Most important step in EBP - AnswerFormulate a research question
AANC Synergy model - AnswerA conceptual framework that aligns patient needs
with nurse competencies
How does Synergy influence ANCC competencies (3 ways - Answer1. develop nurse
competencies
2. Develop certification test plans
3. Support certification renewal
Neisseria Gonorrhea arthritis +ua and BC treatment - AnswerAzithromycin oral with
ceftriaxone 1gm q12
(use azithromycin to cover chlamydia if it is +)
What is the coverage for HAP who is at high risk for VAP - Answerstaph coverage
with 2 antipseudomonal agents
-zosyn, meropenum and vancomycin
Refeeding syndrome and who are at risk - Answerpotential lethal compilation of the
metabolic and normal changes cause by the rapid refeeding.
at risk: chronic malnutrition, cancer elder and preexisting hypophosphatemia and
hypokalemia
Classic sign of epidural hematoma - Answera lucid interval between trauma and
decline in consciousnesses
Appropriate treatment of acute heart failure in the setting of hypoperfusion -
Answerno vasodilators, need to give dopamine for a + inotrope response
What is the end point of resuscitation for sepsis - AnswerLactic acid clearance, CVP
8-12, UPO >0.5ml/hr, mix venous oxygen 70-80%
STD/Chlamydia treatment - AnswerAzithromycin 1gm as a single dose
What is QSEN and 6 competencies - Answerquality and safety education for nurses:
1. patient centered care 2. teamwork 3. collaboration 4. EBP 5. QI 6. safety and
informatics
Patient refusing rehab is an example of - Answerself determination (right to make
own decision)
Self determination - Answerright to make own decision
Justice - AnswerJustice is fairness and impartiality. Nurses must make impartial, fair
decisions regarding patient care without regard to a patient's race, age, sexual
orientation, or economic status
, Beneficence - AnswerBeneficence is the act of doing what is good and right for the
patient. This ethical principle encompasses charity and kindness, which require
actions by the nurse to benefit others.
Nonmaleficence - AnswerNonmaleficence means doing no harm (intentional or
unintentional). Nurses must provide care that reflects standards to avoid or minimize
risk to the patient, healthcare team, or organization.
Examples of high intensity stating - Answeratorvastatin 40-80mg
Rosuvastatin 20-40 mg
What medication to avoid during a thyroid storm - AnswerNSAIDS/ASA as these
may bind to thyroid-binding globulin, causing increased levels of free thyroid
hormone levels.
Cause of hearing loss when aging - Answerthickening of the TM causing conductive
hearing loss (low sounds)
HF is associated with dec elasticity and efficiency of ossicular articulation
How fast can a Dilantin infusion go - Answernot over 50mg/min d/t SE of cardiac
depression
Kerh's sign - Answer(irritated diaphragm) pain radiating to the shoulder classic sing
for rupture spleen
What is the normal ocular pressure - Answer10-20 mg/hg
What is a patient undergoing aggressive resuscitation with emergent surgery at risk
for ? what would airway pressure, TV and uo look like - Answer3 spacing, intestinal
edema. Can progress to intestinal compartment syndrome. peak airway pressure,
decreased TV, hypoxia, decreased UO, hypotension
normal central venous pressure - Answer0-6 mm/hg
What mean arterial pressure (MAP) do we need to perfuse coronary arteries, brain,
and kidneys? - Answer>65
Normal Pulmonary artery pressure - Answer15-25/5-15
normal cardiac output - Answer4-8 L/min
normal cardiac index - Answer2.5-4 L/min/m2
tidal volume - AnswerAmount of air that moves in and out of the lungs during a
normal breath 6-5 ml/kg) Ideal body weight
Grey-Turner's sign is highly suggestive of which of the following conditions?
A) Acute pancreatitis
AANC Synergy model - AnswerA conceptual framework that aligns patient needs
with nurse competencies
How does Synergy influence ANCC competencies (3 ways - Answer1. develop nurse
competencies
2. Develop certification test plans
3. Support certification renewal
Neisseria Gonorrhea arthritis +ua and BC treatment - AnswerAzithromycin oral with
ceftriaxone 1gm q12
(use azithromycin to cover chlamydia if it is +)
What is the coverage for HAP who is at high risk for VAP - Answerstaph coverage
with 2 antipseudomonal agents
-zosyn, meropenum and vancomycin
Refeeding syndrome and who are at risk - Answerpotential lethal compilation of the
metabolic and normal changes cause by the rapid refeeding.
at risk: chronic malnutrition, cancer elder and preexisting hypophosphatemia and
hypokalemia
Classic sign of epidural hematoma - Answera lucid interval between trauma and
decline in consciousnesses
Appropriate treatment of acute heart failure in the setting of hypoperfusion -
Answerno vasodilators, need to give dopamine for a + inotrope response
What is the end point of resuscitation for sepsis - AnswerLactic acid clearance, CVP
8-12, UPO >0.5ml/hr, mix venous oxygen 70-80%
STD/Chlamydia treatment - AnswerAzithromycin 1gm as a single dose
What is QSEN and 6 competencies - Answerquality and safety education for nurses:
1. patient centered care 2. teamwork 3. collaboration 4. EBP 5. QI 6. safety and
informatics
Patient refusing rehab is an example of - Answerself determination (right to make
own decision)
Self determination - Answerright to make own decision
Justice - AnswerJustice is fairness and impartiality. Nurses must make impartial, fair
decisions regarding patient care without regard to a patient's race, age, sexual
orientation, or economic status
, Beneficence - AnswerBeneficence is the act of doing what is good and right for the
patient. This ethical principle encompasses charity and kindness, which require
actions by the nurse to benefit others.
Nonmaleficence - AnswerNonmaleficence means doing no harm (intentional or
unintentional). Nurses must provide care that reflects standards to avoid or minimize
risk to the patient, healthcare team, or organization.
Examples of high intensity stating - Answeratorvastatin 40-80mg
Rosuvastatin 20-40 mg
What medication to avoid during a thyroid storm - AnswerNSAIDS/ASA as these
may bind to thyroid-binding globulin, causing increased levels of free thyroid
hormone levels.
Cause of hearing loss when aging - Answerthickening of the TM causing conductive
hearing loss (low sounds)
HF is associated with dec elasticity and efficiency of ossicular articulation
How fast can a Dilantin infusion go - Answernot over 50mg/min d/t SE of cardiac
depression
Kerh's sign - Answer(irritated diaphragm) pain radiating to the shoulder classic sing
for rupture spleen
What is the normal ocular pressure - Answer10-20 mg/hg
What is a patient undergoing aggressive resuscitation with emergent surgery at risk
for ? what would airway pressure, TV and uo look like - Answer3 spacing, intestinal
edema. Can progress to intestinal compartment syndrome. peak airway pressure,
decreased TV, hypoxia, decreased UO, hypotension
normal central venous pressure - Answer0-6 mm/hg
What mean arterial pressure (MAP) do we need to perfuse coronary arteries, brain,
and kidneys? - Answer>65
Normal Pulmonary artery pressure - Answer15-25/5-15
normal cardiac output - Answer4-8 L/min
normal cardiac index - Answer2.5-4 L/min/m2
tidal volume - AnswerAmount of air that moves in and out of the lungs during a
normal breath 6-5 ml/kg) Ideal body weight
Grey-Turner's sign is highly suggestive of which of the following conditions?
A) Acute pancreatitis
