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AACN practice Study Guide Exam 2024/2025 Verified Questions and Answers

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AACN practice Study Guide Exam 2024/2025 Verified Questions and Answers al nursel isl caringl forl al patientl admittedl withl myocardial l ischemia.l thel patientl hasl al historyl ofl an xietyl andl hypothyroidisml andl isl currently...

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  • October 13, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • aacn practice study guide exam verified
  • al nursel isl caringl forl al patientl admi

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AACN practice Study Guide Exam
2024/2025 Verified Questions and
Answers

alnurselislcaringlforlalpatientladmittedlwithlmyocardiallischemia.lthelpatientlhaslalhistoryloflan
xietylandlhypothyroidismlandlislcurrentlyltakinglcycliclantidepressants.lthelnurselobserveslal
QTlintervallofl0.48lsecondslandlshouldlmonitorlcloselylforl-lCORRECTlANSWER-torsades

torsadeslislalifelthreateningldysrhythmialoftenlassociatedlwithlalprolongedlQTlintervallandlca
nlresultlinlsuddenldeath.

alnurselislcaringlforlalpostoperativelpatientlwholislonlmechanicallventilation,lreceivinglIVlfluid
s,landlenteralltubelfeedings.lcrackleslandlwheezinglarelheardlinlthelrightllunglfieldslwithlincre
asedlWOB.lHRl124lislnoted.lthelnurselshouldlINITIALLYl-lCORRECTlANSWER-
verifylthellocationloflthelfeedingltube

thelpatientslsymptomslarelconsistentlwithlaspirationlPNA:lcough,ldyspnea,lwheezing.lwithlfl
uidlorlsolidlobjectlaspiration,ltherelcanlbelanlabruptlonsetloflacutelrespiratoryldistress.lAlllinte
rventionslshouldlbelperformed,lbutlverifyinglfeedingltubelplacementlwilllassistlwithldiagnosis
landlexpeditelappropriateltreatment




alnurselislpreparinglalpatientlwithlaltracheallperforationlforlsurgerylandlnoticeslsuddenlhypot
ension,ltachycardia,lLOClandlauscultateslalloudlmachinery-
likelheartlmurmurl(milllwheellheartlmurmur).lwhatlshouldlthelnurseldolinitially?l-
lCORRECTlANSWER-placelthelpatientlinltrendelenberglwithlleftldecubitusltilt




thelpatientlwithltracheallperforationlhaslalhighlriskloflairlembolismlandlwilllsuddenlylbecomel
hypotensivelwithoutlbleeding.ltrendelenburglpositionlwilllhelplthelairlfloatltolthelleftlatriumlan
dlpreventlalstroke.

alpatientlisladmittedlcomplainingloflcrushinglchestlpain,lwhichlbeganl2lhourslago.lanlekglsho
wslSTlelevationlinlleadslV2-
V4lwhichlisltreatedlwithlalPCIlprocedureltolthelLAD.lfollowinglthelprocedurelthelpatientldevel
opsloligurialandlbilateral,ldiffuselcrackles.lwhichlhemodynamiclfindingslshouldlbelexpectedl
atlthislpoint?l-lCORRECTlANSWER-BPl80/50,lCOl3.8,lSVRl2200,lPAPl40/24

thelpatientlhadlanlanteriorlinfarction,lwhichlpredisposesltheldevelopmentloflLVlfailure/cardio
geniclshock.lthelhemodynamicldataloflBPl80/50,lCOl3.8,lSVRl2200,landlPAPl40/24larelconsi
stentlwithlLVlfailure/cardiogeniclshock

, alpatientlisladmittedlfollowinglaorticlvalvelreplacement.lforlwhichlrhythmlshouldlthelnurselmo
nitorlfor?l-lCORRECTlANSWER-secondldegreelAVlblockltypel2

followinglaorticlvalvelreplacement,lpatientslmayldeveloplanlAVlblockldueltoledema,linflamm
ation,lhemorrhage,lorlsuturinglnearlnode

alpatientlisladmittedlinlrespiratoryldistresslafterlNSAIDladministration.lbreathlsoundslandlex
piratorylwheezeslarelnollongerlaudible.lthelABGlresultslare:lpHl7.31,lPaCO2l51,lPaO2l58,lH
CO3l23,lSaO2l88%.lWhichlislthelMOSTlappropriatelinitiallinterventionl-
lCORRECTlANSWER-mechanicallylventilatelwithlprolongedlexpiration




forlpatientslwholarelhavinglanlemergentlexacerbationloflasthma,lmanagementlfocuseslonls
upportlofloxygenationlandlventilation.lstatuslasthmaticuslresultslinldifficultylwithlexpiration,la
ndltherefore,lairltrapping.lrespiratorylacidosislislseenldueltoldecreasedlCO2lremoval.lalpatie
ntlwithlnolbreathlsoundslislanlemergencylsituationlandlfocuslshouldlbelonlassistinglwithlventi
lation.lprolongedlexpirationlwilllnotlonlylincreaseloxygenationlbutlcanlreverselthelacidosis

alpatientlisladmittedlwithlchestlheaviness,lmuffledlheartlsounds,lJVD,landlhypotensionlfollo
winglalstablwoundltolthelchest.lforlwhichlshouldlthelnurselinitiallylpreparelthelpatient?l-
lCORRECTlANSWER-echocardiogram




thislpatientlislatlrisklforlandlhaslsymptomslforlcardiacltamponade.ltheldiagnosislislmostlaccur
atelylmadelwithlanlechocardiogram.

alpatientlisladmittedlwithlpulmonarylhypertension.lwhichlshouldlleadlthelnurseltolsuspectlpul
monarylfibrosis?l-lCORRECTlANSWER-dyspnealatlrest

dyspnealatlrestlislspecificltolinterstitialllungldisease

alpatientlislreceivinglalunitloflPRBCslfollowinglalGIlhemorrhage.ltwolhourslfollowingltheltrans
fusion,ldatalare:lBPl126/70,lHRl100,lRRl34,lCVPl2,lnewlcrackleslarelaudiblelbilaterally.lchest
lx-raylrevealslnewlpatchylinfiltrates.lthelnurselshouldlsuspectltheldevelopmentlofl-

lCORRECTlANSWER-transfusionlrelatedlacutellunglinjury




transfusionlrelatedlacutellunglinjurylshouldlalwayslbelsuspectedlwhenlalpatientlreceiveslblo
odlandldevelopslacutelrespiratoryldistresslwithinl6lhourslofltheltransfusion

alpatientlwithlalhistoryloflHTNlandlrenallfailurelreportslalheadachelthatldidlnotlrespondltolOT
Clmedication.lVSlarelBPl210/126,lHRl106,lRRl22.lwhichlshouldlthelnurselanticipate?l-
lCORRECTlANSWER-labetalol




labetalollislbeneficiallinltheltreatmentloflHTNlemergencieslandldoeslnotlhavelwarningslassoc
iatedlwithlrenallfailure.lnitroprussidelputslthelpatientlatlrisklforlcyanideltoxicity.

alpatientlwithlAMIldevelopslalnewl4/6lholosystoliclmurmurlandlquicklylprogressesltolcardiog
eniclshock.lwhichlshouldlthelnurselanticipate?l-lCORRECTlANSWER-preparationlforlalTEE

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