1. What treatment would you most likely anticipate in a patient with the syndrome of cachexia?
a. increasing physical activity
b. administering exogenous erythropoietin
c. administering an appetite stimulant
d. administering intravenous gamma globulin
2. A patient is admitted with complications secondary to lung cancer. What is a priority nursing intervention?
a. Assess respiratory status.
b. Perform a comprehensive pain assessment.
c. Encourage incentive spirometry use.
d. Encourage the patient to discuss fears.
3. A patient is admitted with receptive aphasia. Which lobe of the brain is most likely affected?
a. parietal
b. temporal
c. occipital
d. frontal
4. Which patient is most at risk for an acute ischemic stroke?
a. an obese patient
b. a patient with elevated serum high density lipoprotein cholesterol
c. a patient with a history of alcohol abuse
d. a patient with atrial fibrillation
5. What is the priority nursing diagnosis for a patient admitted with an acute hemorrhagic stroke?
a. ineffective airway clearance
b. disturbed body image
c. risk for disuse syndrome
d. functional urinary incontinence
6. Which arterial blood gas result is most likely in a bradypneic patient?
a. pH, 7.40; Paco2, 37; HCO3-, 24
b. pH, 7.52; Paco2, 30; HCO3-, 24
c. pH, 7.25; Paco2, 78; HCO3-, 26
d. pH, 7.30; Paco2, 40; HCO3-, 20
7. Which cranial nerve (CN) are you assessing when you ask a patient to shrug both shoulders upward against your hands as you note strength and contraction of the trapezii?
a. I
b. VIII
c. XI
d. XII
ANSWERS:
1. (c) 2. (a) 3. (b) 4. (d) 5. (a) 6. (c) 7. (c)