Nurse Moose

    Exam Review

    1. Which factors are associated with cataracts? Select all that apply.(SATA)
      A)Sudden vision loss
      B)More common in young people
      C)Excessive exposure to UV light is a risk factor
      D)Cloudiness in the lens of the eye
    2. Cocaine use, trauma, chronic infection, and chronic nose picking may lead to which abnormality?
      A)Nasal polyps
      B)Canker sore
      C)Perforated septum
      D)Kaposi's sarcoma
    3. A nurse assesses an elderly patient diagnosed with age-related macular degeneration (AMD). Which of the following assessment findings would be most consistent with AMD?
      A)Loss of peripheral vision.
      B)Blurred or distorted central vision.
      C)Halos around lights at night.
      D)Sudden onset of total vision loss.
    4. The company transported an unconscious construction worker, who fell off the roof of a two-story building, to the hospital. Which clinical finding would the nurse report immediately?
      A)Breath sounds vesicular on the right middle lobe
      B)Increased body temperature
      C)Bilaterally reactive pupils
      D)Bleeding from the ears

    Exam Review

    1. A client diagnosed with myxedema reports having experienced a lack of energy, cold intolerance, and puffiness around the eyes and face. Based on the patient's presentation, which of the following hormones is the patient most likely deficient in? Select all that apply.(SATA)
      A)Adrenocorticotropic hormone (ACTH)
      B)Aldosterone
      C)Thyroid Stimulating Hormone (TSH)
      D)Thyroxine (T4)
      E)Triiodothyronine (T3)
    2. A nurse is assigned to care for four patients. Which patient should the nurse assess first?
      A)A 50-year-old male with a blood pressure of 140/90 mmHg is complaining of a mild headache.
      B)A 35-year-old female who is 1 day post-appendectomy, with a temperature of 100.4°F (38°C).
      C)A 45-year-old female with a respiratory rate of 28 breaths per minute, complaining of shortness of breath.
      D)A 60-year-old male post-abdominal surgery, with a pain level of 8 out of 10, is requesting pain medication.
    3. Which recommendations should the nurse give to treat epistaxis? Select all that apply.(SATA)
      A)Pinch the nostrils shut
      B)Tilt the head back
      C)Hold the position for 10-15 minutes
      D)Tilt the head forward
      E)Pinch just above the nostrils
    4. Which finding in the client's history will alert the nurse to the most likely cause of the sensorineural hearing loss?
      A)History of frequent earwax impaction
      B)History of seasonal allergies and sinus infections
      C)History of working in a factory with loud machinery
      D)History of recurrent otitis media with tympanic membrane scarring

    Exam Review

    1. A patient is admitted with otitis media in the right ear. The nurse performs an ear examination with an otoscope. What would the nurse expect to see in this patient's right ear?
      A)Pearly gray colored tympanic membrane.
      B)Increased pain on palpation of pinna
      C)Distorted or absent cone of light
      D)The tympanic membrane moves inward with a slight puff of air
    2. The nurse notes bilateral enlargement of the parotid glands. Which condition does the nurse suspect?
      A)Bell's Palsy
      B)Goiter
      C)Graves disease
      D)Mumps
      E)Pancreatitis
    3. The nurse notes redness and tenderness at the patient's IV insertion site. What should the nurse do next?
      A)Apply a warm compress to the IV site
      B)Flush the IV line with normal saline to check patency
      C)Remove the IV and restart it in another location
      D)Document the finding and continue to monitor
    4. The nurse is teaching a group of women about health-promoting interventions. Which health interventions are most responsible for the decline in cervical cancer rates? Select all that apply.(SATA)
      A)Oral contraceptives
      B)Female circumcision
      C)Vitamin supplementation
      D)Vaccination against human papillomavirus (HPV)
      E)Pap test screening

    Exam Review

    1. A nurse is performing a head assessment on a newborn. Which finding should the nurse report to the provider immediately?
      A)Caput succedaneum that crosses suture lines
      B)Overriding cranial sutures
      C)Enlarged cranial vault with the face appearing disproportionately small
      D)Flat and soft anterior fontanel
    2. The nurse inspects the patient's eyes. Which condition is most concerning?
      A)Arcus senilis
      B)Yellow sclera
      C)Subconjunctival hemorrhage
      D)Pingueculae
    3. The nurse assesses a 14 year old patient who reports itchy eyes and matted eyelashes. Which parent and patient education is the top priority?
      A)Change pillowcase
      B)Wash hands often
      C)Don't share eye make-up
      D)Use clean towels daily
    4. The nurse is treating a patient diagnosed with the beginning stages of open-angle glaucoma. Which assessment data support this diagnosis?
      A)Impaired central vision
      B)Impaired peripheral vision
      C)Patient reports eye pain
      D)Opacity of the lens

    Exam Review

    1. The nurse counsels a female patient who has been diagnosed with a sexually transmitted infection (STI). Which interventions should the nurse promote? Select all that apply.(SATA)
      A)Use of an intra-uterine device (IUD)
      B)Frequent douching
      C)Use of condoms
      D)Treatment of the patient
      E)Treatment of sexual partner(s)
    2. During an assessment, the nurse notes a trachea that is deviated to the client's left side. Which condition is the most critical for the nurse to suspect and prioritize intervention for?
      A)Unilateral lymphadenopathy
      B)Goiter
      C)Cervical muscle spasm
      D)Tension pneumothorax on the right side
    3. Patient: David Lee, 58-year-old male Given the above scenario, identify the priority patient condition, the most critical parameters to monitor, and the key interventions to perform.
      ✓Send someone to retrieve the AED
      ✓Begin CPR
      ✓Cardiac Arrest
      ✓Palpate Pulse
      ✓Compression Effectiveness
      Action To Take option
      ✓Send someone to retrieve the AED
      ✕Administer ordered Pain medication for Angina
      ✕Apply Non-Rebreather
      ✕Apply Icepacks to Reduce Inflammation
      ✓Begin CPR
      Potential Condition Choices
      ✕Hypoglycemia
      ✕MVC Trauma
      ✓Cardiac Arrest
      ✕Narcotic Overdose
      Parameter to Monitor Choices
      ✓Palpate Pulse
      ✕Assess for power of attorney
      ✕Examine Extremities for Fall Injuries
      ✕Monitor I&Os
      ✓Compression Effectiveness
    4. The nurse is assessing the vital signs of a 20-year-old marathon runner patient and documents the following vital signs: temperature-97 F; pulse-50 beats per minute; respirations-14/minute; blood pressure-96/68 mm Hg. Which of the following statements is true about these results?
      A)The patient is experiencing orthostatic hypotension.
      B)On the basis of today's readings, the patient should return to the clinic in 1 week.
      C)These are normal vital signs for a healthy, athletic adult.
      D)The patient's pulse rate is not normal and the physician should be notified.