comp 283 final 2024 Exam
Questions with Complete
Answers
Denning [Date] [Course title]
,Deligation to UAP - Correct Answers: Transfer a duty.
they can get V/S, after RN has gotten initial set.
ambulate as long as pt has been cleared for weight bearing status.
re-ENFORCE education that RN has taught
assist with ADL's
CPR
document I&O's
glucose check, finger stick, per facility protocol
12 lead EKG, per facility protocol
turn & reposition
Delegation to LPN - Correct Answers: med administration, enteral feedings, urinary Cath insertion,
suctioning, tracheostomy care, reinforcement of pt education
RN job duties remember neumonic - Correct Answers: ADPIE
A-assessment
D-diagnosis
P-planning
I-implementation
E-evaluation
NG tube placement - Correct Answers: pH paper.
xray is GOLD STANDARD to confirm proper placement, monitor NG output (color and amt), monitor
nasal skin around tube, monitor tubing for kinks & "plugs", continue to assess BS's and abdominal girth,
pain, **aspirate contents & irrigate the tube w/ 30 mL of NS q 4 hrs or as ordered by hcp
NG assessment - Correct Answers: 1st turn OFF suction
verify placement
can irrigate with sterile saline
SCD's on (high risk for clots and pneumonia)
,turn & reposition
Peptic Ulcer Disease - Correct Answers: A break or ulceration in the protective mucosal lining of the
lower esophagus, stomach, or duodenum
coffee ground emesis (old blood)
NPO, NG tube
triple therapy 2 antibiotics and 1 PPI
could have an active bleed
H. pylori
early stage cirrhosis - Correct Answers: enlarged liver
jaundice
GI disturbances
weight loss
increase protein
late stage cirrhosis - Correct Answers: liver becomes smaller and nodular
splenomegaly
ascites, distended abdominal veins, increased pressure in portal system
bleeding tendancies, decreased vitamin K and prothrombin, anemia
esophageal varices, internal hemorrhoids
dyspenia (from ascites and anemia)
pruritis from dry skin
clay colored stools; no bile in stool
tea colored urine; bile in urine
End stage cirrhosis - Correct Answers: hepatic encephalopathy/coma
, portal hypertension - Correct Answers: A potential complication of chronic alcoholism resulting in liver
damage and obstruction of venous blood flow through the liver. The rising blood pressure in the veins
between the gastrointestinal tract and liver causes engorgement of veins around the umbilicus (navel).
The characteristic radiating pattern of veins is called a "caput medusae" (head of Medusa). Medusa was
the "snake-haired lady" in Greek mythology.
end-stage cirrhosis
self breast exam - Correct Answers: Monitor for any change in size, contour, dimpling. Perform exam
every month, 7 days after your period. Use finger pads of the three middle fingers.; lay down arm up, or
stand in front of mirror
postmenopausal (or MEN) - pick same day every month
self testicular exam - Correct Answers: Looking for lumps that may be the first sign of cancer common in
men ages 15-35
perform in shower, roll 'ball' between fingers
Addison's disease - Correct Answers: A rare, chronic endocrine disorder in which the adrenal glands do
not produce sufficient steroid hormones.
s/s fatigue, weakness, hypotension, crave salty food (hyponatremia)
need life long cortisol replacement
Monitor for addisonian crisis
Addisonian crisis - Correct Answers: N/V confusion, abdominal pain, extreme weakness, hypoglycemia,
dehydration, EXTREME decreased BP
triggered by stress or infection
MEDICAL EMERGENCY
Cushing's syndrome - Correct Answers: caused by prolonged exposure to high levels of cortisol
Cush Man- moon face, central /trunkal obesity, easily bruised thin skin, fatigue, muscle weakness,
depression/anxiety, hypertension, hypernatremia (polydipsia), hypokalemia, hyperglycemia
Nutritional needs for infant - Correct Answers: breast or bottle MAIN source of nutrition for first year
Questions with Complete
Answers
Denning [Date] [Course title]
,Deligation to UAP - Correct Answers: Transfer a duty.
