COMP 283 FINAL EXAM COMPLETE
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE
Deligation to UAP - CORRECT ANSWER ✔✔- Transfer a duty.
they can get V/S, after RN has gotten initial set.
ambulate as long as pt has been cleared for weight bearing status.
re-ENFORCE education that RN has taught
assist with ADL's
CPR
document I&O's
glucose check, finger stick, per facility protocol
12 lead EKG, per facility protocol
turn & reposition
Delegation to LPN - CORRECT ANSWER ✔✔- med administration, enteral
feedings, urinary Cath insertion, suctioning, tracheostomy care, reinforcement of pt
education
RN job duties remember neumonic - CORRECT ANSWER ✔✔- ADPIE
A-assessment
D-diagnosis
P-planning
I-implementation
1
,E-evaluation
NG tube placement - CORRECT ANSWER ✔✔- pH paper.
xray is GOLD STANDARD to confirm proper placement, monitor NG output
(color and amt), monitor nasal skin around tube, monitor tubing for kinks &
"plugs", continue to assess BS's and abdominal girth, pain, **aspirate contents &
irrigate the tube w/ 30 mL of NS q 4 hrs or as ordered by hcp
NG assessment - CORRECT ANSWER ✔✔- 1st turn OFF suction
verify placement
can irrigate with sterile saline
SCD's on (high risk for clots and pneumonia)
turn & reposition
Peptic Ulcer Disease - CORRECT ANSWER ✔✔- A break or ulceration in the
protective mucosal lining of the lower esophagus, stomach, or duodenum
coffee ground emesis (old blood)
NPO, NG tube
triple therapy 2 antibiotics and 1 PPI
could have an active bleed
H. pylori
early stage cirrhosis - CORRECT ANSWER ✔✔- enlarged liver
jaundice
GI disturbances
weight loss
2
,increase protein
late stage cirrhosis - CORRECT ANSWER ✔✔- liver becomes smaller and
nodular
splenomegaly
ascites, distended abdominal veins, increased pressure in portal system
bleeding tendancies, decreased vitamin K and prothrombin, anemia
esophageal varices, internal hemorrhoids
dyspenia (from ascites and anemia)
pruritis from dry skin
clay colored stools; no bile in stool
tea colored urine; bile in urine
End stage cirrhosis - CORRECT ANSWER ✔✔- hepatic encephalopathy/coma
portal hypertension - CORRECT ANSWER ✔✔- A potential complication of
chronic alcoholism resulting in liver damage and obstruction of venous blood flow
through the liver. The rising blood pressure in the veins between the
gastrointestinal tract and liver causes engorgement of veins around the umbilicus
(navel). The characteristic radiating pattern of veins is called a "caput medusae"
(head of Medusa). Medusa was the "snake-haired lady" in Greek mythology.
end-stage cirrhosis
self breast exam - CORRECT ANSWER ✔✔- Monitor for any change in size,
contour, dimpling. Perform exam every month, 7 days after your period. Use finger
pads of the three middle fingers.; lay down arm up, or stand in front of mirror
postmenopausal (or MEN) - pick same day every month
3
, self testicular exam - CORRECT ANSWER ✔✔- Looking for lumps that may be
the first sign of cancer common in men ages 15-35
perform in shower, roll 'ball' between fingers
Addison's disease - CORRECT ANSWER ✔✔- A rare, chronic endocrine disorder
in which the adrenal glands do not produce sufficient steroid hormones.
s/s fatigue, weakness, hypotension, crave salty food (hyponatremia)
need life long cortisol replacement
Monitor for addisonian crisis
Addisonian crisis - CORRECT ANSWER ✔✔- N/V confusion, abdominal pain,
extreme weakness, hypoglycemia, dehydration, EXTREME decreased BP
triggered by stress or infection
MEDICAL EMERGENCY
Cushing's syndrome - CORRECT ANSWER ✔✔- caused by prolonged exposure
to high levels of cortisol
Cush Man- moon face, central /trunkal obesity, easily bruised thin skin, fatigue,
muscle weakness, depression/anxiety, hypertension, hypernatremia (polydipsia),
hypokalemia, hyperglycemia
Nutritional needs for infant - CORRECT ANSWER ✔✔- breast or bottle MAIN
source of nutrition for first year
no juice
no honey (not even pacifier dip)
no water
4
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE
Deligation to UAP - CORRECT ANSWER ✔✔- Transfer a duty.
