Complete Questions and Guide Answers
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1. Which of the following medications is MOST commonly indicated for patients with CHF?
Answer Ace inhibitors
2. A patient was involved in a motor vehicle accident and CAT scan results reveal a right
sided SDH. What would be an expected neurological assessment finding in this patient?
Answer Dilated right pupil
3. What is the most common symptom of SIADH?
Answer Fluid retention
4. Upon arrival to the unit, you receive report on four PCU patients. Which patient should
you attend to FIRST?
Answer A patient complaining of shortness of breathe on continuous BiPAP with a BP of 189/109
5. Of the following patients, which one would you see FIRST?
Answer A 30 year suicidal female that took an unknown number of alprazolam with an O2 saturation of 85%
,6. You are caring for a patient with new onset atrial fibrillation with a blood pressure
of 80/60. Which of the following treatment options is MOST appro- priate?
Answer Electrical cardioversion
7. Which of the following supplemental medications is frequently ordered in
conjunction with furosemide?
Answer Potassium
8. Which of the following positions is the BEST way to assess for JVD?
Answer Position the patient on his/her back with the head of bed 30-45 degrees
9. Your patient is on the midday schedule for hemodialysis. He has 100 mg of
metoprolol XL ordered for this morning and his blood pressure if 150/98.
Which of the following would be an appropriate action?
Answer Holdthemetoprololbecauseof the upcoming dialysis
10. You walk into your patient's room and notice that the chest tube collection chamber
has been knocked over on the floor. There appears to be drainage dispersed throughout
the chambers. What should you do NEXT?
Answer Replacethechamber with a new one
11. Your patient is complaining of nausea, vomiting, and diarrhea. His blood pressure is
89/55, heart rate is 122 bpm, and the temperature is 100.8 F. What condition is this
, patient most likely experiencing?
Answer Hypovolemic shock
12. You are caring for a patient with a chest tube that has become dislodged. Which of the
following would you do FIRST?
Answer Cover the insertion site immediately with Vaseline gauze
13. A 78 year old male is admitted from the ED for syncope with ground level fall. You
note his heart rate is 50 and the patient is confused. His daughter states she thinks he
has dementia but he has not been diagnosed yet. Blood pressure is stable. What order do
you anticipate?
Answer Stat head CT
14. A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders
should you do FIRST?
Answer Prepare to administer 2 units PRBCs
15. Which of the following should be checked before administering digoxin?
Answer Api- cal pulse
16. A patient with a history of acute seizure activity of unknown etiology is admitted
to the PCU from the ED. Which of the following orders would you expect to receive from
the admitting provider?