Question 1

What medication would most likely be used to prevent agitation in a patient with a traumatic brain injury (TBI)?

Accepted Answer

A) Mannitol 
B) Haldol 
C) Diazepam 
D) Midazolam 
A) Mannitol 
B) Haldol 
C) Diazepam 
D) Midazolam D

Question 2

What is the most common treatment for a patient with Abdominal Aortic Aneurysm?

Accepted Answer

A) Surgery 
B) Blood pressure control 
C) Transfusion of blood 
D) IV fluids 
A) Surgery 
B) Blood pressure control 
C) Transfusion of blood 
D) IV fluids A

Question 3

The nurse is preparing the patient to be transferred to a medical unit before discharge. She has begun discharge teaching regarding at home monitoring for the diagnosis of acute tubular necrosis. What statements by the patient indicate understanding of at home care?

Accepted Answer

A) "I need to check my weight daily." 
B) "I can continue with activity as I normally would." 
C) "I will try to take my medications if I remember." 
D) "I will take ibuprofen for pain control." 
A) "I need to check my weight daily." 
B) "I can continue with activity as I normally would." 
C) "I will try to take my medications if I remember." 
D) "I will take ibuprofen for pain control." A

Question 4

There are several conditions where Thrombolytic Therapy is contraindicated. Which of the following conditions is not a contraindication of Thrombolytic Therapy?

Accepted Answer

A) Aortic dissension 
B) Previous cerebral hemorrhage 
C) History of peptic ulcer disease 
D) Pregnancy 
A) Aortic dissension 
B) Previous cerebral hemorrhage 
C) History of peptic ulcer disease 
D) Pregnancy

Question 5

A patient's family begins to ask several questions about the variety of numbers on the patient's monitor. What would be the most appropriate response for the nurse to give?

Accepted Answer

A) "The numbers tell us when we need to call the doctor." 
B) "Why don't you understand the numbers on the monitor?" 
C) "Tell me about which numbers are concerning you." 
D) "When the doctor comes in, I'll have her explain the numbers to you." 
A) "The numbers tell us when we need to call the doctor." 
B) "Why don't you understand the numbers on the monitor?" 
C) "Tell me about which numbers are concerning you." 
D) "When the doctor comes in, I'll have her explain the numbers to you."

Question 6

What is the main intervention that needs to occur if a patient develops a perforation of the gastro intestinal tract?

Accepted Answer

A) Surgical intervention 
B) Fluid resuscitation 
C) Nasogastric tube placement to low wall suction 
D) Hold all food and assess for signs of bleeding 
A) Surgical intervention 
B) Fluid resuscitation 
C) Nasogastric tube placement to low wall suction 
D) Hold all food and assess for signs of bleeding

Question 7

A patient has been admitted with a diagnosis of Addison's disease and vomiting and nausea for 2 days. The doctor has prescribed IV Glucocorticoids. Which is the most appropriate intervention to monitor the patient?

Accepted Answer

A) Daily weights and monitoring of sodium and potassium levels. 
B) Glucometer checks every 6 hours. 
C) Anticipate an order for an NG tube and have the equipment at the bedside. 
D) Administer anti anxiety medications around the clock. 
A) Daily weights and monitoring of sodium and potassium levels. 
B) Glucometer checks every 6 hours. 
C) Anticipate an order for an NG tube and have the equipment at the bedside. 
D) Administer anti anxiety medications around the clock.

Question 8

The nurse is developing a teaching plan for a patient who just received an inserted permanent pacemaker. What important concepts should the nurse teach the patient?

Accepted Answer

A) Advise the patient to avoid tight clothing. 
B) It is o.k. to resume all physical activities. 
C) Avoid computerized tomography (CT) scans. 
D) Hiccups can be normal for a few days after pacemaker insertion. 
A) Advise the patient to avoid tight clothing. 
B) It is o.k. to resume all physical activities. 
C) Avoid computerized tomography (CT) scans. 
D) Hiccups can be normal for a few days after pacemaker insertion.

