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