Physiological Integrity Practice Quiz 3

December 26, 2019

Physiological Integrity Practice Quiz 3

Is your knowledge about the foundation of nursing well and sound? This quiz will question your ability to handle different nursing procedures, and other concepts covered by Fundamentals of Nursing.

Topics

Topics or concepts included in this exam are:

Laboratory Values.
Diagnostic Procedures.

Guidelines

To make the most out of this exam, follow the guidelines below:

Read each question carefully and choose the best answer.
You are given one minute per question. Spend your time wisely!
Answers and rationales (if any) are given below. Be sure to read them.
If you need more clarifications, please direct them to the comments section.

Physiological Integrity

Physiological Integrity Practice Quiz 3

1 / 10

Lyme Disease should be treated promptly. When a patient presents to the Emergency Department with symptoms related to Lyme Disease, which should be prescribed?

Simvastatin

Enalapril

Doxycyline

Famotidine

2 / 10

Following a myocardial infarction, the nurse assesses the patient's electrocardiogram strip shown in the image. The nurse identifies the rhythm as:

Ventricular fibrillation.

Sinus tachycardia.

Sinus bradycardia.

Atrial fibrillation.

3 / 10

The healthcare provider is preparing a patient on the medical-surgical unit for a thoracentesis. Which of the following is the most appropriate position for the patient during the procedure?

Prone, with both arms extended above the head.

Sitting up, leaning over a bedside table and feet supported on the ground or stool.

The head of bed elevated 45 degrees with the patient lying on the affected side.

The head of the bed flat with the patient lying on the unaffected side.

4 / 10

A patient is brought to the Emergency Department (ED) by a friend. The patient is unresponsive and respirations are slow and shallow. Which of the following is the priority intervention?

Administer naloxone, per protocol

Administer 100% oxygen per nasal cannula

Ask the friend if they were using illicit drugs

Check the patient's blood glucose level

5 / 10

The healthcare provider is assisting during the insertion of a pulmonary artery catheter. Which of these, if assessed in the patient, would indicate the patient is experiencing a complication from the catheter insertion?

Vesicular breath sounds noted on auscultation

Diaphragmatic excursion of 3cm

Vesicular breath sounds noted on auscultation

Tracheal deviation from midline

6 / 10

The healthcare provider is assessing a patient recovering from a total knee replacement. Which of these assessment findings indicates the patient is at risk of developing a complication from the surgery?

Homan's sign negative

Hemoglobin 12.5 g/dL

Pale toenail beds

Incision site edema

7 / 10

A patient receiving Vancomycin has an order for a trough level to be drawn. When should the lab collect the blood sample?

1 hour after the infusion

1 hour before the infusion

30 minutes after the infusion

30 minutes before the infusion

8 / 10

The healthcare provider is performing an assessment on a patient who is taking propranolol (Inderal) for supraventricular tachycardia. Which assessment finding is an indication the patient is experiencing an adverse effect of this drug?

Paresthesia

Dry mouth

Urinary retention

Bradycardia

9 / 10

A patient is prescribed a new medication for the treatment of hypertension. While supine, the patient's blood pressure is 112/70 mmHg and the heart rate is 80/minute. The healthcare provider assesses the patient when the patient changes to a sitting position. Which of the following indicates the patient is experiencing orthostatic hypotension?

BP 100/66, HR 90

BP 88/60, HR 100

BP 90/60, HR 68

BP 120/84, HR 82

10 / 10

A patient is taking daily low-dose aspirin and experiences prolonged bleeding from a superficial cut. Which of the following lab results would be expected for this patient?

Prothrombin time (PT) 14 seconds

Bleeding time of 8 minutes

Platelets 150 x 10^9/L

Activated partial thromboplastin time (aPTT) 30 seconds

Your score is

The average score is 0%

Q.1 A patient is prescribed a new medication for the treatment of hypertension. While supine, the patient’s blood pressure is 112/70 mmHg and the heart rate is 80/minute. The healthcare provider assesses the patient when the patient changes to a sitting position. Which of the following indicates the patient is experiencing orthostatic hypotension?

A. BP 88/60, HR 100

B. BP 90/60, HR 68

C. BP 120/84, HR 82

D. BP 100/66, HR 90

View Answer

Q.2 The healthcare provider is assessing a patient recovering from a total knee replacement. Which of these assessment findings indicates the patient is at risk of developing a complication from the surgery?

