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ANSWERS!
1. Which of the following medications is MOST commonly indicated for patients with
CHF? - Answer: Ace inhibitors
2. A patient was involved in a motor vehicle accident and CAT scan results reveal a
right sided SDH. What would be an expected neurological assessment finding in this
patient? - Answer: Dilated right pupil
3. What is the most common symptom of SIADH? - Answer: Fluid retention
4. Upon arrival to the unit, you receive report on four PCU patients. Which patient
should you attend to FIRST? - Answer: A patient complaining of shortness of breathe
on continuous BiPAP with a BP of 189/109
5. Of the following patients, which one would you see FIRST? - Answer: A 30 year
suicidal female that took an unknown number of alprazolam with an O2 saturation
of 85%
6. You are caring for a patient with new onset atrial fibrillation with a blood pressure of
80/60. Which of the following treatment options is MOST appropriate? - Answer:
Electrical cardioversion
7. Which of the following supplemental medications is frequently ordered in
conjunction with furosemide? - Answer: Potassium
8. Which of the following positions is the BEST way to assess for JVD? - Answer:
Position the patient on his/her back with the head of bed 30-45 degrees
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, 9. Your patient is on the midday schedule for hemodialysis. He has 100 mg of
metoprolol XL ordered for this morning and his blood pressure if 150/98. Which of
the following would be an appropriate action? - Answer: Hold the metoprolol
because of the upcoming dialysis
10. You walk into your patient's room and notice that the chest tube collection chamber
has been knocked over on the floor. There appears to be drainage dispersed
throughout the chambers. What should you do NEXT? - Answer: Replace the
chamber with a new one
11. Your patient is complaining of nausea, vomiting, and diarrhea. His blood pressure is
89/55, heart rate is 122 bpm, and the temperature is 100.8 F. What condition is this
patient most likely experiencing? - Answer: Hypovolemic shock
12. You are caring for a patient with a chest tube that has become dislodged. Which of
the following would you do FIRST? - Answer: Cover the insertion site immediately
with Vaseline gauze
13. A 78 year old male is admitted from the ED for syncope with ground level fall. You
note his heart rate is 50 and the patient is confused. His daughter states she thinks
he has dementia but he has not been diagnosed yet. Blood pressure is stable. What
order do you anticipate? - Answer: Stat head CT
14. A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders
should you do FIRST? - Answer: Prepare to administer 2 units PRBCs
15. Which of the following should be checked before administering digoxin? - Answer:
Apical pulse
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