Question 1

A nurse is reviewing the tests results of a patient with a diagnosis of rule out contusion. What would a computerized tomography CT scan show in a patient who has a contusion?

Accepted Answer

A) No changes would be seen on a CT scan. 
B) Changes in tissue density and evidence of hematomas. 
C) Structural shifts within the cranium. 
D) Altered blood flow within the area. 
A) No changes would be seen on a CT scan. 
B) Changes in tissue density and evidence of hematomas. 
C) Structural shifts within the cranium. 
D) Altered blood flow within the area.

Question 2

A nurse is assessing a patient for signs and symptoms of severe anemia. Besides the lab values and vital signs what observations in the physical assessment would give indication that the patient is severely anemic?

Accepted Answer

A) A bluish color over the abdomen. 
B) Pedal edema. 
C) Abnormalities in the patient's nails. 
D) A jerking of the wrist and arm when the blood pressure cuff is applied. 
A) A bluish color over the abdomen. 
B) Pedal edema. 
C) Abnormalities in the patient's nails. 
D) A jerking of the wrist and arm when the blood pressure cuff is applied.

Question 3

What is the source of the blood to the brain?

Accepted Answer

A) Circle of Willis 
B) Cerebellum 
C) Internal carotid arteries 
D) Spine 
A) Circle of Willis 
B) Cerebellum 
C) Internal carotid arteries 
D) Spine

Question 4

According to the Surviving Sepsis Campaign, what is the time frame identified that is essential for treatment to be given to improve survival?

Accepted Answer

A) Within 1 hour 
B) Within 3 hours 
C) Within 6 hours 
D) Within 12 hours 
A) Within 1 hour 
B) Within 3 hours 
C) Within 6 hours 
D) Within 12 hours

Question 5

A patient admitted with suspected renal disease and severe low back pain is preparing to go to have a Renal Arteriography test. Before going to the test, the nurse would ensure that:

Accepted Answer

A) The patient is not allergic to iodine and shellfish. 
B) Cancel the morning lab requisitions until after the test is complete. 
C) Administer Benadryl 30 minutes before the test. 
D) Check the potassium and sodium serum levels to ensure normal levels. 
A) The patient is not allergic to iodine and shellfish. 
B) Cancel the morning lab requisitions until after the test is complete. 
C) Administer Benadryl 30 minutes before the test. 
D) Check the potassium and sodium serum levels to ensure normal levels.

Question 6

60)When the patient is being monitored for cardiogenic shock with one of the devices like extracorporeal life support, left ventricular assist device, or intraaortic balloon pump, what lab value must be monitored to prevent these devices from becoming clotted?

Accepted Answer

A) Potassium and sodium 
B) Prothrombin time, International Normalized Ratio (INR) 
C) Cardiac markers and Troponin 
D) B-type Natriuretic Peptide 
A) Potassium and sodium 
B) Prothrombin time, International Normalized Ratio (INR) 
C) Cardiac markers and Troponin 
D) B-type Natriuretic Peptide

Question 7

Which area does the fluid accumulate in acute respiratory distress syndrome, causing an increase in permeability?

Accepted Answer

A) Brain tissue 
B) Pericardial sac 
C) Alveoli 
D) Cells 
A) Brain tissue 
B) Pericardial sac 
C) Alveoli 
D) Cells

Question 8

The nurse is working with a nursing assistant who has recently successfully completed her orientation. What would be an appropriate task to delegate to the nursing assistant?

Accepted Answer

A) Take the first two sets of vital signs for a patient receiving their first unit of packed red blood cells. 
B) Collect information about a new patient. 
C) Ambulate a patient who had a lumbar fusion surgery yesterday. 
D) Teach a patient with diabetes how to use a Glucometer. 
A) Take the first two sets of vital signs for a patient receiving their first unit of packed red blood cells. 
B) Collect information about a new patient. 
C) Ambulate a patient who had a lumbar fusion surgery yesterday. 
D) Teach a patient with diabetes how to use a Glucometer.

Question 9

Which cardiac enzyme is only found in cardiac cells and is indicative of an acute myocardial infarction when elevated?

Accepted Answer

A) Troponin 
B) CK-MB 
C) CK 
D) Myoglobin 
A) Troponin 
B) CK-MB 
C) CK 
D) Myoglobin

Question 10

Why are the signs and symptoms of a hematoma late in coming for the elderly patient verses the younger or middle aged adult?

Accepted Answer

A) Older adults do not seek medical attention as quickly as young or middle aged adults. 
B) Older adults who have cerebral atrophy can tolerate a larger subdural hematoma for a longer time than younger adults. 
C) Older adults have a higher pain threshold than younger or middle aged adults. 
D) There is no difference in the timing of the signs and symptoms of a patient with a hematoma, regardless of age. 
A) Older adults do not seek medical attention as quickly as young or middle aged adults. 
B) Older adults who have cerebral atrophy can tolerate a larger subdural hematoma for a longer time than younger adults. 
C) Older adults have a higher pain threshold than younger or middle aged adults. 
D) There is no difference in the timing of the signs and symptoms of a patient with a hematoma, regardless of age.

