Acute Care Exam 1 Practice
Questions with Accurate Answers
A 6 yr old is admitted to the ED after being rescued from a pond after
falling through the ice while ice skating. What action should the nurse
perform while rewarming the patient?
A) Assessing the patient's oral temperature frequently
B) Ensuring continuous ECG monitoring
C) Massaging the patient's skin surfaces to promote circulation
D) Administering bronchodilators by nebulizer correct answer B)
Ensuring continuous ECG monitoring
A 66-yr old patient is in a hospice receiving palliative care for lung
cancer which has metastasized to the patient's liver + bones. For the
past several hours, the patient has been experiencing dyspnea. What
nursing action is most appropriate to help to relieve the dyspnea the
patient is experiencing?
A) Administer a bolus of NS, as ordered.
B) Initiate high-flow oxygen therapy.
C) Administer high doses of opioids.
D) Administer bronchodilators + corticosteroids, as ordered. correct
answer D) Administer bronchodilators + corticosteroids, as ordered.
,A backcountry skier has been airlifted to the ED after becoming lost +
developing hypothermia + frostbite. How should the nurse best manage
the patient's frostbite?
A) Immerse affected extremities in water slightly above normal body
temperature.
B) Immerse the patient's frostbitten extremities in the warmest water
the patient can tolerate.
C) Gently massage the patient's frozen extremities in between water
baths.
Perform passive ROM exercises of the affected extremities to promote
circulation. correct answer A) Immerse affected extremities in water
slightly above normal body temperature.
A cardiac patient's resistance to left ventricular filling has caused blood
to back up into the patient's circulatory system. What health problem is
likely to result?
A) Acute pulmonary edema
B) Right-sided HF
C) Right ventricular hypertrophy
D) Left-sided HF correct answer A) Acute pulmonary edema
,A cardiovascular patient w/a previous hx of PE is experiencing a sudden
onset of dyspnea, rapid breathing, + chest pain. The nurse recognizes
the characteristic s/s of a PE. What is the nurse's best action?
A) Rapidly assess the patient's cardiopulmonary status.
B) Arrange for an ECG.
C) Increase the height of the patient's bed.
D) Manage the patient's anxiety. correct answer A) Rapidly assess the
patient's cardiopulmonary status.
A client w/ARDS has fine crackles at lung bases, + the respirations are
shallow at a rate of 28 breaths/min. The client is restless + anxious. In
addition to monitoring the arterial blood gas results, what should the
nurse do? SATA
A) Monitor serum creatinine + BUN levels
B) Administer a sedative
C) Keep the HOB flat
D) Administer humidified oxygen
E) Auscultate the lungs correct answer A) Monitor serum creatinine +
BUN levels
D) Administer humidified oxygen
, E) Auscultate the lungs
A critical care nurse is aware of the high incidence of ventilator-
associated pneumonia (VAP) in patients who are being treated for
shock. What intervention should be specified in the patient's POC while
the patient is ventilated?
A) Performing frequent oral care
B) Maintaining the patient in a supine position
C) Suctioning the patient every 15 minutes unless c/i
D) Administering prophylactic abx, as ordered correct answer A)
Performing frequent oral care
A critical care nurse is planning assessments in the knowledge that
patients in shock are vulnerable to developing fluid replacement
complications. For what signs + symptoms should the nurse monitor
the patient? SATA
A) Hypovolemia
B) Difficulty breathing
C) Cardiovascular overload
D) Pulmonary edema
E) Hypoglycemia correct answer B) Difficulty breathing
Questions with Accurate Answers
A 6 yr old is admitted to the ED after being rescued from a pond after
falling through the ice while ice skating. What action should the nurse
perform while rewarming the patient?
A) Assessing the patient's oral temperature frequently
B) Ensuring continuous ECG monitoring
C) Massaging the patient's skin surfaces to promote circulation
D) Administering bronchodilators by nebulizer correct answer B)
Ensuring continuous ECG monitoring
A 66-yr old patient is in a hospice receiving palliative care for lung
cancer which has metastasized to the patient's liver + bones. For the
past several hours, the patient has been experiencing dyspnea. What
nursing action is most appropriate to help to relieve the dyspnea the
patient is experiencing?
A) Administer a bolus of NS, as ordered.
B) Initiate high-flow oxygen therapy.
C) Administer high doses of opioids.
D) Administer bronchodilators + corticosteroids, as ordered. correct
answer D) Administer bronchodilators + corticosteroids, as ordered.
,A backcountry skier has been airlifted to the ED after becoming lost +
developing hypothermia + frostbite. How should the nurse best manage
the patient's frostbite?
A) Immerse affected extremities in water slightly above normal body
temperature.
B) Immerse the patient's frostbitten extremities in the warmest water
the patient can tolerate.
C) Gently massage the patient's frozen extremities in between water
baths.
Perform passive ROM exercises of the affected extremities to promote
circulation. correct answer A) Immerse affected extremities in water
slightly above normal body temperature.
A cardiac patient's resistance to left ventricular filling has caused blood
to back up into the patient's circulatory system. What health problem is
likely to result?
A) Acute pulmonary edema
B) Right-sided HF
C) Right ventricular hypertrophy
D) Left-sided HF correct answer A) Acute pulmonary edema
,A cardiovascular patient w/a previous hx of PE is experiencing a sudden
onset of dyspnea, rapid breathing, + chest pain. The nurse recognizes
the characteristic s/s of a PE. What is the nurse's best action?
A) Rapidly assess the patient's cardiopulmonary status.
B) Arrange for an ECG.
C) Increase the height of the patient's bed.
D) Manage the patient's anxiety. correct answer A) Rapidly assess the
patient's cardiopulmonary status.
A client w/ARDS has fine crackles at lung bases, + the respirations are
shallow at a rate of 28 breaths/min. The client is restless + anxious. In
addition to monitoring the arterial blood gas results, what should the
nurse do? SATA
A) Monitor serum creatinine + BUN levels
B) Administer a sedative
C) Keep the HOB flat
D) Administer humidified oxygen
E) Auscultate the lungs correct answer A) Monitor serum creatinine +
BUN levels
D) Administer humidified oxygen
, E) Auscultate the lungs
A critical care nurse is aware of the high incidence of ventilator-
associated pneumonia (VAP) in patients who are being treated for
shock. What intervention should be specified in the patient's POC while
the patient is ventilated?
A) Performing frequent oral care
B) Maintaining the patient in a supine position
C) Suctioning the patient every 15 minutes unless c/i
D) Administering prophylactic abx, as ordered correct answer A)
Performing frequent oral care
A critical care nurse is planning assessments in the knowledge that
patients in shock are vulnerable to developing fluid replacement
complications. For what signs + symptoms should the nurse monitor
the patient? SATA
A) Hypovolemia
B) Difficulty breathing
C) Cardiovascular overload
D) Pulmonary edema
E) Hypoglycemia correct answer B) Difficulty breathing
