Evoke-ATII Nurse Review Center

CGFNS Boot Camp

Alternate-Item Format

Identification: For numbers 1-4, use the pictures below as reference:

B
A

C D

1. Patent Ductus Arteriosus

2. Tetralogy of Fallot
3. Ventricular Septal Defect
4. Coarctation of the aorta
 5. Check all that applies. Assessment of the client with hyperthyroidism includes clinical signs of Grave’s disease,
which includes:

a. weight loss
b. warm smooth skin
c. thin hair
d. lethargy
e. hyperactivity
f. goiter
g. constipation

Identify the areas of auscultation of the chest during the physical assessment, write the letter of the correct answer on
your answer sheets

6. Tricuspid
A B
7. Aortic
8. Mitral
9. Pulmonic

C D

IDENTIFICATION: Components of the electrocardiogram waves. Write the NAME of the wave/ segment/
interval being asked on your answer sheets:
11
CHOICES:
ST segment
ST interval
12
QT interval
PR segment
13
PR interval
10 14 QRS complex
T wave
15 U wave
P wave
R wave

16
18
17

19
20. Nursing care of the client with cast includes: Place the letters on your answer sheets (no partial points)
A. checking neurovascular status frequently
B. elevating involved extremity
C. prevent friction
D. maintain established line of pull
E. noting drainage, swelling, irritation, odor, or bleeding
F. noting color of the skin distal to the affected extremity

21. The following signs and symptoms can be seen in a patient with preeclampsia: Place the letters on your answer sheets (no partial
points)
A. elevation of blood pressure
B. proteinuria
C. facial or hand edema
D. weight gain of more than 4.5 pound per week
E. visual disturbances
F. hyporeflexia

22. The nurse is performing a 12-lead electrocardiogram (ECG) on a client who’s complaining of chest pain. Identify where leads V1,
V2, and V3 should be placed. Place the letters on your answer sheets (no partial points).

C
D

A
F

B G

23. Check all that applies. A client taking MAO inhibitors must avoid foods which include the following: (no partial points)
A. aged or mature cheese
B. salami and sausage
C. pickled herring
D. beef or chicken livers
E. beer, red wine
F. yogurt
G. fish

24. The following nursing interventions in the presence of increased ICP are directed at minimizing stimuli and promoting venous
drainage: Place the letters on your answer sheets (no partial points)
A. maintain airway; limit suctioning to 15 seconds or less
B. elevate head of bed about 30 degrees
C. maintain neck in neutral position to promote venous drainage
D. maintain quiet environment
E. prevent Valsalva’s maneuver by ensuring proper bowel routine
F. maintain fluid balance
25. Signs and symptoms of digoxin toxicity include: Place the letters on your answer sheets (no partial points)
A. anorexia
B. bradycardia
C. halo effect on vision
D. difficulty in color discrimination
E. nausea and vomiting
F. increase myocardial contractility

26. Which of the following are nursing considerations in taking care of client with an A-V fistula? Choose all that apply: (no partial
points)
A. auscultate for a bruit and palpate for a thrill
B. monitor for thrombosis formation
C. monitor for infection at the insertion site
D. take blood pressures only on the arm with the fistula

27. Nursing considerations during the assessment of a hospitalized continuous ambulatory peritoneal dialysis client include which of
the following? Choose all that apply. Place the letters on your answer sheets (no partial points)
A. frequent vital signs (especially temperatures)
B. monitor intake only
C. monitor output only
D. monitoring both intake and output
E. obtaining daily weights
F. assessing for exudates or redness around the catheter site

28. Nursing management of a client with a pressure ulcer includes:

A. turning and positioning the client every 2 hours
B. assessing risk factors: mobility, activity, mental status, continence, nutritional status, age, fluid balance, chronic
illness
C. prevention: inspect pressure points—elbows, sacrum, heels, trochanter/hip
D. avoiding pressure on the affected site
E. apply warm compresses as ordered
F. assess for hematoma

29. Fill in the blanks. The adrenal cortex of the adrenal glands produces and secretes those hormones necessary to sustain life. There
are two types of adrenal gland defects: Write the correct answers on your answer sheet (no partial points)
 primary adrenal insufficiency, or ________________, resulting from a disorder within the adrenal gland
 adrenal hyperactivity, which generally presents as ______________or excess glucocorticoid production, and
_______________, or excess aldosterone secretion.

