EXAM: Critical care EAQ Exam with Complete
Solutions
The nurse is caring for four clients admitted at once under mass casualty conditions. Which
client should be treated first?
A- airway obstruction
B- extensive full thickness burn
C- open fracture
D- closed fracture and abrasion CORRECT ANS-airway obstruction
What is a common metabolic cause of hypothermia?
1
Seizure
2
Dehydration
3
Hypoglycemia
4
Hyperthyroidism CORRECT ANS-Hypoglycemia
, EXAM: Critical care EAQ Exam with Complete
Solutions
The nurse is caring for a client who is admitted to the birthing unit with a diagnosis of
abruptio placentae. Which complication associated with a placental abruption should the
nurse carefully monitor this client for?
1
Cerebral hemorrhage
2
Pulmonary edema
3
Impending seizures
4
Hypovolemic shock CORRECT ANS-Hypovolemic shock
With abruptio placentae, uterine bleeding can result in massive internal hemorrhage, causing
hypovolemic shock. A cerebral hemorrhage may occur with a dangerously high blood
pressure; there is no information indicating the presence of a dangerously high blood
pressure. Pulmonary edema may occur with severe preeclampsia or heart disease, and
seizures are associated with severe preeclampsia; there is no information indicating the
presence of these conditions.
, EXAM: Critical care EAQ Exam with Complete
Solutions
A client has undergone nasal hypophysectomy surgery. During post-operative care, which
finding indicates cerebrospinal leakage?
1
Dry mouth
2
Rigidity of neck muscles
3
Fall in blood pressure upon standing
4
A yellow edge around nasal discharge CORRECT ANS-A yellow edge around nasal discharge
Nasal hypophysectomy is a surgical procedure performed to treat hyperpituitarism due to
pituitary gland tumors. During postoperative care and follow-up, the appearance of light-
yellow at the edge of otherwise clear nasal discharge in the dressing indicates leakage of
cerebrospinal fluid (CSF). This is called the "halo sign" and is indicative of a CSF leak. Dry
mouth after nasal hypophysectomy is normal because the client breathes through the mouth
due to the nasal packing. Neck rigidity could be an indication of infection, such as meningitis
Solutions
The nurse is caring for four clients admitted at once under mass casualty conditions. Which
client should be treated first?
A- airway obstruction
B- extensive full thickness burn
C- open fracture
D- closed fracture and abrasion CORRECT ANS-airway obstruction
What is a common metabolic cause of hypothermia?
1
Seizure
2
Dehydration
3
Hypoglycemia
4
Hyperthyroidism CORRECT ANS-Hypoglycemia
, EXAM: Critical care EAQ Exam with Complete
Solutions
The nurse is caring for a client who is admitted to the birthing unit with a diagnosis of
abruptio placentae. Which complication associated with a placental abruption should the
nurse carefully monitor this client for?
1
Cerebral hemorrhage
2
Pulmonary edema
3
Impending seizures
4
Hypovolemic shock CORRECT ANS-Hypovolemic shock
With abruptio placentae, uterine bleeding can result in massive internal hemorrhage, causing
hypovolemic shock. A cerebral hemorrhage may occur with a dangerously high blood
pressure; there is no information indicating the presence of a dangerously high blood
pressure. Pulmonary edema may occur with severe preeclampsia or heart disease, and
seizures are associated with severe preeclampsia; there is no information indicating the
presence of these conditions.
, EXAM: Critical care EAQ Exam with Complete
Solutions
A client has undergone nasal hypophysectomy surgery. During post-operative care, which
finding indicates cerebrospinal leakage?
1
Dry mouth
2
Rigidity of neck muscles
3
Fall in blood pressure upon standing
4
A yellow edge around nasal discharge CORRECT ANS-A yellow edge around nasal discharge
Nasal hypophysectomy is a surgical procedure performed to treat hyperpituitarism due to
pituitary gland tumors. During postoperative care and follow-up, the appearance of light-
yellow at the edge of otherwise clear nasal discharge in the dressing indicates leakage of
cerebrospinal fluid (CSF). This is called the "halo sign" and is indicative of a CSF leak. Dry
mouth after nasal hypophysectomy is normal because the client breathes through the mouth
due to the nasal packing. Neck rigidity could be an indication of infection, such as meningitis
