solved

1. A patient is admitted to the hospital with left hemiplegia. To determine the size, location and whether a stroke is ischemic or hemorrhagic the nurse anticipates that the physician will request
CT Scan
Lumbar puncture
Cerebral arteriogram
Cerebral arteriogram
Positron emission tomography
2. A nurse caring for a client with congestive heart failure. Which best describes the condition of congestive heart failure
A ventricular dysfunction caused by a variety of different cardiac and non cardiac factors
When the demand for myocardial oxygen exceeds the ability of the coronary arteries to supply the heart with oxygen
When the contractile function of the heart stops in the necrotic area
The peripheral resistance against which the left ventricle must pump
3. A CVA resulting in left sided paralysis is caused by an interruption of blood supply to the
Right cerebral hemisphere
Left cerebral hemisphere
Cerebellum
Brain stem
4. A practical nurse is reviewing the blood work results for a patient with renal failure. Which of the following laboratory values would most likely be elevated
Hemoglobin
WBC
Creatine
Sodium
5. Capillary glucose monitoring is being performed every 4 hrs for a client diagnosed with diabetic ketoacidosis (DKA) Insulin is administered using a scale of regular insulin according to glucose results. At 1600, the client has a blood glucose level of 16.6 mmol/L for which he receives 8 units of regular insulin. The nurse should expect the dose’s to
Onset to be at 1630 and its peak to be at 1800
Onset to be at 1600, and its peak to be at 1700
Onset to be at 1615 and its peak to be at 1700
Onset to be at 1800 and its peak to be at 2000
6. The RPN recognizes that the normal range for fasting blood sugar is 4.0-6.0 mmol/L
True
False
7. Mr Smith begins to develop chest pain while you are on shift caring for hi. You administer nitroglycerine 0.4mg SL every 5 mins *3 doses to the patient with good effect. How does this medication work?
Constricts the coronary arteries causing improved blood flow to the myocardium which increases the efficiency of cardiac contractions
Increases circulating blood volume thereby lowering blood pressure, leading to a reduction in cardiac demand
Increase the heart rate and therefore the coronary arteries increase perfusion which reduces angina pain
Relaxes vascular smooth muscle causing a decrease in venous return and reduction in arterial BP, which reduces myocardial oxygen consumption
8. A nurse teaches a patient with hypertension that uncontrolled hypertension may damage organs in the body primarily by
Promoting atherosclerosis and damage of the arteries
Thickening capillary membranes, leading to hypoxia of organ systems
Causing direct pressure on organs, resulting in necrosis and replacement of cells and sca tissue
Increasing the viscosity of the blood, contributing to intravascular coagulation and necrosis of tissue distal to occlusions
9. While obtaining a nursing history from a client scheduled for a colonoscopy what would the practical nurse be most concerned about?
Lifelong constipation
Nausea and Vomiting
History of an appendectomy
Recent blood in the stools
10. A patient has edema during the day, and it disappears at night. The patient states it is not painful and is only located in the lower extremities. The nurse should expect the patient to be diagnosed with
Lung disease
Pulmonary edema
Myocardial Infarction
Right sided Heart Failure
11. Pleural effusion is a complication of pneumonia. A pleural effusion is best described as
Inflammation of the pleura
Collapsed airless alveoli
Excess fluid in the pleural space
Accumulation of purulent exudates in the pleural cavity
12. Which of the following intravenous solutions is hypotonic?
0.9% Sodium Chloride
0.45% Normal saline
D10W
Ringers lactate
13. Which of the following is an example of a lipid (cholesterol) lowering drug
Crestor
Metoprolol
Plavix
Aspirin
14. Which of the following best represents an ischemic stroke?
Intracerebral bleed
Subarachnoid bleed
Hemorrhagic stroke
Thrombotic stroke
15. A chronic inflammatory bowel disorder that can affect any part of the GI tract from the mouth to the anus is best described as which of the following
Crohn’s
Gallstones
Diverticulitis
Ulcerative colitis
16. While caring for a client with a respiratory disease, the practical nurse observes that the clients Sp02 drops from 94% to 85% when the client ambulates in the hall. What is determine from this response?
Supplemental oxygen should be used when the client exercises or exerts himself
Arterial blood gas determinations should be done to verify the SP02
This finding is a normal response to activity and the client should continue to be monitored
The oximeter probe should be moved from the finger to the earlobe for an accurateSP02 during activity.
17. The leading cause of coronary artery disease is
Myocardial infarction
Heart failure
Atherosclerosis
Liver disease
18. A CVA in left-sided paralysis is caused by an interruption of blood supply to the
Right-sided cerebral hemisphere
Left cerebral hemisphere
Cerebellum
Brain stem
19. What nursing measure should be implemented for a client experiencing acute onset diarrhea
Administration of an antibiotic
Provide antinobility therapies
Monitor for bowel sounds
Increase fluid intake

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