30. The five rights of drug administration are: Place the letters on your answer sheets (no partial points)
A. drug
B. client
C. dose
D. route
E. time
F. distribution

31. A client is for thyroid scan. What patient teaching should be emphasized?
A. Avoid imaging procedures that use contrast media prior to the procedure
B. Don’t take prescribed medication until the results of the scan is known
C. Inform your doctor if you are pregnant or suspect to be pregnant or is lactating
D. The radioactive iodine is given IV
E. You should isolate yourself for 2 days after the procedure because of the risk of exposing other people to radiation
F. NPO for 8-12 hours prior to procedure
32. A 2 year old boy is brought into the clinic with a viral infection and was diagnosed with Kawasaki Disease, also known as
“mucocutaneous lymph node syndrome”. Select all that apply:

A. Fever
B. bilateral non-exudative conjunctivitis
C. mucous membrane changes
D. extremity changes
E. polymorphous rash
F. cervical lymphadenopathy

33. The nurse is caring for a client diagnosed with Rheumatic fever. The nurse identifies Jones criteria for diagnosis which include the
following major criteria:

A. carditis
B. poyarthritis
C. chorea
D. erythema marginatum
E. subcutaneous nodules
F. arthralgia

34. The nurse is assessing an infant diagnosed with cystic fibrosis. Which of the following signs and symptoms of cystic fibrosis is the
nurse likely to observe? Select all that apply:

A. recurrent, severe respiratory infection

B. thick mucus and bronchial plugs
C. mild diarrhea
D. difficulty swallowing
E. barking cough
F. rash

35. The nurse is assessing the level of consciousness of a client who suffered a head injury. She uses the Glasgow Coma Scale and
determines that the client’s score is 8 (E2, V3, M3). Which of the following responses did the nurse assess in this client?
a. obeys simple commands
b. abnormal flexion- decorticate positioning
c. inappropriate words
d. localizes painful stimuli
e. responds with incomprehensible sounds
f. eyes open in response to pain

36. A client who is 41 weeks pregnant is about to undergo a biophysical profile (BPP) to evaluate her fetus’s well being. The nurse
knows that which of the following components are included in a BPP?
A. fetal tone
B. fetal breathing movements
C. femur length
D. amniotic fluid volume
E. biparietal diameter
F. crown-rump length

37. A patient underwent contraction stress test. She was monitored for 10 minutes and 3 contractions were registered. Along with the
contractions, 2 late decelerations were seen. The CST is __________________. (Write the answer at your answer sheets)

38. The nurse is evaluating the 12 lead electrocardiogram of a client experiencing an inferior wall MI. While conferring with the client, she
correctly identifies which of the following ECG changes associated with an evolving MI? Select all that apply: (no partial points)
a. notched T-wave
b. Presence of a U wave
c. T-wave inversion
d. Prolonged PR-interval
e. ST-segment elevation
f. Pathologic Q wave
Using the picture below, identify the parts of the conduction system of the heart :
42

41

44 40

43 39
39. a. Purkinje fibers 41. a. left bundle branch 43. a. SA node
b. SA node b. AV node b. right bundle branch
c. AV node c. Purkinje fibers c. AV node
d. Bundle of His d. SA node d. Bundle of His

40. a. Bundle of His 42. a. Bundle of His 44. a. Purkinje fibers

b. SA node b. left bundle branch b. Bundle of His
c. right bundle branch c. Purkinje fibers c. SA node
d. AV node d. AV node d. left bundle branch

45. A 4 year old child is brought to the emergency department in cardiac arrest. The staff performs cardiopulmonary resuscitation (CPR).
Identify the area where the child’s pulse should be checked.