D118: UNIT 3 STUDY GUIDE OA
COMPLETE QUESTIONS AND ANSWERS
WITH REAL SOLUTIONS
, A patient presents with complaints of sudden onset hoarseness, wheezing, and an itchy
throat after being stung by a bee. The advanced practice registered nurse (APRN)
suspects the patient may be having an anaphylactic reaction.
What should be the first-line pharmacological treatment? - ANSWERAquenous
epinephrine 1:1000 dilution (EpiPen) 0.2-0.5mg IM
An advanced practice registered nurse (APRN) is debriefing and doing a review of a
workplace violence incident. The APRN is gathering feedback from participants at all
levels who were involved.
Which phase of emergency management is the APRN addressing? -
ANSWERRecovery
An advanced practice registered nurse (APRN) explains to a new staff member that
during times of disaster no patients will be turned away from receiving care, even during
a surge capacity of patients.
Which guideline supports the instruction the APRN is sharing? - ANSWEREmergency
Medical Treatment and Active Labor Act (EMTALA)
A 28-year-old female presents to an advanced practice registered nurse (APRN) with
complaints of blurred vision and irritation to her right eye for the past three days. She
does not report any headaches, dizziness, fever, or chills. The patient does not
complain of any pain, rhinorrhea, or sneezing.
Assessment yields the following:
vital signs are within normal limits
left eye: sclera white, conjunctivae pink
right eye: sclera red
Which treatment should the APRN recommend based on the patient's differential
diagnoses? - ANSWERUse artificial tears as-needed for irritation
A 62-year-old patient is seen by an advanced practice registered nurse (APRN) for
intermittent buzzing in the ears. The patient has no history of exposure to loud noises at
work but does have a history of attending many loud rock concerts. Otoscopic
inspection reveals no excess cerumen and normal tympanic membranes. Audiology
testing reveals mild hearing loss bilaterally. The patient denies dizziness and has no
known allergies. Review of medications includes low-dose aspirin, multivitamin, calcium
supplement, and over-the-counter Ibuprofen prn for back and hip pain related to
arthritis.
Which treatment should the APRN recommend for this patient? - ANSWERReplace
NSAID with a COX2 inhibitor
A patient is seen by an advanced practice registered nurse (APRN) with an acute onset
of epistaxis after being hit by a baseball. The APRN notes that the bleeding is
originating from the area of the Kiesselbach's plexus.
COMPLETE QUESTIONS AND ANSWERS
WITH REAL SOLUTIONS
, A patient presents with complaints of sudden onset hoarseness, wheezing, and an itchy
throat after being stung by a bee. The advanced practice registered nurse (APRN)
suspects the patient may be having an anaphylactic reaction.
What should be the first-line pharmacological treatment? - ANSWERAquenous
epinephrine 1:1000 dilution (EpiPen) 0.2-0.5mg IM
An advanced practice registered nurse (APRN) is debriefing and doing a review of a
workplace violence incident. The APRN is gathering feedback from participants at all
levels who were involved.
Which phase of emergency management is the APRN addressing? -
ANSWERRecovery
An advanced practice registered nurse (APRN) explains to a new staff member that
during times of disaster no patients will be turned away from receiving care, even during
a surge capacity of patients.
Which guideline supports the instruction the APRN is sharing? - ANSWEREmergency
Medical Treatment and Active Labor Act (EMTALA)
A 28-year-old female presents to an advanced practice registered nurse (APRN) with
complaints of blurred vision and irritation to her right eye for the past three days. She
does not report any headaches, dizziness, fever, or chills. The patient does not
complain of any pain, rhinorrhea, or sneezing.
Assessment yields the following:
vital signs are within normal limits
left eye: sclera white, conjunctivae pink
right eye: sclera red
Which treatment should the APRN recommend based on the patient's differential
diagnoses? - ANSWERUse artificial tears as-needed for irritation
A 62-year-old patient is seen by an advanced practice registered nurse (APRN) for
intermittent buzzing in the ears. The patient has no history of exposure to loud noises at
work but does have a history of attending many loud rock concerts. Otoscopic
inspection reveals no excess cerumen and normal tympanic membranes. Audiology
testing reveals mild hearing loss bilaterally. The patient denies dizziness and has no
known allergies. Review of medications includes low-dose aspirin, multivitamin, calcium
supplement, and over-the-counter Ibuprofen prn for back and hip pain related to
arthritis.
Which treatment should the APRN recommend for this patient? - ANSWERReplace
NSAID with a COX2 inhibitor
A patient is seen by an advanced practice registered nurse (APRN) with an acute onset
of epistaxis after being hit by a baseball. The APRN notes that the bleeding is
originating from the area of the Kiesselbach's plexus.
