Skip to content
CramShare
PremiumPractice exam

NSG 4800 All Comprehensive Exams with Questions and 100% Correct Answers Latest 2026/27 Update - Galen College of Nursing

HEAL100 Health Care — exam and revision material · Other

Updated today

Health Care exam material, 43 pages. Originally published on StudyMerit.

Pages
43
Academic year
2025/2026
Language
English

What’s included

Preview 3 of 43 pages

See the first 3 pages exactly as they appear in the document.

Read page 1 as text

=Questions from that new document Informed consent – competency (who can and who can’t give) ● CONSENT NOT NEEDED: Underage mom, emancipated minor, emergency procedure ○ Informed consent not required for – treatment rt sexual abuse, STIs, HIV testing, AIDS treatment, birth control services, pregnancy, or psychiatric services ● Treatments cannot be done without a client’s consent; 18+, Minors <18 need guardian consent Hospice ● <6 mos to live ; pain/comfort measures (enhance quality of life) for peaceful and dignified death ● Nurse assessing clients for hospice services should recommend hospice care for client who ○ Has terminal cancer and needs assistance with pain management at home s/s of MI ● Impending doom , chest pain, ekg change (st elevation, t wave inversion, prominent u), diaphoretic ● Pt w/ MI suddenly tachycardic, s/s air hunger, coughing frothy pink tinged sputum, auscultation? ⇒ crackles assault- verbal and physical ● Assault = (threat of physical) client Fear of harm; Battery= (physically hitting) non consensual physical contact ● Assault occurs when a person puts another person in fear of a harmful or offensive contact ○ Assess the pt FIRST with sexual assault ○ Ex: threaten to sedate or restraint for pt who is not behaving ■ The nurse is caring for an older adult who has dementia in a history of falls. The nurse places the client and a chair that has a safety alarm. After a few minutes, the safety chair alarm is triggered. The family over here is the nurse who states to the client, “I will need to put restraints on you if you keep sounding the alarm.” ASSAULT normal vs of 2-year-old- Newborn Infant Toddler Preschooler School-age Adolescent HR: 110-170 RR: 30-60 BP: 80- 90/40-50 Temp (Ax): 97.6°-99 .3 °F HR: 90-160 RR: 30-53 BP: 90/56 (average) Temp (Ax): 97.6°-99 .5 °F HR: 80-140 RR: 22-37 BP: 92/55 (average) Temp (Ax): 97.6°-99.5°F HR: 75-120 RR: 20-28 BP: 95/57 (average) Temp (Ax): 97.6°-99.5°F HR: 70-100 RR 18-25 BP: 107/64 (average) Temp (Ax): 97.6°- 99.5°F HR: 60-100 RR: 12-20 BP: 120/70 (average) Temp (Ax): 97.6°- 99.5°F 60-85/40-55 65-100/55-65 90-105/55-70 95-110/60-75 100-120/60-75 110-125/65-85 Pedi-cardiac unit nurse reviews telemetry monitors. Who should the nurse initially plan to assess? 2 y/o toddler who is walking in the hallway and has HR of 160 The nurse working at a well-child clinic is assessing the vital signs of a two year old client. The nurse obtains the following: T 99.0; P 126; RR 26; BP 100/62. Which of the following actions should the nurse take? i. Document the findings in the client record pyridostigmine- med for Myasthenia gravis Downloaded by Studymerit Dotcom (samuelkaruiki40@gmail.com) lOMoARcPSD|6879242

