Answers Updated & Verified Best of 2024.
A patient who is 32 weeks pregnant presents with a three-day history of headache and
significant swelling of the lower extremities and face. The patient's vital signs are BP:
160/90, HR: 105/min, RR: 19/min, Spo2: 94% on RA, Temp: 97.3 F. What medication
do you anticipate the provider to order FIRST? - Correct answer *wrong* labetalol
Other choices:
tylenol
magnesium sulfate
furosemide
correct: mag sulfate
A patient is brought in with a history of a head-on motor vehicle accident. The patient
was not wearing a seat belt and was traveling at 120 mph with the deployment of an
airbag. They complain of severe lower abdominal and hip pain. A secondary trauma
survey reveals an unstable hip on lateral compression. What would be a PRIORITY
intervention in managing this patient? - Correct answer *wrong* Insertion of second IV
line
other choices:
initiation of massive transfusion protocol
application of pelvic binder
administration of IV fluids
correct: application of a pelvic binder
A patient is brought in with possible foreign body obstruction and respiratory distress.
The provider suctions the patient and unsuccessfully tries to insert an endotracheal tube
(ETT). What type of procedure would you anticipate NEXT? - Correct answer *wrong*
Placement of laryngeal mask
other choices:
tracheostomy
bronchoscopy
chest tube insertion
correct: tracheostomy
Which of the following represent categories utilized to triage patients during a mass
casualty incident (MCI)? - Correct answer Green, yellow, red, black
A patient presents with a two-day history of fever, cough, mild shortness of breath
(SOB), sore throat, myalgia, and new onset of loss of taste and smell. What is the
patient MOST likely suffering from? - Correct answer COVID 19
, A patient is brought in after being struck by lightning during a heavy thunderstorm. What
would be the PRIORITY intervention for this patient upon arrival? - Correct answer
Monitor cardiac rhythm
A patient with a history of advanced-stage leukemia presents with a history of
increasing shortness of breath in the last 4 days. The patient is anemic and has multiple
bruises on their extremities. What is the MOST likely cause of bruising? - Correct
answer Thrombocytopenia
A new nurse observes their preceptor giving the incorrect dosage of a medication to a
patient. Implementing the ethical principle veracity, what action would the new nurse
take? - Correct answer inform the charge nurse about what happened and document it.
A patient presents with a 5-day history of runny nose, headache and productive cough.
The patient is unable to speak full sentences, reports having a history of moderate to
severe COPD, and has a SpO2 reading of 89%. What intervention do you anticipate
implementing FIRST for this patient? - Correct answer provide oxygen
You exit your patient's room and as you walk away, you hear a thud. Upon inspection,
you find your patient on the floor. What would you do FIRST? - Correct answer Assess
the patient for injury
An adult patient who is 70 kg has a full-thickness burn over 30% of their body surface
area. What is the anticipated fluid replacement for a patient in the first 8 hours is based
on the Parkland formula? - Correct answer 4200 ml
A patient presents with possible organophosphate toxicity. What would you expect to
find upon assessment? - Correct answer Diaphoresis
You see a fellow nurse placing an opioid medication in their pocket rather than
administering it as ordered. What would you do NEXT? - Correct answer Tell your
immediate supervisor
What staff member would you ask to accompany you when transporting an intubated
patient to imaging for a CT? - Correct answer respiratory therapist
A patient's family has decided to withdraw life-sustaining treatment. When
communicating with the family of the patient, what reassurance would you provide? -
Correct answer Efforts will be made to make the patient comfortable.
A patient is being treated with an anticoagulant for pulmonary embolism (PE). What
patient assessment finding indicates that a heparin infusion would be stopped
IMMEDIATELY? - Correct answer decreased level of consciousness
What medication is used in reversing the effects of opioid overdose? - Correct answer
Naloxone (Narcan)
Which of the following wounds has the highest risk for developing osteomyelitis? -
Correct answer Puncture wound from stepping on a rusty nail.
What type of diet would a patient with diverticulitis follow? - Correct answer High fiber
diet
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? - Correct answer systematic reviews
Your patient has just had a paracentesis during which 5 liters of fluid were removed.
Which assessment is the priority? - Correct answer blood pressure