exams and notes

CCRN QUESTION BANK In regards to the Synergy Model for patient care, which of the following refers to an ongoing process in which a nurse generates changes to his or her medical practice via experiential learning and research utilization? A. Clinical inquiry B. Systems thinking C. Response to diversity D. Advocacy/moral agency - ANSA. Clinical Inquiry A patient in the ICU is experiencing acute substance withdrawal. The patient is presenting with symptoms similar to alcohol withdrawal, b...

2. A patient presents with a productive cough, hypoxemia, a fever, hypotension, tachycardia, and tachypnea. Hypoxemia was corrected with the administration of oxygen. Which of the following should be done next? A. Administer antibiotics. B. Start a vasopressor. C. Collect a sputum culture. D. Initiate 0.9 normal saline. - ANS(D) Correcting the hypotension (with isotonic fluid resuscitation in order to maintain organ perfusion) is the priority at this time. Antibiotics (choice (A)) will ...

The nurse is caring for a patient with acute inferior wall MI, post-coronary artery stent deployment, For optimal care of the patient, the nurse should: - ANSContinuously monitor the patient in lead II It is best practice to monitor the patient status post PCI with stent, in the lead that was most abnormal during the acute occlusion. The ECG demonstrates ST elevation in leads II, III and aVF. The nurse needs to monitor the patient closely for which of the following? - ANSComplication likel...

Heart rate (HR) - ANS60-100 beats/min Mean arterial pressure (MAP) - ANS70-105 mmHg Cardiac output (CO) - ANS4-5 L/min Cardiac index (CI) - ANS2.5-4.5 L/min/m2 Stroke volume (SV) - ANS50-100 ml/beat Stroke index (SI) - ANS35-60 ml/m2/beat Right arterial pressure (RAP) - ANS4-8 mmHg Pulmonary artery pressure (PAP) - ANSSystolic 15-30 mmHg Diastolic 5-15 mmHg Pulmonary artery occlusive pressure (PAOP) - ANS8-12 mmHg Systemic vascular resistance (SVR) - ANS800-1200 dynes/sec/cm-5 Systemi...

Which 12-lead ECG changes should be expected in a patient with ACS involving the inferior wall? a) ST segment elevation in leads II, III and all the precordial leads b) ST segment elevation and deeply inverted T waves in leads II, III and AvF c) ST segment elevation and deeply inverted T waves in leads V4-V6, I and aVL d) ST segment depression and T wave elevation in leads II, III and AvL - ANSCorrect Answer: ST segment elevation and deeply inverted T waves in leads II, III and AvF An inf...

How do young children respond to decreased cardiac output? (cardiac 3) A. SV and HR are increased B. SV and HR are decreased C. SV stays the same and HR is increased D. SV is decreased and HR is increased - ANSC The majority of cardiac arrests in kids are due to - ANSRespiratory failure Adrenergic stimulation is one of the compensatory mechanisms used when cardiac output fails. Which of the following is a result of adrenergic stimulation? (cardiac 6) A. Longer diastolic period B. Blocka...

What does ASCOPE stand for? - 1. Area 2. Structures 3. Capabilities 4. Organizations 5. People 6. Events Give some examples of AREA's? "Where" - 1. Districts 2. Industrial Centers 3. Farming Areas 4. Gov Center 5. Tribal Areas 6. Ethnic Areas 7. Insurgent support Areas 8. Gov Support Areas 9. Trade Routes 10. Smuggling Routes 11. Other Areas Give some examples of structures? "Why" - 1. Government Buildings 2. Military Headquarters 3. Police Headquarters/Stations 4. Radio...

Who coordinates and directs the work of the staff? - The CoS for Division or Higher commands, The XO for BDE or lower commands What is the basic staff structure? - a Chief of Staff (CoS) or XO Coordinating Staff Special Staff Personal Staff What is a Staff Section? - A grouping of staff members by area of expertise under a coordinating, special, or personal staff officer. What is the 'term' for the 'duties and responsibilities inherent in a field of interset? - Functional Responsibil...

We use symbology to help eliminate ambiguity in orders. - True What is a Military Symbol? - - Logograms (signs or characters) that represent words or phrases that are used to depict abstract graphic representations of a unit, equipment, installation, activity, control measure, or tactical mission task relevant to military operations - Used in course of action sketches, visualizing operations orders, planning, or to represent a current common operational picture on a map, display, or overlay...

We use symbology to help eliminate ambiguity in orders. - True What is a Military Symbol? - - Logograms (signs or characters) that represent words or phrases that are used to depict abstract graphic representations of a unit, equipment, installation, activity, control measure, or tactical mission task relevant to military operations - Used in course of action sketches, visualizing operations orders, planning, or to represent a current common operational picture on a map, display, or overlay...