Question 1

The nurse is assessing the tests of a patient with a diagnosis of acute right-sided Heart Failure. What parameter would be elevated in right-sided Heart Failure?

Accepted Answer

A) Central Venous Pressure (CVP) 
B) Cardiac Output 
C) Left-ventricular end-diastolic pressure 
D) Pulmonary Capillary Wedge Pressure (PCWP)

Question 2

The best treatment for Pulmonary embolism is prevention. Heparin is often used to prevent pulmonary embolisms in at-risk patients. The Activated Partial Thromboplastin Time (APTT) is used to maintain a therapeutic level for heparin therapy. What level should the Activated Partial Thromboplastin Time be maintained at?

Accepted Answer

A) 1.5 to 2 times the normal level 
B) 2.5 to 3 times the normal level 
C) 3 to 4 times the normal level 
D) 5 times the normal level

Question 3

Which of the following medications would be most effective in decreasing vagal stimulation, pancreatic secretion and ampullary spasm in a patient with acute Pancreatitis?

Accepted Answer

A) Opioid analgesics 
B) Antiemetics 
C) Anticholinergics 
D) Antispasmodic

Question 4

A 37 year old woman is admitted to the intensive care unit after experiencing an anterior spinal cord injury status post trauma. What kind of gastrointestinal problems would this patient be at risk for?

Accepted Answer

A) Uncontrolled nausea and vomiting 
B) Gastrointestinal ulcers 
C) Constipation 
D) Small bowel obstruction

Question 5

Which of the following scenarios reflects the greatest need for mechanical ventilation?

Accepted Answer

A) A patient with a respiratory rate of 26 and an oxygen saturation of 89% on 1 Liter of oxygen. 
B) A patient who is visiting with visitors with an oxygen saturation level of 87%. 
C) An alert and oriented patient who is slightly diaphoretic and is having difficulty breathing. 
D) A patient who has a history of sleep apnea and continues to wake up because of missed breaths.

Question 6

The nurse is taking care of a patient who has just received a kidney transplant. What signs and symptoms would indicate the body is rejecting the donated organ?

Accepted Answer

A) Increased urine output 
B) Elevated creatinine and BUN (blood, urea, nitrogen) levels 
C) Elevated platelet count 
D) Severe pain in the lower back

Question 7

226)The nurse has received a patient who was admitted with a vitamin B12 deficiency. What would the nurse specifically do in her assessment?

Accepted Answer

A) Palpate the spleen 
B) Take a set of vital signs every hour 
C) Examine the feet for petechiae 
D) Examine the tongue

Question 8

What lab values are essential to monitor in the patient with heart failure who is receiving diuretics?

Accepted Answer

A) Serum potassium and serum chloride 
B) Serum creatinine and serum sodium 
C) Serum potassium and serum creatinine 
D) Serum sodium and serum potassium

Question 9

In end stage renal disease, what lab value should be monitored in relation to bleeding?

Accepted Answer

A) Hemoglobin 
B) Hematocrit 
C) Platelet 
D) Prothrombin time

Question 10

When working the family of the patient in critical care, a nurse should use this kind of Therapeutic Communication:

Accepted Answer

A) Advise the family to remain quiet while visiting and avoid stimulating the patient. 
B) Consider the family a part of the team and listen to their input. 
C) Refer them to the primary care doctor for all of their questions. 
D) Enforce visiting hours to maintain a routine of care for the patient.

Question 11

A 20-year-old male client with a BMI of 33 has been admitted for recurrent chest pains and difficulty breathing. During the assessment, it is found that his father and mother have both suffered from myocardial infarction before the age of 50. Which of the following nursing actions is the first step to prevent the client from developing myocardial infarction?

Accepted Answer

A) Encourage the client in initiating and maintaining a regular exercise program. 
B) Instruct the client to avoid fatty and high-calorie meals. 
C) Assess the client's level of interest in weight reduction programs. 
D) Educate the client about the risks of obesity and myocardial infarction.

Question 12

The patient with a diagnosis of rule out Cerebrovascular accident is scheduled to go to a Magnetic resonance imaging. What would be a contraindication for the patient to undergo the test?

Accepted Answer

A) Pacemaker 
B) History of anxiety 
C) History of a heart attack 
D) Allergy to contrast

Question 13

A patient in end stage renal disease is due for dialysis today suddenly needs additional help to get out of bed to use the bedside commode. He is short of breath and complains of feeling "extra tired" today. A glance at the telemetry monitor shows a new onset irregular heartbeat. What electrolyte imbalance is the most likely cause of the patient's new symptoms?

Accepted Answer

A) Hyponatremia 
B) Hypercalcemia 
C) Hypophosphatemia 
D) Hyperkalemia

Question 14

A nurse is explaining a recent diagnosis of heart failure to the patient. What is the best way to describe heart failure?

Accepted Answer

A) The heart muscle is weakened and cannot pump out enough blood to meet the needs of the body. 
B) A disease that causes the heart to be unable to sufficiently supply blood flow to the entire body. 
C) A syndrome that affects more than 5 million people in North America but can be managed with medications and lifestyle adjustments. 
D) A condition where the heart is unable to contract and empty.

Question 15

What is the goal in managing peptic ulcer disease?

Accepted Answer

A) Prevent gastrointestinal bleeding 
B) Prevent weight loss 
C) Increase weight gain 
D) Pain control

Question 16

The physician orders peak and trough levels for a patient receiving Vancomycin for the treatment of sepsis. If the patient received the last dose of Vancomycin at 12:00 noon, when should the trough be drawn?

Accepted Answer

A) 11:30 am 
B) 12:30 pm 
C) 10:00 am 
D) 2:00 pm

Question 17

What symptom of liver failure would be marked by progressive Azotemia, elevated serum Creatinine levels and Oliguria?

Accepted Answer

A) Varices 
B) Hepatic encephalopathy 
C) Jaundice 
D) Hepatorenal syndrome

Question 18

A 68-year-old woman is diagnosed with thrombocytopenia due to acute Lymphocytic Leukemia. She is admitted to the hospital for treatment. The nurse should assign the patient

Accepted Answer

A) to a private room so she will not infect other patients and health care workers. 
B) to a private room so she will not be infected by other patients and health care workers. 
C) to a semiprivate room so she will have stimulation during her hospitalization. 
D) to a semiprivate room so she will have the opportunity to express her feelings about her illness.

Question 19

An intensive care nurse is asked to assess a nurse on a medical telemetry unit whom the medical nurse is questioning whether the patient might be experiencing septic shock. What symptoms would the nurse observe if the patient was in the late stages of septic shock?

Accepted Answer

A) Fever and chills 
B) Warm, dry, flushed skin 
C) Decreased pulse and respiratory rales 
D) Decreased blood pressure

Question 20

The critical care nurse is caring for a 18 year old who attempted suicide by swallowing an excess of 100 tabs of acetaminophen. What drug would the nurse expect the doctor to order to act as an antidote to the overdose?

Accepted Answer

A) Vitamin K 
B) Epinephrine 
C) Flumazenil 
D) Acetylcysteine

Exam 1: Adult