Disease Processes Quiz

7/28/2016
DiseaseProcessesQuiz|NRSNG
Login (/my-account)
DISEASE PROCESSES QUIZ

How Well Do You Know Your Disease Process Lab Values?
Your Quiz Grade:

Score:
13 / 26
Percentage:
50%
Correct Answers
1) Why is it important to assess a glucose level of a patient presenting with s/s of a stroke?
Because these patients frequently require an insulin drip due to signi cantly increased
blood sugars
Because hyperglycemia can mock stroke symptoms
Because hypoglycemia can mock stroke symptoms
Because strokes cause the blood glucose levels to be extremely labile
Correct Answer - "Because hypoglycemia can mock stroke symptoms"
2) Your stroke patients CBC has resulted with a platelet count of 78. What does this tell
you?
https://www.nrsng.com/quizzes/diseaseprocessesquiz/?utm_source=emailautomated&utm_medium=email&utm_campaign=labs31&utm_content=em 1/8
7/28/2016
you?
They cannot receive tPA
They cannot receive tPA, and have a critically low platelet value and this must be
immediately communicate to the MD
They can receive tPA, but their platelets are somewhat low
Their platelets are critically high and you must call and alert the MD
Correct Answer - "They cannot receive tPA"
3) The MD suspects your patient is septic. Which lab is the most important to draw rst
before treatment is initiated?
CBC
CMP
PT/INR
Blood cultures
Correct Answer - "Blood cultures"
4) Your patient has lactic acid labs ordered in 3, 6, 9, and 24 hours. What is the half-life of
lactic acid in the body?
20 minutes
12 hours
24 hours
4 hours
Correct Answer - "20 minutes"
5) Your stroke patient is going to have an MRI with and without contrast. What lab must you
assess before sending a patient to receive contrast?
BUN/Creatinine
Liver enzymes
PT/INR, PTT
Blood sugar
Correct Answers - "BUN/Creatinine"
6) You have just completed vitals on your pregnant patient who has been admitted to
deliver her baby. Her blood pressure is 174/96. You recheck and it is 172/98. What do
anticipate the MD ordering to support a potential diagnosis of preeclampsia?
UA to assess ketones, CMP to assess liver enzymes
Coagulation studies
7/28/2016
Coagulation studies
CBC to assess hemoglobin/hematocrit
UA to assess glucose, CMP to assess sodium
Correct Answer - "UA to assess ketones, CMP to assess liver enzymes"
7) Your pregnant patient who has been admitted to deliver her baby has requested an
epidural. You need to check her chart to make sure it is safe to administer one. Which lab to
do ensure has been completed?
CBC to assess platelets
CBC to assess hemoglobin/hematocrit
CBC to assess WBC
BMP to assess BUN/creatinine
Correct Answer - "CBC to assess platelets"
8) Your pediatric patient with bronchiolitis and RSV has also presented with signs of sepsis.
Which additional lab is vital to obtain before starting antibiotics?
Blood cultures
Vancomyocin trough
ABG
Creatinine clearance
Correct Answer - "Blood cultures"
9) You note that your patient who was admitted with an episode of v-tach has Synthroid
listed as a home med. What lab should you discuss ordering with the physician help
determine the cause of this dysrythmia?
T3, T4, TSH
Liver enzymes
Potassium
CRP
Correct Answer - "T3, T4, TSH"
10) Your patient has been having multiple runs of PVCs over the last 4 hours. You note that
no labs were drawn today; the patient has had a large amount of urine output, is on IV uids,
and is also taking in a large amount of PO liquids. What would be important to assess at this
time?
Serum electrolytes
Kidney function tests
7/28/2016
Cardiac enzymes
Coagulation studies
Correct Answer - "Serum electrolytes"
11) Your patient was admitted for CHF 19 days ago and was sent home with lasix and a uid
restriction. He verbalized the importance of his treatment regimen prior to discharge. He
has been admitted today for a fall at home, during which he hit his head. Which lab will you
draw to assess his level of compliancy with his CHF treatment regimen?
D-dimer
CRP
BNP
CMP
Correct Answer - "BNP"
12) You are just returning from lunch to nd your COPD patient on 6L of oxygen via nasal
cannula. You ask the nurse watching your patient why he is on this. She states that his
oxygen kept alarming at 90%, so she put him on this to increase the O2 saturation. She said
she was thinking about getting him a non-rebreather and putting him on 15L because hes
only at 92%. How do you respond to this nurse?
Phew, thank you!
Thank so much, Ill go get the non-rebreather because he really needs to be higher than
that.
Holy crap why did you do that? I told you he has COPD! His baseline is 88%!
Thanks, the order said to keep him above 92% so Ill just leave the 6L for now and
reassess in an hour.
Correct Answer - Holy crap why did you do that? I told you he has COPD! His baseline is
88%!
13) Your patient has presented with a CPOD exacerbation. What lab is essential to draw to
assess the level of compensation?
ABG
CMP
Lactic acid
BNP
Correct Answer - ABG
14) When assessing if your pregnant patient has syphilis, which lab will you order?
7/28/2016
14) When assessing if your pregnant patient has syphilis, which lab will you order?
RPR
Rapid RIV
PCR screen
Type and screen
Correct Answer - RPR
15) Your patient with acute renal failure has an increased bun to creatinine ratio. What
phase is this?
Prerenal
Intrarenal
Postrenal
Neurogenic
Correct Answer - Prerenal
16) When assessing a CMP of a pregnant patient with high blood pressure, what speci cally
are you looking at?
Sodium
Potassium
Liver enzymes
Kidney function
Correct Answer - Liver enzymes
17) Your septic patient a hemoglobin of 6. What do you expect to administer because of this
lab?
Fluid Bolus
Blood
Heparin
Antibiotics
Correct Answer - Blood
18) Your stroke patient with a total cholesterol of 392 is about to be started on a statin Med.
Which lab do you need to evaluate to make sure this can be safely done?
Liver enzymes
BUN/creatinine
Albumin
Platelets
7/28/2016
Correct Answer - Liver enzymes
19) Which of the following conditions is one of the most common causes of COPD?
Bronchitis
TB
Pneumonia
CHF
Correct Answer - Bronchitis
20) Which of the following is disrupted in the CHF patient?

