ENA CRITICAL CARE EXAM WITH
QEUSTIONS AND ANSWERS.
When assessing a patient on mechanical ventilation, you discover absent
breath sounds on one side and tracheal deviation. Which complication of
mechanical ventilation should you suspect?
A. Pneumonia
B. Oxygen toxicity
C. Auto-positive end-expiratory pressure
D. Tension pneumothorax - CorreCt Answers -D
A patient in the emergency department is diagnosed with acute respiratory
distress syndrome. Why does this patient need immediate endotracheal
intubation?
A. Failure to maintain a patent airway
B. Alveolar shunting
C. Anticipated airway failure
D. Dead space ventilation - CorreCt Answers -B
When preparing for central venous catheter placement, the nurse should
tell the patient that which site is the most likely one for insertion?
A. Radial artery
B. Brachial vein
C. Superior vena cava
, D. Pulmonary artery - CorreCt Answers -C
Which measurement indicates hypoperfusion in a patient with sepsis?
A. An abnormal blood pressure reading
B. A central venous pressure of 10 mm Hg
C. An elevated temperature measurement
D. An elevated serum lactate level - CorreCt Answers -D
In a patient admitted with sepsis, the nurse should expect which laboratory
finding?
A. Decreased bilirubin level
B. Elevated fibrinogen level
C. Elevated liver enzyme levels
D. Decreased hemoglobin level and hematocrit - CorreCt Answers -C
A hypotensive patient with urosepsis is not responding to fluid volume
resuscitation. Which vasopressor should the nurse expect the physician to
prescribe for this patient?
A. Norepinephrine (Levophed)
B. Phenylephrine (Neo-Synephrine)
C. Epinephrine (Adrenalin)
D. Vasopressin (Pitressin) - CorreCt Answers -A
QEUSTIONS AND ANSWERS.
When assessing a patient on mechanical ventilation, you discover absent
breath sounds on one side and tracheal deviation. Which complication of
mechanical ventilation should you suspect?
A. Pneumonia
B. Oxygen toxicity
C. Auto-positive end-expiratory pressure
D. Tension pneumothorax - CorreCt Answers -D
A patient in the emergency department is diagnosed with acute respiratory
distress syndrome. Why does this patient need immediate endotracheal
intubation?
A. Failure to maintain a patent airway
B. Alveolar shunting
C. Anticipated airway failure
D. Dead space ventilation - CorreCt Answers -B
When preparing for central venous catheter placement, the nurse should
tell the patient that which site is the most likely one for insertion?
A. Radial artery
B. Brachial vein
C. Superior vena cava
, D. Pulmonary artery - CorreCt Answers -C
Which measurement indicates hypoperfusion in a patient with sepsis?
A. An abnormal blood pressure reading
B. A central venous pressure of 10 mm Hg
C. An elevated temperature measurement
D. An elevated serum lactate level - CorreCt Answers -D
In a patient admitted with sepsis, the nurse should expect which laboratory
finding?
A. Decreased bilirubin level
B. Elevated fibrinogen level
C. Elevated liver enzyme levels
D. Decreased hemoglobin level and hematocrit - CorreCt Answers -C
A hypotensive patient with urosepsis is not responding to fluid volume
resuscitation. Which vasopressor should the nurse expect the physician to
prescribe for this patient?
A. Norepinephrine (Levophed)
B. Phenylephrine (Neo-Synephrine)
C. Epinephrine (Adrenalin)
D. Vasopressin (Pitressin) - CorreCt Answers -A
