arising ||and ||in ||the ||late ||afternoon
d. ||@ ||consistent ||intervals ||every ||6-8 ||hrs
c. ||on ||arising ||and ||in ||the ||late ||afternoon
When ||would ||the ||nurse ||suspect ||an ||ankle ||sprain ||for ||the ||client ||being ||seen ||at ||urgent ||care
||centre?
a. ||client ||was ||hit ||by ||another ||soccer ||player ||on ||the ||field
b. ||client ||has ||ankle ||pain ||after ||sprinting ||around ||the ||track
c. ||client ||dropped ||4.5kg ||weight ||on ||his ||lower ||leg ||at ||the ||gym.
d. ||client ||had ||a ||twisting ||injury ||while ||running ||bases ||during ||a ||baseball ||game.
d. ||twisting ||injury ||while ||running ||bases
The ||nurse ||explains ||to ||a ||client ||with ||a ||distal ||tibial ||fracture ||returning ||for ||a ||3 ||week ||
checkup ||that ||healing ||is ||indicated ||by ||which ||of ||the ||following?
a. ||callus ||formation
b. ||complete ||bony ||union
c. ||hematoma ||at ||the ||fracture ||site
d. ||presence ||of ||granulation ||tissue
a. ||callus ||formation
Which ||of ||the ||following ||indicates ||a ||neurovascular ||problem ||during ||the ||nurses ||assessment ||
of ||a ||client ||with ||a ||fracture?
a. ||exaggeration ||of ||extremity ||movement
b. ||increased ||redness ||and ||heat ||below ||the ||injury
SOLUTIONS
In ||a ||severely ||anemic ||patient, ||the ||nurse ||would ||expect ||to ||find:
a. ||dyspnea ||and ||tachycardia
b. ||cyanosis ||and ||pulmonary ||edema
c. ||cardiomegaly ||and ||pulmonary ||fibrosis
d. ||ventricular ||dysrhythmias ||and ||wheezing
a. ||dyspnea ||+ ||tachycardia
When ||obtaining ||assessment ||data ||from ||a ||client ||with ||a ||microcytic, ||hypochromic ||anemia, ||
what ||would ||the ||nurse ||question ||the ||client ||about?
a. ||folic ||acid ||intake
b. ||dietary ||intake ||of ||iron
c. ||Hx ||of ||gastric ||surgery
d. ||Hx ||of ||sickle ||cell ||anemia
b. ||dietary ||intake ||of ||iron
Nursing ||interventions ||for ||a ||client ||w/ ||severe ||anemia ||r/t ||PUD ||include ||which ||of ||the ||
following? ||(SATA):
a. ||giving ||instructions ||in ||high-iron ||diet
b. ||taking ||VS ||q8h
c. ||monitoring ||stools ||for ||occult ||blood
d. ||teaching ||self-injection ||of ||erythropoietin
,e. ||administering ||cobalamin ||(V.B12) ||injections
a, ||c
- ||high ||iron ||diet
- ||monitor ||stools ||for ||blood
Which ||nursing ||management ||actions ||apply ||for ||a ||client ||in ||sickle ||cell ||crisis? ||(SATA):
a. ||monitoring ||CBC
b. ||providing ||optimal ||pain ||management ||and ||O2 ||therapy
c. ||doing ||blood ||transfusions ||if ||required ||and ||iron ||chelation
d. ||recommending ||rest ||as ||needed ||and ||DVT ||prophylaxis
e. ||administering ||IV ||iron ||and ||a ||diet ||high ||in ||iron ||content
a, ||b, ||c, ||d
-monitor ||cbc
-pain ||management ||+ ||o2
-blood ||transfusions; ||iron ||chelation
-rest ||prn ||+ ||dvt ||prophylaxis
The ||healthcare ||provider ||prescribes ||levothyroxine ||(synthroid) ||for ||a ||client ||w/ ||myxedema. ||
After ||teaching ||regarding ||this ||drug, ||the ||nurse ||determines ||that ||further ||instruction ||is ||
needed ||when ||the ||client ||says ||which ||of ||the ||following?
a. ||"I ||can ||expect ||the ||medication ||dose ||may ||need ||to ||be ||adjusted"
b. ||"I ||only ||need ||to ||take ||this ||drug ||until ||my ||symptoms ||are ||improved"
c. ||"I ||can ||expect ||to ||return ||to ||normal ||function ||with ||the ||use ||of ||this ||drug"
d. ||"I ||will ||report ||any ||chest ||pain ||or ||difficulty ||breathing ||to ||the ||doctor ||right ||away"
b. ||levothyroxine ||is ||lifelong ||treatment
,Which ||of ||the ||following ||are ||important ||nursing ||intervention(s) ||when ||caring ||for ||a ||patient ||
w/ ||Cushing's ||syndrome? ||(SATA):
a. ||restrict ||protein ||intake
b. ||monitor ||blood ||glucose ||levels
c. ||observing ||signs ||of ||hypotension
d. ||administer ||medication ||in ||equal ||doses
e. ||protect ||the ||client ||from ||exposure ||to ||infection
b ||+ ||e
- ||monitor ||blood ||glucose
- ||protect ||client ||from ||infection
How ||does ||the ||nurse ||instruct ||the ||client ||who ||is ||taking ||corticosteroids ||to ||control ||adverse ||
effects ||of ||drug ||therapy?
a. ||increase ||calcium ||intake ||to ||1500mg/day
b. ||perform ||glucose ||monitoring ||for ||hypoglycemia
c. ||obtain ||immunizations ||due ||to ||high ||risk ||for ||infections
d. ||avoid ||abrupt ||position ||changes ||b/c ||of ||orthostatic ||hypotension
a. ||increase ||calcium ||intake
What ||does ||the ||nurse ||teach ||the ||client ||regarding ||the ||best ||time ||to ||take ||corticosteroids ||for
||replacement ||purposes?
a. ||once ||a ||day ||@ ||bedtime
b. ||every ||other ||day ||on ||awakening
, c. ||on ||arising ||and ||in ||the ||late ||afternoon
d. ||@ ||consistent ||intervals ||every ||6-8 ||hrs
c. ||on ||arising ||and ||in ||the ||late ||afternoon
When ||would ||the ||nurse ||suspect ||an ||ankle ||sprain ||for ||the ||client ||being ||seen ||at ||urgent ||care
||centre?
a. ||client ||was ||hit ||by ||another ||soccer ||player ||on ||the ||field
b. ||client ||has ||ankle ||pain ||after ||sprinting ||around ||the ||track
c. ||client ||dropped ||4.5kg ||weight ||on ||his ||lower ||leg ||at ||the ||gym.
d. ||client ||had ||a ||twisting ||injury ||while ||running ||bases ||during ||a ||baseball ||game.
d. ||twisting ||injury ||while ||running ||bases
The ||nurse ||explains ||to ||a ||client ||with ||a ||distal ||tibial ||fracture ||returning ||for ||a ||3 ||week ||
checkup ||that ||healing ||is ||indicated ||by ||which ||of ||the ||following?
a. ||callus ||formation
b. ||complete ||bony ||union
c. ||hematoma ||at ||the ||fracture ||site
d. ||presence ||of ||granulation ||tissue
a. ||callus ||formation
Which ||of ||the ||following ||indicates ||a ||neurovascular ||problem ||during ||the ||nurses ||assessment ||
of ||a ||client ||with ||a ||fracture?
a. ||exaggeration ||of ||extremity ||movement
b. ||increased ||redness ||and ||heat ||below ||the ||injury