A. Incision site edema

B. Pale toenail beds

C. Homan’s sign negative

D. Hemoglobin 12.5 g/dL

View Answer

Q.3 Lyme Disease should be treated promptly. When a patient presents to the Emergency Department with symptoms related to Lyme Disease, which should be prescribed?

A. Famotidine

B. Simvastatin

C. Doxycyline

D. Enalapril

View Answer

Q.4 The healthcare provider is preparing a patient on the medical-surgical unit for a thoracentesis. Which of the following is the most appropriate position for the patient during the procedure?

A. Sitting up, leaning over a bedside table and feet supported on the ground or stool.

B. The head of bed elevated 45 degrees with the patient lying on the affected side.

C. The head of the bed flat with the patient lying on the unaffected side.

D. Prone, with both arms extended above the head.

View Answer

Q.5 The healthcare provider is performing an assessment on a patient who is taking propranolol (Inderal) for supraventricular tachycardia. Which assessment finding is an indication the patient is experiencing an adverse effect of this drug?

A. Bradycardia

B. Dry mouth

C. Urinary retention

D. Paresthesia

View Answer

Q.6 The healthcare provider is assisting during the insertion of a pulmonary artery catheter. Which of these, if assessed in the patient, would indicate the patient is experiencing a complication from the catheter insertion?

A. Vesicular breath sounds noted on auscultation

B. Inspiration phase is greater than expiration

C. Diaphragmatic excursion of 3cm

D. Tracheal deviation from midline

View Answer

Q.7 A patient receiving Vancomycin has an order for a trough level to be drawn. When should the lab collect the blood sample?

A. 1 hour before the infusion

B. 30 minutes before the infusion

C. 1 hour after the infusion

D. 30 minutes after the infusion

View Answer

Q.8 A patient is taking daily low-dose aspirin and experiences prolonged bleeding from a superficial cut. Which of the following lab results would be expected for this patient?

A. Activated partial thromboplastin time (aPTT) 30 seconds

B. Platelets 150 x 10^9/L

C. Prothrombin time (PT) 14 seconds

D. Bleeding time of 8 minutes

View Answer

Q.9 A patient is brought to the Emergency Department (ED) by a friend. The patient is unresponsive and respirations are slow and shallow. Which of the following is the priority intervention?

A. Ask the friend if they were using illicit drugs

B. Administer 100% oxygen per nasal cannula

C. Administer naloxone, per protocol

D. Check the patient’s blood glucose level

View Answer

Q.10 Following a myocardial infarction, the nurse assesses the patient’s electrocardiogram strip shown in the image. The nurse identifies the rhythm as:

A. Sinus bradycardia.

B. Atrial fibrillation.

C. Ventricular fibrillation.

D. Sinus tachycardia.

View Answer

Physiological Integrity Practice Quiz 2

Physiological Integrity Practice Quiz 4

Physiological Integrity Practice Quiz 3

Topics

Guidelines

Q.2 The healthcare provider is assessing a patient recovering from a total knee replacement. Which of these assessment findings indicates the patient is at risk of developing a complication from the surgery?

Q.3 Lyme Disease should be treated promptly. When a patient presents to the Emergency Department with symptoms related to Lyme Disease, which should be prescribed?

Q.4 The healthcare provider is preparing a patient on the medical-surgical unit for a thoracentesis. Which of the following is the most appropriate position for the patient during the procedure?

Q.5 The healthcare provider is performing an assessment on a patient who is taking propranolol (Inderal) for supraventricular tachycardia. Which assessment finding is an indication the patient is experiencing an adverse effect of this drug?

Q.6 The healthcare provider is assisting during the insertion of a pulmonary artery catheter. Which of these, if assessed in the patient, would indicate the patient is experiencing a complication from the catheter insertion?

Q.7 A patient receiving Vancomycin has an order for a trough level to be drawn. When should the lab collect the blood sample?

Q.8 A patient is taking daily low-dose aspirin and experiences prolonged bleeding from a superficial cut. Which of the following lab results would be expected for this patient?

Q.9 A patient is brought to the Emergency Department (ED) by a friend. The patient is unresponsive and respirations are slow and shallow. Which of the following is the priority intervention?

Q.10 Following a myocardial infarction, the nurse assesses the patient’s electrocardiogram strip shown in the image. The nurse identifies the rhythm as:

Question Details: