PSYCHOTIC DISORDERS
A nurse is assessing a client who is receiving treatment with multiple antipsychotic
medications who suddenly became ill. Findings include unstable blood pressure,
fever, and diaphoresis. The nurse recognizes that which of the following adverse
effects may be occurring?
A. Tardive dyskinesia
B. Neuroleptic malignant syndrome
C. Acute dystonia
D. Pseudoparkinsonism
Give this one a try later!
B. Neuroleptic malignant syndrome
Rationale: these symptoms are consistent with NMS.
,DIABETES MELLITUS
Five components of diabetes management
Give this one a try later!
• nutritional therapy
• exercise
• monitoring
• pharmacologic therapy
• education
PAD/PVD
Which intervention should the RN delegate to an LPN when providing care to a
patient with venous thromboembolism?
A. Monitoring for adverse effects of anticoagulant use
B. Administering prescribed subcutaneous anticoagulants
C. Providing instructions about the use of pressure to stop bleeding
D. Teaching about the use of compression stockings during a hospital discharge
Give this one a try later!
B. Administering prescribed subcutaneous anticoagulants
Rationale: the LPN can administer prescribed subcutaneous anticoagulant
to the patient because it is within the scope of his or her profession. The
RN, not the LPN, should monitor for adverse effects of anticoagulant use,
provide instructions to the patient about the use of pressure to stop
bleeding, and teach the patient about the use of elastic compression
stockings during a hospital discharge.
,CAD, HYPERTENSION ᴬᴺᴰ HYPOVOLEMIC SHOCK
What is the following sequence of events for a client with an initial blood pressure
reading of 160/90?
A. Contact provider
B. Conduct a focal exam
C. Obtain EKG, check for microalbuminuria
D. Check manual blood pressure in both arms
Give this one a try later!
D. Check manual blood pressure in both arms
B. Conduct a focal exam
A. Contact provider
C. Obtain EKG, check for microalbuminuria
LAB VALUES
PaO2
Give this one a try later!
80-100mmHg
• indicates poor oxygenation in arterial blood
Measurement of amount of O2 dissolved in blood, and how well O2 can
enter the blood from the lungs to maintain a normal pH.
PSYCHOTIC DISORDERS
, A nurse is assessing a client who has schizophrenia and is being treated with
fluphenazine for many years. Which of the following should the nurse document as
manifestations of tardive dyskinesia?
A. Shuffling gait
B. Constant tapping of feel while sitting
C. Sudden onset of high fever
D. Twisting tongue movements
Give this one a try later!
D. Twisting tongue movements
Rationale: Tardive dyskinesia involves uncontrollable movements of the
tongue, lips, and jaw. A shuffling gait would indicate pseudo parkinsonism.
The constant tapping of feet indicates akathisia. Sudden onset of high fever
might indicate neuroleptic malignant syndrome.
DIABETES MELLITUS
TIID insulin regimen
Give this one a try later!
People with type 2 diabetes may also need up to 4 injections per day to
adequately maintain their blood glucose levels. Insulin pumps also can be
used for patients with type 2 diabetes.
MOOD DISORDERS
Which of the following nursing interventions are considered therapeutic for a client
with bipolar disorder who is experiencing a manic episode? SELECT ALL THAT APPLY.
A nurse is assessing a client who is receiving treatment with multiple antipsychotic
medications who suddenly became ill. Findings include unstable blood pressure,
fever, and diaphoresis. The nurse recognizes that which of the following adverse
effects may be occurring?
A. Tardive dyskinesia
B. Neuroleptic malignant syndrome
C. Acute dystonia
D. Pseudoparkinsonism
Give this one a try later!
B. Neuroleptic malignant syndrome
Rationale: these symptoms are consistent with NMS.
,DIABETES MELLITUS
Five components of diabetes management
Give this one a try later!
• nutritional therapy
• exercise
• monitoring
• pharmacologic therapy
• education
PAD/PVD
Which intervention should the RN delegate to an LPN when providing care to a
patient with venous thromboembolism?
A. Monitoring for adverse effects of anticoagulant use
B. Administering prescribed subcutaneous anticoagulants
C. Providing instructions about the use of pressure to stop bleeding
D. Teaching about the use of compression stockings during a hospital discharge
Give this one a try later!
B. Administering prescribed subcutaneous anticoagulants
Rationale: the LPN can administer prescribed subcutaneous anticoagulant
to the patient because it is within the scope of his or her profession. The
RN, not the LPN, should monitor for adverse effects of anticoagulant use,
provide instructions to the patient about the use of pressure to stop
bleeding, and teach the patient about the use of elastic compression
stockings during a hospital discharge.
,CAD, HYPERTENSION ᴬᴺᴰ HYPOVOLEMIC SHOCK
What is the following sequence of events for a client with an initial blood pressure
reading of 160/90?
A. Contact provider
B. Conduct a focal exam
C. Obtain EKG, check for microalbuminuria
D. Check manual blood pressure in both arms
Give this one a try later!
D. Check manual blood pressure in both arms
B. Conduct a focal exam
A. Contact provider
C. Obtain EKG, check for microalbuminuria
LAB VALUES
PaO2
Give this one a try later!
80-100mmHg
• indicates poor oxygenation in arterial blood
Measurement of amount of O2 dissolved in blood, and how well O2 can
enter the blood from the lungs to maintain a normal pH.
PSYCHOTIC DISORDERS
, A nurse is assessing a client who has schizophrenia and is being treated with
fluphenazine for many years. Which of the following should the nurse document as
manifestations of tardive dyskinesia?
A. Shuffling gait
B. Constant tapping of feel while sitting
C. Sudden onset of high fever
D. Twisting tongue movements
Give this one a try later!
D. Twisting tongue movements
Rationale: Tardive dyskinesia involves uncontrollable movements of the
tongue, lips, and jaw. A shuffling gait would indicate pseudo parkinsonism.
The constant tapping of feet indicates akathisia. Sudden onset of high fever
might indicate neuroleptic malignant syndrome.
DIABETES MELLITUS
TIID insulin regimen
Give this one a try later!
People with type 2 diabetes may also need up to 4 injections per day to
adequately maintain their blood glucose levels. Insulin pumps also can be
used for patients with type 2 diabetes.
MOOD DISORDERS
Which of the following nursing interventions are considered therapeutic for a client
with bipolar disorder who is experiencing a manic episode? SELECT ALL THAT APPLY.
