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You want to assess for jugular vein distention (JVD). What position would be BEST? -
CORRECTANSWER Position patient on their back with head of bed at 30 to 45 degrees.
Your patient with triple cardiac bypass surgery is post-op day 3. Chest tubes have been
removed. They suddenly report palpitations. Their blood pressure is 130/76 and heart rate is
140 bpm. What would you do NEXT? - CORRECTANSWER Perform a bedside EKG
Your patient has a history of renal insufficiency. What class of analgesics would MOST likely be
contraindicated for them? - CORRECTANSWER Nonsteroidal anti-inflammatory medications
Your patient is acutely ill. What route of medication administration would likely be LEAST
effective? - CORRECTANSWER Intramuscular
You are working with the code team to resuscitate a patient in ventricular fibrillation. Chest
compressions are ongoing and the patient has been shocked twice. What emergency
, medication, if any, would you administer at this juncture? - CORRECTANSWER Epinephrine
(Adrenaline) 1 mg IV
Your patient is on anticoagulant medication. You are discharging them and provide patient
education.
Which statement by your patient indicates an understanding of the education? -
CORRECTANSWER I will not take ibuprofen (Motrin®) every day
Your non-verbal patient is alert. What type of pain assessment would be appropriate? -
CORRECTANSWER • Visual pain scale
• Verbal descriptive scale
• Vital signs assessment to approximate pain
• Behavioral pain scale (Wrong)
Your patient has returned from the cath lab post angioplasty. Upon assessment you note a large
hematoma at the sheath site. What would be your immediate action? - CORRECTANSWER Apply
manual pressure to the site and call for help.
Your patient has new onset seizures. They ask you what they should know about taking
levetiracetam (Keppra®). What would be your BEST response? - CORRECTANSWER Common
side effects are fatigue and depression
Your patient with cardiac bypass surgery is post-op day 2. The nursing assistant reports that your
patient has a temp of 101.3°F and blood pressure of 82/56. Their urine output has decreased to
less than 30 mL in the past 4 hours. You suspect a post-surgery complication. After calling the
physician you receive orders for STAT CBC, CMP, and coagulation test. What results would you
expect to see after these labs are completed? - CORRECTANSWER WBC greater than 19,000
What is an adequate amount of urine output? - CORRECTANSWER 30 mL/hr