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Examen

NBCRNA QOTW AND SAMPLE QUESTIONS WITH COMPLETE ANSWERS

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Escrito en
2024/2025

NBCRNA QOTW AND SAMPLE QUESTIONS WITH COMPLETE ANSWERS












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Información del documento

Subido en
10 de abril de 2025
Número de páginas
42
Escrito en
2024/2025
Tipo
Examen
Contiene
Preguntas y respuestas

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A common fibular nerve injury is suspected following a lengthy laparoscopic-assisted
vaginal hysterectomy. Which findings confirm this diagnosis? (Select 2)


A. Footdrop
B. Loss of cutaneous sensation in the anterior aspect of the upper leg
C. Loss of cutaneous sensation in the lateral and anterior aspect of the lower leg
D. Motor weakness of lower extremities


Give this one a try later!

, A. Footdrop
C. Loss of cutaneous sensation in the lateral and anterior aspect of the lower
leg

Common peroneal nerve injury may result from direct pressure, excessive
stretch due to prolonged flexion of the knee, and excessive external rotation
of the hip. Injury manifests as loss of cutaneous sensation in the lateral and
anterior aspect of the lower leg or footdrop




What are the hemodynamic goals of hypertrophic cardiomyopathy? (Select 2)


A. Decreased contractility
B. Decreased preload
C. Increased afterload
D. Increased heart rate


Give this one a try later!


A. Decreased contractility
C. Increased afterload




Damage to which nerve would cause vocal cord paralysis?


A. Glossopharyngeal
B. Hypoglossal
C. Recurrent laryngeal
D. Superior laryngeal


Give this one a try later!

, C. Recurrent laryngeal

The vocal cords are innervated by the recurrent laryngeal nerve. When the
recurrent laryngeal nerve is damaged, the vocal cord assumes a position
between adduction and abduction.




Which cardiopulmonary symptoms occur with the application of acrylic bone cement
during hip replacement surgery? (Select 2)


A. Hypercarbia
B. Hyperemia
C. Hypotension
D. Hypoxemia


Give this one a try later!


C. Hypotension
D. Hypoxemia

Cardiopulmonary changes associated with the application of acrylic bone
cement during hip replacement surgery include hypotension secondary to
cement monomer absorption, hypoxemia secondary to air embolization, and
hypoxemia secondary to fat embolization. Hypotension has been attributed
to absorption of methyl methacrylate monomer, embolization of air and bone
marrow, lysis of red cells and marrow, and conversion of methyl methacrylate
to methacrylic acid. Hypoxemia commonly occurs. Embolic events cause
increased dead space, with reduced ETCO₂ and increased PaCO₂.




A 70-kg patient is having a left lung partial lobectomy for lung cancer. He consents for
general anesthesia with the addition of a left intercostal nerve block for postoperative
pain management. What is the maximum dose in milligrams of lidocaine 2% (Xylocaine)

, with epinephrine for this patient's block?


A. 70
B. 140
C. 350
D. 490


Give this one a try later!


D. 490

Local anesthetic toxicity usually occurs from an inadvertently large amount of
drug being administered into the IV system. It can also occur from a large
amount of drug absorption from a nerve block administration. The maximum
dose of lidocaine with epinephrine is recommended at 7 mg/kg:
7 mg x 70 kg = 490 mg




Which medication is CONTRAINDICATED in a patient with Parkinson's disease taking
carbidopa/levodopa (Sinemet)?


A. Fentanyl (Sublimaze)
B. Metoclopramide (Reglan)
C. Midazolam (Versed)
D. Propofol (Diprivan)


Give this one a try later!

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