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Post-Conference

Quiz by Janelle

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26 questions
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  • Q1
    A patient is diagnosed with a primary spontaneous pneumothorax. Which of the following is NOT a correct statement about this type of pneumothorax?
    Smoking increases the chances of a patient developing a spontaneous pneumothorax
    It can be caused by rupture of a pulmonary bleb
    It is most likely to occur in patients with COPD, asthma, and cystic fibrosis
    It can occur in patients who are young, tall and thin without a history of lung disease
    60s
  • Q2
    While caring for a patient with a suspected pneumothorax, you note there are several areas on the patient’s skin that appear to be “bulging” out. These “bulging” areas are located on the patient’s neck, face, and abdomen. On palpation on these areas, you note they feel "crunchy". When charting your findings you would refer to this finding as?
    Subcutaneous emphysema
    Subcutaneous paresthesia
    Pigment molle
    Veisalgia
    60s
  • Q3
    You're providing care to a patient with a pneumothorax who has a chest tube. On assessment of the chest tube system, you note there is no fluctuation of water in the water seal chamber as the patient inhales and exhales. You check the system for kinks and find none. What is your next nursing action?
    Assess patient's lung sounds to assess if the affected lung has re-expanded
    Notify the physician
    Increase wall suction to the system until the water fluctuates in the water seal chamber
    Keep monitoring the patient because this is a normal finding
    60s
  • Q4
    A patient receiving treatment for a pneumothorax calls on the call light to tell you something is wrong with their chest tube. When you arrive to the room you note that the drainage system has fallen on its side, and there is a large crack in the system. What is your next PRIORITY?
    Place the patient in supine position and clamp the tubing
    Disconnect the tubing from the drainage system and insert the tubing 1 inch into a bottle of sterile water and obtain a new system
    Disconnect the drainage system and get a new one
    Notify the physician immediately
    60s
  • Q5
    A patient's MRI imaging shows damage to the cerebellum a week after the patient suffered a stroke. What assessment findings would correlate with this MRI finding?
    Language difficulty
    Balance impairment
    Vision problems
    Impaired short-term memory
    60s
  • Q6
    Your patient, who had a stroke, has issues with understanding speech. What type of aphasia is this patient experiencing and what area of the brain is affected?
    Expressive; Wernicke's area
    Expressive; hippocampus
    Receptive; Wernicke's area
    Receptive, Broca's area
    60s
  • Q7
    A patient has a double-barrel colostomy of the transverse colon. You note on assessment two stomas, a proximal and distal stoma. What type of stool do you expect to drain from the proximal and distal stomas?
    Proximal: liquid stool; Distal: mucous
    Proximal & Distal: lose to partly formed stool
    Proximal: loose to partly formed stool; Distal: mucous
    Proximal: mucous; Distal: lose to partly formed stool
    60s
  • Q8
    A patient is 8 hours post-op from a colostomy placement. Which finding requires immediate nursing action?
    The patient states the site is tender
    The stoma is black
    The stoma is not draining any stool
    The stoma is swollen and large
    60s
  • Q9
    You're providing teaching to a patient with an ileostomy on how to change their pouch drainage system. Which statement is incorrect about how to change a pouching system for an ostomy?
    Keep the skin around the stoma clean and dry at all times
    When measuring the stoma for skin barrier placement, be sure the opening of the skin barrier is a 2/3 inch larger than the stoma
    Change the pouching system every 3-5 days
    Empty the pouch when it is 1/3 to 1/2 full
    60s
  • Q10
    You receive a doctor's order for a patient to take Aspirin EC by mouth daily. The patient has the following medication history: diabetes type 2, peripheral vascular disease, and a permanent ileostomy. What is your next nursing action?
    Crush the medication and mix it in applesauce
    Hold the medication and notify the doctor the patient has an ileostomy
    Crush the medication and mix it in pudding
    Administer the medication as ordered
    60s
  • Q11
    You're providing diet teaching to a patient with an ileostomy. Which foods should the patient consume in very small amounts or completely avoid?
    Grape juice, bread, and pasta
    Peanut butter, bananas, rice
    Vinegar, soft drinks, and cured meats
    Corn, popcorn, nuts and seeds
    60s
  • Q12
    A patient with CKD has a low erythropoietin (EPO) level. The patient is at risk for?
    Anemia
    Hyperkalemia
    Hypercalcemia
    Blood clots
    60s
  • Q13
    The kidneys are responsible for performing all the following functions except?
    Secreting Renin
    Maintaining cortisol production
    Secreting Erythropoietin
    Activating Vitamin D
    60s
  • Q14
    Which of the following patients is at most risk for Type 2 diabetes?
    A 28 year old male with a BMI of 49
    None of the options provided
    A 6 year old girl recovering from a viral infection with a family history of diabetes
    A 76 year old female with a history of cardiac disease
    60s
  • Q15
    Which of the following statements are true regarding Type 2 diabetes treatment?
    Oral medications are the first line of treatment for newly diagnosed Type 2 diabetics
    Insulin may be needed during times of surgery or illness
    Insulin and oral diabetic medications are administered routinely in the treatment of Type 2 diabetes
    Insulin is never taken by the Type 2 diabetic
    60s

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