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Critical Care Exam 3 Questions with 100% correct answers | verified | latest update 2024
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Critical Care Exam 3 Questions with 100% correct answers | verified | latest update 2024
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Critical Care Exam 3Question 1 of 10The patient is admitted with severe abdominal pain due to pancreatitis.
The patient asks the nurse, "What causes this? Why does it hurt so much?" The nurse
should answer: (Points : 1)
"Pancreatitis is extremely rare and no one knows why it causes pain."
"Pancreatitis is caused by diabetes; you should be checked."
"Injury to certain cells in the pancreas causes it to digest (eat) itself, causing pain."
"The pain is localized to the pancreas. Fortunately, it will not affect anything else." -
ANS-C
The nurse is caring for a patient with severe pancreatitis and who is orally intubated and
on mechanical ventilation. The patient's calcium level this morning was 5.5 mg/dL. The
nurse notifies the provider and: (Points : 1)
places the patient on seizure precautions
expects that the provider will come and remove the endotracheal tube.
withhold any further calcium treatments.
place an oral airway at the bedside. - ANS-A
9-10 calcium
The patient is diagnosed with hepatitis. In caring for this patient, the nurse should:
(Points : 1)
administer antiinflammatory medications.
provide rest, nutrition, and antiemetics if needed.
provide antianxiety medications freely to decrease agitation.
instruct the patient to take over-the-counter antiinflammatory medications at home. -
ANS-B
Vascular sounds such as bruits, heard in the abdomen during physical assessment,
may indicate which of the following? (Select all that apply.) (Points : 1)
Obstructed portal circulation
Dilated vessels
Tortuous vessels
Constricted vessels
Presence of an abscess - ANS-BCD
The nurse is caring for a critically ill patient with respiratory failure who is being treated
with mechanical ventilation. As part of the patient's care to prevent stress ulcers, the
nurse would provide: (Select all that apply.) (Points : 1)
,vagal stimulation
proton pump inhibitors.
anticholinergic drugs
antacids.
cholinergic drugs. - ANS-BCD
When caring for the patient with upper GI bleeding, the nurse assesses for which of the
following? (Select all that apply.) (Points : 1)
Severity of blood loss
Hemodynamic stability
Vital signs every 30 minutes
Signs of hypervolemic shock
Necessity for fluid resuscitation - ANS-ABE
A 20-year-old female with a history of type 1diabetes and an eating disorder is found
unconscious. In the emergency department, the following lab values are obtained:
Glucose648 mg/dL
pH6.88
PaCO220 mm Hg
PaO295 mm Hg
HCO3- undetectable
Anion gap>31
Na+127 mEq/L
K+ 3.5 mEq/L
Creatinine1.8 mg/dLAfter the patient's airway and ventilation have been established, the
next priority for this patient is: (Points : 1)
administration of a 1-L normal saline fluid bolus.
administration of 0.1 unit of regular insulin IV push followed by an insulin infusion.
administration of 20 mEq KCl in 100 mL.
IV push administration of 1 amp of sodium bicarbonate. - ANS-A
Which of the following are appropriate nursing interventions for the patient in myxedema
coma? (Select all that apply.) (Points : 1)
Administer levothyroxine (Synthroid) as ordered.
Encourage the intake of foods high in sodium.
Initiate passive rewarming interventions
Monitor airway and respiratory effort.
Monitor urine osmolality - ANS-ADE
,Question 9 of 10What psychosocial factors may potentially contribute to the
development of diabetic ketoacidosis? (Select all that apply.) (Points : 1)
Altered sleep/rest patterns
Eating disorder
Exposure to influenza
High levels of stress
Lack of financial resources - ANS-ABDE
Factors associated with the development of nephrogenic diabetes insipidus include
which of the following? (Select all that apply.) (Points : 1)
Heredity
Medications, including phenytoin (Dilantin) and lithium carbonate
Meningitis
Pituitary tumors
Sickle cell disease - ANS-ABE
An 18-year-old unrestrained passenger who sustained multiple traumatic injuries from a
motor vehicle crash has a blood pressure of 80/60 mm Hg at the scene. This patient
should be treated at which level trauma center? (Points : 1)
Level I
Level II
Level III
Level IV - ANS-A
Question 2 of 10Fluid resuscitation is an important component of managing the trauma
patient. Which of the following statements are true regarding the care of a trauma
patient? (Select all that apply.) (Points : 1)
5% Dextrose is recommended for rapid crystalloid infusion.
IV fluids may need to be warmed to prevent hypothermia.
Massive transfusions should be avoided to improve patient outcomes.
Only fully cross-matched blood products are administered. - ANS-BC
Trauma patients are at high risk for multiple complications not only due to the
mechanism of injury but also due to the patients' long-term management. Which of the
following statements apply to trauma patients? (Select all that apply.)(Points : 1)
Indwelling urinary catheters are a source of infection.
Patients often develop infection and sepsis secondary to central line catheters.
Pneumonia is often an adverse outcome of mechanical ventilation.
Wounds require sterile dressings to prevent infection - ANS-ABC
, It is important to prevent hypothermia in the trauma patient because hypothermia is
associated with which of the following? (Select all that apply.) (Points : 1)
ARDS
Coagulopathies
Dysrhythmias
Myocardial dysfunction - ANS-BCD
Which of the following statements about the pain management of a burn victim are true?
(Select all that apply.) (Points : 1)
Additional pain medication may be needed because of rapid body metabolism
Pain medication should be given before procedures such as debridement, dressing
changes, and physical therapy.
Patients with a history of drug and alcohol abuse will require higher doses of pain
medication.
The intramuscular route is preferred for pain medication administration - ANS-ABC
An autograft is used to optimally treat a partial- or full-thickness wound that: (Select all
that apply.)(Points : 1)
involves a joint.
involves the face, hands, or feet.
is infected.
requires more than 2 weeks for healing - ANS-ABD
The family of a critically ill patient has asked to discuss organ donation with the patient's
nurse. When preparing to answer the family's questions, the nurse understands which
concern(s) most often influence a family's decision to donate? (Select all that apply.)
(Points : 1)
Donor disfigurement influences on funeral care
Fear of inferior medical care provided to donor
Age and location of all possible organ recipients
Concern that donated organs will not be used
Fear that the potential donor may not be deceased
Concern over financial costs associated with donation - ANS-ABEF
Which of the following pts would require greater amounts of fluid resucitation to prevent
acute kidney injury associated with rhabodomyolosis?
A. Crush injury to right arm
B. Gunshot wound to the abdomen
C. Lightining strike of the left arm and chest
D. pulmonary contusion and rib fracture - ANS-AC
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