Question 9

You are teaching a Neutropenic patient about protecting themselves from infection. How would you evaluate whether they have a correct understanding of protecting themselves against infection?

Accepted Answer

A) I may continue to go to my weekly Parent Teacher Advisory meetings 
B) I will take all of my medications at the same time each day 
C) I will send my husband to the grocery store instead of going myself 
D) I should avoid other family members who have colds 
A) I may continue to go to my weekly Parent Teacher Advisory meetings 
B) I will take all of my medications at the same time each day 
C) I will send my husband to the grocery store instead of going myself 
D) I should avoid other family members who have colds

Question 10

What is the major difference in the clinical presentation of Acute Myocardial Infarction (AMI) compared to angina?

Accepted Answer

A) Chest pain associated with acute myocardial infarction (AMI) usually occurs abruptly during rest, activity or sleep. 
B) Chest pain associated with angina usually occurs abruptly during rest, activity or sleep. 
C) Pain associated with angina is not relieved by rest or nitroglycerin. 
D) Pain associated with acute myocardial infarction is relieved quickly by rest. 
A) Chest pain associated with acute myocardial infarction (AMI) usually occurs abruptly during rest, activity or sleep. 
B) Chest pain associated with angina usually occurs abruptly during rest, activity or sleep. 
C) Pain associated with angina is not relieved by rest or nitroglycerin. 
D) Pain associated with acute myocardial infarction is relieved quickly by rest.

Question 11

When an ischemic event happens, when does myocardial cell death begin?

Accepted Answer

A) Immediately 
B) After 20 minutes of ischemia 
C) After 60 minutes of ischemia 
D) 3-4 hours after ischemia 
A) Immediately 
B) After 20 minutes of ischemia 
C) After 60 minutes of ischemia 
D) 3-4 hours after ischemia

Question 12

One of the qualities of an expert nurse is her ability to collaborate with the interdisciplinary team as well as patients and their families. All of the following are qualities of an "expert" in collaboration except for:

Accepted Answer

A) Serves as a role model and teacher 
B) Facilitates team meetings 
C) Involved in patient outcomes 
D) Is open to assistance 
A) Serves as a role model and teacher 
B) Facilitates team meetings 
C) Involved in patient outcomes 
D) Is open to assistance

Question 13

You are taking care of a patient with a history of Paroxysmal Atrial Tachycardia. What signs and symptoms would show the patient is experiencing Paroxysmal Atrial Tachycardia (PAT)?

Accepted Answer

A) Feeling sluggish and slow to respond to questions. 
B) The patient complains of tingling in his legs, feet and hands 
C) Difficulty breathing and a respiratory rate greater than 22/minute and a heart rate greater than 115/ minute 
D) The patient reports a sudden sensation of a fast heart beat and palpitations 
A) Feeling sluggish and slow to respond to questions. 
B) The patient complains of tingling in his legs, feet and hands 
C) Difficulty breathing and a respiratory rate greater than 22/minute and a heart rate greater than 115/ minute 
D) The patient reports a sudden sensation of a fast heart beat and palpitations

Question 14

Mrs)C has been admitted to the hospital for exacerbation of heart failure three times in the last 14 months. What nursing action might decrease the likelihood of being readmitted so quickly?

Accepted Answer

A) Ask the patient to see their doctor more often 
B) Allow the patient to stay in the hospital an extra 36 hours as an inpatient. 
C) Increase the diuretic dose on discharge 
D) Provide adequate patient education information about the disease and management principles and follow up with the patient within one week 
A) Ask the patient to see their doctor more often 
B) Allow the patient to stay in the hospital an extra 36 hours as an inpatient. 
C) Increase the diuretic dose on discharge 
D) Provide adequate patient education information about the disease and management principles and follow up with the patient within one week

Question 15

A patient present with sudden onset shortness of breath and difficult breathing. Her tongue is swollen and she states she is feeling very dizzy. What would the medication most likely given to her?

