COMPREHENSIVE EXAM STUDY QUESTIONS WITH CORRECT
VERIFIED ANSWERS GUARANTEED PASS | RATED A+
A patient is admitted to the hospital for evaluation and treatment of thrombocytopenia. Which of
the following actions is most important for the nurse to implement? - Answer>>> Monitoring the
patient for headaches, vertigo, or confusion
When the nurse prepares to administer preoperative medication to a patient, the patient tells the
nurse that she really does not understand what the surgeon plans to do. - Answer>>> Notify the
healthcare provider because the patient needs further explanation of the planned surgery.
The nurse evaluates that patient teaching about a high-calorie, high protein diet has been
effective when the patient selects for breakfast from the hospital menu - Answer>>> two
poached eggs, hash brown potatoes, and whole milk
While receiving a unit of packed RBCs, the patient develops chills and a temperature of 102.2 F.
The priority action for the nurse to take is - Answer>>> Stop the transfusion and removes the IV
catheter
The strict vegetarian is at highest risk for the development of ? - Answer>>> cobalamin
deficiency anemia
Coarse Crackles - Answer>>> long duration, discontinuous, low pitched sounds caused by air
passing through airway intermittently occluded by mucus, unstable bronchial wall, or fold of
mucosa; evident with inspiration. COPD, heart failure, and pneumonia.
If a patient is taking Heparin infusion and Coumadin and diagnosed with heparin-induced
thrombocytopenia (HIT). What are you as the nurse going to do? - Answer>>> Flush all the IV
lines with normal saline
Hearing aides and glasses to surgical suite - Answer>>> bring to the nurses desk so when the
patient awakes he will not feel as disorientated without having his glasses and hearing aides.
A patient has a platelet count of 50,000/uL and is diagnosed with immune thrombocytopenia
purpura. The nurse anticipates that initial treatment will include - Answer>>> corticosteroids
, While receiving a unit of packed RBCs. the patient develops chills and a temperature of 102.2F.
The priority action for the nurse to take is? - Answer>>> stop the transfusion and removes the IV
catheter.
Absent breath sounds - Answer>>> no sound evident over entire lung or area of lung. Pleural
effusion or lobectomy
Peritonsillar abscess - Answer>>> is a complication of acute pharyngitis or acute tonsillitis when
bacterial infection invades one or both tonsils. The tonsil may enlarge sufficiently to threaten
airway patency. Also known as the hot potato voice. The patient experience a high fever,
leukocytosis, and chills.
Sputum Test for TB - Answer>>> 3 seperate sputum test over 3 days. Airborne precautions until
3 negative sputum samples. HEPA mask required.
INH - Answer>>> latent TB and treat 6 to 9 months.
Rifampin side effects and considerations - Answer>>> Hepatitis, thrombocytopenia, orange
discoloration of bodily fluids (Sputum, urine, sweat, tears).
BCG or Bacille Calmette-Guerin - Answer>>> Immigrants have been vaccinate in parts of the
world with high TB. Do not give TB test only chest x-ray.
A patient with pneumonia has a nursing diagnosis pf ineffective airway clearance related to pain,
fatigue, and thick secretions. An appropriate nursing intervention for the patient is to -
Answer>>> Encourage fluid intake of 3L/day
Diagnose Pulmonary Emboli - Answer>>> with at CAT scan or MRI
Hypothermia - Answer>>> SPO2 96%. What is the nurse going to do? Turn oxygen up.
Symptom of primary pulmonary hypertension - Answer>>> dyspnea with exertion.
Sepsis - Answer>>> 2 blood draws from 2 different sites before start ABT.
Pseudomonis - Answer>>> thick green mucous.
Proventil side effects - Answer>>> tachycardia, BP changes, nervousness, palpitations, muscle
tremors, nausea, vomiting, vertigo, insomnia, dry mouth, headache, hypokalemia.