1. Essential to ask a pt. with intermittent milkshake 2x a day”.

claudication> Do smoke a lot? 23. Type 1 DM> test for ketones.

2. Drug that should be @ bedside with PVC> 24. A pt is being assessed for increased ICP>
Lidocaine. Noting the pt’s papillary response to light.
3. IN assessing pt with CHF nurse should pay 25. Multiple sclerosis pt has urinary incontinence.
particular attention to> onset of chest pain. What is the nursing care> Establish regular voiding
4. Assess a pt with Ischemic Heart Dse> Diet schedule.
history. 26. When pt has injury of the spine @ the level of
5. Nsg dx priority with pt with heart blocks> T5-L1. Which of the ff should the nurse expect>
Altered Tissue Perfusion. full bladder.
6. Indicates circulatory overload for a pt with heart 27. The appropriate nsg dx for a pt with cerebral
failure> dyspnea. palsy> Risk for injury.
7. Caring for a pt with MI should the nurse report 28. Which of the ff should the nurse keep @
stat to the doctor>VF bedside after cervical closure of
8. Pt. with Angina has thrombosis—PTCA is myelomeningocele> tape measure.
performed—pt asked the nurse what is done in 29. The goal of care to a child with
PTCA> balloon tipped catheter inserted using myelomeningocele> protection of the sac.
guide wire. 30. which of the ff room is appropriate for a pt with
9. 72 hours post MI attack—pt most likely to seizure> darkened room
develop> PVC. 31. Which of the ff is indicative of Jacksonian
10. Diuretic therapy given to a pt with CHF> to seizure> Seizure begins in the left arm progressing
decrease venous return to the heart. to some other parts.
11. What can help a nurse in assessing a woman 32. Which of the ff symptoms if manifested by a pt
with HPN> how often do you have a headache. with Myasthenia Gravis needs to be reported to a
12. When planning exercise program with HPN. physician> resp distress.
What is important to consider> “How do you send 33. Nsg dx of fluid volume excess for a pt with
your leisure time?” acute renal failure. Which of teh ff signs is
13. Two m/o infant developed diaper rash. W/c supportive of the dx> Crackels @ the base of the
action indicates that she understood teaching> She lungs.
exposes the area to air. 34. The result of which blood test would be most
14. A nurse admitted by her mother. On assessment, directly related to renal damage> creatinine.
the nurse found a large bulge and raised rings on 35. A common symptom of BPH> nocturia.
her thigh. What should the nurse ask> “Has the 36. Due to decrease in erythropoeitin in a pt with
child been exposed to deer ticks?” ESRF. The priority nsg careis to> provide bedrest
15. Which of the ff signs with a pt with burns 37. To assess the increase risk of developing
indicated a possible complication> narrowed pulse glomerulonephritis in a pt—the nurse should ask
pressure. which of the following> “Did you have
16. Which of the following is a sign of streptococcal infection?”
chlamydiasis> burning on urination. 38. Which of the ff statement of a mother whose
17. A pt. diagnosed with herpes. Nurse should child has been admitted for UTI—reflects a need
expect to make which of the ff diagnosis/> for further teaching> “I’m glad that my child can
Alteration in comfort. go back to his bubble bath again:.
18. A partial thickness burns of 30% of pt’s body 39. The appropriate diet for a pt with UTI is which
surface is classified as> Moderate burns. of the following> Increase fluids and increase
19. Pt with Addison’s dse. Which should the nurse vitamin C.
address initially> HPN. 40. Diarrhea, complication> Metabolic acidosis.
20. Hyperthyroidism> “ Do you tire easily?” 41. Paracentesis—body image disturbance>
21. PKU> refer the parent to a geneticist. increased risk for infection
22. PKU—further teaching > “My child drinks 42. After common bile duct exploration—priority
nsg care is> prevention of pneumonia.
43. Pancreatitis, discharged-nurse should report>
foul-smelling bulky stool.
44. A sign that needs to be reported in a child post
tonsillectomy> frequent swallowing.
45. Appropriate feeding device for a child post
palate surgery> paper cup.
46. A child is brought to the hospital with a dx of
gastroenteritis-which statement reflects NFI> “ I
used boiled water from the well for his feeding.”
47. The priority nsg dx during acute attack of
Meniere’s dse> risk for injury.
48. Position, cataract extraction> unoperated side
to decrease edema.
49. Eye pain occurs post cataract surgery> call the
MD.
50. Retinoblastoma> cat’s eye reflex
51. Retinoblastoma>refer to geneticist.
52. timoptic drugs> decrease IOP.
53. tonometer > detect ICP.