Read page 2 as text

● The nurse working on the medical-surgical unit has just received a hand-off report on assigned clients. The nurse should first plan to assess the client who has a history of myasthenia gravis and is coughing when eating their breakfast. ● Myasthenia Gravis- Chronic autoimmune neuromuscular disease that causes weakness in the skeletal muscles. (muscles that connect your bones and contract to allow body movement in the arms and legs and allow for breathing.) Cystic Fibrosis ● What is it? Multisystem disorder of the Exocrine glands with increased production of thick mucus; autosomal recessive genetic disorder; 2 mutated CF genes = Cystic fibrosis ● S/S: Thick tenacious copious mucus, wheezing/cough, Dyspnea, Clubbing of the fingers and toes, Barrel chest, Repeated episodes of bronchitis and pneumonia, Stools are frothy and foul smelling, Meconium ileus → in NB is earliest manifestation, Salty taste ○ Increased viscosity of mucous = increase resistance to ciliary action ● Dx: Ambry test, Positive sweat sodium chloride test, Genetic screen ● Treatment: Chest (PT), Postural drainage, Huff coughing, Nebulizers, Bronchodilators. Mucolytics, anti- inflammatories ● Teaching ○ Wear a mask, hand washing, up to date on vaccine avoid those who are sick; CAN get flu shot ○ Nutrition ○ Prevent GI blockage ■ Fluids & stool softeners ■ Increase protein, fat, & calorie; FAT SOLUBLE VITAMINS: AKED, supplemental oral feeding or enteral feeding ■ Pancreatic enzyme supplement necessary before meal (Pancrelipase or pancreatin) ○ Chest PT ■ Drains airways of thick mucus to be coughed up ■ Done multiple times a day between 1–2-hour increments; NOT DONE right before or after meals ■ Cause vibrations & percussion to break apart the mucus (vests, manual vibration) When would you intervene?? - RDS w exacerbation (AEB wheezing & increased crackles) Pericarditis (Saunders p. 717) ● Acute or chronic inflammation of the pericardium ⇒ loss of pericardial elasticity or accumulation of fluid within the sac ⇒ HF, cardiac tamponade ● Assessment ○ Pain in anterior chest radiates to the left side of the neck, shoulder, or back; “grating” pain and aggravated by breathing (particularly inspiration), coughing, and swallowing ○ Pain worsens when supine & relieved by leaning forward ○ Pericardial friction rub (scratchy, high pitched sound) is heard on auscultation, Fever and chills, Fatigue and malaise, Elevated WBC, ECG changes: ST segment elevations ● Interventions ○ Assess pain ○ high-Fowler's, upright, or leaning forward ○ Administer O2, analgesics, NSAIDs, corticosteroids for pain ○ Auscultate for a pericardial friction rub ○ Check results of blood culture to identify the causative organism ○ Administer antibiotics for bacterial infection as prescribed ○ Administer diuretics and digoxin as prescribed for client with chronic constrictive pericarditis ■ Monitor for signs of cardiac tamponade/ notify provider Downloaded by Studymerit Dotcom (samuelkaruiki40@gmail.com) lOMoARcPSD|6879242

Read page 3 as text

● Pulsus paradoxus, Increased CVP, JVD with clear lung, Distant muffled heart sounds, Decreased cardiac output, Narrowing pulse pressure Chemical exposure precautions- What is true about chemical hazard exposure? ○ Priority: isolation room and take clothes off and put them in special radiation bags, with metal tongs, put tongs in the specific container ○ Cervical cancer: pick up the seeds implants with tongs PPE Which is true about PPE? ○ Know about different isolations! **REPEATED TOPIC FOR COMP 2-3 ELEVATOR** ■ KNOW for specific disease process ○ Donning and doffing ■ Donning: Gown, Mask, Goggles, Gloves ■ Correct sequence of Doffing : Gloves, Goggles, Gown, Mask (alphabetical order) ○ The nurse is instructing a student nurse about proper donning and doffing of personal protective equipment (PPE). Which statement by the student nurse indicates a correct understanding of donning and doffing of PPE? b. "When removing PPE, goggles are removed after gloves" Contact: Droplet Airborne hand hygiene, gown, gloves ● MRSA, VRE, scabies, C diff, pediculosis capitis surgical mask, private room, and gloves, gown , face shield as needed ● meningitis, diphtheria, mumps, rubella, pertussis, strep throat, haemophilus influenzae type B, flu negative pressure room, during transport the pt wears a mask, N95 respirator, gloves gown face shield as needed ● TB, measles, chickenpox (varicella), herpes zoster, disseminated zoster (shingles) Ulcerative colitis ● UC is an ulcerative and inflammatory disease of the bowel that results in poor absorption of nutrients ○ The colon becomes edematous and may develop bleeding lesions and ulcers ○ s/s: Weight loss, Severe diarrhea that may contain blood and mucus, Malnutrition, Dehydration, Anemia, Abdominal tenderness and cramping ○ Interventions ■ In acute phase ● Maintain NPO ● Administer fluids/electrolytes ■ Follow a low fiber diet ■ Avoid gas-forming foods, milk products, nuts, raw fruits, alcohol, and caffeine ○ Ulcerative Colitis (UC); edema and inflame in rectum & rectosigmoid colon s/s: ○ Labs; H&H, ESR, WBC, CRP, Albumin, CT, K/Na/Mg/Ca/Cl DX; colonoscopy, barium enema ○ TX; Colectomy w/ or w/o ileostomy ○ Liquid, bloody stool for 10 – 20 days is expected ■ If it is less than 3 – 4 days, you can send pt home on PO prednisone ○ A nurse is working on the med surg unit caring for the following 4 patients when the facility enacts its emergency response plan. Which pt should you recommend for discharge? A pt with ulcerative colitis who is receiving prednisone & is have 3-4 diarrheal stools Car seat safety: ● Middle back seat, 45 degrees Downloaded by Studymerit Dotcom (samuelkaruiki40@gmail.com) lOMoARcPSD|6879242

40 more pages after this

You’ve read 3 of 43. Unlock once and it stays in your library — and if the rest doesn’t match what you just read, you get a refund.

Others on this course also opened

$7.00

Yours permanently