n EXAM 2024/ACTUAL EXAM WITH n n n n
200 QUESTIONS AND CORRECT n n n n
DETAILED ANSWERS/RN MED n n n
SURG PROCTORED EXAM TEST n n n
BANK
n 2026/LATEST UPDATE/ALREADY n n
GRADED A+ n
While talking with a patient with a diagnosis of end stage liver
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disease. The caregiver
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notices the patient is unable to stay awake and seems to fall asle
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ep in the middle of a
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sentence. The caregiver recognizes these symptoms to be indic
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ative of what condition?
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A. Hyperglycemia
B. Increased Bile production n n
C. Increased blood ammonia levels n n n
D. Hypocalcaemia - n
...SOLUTION:...C. Increased blood ammonia levels
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A caregiver is about to administer warfarin (Coumadin) to a pa
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tient who has atrial
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fibrillation. When the patient asks what his medication will do,
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which of the n n
following is an appropriate nursing response? n n n n n
a. It helps convert atrial fibrillation to sinus rhythm
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b. Is dissolves clots in the bloodstream
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,c. It slows the response of the ventricles to the fast atrial im
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pulses
,d. It prevents strokes in patients who have atrial fibrillation -
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...SOLUTION:...d. It prevents strokes in patients who have atr n n n n n n n n
ial fibrillationn
A caregiver in a cardiac care unit is caring for a patient with acut
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e heart failure. Which
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of the following findings should the caregiver expect?
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a. Decreased brain natriuretic peptide (BNP) n n n n
b. Elevated central venous pressure (CVP) n n n n
c. Decreased pulmonary pressure n n
d. Increases urinary output - n n n
...SOLUTION:...b. Elevated central venous pressure (
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CVP)
A patient comes into the ED reporting nausea and vomiting tha
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t worsens when
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lying down and without relief from antacids. The provider susp
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ects acute n
pancreatitis. Which of the following lab test results should the n n n n n n n n n n
caregiver expect to see if n n n n
the patient has acute pancreatitis?
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a. Decreased WBC n
b. Increased serum amylase n n
c. Decreased serum lipase n n
d. Increased serum calcium - n n n
...SOLUTION:...b. Increased serum amylase
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A caregiver in the ICU is caring for a patient who has acute resp
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iratory distress n
syndrome (ARDS) and is receiving mechanical via an endotra
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cheal tube. The n n
provider plans to extubate her within the next 24 hour. Which o
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f the following is
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, an important criterion for extubating the patient?
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a. Ability to cough effectively n n n
b. Adequate tidal volume without manually assisted breaths
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c. No indication of infection
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d. No need for supplemental oxygen -
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...SOLUTION:...b. Adequate tidal volume without manua
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lly assisted breaths
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A patient with massive trauma and possible spinal cord injury i
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s admitted to the
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emergency department (ED). Which finding by the caregiver
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will help confirm a diagnosis
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of neurogenic shock?
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a. cool clammy skin n n
b. inspiratory crackles n
c. apical heart rate of 48 beats/min
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d. temperature 101.2* F - n n n
...SOLUTION:...c. apical heart rate of 48 beats/min
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A patient with septic shock has a urine output of 20 mL/hr for t
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he past 3 hours.
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The pulse rate is 120 and the central venous and pulmonary art
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ery wedge pressure
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are 4. Which of these orders by the health care provider will the
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caregiver question? n
a. Give furosemide (Lasix) 40 mg IV
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b. increase normal saline infusion to 150 mL/hr n n n n n n
c. Administer hydrocortisone (SoluCortef) 100 mg IV n n n n n
d. Prepare to give drotrecogin alpha (Xigris) 24 mcg/kg/hr -
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...SOLUTION:...a.Give furosemide (Lasix) 40 mg IV n n n n n