CHPN || All Correct.
Chronic renal failure is associated with several metabolic abnormalities. These include: (5
ANSWERS) correct answers anemia, hypocalcemia, hyperphosphatemia, metabolic acidosis, and
hypoalbuminemia.
How many nursing level hospice care hours is required by Medicare Hospice Benefit for it to be
classified as continuous home care? correct answers 8
Hypercalcemia is associated with several cancers, most commonly: (4 ANSWERS) correct
answers breast, lung, lymphoma, and multiple myeloma.
_________________________ in cancer patients is indicative of widespread disease and is
associated with a poor prognosis for long-term survival. (ELECTROLYTE IMBALANCE)
correct answers Hypercalcemia
_____________pain is caused by nerve infiltration or injury and is usually described as burning,
shooting, tingling, or shock-like. correct answers Neuropathic
______________pain is caused by stimulation of skin, muscle, or bone, is well-localized, and is
described as achy, throbbing, or dull. correct answers Somatic
___________pain is caused by stimulation of abdominal or thoracic organs, is poorly localized,
and is described as squeezing, cramping, or pressure. correct answers Visceral
Which electrolyte imbalance can cause n/v, anorexia, constipation, fatigue, weakness, confusion
and increased thirst. correct answers Hypercalcemia
____________ causes diaphoresis, agitation and seizures? correct answers Hypoglycemia
The most common cause of wound odor is? correct answers anaerobic bacterial colonization
Which medication can be used to help treat odor from anaerobic bacterial colonization? correct
answers topical metronidazole
SVC obstruction comes on rapidly or is complete, the patient deteriorates rapidly because of?
correct answers increased intracranial pressure.
Common symptoms of carcinoid syndrome include: correct answers diarrhea, flushing,
abdominal cramping, wheezing, right heart failure, and cyanosis.
The most common presenting symptom of spinal cord compression is back pain, which is worse
when ________ _______or straining (e.g., coughing, stooling) and improves upon _________.
correct answers Laying flat. Standing.
, What is Beck's triad? correct answers Hypotension, Muffled Heart Sounds, JVD (increased
venous pressure)
**Caracteristic for Cardiac Tamponade**
Sudden acute unilateral pleuritic pain, dyspnea, tachypnea, tachycardia, and slight cough along
with unilateral decreased breath sounds are consistent with? correct answers Pneumothorax
pneumothorax correct answers collapsed lung, air in the pleural cavity
tension pneumothorax correct answers A life-threatening collection of air within the pleural
space; the volume and pressure have both collasped the involved lung and caused a shift of the
mediastinal structures to the opposite side. (Chest tube needed ASAP)
S3 heart sound correct answers May indicate heart failure or left ventricular failure in older
adults
An opening snap on auscultation of the heart should make you think of what diagnosis? correct
answers mitral valve stenosis (can be caused from rheumatic heart disease)
rheumatic heart disease correct answers damage to the heart muscle or heart valves caused by
one or more episodes of rheumatic fever
An *ejection click* soon after S1 occurs in ______ correct answers Aortic Stenosis; Pulmonic
Stenosis (septal defects)
septal defects correct answers small holes in the wall between the atria (atrial septal defects) or
the ventricles (ventricular septal defects)
A friction rub is associated with correct answers Pericarditis
Left-hemisphere strokes often result in _________-sided paresis or paralysis and _________.
May also experience _________-term memory loss and difficulty learning new materials. correct
answers Right sided, aphasia, short
________ strokes may cause ataxia, nausea and vomiting, headaches, and dizziness or vertigo.
correct answers Cerebellar
Brainstem strokes may impair ________ and ___________. correct answers Respiratory, cardiac
function
Right hemisphere strokes result in ______ paresis or paralysis and _____-sided neglect, as well
as short-term memory loss and __________. correct answers Left, left, depression
