Conditions and Treatments - NCLEX-PN
Card 1 of 5640
While using an otoscope, how does the practitioner correctly examine the tympanic membrane of a toddler?
While using an otoscope, how does the practitioner correctly examine the tympanic membrane of a toddler?
Tap to reveal answer
Examine the eardrum of infants and toddlers by pulling down on the ear lobe. Examine the eardrum of an older child by pulling up on the outer pinna. Additional help from colleagues or caregivers may be necessary when examining small or upset children.
Examine the eardrum of infants and toddlers by pulling down on the ear lobe. Examine the eardrum of an older child by pulling up on the outer pinna. Additional help from colleagues or caregivers may be necessary when examining small or upset children.
← Didn't Know|Knew It →
A client has just undergone an electrocardiogram (ECG), the nurse notes that the QRS complex is measured to be 0.09 seconds. What is the first action the nurse should take?
A client has just undergone an electrocardiogram (ECG), the nurse notes that the QRS complex is measured to be 0.09 seconds. What is the first action the nurse should take?
Tap to reveal answer
This is a normal finding, the QRS should have a duration between 0.6-0.12 seconds.
This is a normal finding, the QRS should have a duration between 0.6-0.12 seconds.
← Didn't Know|Knew It →
Which of the following is a bacterium frequently responsible for causing urinary tract infections?
Which of the following is a bacterium frequently responsible for causing urinary tract infections?
Tap to reveal answer
Escherichia coli is a bacteria that lives in the normal flora of the intestines. However, it is also a frequent cause of urinary tract infections. Candida albicans is a fungus that frequently causes thrush and vaginitis. Mycobacterium leprae is responsible for leprosy or Hansen's disease. Treponema pallidum is a spirochete responsible for syphilis. Lastly, Clostridium botulinum is responsible for botulism as a result of it's secretion of a neurotoxin.
Escherichia coli is a bacteria that lives in the normal flora of the intestines. However, it is also a frequent cause of urinary tract infections. Candida albicans is a fungus that frequently causes thrush and vaginitis. Mycobacterium leprae is responsible for leprosy or Hansen's disease. Treponema pallidum is a spirochete responsible for syphilis. Lastly, Clostridium botulinum is responsible for botulism as a result of it's secretion of a neurotoxin.
← Didn't Know|Knew It →
Which of the following bodily fluids does not transmit human immunodeficiency virus (HIV)?
Which of the following bodily fluids does not transmit human immunodeficiency virus (HIV)?
Tap to reveal answer
HIV is easily spread through all of the listed body fluids with the exception of saliva. A person may not contract HIV through exchange of saliva during activities such as kissing or sharing eating utensils.
HIV is easily spread through all of the listed body fluids with the exception of saliva. A person may not contract HIV through exchange of saliva during activities such as kissing or sharing eating utensils.
← Didn't Know|Knew It →
A 75 year old female with end-stage renal failure asks her nurse for advice about her diet. Knowing that this patient must adhere to a low-potassium diet, the nurse cautions her against which of the following foods?
A 75 year old female with end-stage renal failure asks her nurse for advice about her diet. Knowing that this patient must adhere to a low-potassium diet, the nurse cautions her against which of the following foods?
Tap to reveal answer
Orange juice is very high in potassium. One 12oz glass of orange juice contains 705mg of potassium. This could easily increase blood potassium to dangerous levels. The other fruits and vegetables listed are all low-potassium foods suitable for consumption by individuals needing to follow a low potassium diet.
Orange juice is very high in potassium. One 12oz glass of orange juice contains 705mg of potassium. This could easily increase blood potassium to dangerous levels. The other fruits and vegetables listed are all low-potassium foods suitable for consumption by individuals needing to follow a low potassium diet.
← Didn't Know|Knew It →
Which of the following increase the risk of endometriosis?
Which of the following increase the risk of endometriosis?
Tap to reveal answer
The incidence of endometriosis increases significantly in individuals with a family history of the condition. Other contributing factors are sedentary lifestyle (lack of exercise), presence of an intrauterine device, a diet high in fat, the presence of estrogen dominance, and liver dysfunction (due to decreased estrogen metabolism).
The incidence of endometriosis increases significantly in individuals with a family history of the condition. Other contributing factors are sedentary lifestyle (lack of exercise), presence of an intrauterine device, a diet high in fat, the presence of estrogen dominance, and liver dysfunction (due to decreased estrogen metabolism).
← Didn't Know|Knew It →
A nurse is looking over a basic metabolic panel for a 69 year old male. She notices that his BUN is
. This value is .
A nurse is looking over a basic metabolic panel for a 69 year old male. She notices that his BUN is . This value is .
Tap to reveal answer
BUN, or blood urea nitrogen, is a measurement of the kidney's ability to excrete urea, which is a byproduct of protein metabolism. This patient's BUN is within normal range: the reference range for BUN is
.
BUN, or blood urea nitrogen, is a measurement of the kidney's ability to excrete urea, which is a byproduct of protein metabolism. This patient's BUN is within normal range: the reference range for BUN is .
