FES Nursing Diagnosis Written Exam With Answers (178 Solved Questions)

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FES Nursing Diagnosis Written Exam With Answers (178 Solved Questions) - Page 1 preview image

FES written Exam With Questions AndAnswers 100% Verified(blank) are designed to view the lumen either in a front or side viewingmanner--correct answer--Flexible scopes(blank) allow for optimal access to certain areas of the stomach andduodenum and are most commonly utilized during ERCP--correct answer--side-viewingWhat is a charge coupled device or complementary metal oxidesemioconducter chip based camera?--correct answer--sends digital messageto a digital processorthe suction button and the biopsy cap share a ****--correct answer--common channelThe suction/biopsy channel is usually between what position on a clock face--correct answer--5 and 7 oclockThe (blank) cable connects to the video processing unit either wirelessly orvia a separate cable.--correct answer--umbilicalCan you use saline in your water channel?--correct answer--NO it cancrystalizeDo not activate (blank) until the functioning end of the device is fully exitedfrom the endoscope channel.--correct answer--energy sourcesWhat scope is a side viewing scope?--correct answer--A duodenoscopeWhat are external sources of endoscopic illumination?--correct answer--Xenon Arc, halogen filled tungsten filament lamp, LEDWhat happens when the blue button of the scope handle is depressed?--correct answer--Provides water to clear the lensIf the endoscope does not have a dedicated auxillary channel for irrigation,what channel can be used?--correct answer--The suction/biopsy channel

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Informed consent is based on what 2 ethical principles?--correct answer--Autonomy and self-determinationIs routine testing recommended prior to endoscopy?--correct answer--NoWhen should you do a pregnancy test?--correct answer--All females of childbearing ageWho should get coag tests?--correct answer--active bleeding, history ofbleeding, acquired coagulopathyWho should get a CXR?--correct answer--Patients with a suspectedpulmonary or cardiac decompensationWho should get a chem panel?--correct answer--pts with impaired renal,hepatic or endocrine functionIs there a perfect bowel prep?--correct answer--nopeWhat would be an ideal prep?--correct answer--Reliable empties colonNo effect on mucosaShort time for ingestion and evacuationNo discomfort or signif SENo fluid or electrolyte shiftsWhat is a split dose bowel regiment?--correct answer--half fluid given inthe evening and then half in the morning of the colonoscopy completing atleast 3 hours prior to procedure.If you are doing rectum and sigmoid colon endoscopy what can be the prep?--correct answer--1 or 2 enemas morning of procedureIf your patient is older than 65, what type of bowel prep should you use?--correct answer--PEG solutions to avoid electrolyte and fluid shifts(blank) are osmotically balanced, non-absorbable electrolyte solutions thateffect bowel cleansing by washing out the ingested fluid without producingsignificant fluid or electrolyte shifts--correct answer--Isosmoticpreparations

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What fragile patient populations can use isosmotic preps?--correct answer--Liver and renal failures, CHF, and electrolyte imbalances(Blank) draw plasma water into the bowel lumen to promote the evacuationof colonic contents. They are better tolerated due to lower volume, resultingin better patient compliance.--correct answer--Hyperosmotic preparations.What is the downside to hyperosomotic solutions?--correct answer--causefluid loss, dehydration and are costly. Cant give it to people with any type offailure, ileus, malabsorption or ascitesAntibiotics (are vs Are not?) generally recommended before mostendoscopic procedures.--correct answer--Are NOTWho should you give antibiotic prophylaxis to?--correct answer--All patientsbeforePEJ or PGPeople undergoing peritoneal dialysisCirrhotic patients with Gi bleedHigh risk cardiac conditions like endocarditis or prosthetic valvesIn patients with liver transplant or suspected biliary obstructionsMany endoscopic procedures may be performed safely in the setting ofantithrombotics. Cold forceps mucosal biopsies may be obtained whilepatient is on anticoagulation. T or F?--correct answer--TrueT or FWhen anticoagulation is temporary (e.g. warfarin for VTE), electiveendoscopic procedures should bedelayed when possible untilanticoagulation is no longer necessary.--correct answer--TrueProcedures with a high risk of significant bleeding include:--correct answer--Polypectomy • Biliary sphincterotomy • Pneumatic or bougie dilation •Percutaneous endoscopic gastrostomy (PEG)placement • Endoscopicmucosal resection / endoscopic submucosal dissection (EMD/ESD) •Endosonographic-guided fine needle aspiration and pseudocyst drainage •Laser ablation and coagulation • Treatment of varices

