Which of the following medications is MOST commonly indicated for patients with CHF? -
ANSAce inhibitors
A patient was involved in a motor vehicle accident and CAT scan results reveal a right sided
SDH. What would be an expected neurological assessment finding in this patient? - ANSDilated
right pupil
What is the most common symptom of SIADH? - ANSFluid retention
Upon arrival to the unit, you receive report on four PCU patients. Which patient should you
attend to FIRST? - ANSA patient complaining of shortness of breathe on continuous BiPAP with
a BP of 189/109
Of the following patients, which one would you see FIRST? - ANSA 30 year suicidal female that
took an unknown number of alprazolam with an O2 saturation of 85%
You are caring for a patient with new onset atrial fibrillation with a blood pressure of 80/60.
Which of the following treatment options is MOST appropriate? - ANSElectrical cardioversion
Which of the following supplemental medications is frequently ordered in conjunction with
furosemide? - ANSPotassium
Which of the following positions is the BEST way to assess for JVD? - ANSPosition the patient
on his/her back with the head of bed 30-45 degrees
Your patient is on the midday schedule for hemodialysis. He has 100 mg of metoprolol XL
ordered for this morning and his blood pressure if 150/98. Which of the following would be an
appropriate action? - ANSHold the metoprolol because of the upcoming dialysis
You walk into your patient's room and notice that the chest tube collection chamber has been
knocked over on the floor. There appears to be drainage dispersed throughout the chambers.
What should you do NEXT? - ANSReplace the chamber with a new one
Your patient is complaining of nausea, vomiting, and diarrhea. His blood pressure is 89/55, heart
rate is 122 bpm, and the temperature is 100.8 F. What condition is this patient most likely
experiencing? - ANSHypovolemic shock
You are caring for a patient with a chest tube that has become dislodged. Which of the following
would you do FIRST? - ANSCover the insertion site immediately with Vaseline gauze
, A 78 year old male is admitted from the ED for syncope with ground level fall. You note his heart
rate is 50 and the patient is confused. His daughter states she thinks he has dementia but he
has not been diagnosed yet. Blood pressure is stable. What order do you anticipate? - ANSStat
head CT
A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders should you
do FIRST? - ANSPrepare to administer 2 units PRBCs
Which of the following should be checked before administering digoxin? - ANSApical pulse
A patient with a history of acute seizure activity of unknown etiology is admitted to the PCU from
the ED. Which of the following orders would you expect to receive from the admitting provider? -
ANSLevetiracetam (Keppra) 500 mg IV every 12 hours and seizure precautions
You are caring for a patient post left pneumonectomy with a chest tube in place for drainage.
Which of the following is a priority in caring for this patient? - ANSEncourage the patient to
cough and deep breathe
You are caring for a patient with an order for "furosemide 80 mg BID". Which of the following
actions is the MOST appropriate? - ANSCall the provider to clarify the order
You are caring for a patient with a Do Not Resuscitate (DNR) order. The patient goes into
cardiac arrest and the patient's daughter states "Do whatever you can to save my dad." Which
of the following is the BEST response? - ANSFollow the patient's wishes and honor the DNR
You are educating your patient about reducing sodium intake. You know that the patient
understands when they make the statement: - ANS"I will avoid canned food because it's salty"
The trough for vancomycin is measured: - ANSImmediately before the next scheduled dose
You are delegating wound care to a LPN. The LPN states that she has never performed this
type of wound care before. Which of the following components of delegation have you
neglected? - ANSCompetency
You are caring for a patient in third degree heart block. Which of the following treatment options
will MOST likely be implemented? - ANSPacemaker
You are assigned a patient who recently traveled outside of the United States. He has a fever of
101.9 F and excessive diarrhea. You suspect he may have been exposed to Ebola. What type
of PPE would you expect to use? - ANSHigh level PPE
Which of the following patients would you see FIRST? - ANSA 57 year old male complaining of
worsening chest tightness
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