Accepted Answer

A) Diphenhydramine 
B) Dopamine 
C) Aminophylline 
D) Epinephrine 
A) Diphenhydramine 
B) Dopamine 
C) Aminophylline 
D) Epinephrine

Question 16

What is the most common complication after the surgical management of Appendicitis?

Accepted Answer

A) Pylephlebitis 
B) Loss of Appetite 
C) Infection 
D) Edema 
A) Pylephlebitis 
B) Loss of Appetite 
C) Infection 
D) Edema

Question 17

All of the following are potential causes of a Hysterectomy, except

Accepted Answer

A) Uterine prolapse 
B) Ectopic pregnancy 
C) Cervical cancer 
D) Endometriosis 
A) Uterine prolapse 
B) Ectopic pregnancy 
C) Cervical cancer 
D) Endometriosis

Question 18

The nurse is caring for a patient receiving continuous renal therapy. The patient has a temperature of 96.1 F. The nurse is aware that the best treatment for this temperature is:

Accepted Answer

A) Giving the patient a warm blanket 
B) Applying a warm compress on the vascular site 
C) Using an in-line fluid warmer to warm the blood that is returning to the patient 
D) Adjusting the temperature of the room 
A) Giving the patient a warm blanket 
B) Applying a warm compress on the vascular site 
C) Using an in-line fluid warmer to warm the blood that is returning to the patient 
D) Adjusting the temperature of the room

Question 19

A patient who is 4 hours post operative for a surgical repair for gastrointestinal bleeding. Suddenly he begins to experience Dyspnea, chest pain and coughing up purulent sputum. What complication is he most likely experiencing?

Accepted Answer

A) Hypostatic pneumonia 
B) Pneumothorax 
C) Acute respiratory distress syndrome 
D) Hypovolemic shock 
A) Hypostatic pneumonia 
B) Pneumothorax 
C) Acute respiratory distress syndrome 
D) Hypovolemic shock

Question 20

A nurse is educating a patient who has had a stroke on lifestyle adjustments that can be controlled. The nurse would include all of the following in the teaching plan except:

Accepted Answer

A) Smoking cessation 
B) Exercise 
C) Blood pressure control 
D) Increase use of aspirin 
A) Smoking cessation 
B) Exercise 
C) Blood pressure control 
D) Increase use of aspirin

What medication would most likely be used to prevent agitation in a patient with a traumatic brain injury (TBI)?

What is the most common treatment for a patient with Abdominal Aortic Aneurysm?

The nurse is preparing the patient to be transferred to a medical unit before discharge. She has begun discharge teaching regarding at home monitoring for the diagnosis of acute tubular necrosis. What statements by the patient indicate understanding of at home care?

There are several conditions where Thrombolytic Therapy is contraindicated. Which of the following conditions is not a contraindication of Thrombolytic Therapy?

A patient's family begins to ask several questions about the variety of numbers on the patient's monitor. What would be the most appropriate response for the nurse to give?

What is the main intervention that needs to occur if a patient develops a perforation of the gastro intestinal tract?

A patient has been admitted with a diagnosis of Addison's disease and vomiting and nausea for 2 days. The doctor has prescribed IV Glucocorticoids. Which is the most appropriate intervention to monitor the patient?

The nurse is developing a teaching plan for a patient who just received an inserted permanent pacemaker. What important concepts should the nurse teach the patient?

You are teaching a Neutropenic patient about protecting themselves from infection. How would you evaluate whether they have a correct understanding of protecting themselves against infection?

What is the major difference in the clinical presentation of Acute Myocardial Infarction (AMI) compared to angina?

When an ischemic event happens, when does myocardial cell death begin?

