STATE BOARD BULLETS 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. Essential to ask a pt. with intermittent claudication> Do smoke a lot? Drug that should be @ bedside with PVC> Lidocaine. IN assessing pt with CHF nurse should pay particular attention to> onset of chest pain. Assess a pt with Ischemic Heart Dse> Diet history. Nsg dx priority with pt with heart blocks> Altered Tissue Perfusion. Indicates circulatory overload for a pt with heart failure> dyspnea. Caring for a pt with MI should the nurse report stat to the doctor>VF Pt. with Angina has thrombosis—PTCA is performed—pt asked the nurse what is done in PTCA> balloon tipped catheter inserted using guide wire. 72 hours post MI attack—pt most likely to develop> PVC. Diuretic therapy given to a pt with CHF> to decrease venous return to the heart. What can help a nurse in assessing a woman with HPN> how often do you have a headache. When planning exercise program with HPN. What is important to consider> ―How do you send your leisure time?‖ Two m/o infant developed diaper rash. W/c action indicates that she understood teaching> She exposes the area to air. A nurse admitted by her mother. On assessment, the nurse found a large bulge and raised rings on her thigh. What should the nurse ask> ―Has the child been exposed to deer ticks?‖ Which of the ff signs with a pt with burns indicated a possible complication> narrowed pulse pressure. Which of the following is a sign of chlamydiasis> burning on urination. A pt. diagnosed with herpes. Nurse should expect to make which of the ff diagnosis/> Alteration in comfort. A partial thickness burns of 30% of pt‘s body surface is classified as> Moderate burns. Pt with Addison‘s dse. Which should the nurse address initially> HPN. Hyperthyroidism> ― Do you tire easily?‖ PKU> refer the parent to a geneticist. PKU—further teaching > ―My child drinks milkshake 2x a day‖. Type 1 DM> test for ketones. A pt is being assessed for increased ICP> Noting the pt‘s papillary response to light. Multiple sclerosis pt has urinary incontinence. What is the nursing care> Establish regular voiding schedule. When pt has injury of the spine @ the level of T5-L1. Which of the ff should the nurse expect> full bladder. The appropriate nsg dx for a pt with cerebral palsy> Risk for injury. Which of the ff should the nurse keep @ bedside after cervical closure of myelomeningocele> tape measure. The goal of care to a child with myelomeningocele> protection of the sac. which of the ff room is appropriate for a pt with seizure> darkened room Which of the ff is indicative of Jacksonian seizure> Seizure begins in the left arm progressing to some other parts. Which of the ff symptoms if manifested by a pt with Myasthenia Gravis needs to be reported to a physician> resp distress. Nsg dx of fluid volume excess for a pt with acute renal failure. Which of teh ff signs is supportive of the dx> Crackels @ the base of the lungs. The result of which blood test would be most directly related to renal damage> creatinine. A common symptom of BPH> nocturia. Due to decrease in erythropoeitin in a pt with ESRF. The priority nsg careis to> provide bedrest To assess the increase risk of developing glomerulonephritis in a pt—the nurse should ask which of the following> ―Did you have streptococcal infection?‖ Which of the ff statement of a mother whose child has been admitted for UTI—reflects a need for further teaching> ―I‘m glad that my child can go back to his bubble bath again:. The appropriate diet for a pt with UTI is which of the following> Increase fluids and increase vitamin C. Diarrhea, complication> Metabolic acidosis. Paracentesis—body image disturbance> increased risk for infection After common bile duct exploration—priority nsg care is> prevention of pneumonia. Pancreatitis, discharged-nurse should report> foul-smelling bulky stool.
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44. A sign that needs to be reported in a child post tonsillectomy> frequent swallowing. 45. Appropriate feeding device for a child post palate surgery> paper cup. 46. A child is brought to the hospital with a dx of gastroenteritis-which statement reflects NFI> ― I used boiled water from the well for his feeding.‖ 47. The priority nsg dx during acute attack of Meniere‘s dse> risk for injury. 48. Position, cataract extraction> unoperated side to decrease edema. 49. Eye pain occurs post cataract surgery> call the MD. 50. Retinoblastoma> cat‘s eye reflex 51. Retinoblastoma>refer to geneticist. 52. timoptic drugs> decrease IOP. 53. tonometer > detect ICP.
