NURS 211 Exam 1
Patient to have bone marrow biopsy today - priority action? - ANS ensure valid consent is on
chart
Patient experiencing superior vena cava syndrome - priority? - ANS ineffective breathing
pattern
Therapy of subq injections of increasing amounts of allergens: - ANS desensitization
Pneumocystis pneumonia - patient reports SOB with activity and fatigue - intervention to
promote comfort: - ANS pace activities, allow for adequate rest
You work at an allergy clinic - priority task? - ANS check emergency equipment each morning
Longest acting immunity: - ANS natural active
Secondary prevention of cancer: - ANS annual measurement of prostate specific antigen levels
Precautions for patients with HIV: - ANS standard precautions
First action in responding to IV pump alarm related to increased pressure: - ANS check for
kinking of catheter
Oral chemo drugs - appropriate nursing action? - ANS wear PPE when handling medications
DIC - collaborative intervention the RN can expect to implement: - ANS prepare to administer
IV heparin
Which form of metastasis is most common? - ANS blood borne
Angioedema to face - RN assessment priority: - ANS airway patency
Central venous access line inserted in your patient - what does RN do next? - ANS ensure
x-ray has been completed
Streaks of red along the vein path - most likely? - ANS phlebitis at IV site
Patient with lymphoma receiving chemo - reports N/V/D, muscle twitching and cramping, not
voiding: - ANS tumor lysis syndrome
Patient to have bone marrow biopsy today - priority action? - ANS ensure valid consent is on
chart
Patient experiencing superior vena cava syndrome - priority? - ANS ineffective breathing
pattern
Therapy of subq injections of increasing amounts of allergens: - ANS desensitization
Pneumocystis pneumonia - patient reports SOB with activity and fatigue - intervention to
promote comfort: - ANS pace activities, allow for adequate rest
You work at an allergy clinic - priority task? - ANS check emergency equipment each morning
Longest acting immunity: - ANS natural active
Secondary prevention of cancer: - ANS annual measurement of prostate specific antigen levels
Precautions for patients with HIV: - ANS standard precautions
First action in responding to IV pump alarm related to increased pressure: - ANS check for
kinking of catheter
Oral chemo drugs - appropriate nursing action? - ANS wear PPE when handling medications
DIC - collaborative intervention the RN can expect to implement: - ANS prepare to administer
IV heparin
Which form of metastasis is most common? - ANS blood borne
Angioedema to face - RN assessment priority: - ANS airway patency
Central venous access line inserted in your patient - what does RN do next? - ANS ensure
x-ray has been completed
Streaks of red along the vein path - most likely? - ANS phlebitis at IV site
Patient with lymphoma receiving chemo - reports N/V/D, muscle twitching and cramping, not
voiding: - ANS tumor lysis syndrome