they can get V/S, after RN has gotten initial set.
ambulate as long as pt has been cleared for weight bearing status.
re-ENFORCE education that RN has taught
assist with ADL's
CPR
document I&O's
glucose check, finger stick, per facility protocol
12 lead EKG, per facility protocol
turn & reposition
Delegation to LPN - CORRECT ANSWER ✔✔- med administration, enteral
feedings, urinary Cath insertion, suctioning, tracheostomy care, reinforcement of pt
education
RN job duties remember neumonic - CORRECT ANSWER ✔✔- ADPIE
A-assessment
D-diagnosis
P-planning
I-implementation
1
,E-evaluation
NG tube placement - CORRECT ANSWER ✔✔- pH paper.
xray is GOLD STANDARD to confirm proper placement, monitor NG output
(color and amt), monitor nasal skin around tube, monitor tubing for kinks &
"plugs", continue to assess BS's and abdominal girth, pain, **aspirate contents &
irrigate the tube w/ 30 mL of NS q 4 hrs or as ordered by hcp
NG assessment - CORRECT ANSWER ✔✔- 1st turn OFF suction
verify placement
can irrigate with sterile saline
SCD's on (high risk for clots and pneumonia)
turn & reposition
Peptic Ulcer Disease - CORRECT ANSWER ✔✔- A break or ulceration in the
protective mucosal lining of the lower esophagus, stomach, or duodenum
coffee ground emesis (old blood)
NPO, NG tube
triple therapy 2 antibiotics and 1 PPI
could have an active bleed
H. pylori
early stage cirrhosis - CORRECT ANSWER ✔✔- enlarged liver
jaundice
GI disturbances
weight loss
2
,increase protein
late stage cirrhosis - CORRECT ANSWER ✔✔- liver becomes smaller and
nodular
splenomegaly
ascites, distended abdominal veins, increased pressure in portal system
bleeding tendancies, decreased vitamin K and prothrombin, anemia
esophageal varices, internal hemorrhoids
dyspenia (from ascites and anemia)
pruritis from dry skin
clay colored stools; no bile in stool
tea colored urine; bile in urine
End stage cirrhosis - CORRECT ANSWER ✔✔- hepatic encephalopathy/coma
portal hypertension - CORRECT ANSWER ✔✔- A potential complication of
chronic alcoholism resulting in liver damage and obstruction of venous blood flow
through the liver. The rising blood pressure in the veins between the
gastrointestinal tract and liver causes engorgement of veins around the umbilicus
(navel). The characteristic radiating pattern of veins is called a "caput medusae"
(head of Medusa). Medusa was the "snake-haired lady" in Greek mythology.
end-stage cirrhosis
self breast exam - CORRECT ANSWER ✔✔- Monitor for any change in size,
contour, dimpling. Perform exam every month, 7 days after your period. Use finger
pads of the three middle fingers.; lay down arm up, or stand in front of mirror
postmenopausal (or MEN) - pick same day every month
3
, self testicular exam - CORRECT ANSWER ✔✔- Looking for lumps that may be
the first sign of cancer common in men ages 15-35
perform in shower, roll 'ball' between fingers
Addison's disease - CORRECT ANSWER ✔✔- A rare, chronic endocrine disorder
in which the adrenal glands do not produce sufficient steroid hormones.
s/s fatigue, weakness, hypotension, crave salty food (hyponatremia)
need life long cortisol replacement
Monitor for addisonian crisis
Addisonian crisis - CORRECT ANSWER ✔✔- N/V confusion, abdominal pain,
extreme weakness, hypoglycemia, dehydration, EXTREME decreased BP
triggered by stress or infection
MEDICAL EMERGENCY
Cushing's syndrome - CORRECT ANSWER ✔✔- caused by prolonged exposure
to high levels of cortisol
Cush Man- moon face, central /trunkal obesity, easily bruised thin skin, fatigue,
muscle weakness, depression/anxiety, hypertension, hypernatremia (polydipsia),
hypokalemia, hyperglycemia
Nutritional needs for infant - CORRECT ANSWER ✔✔- breast or bottle MAIN
source of nutrition for first year
no juice
no honey (not even pacifier dip)
no water
4
