NUR280/ NUR 280 (NEW 2023/ 2024)
Comprehensive Exam Review (Transition to
RN Practice) | Complete Guide with Verified
Answers| 100% Correct- Galen
QUESTION
A patient needs to follow up after surgery if what appears on the body?
Answer:
rashes all over
QUESTION
At risk for slander if patient is
Answer:
my neighbor
QUESTION
Monitor what if C7 injury?
Answer:
Pulse pressure
QUESTION
If BP is 156/98 what should the nurse do first?
Answer:
raise the HOB up
QUESTION
What equipment is needed for contact isolation?
Answer:
Gown and gloves
QUESTION
Does the LPN talk to the families?
Answer:
NO
QUESTION
What patient needs a room immediately?
Answer:
Had TB test with 10mm raised area at site
QUESTION
What does a normal stoma look like 8 hrs after surgery?
Answer:
red, moist just document d/t normal finding
QUESTION
tylenol does not contain
Answer:
aspirin
QUESTION
zithromax does not contain
Answer:
penicillin
QUESTION
informed consent is not accepted when?
Answer:
after medication has been taken (alters mental status)
QUESTION
Babinski
Answer:
infant reflex that causes toes to fan out when soles of feet are touched, babies have positive sign
UNTIL YEAR 1
QUESTION
Guillian Barre
Answer:
ascending paralysis. Keep eye on respiratory
system.
QUESTION
Plasmapheresis
Answer:
plasma is separated from whole blood and the rest is returned to the donor used with GUILLIAN
BARRE SYNDROME
QUESTION
When thinking about delegation, what task is everyone responsible for?
Answer:
SAFETY
QUESTION
False imprisonment
Answer:
restraining an individual or restricting an individual’s freedom a LAP BAND OR A TRAY on a
GERIATRIC PATIENT
QUESTION
Post cardiac cath care
Answer:
bed rest, don’t move legs for 4-6 hours (bleeding)
QUESTION
S/s of partial seizure
Answer:
picking at clothing, lip smacking
QUESTION
Celiac disease
Exam 3: NUR280/ NUR 280 (Latest 2023/
2024) Comprehensive Exam Review
(Transition to RN Practice) | Complete Guide
with Verified Answers| 100% Correct- Galen
QUESTION
contraindications for thrombolytic alteplase?
Answer:
- active bleeding
- hx of hemorrhage stroke
- icp or trauma
- intracranial and intraspinal sx in last 2 mo
- thoratic, pelvic, abd sx in last 10 days
- hepatic or renal dx
- uncontrolled htn
- recent cpr done
- allergies
QUESTION
alteplase (tpa) monitor?
Answer: - bleeding (occult blood)
- dysrhythmias
- allergic reactions
- vitals
- neuro
QUESTION
what levels should you monitor with alteplase?
Answer: - aptt, pt, hct, plt and fibrinogen level
QUESTION
what precaution should the client be on alteplase?
Answer:
Bleeding precaution
- avoid injections, apply pressure 20-30min
- hadle pt with care bleeding precautions
- electric razor
- if bleeding stop med!
QUESTION
what is the antidote for thrombolitics?
Answer:
Aminocaproic acid
Fresh frozen plasma
QUESTION
pt sob and elevated d- dimer is?
Answer:
Pe
QUESTION
d-dimer test
Answer:
D-dimer is a protein that is excreted by clots of blood. The amount of d-dimer circulating in the
body can be measured.
If the d-dimer is positive it does not necessarily mean there is a pe. It only means the pt must be
ruled out for a pe: they must receive a ct scan.
QUESTION
pe s/s
Answer:
Sudden onset dyspnea, tachycardia, tachypnea, cough, crackles, hemoptysis, chest pain
QUESTION
pe treatment
Answer:
- rrt notified and pcp stat
- hob elevated
- 02
-iv, ekg, abg
-thrombolytic agents/ heparin
-surgery
-ivc filter
QUESTION
prevention of pe
Answer: - passive, active rom; ambulate soon after surgery
- change position every 2 hours
- anti-embolism stockings (scd’s)
- avoid tight garters, girdles, constricting clothing
- no pillows under knees
- comprehensive peripheral circulatory assessment
- elevate affected limb 20 degrees above heart
- no massaging or compressing leg muscles
- do not cross legs
- prophylactic low dose anticoagulant and antiplatelet drugs
QUESTION
body mechanics techniques
Answer:
-don’t move heavy objects
-slide or push rather than lift
-directly face object to be lifted
- keep object close to body
-keep object at waist level
-don’t balance on toes - firm & broad bos
- bend at knees & hips, not waist, straight back, breathe while lifting, lift by straigthening legs,
don’t rotate trunk but pivot entire body, lower body to level of work
Pt dangle legs – lower the bed – w/c on strong side
QUESTION
latex allergies – risk factors
Answer:
Health care workers who wear latex gloves
People w/ allergic tendencies
People w/ food allergies (kiwi, banana, chestnuts, avocado, pineapples, papaya, potatoes)
Latex industry workers
People w/ asthma, spina bifida, or history of multiple surgical procedures or exposures to latex
QUESTION
pt with a pulse of 50 and has already a pacemaker and taking metropolol bid (lowers pulse) what
would you do?
Answer:
External pace the patient
QUESTION
what is external pace the patient?
