x x x x x
M REAL QUESTIONS AND CORRECT DETAILED ANSWERS (
x x x x x x x
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x x x x x x
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x x x x x
YouxarextoxobtainxinformedxconsentxforxaxSpanish-
speakingxpatientxscheduledxforxsurgery.xYouxdoxnotxspeakxSpanishxandxarexhavingxdiffic
ultyxcommunicatingxwithxyourxpatient.xWhichxofxthexfollowingxresourcesxwouldxbexmos
txappropriatextoxutilizexinxorderxtoxobtainxconsent?x-
xANSWER:xThexhospitalsxlanguagexinterpreter
You'rexreviewingxthexdischargexmedicationxlistxofxaxpatientxdiagnosedxwithxgastricxulce
r.xWhichxofxthexfollowingxmedicationxshouldxyouxquestion?x-
xANSWER:xAcetylsalicylicxacidx(xBauerxbufferedxaspirin)
Whenxtakingxcarexofxaxpatientxwithxpancreatitis,xwhichxofxthexfollowingxlabxshouldxbexr
eviewed?x-xANSWER:xLipasexandxamylase
You'rexcaringxforxax12xhourxpostoperativexparathyroidectomyxpatient.xWhichxassessme
ntxfindingxwouldxindicatexanxemergency?x-xANSWER:xLaryngealxstrider
WhichxofxthexfollowingxactionsxwouldxbexconsideredxaxviolationxofxHyppa?x-
xANSWER:xLookingxthroughxthexchartxofxaxcoworkerxadmittedxtoxyourxunit
- ANSWER:xSinusxtachycardia
x x
Youxarextakingxcarexofxaxpatientxwhoxisxadmittedxforxleftxflankxpainxwithxaxkidneyxstonex
ofx1.5xcm.xHexasksxyouxaboutxthexprocedurexwhatxwouldxbexthexmostxtherapeuticxrespo
nse?x-xANSWER:xDuextoxthexsizexofxthexkidneyxstonexitxisxanxappropriatextreatment?
NOT:Printxreadingxmaterialsxaboutxthexsubjectxandxgivexitxtoxthexpatient
ThexnursexisxtakingxcarexofxaxpatientxwhoxisxterminallyxillxandxhasxaxDNRxonxfile.xTheirxpa
tientxhasxaxsuddenxcardiacxarrestxandxfamilyxwantsxCPRxinitiated.xHowxshouldxyouxresp
ond?x-xANSWER:xHonorxthexpatient'sxwishes
- ANSWER:xNotxnormalxsinusxrhythmxintoxaxflutter
x x
Correctxanswerxisxventricularxfibrillation
Yourxinsertingxaxurinaryxcatheterxintoxaxmalexpatient.xAsxyouxinflatexaxballoon,xthexpatie
ntxcomplainsxofxdiscomfortxwhatxisxthexbestxaction?x-
xANSWER:xAspiratexthexfluid,xadvancexthexcatheterxfarther,xthenxre-inflatexthexballoon
Whenxassessingxaxpatient,xyouxnoticexcrepitusxonxthexrightxupperxshoulder.xYouxnotifyxt
hexphysicianxandxanticipatexwhichxdiagnosis?x-xANSWER:xSubcutaneousxemphysema
, YouxarexprovidingxpatientxeducationxtoxaxpatientxpriorxtoxadministeringxIVxProtonix....x
WhenxtherexisxnoxhistoryxofxGERDx-
xANSWER:xProtonixxisxgivenxasxG.I.xprophylaxisxtoxpreventxstressxulcers
- ANSWER:xNormalxsinusxwithxVTach
x x
ThexpatientxhasxaxmorphinexPCAxpostxoperatively.xOnxroundingxyouxnoticexrespirationsx
atxeightxperxminutexO2xsaturationxofx82%.xWhatxmedicationxwouldxbexgivenxinxthexsitu
ation?x-xANSWER:xNarcan
Youxwerexcaringxforxaxpatientxwhoxisx18xhoursxpostopxafterxaxrightxBKAxa.xTheyxreportxs
uddenxchestxpainxpulsexoxxatx86%.xThexpatientxmayxbexexperiencing:x-
xANSWER:xPulmonaryxembolism
Cardiacxstripx-xANSWER:xUnablextoxdetermine
Atx0500,xyouxknowxyourxpatientxtoxbexdiaphoretic,xclammy,xandxtheirxhandsxarexshakin
g.xThexpatient'sxbloodxsugarxisxcurrentlyx60.xWhichxofxthexfollowingxisxthexmostxappropr
iatexinterventionx-xANSWER:xHavexthexpatientxdrinkx120xML'sxofxorangexjuice
- ANSWER:xVentricularxtachycardia
x x
- ANSWER:xNormalxsinusxrhythm
x x
Whichxofxthexfollowingxfoodxitemsxwouldxyouxquestionxinxthexmenuxofxyourxpatientxwh
oxisxdiagnosedxwithxceliacxdisease?x-xANSWER:xWheatxbread
AxpostoperativexlaparoscopicxappendectomyxpatientxisxreceivingxmorphinexPCAxforxpai
nxfindingsxwithxalertxyouxtoxthexpotentialxofxaxnarcoticxoverdose?x-
xANSWER:xAxrespiratoryxratexofx8xbreathsxperxminute
- ANSWER:xPacedxrhythm
x x
Yourxpatientxwasxadmittedxwithxseverexdehydration.xWhichxofxthexfollowingxordersxwo
uldxyouxquestionx-xANSWER:xKCIx40xmEqxIVxpushxSTAT
Whatxisxthexfirstxsignxofxincreasedxintracranialxpressure?x-xANSWER:xChangexinxLOC
Axpatientxsuddenlyxcomplainsxofxnewxonsetxofxchestxpain.xThexdoctorxisxsuspectingxaxpo
ssible?...xWhatxisxmostxlikelyxtoxbexordered?x-
xANSWER:xMorphinexDuramorph,xoxygen,xnitrates,x
Aceticsalicylicxacid,xbayerxbufferedxaspirin
ThexGlasgow,xscalexrangesxfrom:x-xANSWER:x3xtox15