CGFNS QUESTIONS MARCH 2003 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. Sign of intestinal obstruction> abdominal distention. Corect understanding of transmission of mononucleosis> Avoid drinking from cup used by someone. Nurse was pricked by a needle in her finger- correct understanding of transmission> Give immunoglobulin to prevent transmission. Indicates severity of burn in the upper body> difficulty breathing. Cervical cancer radium implant> limit bedside activity. Definition of Lumpectomy (CG Guide 4th ed.) Child with chemotherapy- corect understanding of precaution> discard soiled diaper into biohazard container. Priority in pt recovering from acute burn> infection / pain.(either of the two) Best source of iron for IDA> yellow vegetables everyday. Others red meat once a week. High calcium> potato/spinach Diet for Chron‘s dse> Low residue. Post cataract surgery complained of pain> call the doctor. Equipment @ bedside after hip replacement> Abductor wedge pillow. Nursing intervention for burn pt with water therapy> keep temp. warm Post liver biopsy position> Right side lying 2-4 hrs. Nursing intervention after bronchoscopy> assess gag reflex. Definition of cataract. Definition of glaucoma> Increased IOP. Function of occipital> vision. Function of frontal> intellect, personality. Pt. with head injury awake during admission and become unconscious after 12 hours> CVA with ICP. Motor aphasia> Use board and picture. Position L-CVA>L-side lying, head elevated 30 degrees. Characteristic of prostatic hypertrophy> decrease size of urine stream. Peritoneal dialysis- sign of peritonitis> cloudy urine. Indication of peptic ulcer perforation> rigid abdomen. Appendicitis-sign of perforation> sudden loss of pain. Ileostomy appliance—evaluate pt educ>pt demonstrate. Complication post cholecystectomy with total bile duct opening> hydrostatic pneumonia. Patient BP 136/86-with family hx of HPN-slightly fat> change in lifestyle. Peripheral arteril dse> Intermittent claudication. Venous dse-Deep Vein Thrombosis> elevate legs. IV sign of infiltration> cool. Life threatening cardiac arrhytnmias> VT with HR 180. PTCA> balloon into the coronary artery. Sign of hypovolemic shock> restlessness. Prothrombin level—abnormal>35 sec. K Level—abnormal>3.0 Rt. sided heart failure>neck vein distention. Steroid> take with meal. Status asthmaticus sign of impending resp. arrest> decreased wheezing.
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Water seal drainage, awhich one not correct> 25 cm H20. Pneumonectomy complication> trachea palpable left side. Pulmonary embolism-nsg. dx> Altered Tissue Perfusion. Mantoux Test—reaction in serum> read 48-72 hrs. Positive HIV test indicates> HIV infected Diuretic K sparing—Aldactone—observe which of the ff> Decreased Na. Avoid excess intake of K rich foods. Pt. taking diuretic-correct understanding> weigh in the morning. Why use INH with refadin> to reduce drug resistance. Why is Heparin and Coumdin given together> warfarin takes 3 days to take effect. Neomycin for pre-op abdominal surgery>decrease bacteria. What should be avoided when taking warfarin> take green leafy vegetables. Synthroid for hypothyroidusm> report to the doctor about energy level change. Antihypertensive drugs-mechanism-block Ca ion into the heart muscle. Iodine for hyperthyroidism> flush the toilet. Postpartum family planning> use condom and jelly. Pre menopause—self breast exam> 1 wk after mens. High school student about testicular self-exam> during hot shower. Cross eyed, patch the unaffected eye—purpose> stimulate the affected eye muscle. High concentrated formula indicated for>congenital heart dse. Behavior of infant with VSD> fatigue and fall asleep following a little ounce feeding. A child with Cyanotic heart dse observed in squatting position parent should> remain in squatting and continue to observe. Indicates pt. understanding—a child with long cast> will tell nurse tingling in the fingers. Russell traction—which is not correct> feet put on the board firmly. Low