2. A pt is diagnosed with Grave’s disease. The nurse knows that this pt may develop which
characteristics :
• Bulging eyes
4. The pt has exophthalmos the nurse knows that the pt will experience S&S of which disease:
• Hyperthyroidism
5. Total parathyroidectomy
• Calcium gluconate is the treatment but the option was TETANY
6. The pt is presenting to ER with a chemical burn and involve epidermis, dermis and bone
• Major burn
8. Which of the following topical medication the nurse give to a pt with electrical burn
• Mafenide acetate (Sulfamylon)
10. In care for a burn pt the nurse recognize that the pt is experience local and systemic
response base on:
• percentage 25%
12. Teaching a pt with Addison disease about hormone replacement if is to low what is going to
experience:
• Dizziness on standing
17. Which of the following assessment will indicate that the person is experience thyroid storm
• temperature
18. The nurse consider that most consuming time in care of the patient will be:
• Wound care
21. In care for a pt with deep partial-thickness what is the highest priority
• Pain ( fluid resuscitation and airway weren’t there that’s why is pain)
22. Pt with hx of GI problem has diarrhea and vomiting, what is he losing? And what will you
replace?
• Replace Na until symptoms subside
23. Operating nurse assisting a pt with manipulation and removal of an adrenal tumor. v/s may
change upon manipulation of the tumor the changes that the nurse expect to see are:
• Hypertension and HR changes
24. The nurse is assisting a pt burn in both legs. Which intervention can use to prevent
contractures:
• Apply Splint
25. A person with Diabetes insipidus the nurse review urinalysis to know
• Urine low specific gravity ( 1.005-1.010)
28. Which of the following is a priority for a pt who suffer smoke inhalation
• Airway if airway is intact then fluid is a priority
29. The nurse is assessing a pt follow a thyroidectomy. What do you expect to look for?
• Numbness, tingling, twitching ( S&S of Tetany)
30. The pt was diagnosed with hyperthyroidism. The critical S&S will be:
• Sympathetic nervous system stimulation
31. Hypo function of adrenal cortex. Upon assessment the nurse find which V/S:
• Decrease BP
34. The nurse was assessing a patient that scald with a hot( la tetera del te) which stage is that?
• Deep partial thickness. Second degree burn ( Remember that scald is 2nd degree)
36. put the feet in cool water for a burn with chemical
40. The nurse is caring for a pt with addisonian crisis the nurse is expected to find which lab
values
• Hyperkalemia
41. Pt with Addison disease experience dehydration. Initial assessment by the nurse identified a
nursing diagnosis of fluid volume deficit which of the following support this diagnosis
• Mineralocortisol deficit