1. Patient on PEEP (believe) experiencing ARDS (select all that apply) a. Beta blocker b. Loop diuretic c. Bronchodilator d. Something else corticosterian Look it up 2. The nurse assists the provider with a liver biopsy at the bedside. Which position does the nurse put the patient in after the biopsy? Supine with head elevated on one pillow Semi-fowlers with two pillows under the leg Right side lying with a folded towel under the puncture site Left side lying with a small pillow under the puncture site 3. A patient is hospitalized for severe anorexia, fatigue, mild jaundice, hepatomegaly, and abnormal liver function tests. The physician suspects viral hepatitis. In planning care, which patient outcome does the nurse assign the highest priority? Maintains adequate nutrition Maintains usual exercise regimen Adapts to changes in appearance Definitely identifies source of exposure to hepatitis virus 4. Select all the potential causes for hepatic inflammation (double check this answer) Virus Penicillin Acetaminophen Alcohol Chocolate 5. A patient admitted to the hospital with a diagnosis of cirrhosis has a massive ascites’s and difficulty breathing. The nurse performers which intervention as a priority measure to assist the patient with breathing? Reposition side to side every 2 hours Auscultate the lung sounds every 4hours Encourage deep breathing exercises Elevate the head of the bed 60 degrees 6. A home health nurse visits a patient who was recently diagnosed with cirrhosis and provides home care management instructionsto the patient. Which statement by the patient indicates the need for further instructions? I will obtain adequate rest I should monitor my weight regularly I should include sufficient carbs in my diet I will take acetaminophen (Tylenol) if I get a headache 7. The nurse administers lactulose to a patient with cirrhosis the patient complains of diarrhea. The nurse explains that it is important to take the drug for which effect? Prevention of constipation Promotion of fluid loss Reduction in serum ammonia levels Prevention of gastrointestinal bleeding 8. A patient with liver cancer has severe ascites and shortness of breath. The physician plans a paracentesis. The nurse prepares the patient for the paracentesis with which action? Have client empty bladder Position patient flat on right side Have them lie flat with a small pillow under the small of his back Sedate the client with versed 9. The patient is admitted to the ED with vomiting of bright red blood. Which info is most important for the nurse to obtain during assessment? Vital signs and symptoms of hypovolemia History of prior bleeding Medication client is taking Current medical problems 21. (WORDED DIFFERENTLY ON TEST): A nurse is educating a patient in anticipation of a procedure that will require a water-sealed chest drainage system. What should the nurse tell the patient and the family that this drainage system is used for? A) Maintaining positive chest-wall pressure B) Monitoring pleural fluid osmolarity C) Providing positive intrathoracic pressure D) Removing excess air and fluid 22. (WORDED DIFFERENTLY ON TEST): A patient is exhibiting signs of a pneumothorax following tracheostomy. The surgeon inserts a chest tube into the anterior chest wall. What should the nurse tell the family is the primary purpose of this chest tube? A) To remove air from the pleural space B) To drain copioussputum secretions C) To monitor bleeding around the lungs D) To assist with mechanical ventilation 23.While assessing the patient, the nurse observes constant bubbling in the water-seal chamber of the patients closed chest-drainage system. What should the nurse conclude? The system isfunctioning normally. The patient has a pneumothorax. The system has an air leak. The chest tube is obstructed. 25. The nurse is caring for a patient who is scheduled for a lobectomy for a diagnosis of lung cancer. While assisting with a subclavian vein central line insertion, the nurse notes the clients oxygen saturation rapidly dropping. The patient complains of shortness of breath and becomes tachypneic. The nurse suspects a pneumothorax has developed. Further assessment findings supporting the presence of a pneumothorax include what? A) Diminished or absent breath sounds on the affected side B) Paradoxical chest wall movement with respirations C) Sudden loss of consciousness D) Muffled heart sounds 27. The nurse at a long-term care facility is assessing each of the residents. Which resident most likely faces the greatest risk for aspiration? 70 Years old man who aspirated before A resident with mid-stage Alzheimers disease A 92-year-old resident who needs extensive help with ADLs A resident with severe and deforming rheumatoid arthritis 30. The nurse is addressing condom use in the context of a health promotion workshop. When discussing the correct use of condoms, what should the nurse tell the attendees? A) Attach the condom prior to erection. B) A condom may be reused with the same partner if ejaculation has not occurred. C) Use skin lotion as a lubricant if alternatives are unavailable. D) Hold the condom by the cuff upon withdrawal. 31.A nurse is working with a patient who was diagnosed with HIV several months earlier. The nurse should recognize that a patient with HIV is considered to have AIDS at the point when the CD4+ T-lymphocyte cell count drops below what threshold? A) 75 cells/mm3 of blood B) 200 cells/mm3 of blood C) 325 cells/mm3 of blood D) 450 cells/mm3 of blood 32. A nurse is performing an admission assessment on a patient with stage 3 HIV. After assessing the patients gastrointestinalsystem and analyzing the data, what is most likely to be the priority nursing diagnosis? A) Acute Abdominal Pain B) Diarrhea C) Bowel Incontinence D) Constipation 33. The nurses plan of care for a patient with stage 3 HIV addresses the diagnosis of Risk for Impaired Skin Integrity Related to Candidiasis. What nursing intervention best addresses this risk? A) Providing thorough oral care before and after meals B) Administering prophylactic antibiotics C) Promoting nutrition and adequate fluid intake D) Applying skin emollients as needed 34. A 16-year-old has come to the clinic and asks to talk to a nurse. The nurse asksthe teen what she needs and the teen responds that she has become sexually active and is concerned about getting HIV. The teen asks the nurse what she can do keep from getting HIV. What would be the nurses best response? A) Theres no way to be sure you wont get HIV except to use condoms correctly. B) Only the correct use of a female condom protects against the transmission of HIV. C) There are new ways of protecting yourself from HIV that are being discovered every day. D) Other than abstinence, only the consistent and correct use of condomsis effective in preventing HIV. 35. A patient is beginning an antiretroviral drug regimen shortly after being diagnosed with HIV. What nursing action is most likely to increase the likelihood of successful therapy? A) Promoting appropriate use of complementary therapies B) Addressing possible barriers to adherence C) Educating the patient about the pathophysiology of HIV D) Teaching the patient about the need for follow-up blood work 36. The nurse is caring for a patient who has been admitted for the treatment of AIDS. In the morning, the patient tells the nurse that he experienced night sweats and recently coughed up some blood. What is the nurses most appropriate action? A) Assess the patient for additional signs and symptoms of Kaposis sarcoma. B) Review the patients most recent viral load and CD4+ count. C) Place the patient on respiratory isolation and inform the physician.