PN-1 Final Exam Questions and Answers,.docx

PN-1 Final Exam Questions and Answers,
Case Study . C C




1. What key nursing diagnoses preoperatively would the nurse include for this client:
C C C C C C C C C C C C




A. Pain related to surgery.
C C C C




B. Altered body image.
C C C




C. Cardiac output drop.
C C C




D. All of the above.
C C C C




2. Clients who have experienced an amputation of a limb experience phantom pain. This can be
C C C C C C C C C C C C C C C


described in the following way:
C C C C C




A. Burning, throbbing, itching sensation in the existing limb.
C C C C C C C C




B. It is in the client's mind as they remember their limb.
C C C C C C C C C C C




C. It is a temporary discomfort and does not require intervention.
C C C C C C C C C C




D. It happens only immediately after surgery. - ANS >> C. Cardiac output drop.
C C C C C C C C C C C C C




C. It is a temporary discomfort and does not require intervention.
C C C C C C C C C C




Case Study #2 C C




An older gentleman is admitted to the hospital in complete collapse. His blood pH is 7.6 Medical
C C C C C C C C C C C C C C C C


history reveals that this client is a chronic alcoholic.
C C C C C C C C C




Questions 3 - 4 refer to this case study. C C C C C C C C




3. What diagnosis would you give this gentleman?
C C C C C C C




A. Metabolic acidosis
C C




B. Metabolic alkalosis
C C




C. Respiratory acidosis
C C

,D. Respiratory alkalosis
C C




4. Clients with chronic alcohol dependency may have which of the following electrolyte and acid-base
C C C C C C C C C C C C C C


balancers?
C




A. Decreased in potassium.
C C C




B. Did you sign the student handbook?
C C C C C C




C. Increased potassium.
C C




D. Decreased calcium. - ANS >> C. Respiratory acidosis
C C C C C C C C




C. Increased potassium.
C C




Case Study # 3
C C C




Mrs. Duncan is a 36-year-old woman who burned her hand in steam in a cooking accident. She has
C C C C C C C C C C C C C C C C C


been told by her physician that her hand will take less than 3 weeks to heal.
C C C C C C C C C C C C C C C C




Questions 5 - 7 refer to this case study.
C C C C C C C C




5. What depth of burn does Mrs. Duncan likely have?
C C C C C C C C C




A. Full thickness fourth degree
C C C C




B. Superficial partial-thickness
C C




C. Deep full thickness
C C C




D. Deep partial-thickness
C C




6. Mrs. Duncan's burn area is a possible site for because of the injury depth.
C C C C C C C C C C C C C C




A. Pain
C




B. Scarring
C




C. Hyperpigmentation
C

, D. All of the above
C C C C




7. Because Mrs. Duncan's burn covers only a small area of the body surface, it will probably not lead
C C C C C C C C C C C C C C C C C C


to the same serious complication of extensive burns, which is:
C C C C C C C C C C




A. Pain
C




B. Scarring
C




C. Hyperthermia
C




D. Hypovolemia - ANS >> B. Superficial partial-thickness
C C C C C C C




C. Hyperpigmentation
C




C. Hyperthermia
C




Case Study # 4
C C C




Judy is a 62-year-old smoker. Her physician has diagnosed her with emphysema which has caused her
C C C C C C C C C C C C C C C


Cto hyperventilate. She is tired and sedentary.
C C C C C C




Questions 8 - 9 refer to this case study.
C C C C C C C C




8. Besides having difficulty breathing, what other condition is Judy likely to experience?
C C C C C C C C C C C C




A. Metabolic acidosis
C C




B. Metabolic alkalosis
C C




C. Respiratory acidosis
C C




D. Respiratory alkalosis
C C




9. What breathing techniques would the PN advise Judy to help resolve this condition?
C C C C C C C C C C C C C




A. Shallow breathing.
C C




B. Deep breathing.
C C