NURS 420 Final Questions with verified answers
A 15 year old male is brought to the ED by fire/rescue. The patient is
unresponsive and has gross deformity to LLE. A priority of assessment
in this patient's hx is:
A.The mechanism of injury
B.Location of pt's parents
C.Family physician's contact information
D.Patient's advanced directives Ans✓✓✓ A.The mechanism of injury
A 17 year old male patient is brought to the ER by his parent with
complaints of somnolence, vomiting, and HA. The patient reports
playing football earlier in the day. After obtaining a complete set of
vitals, the next priority in caring for this patient is:
A.Arterial blood gas
B.Venous blood sample
C.FAST scan
D.CT scan of the head Ans✓✓✓ D.CT scan of the head
A 35 yo patient is admitted s/p MVC. They open their eyes to pain. They
withdraw from pain and are making incomprehensible sounds. What is
the patients CGS?
,a. 4
b. 8
c. 9
d. 10 Ans✓✓✓ b. 8
A 47 year old female patient is admitted to the ICU after sustaining
pulmonary contusions from an MVC. She is also noted to have
abrasions to her face and forehead. About 1hr after arrival to the ICU,
her vital signs show a BP of 190/110, HR 58, and irregular respirations.
The priority intervention for this patient is:
A.Notify the physician and anticipate CT & possible neurosurgery
B.Prepare to administer IV fluid boluses
C.Prepare to administer IV Levophed (norepinephrine)
D.Prepare for cardioversion Ans✓✓✓ A.Notify the physician and
anticipate CT & possible neurosurgery
A 75-year-old man is admitted for transient ischemic attack, left-sided
weakness. During the admission assessment, the patient states he is
also experiencing absent-mindedness, vomiting, and intermittent
photophobia. The patient is on warfarin (Coumadin) therapy. The
patient cannot recall any significant injury involving a blow to his head.
Based on the information above, what is the most likely cause of his
symptoms?
, A.Acute subdural hematoma
B.Subacute subdural hematoma
C.Chronic subdural hematoma
D.Epidural hematoma Ans✓✓✓ C.Chronic subdural hematoma
A mechanically ventilated patient has a fever, P/F ratio of 230, and a
pulmonary artery occlusive pressure of 15 mm Hg. The patient is
coughing and triggering the high-pressure alarm on the ventilator. The
radiologist has notified the nurse that the patient's feeding tube is in
the right lung, and the patient has developed bilateral infiltrates on the
radiograph. The nurse is concerned that the patient is developing what
problem?
a. Pneumothorax
b. Acute pulmonary embolism
c. Inadequate nutrition
d. Adult respiratory distress syndrome Ans✓✓✓ d. Adult respiratory
distress syndrome
Rationale: The patient is showing signs of acute respiratory distress
syndrome brought on by the direct lung injury from the misplaced
feeding tube. There is no evidence of a pulmonary embolism. A
pneumothorax would have shown up on the radiograph as a unilateral
problem, not a diffuse infiltrate. Nutrition is not the immediate concern
at this moment.
A 15 year old male is brought to the ED by fire/rescue. The patient is
unresponsive and has gross deformity to LLE. A priority of assessment
in this patient's hx is:
A.The mechanism of injury
B.Location of pt's parents
C.Family physician's contact information
D.Patient's advanced directives Ans✓✓✓ A.The mechanism of injury
A 17 year old male patient is brought to the ER by his parent with
complaints of somnolence, vomiting, and HA. The patient reports
playing football earlier in the day. After obtaining a complete set of
vitals, the next priority in caring for this patient is:
A.Arterial blood gas
B.Venous blood sample
C.FAST scan
D.CT scan of the head Ans✓✓✓ D.CT scan of the head
A 35 yo patient is admitted s/p MVC. They open their eyes to pain. They
withdraw from pain and are making incomprehensible sounds. What is
the patients CGS?
,a. 4
b. 8
c. 9
d. 10 Ans✓✓✓ b. 8
A 47 year old female patient is admitted to the ICU after sustaining
pulmonary contusions from an MVC. She is also noted to have
abrasions to her face and forehead. About 1hr after arrival to the ICU,
her vital signs show a BP of 190/110, HR 58, and irregular respirations.
The priority intervention for this patient is:
A.Notify the physician and anticipate CT & possible neurosurgery
B.Prepare to administer IV fluid boluses
C.Prepare to administer IV Levophed (norepinephrine)
D.Prepare for cardioversion Ans✓✓✓ A.Notify the physician and
anticipate CT & possible neurosurgery
A 75-year-old man is admitted for transient ischemic attack, left-sided
weakness. During the admission assessment, the patient states he is
also experiencing absent-mindedness, vomiting, and intermittent
photophobia. The patient is on warfarin (Coumadin) therapy. The
patient cannot recall any significant injury involving a blow to his head.
Based on the information above, what is the most likely cause of his
symptoms?
, A.Acute subdural hematoma
B.Subacute subdural hematoma
C.Chronic subdural hematoma
D.Epidural hematoma Ans✓✓✓ C.Chronic subdural hematoma
A mechanically ventilated patient has a fever, P/F ratio of 230, and a
pulmonary artery occlusive pressure of 15 mm Hg. The patient is
coughing and triggering the high-pressure alarm on the ventilator. The
radiologist has notified the nurse that the patient's feeding tube is in
the right lung, and the patient has developed bilateral infiltrates on the
radiograph. The nurse is concerned that the patient is developing what
problem?
a. Pneumothorax
b. Acute pulmonary embolism
c. Inadequate nutrition
d. Adult respiratory distress syndrome Ans✓✓✓ d. Adult respiratory
distress syndrome
Rationale: The patient is showing signs of acute respiratory distress
syndrome brought on by the direct lung injury from the misplaced
feeding tube. There is no evidence of a pulmonary embolism. A
pneumothorax would have shown up on the radiograph as a unilateral
problem, not a diffuse infiltrate. Nutrition is not the immediate concern
at this moment.
