Galen College | Latest Review Guide
1. Describe the potential consequences of abruptly stopping TPN in a patient.
It can cause immediate weight gain.
It may enhance the patient's appetite.
Abruptly stopping TPN can lead to hypoglycemia and electrolyte
imbalances.
It has no significant effects on the patient.
2. Describe the importance of implementing contact precautions for patients
with VRE.
Contact precautions are only needed during surgical procedures.
Contact precautions are unnecessary as VRE is not highly contagious.
Implementing contact precautions is crucial to prevent the spread
of VRE to other patients and healthcare workers.
Contact precautions only apply to patients with active infections.
3. Describe how hepatic encephalopathy affects a patient's mental state.
Hepatic encephalopathy primarily affects the digestive system,
leading to nausea and vomiting.
Hepatic encephalopathy results in increased energy levels and
alertness.
Hepatic encephalopathy can lead to confusion and altered levels of
consciousness due to the accumulation of toxins in the brain.
Hepatic encephalopathy causes fever and chills as the body fights
infection.
,4. Why is it important for patients undergoing external radiation to avoid
sunlight exposure?
Sunlight can enhance the effectiveness of radiation treatment.
Sunlight has no effect on patients undergoing radiation therapy.
Sunlight helps in the healing process of radiation burns.
Sunlight can cause skin irritation and increase the risk of burns in
irradiated areas.
5. If a patient expresses frustration about their stoma care, what should the
nurse do to support the patient’s coping process?
Provide education and resources to help the patient manage their
stoma more effectively.
Encourage the patient to avoid discussing their feelings.
Suggest that the patient should not worry about it.
Refer the patient to a psychologist immediately.
6. What is a common indicator that a patient is adjusting well to their stoma?
The patient expresses comfort and confidence in managing their
stoma.
The patient shows signs of anxiety when asked about their stoma.
The patient frequently complains about their stoma.
The patient avoids discussing their stoma.
7. What is one common expression of anger that a patient may exhibit during
the anger stage of grief?
The patient may express acceptance of their condition.
, The patient may express frustration or blame towards healthcare
providers.
The patient may show indifference to their situation.
The patient may seek comfort from family members.
8. Describe the role of the mitral valve in the circulatory system.
The mitral valve regulates blood flow between the left atrium and
left ventricle.
The mitral valve controls blood flow to the lungs.
The mitral valve allows blood to flow from the right atrium to the right
ventricle.
The mitral valve prevents backflow from the aorta to the left ventricle.
9. What is the first assessment priority for a patient with abdominal injuries?
Airway, Breathing, Circulation (ABCs)
Pain level
Skin condition
Nutritional status
10. A patient presents with elevated blood pressure, confusion, and chest pain.
What should the nurse prioritize in this situation?
Administering pain relief medication.
Documenting the patient's symptoms.
Providing patient education on hypertension.
Further evaluation of the patient's condition.
, 11. Describe the importance of monitoring potassium levels in patients taking
Lasix.
Lasix can cause potassium depletion, so monitoring is essential to
prevent hypokalemia.
Lasix increases potassium levels, making monitoring unnecessary.
Monitoring potassium is only necessary for patients with kidney
disease.
Potassium levels are irrelevant when taking Lasix.
12. The mitral valve is located at the:
Apex of the heart
Over the sternum
Right of the sternum in the second intercostal space
In the right upper quadrant
13. How can a nurse assess whether a patient is successfully coping with their
stoma?
By monitoring the patient's vital signs regularly.
By evaluating the patient's verbal expressions of comfort and their
ability to manage stoma care independently.
By asking the patient if they have any questions about their
medication.
By observing the patient's physical appearance and hygiene.
14. What is the first assessment a nurse should perform for a pregnant 16-year-
old?