they can get V/S, after RN has gotten initial set.
ambulate as long as pt has been cleared for weight bearing status.
re-ENFORCE education that RN has taught
assist with ADL's
CPR
document I&O's
glucose check, finger stick, per facility protocol
12 lead EKG, per facility protocol
turn & reposition
Delegation to LPN - Correct Answers: med administration, enteral feedings, urinary Cath insertion,
suctioning, tracheostomy care, reinforcement of pt education
RN job duties remember neumonic - Correct Answers: ADPIE
A-assessment
D-diagnosis
P-planning
I-implementation
E-evaluation
NG tube placement - Correct Answers: pH paper.
xray is GOLD STANDARD to confirm proper placement, monitor NG output (color and amt), monitor
nasal skin around tube, monitor tubing for kinks & "plugs", continue to assess BS's and abdominal girth,
pain, **aspirate contents & irrigate the tube w/ 30 mL of NS q 4 hrs or as ordered by hcp
NG assessment - Correct Answers: 1st turn OFF suction
verify placement
can irrigate with sterile saline
SCD's on (high risk for clots and pneumonia)
,turn & reposition
Peptic Ulcer Disease - Correct Answers: A break or ulceration in the protective mucosal lining of the
lower esophagus, stomach, or duodenum
coffee ground emesis (old blood)
NPO, NG tube
triple therapy 2 antibiotics and 1 PPI
could have an active bleed
H. pylori
early stage cirrhosis - Correct Answers: enlarged liver
jaundice
GI disturbances
weight loss
increase protein
late stage cirrhosis - Correct Answers: liver becomes smaller and nodular
splenomegaly
ascites, distended abdominal veins, increased pressure in portal system
bleeding tendancies, decreased vitamin K and prothrombin, anemia
esophageal varices, internal hemorrhoids
dyspenia (from ascites and anemia)
pruritis from dry skin
clay colored stools; no bile in stool
tea colored urine; bile in urine
End stage cirrhosis - Correct Answers: hepatic encephalopathy/coma
, portal hypertension - Correct Answers: A potential complication of chronic alcoholism resulting in liver
damage and obstruction of venous blood flow through the liver. The rising blood pressure in the veins
between the gastrointestinal tract and liver causes engorgement of veins around the umbilicus (navel).
The characteristic radiating pattern of veins is called a "caput medusae" (head of Medusa). Medusa was
the "snake-haired lady" in Greek mythology.
end-stage cirrhosis
self breast exam - Correct Answers: Monitor for any change in size, contour, dimpling. Perform exam
every month, 7 days after your period. Use finger pads of the three middle fingers.; lay down arm up, or
stand in front of mirror
postmenopausal (or MEN) - pick same day every month
self testicular exam - Correct Answers: Looking for lumps that may be the first sign of cancer common in
men ages 15-35
perform in shower, roll 'ball' between fingers
Addison's disease - Correct Answers: A rare, chronic endocrine disorder in which the adrenal glands do
not produce sufficient steroid hormones.
s/s fatigue, weakness, hypotension, crave salty food (hyponatremia)
need life long cortisol replacement
Monitor for addisonian crisis
Addisonian crisis - Correct Answers: N/V confusion, abdominal pain, extreme weakness, hypoglycemia,
dehydration, EXTREME decreased BP
triggered by stress or infection
MEDICAL EMERGENCY
Cushing's syndrome - Correct Answers: caused by prolonged exposure to high levels of cortisol
Cush Man- moon face, central /trunkal obesity, easily bruised thin skin, fatigue, muscle weakness,
depression/anxiety, hypertension, hypernatremia (polydipsia), hypokalemia, hyperglycemia
Nutritional needs for infant - Correct Answers: breast or bottle MAIN source of nutrition for first year
