Question 1

A patient has developed Acute Respiratory Acidosis, with a pH of 7.25 and a PaCO2 of 55. What is the underlying cause of Respiratory Acidosis?

Accepted Answer

A) The lungs are not sufficiently ventilating. 
B) The lungs are working excessively resulting in "over breathing." 
C) There is an underlying gastric disorder. 
D) There are elevated levels of aldosterone present. 
A) The lungs are not sufficiently ventilating. 
B) The lungs are working excessively resulting in "over breathing." 
C) There is an underlying gastric disorder. 
D) There are elevated levels of aldosterone present.

Question 2

The patient with a hemoglobin level of 4.4 is ordered to receive 5 units packed red blood cells. To avoid circulatory overload, the nurse would take all of the following actions except:

Accepted Answer

A) Administer Furosemide 20 mg intravenously in between each unit. 
B) Monitor the patient for signs and symptoms of hypoxia, edema and fever. 
C) Transfuse the blood quickly to avoid fatigue. 
D) Administer supplemental oxygen to aid the patient's breathing. 
A) Administer Furosemide 20 mg intravenously in between each unit. 
B) Monitor the patient for signs and symptoms of hypoxia, edema and fever. 
C) Transfuse the blood quickly to avoid fatigue. 
D) Administer supplemental oxygen to aid the patient's breathing.

Question 3

A nurse documents on a patient's chart that they are experiencing "reality disturbances" during their admission in the intensive care unit. What would NOT be an example of a "reality disturbance?"

Accepted Answer

A) Disorientation to time. 
B) Inability to decipher whether it is day or night. 
C) Increased agitation. 
D) Misinterpretation of environmental stimuli. 
A) Disorientation to time. 
B) Inability to decipher whether it is day or night. 
C) Increased agitation. 
D) Misinterpretation of environmental stimuli.

Question 4

A nurse is admitting a patient with suspected TB. What should the nurse do first before the patient arrives?

Accepted Answer

A) Use universal precautions until a diagnosis is confirmed. 
B) Place the patient on contact precautions and put the appropriate isolation cart in front of the room for all staff and visitors to use. 
C) Delegate the setting up of the room to the nurse's aide and review the chart. 
D) Notify the engineering department and call central supply for an airborne isolation cart. 
A) Use universal precautions until a diagnosis is confirmed. 
B) Place the patient on contact precautions and put the appropriate isolation cart in front of the room for all staff and visitors to use. 
C) Delegate the setting up of the room to the nurse's aide and review the chart. 
D) Notify the engineering department and call central supply for an airborne isolation cart.

Question 5

The nurse assess that the cause of the patient's acute Tubular Necrosis is a nephrotoxic agent, probably the contrast that was used for the computerized tomography scan of the abdomen. What would be a nursing goal to prevent further damage to the kidneys for this patient?

Accepted Answer

A) Prevent further exposure to the causative agent 
B) Monitor the creatinine and blood, urea, nitrogen levels (BUN) 
C) Hold the daily furosemide and diabetic medications 
D) Ensure that daily labs are ordered to monitor kidney function 
A) Prevent further exposure to the causative agent 
B) Monitor the creatinine and blood, urea, nitrogen levels (BUN) 
C) Hold the daily furosemide and diabetic medications 
D) Ensure that daily labs are ordered to monitor kidney function

Question 6

The nurse is caring for a client with Epiglottis. What equipment should have the nurse have at the bedside because of the risk of complete obstruction of the airway?

Accepted Answer

A) Suction kit and catheter 
B) Intravenous access supplies 
C) Supplemental oxygen nasal cannula 
D) A Tracheostomy set 
A) Suction kit and catheter 
B) Intravenous access supplies 
C) Supplemental oxygen nasal cannula 
D) A Tracheostomy set

Question 7

What is the reversal agent for Heparin?

Accepted Answer

A) Vitamin K 
B) Fresh frozen plasma 
C) Protamine sulfate 
D) Narcan 
A) Vitamin K 
B) Fresh frozen plasma 
C) Protamine sulfate 
D) Narcan

Question 8

The nurse is assessing a newly admitted patient to the intensive care unit. The patient is a 48 year old woman who has been experiencing severe vomiting and diarrhea for 4 days. What signs and symptoms would the present to reflect that her condition has progressed to the complication of shock related to Hypovolemia?

Accepted Answer

A) Blood pressure of 148/78, heart rate of 116, afebrile 
B) Changes in mental status, normal vital signs, acute abdominal pain 
C) Blood pressure 98/48, heart rate 120, cold feet and hands 
D) Changes in mental status, blood pressure of 130/76, temperature 99.0 
A) Blood pressure of 148/78, heart rate of 116, afebrile 
B) Changes in mental status, normal vital signs, acute abdominal pain 
C) Blood pressure 98/48, heart rate 120, cold feet and hands 
D) Changes in mental status, blood pressure of 130/76, temperature 99.0

Question 9

What is the main treatment for heart failure?

