PRAC 6550-19, Adv Pract Care AAC Setting II, Week 9 Quiz (All Correct)

1. Question: Traumatic renal injuries are graded on a 5-point scale. According to the American Association for the Surgery of Trauma Classification System for Renal Injuries, what grade are renal cortical lacerations greater than 1 cm in depth without urinary extravasation? 2. Question: Prostate-Specific Antigen (PSA) levels should be drawn: 3. Question: In a steady state, if creatinine clearance is reduced by 50%, then serum creatinine should increase twofold. Based on this principle, if a patient with a baseline serum creatinine of 1 mg/dl and a creatinine clearance of 120 ml/min has a decrease in creatinine clearance to 60 ml/min due to an acute kidney injury, then you would expect this patient’s serum creatinine to now be: 4. Question: A 70 kg male is transfused 1 unit of Packed Red Blood Cells (PRBCs) for symptomatic anemia that has not responded to other treatments. How much would you expect the hemoglobin and hematocrit to increase? 5. Question: Noninvasive Positive Pressure Ventilation (NIPPV) is bilevel ventilation that provides inspiratory and expiratory support. Using the low to high approach to initiate NIPPV, what are the initial settings that should be ordered? 6. Question: Serum bicarbonate is elevated in metabolic alkalosis. Which of the following can cause metabolic alkalosis? 7. Question: What is the approximate INR of a unit of Fresh Frozen Plasma (FFP)? 8. Question: What should you do to stabilize a patient if the tracheostomy tube placed less than 7 days ago becomes dislodged and the patient is showing signs of respiratory distress? 9. Question: Which of the following disease processes leads to an elevated platelet count on a CBC? 10. Question: Which of the following is an indication for obtaining blood cultures on a patient in the Emergency department (ED)?