← Didn't Know|Knew It →
Which EKG lead localizes to the base of the heart?
Which EKG lead localizes to the base of the heart?
Tap to reveal answer
aVF is the main lead that points to the base of the heart (inferiorly). ST segment elevations in this lead help localize the area of infarction and can help identify the coronary artery involved. The precordial leads (V1-V6) do not point towards the base of the heart. Lead I is considered a lateral lead.
aVF is the main lead that points to the base of the heart (inferiorly). ST segment elevations in this lead help localize the area of infarction and can help identify the coronary artery involved. The precordial leads (V1-V6) do not point towards the base of the heart. Lead I is considered a lateral lead.
← Didn't Know|Knew It →
Up to 90% of cases of pelvic inflammatory disease have what etiology?
Up to 90% of cases of pelvic inflammatory disease have what etiology?
Tap to reveal answer
75 to 90% of cases of pelvic inflammatory disease are caused by neisseria gonorrhoeae and/or chlamydia trachomatis infections. This condition, typified by adhesion formation in the uterus and fallopian tubes, can result in serious issues such as infertility, ectopic pregnancy, or reproductive cancer.
75 to 90% of cases of pelvic inflammatory disease are caused by neisseria gonorrhoeae and/or chlamydia trachomatis infections. This condition, typified by adhesion formation in the uterus and fallopian tubes, can result in serious issues such as infertility, ectopic pregnancy, or reproductive cancer.
← Didn't Know|Knew It →
Which of the following is part of the diagnostic criteria for pelvic inflammatory disease (PID)?
Which of the following is part of the diagnostic criteria for pelvic inflammatory disease (PID)?
Tap to reveal answer
The criteria for diagnosis of PID are as follows: fever, cervical motion tenderness, abdominal pain, leukocytosis, elevated ESR, and purulent cervical discharge.
The criteria for diagnosis of PID are as follows: fever, cervical motion tenderness, abdominal pain, leukocytosis, elevated ESR, and purulent cervical discharge.
← Didn't Know|Knew It →
All of the following medications are considered first-line treatments of absence seizures except .
All of the following medications are considered first-line treatments of absence seizures except .
Tap to reveal answer
The most commonly prescribed medication for absence seizures is Ethosuximide. Lamotrigine and valproic acid may also be used if seizures are unable to be controlled with ethosuximide. Carbamazepine, a common medication prescribed for simple and complex partial seizures, is specifically contraindicated in absence seizures.
The most commonly prescribed medication for absence seizures is Ethosuximide. Lamotrigine and valproic acid may also be used if seizures are unable to be controlled with ethosuximide. Carbamazepine, a common medication prescribed for simple and complex partial seizures, is specifically contraindicated in absence seizures.
← Didn't Know|Knew It →
What would be the primary concern in the case of rubella infection during pregnancy?
What would be the primary concern in the case of rubella infection during pregnancy?
Tap to reveal answer
The primary risk in rubella infection during pregnancy is to the fetus. The rubella virus is able to cross the placenta, and acts as a teratogen by inducing apoptosis in fetal cells. This is termed congenital rubella syndrome. Birth defects can include deafness, ocular damage, cataracts, congenital heart defects, hepatomegaly, and developmental disability or delays.
The primary risk in rubella infection during pregnancy is to the fetus. The rubella virus is able to cross the placenta, and acts as a teratogen by inducing apoptosis in fetal cells. This is termed congenital rubella syndrome. Birth defects can include deafness, ocular damage, cataracts, congenital heart defects, hepatomegaly, and developmental disability or delays.
← Didn't Know|Knew It →
What treatment can prevent the development of sensitization to Rh-D antigen in an Rh negative mother carrying an Rh positive fetus?
What treatment can prevent the development of sensitization to Rh-D antigen in an Rh negative mother carrying an Rh positive fetus?
Tap to reveal answer
Rh sensitization can be prevented by treatment of an Rh negative mother with Rho(D) immunoglobulin at 28 weeks, then again within 72 hours of delivery. This is a solution of IgG antibody to Rh-D, which is able to destroy any fetal red blood cells that enter the mother's bloodstream before her own immune system is able to form develop a sensitization.
Rh sensitization can be prevented by treatment of an Rh negative mother with Rho(D) immunoglobulin at 28 weeks, then again within 72 hours of delivery. This is a solution of IgG antibody to Rh-D, which is able to destroy any fetal red blood cells that enter the mother's bloodstream before her own immune system is able to form develop a sensitization.
← Didn't Know|Knew It →
Which artery is most commonly involved in ischemic stroke?
Which artery is most commonly involved in ischemic stroke?
Tap to reveal answer
The most common artery occluded in ischemic stroke is the middle cerebral artery, which supplies a large percentage of the frontal lobe and the lateral surface of the temporal and parietal lobes. Occlusion of this artery affects the motor and sensory areas of the face, throat, arm, hand and the areas for speech.
The most common artery occluded in ischemic stroke is the middle cerebral artery, which supplies a large percentage of the frontal lobe and the lateral surface of the temporal and parietal lobes. Occlusion of this artery affects the motor and sensory areas of the face, throat, arm, hand and the areas for speech.
