(WU) NURS 6550 - Advanced Practice Care of Adults in Acute Care Settings II - Midterm Exam Review (WU) NURS 6550 - Advanced Practice Care of Adults in Acute Care Settings II - Midterm Exam Review (WU) NURS 6550 - Advanced Practice Care of Adults in Acute Care Settings II - Midterm Exam Review (WU) ...
,1. Multiple Choice: In managing a patient with acute pancreatitis,
which laboratory value is most critical to monitor?
a) Amylase
b) Lipase
c) Calcium
d) Liver enzymes
Answer: c) Calcium. Rationale: Hypocalcemia can occur in
acute pancreatitis due to fat saponification and can lead to serious
complications.
2. Fill-in-the-Blank: The primary goal in the management of ARDS
is to maintain adequate _______ while minimizing lung injury.
Answer: Oxygenation. Rationale: Adequate oxygenation is
crucial to ensure tissue perfusion and prevent hypoxia, while
avoiding further lung damage is essential in the management of
ARDS.
3. True/False: In patients with septic shock, capillary refill time is a
more reliable indicator of perfusion than blood pressure.
Answer: True. Rationale: Capillary refill time reflects peripheral
perfusion and can be a more sensitive indicator of shock than
,blood pressure, which can be maintained until late in the course of
shock.
4. Multiple Response: Select all that apply. Which of the following
interventions are appropriate for a patient with a tension
pneumothorax?
a) High-flow oxygen
b) Needle decompression
c) Chest tube placement
d) Aggressive fluid resuscitation
Answers: a) High-flow oxygen, b) Needle decompression, c)
Chest tube placement. Rationale: These interventions relieve the
pressure on the affected lung and restore normal breathing
dynamics.
5. Multiple Choice: A patient with a history of chronic heart failure
presents with acute dyspnea. Which diagnostic test is most
important to determine the cause?
a) Chest X-ray
b) BNP level
c) Echocardiogram
d) EKG
, Answer: c) Echocardiogram. Rationale: An echocardiogram can
help differentiate between heart failure exacerbation and other
causes of dyspnea.
6. Fill-in-the-Blank: The most common cause of cardiogenic shock
is _______.
Answer: Myocardial infarction. Rationale: A myocardial
infarction can lead to pump failure and subsequent cardiogenic
shock.
7. True/False: A patient with a Glasgow Coma Scale score of 8 or
less requires immediate intubation.
Answer: True. Rationale: A GCS score of 8 or less indicates
severe impairment of consciousness and the need for airway
protection.
8. Multiple Response: Select all that apply. Which of the following
are signs of fluid overload in a patient with acute renal failure?
a) Peripheral edema
b) Crackles in the lungs
c) Hypertension
d) Tachycardia
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