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NUR 185 final study questions & answers
- Course
- Adult Health NUR 185 Hondros
- Institution
- Hondros College School Of Nursing
Detailed final exam study questions and answers. *Essential!!
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185 final study questions1.A nurse is giving a presentation at a unit meeting on Methotrexate. Which will be included?
SATA
a. It is used as a treatment for some cancers
b. It is used for treatment of RA
c. A serious side effect is renal failure
d. It can cause high blood counts can decrease wbc, rbc, platelets
e. It is a hepatotoxic med
2. What is hyperthyroidism, S/S, TX, patient education?
● Overactive thyroid that promotes the production of thyroxine
● S/S are goiter, weight loss, exophthalmos, nervous/jittery, hypertension, insomnia,
hyperactivity, tachycardia, intolerance to heat, heart palpitations, clumsiness
● Radioactive iodine is gold standard (patient will swallow this) for tx of overactive thyroid
and thyroid cancer- surgery is last resort
● Increase protein and calories
3. The LPN Suspects her patient is septic. What signs and symptoms will the patient have?
Fever, chills, positive blood culture, hypotension, tachycardia, elevated WBC
4. Which medication stimulates production of WBC and is used in patients receiving
Chemotherapy? Filgrastim (neupogen)
5. The nurse is educating the family and patient on the general side effects of Narcotics. Which
will she include in her teaching? SATA
a. Increased blood pressure and heart rate
b. Hypoxia
c. Decreased LOC/Lethargy
d. Increased urine output
e. Respiratory depression
f. Constipation
6. What is hypothyroidism, S/S, TX, patient education?
● The thyroid gland doesn’t produce enough thyroid hormone
● S/S are fatigue, weight gain, depression, cold intolerance, constipation, mood swings,
thinning hair, bradycardia, hypotension, myxedema ileus (obstruction).
● Synthroid medication
● Decrease calorie and increase protein
● use laxative as needed
● Exercise regularly
,7. Which of the following should be included when administering a Ng tube feeding? SATA
a. Position patient in high fowlers (45 degrees or greater)
b. X-ray to confirm placement
c. Check residual q 2 hours q 4 hrs
d. Check placement before each feeding
e. Flush every 4 hours per order
f. Assess skin around Ng tube site
g. Possible order for blood sugar checks q 4 hrs q 6 hrs
8. What are some important fall preventions?
1. Call light within reach
2. Bed in lowest position
3. Personal items within reach
4. Toileting schedule
5. Gait belt for transfers
6. Bed alarm/chair alarm/ toilet alarm
7. Room closer to nurse station
9. What are the three phases of burn patients?
1. Phase 1 (Emergent)- first 48 hours
2. Phase 2 (Acute)- 48-72 hours
3. Phase 3 (rehabilitation)- no end to this stage
10. The nurse is preparing to assist with an Escharotomy. The nurse shows that she needs
further teaching when she says which of the following?
a. This will relieve pressure
b. This procedure is the removal of Eschar tissue This is a surgical incision through the
Eschar and not the removal of Eschar
c. This procedure will allow for proper ventilation
d. This procedure relieves circulatory constriction
11. What is Epoetin Alpha (epogen) used for and how is it given?
1. It’s given SubQ
2. Stimulates rbc
3. Treats anemia, anemia related to chemotherapy
4. Bone pain is a normal side effect
12. Which of the following is true about Phase 1 (Emergent) of burns? SATA
a. This phase has an increased risk of hypovolemic shock
b. A patient in this phase has a low potassium level and chance of cardiac dysrhythmia
this patient will have increased potassium levels
c. This phase takes place in the first 48 hours after a burn incident
d. This patient can have polyuria and requires strict I/O’s this patient will have oliguria
, e. The nurse will give lactated ringers to this patient
f. This patient needs a foley, cardiac monitor, and may need intubated
g. This patient is at risk for renal failure do to fluid volume overload due to dehydration
not FVO
13. In the Emergent phase a patient may need a tetanus immunization if they have not had one
in the past 5 years. True/False
14. Match the antidote with the proper medication
a. Vitamin K Warfarin/Coumadin
b. Narcan Opioids
c. Acetylcysteine/Mucomyst Tylenol/acetaminophen
d. Protamine sulfate Heparin
15. What does PASS stand for?
● P-Pull the pin
● A-Aim
● S-Squeeze
● S=Sweep
16.16. What order should the nurse do the following in case of a fire? R.A.C.E
a. Extinguish the flames 4th Extinguish/eliminate the fire
b. Remove the client from the danger 1st-Rescue the client
c. Contain the fire 3rd Contain the fire
d. Pull the fire alarm 2nd Alarm
17. What would be priority with a patient who has an air embolism? Left side Trendelenburg-call
rapid/code
18.What are the grades of Phlebitis and their S/S?
1. 0- no issues
2. 1- redness/no pain
3. 2- redness/swelling/pain
4. 3- redness/swelling/pain/palpable cord/visible streak
5. 4- redness/swelling/pain/palpable cord/visible streak/drainage
19. What are two priority goals of Phase 3 (rehabilitation phase) for burn patients?
1. Prevent infection
2. Promote healing
20. Why can inhalation burns cause Atelectasis (lung collapse)? Less surfactant in the mucosa
cause lungs to dry and collapse
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