Hondros College of Nursing; NUR 150 Fundamental Concepts of Practical Nursing I Exam 2 (answered) Spring 2022/2023.

NUR 150 - Exam 2 MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS A nurse is performing an assessment on a client. Which of the following would be considered objective information received during the assessment? A. The client reports feeling tingling in his feet B. The client weighs 186 pounds C. The client rates pain at a level of 6 out of 10 D. The client feels light-headed when the doctor enters the room MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS Which of the following assessment items can be documented as subjective client data? A. A client's face turns pale when he stands up B. A client's cervical lymph nodes are palpable C. A client feels nauseated D. The nursing assistant reports to the RN that the client refused to eat lunch MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as priority? A. Include the client's family in the interview B. Coordinate holistic care with social services C. Teach the client about their current mental health disorder D. Identify the client's perception of their mental health status MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS Which of the following is a correct assumption regarding the concept of crisis? A. Crises occur only in individuals with psychiatric disorders. B. The stressful event that precipitates crisis is rarely identifiable. C. A crisis situation contains the potential for psychological growth or deterioration. D. Crises are chronic situations that will recur many times during an individual's life. MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS Amanda's mobile home was destroyed by a tornado. Amanda received only minor injuries but is experiencing disabling anxiety in the aftermath of the event. What is this type of crisis called? A. Existential crisis B. Situational crisis C. Psychological crisis D. Developmental crisis MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS Which event has the potential for causing a situational crisis? A. Losing one's faith in God B. Getting laid off from a job after 30 years C. Giving birth to a child D. Retiring from a job after 50 years of service MENTAL HEALTH - BEST PRACTICES ᴬᴺᴰ CRISIS A patient who survived a tornado is without shelter and food, lost his car, and has learned that several friends sustained injuries. To tailor interventions to the patient's needs, the nurse would make it a priority to: A. Offer anti-anxiety medication B. Allow the patient to explore earlier life experiences C. Explain the different components of crisis therapy D. Arrange for an agency to provide shelter and food CAD, HYPERTENSION ᴬᴺᴰ HYPOVOLEMIC SHOCK A client with diagnosed with Primary Hypertension asks the nurse about the contributing or risk factors of this disease. Which of the following are considered to contribute or risk factors for Primary Hypertension? SELECT ALL THAT APPLY. A. A1C 14 B. BMI 40 C. Family history CAD, HYPERTENSION ᴬᴺᴰ HYPOVOLEMIC SHOCK What is the following sequence of events for a client with an initial blood pressure reading of 160/90? A. Contact provider B. Conduct a focal exam C. Obtain EKG, check for microalbuminuria D. Check manual blood pressure in both arms CAD, HYPERTENSION ᴬᴺᴰ HYPOVOLEMIC SHOCK The nurse is teaching a hypertension class to new staff regarding the effects of prolonged high blood pressure on the heart. Which of the following statements would be included? A. The left atrium will enlarge and increase cardiac workload B. The left atrium will enlarge and decrease cardiac workload C. The right atrium will enlarge and increase cardiac workload D. The left ventricle will enlarge and increase cardiac workload CAD, HYPERTENSION ᴬᴺᴰ HYPOVOLEMIC SHOCK What is the first diagnostic workup for the initial assessment for a client diagnosed with hypertension? A. Evaluate target organ damage B. Determine overall cardiovascular risk C. Identify and rule out causes of secondary hypertension D. Establish baseline levels of blood pressure before starting therapy CAD, HYPERTENSION ᴬᴺᴰ HYPOVOLEMIC SHOCK The nurse understands which of the following medication is a Calcium Channel Blocker (CCB)? A. Atenolol B. Losartan C. Lisinopril D. Amlodipine A client asks the nurse, "What causes angina to develop?" What would be the best response by the nurse? A. A decreased demand for Oxygen B. Increased supply of oxygen to the patient C. Narrowing of one or more of the coronary arteries D. Widening of one or more of the coronary arteries CAD, HYPERTENSION ᴬᴺᴰ HYPOVOLEMIC SHOCK The nurse understands that the characteristics of stable angina include all the following except: SELECT ALL THAT APPLY. A. Provoked at rest B. Pain lasting most of the day C. Pain lasting a few minutes D. Pain relieved by nitroglycerin CAD, HYPERTENSION ᴬᴺᴰ HYPOVOLEMIC SHOCK The nurse understands that which of the following is the first-line therapy for an acute episode of angina? A. Aspirin B. Nitrates C. Beta-blockers D. ACE Inhibitor CAD, HYPERTENSION ᴬᴺᴰ HYPOVOLEMIC SHOCK A client with a new diagnosis of stable angina complains of a headache when he takes which of the following medications? A. Nitrates B. ACE Inhibitors C. Beta-blockers D. Calcium channel blockers CAD, HYPERTENSION ᴬᴺᴰ HYPOVOLEMIC SHOCK Clinical presentations of Hypovolemic shock include all the following except? A. Hypertension B. Tachycardia C. Tachypnea (early), Bradypnea (late) D. Increased urine output E. Confusion CAD, HYPERTENSION ᴬᴺᴰ HYPOVOLEMIC SHOCK The cornerstone of therapy for hypovolemic shock is which of the following treatments? A. Rest B. Oxygen C. Diuretics D. Volume expanders CALCIUM CHANNEL BLOCKERS AND DIURETICS WORK BEST FOR BLACK PATIENTS - especially with monotherapy, i.e., a single hypertension medicine. - CAD, HYPERTENSION ᴬᴺᴰ HYPOVOLEMIC SHOCK Note the differences between stable and unstable angina. - ENDOCRINE The ______________ produces TRH (Thyrotropin-Releasing Hormone) which causes the anterior pituitary gland to produce _______________ which in turn causes the thyroid gland to release _______ and _______. A. Thalamus, CRH (Corticotropin-releasing hormone) TSH (thyroid-stimulating hormone) and T4 B. Hypothalamus, TSH (thyroid-stimulating hormone), T3 and T4 C. Posterior pituitary gland, TSH (thyroid-stimulating hormone), T3 and T4 D. Hypothalamus, CRH (Corticotropin-releasing hormone), T3 and TSH ENDOCRINE A patient reports they do not eat enough iodine in their diet. What condition are they most susceptible to? A. Pheochromocytoma B. Hyperthyroidism C. Thyroid Storm D. Hypothyroidism ENDOCRINE A patient has an extremely high T3 and T4 level. Which of the following symptoms does NOT correlate with this condition? A. Weight loss B. Intolerance to heat C. Smooth skin D. Hair loss ENDOCRINE A patient is being discharged home for treatment of hypothyroidism. Which medication is most commonly prescribed for this condition? A. Methimazole B. PTU (Propylthiouracil) C. Levothyroxine D. Propranolol ENDOCRINE A patient is admitted with complaints of palpations, excessive sweating, and unable to tolerate heat. In addition, the patient voices concern about how her appearance has changed over the past year. The patient presents with protruding eyeballs and pretibial myxedema on the legs and feet. Which of the following is the likely cause of the patient's signs and symptoms? A. Thyroiditis B. Deficiency of iodine consumption C. Graves Disease D. Hypothyroidism ENDOCRINE A patient was recently discharged home for treatment of hypothyroidism and was ordered to take levothyroxine for treatment. The patient is re-admitted with signs and symptoms of the following: heart rate 42, blood pressure 70/56, blood glucose 55, and body temperature of 96.8 'F. The patient is very fatigued and drowsy. The family reports the patient has not been taking levothyroxine since being discharged home from the hospital. Which of the following conditions is this patient most likely experiencing? A. Thyroid Storm B. Myxedema Coma C. Iodism D. Toxic Nodular Goiter ENDOCRINE Which of the following signs and symptoms causes concern and requires nursing intervention for a patient who recently had a thyroidectomy? A. Heart rate of 120, blood pressure 220/102, temperature 103.2ºF B. Heart rate of 35, blood pressure 60/43, temperature 95.3ºF C. Soft hair, irritable, diarrhea D. Constipation, drowsiness, goiter