NUR 242 FINAL EXAM REVIEW QUESTIONS
WITH CORRECT DETAILED ANSWERS
A client with a history of cardiovascular disease has been taking aspirin
for three months. Which of the following findings would indicate an
adverse effect? - correct answer- Petechiae (pinpoint, round spots
on the skin).
ABGs: - correct answer-
Acute Cholelithiasis - correct answer- epigastric pain that radiates to
scapula 2-4 hours after eating
Acute ischemic stroke with facial drop and hemiparesis - correct
answer- -Prevent aspiration: do not give water
-ST to eval
-Thickened liquids
Acute Pyelonephritis Complications - correct answer- -Chronic
kidney disease
-Renal failure
Age-related macular degeneration - correct answer- decline in
central vision
,Airborne Precautions: - correct answer- -Private room with negative
airflow
-Keep door closed
-N95 respirator
*Pt wear surgical mask when leaving room for labs/procedure*
Altered mental status - correct answer- Causes:
-Dehydration
-UTI
-Medications
-Abnormal lab values
-disease progression
Assign to room close to nurses station
Amputation - correct answer- DO NOT elevate on pillow
-24-48 hrs place pt in prone to stretch out muscles and prevent hip
flexion contractures
Anterior cervical diskectomy - correct answer- assess ability to
swallow
,Aortic - correct answer- 2nd intercostal space, RSB
Appendicitis - correct answer- -Abdominal pain that increases with
cough
-Relieved by bending right hip or knees
-Medical emergency
aPTT - correct answer- call MD if >70 seconds
-Normal is 30-40
ARBs - correct answer- given when pt gets "ACE cough"
Asthma - correct answer- -Use of accessory muscles
-for exercise induced, use bronchodilator 30 minutes before to prevent
bronchospasm
-Sudden stop of wheezing
Asthma teaching - correct answer- Inhaler:
-Shake canister
-deliver 1 puff, hold for 10 seconds
-Wait 1 minute then repeat
, -Rinse with warm water
At risk for falls due to: - correct answer- incontenience
Bladder cancer risk factors: - correct answer- -Exposure to toxins
-Tobacco
-Long term use of cyclophosphamide (cytoxan, procytox)
Blood Products: - correct answer-
BPH Complications: - correct answer- -Urinary retention
-UTI
-Bladder stones
-Kidney damage
Brachioradialis reflex - correct answer- -Supinator reflex is tested by
striking the lower end of the radius just above the wrist with a tendon
hammer
-Normally causes contraction of the brachioradialis and hence flexion of
the elbow
Bradycardia - correct answer- Atropine is given
WITH CORRECT DETAILED ANSWERS
A client with a history of cardiovascular disease has been taking aspirin
for three months. Which of the following findings would indicate an
adverse effect? - correct answer- Petechiae (pinpoint, round spots
on the skin).
ABGs: - correct answer-
Acute Cholelithiasis - correct answer- epigastric pain that radiates to
scapula 2-4 hours after eating
Acute ischemic stroke with facial drop and hemiparesis - correct
answer- -Prevent aspiration: do not give water
-ST to eval
-Thickened liquids
Acute Pyelonephritis Complications - correct answer- -Chronic
kidney disease
-Renal failure
Age-related macular degeneration - correct answer- decline in
central vision
,Airborne Precautions: - correct answer- -Private room with negative
airflow
-Keep door closed
-N95 respirator
*Pt wear surgical mask when leaving room for labs/procedure*
Altered mental status - correct answer- Causes:
-Dehydration
-UTI
-Medications
-Abnormal lab values
-disease progression
Assign to room close to nurses station
Amputation - correct answer- DO NOT elevate on pillow
-24-48 hrs place pt in prone to stretch out muscles and prevent hip
flexion contractures
Anterior cervical diskectomy - correct answer- assess ability to
swallow
,Aortic - correct answer- 2nd intercostal space, RSB
Appendicitis - correct answer- -Abdominal pain that increases with
cough
-Relieved by bending right hip or knees
-Medical emergency
aPTT - correct answer- call MD if >70 seconds
-Normal is 30-40
ARBs - correct answer- given when pt gets "ACE cough"
Asthma - correct answer- -Use of accessory muscles
-for exercise induced, use bronchodilator 30 minutes before to prevent
bronchospasm
-Sudden stop of wheezing
Asthma teaching - correct answer- Inhaler:
-Shake canister
-deliver 1 puff, hold for 10 seconds
-Wait 1 minute then repeat
, -Rinse with warm water
At risk for falls due to: - correct answer- incontenience
Bladder cancer risk factors: - correct answer- -Exposure to toxins
-Tobacco
-Long term use of cyclophosphamide (cytoxan, procytox)
Blood Products: - correct answer-
BPH Complications: - correct answer- -Urinary retention
-UTI
-Bladder stones
-Kidney damage
Brachioradialis reflex - correct answer- -Supinator reflex is tested by
striking the lower end of the radius just above the wrist with a tendon
hammer
-Normally causes contraction of the brachioradialis and hence flexion of
the elbow
Bradycardia - correct answer- Atropine is given
