FINAL EXAM QUESTIONS WITH
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1. The nurse is teaching a class regarding reduction of risk factors for
cardiovascular disease. Which teaching statement will the nurse include? Select all
that apply.
A. "If you tend to get angry easily, then your risk for heart disease is higher."
B. "To reduce your overall risk, it is important to keep your BMI greater than 30."
C. "Do not eat more calories on a daily basis that you are able to burn."
D. "Decreasing the amount that you smoke will decrease your overall
cardiovascular risk."
E. "Secondhand smoke creates a significant risk to others for cardiovascular
disease."
F. "Exercise moderately at least 2 days per week for a total of 150 minutes." -
ANSWER ✔ A, C, E, F
2. The nurse is assessing the client's heart sounds. Which instruction will the nurse
provide if there is difficulty in hearing heart sounds?
A. "Please roll onto your left side."
B. "Lay all the way down on your back."
C. "Please hold your breath while I use my stethoscope."
D. "I will just take your pulse instead." - ANSWER ✔ A
3. Which statement made by the client on the way to the catheterization laboratory
requires an immediate action by the nurse?
,A. "My allergies are bothering me, so I took some Benadryl last night before bed."
B. "I was nervous last night, but I still remembered to take my warfarin."
C. "I sure am hungry. I haven't had anything to eat since I went to bed last night."
D. "I don't know what I will do if they find a blockage in my heart." - ANSWER ✔
B
4. What population is at high risk of hyptertension - ANSWER ✔ African
Americans
5.What diuretic causes decreased libido and should be used in caution with DM
patients and hyponatremic patients - ANSWER ✔ Thiazide diuretics
6. T/F spironolactone is a potassium waster - ANSWER ✔ False
potassium sparing
7. T/F the heart needs the diuretic and the kidneys don't want the diuretic -
ANSWER ✔ true
(kidney failure with thiazide and loop)
8. education for ACE inhibitor - ANSWER ✔ orthostatic hypotension- get out of
bed slowly
9. The nurse is caring for a diabetic client who will be discharged on
hydrochlorothiazide (HCTZ). What information will the nurse include in the
discharge teaching? Select all that apply.
A. "This drug may cause a dry, nagging cough."
B. "Take this drug with a snack, right before bed."
C. "Try to increase your intake of potassium in your diet."
D. "This drug can affect your glucose control."
E. "Increased urination is expected with this drug. - ANSWER ✔ C,D,E
10. Nursing intervention for hypertensive crisis - ANSWER ✔ -semi fowlers
-O2
-meds (beta blocker or nicardipine)
-monitor BP every 5-15 mins until diastolic under 90 then every 30 mins
-monitor for neuro or cadio complications
,11. What to do in a patient with atherosclerosis with no palpable pulse? -
ANSWER ✔ -use doppler if not audible immediately report to provider
12.Uterine Leiomyoma s/s - ANSWER ✔ heavy vaginal bleeding, feeling of pelvic
pressure, constipation and urinary frequency or retention, possible abdominal,
dyspareunia, infertility
13. Cervical Cancer pt. teaching post-op ablation - ANSWER ✔ laser ablation-
removal of lesion. Report fever, heavy bleeding, smelly discharge, Vaginal
discharge is normal. Take showers not baths, avoid heavy lifting, douches,
tampons, penetration
14. Vaccine for HPV - ANSWER ✔ Between 9 and 26 years old, before first
sexual contact. Gardasil and Cervarix
15. Vulvovaginitis Pt. Teaching - ANSWER ✔ Inflammation of lower genital tract
resulting from disturbance of the balance of hormones and flora in vagina and
vulva. Characterized by itching, change in discharge, odor or lesions.
16. Toxic Shock Usually results from - ANSWER ✔ menstruation, tampon use,
gynecological surgical wound infection, use of internal contraceptives
17. Toxic Shock Syndrome S/S - ANSWER ✔ Fever, sore throat, hypotension,
edema, sunburn like rash, N/V, diarrhea, myalgia
18. Toxic Shock Prevention - ANSWER ✔ Wash hands before inserting tampon,
change tampon every 3-6 hours, do not use superabsorband tampons, use perineal
pads instead of tampons at night, notifiy provider with fever, vomiting, diarrhea
19. Prostate Cancer Pt teaching about screening - ANSWER ✔ begin at age 40 for
high risk individuals, protein specific antigen, early prostate cancer antigen, digital
rectal exam, learning, on side, or lithotomy position, transrectal ultrasound, may
need enema prior, place in left side lying position
20. S/S of metastasis - ANSWER ✔ elevated serum acid phosphatase, elevate
serum alkaline phosphatase in bone metastize, severe bone pain and swolling
lymph nodes, weight loss
, 21. Early signs of metastasis - ANSWER ✔ Elevates serum acid phosphatase,
elevate serum alkaline phosphatase in bone metastize, severe bone pain and
swollen lymph nodes, weight loss
22. Early signs of metastasis - ANSWER ✔ difficulty starting urine, frequent
bladder infections, urinary retention
23. Late signs of metastasis - ANSWER ✔ Hematuria, bone pain
24. Pt. Teaching for radical prostatectomy - ANSWER ✔ teach catheter care,
report signs of infection, assess input and output, avoid heavy lifting, strenuous
activity, and straining on toilet, no baths for 2-3 weeks, ambulate next day, avoid
rectal procedures, avoid suppository and enemas, teach pt how to use lef bag, teach
kegel exercises
25. BPS S/S - ANSWER ✔ incomplete emptying, frequency, intermittency,
urgency, weak strean, straining, nocturia, hematuria, irritability, depression,
anxiety, social isolation, decreased libido
26. BPH Meds - ANSWER ✔ 5-alpha reductase inhibitors, finasteride, dutasteride,
reduces size of prostate, tamsulosin
27. Urolithiasis s/s - ANSWER ✔ nausea, vomiting, flank pain, diaphoresis, fever,
hypotension, tachycardia
28. TURP Post op care - ANSWER ✔ 3-way catheter used to irrigate bladder and
drain use, increase fluids, monitor for signs of bleeding, ambulate asap to prevent
DVT, initial voiding may contain blood and clots, avoid NSAIDs, avoid lifting,
straining and sex for 2-6 weeks, instruct pt to resist urge to void around catheter
29. Pt teaching about sperm banking - ANSWER ✔ Do it asap, collection should
not be done after radiation, chemo or lymph node dissection, can last for 10 years,
talk to insurance companies for pricing
30. Organic causes of erectile dysfunction - ANSWER ✔ gradual deterioration,
inflammation of prostate, urethra, seminal vasicles, surgical procedures,
hypertension, diabetes, smoking, alcohol, pelvic injuries, neurologic conditions