back pain in labor> massage the back and counter pressure. Position to prevent preterm labor> back, legs elevated. Celiac dse—food should be avoided> wheat (Barley, Rye, Oats, Wheat) Cystic fibrosis> double dose of fat soluble vit ADEK. Cleft palate repair> use paper cup. 7 mos abnormal development> head lag when child placed head up. Pyloric stenosis> weigh the pt. Child with cystic fibrosis develops meconium ileus> abdominal distention. Pt. the doctor should see first> with vomitting and diarrhea. Erb‘s palsy > disappears after 3 months? Diagnosed with intussuception purpose of barium enema> reduce intussusception. PKU, preparation> take high protein before the test. Parent son with hemophilia, what is the chance of the next baby to have it> 25% Total weight gain of pregnant woman—20-24 lbs. Variable deceleration> Trendelenburg or KCP. Pitocin—contraction sustained 90 sec.> stop infusion. Child with hemophilia—knee is swelling and painful> hemarthrosis. Child with seizure, which precaution is correct> suction set up @ bedside. hand weakness occurs> CVA. 24 wks gestation—abnormal finding—fundus @ symphysis pubis. Prevent increase blood sugar> maintain normal weight. Symptoms of Myasthenia Gravis> dysphagia (ptosis-initial sign). Normal aging-75 y/o> low information progressing. 12 hr old newborn-crying-agitation> alcohol withdrawal syndrome. High risk for mortality> prematurity. 8 weeks pregnant woman takes a walk every certain hours—reason?> tendency of the blood to pool to extremities. Mother of 3 y/o make statement that indicates investigation> ―He bumps the way.‖ Indicates toilet training for 2 y/o> he watches for siblings in toilet. Pre education for the preschoolo> use simple terminology to explain. Child going to have cardiac operation> let the child handle equipment which will be used for operation. Vaginal delivery-massage the uterus> uterus firm. Lochia increases—what statement is correct> everytime when breastfeeding.
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97. 38 weeks pregnant fundus lower—reason> lightening. 98. Duration of contraction> from the begining to end of contraction. 99. Newborn with hypothermia leads to> Hypoglycemia. 100. A child ingested furniture polish> give milk or induce vomiting. 101. Characteristic of hip dysplasia> difficult to abduct. 102. Sickle Cell Anemia—what is abnormal> hemoglobin. 103. Among these clients who can sign the consent> 16 y/o primigravida who just gave birth. 104. S/e of Nebcin Tobramycin Sulfate> Oral Hypoplasia. 105. Use of Pilocarpine HCL> improving outflow of aqeous humor. 106. Drugs given post parathyroidectomy> use calcum gluconate. 107. Post oophorectomy instruction> increase calcium intake. 108. Indication of prematurity born @ 34 wks gestation> prominent clitoris. 109. Missed 2 consecutive mens-what is the positive sign of pregnancy> fetal heart movement on ultrasound. 110. 5 mins after birth HR 120, acrocyanosis, RR 50> let the mother hold the baby. 111. 2nd trimester with DM best goal – maintain glucose at 70-100
CGFNS BULLETS 2003 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. Deep vein thrombosis NCP includes: Compare calf circumference. Subdural hematoma-post craniotomy-NCP for the 1st 24 hours: Check drainage for presence of glucose every hour for the 1st 24 hours. Polycythemia vera with phlebotomy-efficacy: Decrease hematocrit. Cervical CA-psyllium implant: Instruct to remain 6 feet away & not more than 30 mins. Gallbladder disease, pain description: RUQ pain radiating to the right scapula. Renal colic-s/s: Nausea NCP-manipulative behavior: Maintain clear consistent limit. Head injury-Osmitrol or mannitol efficacy: Improve verbal response of pt. Anorexia nervosa-DTP: Attending a support group. Hypocalcemia-s/s: Muscle weakness Two y/o infant-weight is 4 secs 113. Pt. w/ Demero: resp depression 114. Post-thyroid Sx:= Tingling sensation 115. Autonomic dysreflexia : check bladder 116. Postgastrectomy 6-12 hrs: green drainage
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