AMS Mid- term

  1. Pt w/Genital herpes what will be a sign that an out-brake is imminent?
    genital puritis (itching)
  2. Mantoux test what should the angel of the needle be?
    10-15 degree angle
  3. What problem will increase the risk of suicide?
    Teen with depression over recent breakup w/a friend
  4. Kidney surgery what will give the Nx immediate concern?
    do to post-operative bleeding hemorrhage --->can cause hypovolemic shock
  5. Pt. has renal failure what is the s/s?
  6. (SATA) Partial thickness burns
    • Painful open are when blisters brake
    • Injury to deeper portions of the dormas
  7. Burn pt. TBSA is 40% his weights 132 lbs (4cc/1kg)
    What is his weight in kilograms?
    60 Kg
  8. How many cc's of fluid will be infuse in 24 hrs?
    kg x 4cc x 40 / 24 = 400cc
  9. How many cc's in the first 8 hrs?
    kg x 4cc x 40 / 8 = 1,200 cc
  10. How many millimiters should the pump be set for the next 16 hrs?
  11. If a macrodrip is used how many drops per min. should the pump be set for 16 hrs?
  12. The following consideration for a burn pt's are the following except?
    Cool the burn w/ice
  13. What will you find for a pt. that has been diagnosed with bulimia?
    erosion of the dental amal (teeth)
  14. When doing tracheostomy at home, what technique should the pt use?
    Medically aseptic (as clean as possible)
  15. (SATA) Warning signs of suicide:
    • Withdrawer
    • Apathetic
    • Angry outburst
  16. (Write-in) In your own words give me 5 things to considered for an interview?
    • Dress appropriately
    • Eye contact
    • Promptness
    • Firm hand shake
    • Stay calm
  17. A mother is breast feeding and she wants to know how to do a breast examination, what should the Nx suggest to the pt?
    you should do the BSE after the infant empties the breast
  18. Pt is brought in with 2nd degree burn in his left arm and left anterior leg what will be the percentage according to the rule of nine?
    9 left arm + 9 left anterior leg = 18%
  19. A batter wife needs help, which community will provide assistance to this pt?
    Women shelter
  20. (SATA) Pt with alcohol withdraw syndrome is ready to enter a rehab facility which of the following actions will be appropriate for this pt?
    • Talk to his family
    • Alcoholic anonymous
    • Promote participation in a treatment program
  21. Which of the following nursing diagnosis is properly worded?
    Related to and because of
  22. Which of the following actions is correct in performing tracheal suction?
    Limit suction w/in 10 sec.
