Grade A+ EXAMS & NOTES

SITUATIONAL Situation 1 – Concerted work efforts among members of the surgical team is essential to the success of the surgical procedure. 1. The sterile nurse or sterile personnel touch only sterile supplies and instruments. When there is a need for sterile supply which is not in the sterile field, who hands out these items by opening its outer cover? A. Circulating Nurse B. Anaesthesiologist C. Surgeon D. Nursing Aide 2. The OR team performs distinct roles for one surgical proce...

1. You see a 9-year-old after he was hit in the eye with a foreign body. Flourescein staining reveals a vertical line abrasion lateral to the iris. The pupils are equal in size and reactive; a positive red reflex is present bilaterally. There are no abnormal extraocular movements. Visual acuity is normal. An appropriate plan of care includes follow-up in 48 to 72 hours and: a Prescribing ophthalmic steroid drops three times a day but not applying . an eye patch b Prescribing ophthalmic an...

1. Which of the following hormones promotes a decrease in serum glucose levels? a. Epinephrine b. Glucagon c. Glucocorticoid d. Insulin ANS: D Insulin is released in response to increases in blood glucose levels and promotes the cellular uptake of glucose. Glucagon is released when blood glucose levels decrease and is responsible for promoting glycogen breakdown and gluconeogenesis to increase blood glucose. Glucocorticoid works similarly, particularly in the stressed state. Epinephrine...

1. A nurse is teaching an adolescent how to use a peak expiratory flow meter. o I will record the highest reading of the three attempts 2. A nurse in a pediatric clinic is providing teaching to the parent of an infant who has gastroesophageal reflux. o I will add rice cereal to my baby’s feeding 3. A nurse is planning care for a client who has cerebral palsy and is experiencing muscle spasms. o Baclofen 4. A nurse is planning care for an infant who has RSV and a respiratory rate of 46/m...

1) The nurse hears bilateral louder, longer, and lower tones when percussing over the lungs of a 4-year old child. What should the nurse do next? a) Palpate over the area for increased pain and tenderness. b) Ask the child to take shallow breaths and percuss over the area again. c) Refer the child immediately because of an increased amount of air in the lungs. d) Consider this a normal finding for a child this age and proceed with the examination. 2) A patient has suddenly developed sho...

1. A patient tells the FNP that he is very nervous, that he is nauseated, and that he “feels hot”. This type of data would be: Answer: Subjective 2. The patient’s record, laboratory studies, objective data, and subjective data combine to form the? Answer: Data base 3. The FNP is reviewing information about evidence-based practice. Which statement best reflects evidence-based practice? Answer: EBP emphasizes the use of best evidence with the clinician’s experience. 4. ...

1. A 16 year-old male has nodulocystic acne. What might have the greatest positive impact in managing his acne? Retin-A® plus minocycline Benzoyl peroxide plus erythromycin Isotretinoin (Accutane®) Oral antibiotics Isotretinoin (Accutane®) Explanation: Nodulocystic acne is the most severe form of acne vulgaris. Nodules and cysts characterize this disease. They can be palpated and usually seen on the skin, although, they actually are under the skin's surface. They develop when the fo...

A home health nurse is visiting with an older adult client. Which of the following observations indicate the need for home modification? a. The home has power strips that have breakers. b. The client uses an electric toaster oven for cooking. c. There are two rocking chairs in the living room. d. The bathtub has a seat and a hand-held shower head A case manager is planning an educational program for a client who has diabetes mellitus. Which of the following activities should the nurse includ...

1. Which of the following best describes the primary reason that Americans are concerned about health care? A. Politicians are discussing how to improve health care. B. The media has provided mixed messages about the health care system. C. Our national health care costs keep increasing. D. The new health care system offers free services to Americans. Answer: C 2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this involvement important? A. Nurs...

1. When would induced hypothermia be indicated? a. During brain surgery b. During bowel surgery c. To break a fever d. To treat carbon monoxide poisoning ANS: A Induced hypothermia may involve only a portion of the body or the whole body. Induced hypothermia is often indicated before certain surgeries, such as heart or brain surgery, or after return of spontaneous circulation after a cardiac arrest. 2. A 50-year-old patient has a heart rate by palpation of 120 bpm. How should this be in...