NURS 6550 Midterm Review
The least worrisome type of fluid seen as a result of pleural fluid analysis - Answer
Transudate pleural fluid
What test should be ordered to confirm a suspected ascending aortic aneurysm? -
Answer CT Scan with contrast
Name risk factors for long-term care placement for the elderly population. - Answer
Male gender
80 y.o.+
Living Alone
bowel/bladder incontinence
Hx of falls
dysfunctional coping
Intellectual impairment
A patient with anterior epistaxis has been treated with direct pressure for 20 minutes.
What are expected findings when the patient is instructed to gently blow their nose? -
Answer Successful treatment will be indicated by dark residual blood or clots being
discharged from the nose.
If bleeding has not stopped you will see a bright red steady trickle of blood requiring
more invasive measures.
What is the most common organism in treating otitis media, bacterial sinusitis, bacterial
pharyngitis, AND community-acquired pneumonia? - Answer Streptococcus
pneumoniae
What is the greatest risk factor for vascular dementia? - Answer Vascular diseases that
result in target organ damage such as:
hypertension
dyslipidemia
diabetes
Hypertensive urgency vs emergency - Answer - Hypertensive urgency: BP >200/120
w/o sx; Tx with PO furosemide, clonidine or captopril
- Hypertensive emergency: BP >200/120 WITH sx or evidence of end organ damage;
Tx with IV nitroprusside, labetalol or nicardipine
*Both req immediate treatment
What annual lab testing should be done for patients taking atypical antipsychotics? -
Answer Lipid Panel
Name some atypical antipsychotics - Answer OLAnzapine
CLOZapine
QUETIapine
RISPERidone
, NURS 6550 Midterm Review
Aripiprazole
Ziprasidone
"It's ATYPICAL for OLd CLOSets to QUIETly RISPER from A to Z"
If you are treating a car mechanic for a possible eye injury what test would you avoid? -
Answer MRI
possible metal in eye
What is the least invasive approach to rule out a pulmonary embolus? - Answer D-dimer
When treating a patient with an unfractionated heparin infusion, what would you monitor
for (to avoid a fatal complication) ? - Answer Heparin-induced Thrombocytopenia (HIT).
aka monitor for low platelets.
d/c heparin and intiate thrombin inhibitors!
What symptom differentiates vertigo from near-syncope and ataxia? - Answer When the
primary symptom identified is a sense of spinning this means vertigo and is usually an
inner ear problem.
Ataxia is neurological
near-syncope may be cardiac, neuro or both.
When a patient is concerned about a family member not supporting wishes in end-of-life
care, what legal document should be used? - Answer advanced directive
What is contraindicative of rTPA therapy? - Answer ST segment depression
Transtheoretical Model of Change - Answer 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
psychotic disorder vs neurotic disorder - Answer psychotic: distinct alteration in
perception of reality
Neurotic: remain aware and interactive with reality
Cholinergics (Miotics) - Answer Pilocarpine
Pilocarpine adverse effects - Answer increased GI motility and bradycardia
Initial treatment for a panic attack in the ER - Answer short-acting benzodiazepine for
immediate symptom control
diazepam or
lorazepam
The least worrisome type of fluid seen as a result of pleural fluid analysis - Answer
Transudate pleural fluid
What test should be ordered to confirm a suspected ascending aortic aneurysm? -
Answer CT Scan with contrast
Name risk factors for long-term care placement for the elderly population. - Answer
Male gender
80 y.o.+
Living Alone
bowel/bladder incontinence
Hx of falls
dysfunctional coping
Intellectual impairment
A patient with anterior epistaxis has been treated with direct pressure for 20 minutes.
What are expected findings when the patient is instructed to gently blow their nose? -
Answer Successful treatment will be indicated by dark residual blood or clots being
discharged from the nose.
If bleeding has not stopped you will see a bright red steady trickle of blood requiring
more invasive measures.
What is the most common organism in treating otitis media, bacterial sinusitis, bacterial
pharyngitis, AND community-acquired pneumonia? - Answer Streptococcus
pneumoniae
What is the greatest risk factor for vascular dementia? - Answer Vascular diseases that
result in target organ damage such as:
hypertension
dyslipidemia
diabetes
Hypertensive urgency vs emergency - Answer - Hypertensive urgency: BP >200/120
w/o sx; Tx with PO furosemide, clonidine or captopril
- Hypertensive emergency: BP >200/120 WITH sx or evidence of end organ damage;
Tx with IV nitroprusside, labetalol or nicardipine
*Both req immediate treatment
What annual lab testing should be done for patients taking atypical antipsychotics? -
Answer Lipid Panel
Name some atypical antipsychotics - Answer OLAnzapine
CLOZapine
QUETIapine
RISPERidone
, NURS 6550 Midterm Review
Aripiprazole
Ziprasidone
"It's ATYPICAL for OLd CLOSets to QUIETly RISPER from A to Z"
If you are treating a car mechanic for a possible eye injury what test would you avoid? -
Answer MRI
possible metal in eye
What is the least invasive approach to rule out a pulmonary embolus? - Answer D-dimer
When treating a patient with an unfractionated heparin infusion, what would you monitor
for (to avoid a fatal complication) ? - Answer Heparin-induced Thrombocytopenia (HIT).
aka monitor for low platelets.
d/c heparin and intiate thrombin inhibitors!
What symptom differentiates vertigo from near-syncope and ataxia? - Answer When the
primary symptom identified is a sense of spinning this means vertigo and is usually an
inner ear problem.
Ataxia is neurological
near-syncope may be cardiac, neuro or both.
When a patient is concerned about a family member not supporting wishes in end-of-life
care, what legal document should be used? - Answer advanced directive
What is contraindicative of rTPA therapy? - Answer ST segment depression
Transtheoretical Model of Change - Answer 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
psychotic disorder vs neurotic disorder - Answer psychotic: distinct alteration in
perception of reality
Neurotic: remain aware and interactive with reality
Cholinergics (Miotics) - Answer Pilocarpine
Pilocarpine adverse effects - Answer increased GI motility and bradycardia
Initial treatment for a panic attack in the ER - Answer short-acting benzodiazepine for
immediate symptom control
diazepam or
lorazepam
