NR 324 Comprehensive Exam with
Complete Solutions
A patient has a lower leg bone fracture. It is NOT protruding through the skin and is shattered
into multiple pieces. It is known as? - ✔✔Closed comminuted fracture of the tibia/fibula
What type of anemia results from heavy menses or chronic blood loss? - ✔✔Iron deficiency
anemia
What medications for GERD cause an increased risk of pneumonia and C. diff? - ✔✔Proton
Pump Inhibitors (PPI)
- Pantoprazole (Protonix)
- Lansoprazole (Prevaci)
Appendicitis manifests with what symptoms? - ✔✔- Peri-umbilical pain and tenderness that
migrates to the RLQ
- Fever, leukocytosis, and rebound tenderness
What blood tests are associated with HIV? - ✔✔CBC, blood cultures, CD4 (800-1200), CD4 T cell
(<200), and type/screen
Patient has an upper leg fracture protruding through the skin. It is completely severed from the
remaining part of the upper leg bone. Which type of fracture is this? - ✔✔Complete open
fracture of the femur
Which disease processes can cause anemia? - ✔✔- Chronic kidney disease
- Cancer
- Autoimmune disease
,A patient has a history of alcoholism and develops epigastric pain, nausea, and vomiting. Their
pain is an 8/10. What are some of the possible causes of this pain? - ✔✔- Liver disease
- Pancreatitis
- Gastritis
How can healthcare workers prevent the transmission of C. Diff? - ✔✔- Proper hand washing
(SOAP and water)
- Disinfecting rooms properly
What is the management of a patient with thrombocytopenia? - ✔✔Platelet transfusion
Patient has a fracture and had surgery to correct the break with rods and screws. What is this? -
✔✔ORIF - Open Reduction and Internal Fixation
What are interventions for anemia depending on what kind of anemia? - ✔✔B12, iron, blood,
and folic acid
A patient comes to the ED with acute abdominal pain. The patient has elevated LFT's and an
elevated serum lipase/amylase. What is the likely diagnosis? - ✔✔Acute pancreatitis and
probably cholecystitis
What is peritonitis? - ✔✔Inflammation in the lining of the stomach usually in response to
perforation of an abdominal organ or infection
A patient has a WBC count of 18,000 and 70% neutrophils. They are likely experiencing what? -
✔✔An acute infectious (likely bacteria) infection in the right context
A patients leg looks discolored after cast removal. What is going on? - ✔✔Compartment
syndrome
,A patient has an hemoglobin of 6.8, a HCT of 27, and MCV 58. What is the appropriate
intervention? - ✔✔A blood transfusion
What are the indications for an NG tube? - ✔✔- Suction
- Bowel obstruction decompression
- Enteral feedings
What are the causes of pancreatitis? - ✔✔- Gall stones
- Alcoholism
- Trauma
Lupus is a disease affecting what? - ✔✔Originates in the connective tissues and affects ALL
organ systems
A patient is placed in external fixation with weights. What is the purpose? - ✔✔Fracture
stabilization
- Should stay in place as long as possible unless something serious happens
When transfusing blood, what should the nurse do? - ✔✔- Give only with NS
- Verify with 2 RN's
- Monitor VS frequently
- Monitor for transfusion reactions
- Serial CBC's to show improving H&H
What drugs should be avoided in patients with ulcers? - ✔✔NSAIDs, ASA, and corticosteroids
What are elevations in lymphocytes and eosinophils caused by? - ✔✔- Lymphocytes - Viral
Illness
, - Eosinophils - Parasitic Illness, Allergic
What is the difference between osteoarthritis and rheumatoid arthritis? - ✔✔- OA -
NONinflammatory, worsens with activity, - Heberden's nodes are s/s of OA in hands
- RA - INFLAMMATORY, autoimmune, stiffness IMPROVES with movement, Swan-Neck
Deformity (SND) and Boutonniere Deformity
What type of anemia is deficiency in B12? - ✔✔Pernicious
Iron deficiency anemia is a type of which anemia? - ✔✔Microcytic
Which symptom is associated with anemia? - ✔✔Fatigue
Bleeding precautions should be implemented in which patients? - ✔✔Thrombocytopenia
Which of the following medications can EXACERBATE gastric ulcers? - ✔✔NSAIDs and
corticosteroids
Which method should NOT be used to alleviate osteoarthritis pain? - ✔✔Morphine
A patient with rheumatoid arthritis would benefit from which supplements? - ✔✔Calcium and
vitamin D
Which type of fracture is incomplete and seen in children? It is often seen splintering from one
side - ✔✔Greenstick
What is a similar, yet unrelated diagnosis to FES? - ✔✔Pulmonary embolism