NUR280/ NUR 280 (Latest 2023/ 2024)
Comprehensive Exam (Transition to RN
Practice) | More than 160 Q&A| Practice
Questions and Verified Answers| 100%
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QUESTION
The nurse has become aware of the following client situations. It would be priority for the nurse
to follow up if a client who
Answer:
Is scheduled for a myleogram in 4 hours and states “I can not drink and liquids until after the
procedure is finished.”
QUESTION
The nurse is teaching a client about crutch walking. Which of the following statements if made
by the client indicates a need for the further teaching
Answer:
When I climb up the stairs I advance my affected leg first, with my crutches.”
QUESTION
The nurse on an orthopedic unit has become aware of the following situations. It would be a
priority for the nurse to follow up if a client who
Answer:
Had an ORIF of a fracture femur 12 hours ago has developed a small rash on the cheat and neck.
QUESTION
The nurse is caring for a client with w soft tissue injury. The client reports using herbal remedy
for 3 weeks prior to seeking health care but can not remember what was taken. The nurse
recognize that which of the following herbal remedies can be utilized effectively for soft tissue
injuries
Answer:
Aloe vera
QUESTION
The nurse has become aware of the following client situations. It would be a priority for the
nurse to intervene if a client
Answer:
Is being transported to have a MRI test and has an attach pulse oximeter
QUESTION
The nurse is reviewing lab data of the following clients. It would be a priority for the nurse
follow up with the primary health care provider if a client with
Answer:
DM 1 and A1C level of 12%
QUESTION
The nurse working on a maternity unit has become aware of the following client situation. It
would be priority for the nurse to intervene if a client states
Answer:
“I cannot breast feed because my nipples are cracked and sore.”
QUESTION
The charge nurse of a med-surg floor notice a nurse walking with an unsteady gait, slurred
speech and a faint smell of alcohol on the breath immediately following a lunch break, The
charge nurse priority action would be to
Answer:
relieve the nurse of assigned clients
QUESTION
The staff member of an out patient clinic have successfully assisted the clients to safety during a
fire in the waiting area. What would be the next plan of action
Answer:
Call for additional help
QUESTION
While performing an assessment of a 3 year old client, the nurse notes bruises in various stages
of healing on the concealed surfaces of the body. What action should the nurse take next
Answer:
Contact the local reporting agency for suspected child abuse
QUESTION
The nurse in the ED is admitting a client who is hallucinating and reports “insects crawling on
skin.” The client pulse is 124, RR is 10, the nurse notes muscle twitching in the lower
extremities. It would be a priority to determine if the client has
Answer:
recently ingested cocaine
QUESTION
The nurse is developing a care plan for a client who is the manic phase of bipolar disorder.
Which intervention should the nurse include in the plan of care
Answer:
Provide the client with finger foods
QUESTION
The PCP has prescribed Elavil – Amitriptyline 150 mg daily for a client with major depression.
Name some nursing considerations
Answer:
admin meds with meals
instruct the client that medication may cause dry mouth
medications may cause photosensitivity
QUESTION
A 45 year old client who was recently DX with terminal cancer says to the nurse “If God could
only let me live long enough to put my daughter through college, I wouldn’t mind dealing with
the illness.” The nurse caring for this client recognizes this statement as reflecting of what stage
of grieving
Answer:
Bargaining
QUESTION
The nurse on a psychiatric unit is caring for a client with a paranoid schizophrenia who has lost
15 pounds within the past three weeks. The client accuses the staff of trying to poison all of the
clients on the unit. Which of the following nursing interventions would be a priority for the nurse
to include in the clients plan of care
Answer:
provide the client with pre package foods that the client likes
QUESTION
The nurse is admitting a 20 year old with anorexia. The nurse should assess the client for
Answer:
Lanugo type hair on body
NUR280/ NUR 280 (NEW 2023/ 2024)
Comprehensive Exam Review (Transition to
RN Practice) | Rated A Guide| Questions and
Verified Answers| 100% Correct- Galen
QUESTION
Signs of fibromyalgia?
Answer:
severe exhaustion, pain, muscle stiffness,
QUESTION
Signs of hyperthyroidism in kids?
Answer:
Frequent loose stools. Brisk reflexes.
QUESTION
When is freud’s phallic stage?
Answer:
3-6 years
QUESTION
When is generativity vs stagnation?
Answer:
Middle age (40-65)
QUESTION
What causes gingival hyperplasia?
Answer:
pregnancy, leukemia or prolonged use of dilantin
QUESTION
What is Guillian Barre?
Answer:
Ascending paralysis (GB=ground to brain) Rapid progression. Can cause respiratory failure,
Need ventilation.
QUESTION
Signs of hepaic encephalopathy?
Answer:
asterix(flapping hands), rigidity, hyperreflexia, muscle tremors
QUESTION
Hepatitis preicteric phase
Answer:
N/V, RUQ pain
QUESTION
What is hirschprung disease?
Answer:
foul, ribbon like stool. Resulting in abd obstruction and bowel distention.
QUESTION
HIV precautions?
Answer:
Avoid birds(droppings), cat litter, gardening(soil), crowds. Increase protein.
QUESTION
How long are TB drugs taken?
Answer:
9-12 mos
QUESTION
How do you detect correct placement of NG tube other than xray?
Answer:
30 cc of air
QUESTION
How to transfer a patient from bed to chair?
Answer:
HOB up, Chair parallel, dangle legs
QUESTION
What increases risk of gastric cancer?
Answer:
Peptic Ulcer