ANSWERS
Your patient's chest tube dressing has accidentally come off and you are
preparing to place a new one. You have a slit drain sponge, 4 x 4 gauzes, tape,
scissors, and antiseptic swabs. What else do you need? Accurate
Answer - Petrolatum gauze
You want to implement the new evidence-based practice guidelines in
managing patients to prevent falls on your unit. What provides the
STRONGEST evidence for interventions? Accurate Answer - Systematic
reviews
Upon triage of a patient, they state that they have suicidal ideation with intent.
What would you do NEXT? Accurate Answer - Institute suicide
precautions.
Which of the following wounds has the highest risk for developing
osteomyelitis? Accurate Answer - Puncture wound from stepping on a
rusty nail
What type of diet would a patient with diverticulitis follow? Accurate
Answer - High fiber diet
Answer is NOT high residual diet
An elderly patient is brought in with new onset of confusion and gradual onset
of headache in the last 48 hours. The patient states that they had a fall 3 days
ago. Based on the history and presenting complaints, what diagnostic test do
you anticipate the provider to order? Accurate Answer - CT scan of the
brain
What medication is used in reversing the effects of opioid overdose?
Accurate Answer - Naloxone (Narcan®)
What are you MOST likely to see during your initial assessment of a patient
with chronic obstructive pulmonary disease (COPD)? Accurate Answer
- Pursed lip breathing
, Under what circumstances can the hospital transfer an unstable patient to
another facility and maintain compliance with the Emergency Medical
Treatment and Active Labor Act (EMTALA)? Accurate Answer - The
necessary treatment is not available at the current hospital.
The life-threatening and rare complication of hypothyroidism is known as:
Accurate Answer - Myxedema coma
A patient presents with acute onset of chest pain and goes into cardiac arrest
immediately upon arrival. What is a possible reversible cause of cardiac
arrest? Accurate Answer - Tension Pneumothorax
A patient presents with an episode of hypertensive crisis, a blood pressure of
220/118, and the provider has put in the order for nitroprusside. What
demonstrates that the treatment has been effective? Accurate Answer -
Systolic blood pressure reaches 160 mm Hg
A patient arrives with suspected appendicitis. What action, if observed, would
require additional training for the unlicensed assistive personnel (UAP)?
Accurate Answer - The UAP offers the patient a ginger ale.
You see a fellow nurse placing an opioid medication in their pocket rather
than administering it as ordered. What would you do NEXT? Accurate
Answer - Tell your immediate supervisor.
You are administering haloperidol (Haldol®) to a patient with acute
symptoms of Schizophrenia. What changes in the electrocardiogram (ECG) are
possible as a result of this medication? Accurate Answer - Prolonged
QT interval
A patient presents with a 5-day history of runny nose, headache, and
productive cough. The patient is unable to speak full sentences, reports having
a history of moderate to severe COPD, and has a SpO2 reading of 89%. What
intervention do you anticipate implementing FIRST for this patient?
Accurate Answer - Provide oxygen
A patient who is 24 weeks pregnant presents with fever and right upper
quadrant pain. The patient states that the pain is radiating to the right
shoulder blade, and started an hour after having a pizza for lunch. She is