Exam 1: Adult

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A 47 year old female is assigned as one of your patients on the cardiac care unit. On your rounds you notice that her Mean Arterial Blood Pressure is decreasing. What is the Mean Arterial Blood Pressure?

(Multiple Choice)
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What teaching is important to include for women who have experienced a spinal cord injury and have questions about having children?

(Multiple Choice)
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Even though a nursing staff is resists, she is being assigned to a disruptive patient. What would be an appropriate resolution to this situation?

(Multiple Choice)
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A 57 year old man is admitted to the intensive care unit for hepatic failure. All of these previous conditions predispose him to hepatic failure except for:

(Multiple Choice)
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A 67 year male enters the emergency room with a blood pressure of 210/105. The nursing assistant asks you, "how is blood pressure in the body calculated"?

(Multiple Choice)
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For a patient to be considered for Thrombolytic Therapy after an ischemic stroke, when must the Thrombolytic Therapy begin?

(Multiple Choice)
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You have received report and are preparing to round on your patients. Who needs to be seen first?

(Multiple Choice)
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What is the best way to describe what happens during a Cerebral Aneurysm?

(Multiple Choice)
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A 35 year old male is admitted with a diagnosis of diabetic Ketoacidosis. His blood sugar is currently at 485 mg/dL. His blood pressure is 70/38 and his heart rate is 130. Serum sodium is at 139 and serum potassium is 5.8. What should be done first?

(Multiple Choice)
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The nurse is taking care of a patient who is post operative day one for a total Thyroidectomy. He calls the nurse into the room and states that he has tingling around his mouth and in his fingers and toes. What are the next actions of the nurse?

(Multiple Choice)
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A 45 year old male patient presented to the emergency room with crushing chest pain. Although his EKG did not show ST-elevation, he did have a Troponin I level of 4.0. The emergency room physician has ordered Eptifibatide Bolus. What serum levels are important to monitor when on Eptifibatide?

(Multiple Choice)
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A mom brings her 15 month old in for a routine checkup. What are effective strategies to wean the child from having a bottle of milk in the crib every night?

(Multiple Choice)
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The purpose of the multidisciplinary team in the critical care setting is to:

(Multiple Choice)
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The nurse provides discharge instructions to a client with a graft site on the right leg. Which statement, if made by the client, would indicate the need for further instruction?

(Multiple Choice)
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A patient in the emergency room is being worked up for acute coronary syndrome. You are performing an EKG on the patient and notice wide QRS complexes in the pre-cordial leads. What is the significance of this finding?

(Multiple Choice)
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Virchow's triad refers to the factors that predispose a patient to venous thrombi. All of the following factors are a component of Virchow's triad except for:

(Multiple Choice)
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A patient with a T6 spinal cord injury develops autonomic Dysreflexia, an emergency situation that can occur after spinal shock. What is the first line and initial treatment for the patient?

(Multiple Choice)
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The nurse is reviewing the goals of the treatment plan for a new patient admitted with Septic Shock with a nursing student. What is the best summary of the priorities of care for the patient with Septic Shock?

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A patient undergoing chemotherapy has a platelet count of 20,000 per micro liter. What teaching needs to be done in regard to the low platelet count?

(Multiple Choice)
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Which cranial nerve is tested to assess the gag reflex?

(Multiple Choice)
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