Question 11

The nurse is managing the care of a patient with syndrome of inappropriate Antidiuretic Hormone. All of the following nursing interventions would be appropriate except for:

Accepted Answer

A) Implementing a high-sodium, high-protein diet or urea supplements 
B) Increase water intake to 1800 mL/ day 
C) Administer diuretics per doctors order 
D) Administer 3% sodium chloride solution if serum sodium level is less than 120. 
A) Implementing a high-sodium, high-protein diet or urea supplements 
B) Increase water intake to 1800 mL/ day 
C) Administer diuretics per doctors order 
D) Administer 3% sodium chloride solution if serum sodium level is less than 120.

Question 12

The nurse is caring for a patient who has been placed in a barbiturate coma. How would the nurse explain the purpose of the coma to a nursing student?

Accepted Answer

A) It relieves increased intracranial pressure and protects cerebral tissue. 
B) It reduces the cerebral blood flow and eases the patient's ability to breathe. 
C) It allows the team to perform procedures without agitating the patient. 
D) It helps the patient rest from traumatic injury. 
A) It relieves increased intracranial pressure and protects cerebral tissue. 
B) It reduces the cerebral blood flow and eases the patient's ability to breathe. 
C) It allows the team to perform procedures without agitating the patient. 
D) It helps the patient rest from traumatic injury.

Question 13

During intracranial pressure monitoring, what kind of normal activities would show an increase of temporary intracranial pressure elevations?

Accepted Answer

A) Brain mass shifts 
B) Straining during a bowel movement 
C) Gasping, increased coughing 
D) Dysrhythmias 
A) Brain mass shifts 
B) Straining during a bowel movement 
C) Gasping, increased coughing 
D) Dysrhythmias

Question 14

You are teaching a continuing education class to the staff regarding the different types of pain. What is the best way to define the sources of somatic pain?

Accepted Answer

A) Inicisional pain, pain at the sites of tubes and drains, wound complications 
B) Chest tubes, abdominal tubes or bladder distention 
C) Phantom limb pain, post mastectomy pain or pain from nerve compression 
D) Chronic back pain, arthritic or muscle pain 
A) Inicisional pain, pain at the sites of tubes and drains, wound complications 
B) Chest tubes, abdominal tubes or bladder distention 
C) Phantom limb pain, post mastectomy pain or pain from nerve compression 
D) Chronic back pain, arthritic or muscle pain

Question 15

What is the optimal nursing intervention that can help the patient with a pulmonary embolism improve their oxygenation?

Accepted Answer

A) Give them morphine to decrease pain 
B) Administer diazepam to decrease anxiety 
C) Turn the patient to their unaffected side 
D) Increase the oxygen level until patient breathes easier 
A) Give them morphine to decrease pain 
B) Administer diazepam to decrease anxiety 
C) Turn the patient to their unaffected side 
D) Increase the oxygen level until patient breathes easier

Question 16

A nurse is teaching a patient about their new diagnosis of heart failure. What factor is most useful in monitoring their condition?

Accepted Answer

A) Ejection fracture 
B) Cholesterol panel 
C) Blood pressure 
D) Atherosclerosis 
A) Ejection fracture 
B) Cholesterol panel 
C) Blood pressure 
D) Atherosclerosis

Question 17

The main symptoms of Acute Pancreatitis include:

Accepted Answer

A) Severe pain 
B) Nausea and vomiting 
C) Elevated lipase and amylase levels 
D) Decreased potassium and increased sodium levels 
A) Severe pain 
B) Nausea and vomiting 
C) Elevated lipase and amylase levels 
D) Decreased potassium and increased sodium levels

Question 18

Which of the following is NOT one of the non-pharmacologic treatment and care options for Alzheimer's disease?

Accepted Answer

A) Memory aids 
B) Electroconvulsive therapy 
C) Maintenance of independence 
D) Home health care aid 
A) Memory aids 
B) Electroconvulsive therapy 
C) Maintenance of independence 
D) Home health care aid

Question 19

Which patient is at the greatest risk for septic shock?

Accepted Answer

A) An 84 year old woman with a long term foley catheter, a stage four pressure ulcer on her coccyx and insulin dependent diabetes. 
B) A 55 year old woman with pneumonia. 
C) A 38 year old woman with asthma and status post day 2 appendectomy. 
D) A 63 year old man who had bypass surgery two weeks ago. 
A) An 84 year old woman with a long term foley catheter, a stage four pressure ulcer on her coccyx and insulin dependent diabetes. 
B) A 55 year old woman with pneumonia. 
C) A 38 year old woman with asthma and status post day 2 appendectomy. 
D) A 63 year old man who had bypass surgery two weeks ago.

Question 20

A patient has myocardial infarction on his health records. A nurse observes that the patient suddenly develops a loud systolic murmur. What might have caused this condition?

