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Practice Questions: Cardiac/Vascular Nurse Exam, Certified Bariatric Nurses Exam
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Question 1 of 10
1. Question
Which out of the following options are regulated by the Health Insurance Portability and Accountability Act (HIPAA)?
Correct
The HIPAA addresses and regulates the rights of patients concerning the privacy of health information. Health care professionals are not allowed to share or release any information or documentation about a patient’s condition or treatment without consent; all patients are given the right to determine who has access to personal information, which is considered protected health information (PHI). Factors such as health history, condition, treatments, and any documentation are considered PHI. Personal information can be shared with spouses, legal guardians, and those with a durable power of attorney.
Incorrect
HIPAA’s privacy requirements regulate the use and disclosure of protected health information. The security rules impose administrative, physical, and technical security safeguards for electronic PHI.
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Question 2 of 10
2. Question
A 45-year-old man has been struggling with his weight for many years. His BMI is 63 and he has failed to reduce his weight even though he changed his diet and exercises. His history shows that he has hypertension controlled using the medication, osteoarthritis, diabetes, and alcohol abuse. Which of the following could cause a life-threatening situation to him undergoing bariatric surgery.
Correct
For bariatric surgery, drug and alcohol dependence are relative contraindications.
Incorrect
Hypertension can be triggered by a change in behaviour which is an effect of unhealthy amounts of alcohol intake
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Question 3 of 10
3. Question
The pulse oximetry (SpO2) of a patient is 75%, the patient does not seem to appear in a state of distress. An incorrect reading is more likely to be caused by which from the following options:
Correct
Pulse oximetry measures the percentage of
haemoglobin saturation and is used to determine oxygenation. Other causes
of low readings include circulatory impairment or reduced temperature.Incorrect
Nail polish or a covering such as a plaster on the finger used for monitoring pulse oximetry +may give a low reading. Pulse oximetry measures the percentage of haemoglobin saturation and is used to determine oxygenation. Other causes of low readings include circulatory impairment or reduced temperature.
Carbon monoxide exposure causes abnormally high readings despite hypoxemia because the haemoglobin binds to the carbon monoxide. Pulse
oximetry readings are most effective at a saturation level of 90% or above
but are not always reliable at 80% or below. -
Question 4 of 10
4. Question
From the following options choose one option which shows what are patient goals developed from?
Correct
Goals may focus on three areas:
· Patient resolution
· Preventing deterioration or further complications
· Patient comfortIncorrect
Please note that goals are made from the patient’s problem list which is generated as part of the plan of care, based on the patient interview, history, physical exam, and medical records. Goals should be specifically related to the problem, realistic, measurable, and attainable.
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Question 5 of 10
5. Question
A male patient who is at the age of 40 years old complains of daytime somnolence, headache, depression, forgetfulness, weight gain, and impotence. Test results show hypertension and heart failure. The wife of the patient reports that he snores loudly with periods of breath-holding. From the following options, which is the most likely diagnosis?
Correct
Obstructive sleep apnea (OSA) symptoms include daytime somnolence, headache, depression, forgetfulness, overweight, and impotence.
Incorrect
Obstructive sleep apnea (OSA) symptoms include daytime somnolence, headache, depression, forgetfulness, overweight, and impotence.
Narcolepsy is characterized by brief, sudden episodes of falling asleep, loss of muscle tone, and sleep paralysis.
Insomnia patients complain of inadequate sleep; they are either unable to fall asleep easily, or they wake up and are unable to fall back to sleep easily.
Hypothyroidism can cause symptoms similar to those of OSA and thus should be ruled out with thyroid function tests. -
Question 6 of 10
6. Question
A patient has pulmonary oedema, tachycardia, hypertension, tachypnea, fever, and cough with frothy sanguineous sputum. What treatments are most commonly used in terms of this clinical presentation? Choose from the below options:
I. Oxygen, thiazide diuretics, and angiotensin-converting enzyme inhibitors
II. Oxygen and thiazide diuretics
III. Oxygen, morphine, nitroglycerine and loop diuretics
IV. Oxygen, morphine, and calcium channel blockersCorrect
The most common initial treatment for acute pulmonary oedema is oxygen to relieve dyspnea, nitroglycerine to reduce preload, loop diuretics (usually furosemide-Lasix) to promote diuresis and vasodilation, and morphine to reduce associated anxiety (although some physicians avoid morphine because of side effects). Angiotensin-converting enzyme inhibitors are also sometimes used to reduce afterload, but thiazide diuretics are not used to treat acute pulmonary edema. Calcium channel blockers may induce acute pulmonary edema if used with tocolytics.
Incorrect
Oxygen relieves dyspnea, nitroglycerine reduces preload, loop diuretics (usually furosemide-Lasix) promotes diuresis and vasodilation, and morphine is used to reduce the associated anxiety. Angiotensin-converting enzyme inhibitors are also sometimes used to reduce afterload, however, thiazide diuretics are not used to treat acute pulmonary edema. Calcium channel blockers may induce acute pulmonary edema if used with tocolytics.
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Question 7 of 10
7. Question
Out of the following options, which is not a component of the gastric banding device:
Correct
Incorrect
The balloon implant is not part of the banding apparatus.
The inflatable band is placed around the upper portion of the stomach and is connected to the band tubing.
The tubing is brought out through the anterior abdominal wall and tunnelled in the subcutaneous tissues and attached to the port.
The port is sutured under the skin in the subcutaneous tissues. -
Question 8 of 10
8. Question
Out of the options below, which of the following laparoscopic procedures is a purely restrictive weight loss surgery?
Correct
For weight loss surgery there are two categories, restrictive and malabsorptive procedures. The gastric band is a restrictive procedure because it does not remove a portion of the stomach or alter normal anatomy or physiology.
Incorrect
Please note that the laparoscopic gastric band causes ingested food is limited which allows for more frequent meal intake, less caloric intake, and weight loss. In contrast to this, choices A, B, and D are all categorized as having at least some malabsorptive properties.
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Question 9 of 10
9. Question
From the following options, which patient is appropriate for weight loss surgery?
Correct
A 25-year-old male with a BMI of 30, a history of diabetes, and no attempt at exercising or dietary modification.
Incorrect
A BMI of 30 with comorbid conditions such as diabetes, obstructive sleep apnea, and hypertension or a BMI of 40 with no associated conditions are general criteria for weight loss surgery.
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Question 10 of 10
10. Question
For bariatric patients who are in the immediate post-operative period, which of the following options are important factors to stress?
I. Incentive spirometry
II. Ambulation
III. Hydration
IV. Avoidance of concentrated sweets
Correct
Post-operative bariatric patients are at high risk for venous thromboembolism (VTE), atelectasis, pneumonia, and dehydration. Therefore, it is important for all patients of the bariatric team to encourage patients to ambulate in order to prevent VTE. In addition, the use of incentive spirometry and deep breathing exercises are essential in preventing patients from having pulmonary complications. Lastly, hydration with liquids that do not contain concentrated sweets is important to prevent dehydration and unnecessary caloric intake.
Incorrect
Please note that all options are important factors to stress to bariatric patients in the immediate post-operative period.