Comprehensive Galen 283 exam With 100% correct answers 2025-2026 already graded A+

Procedure gastrectomy

comes back with a NG tube

Drainage = serioussangenous

Procedure lap chole

removal of the gallbladder

abdomen inflated

Pain ---> shoulder

Normal Colostomy

red, moist, and raised

kind of stool for a colostomy

liquid on the right of stomach. and as you work around the colon toward the left stool is more formed

Barium enema

NPO

After - liquid diet

-hydrate (look at stools. make sure they dont get constipated)

Saturation pad bleeds in ____ is bad

1 hour

watch FHR

preeclampsia

dizzy

increased HR

blood urine

HTN

Stage labor 2

have the baby

Breast feeding add how many calories

300 more

Can prego women have yogurt?

yes

herpes

C section

Kid have asthma.. when wheezing is heard

means good

when wheezing isn't heard

means bad (airway might be lost)

Pt has chest tube, becomes SOB and irritable.. whats happening?

the tube came out

give O2

Addison's

safety

Cushings

skin breakdown

self image

Left heart failure

wheezing or crackles

Hepatic encephalopathy

Jaundice

Ascities

Tremors

closed Glaucoma

Progressive visual impairment

Loss of peripheral vision

medical emergency when sudden eye pain and possible nausea and vomiting occurs

Macular degeneration

loss of central vision

Cataracts

blurred vision and decreased color perception (early)

diplopia, reduced visual acuity, absence of red reflex (late)

Retinal detachment

Flashes of light

FLOATERS or black spots (sign of bleeding)

sense of curtain being drawn over the eye

MRSA/VRE

contact precaution

(Gloves and Gown)

When should restraints be checked?

hourly

circulation

High Vent. Alarms

Increase bronchial secretions

kink in tubing

acute bronchospams

pt biting the tube

Low Vent. Alarms

air leak

vent tubing is disconnected

newborn hands and feet are blue... normal?

Yes. for the 1st 24 hours

When is meconeum stool passed?

1st day

common risk factor for cancer

smoking

ulcers can cause..

gastric cancer

Digoxin

Advise client to eat foods high in Potassium

Monitor apical pulse

Digoxin toxicity

Anorexia, nausea, vomiting, diarrhea

heart rate abnormalities

visual disturbances appear

therapeutic range for digoxin

0.5-2

Lithium

take with milk or food

main sodium

MAOI inhibitor..

No Tyramine Foods (red wine, cheese, beer, fish, yeast)

Blood transfusion reaction..

S/S-lower back pain, fever, flushed. TX: stop it. change tubing.

Diverticulitis/Ulcertive colitis

Malabsorption

Diet High in Protein

Major depression

Suicide, monitor for S/S of SI

Bipolar

med compliance

schizophrenia

safety

manic phase

finger foods

Screening for Colon Cancer ask..

Family Hx

Alcohol

Teens need more _____ than other ages

sleep

(growing phase)

Post op patient more risk for Nausea and Vomiting

BMI >30

exercises for osteoporosis

swimming

daily walks

Low impact

striptococcal pneumonia isolation

Droplet

Foods that have low Sodium

Cottage Cheese

Veggies

Fruits

Chicken

Foods that have higher Iron

Green Leafy veggies

pt has high cholesterol.. what kind of diet?

no fats

pregnant woman is taking mag sulfate. what do we have to watch?

Respiration Rate.

(mag sulfate decreases it)

Cardiac tamponade

Muffled heart sounds

Decrease BP

JVD

superior vena cava syndrome

JVD

How to prevent PE?

Early ambulation

if on strict bed rest, ROM

2 hours post op lumbar puncture. pt complains of Headache and photosensitivity.. what do you do?

Lay pt flat

give caffeine

Subtotal thyroidectomy watch for?

Bleeding

Numbness/tinging (decrease calcium)

what needs to be at bedside of pt that had a thyroidectomy?

trach kit

Dilantin

Enlarge gums

Oral care

Take with food

No milk or antacids

Level 10-20

assess a newborn. they have tremors. what does this mean?

sugar is low.

Nurse should intervene if the nurse notes a staff member..

obtaining a clients consent PRIOR to their operative procedure AFTER receiving Ativan (lorazepam)

nurse floats from postpartum unit. what kind of pt should be temporarily assigned to her?

