Question: Patient with AV graft in left arm. Priority nursing action:

Answer Choices:\n\nprivate room with isolation place limb alert bracelet on arm N95 mask for all visitors teach about peritoneal dialysis

Answer:\nplace limb alert bracelet on arm

 

Question: Identify the following rhythm (EKG):

Answer Choices:\n\nsinus bradycardia junctional rhythm idioventricular rhythm third degree heart block

Answer:\nidioventricular rhythm

 

Question: Liver patient develops asterixis, mood changes, foul breath. Nurse should:

Answer Choices:\n\nprovide oral care contact provider draw ammonia labs assess vital signs

Answer:\ncontact provider

 

Question: Patient with renal disease is being discharged. Nurse will provide education on:

Answer Choices:\n\nsigns of a urinary tract infection foods high in protein signs of jaundice glucose monitoring

Answer:\nsigns of a urinary tract infection

 

Question: Patient with esophageal varices vomits 75 mL blood 2 hrs after balloon tamponade. Nurse would anticipate:

Answer Choices:\n\nreinsert balloon initiate heparin drip administer packed RBCs administer Epogen

Answer:\nadminister packed red blood cells

 

Question: Patient’s mouth twitches when ear is tapped. Nurse should:

Answer Choices:\n\nperform full neuro assessment draw serum potassium draw serum calcium call rapid response

Answer:\ndraw serum calcium

 

Question: Risk factors for pancreatic cancer include:

Answer Choices:\n\nalcohol and cocaine use smoking and caffeine high fat and carb diet genetics + stress

Answer:\nalcohol and cocaine use

 

Question: Nurse sees AV fistula on patient’s arm. Nurse will:

Answer Choices:\n\ndocument findings palpate for bruit palpate for thrill apply tight pressure dressing

Answer:\npalpate for thrill

 

Question: Signs or symptoms of end-stage renal disease include: (SELECT ALL THAT APPLY)

Answer Choices:\n\ndry skin diarrhea muscle flaccidity edema nausea

Answer:\ndry skin, edema, nausea

 

Question: Cirrhosis patient has endoscopy for esophageal varices. After procedure, nurse will:

Answer Choices:\n\nmedicate for pain measure abdominal girth assess for gag reflex perform fluid wave test

Answer:\nassess for gag reflex

 

Question: When receiving a renal transplant, the diseased kidneys are always removed.

Answer Choices:\n\nTrue False

Answer:\nFalse

 

Question: Whipple procedure is used for cancer of the head of the pancreas.

Answer Choices:\n\nTrue False

Answer:\nTrue

 

Question: Medical management of hepatic encephalopathy: (SELECT ALL THAT APPLY)

Answer Choices:\n\nIsoniazide Neomycin Kayexalate Lactulose Metronidazole

Answer:\nNeomycin, Lactulose, Metronidazole

 

Question: Most common cause of death in cirrhosis patients:

Answer Choices:\n\nCHF hypovolemic shock hepatic encephalopathy ruptured esophageal varices

Answer:\nruptured esophageal varices

 

Question: Identify the following rhythm (EKG):

Answer Choices:\n\nsinus bradycardia complete heart block, third degree premature atrial contractions second degree heart block, type 2

Answer:\ncomplete heart block, third degree

 

Question: Abdominal assessment reveals large distended belly. This is:

Answer Choices:\n\nAscites

Answer:\nascites, commonly associated with liver failure

 

Question: Interpret the following ABG: pH 7.27, CO₂ 20 mmHg, HCO₃⁻ 9 mEq/L

Answer Choices:\n\nrespiratory acidosis with partial compensation metabolic acidosis, partially compensated metabolic alkalosis, partially compensated respiratory alkalosis, fully compensated

Answer:\nmetabolic acidosis, partially compensated