HCAL 2 Exam 3
When reviewing the chart of an infant w/ Tetralogy of Fallot, the nurse should anticipate which
laboratory finding?
Polycythemia
Increased WBC
Anemia
Decreased hematocrit - Answer-polycythemia
The nurse is instructing an older adult patient about atorvastatin to treat elevated cholesterol. Which
side effects should the nurse advise the patient to report to the healthcare provider?
SOB and coughing
Bruising and excessive bleeding
Headaches and nausea
Muscle pain and weakness - Answer-muscle pain and weakness
The nurse is instructing the parents of a 2 month old with congenital heart disease how to administer
digoxin to the infant at home. Which statement reflects accurate knowledge on the nurse's part? (SATA)
,"In case the baby spits up, give the digoxin 1 hour before or 2 hours after feeding to avoid the dose
being lost"
"Always use the same measuring device each time so the dose given remains consistent"
"Do not change the amount or timing of the dose without specific instructions from your pediatrician"
"Take the apical pulse before giving the drug, do not give the drug if the pulse is below 80 bpm" -
Answer-"Always use the same measuring device each time so the dose given remains consistent"
"Do not change the amount or timing of the dose without specific instructions from your pediatrician"
"Take the apical pulse before giving the drug, do not give the drug if the pulse is below 80 bpm"
The patient is brought to the ER after a motor vehicle accident. The patient is diagnosed with internal
bleeding. The nurse's primary concern is to monitor for
Pain
Perfusion
Reaction to medications
Mental alertness - Answer-Perfusion
Which information will the nurse include in the asthma teaching plan for a patient being discharged?
tremors are an expected side effect of rapidly acting bronchodilators
hold your breath for 25 seconds after using the bronchodilators
use the inhaled corticosteroid when shortness of breath occurs
inhale slowly and deeply when using the dry powder inhaler (DPI) - Answer-tremors are an expected
side effect of rapidly acting bronchodilators
after a child returns from the cardiac catheterization lab, the nurse should monitor for possible bleeding
and vital signs, with special emphasis on:
, blood pressure
temperature
respirations
pulse - Answer-pulse
Put the following in order:
Exhale slowly & fully
firmly insert a charged metered-dose inhaler canister into the spacer
press and hold the canister down while inhaling deeply and slowly
hold breath for 10 seconds, remove spacer from mouth & exhale - Answer-(1)firmly insert a charged
metered-dose inhaler canister into the spacer
(2) exhale slowly & fully
(3) press and hold the canister down while inhaling deeply and slowly
(4) hold breath for 10 seconds, remove spacer from mouth & exhale
the nurse is caring for a spanish speaking patient admitted for exacerbation of COPD. the patient speaks
very little english and is a smoker. which action would be most beneficial for this patient?
have the adult child of the patient translate during the assessment process
obtain educational materials about smoking cessation written in spanish
encourage aerobic activity
encourage the patient to write down questions prior to seeing the HCP - Answer-obtain educational
materials about smoking cessation written in spanish
When reviewing the chart of an infant w/ Tetralogy of Fallot, the nurse should anticipate which
laboratory finding?
Polycythemia
Increased WBC
Anemia
Decreased hematocrit - Answer-polycythemia
The nurse is instructing an older adult patient about atorvastatin to treat elevated cholesterol. Which
side effects should the nurse advise the patient to report to the healthcare provider?
SOB and coughing
Bruising and excessive bleeding
Headaches and nausea
Muscle pain and weakness - Answer-muscle pain and weakness
The nurse is instructing the parents of a 2 month old with congenital heart disease how to administer
digoxin to the infant at home. Which statement reflects accurate knowledge on the nurse's part? (SATA)
,"In case the baby spits up, give the digoxin 1 hour before or 2 hours after feeding to avoid the dose
being lost"
"Always use the same measuring device each time so the dose given remains consistent"
"Do not change the amount or timing of the dose without specific instructions from your pediatrician"
"Take the apical pulse before giving the drug, do not give the drug if the pulse is below 80 bpm" -
Answer-"Always use the same measuring device each time so the dose given remains consistent"
"Do not change the amount or timing of the dose without specific instructions from your pediatrician"
"Take the apical pulse before giving the drug, do not give the drug if the pulse is below 80 bpm"
The patient is brought to the ER after a motor vehicle accident. The patient is diagnosed with internal
bleeding. The nurse's primary concern is to monitor for
Pain
Perfusion
Reaction to medications
Mental alertness - Answer-Perfusion
Which information will the nurse include in the asthma teaching plan for a patient being discharged?
tremors are an expected side effect of rapidly acting bronchodilators
hold your breath for 25 seconds after using the bronchodilators
use the inhaled corticosteroid when shortness of breath occurs
inhale slowly and deeply when using the dry powder inhaler (DPI) - Answer-tremors are an expected
side effect of rapidly acting bronchodilators
after a child returns from the cardiac catheterization lab, the nurse should monitor for possible bleeding
and vital signs, with special emphasis on:
, blood pressure
temperature
respirations
pulse - Answer-pulse
Put the following in order:
Exhale slowly & fully
firmly insert a charged metered-dose inhaler canister into the spacer
press and hold the canister down while inhaling deeply and slowly
hold breath for 10 seconds, remove spacer from mouth & exhale - Answer-(1)firmly insert a charged
metered-dose inhaler canister into the spacer
(2) exhale slowly & fully
(3) press and hold the canister down while inhaling deeply and slowly
(4) hold breath for 10 seconds, remove spacer from mouth & exhale
the nurse is caring for a spanish speaking patient admitted for exacerbation of COPD. the patient speaks
very little english and is a smoker. which action would be most beneficial for this patient?
have the adult child of the patient translate during the assessment process
obtain educational materials about smoking cessation written in spanish
encourage aerobic activity
encourage the patient to write down questions prior to seeing the HCP - Answer-obtain educational
materials about smoking cessation written in spanish