Surgery 2 hours ago to remove the appendix

(abdomen surgery is standard. usually cares for csection)

Priority for the nurse to suggest follow up for a child who is

18 months old who needs support while ambulating

Patient on vent who is declared brain dead. Advanced Directive not documented. Most appropriate?

closest living family member

(next to kin)

suspected Gillian barre syndrome ..

see them first because they just started plasmapheresis therapy

delegate to UAP..

one on one client observation for safety

Nurse should intervene

if staff member is discussing pts diagnosis with visiting family members (maintain confidentiality)

False imprisonment

putting a client in a geriatric chair with the lap tray in front of the client in the day room to watch tv

HIV pt reporting N&V? emergent or non emergent

Non emergent

nurse should immediately intervene if one of the clients:

is observed flexing and extending the legs 2 hours after cardiac catheterization

(bed rest 2-4 hrs with affected leg straight)

Sign that a partial seizure is about to happen is when pt:

sitting in the bed picking at the clothing and smacking the lips

(experience automatism)

Follow up if mom states i gave my son with Celiac disease this meal

Oatmeal and eggs; gluten in general

Follow up if LPN does ...

dons a clean glove on the dominant hand before tracheal suctioning (needs to be a sterile technique)

adult collapse on the street.. what do you do in order.

1. Verify unresponsiveness

2. Phone 911

3. establish an airway using a head-lilt/chin-lift

4. check for breathing

TB

Wear N95 mask

Close door

RACE (fire)

R= rescue

A= alarm

C= contain

E=extinguish

abdominal assessment in order

1. inspection

2. auscultation

3. palpation

4. percussion

Heparin (select all the apply)

Administer in the abdomen

Refrain from massaging the site after administration

Protamine sulfate = antidote

needle size 26-27 guage, 5/8 to 1 inch

What religion might want a priest present at death?

Buddhist or christian

What religion might want mirrors covered after death of pt?

Jewish Faith

What religion may have the body face to the east at death?

Muslim Faith

What religion request that the clients body be bath after the clients death ?

Hindu Faith

ONLY FAMILY IS ALLOWED TO TOUCH BODY AFTER DEATH

Lanugo hair

anorexia

Lanugo is fine, soft, unpigmented hair that is often present in fetuses, newborns, and certain disease states. While lanugo is a normal finding in fetuses, its presence in an older person might be an indication of underlying pathology

Stained teeth/weak teeth

bulemia

Paranoid schizo pt make what meals?

pre packaged

DABDA

Denial

Anger

Bargaining

Depression

Acceptance

Mormons abstain from...

Alcohol, coffee, and tea

(they believe they will harm the body)

Before administrating ampicillin. check what?

if the child has ever taken before and had an allergic reaction

Age baby can sit without support

8 months

Removing all liquids is not necessary for a client with what syndrome?

Dumping (drink at least 30 min - 1 hr after eating solid foods)

Ulcertive Colitis teaching (select all the apply)

Jewish males 30-50 years of age

Corticosteroids may be prescribed during an exacerbation

Metronidazole (Flagyl) and Cipro are antibiotics commonly used during acute exacerbation

Continuous NG feeding

instill 30 cc of air into feeding tube while auscultating over stomach for bowel sounds

What is not clear liquid?

ORANGE JUICE

5 MONTH old infant

Roll from abdomen to back

Home care nurse should assess who first..

cancer of esophagus who has given away a favorite shift since the last visit

Sickle cell anemia teaching

keep kids from exercising strenuously

Avoid letting kids become infected

Plenty of fluids

Avoid temp extremes

Avoid other children with infections

16 years old that is pregnant

assess how the patient feels

Best foods for high protein

cottage cheese, yogurt, skim milk

The nurse is reviewing medical prescription for the newly admitted clients. it would be a PRIORITY for the nurse to follow up with the physician if a client with

a K level of 4.5 and has kayexalate prescribed.

The nurse at a health promotion fair has taught a group of parents about care seat safety. which of the following statement, if made by the parent, would indicate a CORRECT understanding of the information given?

I will place my newborn infant in a rear facing car seat in the middle of the rear seat

Nurse should initiate protective precautions for a client who has a

WBC 2500

The nurse has provided heath teaching for a group of clients who recently Dx with HIV. Which Statement made by the clients will require further teaching?

I am glad that I can still clean my parakeet's cage

(avoid bird droppings and soil)