Accepted Answer

A) Pharmacologic therapy 
B) Surgery 
C) Lifestyle adjustments 
D) Increase of exercise 
A) Pharmacologic therapy 
B) Surgery 
C) Lifestyle adjustments 
D) Increase of exercise

Question 10

A 47 year old man is admitted to the ICU for severe injuries as a result of a motor vehicle accident. He has lost a lot of blood and his blood pressure is 70/35. After a few hours he goes into cardiac arrest. The patient has 'DNR' orders in his medical records. But his brother who is present wants doctors to do everything they can to save him. What is the appropriate action at this time of emergency?

Accepted Answer

A) Do not resuscitate 
B) Contact health care proxy 
C) Follow brothers wishes 
D) Contact hospital ethics committee 
A) Do not resuscitate 
B) Contact health care proxy 
C) Follow brothers wishes 
D) Contact hospital ethics committee

Question 11

A patient is beginning IV Phenytoin for diagnosis of a new onset of Seizures. What adverse effects would the nurse asses for after administering the medication?

Accepted Answer

A) Hemorrhage, prolonged clotting time and thrombocytopenia 
B) Increased Intracranial Pressure (ICP), cerebral edema and somnolence 
C) Gastrointestinal bleeding, acute renal insufficiency, liver dysfunction 
D) Slurred speech, thrombocytopenia, Stevens-Johnson syndrome 
A) Hemorrhage, prolonged clotting time and thrombocytopenia 
B) Increased Intracranial Pressure (ICP), cerebral edema and somnolence 
C) Gastrointestinal bleeding, acute renal insufficiency, liver dysfunction 
D) Slurred speech, thrombocytopenia, Stevens-Johnson syndrome

Question 12

Which of the following is one of the rare complications that occur to a patient with Appendicitis these days?

Accepted Answer

A) Headache 
B) Pylephlebitis 
C) Abdominal pain 
D) Edema 
A) Headache 
B) Pylephlebitis 
C) Abdominal pain 
D) Edema

Question 13

A 62 year old man comes to the ER complaining of severe pain located in his mid abdominal area. He does have a history of smoking and his past medical history includes hypertension for which he takes metoprolol, hydrochlorothiazide and hyperlipidemia for which he takes vytorin. He states that the pain came on suddenly, is excruciating and travels to his back. His vitals at this time are BP 90/50, HR 115, R 24, Temp 99. On physical exam, he is found to have a pulsating, tender mass in the middle of his abdomen. All of the following are risk factors for this condition, except

Accepted Answer

A) Smoking 
B) High blood pressure 
C) Atherosclerosis 
D) Alcohol 
A) Smoking 
B) High blood pressure 
C) Atherosclerosis 
D) Alcohol

Question 14

What is the best way to position the patient who is unstable, hypotensive and in a Hypovolemic state?

Accepted Answer

A) Supine with the head of bed elevated 30 degrees 
B) Supine with the head of bed elevated 90 degrees 
C) Supine and flat 
D) Prone and flat 
A) Supine with the head of bed elevated 30 degrees 
B) Supine with the head of bed elevated 90 degrees 
C) Supine and flat 
D) Prone and flat

Question 15

A nurse is taking care of a 78 year old female who suffered a myocardial infarction 24 hours ago. The nurse would suspect that the patient has a problem with excess fluid volume when the patient's skin appears:

Accepted Answer

A) Dry and scaly 
B) Taut and shiny 
C) Red and irritated 
D) Thin and frail 
A) Dry and scaly 
B) Taut and shiny 
C) Red and irritated 
D) Thin and frail

Question 16

A patient has been in bed two days post operatively a total knee replacement. He is refusing to get up out of bed because of the pain. The nurse is concerned that he is developing pneumonia. What signs and symptoms should be reported to the doctor to explore the possibility of pneumonia?

Accepted Answer

A) Change in level of consciousness, increase in irritability and lethargy. 
B) Sudden onset of chills with high fever and a headache. 
C) Muscle twitching, nausea and vomiting. 
D) Diminished or absent breath sounds over the lungs, dullness on percussion. 
A) Change in level of consciousness, increase in irritability and lethargy. 
B) Sudden onset of chills with high fever and a headache. 
C) Muscle twitching, nausea and vomiting. 
D) Diminished or absent breath sounds over the lungs, dullness on percussion.

Question 17

Mr)M is two days post operation of a total right hip replacement surgery. He has been out of bed once since surgery. He suddenly becomes short of breath and states that he has mild chest pressure that gets worse as he tries to take deeper breaths. His respiratory rate is 30/ minute and his heart rate is 122. What is the most likely reason for his symptoms?

Accepted Answer

A) Pulmonary embolism 
B) Myocardial infarction 
C) Exacerbation of asthma 
D) Cerebrovascular accident 
A) Pulmonary embolism 
B) Myocardial infarction 
C) Exacerbation of asthma 
D) Cerebrovascular accident

Question 18

What is the leading cause of acute Tubular Necrosis?

