NURS 6550 Midterm Review Study Guide Rated
A+
1). The least worrisome type of fluid seen as a result of pleural fluid analysis
Ans: Transudate pleural fluid
2). What test should be ordered to confirm a suspected ascending aortic aneurysm?
Ans: CT Scan with contrast
3). Name risk factors for long-term care placement for the elderly population.
Ans: Male gender
80 y.o.+
Living Alone
bowel/bladder incontinence
Hx of falls
dysfunctional coping
Intellectual impairment
4). 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?
Ans: 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.
5). What is the most common organism in treating otitis media, bacterial sinusitis, bacterial
pharyngitis, and community-acquired pneumonia?
Ans: Streptococcus pneumoniae
6). What is the greatest risk factor for vascular dementia?
Ans: Vascular diseases that result in target organ damage such as:
hypertension
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, dyslipidemia
diabetes
7). Hypertensive urgency vs emergency
Ans: - 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
8). What annual lab testing should be done for patients taking atypical antipsychotics?
Ans: Lipid Panel
9). Name some atypical antipsychotics
Ans: OLAnzapine
CLOZapine
QUETIapine
RISPERidone
Aripiprazole
Ziprasidone
"It's ATYPICAL for OLd CLOSets to QUIETly RISPER from A to Z"
10). If you are treating a car mechanic for a possible eye injury what test would you avoid?
Ans: MRI
possible metal in eye
11). What is the least invasive approach to rule out a pulmonary embolus?
Ans: D-dimer
12). When treating a patient with an unfractionated heparin infusion, what would you monitor
for (to avoid a fatal complication) ?
Ans: Heparin-induced Thrombocytopenia (HIT). aka monitor for low platelets.
d/c heparin and intiate thrombin inhibitors!
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, 13). What symptom differentiates vertigo from near-syncope and ataxia?
Ans: 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.
14). When a patient is concerned about a family member not supporting wishes in end-of-life
care, what legal document should be used?
Ans: advanced directive
15). What is contraindicative of rtpa therapy?
Ans: ST segment depression
16). Transtheoretical model of change
Ans: 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
17). Psychotic disorder vs neurotic disorder
Ans: psychotic: distinct alteration in perception of reality
Neurotic: remain aware and interactive with reality
18). Cholinergics (miotics)
Ans: Pilocarpine
19). Pilocarpine adverse effects
Ans: increased GI motility and bradycardia
20). Initial treatment for a panic attack in the er
PaperStoc.com Page 3 of 17
A+
1). The least worrisome type of fluid seen as a result of pleural fluid analysis
Ans: Transudate pleural fluid
2). What test should be ordered to confirm a suspected ascending aortic aneurysm?
Ans: CT Scan with contrast
3). Name risk factors for long-term care placement for the elderly population.
Ans: Male gender
80 y.o.+
Living Alone
bowel/bladder incontinence
Hx of falls
dysfunctional coping
Intellectual impairment
4). 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?
Ans: 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.
5). What is the most common organism in treating otitis media, bacterial sinusitis, bacterial
pharyngitis, and community-acquired pneumonia?
Ans: Streptococcus pneumoniae
6). What is the greatest risk factor for vascular dementia?
Ans: Vascular diseases that result in target organ damage such as:
hypertension
PaperStoc.com Page 1 of 17
, dyslipidemia
diabetes
7). Hypertensive urgency vs emergency
Ans: - 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
8). What annual lab testing should be done for patients taking atypical antipsychotics?
Ans: Lipid Panel
9). Name some atypical antipsychotics
Ans: OLAnzapine
CLOZapine
QUETIapine
RISPERidone
Aripiprazole
Ziprasidone
"It's ATYPICAL for OLd CLOSets to QUIETly RISPER from A to Z"
10). If you are treating a car mechanic for a possible eye injury what test would you avoid?
Ans: MRI
possible metal in eye
11). What is the least invasive approach to rule out a pulmonary embolus?
Ans: D-dimer
12). When treating a patient with an unfractionated heparin infusion, what would you monitor
for (to avoid a fatal complication) ?
Ans: Heparin-induced Thrombocytopenia (HIT). aka monitor for low platelets.
d/c heparin and intiate thrombin inhibitors!
PaperStoc.com Page 2 of 17
, 13). What symptom differentiates vertigo from near-syncope and ataxia?
Ans: 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.
14). When a patient is concerned about a family member not supporting wishes in end-of-life
care, what legal document should be used?
Ans: advanced directive
15). What is contraindicative of rtpa therapy?
Ans: ST segment depression
16). Transtheoretical model of change
Ans: 1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
17). Psychotic disorder vs neurotic disorder
Ans: psychotic: distinct alteration in perception of reality
Neurotic: remain aware and interactive with reality
18). Cholinergics (miotics)
Ans: Pilocarpine
19). Pilocarpine adverse effects
Ans: increased GI motility and bradycardia
20). Initial treatment for a panic attack in the er
PaperStoc.com Page 3 of 17