One of the qualities of an expert nurse is her ability to collaborate with the interdisciplinary team as well as patients and their families. All of the following are qualities of an "expert" in collaboration except for:

You are taking care of a patient with a history of Paroxysmal Atrial Tachycardia. What signs and symptoms would show the patient is experiencing Paroxysmal Atrial Tachycardia (PAT)?

Mrs)C has been admitted to the hospital for exacerbation of heart failure three times in the last 14 months. What nursing action might decrease the likelihood of being readmitted so quickly?

A patient present with sudden onset shortness of breath and difficult breathing. Her tongue is swollen and she states she is feeling very dizzy. What would the medication most likely given to her?

What is the most common complication after the surgical management of Appendicitis?

All of the following are potential causes of a Hysterectomy, except

The nurse is caring for a patient receiving continuous renal therapy. The patient has a temperature of 96.1 F. The nurse is aware that the best treatment for this temperature is:

A patient who is 4 hours post operative for a surgical repair for gastrointestinal bleeding. Suddenly he begins to experience Dyspnea, chest pain and coughing up purulent sputum. What complication is he most likely experiencing?

A nurse is educating a patient who has had a stroke on lifestyle adjustments that can be controlled. The nurse would include all of the following in the teaching plan except:

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Exam 1: Adult

What medication would most likely be used to prevent agitation in a patient with a traumatic brain injury (TBI)?

What is the most common treatment for a patient with Abdominal Aortic Aneurysm?

The nurse is preparing the patient to be transferred to a medical unit before discharge. She has begun discharge teaching regarding at home monitoring for the diagnosis of acute tubular necrosis. What statements by the patient indicate understanding of at home care?

There are several conditions where Thrombolytic Therapy is contraindicated. Which of the following conditions is not a contraindication of Thrombolytic Therapy?

A patient's family begins to ask several questions about the variety of numbers on the patient's monitor. What would be the most appropriate response for the nurse to give?

What is the main intervention that needs to occur if a patient develops a perforation of the gastro intestinal tract?

A patient has been admitted with a diagnosis of Addison's disease and vomiting and nausea for 2 days. The doctor has prescribed IV Glucocorticoids. Which is the most appropriate intervention to monitor the patient?

The nurse is developing a teaching plan for a patient who just received an inserted permanent pacemaker. What important concepts should the nurse teach the patient?

You are teaching a Neutropenic patient about protecting themselves from infection. How would you evaluate whether they have a correct understanding of protecting themselves against infection?

What is the major difference in the clinical presentation of Acute Myocardial Infarction (AMI) compared to angina?

When an ischemic event happens, when does myocardial cell death begin?

One of the qualities of an expert nurse is her ability to collaborate with the interdisciplinary team as well as patients and their families. All of the following are qualities of an "expert" in collaboration except for:

You are taking care of a patient with a history of Paroxysmal Atrial Tachycardia. What signs and symptoms would show the patient is experiencing Paroxysmal Atrial Tachycardia (PAT)?

Mrs)C has been admitted to the hospital for exacerbation of heart failure three times in the last 14 months. What nursing action might decrease the likelihood of being readmitted so quickly?

A patient present with sudden onset shortness of breath and difficult breathing. Her tongue is swollen and she states she is feeling very dizzy. What would the medication most likely given to her?

What is the most common complication after the surgical management of Appendicitis?

All of the following are potential causes of a Hysterectomy, except

The nurse is caring for a patient receiving continuous renal therapy. The patient has a temperature of 96.1 F. The nurse is aware that the best treatment for this temperature is:

A patient who is 4 hours post operative for a surgical repair for gastrointestinal bleeding. Suddenly he begins to experience Dyspnea, chest pain and coughing up purulent sputum. What complication is he most likely experiencing?

A nurse is educating a patient who has had a stroke on lifestyle adjustments that can be controlled. The nurse would include all of the following in the teaching plan except:

Neonatal

Pediatrics

Adult Critical Care Registered Nurse

Filters