NGR 6619 Barkley Study Test 3 Questions And Answers 2022/2023

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1. You are starting your shift after a 56 y/o male pt, Daniel, has been admitted to the ICU for DKA. Already exhibiting confusion and irritability. His blood gases are pH=7.28, pCO2=33. HCO3=22, Na=... 158. Vital signs are; BP=101/53, temp 99.0, pulse28. He has been on isotonic fluids for an hour, but his blood glucose reading is 550 mg/dl. What would be the best IV solution infusion for this pt at this time? a. ½ NS b. Bicarb drip in ½ NS c. 0.9% NS d. 5% dextrose in ½ NS 2 . A 50 y/o male presents with a variety of urinary complaints that include, dribbling, hesitancy, urgency and nocturia. He states that he is awakened at least three times each evening because of his symptoms. In his initial work up, the patients, UA is negative for infection, and his prostate specific antigen level is 3.2. At this time, the next appropriate test or exam to order would be which of the following? a. MRI b. Transurethral US c. CT scan of the pelvis d. Kidney, ureter and bladder x-ray. 3. A pt had his appendix removed and is now experiencing post op fever. Which of the following management options should be initiated for this pt? a. antibiotic regimen b. supportive fluid therapy c. have the pt go on a post op diet d. D/C all medications as this is an allergic reaction to treatment 4. A 63 y/o Caucasian comes to the clinic for a check up and a BP of 125/80 is noted. The examination reveals nothing remarkable. His history is also unremarkable. The NP checks his bp before he leaves and notes a bp of 120/82. Of the following, which must the NP include for treatment? a. CCB b. schedule pt for exercise stress testc. advise therapeutic lifestyle changes d. prescribe ACE inhibitor 5. a 20 y/o male is brought into the psychiatric ward after threatening his family with violence. He is very volatile and is indicating that he may harm himself is left alone. For this reason alone, discharging the patient is not an option, if the NP were to discharge the pt, however, and he then harmed himself or someone else, who would be liable? a. the NP b. the department physician c. the hospital d. the hospital security personnel 6. A pt with a family history of chronic lung conditions comes to your office. He is active, eats healthy, and is not a smoker, however, he thinks he may have asthma and wants to understand the condition. Based on typical disease categorization, asthma is classified as a. restrictive b. obstructive c. mixed d. neither [Show More]

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