Nurse Moose
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    Exam Review

    1. The nurse is caring for a patient with a chest tube status-post lobectomy. To ensure the chest tube drainage system is functioning correctly, as the patient breathes, the nurse will monitor which chamber of the drainage system for tidaling?
      A)Water-seal chamber
      B)Suction control chamber
      C)Collection chamber
      D)Window chamber
    2. Which nursing interventions are appropriate for managing ITP? Select all that apply.(SATA)
      A)Avoid IM injections
      B)Avoid rectal thermometers
      C)Use a soft toothbrush
      D)Administer aspirin for headache
      E)Monitor stools for occult blood
    3. A patient is admitted with hypercapnic respiratory failure secondary to chronic obstructive pulmonary disease (COPD). The nurse anticipates which collaborative interventions to address the patient's condition? Select all that apply.(SATA)
      A)Collaborate with respiratory therapy for airway clearance techniques.
      B)Initiate non-invasive positive pressure ventilation (NIPPV)
      C)Administer bronchodilators as prescribed.
      D)Prepare for possible endotracheal intubation.
      E)Begin high-flow oxygen therapy at 100% FIO2
      F)Encourage vigorous physical activity to improve ventilation.
    4. The patient with leukemia has acute disseminated intravascular coagulation (DIC) and is bleeding. What diagnostic finding supports this diagnosis?
      A)Reduced fibrin split products (FSPs)
      B)Elevated D-dimer
      C)Elevated fibrinogen
      D)Reduced prothrombin time (PT)
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    Exam Review

    1. A patient is admitted with acute pericarditis and reports severe chest pain. The nurse identifies the nursing diagnosis fo Acute pain related to the inflammatory process. Which nursing action is most appropriate to relieve the patient's pain?
      A)Administer opioid analgesics every 4 hours.
      B)Increase fluid intake to reduce inflammation
      C)Place the patient in Fowler's position, leaning forward.
      D)Encourage the patient to take deep, slow breaths
    2. An elderly client is admitted to the ICU with difficulty breathing and requires close monitoring. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
      ✓Elevate the head of the bed
      ✓Implement hemodynamic monitoring
      ✓Cardiogenic shock
      ✓Central venous pressure
      ✓Oxygen saturation levels
      Actions to take Choices
      ✓Elevate the head of the bed
      ✓Implement hemodynamic monitoring
      ✕Discontinue Intravenous fluids
      ✕Initiate oral nutrition
      ✕Insert urinary catheter
      Potential Condition Choices
      ✕Pulmonary embolism
      ✕Status Asthmaticus
      ✕Acute myocardial infarction (MI)
      ✓Cardiogenic shock
      Parameters to Monitor Choices
      ✕Calcium levels
      ✕Body mass index
      ✓Central venous pressure
      ✓Oxygen saturation levels
      ✕Capillary refill
    3. A 37-yr-old female patient is hospitalized with acute kidney injury (AKI). Which information will be most useful to the nurse in evaluating improvement in kidney function?
      A)Urine volume
      B)Blood urea nitrogen (BUN) level
      C)Glomerular filtration rate (GFR)
      D)Potassium level
    4. A patient with massive trauma and possible spinal cord injury is admitted to the emergency department. The nurse suspects that the patient may be experiencing neurogenic shock based on which assessment finding?
      A)Cool, clammy skin
      B)Hypotension
      C)Bradycardia
      D)Decrease urinary output
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    Exam Review

    1. Prescribed: Begin propofol IV infusion at 9 mL/hr Available: propofol 1000 mg/100 mL Patient's weight: 75 kg Calculate how many mcg/kg/min the patient is receiving? Record your answer to whole number.
    2. Prescribed: Amiodarone hydrochloride 5 mg/kg as IV push now Available: Amiodarone hydrochloride 150 mg/3 mL Patient weight: 80 kg How many mL will the nurse administer for the prescribed dose? 8 Record your answer in whole number.
    3. The nurse is caring for a patient who has had a mitral valve replacement. What information does the nurse need to include in the discharge instructions?
      A)Good dental hygiene
      B)Activity restrictions
      C)Diet modifications
      D)Long term antibiotics
    4. A nurse is caring for a patient 4 hours after a thyroidectomy. Which assessment finding requires immediate intervention?
      A)Neck swelling and stridor
      B)Oxygen saturation of 95%
      C)Pain at the incision site
      D)Hoarseness
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    Exam Review

    1. A patient with diabetes insipidus (DI) is admitted to the hospital for evaluation and treatment. Which intervention would the nurse implement immediately?
      A)Obtain 24 hour dietary intake
      B)Administer corticosteroids
      C)Administer IV fluids
      D)Obtain blood cultures
    2. A nurse is preparing to transport an intubated patient to the operating room for an emergent surgical procedure. Which nursing action is most important to ensure patient safety during transport?
      A)Confirm that the patient's consent form is signed and in the chart.
      B)Notify the surgical team of the patient's arrival time.
      C)Document the time the patient left the unit and who accompanied them.
      D)Ensure that portable oxygen and suction equipment are functioning and available.
    3. The physician prescribes IV mannitol for an unconscious patient. The nurse would expect the therapeutic effect of this drug to result in which outcome?
      A)Decreased seizure activity
      B)Decreased inflammatory response
      C)Decreased cerebral edema
      D)Decreased cerebral metabolism
    4. Based on the information in the electronic health record, complete the sentences using the drop-down lists. The nurse's initial action after assessing the patient at 1600 is to▾ notify the provider. The nurse suspects the client's new symptoms are related to▾ increased intracranial pressure.
      Dropdown 1:
      Option 1: encourage the client to rest quietly
      Option 2: document the findings and continue routine monitoring
      Option 3: notify the provider
      Dropdown 2:
      Option 1: hypoglycemia
      Option 2: increased intracranial pressure
      Option 3: anxiety
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    Exam Review

    1. A patient who has been involved in a motor-vehicle crash is admitted to the emergency department in shock, Of the prescribed orders, below, which order will the nurse implement first?
      A)Draw blood to type and crossmatch for transfusions
      B)Administer oxygen at 100% per non-rebreather mask
      C)Insert two 20-gauge IV catheters
      D)Place the patient on continuous cardiac monitor
    2. A patient in ICU for a diagnosis of stage IV wound to the sacrum goes into Septic Shock. The nurse receives an order to begin a norepinephrine infusion 18 mL/hr. The patient weighs 158 lbs. The norepinephrine is supplied in a concentration of 4mg in 250 ml of D5W. What is the norepinephrine dose in mcg/kg/min? Place your answer to thousandths.
      A)0.004 mcg/kg/min
      B)344.640 mcg/kg/min
      C)4.800 mcg/kg/min
      D)0.067 mcg/kg/min
    3. A patient is scheduled to have a central venous access device placed for administration of chemotherapy. When preparing the patient for the catheter insertion, the nurse explains that this method of administration is preferred for which reason?
      A)it decreases the risk for extravasation at the infusion site
      B)it reduces the incidence of systemic side effects of the medication
      C)It allows continuous infusion of the medication directly to the tumor
      D)It does not become occluded as peripherally inserted catheters can
    4. The nurse admits a patient with a diagnosis of abdominal aortic aneurysm. Which signs and symptoms would suggest that the aneurysm has ruptured?
      A)Rapid onset of shortness of breath and hemoptysis
      B)Gradually increasing sub sternal chest pain and diaphoresis
      C)Sudden, patchy blue mottling on the feet and toes and pain at rest
      D)Sudden, severe low back pain and bruising along the flank area
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