- The most probable nursing diagnosis with an outcome of "will have less than 50cc urinary residual." is:
Your answer:
urinary retention
urinary incontinence
urinary frequency
urinary tract infection
- What evidence that your diet teaching has been effective?
Your answer:
"I will make sure about 55% of my total calories comes from proteins."
"I will make sure about 55% of my total calories come from carbohydrates."
"I will make sure that no more than 10% of my total calories comes from fats."
"I will make sure at least 45% of my diet comes from fats."
- Patients complaining of gas should be taught to avoid all except:
Your answer:
walking after meals
drinking carbonated beverages
chewing gum or hard candies
drinking beverages through a straw
- A negative nitrogen balance would least likely be caused by:
Your answer:
starvation
prolonged immobilization
excessive caloric intake
infection
- An infant should be held in which position to correctly assess the anterior fontanelle?
Your answer:
upright
semi-Fowlers
cradled securely in the nurse's arms
supine
- What should you do first when preparing to perform postural drainage on an infant?
Your answer:
suction the oropharynx
position on pillows on the nurses lap
administer an analgesic
obtain assistance in restraining the infant
- An 8 month old who is unable to sit up is probably suffering from:
Your answer:
delayed mental development
low iron unable to sit up at 8 months of age
low iron level
eight month olds usually are not able to sit up
- Which solution is most appropriate when giving an infant an enema?
Your answer:
warm sterile saline
baby oil
tap water
mild soap suds
- The food with the highest protein content is:
Your answer:
red meat
eggs
navy beans
peanut butter
- Which food item would be allowed on a low residue diet?
Your answer:
poached egg
bran muffin
orange
whole wheat toast
- After starting an IV evidence that a problem exists would be:
Your answer:
raising the IV fluid container causes an increase in flow rate.
lowering the IV fluid container below the level of the insertion site causes a backflow of blood.
the area surrounding the site is slightly puffy and cool to the touch.
the insertion site is pink, warm and dry.
- Your patient has a serum potassium level of 6.7 mEq/liter. You would expect to give:
Your answer:
Kochlor
Kayopectate
Kaylixer
Kayexalate
- The most likely symptom of folic acid deficiency would be:
Your answer:
gastrointestinal disturbances
depression
vertigo and syncope
confusion
- What is the body's only source of nitrogen?
Your answer:
protein
fats
sugars
carbohydrates
- A six month old infant has not been wanting to drink and is becoming dehydrated. What lab value would you expect to be indicative of this situation?
Your answer:
decreased specific gravity
decreased bilirubin
decreased hematocrit
increased central venous pressure
- What would the normal adult serving size from the milk group?
Your answer:
8 oz yogurt
2 oz cheddar cheese
4 oz whole milk
6 oz ice cream
- Which of the following is a complete breakfast that includes foods from all areas of the food pyramid?
Your answer:
dry cereal with milk and bananas, and tomato juice
toast, grapefruit half, tomato juice, egg, and milk
pancakes with butter, bacon, orange juice, coffee, and milk
scrambled eggs, sausage, toast, milk, prune juice
- Which food would be best in promoting regular bowel movements?
Your answer:
kidney beans
lettuce
eggs
tomato juice
- Your nutritional teaching has been success if your patient tells you:
Your answer:
"I'll eat fresh vegetable and fruits daily."
"I'll eat no more than 2-3 servings from the grain group daily."
"I'll eat at least 4 servings of meat daily."
"I'll eat one serving of vegetables or fruits a day."
- What percentage of your diet should be from carbohydrates?
Your answer:
50-60%
75-85%
15-30%
< 15 %
- Total parenteral nutrition (TPN) can contain which substances that are not found in regular IV fluids?
Your answer:
protein, amino acids and fats
protein and amino acids
carbohydrates
carbohydrates, protein, amino acids and fats
- Which vitamin is most frequently lost in cooking?
Your answer:
C
K
A
D
- Red, swollen gums with loose teeth is a symptom of which vitamin deficiency?
Your answer:
D
A
C
K
- When assessing the mucous membranes, which of the following would be a sign of ill health?
Your answer:
patchy pigmentation around gums in an African American male
red, swollen tongue
top surface of the tongue is slightly rough
mucosa of the mouth is glistening, soft and pink
- A patient on sodium restriction should not eat:
Your answer:
navy beans
apples
cheeses
macaroni
- Your patient, who is being given a loop diuretic, is also being given potassium supplements. You know that the first symptom of too much potassium may be:
Your answer:
anxiety and irritability
hypersensitivity
intestinal distention
hypertension
- When giving discharge instructions to a patient, he should be given which instruction about taking his potassium elixir?
