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Block 4.0 Assessment #2
Test Description: Neurosensory, Neurological, Skin, and Cardiovascular, systems
Instructions: Answer all questions to get your test result.
1) The nurse is caring for a patient with a Deep Vein Thrombosis in the left popliteal area. Which of the following clusters of assessment findings is most likely with this patient?
A
Left foot that has delayed capillary refill, increased pain with elevation, and is cool to the touch
B
Left calf larger than right, elevated D-Dimer, and pain upon dorsiflexion of foot
C
Dependent rubor of left leg, pain in left leg, and shiny skin with decreased hair growth
D
Pain with ambulation that improves with rest, pallor and decreased pulse in left foot
2) A patient is diagnosed with left and right sided heart failure. Which of the following interventions would help this patient most?
A
Bed rest, oxygen administration, 500 ml fluid bolus of normal saline, and digoxin
B
Incentive spirometer, arterial blood gases, and beta blocker administation
C
Oxygen administration, lasix, digoxin, and ambulation as tolerated.
D
Head of the bed at 30 degrees, up with bathroom priviledges only, and oxygen at 2 L/min
3) Which of the following collaborative implementations would be most helpful for a client with a history of blood clots and pulmonary emboli?
A
Diet high in Vitamin K, Lovenox (enoxaparin), and frequent leg massages
B
Passive ROM exercises, Lasix (furosemide), and wearing elastic stockings to bed
C
Coumadin with monitoring of PT/INR, hydration, and insertion of an inferior vena cava filter
D
Heparin with monitoring of aPTT, Protamine Sulfate, and activity restrictions
4) Which of the following conditions is the most serious complication for a patient with chronic venous insufficiency?
A
Deep vein thrombosis
B
Varicose veins
C
Venous ulcerations
D
Reynaud's Phenomenon
5) The nurse is caring for a patient on cardiac telemetry. The strip shows 20 small boxes between R waves, a regular rhythm and a narrow QRS's. What is the rhythm?
A
Sinus Bradycardia
B
Atrial Fibrillation
C
Sinus Tachycardia
D
Normal Sinus Rhythm
6) Which of the following factors most likely did NOT contribute to a patient's sensorineuronal hearing loss?
A
Cerumen impaction
B
Taking aspirin for arthritis
C
Playing in a garage band
D
Receiving multiple doses of vancomycin
7) Which of the following is true regarding Meclizine (antivert)?
A
It causes drowsiness
B
It is a sympathetic agonist
C
It works best if taken with aspirin on an empty stomach
D
It is used to treat inner ear infections
8) Which of the following visual disturbances is most likely for a patient with retinal detachment?
A
Blurred vision with dimming perception of color
B
Curtain pulling over part of one visual field
C
Gradual loss of central vision
D
Sudden loss of peripheral vision
9) Which of the following is most accurate regarding potassium and the heart?
A
Low levels will cause the T waves to peak
B
It affects the electrical activity of the heart
C
High levels will cause the appearance of a U wave
D
Levels do not typically affect the heart until they are greater than 6.0 meg/L
10) What is most accurate statement of the relationship between heart failure and valvular disease?
A
Valvular disease will cause heart failure
B
Heart failure will cause valvular disease
C
There is no direct relationship between heart failure and valvular disease
D
Either one may be a cause or an effect of the other
*select an answer for all questions
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