Question: The Whipple procedure is used to treat pancreatic head cancer.
Answer Choices:\n\n☐ True ☐ False
Answer:\n☑ True
Question: Mouth twitching when tapping in front of ear (Chvostek’s sign):
Answer Choices:\n\n☐ perform a full neurologic assessment ☐ draw labs for a serum potassium level ☐ draw labs for a serum calcium level ☐ call a rapid response
Answer:\n☑ draw labs for a serum calcium level
Question: Ascites observed during assessment is most associated with:
Answer Choices:
Answer:\nliver disease
Question: Risk factors for pancreatic cancer:
Answer Choices:\n\n☐ low BMI ☐ long-term NSAID use ☐ alcohol and cocaine use ☐ vegetarian diet
Answer:\n☑ alcohol and cocaine use
Question: Signs or symptoms of end-stage renal disease include: (SELECT ALL THAT APPLY)
Answer Choices:\n\n☐ dry skin ☐ diarrhea ☐ muscle flaccidity ☐ edema ☐ nausea
Answer:\n☑ dry skin ☑ edema ☑ nausea
Question: Most common single cause of death in patients with cirrhosis:
Answer Choices:\n\n☐ hepatic encephalopathy ☐ GI bleed ☐ liver cancer ☐ ruptured esophageal varices
Answer:\n☑ ruptured esophageal varices
Question: Nurse sees AV fistula on patient’s arm. What should they do?
Answer Choices:\n\n☐ document the findings and alert the provider ☐ palpate for bruit ☐ palpate for thrill ☐ apply a tight pressure dressing to the arm
Answer:\n☑ palpate for thrill
Question: Identify the following rhythm (EKG shown):
Answer Choices:\n\n☐ sinus bradycardia ☐ complete heart block ☐ premature atrial contractions ☐ second degree heart block, type 2
Answer:\nCannot determine without image
Question: Discharge teaching for renal disease should include:
Answer Choices:\n\n☐ signs of a urinary tract infection ☐ foods high in protein ☐ signs of jaundice ☐ glucose monitoring
Answer:\n☑ signs of a urinary tract infection
Question: Priority for a patient with an AV graft in the left arm:
Answer Choices:\n\n☐ ensure private room with contact isolation ☐ place a limb alert bracelet on the patient’s arm ☐ require N95 for all entries ☐ educate about peritoneal dialysis
Answer:\n☑ place a limb alert bracelet on the patient’s arm
Question: Interpret the ABG: pH 7.27, CO₂ 20 mm Hg, HCO₃⁻ 9 mEq/L
Answer Choices:\n\n☐ respiratory acidosis with partial compensation ☐ metabolic acidosis, partially compensated ☐ metabolic alkalosis, partially compensated ☐ respiratory alkalosis, fully compensated
Answer:\n☑ metabolic acidosis, partially compensated
Question: Identify the following rhythm (EKG shown):
Answer Choices:\n\n☐ sinus bradycardia ☐ junctional rhythm ☐ idioventricular rhythm ☐ third degree heart block
Answer:\nCannot determine without image
Question: Nursing action after endoscopy for esophageal varices:
Answer Choices:\n\n☐ medicate the patient for pain ☐ measure abdominal girth ☐ assess for gag reflex ☐ perform fluid wave test
Answer:\n☑ assess for gag reflex
Question: Vomiting blood 2 hours after balloon tamponade for esophageal varices:
Answer Choices:\n\n☐ reinserting the balloon catheter ☐ initiating a heparin drip ☐ preparing to administer packed red blood cells ☐ administering Epogen
Answer:\n☑ preparing to administer packed red blood cells
Question: When receiving a renal transplant, the diseased kidneys are always removed.
Answer Choices:\n\n☐ True ☐ False
Answer:\n☑ False
Question: Medications for hepatic encephalopathy (SELECT ALL THAT APPLY):
Answer Choices:\n\n☐ Isoniazid ☑ Neomycin ☐ Kayexalate ☑ Lactulose ☑ Metronidazole
Answer:\n☑ Neomycin ☑ Lactulose ☑ Metronidazole
Question: Signs of hepatic encephalopathy observed. First action:
Answer Choices:\n\n☐ perform a neuro assessment ☐ start lactulose ☐ contact the provider ☐ administer glucose
Answer:\n☑ contact the provider