Accepted Answer

A) pulmonary embolism 
B) congestive heart failure 
C) ruptured papillary muscle 
D) increased systemic vascular resistance 
A) pulmonary embolism 
B) congestive heart failure 
C) ruptured papillary muscle 
D) increased systemic vascular resistance

A nurse is reviewing the tests results of a patient with a diagnosis of rule out contusion. What would a computerized tomography CT scan show in a patient who has a contusion?

A nurse is assessing a patient for signs and symptoms of severe anemia. Besides the lab values and vital signs what observations in the physical assessment would give indication that the patient is severely anemic?

What is the source of the blood to the brain?

According to the Surviving Sepsis Campaign, what is the time frame identified that is essential for treatment to be given to improve survival?

A patient admitted with suspected renal disease and severe low back pain is preparing to go to have a Renal Arteriography test. Before going to the test, the nurse would ensure that:

60)When the patient is being monitored for cardiogenic shock with one of the devices like extracorporeal life support, left ventricular assist device, or intraaortic balloon pump, what lab value must be monitored to prevent these devices from becoming clotted?

Which area does the fluid accumulate in acute respiratory distress syndrome, causing an increase in permeability?

The nurse is working with a nursing assistant who has recently successfully completed her orientation. What would be an appropriate task to delegate to the nursing assistant?

Which cardiac enzyme is only found in cardiac cells and is indicative of an acute myocardial infarction when elevated?

Why are the signs and symptoms of a hematoma late in coming for the elderly patient verses the younger or middle aged adult?

The nurse is managing the care of a patient with syndrome of inappropriate Antidiuretic Hormone. All of the following nursing interventions would be appropriate except for:

The nurse is caring for a patient who has been placed in a barbiturate coma. How would the nurse explain the purpose of the coma to a nursing student?

During intracranial pressure monitoring, what kind of normal activities would show an increase of temporary intracranial pressure elevations?

You are teaching a continuing education class to the staff regarding the different types of pain. What is the best way to define the sources of somatic pain?

What is the optimal nursing intervention that can help the patient with a pulmonary embolism improve their oxygenation?

A nurse is teaching a patient about their new diagnosis of heart failure. What factor is most useful in monitoring their condition?

The main symptoms of Acute Pancreatitis include:

Which of the following is NOT one of the non-pharmacologic treatment and care options for Alzheimer's disease?

Which patient is at the greatest risk for septic shock?

A patient has myocardial infarction on his health records. A nurse observes that the patient suddenly develops a loud systolic murmur. What might have caused this condition?

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Exam 1: Adult

A nurse is reviewing the tests results of a patient with a diagnosis of rule out contusion. What would a computerized tomography CT scan show in a patient who has a contusion?

A nurse is assessing a patient for signs and symptoms of severe anemia. Besides the lab values and vital signs what observations in the physical assessment would give indication that the patient is severely anemic?

What is the source of the blood to the brain?

According to the Surviving Sepsis Campaign, what is the time frame identified that is essential for treatment to be given to improve survival?

A patient admitted with suspected renal disease and severe low back pain is preparing to go to have a Renal Arteriography test. Before going to the test, the nurse would ensure that:

60)When the patient is being monitored for cardiogenic shock with one of the devices like extracorporeal life support, left ventricular assist device, or intraaortic balloon pump, what lab value must be monitored to prevent these devices from becoming clotted?

Which area does the fluid accumulate in acute respiratory distress syndrome, causing an increase in permeability?

The nurse is working with a nursing assistant who has recently successfully completed her orientation. What would be an appropriate task to delegate to the nursing assistant?

Which cardiac enzyme is only found in cardiac cells and is indicative of an acute myocardial infarction when elevated?

Why are the signs and symptoms of a hematoma late in coming for the elderly patient verses the younger or middle aged adult?

The nurse is managing the care of a patient with syndrome of inappropriate Antidiuretic Hormone. All of the following nursing interventions would be appropriate except for:

The nurse is caring for a patient who has been placed in a barbiturate coma. How would the nurse explain the purpose of the coma to a nursing student?

During intracranial pressure monitoring, what kind of normal activities would show an increase of temporary intracranial pressure elevations?

You are teaching a continuing education class to the staff regarding the different types of pain. What is the best way to define the sources of somatic pain?

What is the optimal nursing intervention that can help the patient with a pulmonary embolism improve their oxygenation?

A nurse is teaching a patient about their new diagnosis of heart failure. What factor is most useful in monitoring their condition?

The main symptoms of Acute Pancreatitis include:

Which of the following is NOT one of the non-pharmacologic treatment and care options for Alzheimer's disease?

Which patient is at the greatest risk for septic shock?

A patient has myocardial infarction on his health records. A nurse observes that the patient suddenly develops a loud systolic murmur. What might have caused this condition?

Neonatal

Pediatrics

Adult Critical Care Registered Nurse

Filters