Complete Solutions
A patient has a lower leg bone fracture. It is NOT protruding through the skin and is shattered
into multiple pieces. It is known as? - ✔✔Closed comminuted fracture of the tibia/fibula
What type of anemia results from heavy menses or chronic blood loss? - ✔✔Iron deficiency
anemia
What medications for GERD cause an increased risk of pneumonia and C. diff? - ✔✔Proton
Pump Inhibitors (PPI)
- Pantoprazole (Protonix)
- Lansoprazole (Prevaci)
Appendicitis manifests with what symptoms? - ✔✔- Peri-umbilical pain and tenderness that
migrates to the RLQ
- Fever, leukocytosis, and rebound tenderness
What blood tests are associated with HIV? - ✔✔CBC, blood cultures, CD4 (800-1200), CD4 T cell
(<200), and type/screen
Patient has an upper leg fracture protruding through the skin. It is completely severed from the
remaining part of the upper leg bone. Which type of fracture is this? - ✔✔Complete open
fracture of the femur
Which disease processes can cause anemia? - ✔✔- Chronic kidney disease
- Cancer
- Autoimmune disease
,A patient has a history of alcoholism and develops epigastric pain, nausea, and vomiting. Their
pain is an 8/10. What are some of the possible causes of this pain? - ✔✔- Liver disease
- Pancreatitis
- Gastritis
How can healthcare workers prevent the transmission of C. Diff? - ✔✔- Proper hand washing
(SOAP and water)
- Disinfecting rooms properly
What is the management of a patient with thrombocytopenia? - ✔✔Platelet transfusion
Patient has a fracture and had surgery to correct the break with rods and screws. What is this? -
✔✔ORIF - Open Reduction and Internal Fixation
What are interventions for anemia depending on what kind of anemia? - ✔✔B12, iron, blood,
and folic acid
A patient comes to the ED with acute abdominal pain. The patient has elevated LFT's and an
elevated serum lipase/amylase. What is the likely diagnosis? - ✔✔Acute pancreatitis and
probably cholecystitis
What is peritonitis? - ✔✔Inflammation in the lining of the stomach usually in response to
perforation of an abdominal organ or infection
A patient has a WBC count of 18,000 and 70% neutrophils. They are likely experiencing what? -
✔✔An acute infectious (likely bacteria) infection in the right context
A patients leg looks discolored after cast removal. What is going on? - ✔✔Compartment
syndrome
,A patient has an hemoglobin of 6.8, a HCT of 27, and MCV 58. What is the appropriate
intervention? - ✔✔A blood transfusion
What are the indications for an NG tube? - ✔✔- Suction
- Bowel obstruction decompression
- Enteral feedings
What are the causes of pancreatitis? - ✔✔- Gall stones
- Alcoholism
- Trauma
Lupus is a disease affecting what? - ✔✔Originates in the connective tissues and affects ALL
organ systems
A patient is placed in external fixation with weights. What is the purpose? - ✔✔Fracture
stabilization
- Should stay in place as long as possible unless something serious happens
When transfusing blood, what should the nurse do? - ✔✔- Give only with NS
- Verify with 2 RN's
- Monitor VS frequently
- Monitor for transfusion reactions
- Serial CBC's to show improving H&H
What drugs should be avoided in patients with ulcers? - ✔✔NSAIDs, ASA, and corticosteroids
What are elevations in lymphocytes and eosinophils caused by? - ✔✔- Lymphocytes - Viral
Illness
, - Eosinophils - Parasitic Illness, Allergic
What is the difference between osteoarthritis and rheumatoid arthritis? - ✔✔- OA -
NONinflammatory, worsens with activity, - Heberden's nodes are s/s of OA in hands
- RA - INFLAMMATORY, autoimmune, stiffness IMPROVES with movement, Swan-Neck
Deformity (SND) and Boutonniere Deformity
What type of anemia is deficiency in B12? - ✔✔Pernicious
Iron deficiency anemia is a type of which anemia? - ✔✔Microcytic
Which symptom is associated with anemia? - ✔✔Fatigue
Bleeding precautions should be implemented in which patients? - ✔✔Thrombocytopenia
Which of the following medications can EXACERBATE gastric ulcers? - ✔✔NSAIDs and
corticosteroids
Which method should NOT be used to alleviate osteoarthritis pain? - ✔✔Morphine
A patient with rheumatoid arthritis would benefit from which supplements? - ✔✔Calcium and
vitamin D
Which type of fracture is incomplete and seen in children? It is often seen splintering from one
side - ✔✔Greenstick
What is a similar, yet unrelated diagnosis to FES? - ✔✔Pulmonary embolism
