NUR 2790 Professional Nursing 3: Final Exam
Module 1: Med Surg 14, 15
1. Metastases sites
a. Most common: Brain, bone, lung, liver
2. treatment for new brain tumors
a. first surgery, then chemotherapy and radiation are used
3. preventative methods for skin cancer with patient education
a. Best way to prevent skin cancer
i. Put on sunscreen
4. colon cancer signs and symptoms
a. change in bowel habits, blood stool, colicky abdominal pain, alternating constipation and
diarrhea
5. nursing interventions and prioritization of care with patient receiving chemotherapy
a. body fluids are considered hazardous for 48 hours after treatment, assess skin for
extravasation, make sure patient has good nutrition, spead activities throughout the day
6. bone marrow transplant clinical manifestations of life threatening conditions specific signs
and symptoms
a. Graft versus host disease. When WBC’s from the donor are identified as foreign and
cause a severe immune response.
7. define the implications for the development of cancer
a. Can be because of heredity, environment such as being around air pollution/ chemicals,
and lifestyle choices such as smoking
8. lobectomy for lung cancer patient education with interventions needed to prevent respiratory
complications
a. cough and deep breath, splint yourself with a pillow when coughing, use incentive
spirometer
9. patient education for a patient with a brain tumor on symptoms to immediately report to her
physician
a. monitor mental status, observe for signs of respiratory distress, use measures to maintain
oxygenation and report abnormal findings immediately
b. new onset seizures in an adult, slow progressing hemiparesis, gait or balance
disturbances, visual problems, hearing loss, aphasia
Module 2: Med Surg: 7
10. List complementary therapy examples
a. acupuncture, aromatherapy, massage therapy, relaxation therapy, music therapy, and
therapeutic touch
11. Define the stages of grief
a. denial, anger, bargaining, depression, and acceptance or resignation
12. Hospice nursing vs palliative care
a. Palliative care: active holistic care of patients whose disease is not responsive to curative
treatment
, b. Hospice: delivers end of life care to patients who have a limited prognosis or life
expectancy
13. Goals of end of life care for the client for the hospice nurse
a. Hospice programs provide hospice care with sensitivity to the diverse backgrounds and
needs of the people they serve and with the hope and belief that through appropriate
management, patients and families can attain a degree of mental and spiritual preparation
for death.
Module 3: Med Surg: 46, 66
14. Patient education for rehabilitation with full thickness burns
a. Promotion of mobility, self-care, a positive body image, skin integrity, comfort, and
coping
b. Prevent contractures which happen from prolonged bed rest, promote exercises and
ambulation
15. Cimetidine (Tagamet) indication for a burn patient
a. Blocks gastric acid secretions, and promote healing of the ulcer by eliminating the cause
16. List facial burns nursing assessment top priorities
a. Establish an airway
17. What is a priority patient when you are triaging
a. A patient who has chest pain
Module 4: Med Surg: 19, 32
18. Patients clinical manifestations that are at increased risk for impaired gas exchange
a. Infection, inflammation, copious secretions, cavity lesion, decrease mental status,
pulmonary edema
19. Laboratory value that identifies risk for altered transport of oxygen
a. ABG’s, hemoglobin, hematocrit
20. What happens to patients that are hyperventilating and what do you do for them
a. They will have numbness/ tingling and cramps, give them a paper bag to breath into
21. When do you use an incentive spirometer
a. When a patient is having difficulty breathing
22. What type of ABG’s does a person have if they have COPD
a. Respiratory acidosis compensated
b. Low pH high bicarb, high CO2
c. Module 5: Med Surg: 26
23. Define the sinoatrial node role in rhythm
a. Primary pacemaker of the heart and has a rate of 60 to 100 beats per minute.
