RPN Care of Chronic Illness 5

Question 1

A patient with chronic pancreatitis is most at risk for which nutritional deficiency?

Accepted Answer

Fat-soluble vitamin deficiencies (A, D, E, K)

Answer

Chronic pancreatitis impairs lipase production, reducing fat absorption and causing fat-soluble vitamin deficiencies.

Question 2

A patient with COPD is receiving oxygen therapy at 2 L/min. The nurse notes the patient's respirations have decreased to 8 breaths/min. What should the nurse do first?

Accepted Answer

Reduce or discontinue the oxygen and notify the physician

Answer

Some COPD patients rely on hypoxic drive; excessive oxygen can suppress respirations, requiring prompt reduction and physician notification.

Question 3

A patient with hypothyroidism is started on levothyroxine. Which finding indicates the medication is effective?

Accepted Answer

Return of normal energy levels and resolution of cold intolerance

Answer

Resolution of hypothyroid symptoms such as fatigue and cold intolerance indicates therapeutic levothyroxine levels.

Question 4

A patient with chronic heart failure is prescribed furosemide. Which electrolyte imbalance is the most common adverse effect?

Accepted Answer

Hypokalemia

Answer

Furosemide is a loop diuretic that promotes potassium excretion, frequently causing hypokalemia.

Question 5

A patient with Type 2 diabetes asks about the purpose of HbA1c testing. The nurse explains it reflects blood glucose control over:

Accepted Answer

The past 2-3 months

Answer

HbA1c reflects average blood glucose levels over the preceding 2-3 months based on the lifespan of red blood cells.

RPN - Registered Practical Nurse Practice Test

RPN - Registered Practical Nurse Practice Test

RPN Care of Chronic Illness 5