Download HONDROS NUR 176 ACTUAL FINAL EXAM 2025 SUMMER –FALL ALL 3 VERSIONS GRADED A (ORIGINAL PDF) and more Exams Nursing in PDF only on Docsity!
HONDROS NUR 176 ACTUAL FINAL EXAM 2025
SUMMER – FALL ALL 3 VERSIONS GRADED A
(ORIGINAL PDF)
The nurse is assisting in implementing care plan for a patient with dementia. Which interventions would you expect to see? (SATA) Keep a large clock and calendar in view, reduce distractions during meal times, reduce exposure to over-stimulating situations, and monitor weight regularly for changes. Nurse is caring for a patient with type 1 diabetes. Which indicates need for further assessment? "My dad and his dad had pancreatic cancer" Which of the following indicates that teaching on meningitis is understood? (SATA) It is important that we vaccinate our son at the proper times, meningitis is contagious if exposed to the bodily fluids from another infected child, and if our child contracts bacterial meningitis, he will need antibiotic treatment immediately. The nurse is caring for a patient with alzheimer's who is stumbling in the hall frequently. The nurse will do which of the following to protect the client? (SATA) Offer social or physical activity to promote safety, encourage staff or family supervision for safety, and maintain a cal environment for the patient.
The LPN is preparing to DC a patient with Type 1 Diabetes. What teaching should the LPN provide? (SATA) Effects of illness and stress on the glucose level, S&S of hypoglycemia, and effects of exercise on the glucose level The nurse is caring for a patient with type II diabetes. What statement requires further teaching by the nurse? (SATA) "I am having difficulty with my wife in bed", "My wife and I love to walk barefoot in the sand", and "My heart Dr. put me on a new pill". Your patient is experiencing a new onset myoclonic (muscle-jerking) seizures. The nurse knows which one of the following statements are true about the seizure characteristics? Sudden excessive jerking of the body or extremities. Nurse is caring for a patient with diabetes who is concerned about developing long-term complications. Which interventions would the nurse assist the patient with for this? (SATA) Daily foot exams, annual renal function tests, and maintain LDL under 150mg/dL The nurse is caring for a patient with type II Diabetes. Which statement would indicate a need for further assessment by the nurse? (SATA)
Lasix (furosemide) Diuretic (loop) Lowers glucose level, electrolyte depletion (check K+ and Na) FVD can occur monitor edema check daily weights. coumadin (warfin) anticoagulant interferes with clotting synthesis of vit K. Hemorrhage monitor check blood in stool avoid otc meds. Use electric razor. Watch for cuts use soft tooth brush daily PTT and INR labs Metoprolol (lopressor) Beta blocker. HTN CHF and MI blocks beta 2 watch for respiratory depression and not given to asthmatics. Lowers BP. monitor glucose I/O and heart rate. Don't administrator if HR is below 60 Kayexalate (sodium polystrene sulfonate) treatment for HyperKalemia gonna be pooping a lot! monitor electrolytes and interactions with warfin K-exit incomplete emptying of the bladder may result in possibility of UTI
hemodialysis
- requires venous access (A-V shunt, fistula, or graft)
- treatment is 3 to 8 hours in length 3 times a week
- correction of fluid and electrolyte imbalance is rapid
- does not result in protein loss
- inconvenient for home use
- monitor site for thrill and bruit
- heparinization is required Peritoneal dialysis
- surgical placement of abdominal catheter is required
- slow process
- easy to use at home
- potential for infection oliguric 100 to 400 ml day anuric
Administer separately in two different syringes. Patient is suspected of having meningitis. What interventions should the nurse implement? Respiratory isolation until 24 hours of effected IV antibody therapy. Diabetic patient with MRSA. Which statement demonstrates understanding of insulin administration? I will administer my Novolog 2 units as prescribed. Discharge instructions for a patient taking Lovenox. What side effect will he report to Dr. immediately? Dark, loose stools The nurse is administering Decadron 60 mg PO to a patient admitted for cerebral edema. What should the nurse monitor for this patient? Daily weights Nurse is caring for patient with Type II Diabetes prescribed prednisone (Deltasone for bronchitis. What is the included teaching? Increase insulin per sliding scale due to effect of hyperglycemia.
Nurse teaching patient with newly dx diabetes on how to prevent lipodystrophy. Which indicates understanding of proper prevention? I will rotate my injection sites. Nurse is caring for patient with Type I diabetes with complaints of feeling bloated, constipated, and full after only eating 1/3 of meals. Which assessment data should the nurse be monitoring? Blood glucose levels after meals Diabetic Type II in the ER lethargic and responding only to pain. What should the nurse do next? Give glucagon gel between cheeks and gums. Nurse is caring for a patient in the ER who has rapid onset tachycardia, restlessness, polyphasia, and a 10 lb weight loss in the last month. Labs are glucose-472, LDL 200, and GAD positive. What intervention should nurse plan to do? Inject insulin Newly dx pt. with diabetes instructed to obtain glucagon for emergency home use. He asks what the purpose is. Nurse's response should be?