← Didn't Know|Knew It →
The term placenta previa describes which of the following conditions?
The term placenta previa describes which of the following conditions?
Tap to reveal answer
In placenta previa, the placenta develops in such a way that all or part of it is positioned in the lower one-third of the uterus, placing it between the fetus and the cervix. This can cause the placenta to tear and bleed. The most common sign is painless vaginal bleeding in the third trimester (generally after week 32).
In placenta previa, the placenta develops in such a way that all or part of it is positioned in the lower one-third of the uterus, placing it between the fetus and the cervix. This can cause the placenta to tear and bleed. The most common sign is painless vaginal bleeding in the third trimester (generally after week 32).
← Didn't Know|Knew It →
A nurse working in labor and delivery is caring for a client that has been diagnosed with an incompetent cervix. The client has been informed by the physician she is now at risk for a spontaneous abortion. The client asks the nurse about possible interventions.
The nurse is aware the procedure performed for an incompetent cervix is called .
A nurse working in labor and delivery is caring for a client that has been diagnosed with an incompetent cervix. The client has been informed by the physician she is now at risk for a spontaneous abortion. The client asks the nurse about possible interventions.
The nurse is aware the procedure performed for an incompetent cervix is called .
Tap to reveal answer
A Shirodkar procedure involves sewing a suture in and around the cervix to hold it closed. This is usually performed within the first trimester and later removed when the risk of miscarriage has lessened.
A Shirodkar procedure involves sewing a suture in and around the cervix to hold it closed. This is usually performed within the first trimester and later removed when the risk of miscarriage has lessened.
← Didn't Know|Knew It →
A pregnant woman at 43 weeks gestation is having labor augmented with oxytocin infusion. Which of the following best categorizes this particular drug?
A pregnant woman at 43 weeks gestation is having labor augmented with oxytocin infusion. Which of the following best categorizes this particular drug?
Tap to reveal answer
Oxytocin is often used to help augment labor by inducing contractions. This hormone is naturally made in the body and works as an anti-diuretic hormone (thus promotes the excretion of water). In labor, this hormone also works to stimulate uterine contractiity.
Oxytocin is often used to help augment labor by inducing contractions. This hormone is naturally made in the body and works as an anti-diuretic hormone (thus promotes the excretion of water). In labor, this hormone also works to stimulate uterine contractiity.
← Didn't Know|Knew It →
Fundal height of a pregnant woman is measured from .
Fundal height of a pregnant woman is measured from .
Tap to reveal answer
Fundal height (sometimes referred to as McDonald's rule) is measured in centimeters from the top of the pubic bone to the top of the uterus. The top of the uterus may also be called the fundus of the uterus. It is used to assess the growth and development of the fetus inside the womb.
Fundal height (sometimes referred to as McDonald's rule) is measured in centimeters from the top of the pubic bone to the top of the uterus. The top of the uterus may also be called the fundus of the uterus. It is used to assess the growth and development of the fetus inside the womb.
← Didn't Know|Knew It →
Which of the following is the most common etiology of intracerebral hemorrhagic stroke?
Which of the following is the most common etiology of intracerebral hemorrhagic stroke?
Tap to reveal answer
Hypertension is a leading etiology in intracerebral hemorrhagic stroke. Chronic hypertension can cause damage and stress to the blood vessel wall, leading to aneurism or increased risk of spontaneous rupture.
AVM, trauma, and medications such as blood thinners are all also responsible for a significant (though lesser) number of hemorrhagic strokes, or may be co-morbidities that increase the risk of a rupture in the presence of prolonged hypertension.
Hypertension is a leading etiology in intracerebral hemorrhagic stroke. Chronic hypertension can cause damage and stress to the blood vessel wall, leading to aneurism or increased risk of spontaneous rupture.
AVM, trauma, and medications such as blood thinners are all also responsible for a significant (though lesser) number of hemorrhagic strokes, or may be co-morbidities that increase the risk of a rupture in the presence of prolonged hypertension.
← Didn't Know|Knew It →
Full-thickness (transmural) ulceration of the bowel wall occurs in what condition?
Full-thickness (transmural) ulceration of the bowel wall occurs in what condition?
Tap to reveal answer
Full-thickness (transmural) ulceration of the bowel wall occurs in Crohn's disease. Bowels may also show thickened walls, serosal adhesions, and loss of the regular folds.
In ulcerative colitis, ulceration is restricted to the gut mucosa. Celiac disease results in blunting of intestinal villi, but does not cause ulceration in any form. Irritable bowel syndrome, or IBS, is considered a functional disease as it results in no known pathological tissue changes.
Full-thickness (transmural) ulceration of the bowel wall occurs in Crohn's disease. Bowels may also show thickened walls, serosal adhesions, and loss of the regular folds.
In ulcerative colitis, ulceration is restricted to the gut mucosa. Celiac disease results in blunting of intestinal villi, but does not cause ulceration in any form. Irritable bowel syndrome, or IBS, is considered a functional disease as it results in no known pathological tissue changes.
← Didn't Know|Knew It →