  23. Pt has HIV which of the following indicates that the pt needs intubation?
    PO2 is less than 80%
  24. Nx diagnosis where no problem exist, the pt desire a higher level of wellness.. what kind of dx would u give the pt?
    a wellness diagnosis
  25. Pt w/ alcohol withdraw is pulling from his central venus catheter what should the Nx do for this pt?
    Protect the client from harm
  26. The Nx suspects that the pt is experiencing alcohol withdraw syndrome what nursing action is appropriate?
    Ask pt about his drinking
  27. Anxiety details are distorted, what level of anxiety will this be?
  28. The pt who needs the highest possible concentration of oxygen, which mask will be the best delivery system?
    Venturi Mask
  29. (SATA) Cystoscopy
    • Helps identify the signs of hematuria incontinence in urine retention
    • Allows the collection of tissue samples, cell washing and urine samples
    • Uses a light source to visualize the internal instruction
    • Requires no surgical incision
  30. Opportunistic disease HIV/AIDS
    Pneumocystis carinii
  31. Pt is intubated has a ET tube and is coughing secretion what intervention is a priority for this pt?
  32. A nursing student is working with a Nx on pt's w/ AIDs the student does not suction the pt what should the Nx do?
    Talk to the student
  33. Which is an example of subjected data?
    The clients feelings and statements about health problems
  34. Pt w/ Chronic renal failure, what action is appropriate?
    Weight pt daily before breakfast
  35. Where should the Nx place an oximeter for proper measurement?
    apply to the clients finger
  36. Pt w/alcohol withdraw what will be a complication of de-toxicity?
  37. Post-menopose pt wants to know how to prevent Osteoporosis what should the Nx suggest to the pt?
    Weight barring exercise
  38. Pt has a problem of pH of 7.52 also PaCO2 of 28 and bicarbonate of 24 what is the pt's problem?
    Respiratory alkalosis
  39. Immediately after the distillate solution the Nx should?
    Clamp the tubing from the infusion
  40. Pt w/ Toracocentesis is in an up-right position why is this pt on this position?
    fluid accumulates at the bases
  41. (Fill-in) ______ it is a step in the nursing process where the Nx establishes outcomes and actions to achieve the overall goal
  42. (SATA) which of the following reproductive system problems requiers identification of sexual partner
    • Chlamydia
    • Herpes simplex
  43. Pt w/ a bronchoscopy what will tell the Nx that the pt understand the procedure?
    I will not eat or drink starting mid-night till the procedure is done
  44. Which of the following pt's will be at risk for impaired tissue integrity?
    Client having reconstructive breast surgery
  45. Everything is true about Laissez faire except?
    Communication is mutual back and forward
  46. The nurse does a breast examination laying down
    Standing up in front of a mirror
  47. (Fill-in) ________ is transferring to competent individual the authority to perform selective nursing task in a selected situation while retaining accountability for the delegation
  48. Which statement by the pt shows that she understand the ideal time to perform a breast examination?
    1 wk after their mensis
  49. Pt w/ mastectomy on the left breast and an IV on the lower right arm where should the Nx take the B/P?
    On the leg
  50. For the Heimlich maneuver where should the Nx position her hands?
    below the sternum
  51. (Fill-in) _______ a graph obtained from diseased humans
  52. What diagnostic test is an indicator for kidney disease?
    Syrum Creatinine level
  53. Nx should teach a pt who has a catheter how to prevent bladder infection?
    encourage showers rather than baths
  54. What is the significance of a positive Tuberculosis TB test?
    Antibodies are presence
  55. Oliguric stage of renal failure. Oliguria scanty urine, how many ml in a day would you expect?
    100-500 ml/day
  56. The social theory of causation that has to do with anorexia
    Sign of pain w/in the whole family system
  57. Alcohol dependence the pt has been admitted, what indication tells the Nx that the pt is using rationalization?
    "I always remember what happens the next day"
  58. Pt w/ Anorexia nervosa during the initial exam what is the Nx most likely to assess?
    Growth of fine body hair (lanugo)
  59. Which of the pt's common indicates that he is ready for a rehab center?
    "I am powerless over alcohol and need help"
  60. A pt has been sexually assaulted a police officer comes w/this lady which of the following intervention should the Nx do?
    trying to bring pts anxiety down from panic to modorate
  61. Dealing w/ a suspected family violence problem what approach should the Nx use?
  62. (Fill-in) ______ is the ulcer acquiring during burns
    Curling's ulcer
  63. Which assessment for Peritoneal dialysis should the pt do before and after to see if the dialysis worked?
    Weight themselves
  64. Incentive spirometer
    It helps the pt visualize deep breathing
  65. Pt has a phobic condition he has been treated with behavior therapy how does this work?
    systemic desensitization
  66. Which substance transmits HIV?
  67. Nx is manually assessing AV fist, what would you expect to notice?
    a thrill
  68. Nx is removing an indwelling catheter what is the following appropriate thing to do?
    Document the time of the removal
  69. (SATA) Nutrition in a burn pt:
    • Enteral feedings can reduce nausea and vomiting
    • Carbohydrates
    • Need to increase vitamins & minerals
  70. Pt w/Substance abuse what should the Nx include in his plan of care?
    Participate in support groups like alcoholic anonymous (AA)
Card Set
AMS Mid- term
75 questions + 5 write ins