Review, Exam Prep & Study Guide
Axpatientxpresentsxwithxprolonged,xpoorlyxmanagedxchronicxobstructivexpulmonaryxdiseasex(COPD).xW
hichxofxthexfollowingxlaboratoryxvaluesxwillxthexnursexexpect?xSelectxallxthatxapply.
Elevatedxpartialxpressurexofxoxygen.x
Elevatedxpartialxpressurexofxcarbonxdioxide.x
Acidemia.x
Increasedxanionxgap.x
DecreasedxpH.x-
xcorrectxanswerx ✅elevatedxpartialxpressurexofxcarbonxdioxide,xacidemia,xdecreasedxpH
Axwifexandxdaughterxofxaxmanxhasxbroughtxhimxtoxthexemergencyxdepartmentxbelievingxhexisxsufferingx
fromxaxstroke.xWhichxofxthexfollowingxarextypicalxpresentationsxofxaxstroke?xSelectxallxthatxapply.
Manicxspeech.x
Hyperactivity.x
Slurredxspeech.x
Facialxdroop.x
Unevenxgait.x-xcorrectxanswerx ✅slurredxspeech,xfacialxdroop,xunevenxgait
Axnursingxstudentxisxreviewingxthex"polys"xassociatedxwithxdiabetesxmellitusx(DM).xWhichxofxthexfollowi
ngxshouldxshexincludexinxherxlist?xSelectxallxthatxapply.
Polyphagia.x
Polycythemia.x
Polycysticx
Polyuria
Polydispiax-xcorrectxanswerx ✅polyphagia,xpolyuria,xpolydispia
Axnursexisxspeakingxtoxaxpatientxaboutxthexpatient'sxincreasedxriskxforxclotxformation.xWhichxofxthexfoll
owingxpatientxcharacteristicsxwouldxcontributextoxincreasedxriskxclotxformation?xSelectxallxthatxapply.
Thrombocytopenia
,Oralxcontraceptivexusage
Dailyxaspirinxusage
Smoking
AtrialxFIbrillationx-xcorrectxanswerx ✅oralxcontraceptivexusage,xsmoking,xatrialxfibrillation
Whichxofxthexfollowingxmayxbexpresentxinxessentialxthrombocytopenia?xSelectxallxthatxapply.
Plateletsx<x150,x000xperxmicroliter
Plateletsx>x600,000xperxmicroliter
Splenomegaly
Ischemiaxandxextremityxclots
Gastrointestinalxbleedingx-xcorrectxanswerx ✅plateletsx<x150,000xperxmL,xGIxbleeding
AxnursingxstudentxisxcreatingxexamplesxforxpresentationxonxTypexIIIxhypersensitivityxreactions.xWhichxof
xthexfollowingxshouldxhexincludexinxhisxpresentation?xSelectxallxthatxapply.
Mantouxxtesting
Hayxfever
Systemicxlupusxerythematosusx(SLE)
Rheumatoidxarthritisx(RA)
Allergicxreactionxtoxshellfishx-xcorrectxanswerx ✅SLE,xRA
Axpatientxasksxaboutxheartxdiseasexandxatherosclerosisxbecausexshexisxconcernedxaboutxherxfamilyxhist
ory.xWhichxofxthexfollowingxdoesxaxnursexsharexasxriskxfactorsxforxatherosclerosis?xSelectxallxthatxapply.
Age
Diabetesxmellitus
Dietxhighxinxsaturatedxfats
Moderatexactivexlifestyle
Lower-than-normalxbloodxlipidxlevelsx-
xcorrectxanswerx ✅age,xdiabetesxmellitus,xdietxinxhighxsaturatedxfats
Axpatientxisxonxanticoagulationxtherapy.xWhichxfactorsxarexlikelyxtoxbexelevated?xSelectxallxthatxapply.
, Activatedxpartialxthromboplastinxtimex(aPTT)xtime
Prothrombinxtimex(PT)xtime
Internationalxnormalxratiox(INR)
D-dimerxlevels
Fibrinxdegradationxproductsx-xcorrectxanswerx ✅aPTT,xPT,xINR
Axnursexisxworkingxwithxaxwomanxsufferingxfromxfatigue.xWhichxofxthexfollowingxsupportsxthexnurse'sxc
onclusionxthatxthexpatientxisxsufferingxfromxiron-deficiencyxanemia?xSelectxallxthatxapply
Decreasedxhemoglobin
Macrocyticxcells
Hypochromicxcells
Decreasedxhematocrit
Megaloblasticxcellsx-
xcorrectxanswerx ✅decreasedxhemoglobin,xhypochromicxcells,xdecreasedxhematocrit
Axnursexisxtoxspeakxtoxaxpatientxaboutxhisxrecentxvitamin-
B12xdeficiency.xWhichxrecommendationsxwouldxbenefitxthexpatient?xSelectxallxthatxapply.
Eatxaxvegetarianxdiet.
Restrictxfolic-acidxintake.
TakexaxsupplementxofxvitaminxB12.
Foodxchoicesxshouldxincludexmeatxandxeggs.
Getxplentyxofxsunshinexasxultravioletx(UV)xlightxactivatesxvitaminxB12.x-
xcorrectxanswerx ✅takexsupplementxofxvitaminxB12,xfoodxchoicesxshouldxincludexmeatxandxeggs
Axpatient'sxparathyroidxglandsxwerexdamaged.xWhatxsignsxandxsymptomsxdoesxthexnursexexpect?xSelec
txallxthatxapply.
Tetany
Chvostek'sxsign
Trousseau'sxsign
Lowxserumxcalcium