Accepted Answer

A) Sepsis 
B) Shock 
C) Myocardial infarction 
D) Gastro intestinal bleeding 
A) Sepsis 
B) Shock 
C) Myocardial infarction 
D) Gastro intestinal bleeding

Question 19

A 36 year old woman is admitted to the intensive care unit with a diagnosis of Idiopathic Thrombocytopenic Purpura secondary to Thrombocytopenia. All of the following except one of the following would the nurse find in the physical assessment that would be indicative of Idiopathic Thrombocytopenic Purpura?

Accepted Answer

A) Petechiae 
B) Ecchymosis 
C) Bleeding from mucous membranes of the mouth or nose 
D) Tremoring and weakness 
A) Petechiae 
B) Ecchymosis 
C) Bleeding from mucous membranes of the mouth or nose 
D) Tremoring and weakness

Question 20

A set of emergency surgeries were performed and you are the post operative nurse. Which of the following patients should be most closely monitored in the ICU?

Accepted Answer

A) post abscess appendectomy 
B) post aortic valve relacement 
C) post coronary stent placement 
D) both a and b 
A) post abscess appendectomy 
B) post aortic valve relacement 
C) post coronary stent placement 
D) both a and b

A patient has developed Acute Respiratory Acidosis, with a pH of 7.25 and a PaCO2 of 55. What is the underlying cause of Respiratory Acidosis?

The patient with a hemoglobin level of 4.4 is ordered to receive 5 units packed red blood cells. To avoid circulatory overload, the nurse would take all of the following actions except:

A nurse documents on a patient's chart that they are experiencing "reality disturbances" during their admission in the intensive care unit. What would NOT be an example of a "reality disturbance?"

A nurse is admitting a patient with suspected TB. What should the nurse do first before the patient arrives?

The nurse assess that the cause of the patient's acute Tubular Necrosis is a nephrotoxic agent, probably the contrast that was used for the computerized tomography scan of the abdomen. What would be a nursing goal to prevent further damage to the kidneys for this patient?

The nurse is caring for a client with Epiglottis. What equipment should have the nurse have at the bedside because of the risk of complete obstruction of the airway?

What is the reversal agent for Heparin?

What is the main treatment for heart failure?

A patient is beginning IV Phenytoin for diagnosis of a new onset of Seizures. What adverse effects would the nurse asses for after administering the medication?

Which of the following is one of the rare complications that occur to a patient with Appendicitis these days?

What is the best way to position the patient who is unstable, hypotensive and in a Hypovolemic state?

A nurse is taking care of a 78 year old female who suffered a myocardial infarction 24 hours ago. The nurse would suspect that the patient has a problem with excess fluid volume when the patient's skin appears:

A patient has been in bed two days post operatively a total knee replacement. He is refusing to get up out of bed because of the pain. The nurse is concerned that he is developing pneumonia. What signs and symptoms should be reported to the doctor to explore the possibility of pneumonia?

What is the leading cause of acute Tubular Necrosis?

A set of emergency surgeries were performed and you are the post operative nurse. Which of the following patients should be most closely monitored in the ICU?

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Exam 1: Adult

A patient has developed Acute Respiratory Acidosis, with a pH of 7.25 and a PaCO2 of 55. What is the underlying cause of Respiratory Acidosis?

The patient with a hemoglobin level of 4.4 is ordered to receive 5 units packed red blood cells. To avoid circulatory overload, the nurse would take all of the following actions except:

A nurse documents on a patient's chart that they are experiencing "reality disturbances" during their admission in the intensive care unit. What would NOT be an example of a "reality disturbance?"

A nurse is admitting a patient with suspected TB. What should the nurse do first before the patient arrives?

The nurse assess that the cause of the patient's acute Tubular Necrosis is a nephrotoxic agent, probably the contrast that was used for the computerized tomography scan of the abdomen. What would be a nursing goal to prevent further damage to the kidneys for this patient?

The nurse is caring for a client with Epiglottis. What equipment should have the nurse have at the bedside because of the risk of complete obstruction of the airway?

What is the reversal agent for Heparin?

What is the main treatment for heart failure?

A patient is beginning IV Phenytoin for diagnosis of a new onset of Seizures. What adverse effects would the nurse asses for after administering the medication?

Which of the following is one of the rare complications that occur to a patient with Appendicitis these days?

What is the best way to position the patient who is unstable, hypotensive and in a Hypovolemic state?

A nurse is taking care of a 78 year old female who suffered a myocardial infarction 24 hours ago. The nurse would suspect that the patient has a problem with excess fluid volume when the patient's skin appears:

A patient has been in bed two days post operatively a total knee replacement. He is refusing to get up out of bed because of the pain. The nurse is concerned that he is developing pneumonia. What signs and symptoms should be reported to the doctor to explore the possibility of pneumonia?

What is the leading cause of acute Tubular Necrosis?

A set of emergency surgeries were performed and you are the post operative nurse. Which of the following patients should be most closely monitored in the ICU?

Neonatal

Pediatrics

Adult Critical Care Registered Nurse

Filters