Check for spontaneous eye opening. LPN caring for patient 1 day following a bariatric stomach surgery. What information should be included in the education? May need B12 injections for life LPN is caring for patient with pernicious anemia. Which symptom needs reporting the the RN? Dyspnea Caring for patient with sickle cell anemia. Which statement indicates need for further teaching? I will need to take B12 injections for the rest of my life. Caring for patient with DIC. Which statement needs addressed immediately? Pulmonary edema Caring for patient after angiogram. What intervention should the nurse implement? Increase fluids to flush the contrast
Caring for patient who is recovering from a routine colonoscopy. Abnormal distention and bleeding. What is a potential complication? Perforation LPN is monitoring a patient who is receiving hemodialysis. What is the nurse's priority assessment? Blood pressure Caring for a 64 year old patient who has undergone cardiac catheterization. To predict and manage potential complications, the nurse will implement this for safety. Check the vital signs and the puncture site for bleeding LPN is taking care of a patient dx with chest pain, rule out MI, and is scheduled for a PTCA. Which statement indicates need for further teaching? During the procedure, I will be unconscious. LPN is working nights on a med-surg uni. Patient complains of chest pain. Which statement indicates need for immediate interventions? It feels like a heavy pressure in the center of my chest.
Patient newly dx with heart failure prescribed digoxin. Which statement by the LPN indicates understanding of how to administer the medication? If the heart rate is below 60, hold the dose and inform the Dr. Patient at ER for dyspnea, BP 200/130, blurred vision, and severe HA. Has hypertension and high cholesterol. LPN suspects which condition? Malignant Hypertension Newly dx patient with Hypertension asks the LPN what they need to do to improve their bp readings. What is the nurse's response? Do aerobic exercises 3-4X a week. The LPN is admitting a patient to the ER who reports substernal crushing chest pain that radiated down the left arm. What will nurse implement to predict and manage potential complications? Place the patient on a heart monitor Caring for patient scheduled for endoscopic procedure. Which statement by pt. indicates need for further teaching? I won't eat before the procedure but I can have fluids to drink immediately after it is done.
What is the purpose of continuous bladder irrigation after TURP? Prevent blood clots from forming Caring for patient with severe anemia. Which lab could help find the cause of the anemia? Hemoccult LPN caring for patient with anemia. What assessment and interventions should be taught to patient? (SATA) Alternate periods of rest and activity, monitor urine and stool for bleeding, assess for jaundice and pallor Which tasks can be delegated to the UAP (SATA) Assist patient to dining room, Empty foley cath and record amount, blood sugar testing (fingerstick) Caring for patient who reports cool feet, shiny shins, and pain in lower legs when walking. What assessment data should the LPN collect? (SATA) Do you monitor your BP, do you have diabetes, does the pain go away when you sit down, and are you a smoker?
Which finding by the LPN is part of the normal aging process? (SATA) Urinary frequency, urinary urgency, and nocturia. The LPN would report which lab results to the RN? (SATA) Creatinine of 2.1, Uring with +2 protein, urine positive for bacteria, and INR of 3. What is a non-modifiable risk factor for cardiac disease? Age Which disease is caused by impaired b-12 absorption due to the intrinsic factor? Pernicious anemia What is the most used test for DVT? Venous Doppler Ferrous sulfate has what types of side effects? black stool, staining of teeth, constipation
Peripheral edema and distended neck veins are signs of what? RIGHT sided heart failure What disease has no cure and tx is mostly palliative care and focus on the prevention of complications? Sickle-cell anemia What is the most non-invasive way to test for heart failure? Echocardiogram What is used to help enhance Fe absorption? Vitamin-C Severe dyspnea, tachycardia, and audible wheezing are S&S of what? Pulmonary edema What is heart failure defined as?
In this phase of acute renal failure, urinary output is less than 400 ml in 24 hours. Oliguric Phase In this phase of acute renal failure, urinary output can be 1-2L in 24 hours. Diuretic Phase What are the common signs of end-stage renal disease? Lethargy, anorexia, pruritus, anuria muscle cramps, dusky yellow/tan or gray skin color, and anemia What non-invasive procedure can you use to check post-void residual a patient? Bladder scan What test do we use to examine the esophagus, stomach, and duodenum? EGD This is a genetic disorder that most commonly affects the small intestine and is considered an autoimmune disease that disrupts the absorption of nutrients from foods in response to the ingestion of gluten Celiac Sprue
The nurse knows further education is needed when patient states what? My body will build immunity to shingles since I have had chicken pox Patient with herpes, what is your intervention? Aseptic cleaning to prevent secondary infections. Which statement indicates need for further teaching when it comes to impetigo? I won't infect others when my sores are closed What are some side effects of Vancomycin? Red neck, rash What type of treatment would we offer for someone with Tennipedis? Anti-fungal What is the technical name for hives?
