12 hours after sustaining a pelvic fracture, a B. A PE
patient reports chest pain, hemoptysis, and
severe shortness of breathe. RR 34. ABGs 12 hour post long bone fracture, hypoxia, chest pain and air hunger are classic P
on O2 at 4L NC are pH 7.48, CO2 28, PaO2 symptoms (from fat)
68. The nurse should suspect that the
patient has developed:
A. A tension pneumothorax
B. A PE
C. Posting action laryngeal edema
D. Respiratory failure
A 17 year old male patient, who sustained D. CRRT
multiple traumas and subsequent multiple
organ dysfunction syndrome, has a BUN of This patient has acute renal failure with hemodynamic instability. CRRT is less like
60, creatinine of 6.1, fluid overload, and BP than HD to worsen the patents hemodynamic status
of 98/50. Which of the following is the most
appropriate treatment for this patient?
A. loop diuretic
B. hemodialysis
C. peritoneal dialysis
D. CRRT
, AACN EXAM
An 18 year old is admittted with a history of A. Sodium
a syncopal episode at the mall, and he has
a history of an eating disorder. The nurse
notes a prolonged QT on the 12 lead ECG
and anticipates that a reduction in an
electrolyte is the cause. Which of the
following is LEAST likely to cause this
patient's problem?
A. Sodium
B. Magnesium
C. Potassium
D. Calcium
, AACN EXAM
A 22 year old patient has been declared A. Contact the organ procurement agency
brain dead. The parents decide to
discontinue feeding and donate their child's We collaborate with this agency to be the primary communicator with potential
organs. In response to the parents' request, donor families
the most appropriate action by the nurse
would be to:
A. Contact the organ procurement agency
B. Convene a multidisciplinary care
conference
C. Tell the parents that the condition
precludes organ donation
D. Discontinue the feeding per their request
, AACN EXAM
A 25 year old male patient is recovering B. Instruct the mother to hold off on ointment application until the pharmacist is
from septic shock. His mother has a consulted
homeopathic ointment and is applying it on
the patient's hands and feet "for the As long as homeopathic remedies are not harmful to the patient, allowing the fa
swelling." The nurse should: to practice within their culture is acceptable.
A. Take the ointment from the mother and
explain it it not allowed
B. Instruct the mother to hold off on
ointment application until the pharmacist is
consulted
C. Allow the mother to continue to use the
ointment since doing so is comforting her
D. Explain that the ointment will not be of
any help to the patients edema