Your answer:
never take with fruit juice
always dilute it with water
always take it on an empty stomach for best absorption
urine may be orange or rust colored
- A patient who has problems with copius amounts of flatulence should be taught to avoid which food?
Your answer:
applesauce
peas
cauliflower
carrots
- Which finding would be evidence that your treatment for hypervolemia.
Your answer:
potassium level is now within normal limits
patient has lost 3 pounds in two days
abdominal girth has not increased in past 24 hours
urinary output is 40-50cc per hour
- The nitrogen balance of the body can best be assess by which laboratory study?
Your answer:
creatinine clearance
serum albumin
BUN
serum potassium
- The laboratory test that best indicates glomerular filtration is:
Your answer:
serum potassium
creatinine clearance
BUN
serum albumin
- Chronically low oxygen levels delivered to the kidneys will cause an increase in:
Your answer:
erythropoiesis
neutrophil destruction
leukocytosis
phagocytosis
- When beginning diet therapy for obese patient, initially, the focus should be on:
Your answer:
behavior modification
reduction of total calorie consumption
establishing a need to learn
nutritional education
- Your female patient is having difficulty voiding. After failing to be able to use the bedpan, you take her to the bathroom and pour warm water over her perineum. She still can't void. You should:
Your answer:
obtain an order for an in and out catheterization.
give her sufficient private time in the bathroom.
allow her to rest undisturbed until the urge to void returns.
explain why an empty bladder is necessary.
- allow her to rest undisturbed until the urge to void returns.
Your answer:
collection of a double-voided specimen
in and out catheterization after complete emptying of the bladder
clamp the indwelling catheter for one hour and then allow the bladder to drain completely
24 hour urine collection
- Your Jewish patient follows a strictly kosher diet. Which of the following should not be served with meat?
Your answer:
apple
milk
hot rolls
eggs
- Which of the following statements would be most helpful in obtaining information about the patient's usual intestinal pattern?
Your answer:
"Have you ever had constipation or diarrhea?"
"How many times a day do you usually void?"
"What is your usual pattern of elimination."
"Do you regularly eat high-fiber foods?"
- Absorption of NG feedings is promoted by:
Your answer:
giving the feedings over a long period of time.
administering all medications prior to beginning the feeding.
maintaining the head of the bed in an elevated position for at least 30 minutes after the feeding.
administering the feedings chilled.
- Prolonged NG suction causes:
Your answer:
hyperkalemia, hyponatremia
hyperkalemia, hypernatremia
hypokalemia, hyponatremia
hypokalemia, hypernatremia
- When preparing to administer a gastrostomy feeding, you should first:
Your answer:
position the patient is a supine position
instill 30 cc of sterile water
check for residual
warm the solution
- After giving a gastrostomy feeding, you should:
Your answer:
administer pain medication as necessary
leave the tubing unclamped for at least 30 minutes to prevent gas build-up
flush the tubing with the ordered amount of water.
position the patient in the left lateral position.
- What fluid is most likely to be given to a patient who is hypovolemic?
Your answer:
0.9 normal saline
2.5% dextrose
D5/.45 normal saline
10% dextrose
- An oil retention enema facilitates defecation by:
Your answer:
irritating and stimulating the intestinal mucosa
lubricating the intestine
lubricating the intestine
helping expel flatus
- It is important to remember when digitally removing a fecal impaction, the vagal stimulation may lead to:
Your answer:
hyperventilation
vomiting
tachycardia
bradycardia
- Hyperkalemia would most likely produce which symptom?
Your answer:
positive Trousseau's sign
intestinal disturbances
arrhythmias
tetany
- Frequent oozing of small amounts of liquid stool is most likely a sign of:
Your answer:
fecal impaction
electrolyte imbalance
intestinal infection
ileus
- The laboratory finding most consistent for a patient on bedrest would be:
Your answer:
hypercalcemia
hypokalemia
hypocalcemia
hyperkalemia
- Increasing fluids in a patient with hypercalemia will help decrease calcium levels by:
Your answer:
increasing excretion of calcium through the kidneys
decreasing serum phospate levels
drawing calcium from the blood stream back into the bone
exerting a dilutional effect
- A patient on bedrest has thick, tenacious respiratory secretions. Which nursing intervention would be most beneficial assuming there are no contradicting doctor's orders?
Your answer:
collect a sputum sample for culture and sensitivity
initiate incentive spirometry treatments
increase fluid intake
assist the patient to turn, cough and deep breathe every hour
- A common side effect associated with antibiotic therapy is:
Your answer:
hiccoughs
diarrhea
drowsiness
orange urine