24. What electrolyte imbalance leads to cardiac dysrhythmias
a. potassium
25. Top nursing process priority for assessing effective perfusion
a. Pulse, vital signs, capillary refill
26. If a patient is in ventricular tachycardia what do you do
a. Assess ABC’s then LOC
27. Different cardiac drugs and what do they do
a. Adenosine: stops the heart
b. Atropine: treats bradycardia, causes increase HR and hypotension
Module 1: Med Surg 14, 15
1. Metastases sites
a. Most common: Brain, bone, lung, liver
2. treatment for new brain tumors
a. first surgery, then chemotherapy and radiation are used
3. preventative methods for skin cancer with patient education
a. Best way to prevent skin cancer
i. Put on sunscreen
4. colon cancer signs and symptoms
a. change in bowel habits, blood stool, colicky abdominal pain, alternating constipation and
diarrhea
5. nursing interventions and prioritization of care with patient receiving chemotherapy
a. body fluids are considered hazardous for 48 hours after treatment, assess skin for
extravasation, make sure patient has good nutrition, spead activities throughout the day
6. bone marrow transplant clinical manifestations of life threatening conditions specific signs
and symptoms
a. Graft versus host disease. When WBC’s from the donor are identified as foreign and
cause a severe immune response.
7. define the implications for the development of cancer
a. Can be because of heredity, environment such as being around air pollution/ chemicals,
and lifestyle choices such as smoking
8. lobectomy for lung cancer patient education with interventions needed to prevent respiratory
complications
a. cough and deep breath, splint yourself with a pillow when coughing, use incentive
spirometer
9. patient education for a patient with a brain tumor on symptoms to immediately report to her
physician
a. monitor mental status, observe for signs of respiratory distress, use measures to maintain
oxygenation and report abnormal findings immediately
b. new onset seizures in an adult, slow progressing hemiparesis, gait or balance
disturbances, visual problems, hearing loss, aphasia
Module 2: Med Surg: 7
10. List complementary therapy examples
a. acupuncture, aromatherapy, massage therapy, relaxation therapy, music therapy, and
therapeutic touch
11. Define the stages of grief
a. denial, anger, bargaining, depression, and acceptance or resignation
12. Hospice nursing vs palliative care
a. Palliative care: active holistic care of patients whose disease is not responsive to curative
treatment
, b. Hospice: delivers end of life care to patients who have a limited prognosis or life
expectancy
13. Goals of end of life care for the client for the hospice nurse
a. Hospice programs provide hospice care with sensitivity to the diverse backgrounds and
needs of the people they serve and with the hope and belief that through appropriate
management, patients and families can attain a degree of mental and spiritual preparation
for death.
Module 3: Med Surg: 46, 66
14. Patient education for rehabilitation with full thickness burns
a. Promotion of mobility, self-care, a positive body image, skin integrity, comfort, and
coping
b. Prevent contractures which happen from prolonged bed rest, promote exercises and
ambulation
15. Cimetidine (Tagamet) indication for a burn patient
a. Blocks gastric acid secretions, and promote healing of the ulcer by eliminating the cause
16. List facial burns nursing assessment top priorities
a. Establish an airway
17. What is a priority patient when you are triaging
a. A patient who has chest pain
Module 4: Med Surg: 19, 32
18. Patients clinical manifestations that are at increased risk for impaired gas exchange
a. Infection, inflammation, copious secretions, cavity lesion, decrease mental status,
pulmonary edema
19. Laboratory value that identifies risk for altered transport of oxygen
a. ABG’s, hemoglobin, hematocrit
20. What happens to patients that are hyperventilating and what do you do for them
a. They will have numbness/ tingling and cramps, give them a paper bag to breath into
21. When do you use an incentive spirometer
a. When a patient is having difficulty breathing
22. What type of ABG’s does a person have if they have COPD
a. Respiratory acidosis compensated
b. Low pH high bicarb, high CO2
c. Module 5: Med Surg: 26
23. Define the sinoatrial node role in rhythm
a. Primary pacemaker of the heart and has a rate of 60 to 100 beats per minute.
24. What electrolyte imbalance leads to cardiac dysrhythmias
a. potassium
25. Top nursing process priority for assessing effective perfusion
a. Pulse, vital signs, capillary refill
26. If a patient is in ventricular tachycardia what do you do
a. Assess ABC’s then LOC
27. Different cardiac drugs and what do they do
a. Adenosine: stops the heart
b. Atropine: treats bradycardia, causes increase HR and hypotension
