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Practice Questions: Cardiac/Vascular Nurse Exam, Certified Bariatric Nurses Exam
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Question 1 of 10
1. Question
Out of the following options, choose one option which has not been shown to be associated with more weight loss in post-bariatric surgery patients?
Correct
Eating smaller meals three times a day is advised in addition to maintaining higher protein intake and eliminating concentrated sweets. Attending support groups (A), joining an exercise program (B), and adherence to follow-up visits (D) have all shown trends toward better weight loss outcomes.
Incorrect
Eating smaller meals three times a day is advised in addition to maintaining higher protein intake and eliminating concentrated sweets. Results from multiple studies and recommendations from the American Society for Metabolic and Bariatric Surgery concur on factors that lead to more weight loss in post-op bariatric patients.
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Question 2 of 10
2. Question
Which of the following is not a sign that gastric bypass surgery is necessary?
Correct
Although a boost of self-esteem is a positive side effect of weight loss surgery, it is not a sign in and of itself.
Incorrect
A patient must have a BMI of >40 or >35 and a comorbid condition to be eligible. Most doctors and insurance companies will want proof that the patient has tried and failed to lose weight in the past.
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Question 3 of 10
3. Question
Which one of the following is not typically related to tachycardia?
Correct
If urinary retention is sustained >120bpm, is a concerning sign in the postoperative bariatric patient.
Incorrect
While urinary retention does not usually cause tachycardia, if left untreated for a long time, the patient can experience extreme suprapubic pain.
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Question 4 of 10
4. Question
From the options below, which of the following is not a long-term complication of bypass?
Correct
Wound infections most often occur in the days following surgery and can usually be managed with local drainage and control. Anastomotic stricture may occur suddenly due to a technical mistake, but it is more often a long-term complication. Late post-operative complications include internal hernias, vitamin deficiencies, and cholelithiasis.
Incorrect
Wound infections most often occur in the days following surgery and can usually be managed with local drainage and control.
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Question 5 of 10
5. Question
Which is the long-term consequence for OSA, obesity, sleep deprivation, hypoxemia, and hyperventilation?
Correct
Right-sided heart failure, hypertrophy, swollen legs, elevated CO2 levels, and hypoventilation are all symptoms of Pickwickian syndrome, also known as obesity hypoventilation syndrome. Progestational agents and the use of a CPAP during sleep are often used to treat patients with these symptoms.
Incorrect
Right-sided heart failure, hypertrophy, swollen legs, elevated CO2 levels, and hypoventilation are all symptoms of Pickwickian syndrome, also known as obesity hypoventilation syndrome. Progestational agents and the use of a CPAP during sleep are often used to treat patients with these symptoms.
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Question 6 of 10
6. Question
All of these are contraindications to bariatric surgery, with the exception of which option?
Correct
Since several bariatric patients have diagnosed or undiagnosed OSA, pulmonary clearance is needed prior to surgery. OSA is caused by a reduction in the pharyngeal region caused by an increase in fat tissue in the pharynx lateral pharyngeal walls. The patient can no longer need a CPAP after substantial weight loss following bariatric surgery! The other three options are all bariatric surgery contraindications.
Incorrect
The answer is sleep apnea. Since several bariatric patients have diagnosed or undiagnosed OSA, pulmonary clearance is needed prior to surgery. OSA is caused by a reduction in the pharyngeal region caused by an increase in fat tissue in the pharynx lateral pharyngeal walls. The patient can no longer need a CPAP after substantial weight loss following bariatric surgery! The other three options are all bariatric surgery contraindications.
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Question 7 of 10
7. Question
After a 48-hour stay in the hospital, the patient is released and expects to return to his truck driving job within five days, as he requires the income. During the discharge process, what drug would the surgeon most likely recommend for this patient?
Correct
Lovenox 40 mg SQ to the abdomen daily in the morning for 14 days is the right response. When travelling long distances in his truck, the patient sits for almost the whole day. Because of his immobility and lack of exercise, he has a higher chance of DVT. This patient’s doctor would advise him to take regular breaks to stretch his legs and ambulate.
Incorrect
The correct answer is Lovenox 40 mg SQ to the abdomen daily in the morning for 14 days. The patient sits for almost the entire day while driving long distances in his truck. His risk for DVT is greater due to immobility and lack of exercise. The physician will encourage this patient to make frequent stops to stretch his legs and ambulate.
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Question 8 of 10
8. Question
What are the primary and secondary causes of death in bariatric patients?
Correct
Both a blood clot in the lung and a leak of gastrointestinal contents are dangerous bariatric surgery risks with high mortality rates. While the other complications mentioned above can occur, they are not as common causes of death as the ones listed above.
Incorrect
Anastomotic/intestinal leak and pulmonary embolism. Both a blood clot in the lung and a leak of gastrointestinal contents are dangerous bariatric surgery risks with high mortality rates. While the other complications mentioned can occur, however, they are not as common causes of death as the ones listed above.
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Question 9 of 10
9. Question
What are some of the long-term consequences of bariatric surgery?
Correct
Some late complications of bariatric surgery are bowel obstruction, gallstones and dumping syndrome.
Incorrect
The correct answer is bowel obstruction, gallstones and dumping syndrome. Obstruction of the bowels can grow later, but not at first. Gallstones are more likely to form as a result of the patient’s rapid weight loss. Dumping syndrome affects the majority of patients at some stage.
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Question 10 of 10
10. Question
Choose an option from the following which shows some of the most common risks associated with gastric bypass surgery:
Correct
All of the above are risks related to gastric bypass which the patient should be counselled on preoperatively.
Incorrect
All options above are gastric bypass complications that should be discussed with the patient prior to surgery.