Exam (elaborations)
NUR 283 Transition To Registered Nursing Practice Comprehensive Exam Review
- Institution
- Galen College Of Nursing
NUR 283 Transition To Registered Nursing Practice
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CompsOriginal Comp 2
1. Tele strip: K+ - tall peaked T waves, prolonged PR interval
2. If TURP stops draining - irrigate
3. See patient - with leg cramps on thiazide diuretics
4. Addison’s Disease - check BP
5. Breast self exam - 7 days after period ends, every month
6. Fire in trash can - remove pt from the room first
7. See first - pt with csection that is opening (don’t choose the lochia answer)
8. After stopping blood transfusion - start new IV with normal saline
9. Histrionic personality disorder - help with relationships
10. 45% burned patient - tell MD about 45 mL of urine output over past 2 hours (norm =
30mL/hr)
11. Primary prevention -
12. Hyperactive 3 year old - ask when/where they’re acting like this
13. COPD - ABG with O2 at 89%
14. Post-op positioning for patient with ventriculoperitoneal shunt - paracentesis - lying on
unaffected side
15. Needs further teaching: 4 oz of juice for 9 month old
16. See first: patient with Graves disease - developed a 100.5 fever in last 2 hours (could be
thyroid storm)
17. Soaked perineal pad Q4 after delivery - massage fundus
18. Confabulation dementia - tells lies (false memories, fills in memory gaps)
19. Stroke patient 5 hours later getting Alteplase - wrong, too long long after symptoms
began (should be within 4 hours)
20. How to decrease ammonia levels - protein - wrong, protein decreases ammonia levels
21. Patient questions getting Warfarin and Heparin - takes time for one to work, other will
be d/c after levels rise
22. Vancomycin with sulpha allergy - It is okay to give Vanc
23. Pulmonary Embolism prevention teaching - move legs around while in bed
24. Patient with IBS - question script for Loperamide
25. Correct answer - reverse isolation for stem cell patient
26. Baclophen and Diphenhydramine - contraindication - it’ll make them too sleepy
27. Question the PCP - RN to remove chest tube and place sterile dressing
28. G-tube question - wrong thing to do - add food coloring to the bag
29. Patient has high cholesterol and atherosclerosis - follow up - diet of fish/lemon, 2
poached eggs, canola oil, omega 3 supplements
30. Follow up with 13 year old girl - no one in school likes me and I don’t like them
31. Burn - rule of nines - 27%
32. Appropriate coping after breast mastectomy and chemo - getting fitted for prosthesis
33. Delegate to the UAP - hip arthroplasty getting up for the 2nd time
34. Hypovolemic shock - give fluids (NS at 150mL/hr)
35. See first: 2 year old walking down the hall with HR of 160
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