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Low-risk conditions for embolic event--correct answer--Deep veinthrombosis • Uncomplicated or paroxysmal nonvalvular atrial fibrillation •Bioprosthetic valve • Mechanical valve in the aortic positionHigh-risk conditions for embolic event--correct answer--• Atrial fibrillationassociated with valvular heart disease • Mechanical valve in the mitralposition • Mechanical valve and prior thromboembolic eventThe risk of major embolism in patients with mechanical heart valveswithout anticoagulation is(Blank) per 100 person-years, and is reduced to(blank) per 100 person-years in patients with antiplatelet therapy, and to(blank) per 100 person-years in patients with warfarin.--correct answer--42.21Patients with atrial fibrillation but without valvular disease have a risk ofthromboembolism of (blank) per year in the absence of anticoagulation. Therisk is higher in the presence of dilated cardiomyopathy, valvular heartdisease, or recent thromboembolic events--correct answer--5% to 7%The absolute risk of any embolic event in a patient with a low-risk conditionin whom anticoagulation is stopped for 4 to 7 days is (blanK) per 1000patients.--correct answer--1 to 2Pre-procedural management of antithrombotic therapy for procedures withlow risk of significant bleed are as follows: •Endoscopic procedures may beperformed in patients taking antithrombotic therapy (WITH ORWITHOUT***)any alterations.--correct answer--WithoutPre-procedural management of antithrombotic therapy for procedureswithhigh-risk of significant bleed are as follows: • (blank) does not need to bestopped. • Patients on a single antiplatelet drug, should be switched to(blank) 5-7 days before. • Patients on dual antiplatelet drugs, (blank) shouldbe continued and thesecond drug should be stopped 5-7 days before. •

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Patients at high-risk for a thromboembolic event on long-actinganticoagulants should be given (blank).--correct answer--AspirinAspirinAspirinBridge TherapyWhen should you resume antithrombotic therapy?--correct answer--NoconsensusIn patients with (CIED) Cardiovascular Implantable Electronic Device, whattype of device are preferred?--correct answer--Bipolar and ultrasonicdevicesHow do you know if a patient has a pacemaer?--correct answer--thereshould be pacing spikes on EKG in front of P wavesWhen do you place a magnet?--correct answer---In non pacing patients toprevent arrythmia detection-In non pacing depending but has pacing ability patients, do need but shouldbe available-in pacing dependent without ICD, place a magnet if procedure aboveumbilicus-in pacing dependent with an ICDIf patients have an CIED, what else should you do besides have a magnethandy?--correct answer--monitored with either plethysmography or anarterial line and should have transcutaneous patches for emergentdefibrillation and/or emergenttranscutaneous pacing.Make sure CIED is working before they leaveNPO guidelines:CLD?Breast milk?Infant formula?Non human Milk?

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Light meal?Fried food, fatty foods, meat?--correct answer--2 hours4 hr6 hr6 hr6 hr8 hrWhich are isomostic bowel preps?Hyperosomolar?--correct answer--polyethylene base and triLyte (movi prep,golytelY)Mag citrate, sodium phosphateWhich of the following is considered a high-risk procedure for bleeing?a. EUS assessment of vessel encasement for pancreatic cancerB. Colonoscopy with cold forceps biopsyC. Push enteroscopyD. Balloon dilation of esophageal stricture--correct answer--D. balloondilation of esophageal strictureWhat characterizes moderate sedation?--correct answer--Mildly depressedlevel of consciousnessPatient response to verbal commandsmaintenance of patients own airwayIntact airway reflexeshemodynamic equilibriumDeep sedation is characterized by:--correct answer--• Significant depressionof level of consciousness • Painful stimulus is necessary to evoke awithdrawal response • Airway protective reflexes cannot be relied upon •Hemodynamics are usually preserved although instability can occurUpdated Practice Guidelines for Sedation and Analgesia for Non-Anesthesiologists set forth by the American Society of Anesthesiology Task

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