RN RELIES ED A TEST EXAM WITH
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An elderly patient is brought in with new onset of
confusion and gradual onset of headache in the last
48 hours. The patient states that they had a fall 3 days
ago. Based on the history and presenting complaints,
what diagnostic test do you anticipate the provider to
order?
CT scan of the brain
Your patient's chest tube dressing has accidentally
come off and you are preparing to place a new one.
You have a slit drain sponge, 4 x 4 gauzes, tape,
scissors, and antiseptic swabs. What else do you
need?
Petrolatum gauze
You want to implement the new evidence-based
practice guidelines in managing patients to prevent
falls on your unit. What provides the STRONGEST
evidence for interventions?
Systematic reviews
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Upon triage of a patient, they state that they have
suicidal ideation with intent. What would you do
NEXT?
Institute suicide precautions.
Which of the following wounds has the highest risk for
developing osteomyelitis?
Puncture wound from stepping on a rusty nail
What type of diet would a patient with diverticulitis
follow?
High fiber diet
Answer is NOT high residual diet
What medication is used in reversing the effects of
opioid overdose?
Naloxone (Narcan®)
What are you MOST likely to see during your initial
assessment of a patient with chronic obstructive
pulmonary disease (COPD)?
Pursed lip breathing
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The life-threatening and rare complication of
hypothyroidism is known as:
Myxedema coma
A patient presents with acute onset of chest pain and
goes into cardiac arrest immediately upon arrival.
What is a possible reversible cause of cardiac arrest?
Tension Pneumothorax
A patient presents with an episode of hypertensive
crisis, a blood pressure of 220/118, and the provider
has put in the order for nitroprusside. What
demonstrates that the treatment has been effective?
Systolic blood pressure reaches 160 mm Hg
A patient arrives with suspected appendicitis. What
action, if observed, would require additional training
for the unlicensed assistive personnel (UAP)?
The UAP offers the patient a ginger ale.
You see a fellow nurse placing an opioid medication
in their pocket rather than administering it as ordered.
What would you do NEXT?