
MDC III Final Exam
Quiz by Heather Silvani
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- Q1
What is the priority assessment finding during a blood transfusion?
Stomach ache
Earache
Watery eyes
Headache
30s - Q2
Expected assessment finding for pt. with peripheral artery disease:
absent pulses
warm extremities
bounding pulses
30s - Q3
All of the following are an indication of MI EXCEPT:
ST elevation on EKG on contiguous leads
chest pain radiating to jaw, back and shoulder
elevated troponin markers
Temperature 98.7 F
30s - Q4
Which of the following is an expected finding with mitral valve prolapse:
systolic click
bradycardia
proteinurea
bradypnea
30s - Q5
All of the following are interventions for sickle cell disease EXCEPT:
IV morphine (pain meds) & fluids
Wrap patient tightly in a blanket
make sure there is no restrictive clothing
oxygen
30s - Q6
Discharge teaching for a patient with sickle cell pain crisis includes all of the following EXCEPT:
avoid high altitudes
increase fluids & avoid alcohol
Exercise outdoors daily
avoid being too cold or hot
30s - Q7
Patient presents to the ED with pulmonary edema, hypotensive, O2 85%. What is priority:
start IV
lay patient flat
provide oxygen
call the doctor
30s - Q8
Hemolytic reaction to blood transfusion occurs when:
15 minutes
2 hours
60 seconds
2 days
30s - Q9
The patient presents with leukemia, which is NOT a sign and symptom of this diagnose:
Fatigue
Fever
Weight gain
Abnormal bleeding
30s - Q10
The patient's laboratory results show a platelet count of 58,000, best action:
call the doctor
place injury in dependent position
apply ice to bruises or sites of injury
call a code
30s - Q11
The patient presents with complaints of fatigue, palpitation, and chest pain. Pt. has S3 and S4 gallop, weak peripheral pulses, and tachycardia. Order’s chest x-ray and echo, he has left ventricular dilation. What do you suspect?
DVT
pneumonia
hypotension
dilated cardiomyopathy
30s - Q12
A patient presents with thrombocytopenia. As the nurse, you question which order:
transfusion
enema
corticosteroid
plasmapheresis
30s - Q13
Discharge teaching for a patient that is diagnosed with heart failure. All of the following EXCEPT:
fluid restriction
avoid NSAIDs
take ibuprofen as needed for pain
daily weight
30s - Q14
SA patient is diagnosed with atherosclerosis, what are the risk factors:
low LDL, high HDL
high LDL, low HDL
30s - Q15
A patient presents to the ER with HR of 220 beats per min, the monitor says supraventricular tachycardia, which intervention would be anticipated first:
vagal maneuver
insert a foley
breathe into paper bag
ambulate patient
30s