ORN NP 4 Exam

1.

1 point

The older patient is at higher risk for incontinence because of:

Diuretic use

Dilated urethra

Decreased bladder capacity

Increased GFR

2.

1 point

A danger following bone marrow transplantation is graft-host disease. The first sign of graft-host disease is:

Chest pain

EKG changes

Rash

Fever

3.

1 point

What type of debridement involves proteolytic enzymes?

Mechanical

Interventional

Surgical

Chemical

4.

1 point

Dyesebel underwent craniotomy. As her nurse, you know that drainage on a craniotomy dressing must be measured and marked. Which findings should you report immediately to the surgeon?

Foul-smelling drainage

Bloody drainage

Greenish drainage

Yellowish drainage

5.

1 point

1. Which of the following statements about body fluid homeostasis is inaccurate?

The lower the BMI, the lower is the BMR (Basal Metabolic Rate) and the lower the water demand and the higher the percentage of the TBW (Total Body Water)

Body fluid homeostasis is regulated by the neuroendocrine, cardiovascular system, renal, gastrointestinal and integumentary systems

Body fluids refer to the liquid portion which constitute approximately 60-70% of the body weight in adolescents and adults

Body fluids consist of water, electrolytes, acids and bases, colloids and nutrients

6.

1 point

Which of the following nursing interventions is essential when caring for a client who is receiving Cyclophosphamide?

Assessing for signs of increased intracranial pressure

Carefully monitoring of urine output

Monitoring apical pulse

Monitoring vital signs q 1 hour

7.

1 point

A client with a history of bronchial asthma is admitted with complaints of chest pain. Which of the following drug orders should the nurse question?

Ampicillin

Propranolol

Verapamil

Nitroglycerin

8.

1 point

The nurse knows that the drug of choice for managing status epilepticus is:

Valproic acid (Depakene)

Clonazepam (Klonopin)

Diazepam (Valium)

Carbamazepine (Tegretol)

9.

1 point

In staging and grading of tumor cells the TNM Classification is used. Which of the following is UNTRUE about this classification?

T refers to the tumor size or the extent of the primary tumor

M refers to Mitotic cell division

M refers to number of metastases

N refers to the number of lymph nodes involved

10.

1 point

A client is receiving nutrition by means of total parenteral nutrition (TPN). A nurse monitors the client for complications of the therapy and assesses the client for which of the following signs of hyperglycemia?

Nausea, vomiting, and oliguria

Fever, weak pulse, and thirst

Sweating, chills, and abdominal pain

Weakness, thirst, and increased urine output

11.

1 point

There are important principles that should guide the triage team in disaster management that you have to know if you were to volunteer as part of the triage team. The following principles should be observed in disaster triage EXCEPT:

Training on disaster is not important to the response in the event of a real disaster because each disaster is unique in itself

Do the greatest good for the greatest number of casualties

Make the most efficient use of available resources

Any disaster plan should have resources available to triage at each facility and at a disaster site if possible

12.

1 point

A client is receiving Vincristine. The client should be taught that the medication can:

Cause mental confusion

Cause diarrhea

Change the color of her urine

Cause changes in taste

13.

1 point

The nurse should observe for side effects associated with the use of bronchodilators. A common side effect of bronchodilators is:

Tinnitus

Hypotension

Ataxia

Tachycardia

14.

1 point

Dao Ming Si develops a nosocomial respiratory tract infection. He asks you what that means. Your best response would be:

“This is a highly contagious infection requiring complete isolation.”

“You acquired the infection after you have been admitted to hospital.”

“The infection you had prior to hospitalization flared up.”

“As a result of medical treatment you have acquired a secondary infection.”

15.

1 point

The following hormones all play a regulatory function on fluids, electrolytes and acid-base homeostasis, BUT:

Growth Hormone

Vasopressin

Desoxyhydrocorticosterone

ACTH