Nursing 212 Final Exam 2 Questions with Answers, Exams of Nursing

Download Nursing 212 Final Exam 2 Questions with Answers and more Exams Nursing in PDF only on Docsity! Nursing 212 Final Exam 2 Questions with Answers 1. Your patient has SIADH, he needs additional teaching when he says what? a. I need a low sodium diet 2. Your patient has SIADH. When should you call the provider? a. Hyponatremia with a headache 3. Penicillin 1-2.5mg/kg/dose is ordered every 12 hours. The patient weighs 250 lbs. What is the safe dose? a. 113.6-284 4. Diluadid 280 mcg IV is ordered daily. After reconstituting the vial with 5 mL of water. The vial contains 100 mcg/mL. How many mLs do you give? a. 2.8 5. The provider has ordered 180 mg of phenytoin PO q 8 hours. The patient weighs 98 lbs and the label reads 250 mg/5mL. How many mLs do you give with each dose? a. 3.6 6. The patient weighs 190 lbs and then lost 5 lbs in the last week. How many kg does the patient weigh now? a. 84.1 7. The patient has an order for penicillin G 500 mg PO q 6hours for strep throat. The medication comes in 250 mg tablets. How many tables do you give the patient? a. 2 8. You are concerned that your brain surgery patient might have DI. What are the characteristic findings in this patient? a. Being very thirsty 9. SIADH assessment what would you expect? a. Decreased urine output 10. Pituitary tumor developed SIADH. What intervention is needed? a. Decrease sodium and daily weights 11. The RN is assessing a patient with a dx of DKA. Their pH- 7.27; PaCO2- 42; HCO3- 14. What acid base balanced is this? a. Metabolic acidosis 12. The RN is caring for a patient who had a thyroidectomy and is at an increased risk for hypocalcemia, what manifestations relating to hypocalcemia should the nurse assess for? a. Muscle twitching and numbness/tingling of lips 13. The RN is caring for a patient newly dx of hypothyroidism. Which symptoms would the nurse assess for? a. Decreased body temp and cold intolerance 14. The RN is caring for a patient who had a subtotal thyroidectomy. 12 hours later the RN on the next shift notices the patient now has nausea, temp of 105 F, HR 160, and extreme restlessness. What is the most likely cause of these symptoms? a. Thyroid Storm 15. Patient presents with elevations of T3 and T4 with normal TSH. What is the RN’s priority intervention? a. Monitor apical pulse a. Proteinuria 31. Patient dx with acute exacerbation of Ulcerative Colitis. Which intervention will be priority for the RN to implement? a. Resting the patient’s bowel 32. Patient with Crohn’s disease has a new ileostomy that drained 2,000 mL in 24 hours. What is the priority concern for this patient? a. Fluid and electrolyte imbalance 33. (SATA) RN is providing education for patient with HHA. RN compares DKA and HHS and understands which of the following are true? a. Both are life threatening conditions characterized by severe hyperglycemia b. HHA occurs due to severe hyperglycemia, osmotic diuresis and extracellular fluid volume depletion c. DKA is more likely to occur in patients with Type 1 DM and HHS is more likely to occur in patient with Type 2 DM 34. (SATA) RN is caring for a patient with a BMI of 30. What should the RN include in the teaching plan? a. Weigh regularly b. Consume 5 or more servings of fruits or vegetables daily c. Avoid highly processed foods made with refined white sugar and saturated fats 35. RN has completed discharge instructions for a patient that had bariatric surgery. Which statement indicated that the patient needs further teaching? a. I should drink several glasses of fluids with meals 36. RN is providing education for a patient dx with metabolic syndrome. Which statement made by the patient indicated that further teaching is needed? a. I need to exercise more and eat healthy diet to increase my triglyceride levels 37. Patient presenting with truncal obesity, elevated blood pressure, impaired glucose and dyslipidemia is being assessed for metabolic syndrome. The RN understands which dx criteria is included for metabolic syndrome? a. BP greater than 130, high triglycerides 38. What is LR solution used for? a. Expands extracellular fluids and is appropriate for burns 39. (SATA) What is true about chest tubes? a. Continuous bubbles mean air leaks b. Fluctuations or bubbles in water seal could mean obstruction or re-expansion of lung c. Intermittent bubbling 40. TPN with Ulcerative Colitis, what do you do when TPN runs out a. Start 10% Dextrose at same rate 41. Order is 1g vancomycin/250 mL D5W at 90 minutes. Gtt 20 mL a. 56 42. Order 400 mg daily and on hand is 125 mg/ 5 mL a. 16 mL 43. Order is 1g / 100 mL D5W over 30 minutes a. 200 mL/hr 44. Order is 100 mg / 200 mL over 6 hours a. 33mL/hr 45. Order 60mg every 8 hours. On hand 125mg / mL a. 0.48 mL 46. 50mg/kg/daily, weight is 20kg a. 250mg 47. (SATA) end of life care a. Decreased LOC b. Decreased HR c. Decreased BP d. Irregular breathing 48. (SATA) end of life care a. Cold, clammy skin b. Wax like skin c. Mottling of skin d. Cyanosis of nail beds, nose, knees 49. Small cell lung cancer patient is in hospice care. Primary goal of hospice? a. Improve patient quality of life by providing symptom relief and comfort care 50. Breast cancer patient. What will you find on assessment? a. Non-mobile irregular shaped mass 51. Breast cancer patient is taking tomoxican. What are common s/s? a. Vaginal bleeding 52. Breast cancer patient is on chemo and lab shows WBC 7,5000 and HGB 11, and platelets 10,000. What would you suspect is going on? a. Thrombocytopenia 53. Radical mastectomy. How would you prevent lymphedema? a. Arm on pillow 54. Lung cancer patient concerned about severe vena cava syndrome. What are early s/s? a. Edema of face and eyes