PROCTORED EXAM b b
ACTUAL EXAM WITH 200 b b b b
QUESTIONS AND b
CORRECT DETAILED
b b b
ANSWERS/RN MED SURG b b b
PROCTORED EXAM TEST b b
BANK 2023- b
2026/LATEST UPDATE/ b
ALREADY GRADED A+ b b
While talking with a patient with a diagnosis of end stage liver d
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isease. The caregiver
b b
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 b b
C. Increased blood ammonia levels b b b
,D. Hypocalcaemia - b
...CORRECT ANSWER :...C. Increased blood amm
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onia levels b
A caregiver is about to administer warfarin (Coumadin) to a pat
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ient who has atrial
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fibrillation. When the patient asks what his medication will do,
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which of the b b
following is an appropriate nursing response?
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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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...CORRECT ANSWER :...d. It prevents strokes in patients w b b b b b b b b
ho have atrial fibrillation
b b b
A caregiver in a cardiac care unit is caring for a patient with acu
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te heart failure. Which
b b b
of the following findings should the caregiver expect?
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a. Decreased brain natriuretic peptide (BNP) b b b b
b. Elevated central venous pressure (CVP) b b b b
c. Decreased pulmonary pressure b b
d. Increases urinary outpu - b b b
...CORRECT ANSWER :...b. Elevated central ve
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nous pressure (CVP) b bb
A patient comes into the ED reporting nausea and vomiting that
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worsens when b
lying down and without relief from antacids. The provider susp
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ects acute b
pancreatitis. Which of the following lab test results should the b b b b b b b b b b
caregiver expect to see if b b b b
the patient has acute pancreatitis?
b b b b
a. Decreased WBC b
b. Increased serum amylase b b
c. Decreased serum lipase b b
d. Increased serum calcium - ...CORRECT ANSWER b b b b b b
:...b. Increased serum amylase
b b b
A caregiver in the ICU is caring for a patient who has acute respi
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ratory distress b
syndrome (ARDS) and is receiving mechanical via an endotrac
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heal tube. The b b
provider plans to extubate her within the next 24 hour. Which
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of the following is
b b b
, an important criterion for extubating the patient?
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a. Ability to cough effectively b b b
b. Adequate tidal volume without manually assisted breaths b b b b b b
c. No indication of infection
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d. No need for supplemental oxygen -
b b b b b
...CORRECT ANSWER :...b. Adequate tidal volum
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e without manually assisted breaths
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A patient with massive trauma and possible spinal cord injury
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is 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?
b b
a. cool clammy skin b b
b. inspiratory crackles b
c. apical heart rate of 48 beats/min
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d. temperature 101.2* F - b b b
...CORRECT ANSWER :...c. apical heart rate of 48 beats
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/min
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 arte
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ry wedge pressure
b b
are 4. Which of these orders by the health care provider will the
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caregiver question? b
a. Give furosemide (Lasix) 40 mg IV
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b. increase normal saline infusion to 150 mL/hr b b b b b b
c. Administer hydrocortisone (SoluCortef) 100 mg IV b b b b b
d. Prepare to give drotrecogin alpha (Xigris) 24 mcg/kg/hr -
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...CORRECT ANSWER :...a.Give furosemide (Lasix) 40 mg I b b b b b b bb
V