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1. The patient's ABG is : pH 7.25, pCO2 40, pO2 90, HCO3 Metabolic Acidosis
20mEq/L . What type of acid imbalance does he have.
2. Common complications of massive transfusions are Dilutional Coagulopathy,
DIC, hypothermia, and fib-
rinolysis
3. Long term use of TPN may lead to: Liver Failure
4. Which of the following is a potential complication of Pneumothorax
high PEEP
5. What is a common assessment finding for a patient Hypoactive bowel sounds
returning from a small bowel resection?
6. Your patient suddenly becomes diaphoretic, anxious, A)*WRONG* Hypoxemia
tachycardic, and has clammy skin. Which of the follow- B) *Wrong * Acute MI
ing would you suspect. C) Panic Attack
D) Hypoglycemia
7. The staff nurse asks the nursing assistant to check on A) *WRONG* Calling the
a patient. The nursing assistant reports back that the physician
patient is experiencing chest pain and is diaphorectic. B) *Wrong* Gathering vi-
Which of the following can the staff nurse delegate to tals and assessing the
the assistant? cause for the change in
status
C) Informing the charge
nurse that a patient needs
attention
D) Obtaining a medication
for the nurse to administer
to the patient
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8. Your patient returned from PACU after surgery and C) Tracheostomy
is very drowsy. She attempts to eat a candy bar and
begins to choke. The physician is unable to clear the
airway. You would expect to prepare for which of the
following. emergency procedures?
9. The initial insulin therapy for a patient with acute DKA Intravenous bolus fol-
is usually administered by which route lowed by a continuous in-
fusion
10. Screening tests for DIC include: D-Dimer and FDPs
11. Which of the following hormones is secreted by the ADH
hypothalamus in an effort to regulate water balance?
12. Which of the following IV sedatives would most likely Precedex
be ordered for a non-intubated patient?
13. Your patient is in bed and eating lunch when they be- Aspiration
gin to cough and gag. Suddenly they become dyspneic
and bradycardic with excessive salivation. What do you
suspect happened?
14. Which of the following is a response of the cardiovas- Increased cardiac output
cular system to early sepsis? and reduced systemic vas-
cular resistance
15. Which patient would you expect to be extubated? Patient is awake, follow
commands with RR of 14,
FiO2 40%, and PEEP 5
16. Your patient is in a Hypertensive crisis. What medica- Nicardipine
tion can you expect the doctor to order.
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