Frank-Starling Law
Monroe-Kelly Doctrine
Circle of Willis
Umbridge-Snape Law
Correct Answer - Frank-Starling Law
21) What becomes full of uid preventing appropriate oxygenation in pneumonia?

Alveoli
Bronchioles
Arterioles
Lymph nodes
Correct Answer - Alveoli
22) Which of the following most dictates treatment for ARF?

Phase / stage
Urine output
Blood pressure
Protein intake
Correct Answer - Phase / stage
23) What gland must you assess in the patient with dysrythmias?
Thyroid
Thymus
Adrenal
Pituitary
7/28/2016
Correct Answer - Thyroid
24) You note on the CBC with di that your patient has 16% bands. What is your reaction?
Phew, good!
Uh-oh..
None - bands don't tell me anything about a septic patient
Meh, I'm not impressed. I'll be scared when they're less than 2%
Correct Answer - Uh-oh..
25) What kind of CO2 reading on an ABG would you expect from a stable chronic COPD
patient?
35
50
64
90
Correct Answer - "50"
26) Your patient is a 6-year-old female with bronchiolitis. Her pulse oximetry reading is 8991%. The MD has ordered an RSV nasal wash, but said you could get a nasal swab if needed.
Why did he/she say this?
Because while it can be di cult to get a nasal wash, it is ideal because it provides a
much better sample
Because the nasal wash kits are expensive and are rarely used
Because the nasal swab will facilitate the nasal wash
Because the nasal wash and swab together will provide a better sample than the wash
alone
Correct Answer - " Because while it can be dicult to get a nasal wash, it is ideal because it
provides a much better sample"
Medical Information Disclaimer (https://www.nrsng.com/medical-information-disclaimer/)

Privacy Policy (https://www.nrsng.com/privacy-policy/)
7/28/2016
A liate Earnings Disclosure (https://www.nrsng.com/a liate-earnings-disclosure/)

Blog Comment Policy (https://www.nrsng.com/blog-comment-policy/)
D.M.C.A. Policy (https://www.nrsng.com/dmca-policy/)
Terms of Use (https://www.nrsng.com/terms-of-use/)
A liate Area (https://www.nrsng.com/a liate-area/)
Nursing NCLEX Exam Practice Questions (https://www.nrsng.com/nursing-practice-questions/)
Nursing Lab Values (https://www.nrsng.com/nursing-lab-values/)
Medication Study Guide (https://www.nrsng.com/nursing-medication-study-guide/)
(https:/(https:/
/www.facebook.com/nrsng/)
(http:/
/twitter.com/nrsngcom)
/www.pinterest.com/nrsngcom)
(https:/(https:/
/www.instagram.com/nrsng/)
(https:/
/plus.google.com/+Nrsng/)
/www.youtube.com/user/nrsngcom)
2016 TazKai LLC NRSNG | Built by Hendricksen Design (http://www.hendricksendesign.com)
NCLEX and NCLEX-RN are Registered Trademarks of the NCSBN who hold no a liation with NRSNG or
TazKai, LLC

Disease Processes Quiz

Caricato da

Informazioni sul documento

Copyright

Formati disponibili

Condividi questo documento

Condividi o incorpora il documento

Opzioni di condivisione

Hai trovato utile questo documento?

Questo contenuto è inappropriato?

Copyright:

Formati disponibili

Disease Processes Quiz

Caricato da

Copyright:

Formati disponibili

7/28/2016

DISEASE PROCESSES QUIZ

Your Quiz Grade:

Correct Answer - Liver enzymes

20) Which of the following is disrupted in the CHF patient?

21) What becomes full of uid preventing appropriate oxygenation in pneumonia?

22) Which of the following most dictates treatment for ARF?

Correct Answer - Thyroid

Medical Information Disclaimer (https://www.nrsng.com/medical-information-disclaimer/)

A liate Earnings Disclosure (https://www.nrsng.com/a liate-earnings-disclosure/)

Potrebbero piacerti anche