NICU RN A V1 COMPREHENSIVE EXAMS
QUESTIONS AND ANSWERS SURE A+
✔✔The trough for vancomycin is measured: - ✔✔Immediately before the next
scheduled dose
✔✔You are delegating wound care to a LPN. The LPN states that she has never
performed this type of wound care before. Which of the following components of
delegation have you neglected? - ✔✔Competency
✔✔You are caring for a patient in third degree heart block. Which of the following
treatment options will MOST likely be implemented? - ✔✔Pacemaker
✔✔You are assigned a patient who recently traveled outside of the United States. He
has a fever of 101.9 F and excessive diarrhea. You suspect he may have been exposed
to Ebola. What type of PPE would you expect to use? - ✔✔High level PPE
✔✔Which of the following patients would you see FIRST? - ✔✔A 57 year old male
complaining of worsening chest tightness
✔✔You enter a patient's room and notice the telemetry box on the bed and the IV on
the floor connected to running IV fluids. You last saw the patient 1 hour ago. Who
should be notified immediately? - ✔✔Charge nurse
✔✔A patient is admitted for a NSTEMI and ST depression is noted in leads II, III, and
AVF. Two hours after admission you notice the patient now has ST elevation in each of
those leads. What should you do NEXT? - ✔✔Initiate STEMI team
✔✔An 18 year old female is admitted to PCU from PACU after a cholecystectomy. She
has a 22 gauge peripheral IV in her left hand and is due to void. She had morphine 8mg
and Zofran 4mg in recovery, and is complaining of nausea. She has Phenergan 50mg
, ordered IV every 6 hours/PRN. What should you do FIRST? - ✔✔Start a new IV in the
antecubital region or obtain an order for Phenergan IM.
✔✔A patient is on strict I&Os with an indwelling urinary catheter. 4 hours into your shift
you notice that there is a total of 50 mL of urine in the bag. You notify the provider
because you recognize that adequate urine output should be: - ✔✔30 mL/hr
✔✔A co-worker administered a narcotic earlier in the shift, but failed to get a witness for
the portion of medication that was wasted. The co-worker asks that you sign off as the
witness. What is the BEST response? - ✔✔Refuse to witness the waste and ask the co-
worker to notify the charge nurse
✔✔You are caring for a patient taking warfarin for atrial fibrillation. The lab calls
reporting that the patient has an INR of 6.4. What medication do you anticipate being
ordered by the provider? - ✔✔Vitamin K
✔✔You are caring for a patient complaining of chest pain. Which of the following
troponin I levels requires provider notification? - ✔✔0.5 ng/mL
✔✔A patient with new onset seizures is most likely to have which of the following in
their room? - ✔✔Padded side rails and suction at the bedside
✔✔You are transfusing PRBCs into a patient with a hgb of 7.7 g/dL. Fifteen minutes into
the transfusion, the patient complains of lower back pain, shortness of breath, and
chills. Which of the following would you do FIRST? - ✔✔Stop the transfusion
✔✔You receive a patient from the emergency department with a fever, cough for 3
weeks, night chills, and fatigue. During the admission assessment the patient reports
recent travel out of the country. What should be your FIRST action? - ✔✔Notify the
provider, apply a mask to the patient, and transfer to a negative pressure room
✔✔Unstable angina is characterized by which of the following? - ✔✔Chest pain, usually
while at rest
✔✔The patient's lab test results indicate a BNP of 2,000 upon arrival to the ED. The
patient has been transferred to PCU. What treatment plan would you anticipate from the
attending provider? - ✔✔Furosemide 40 mg IV BID
✔✔Which of the following has been found to be linked to a diagnosis of endocarditis? -
✔✔Recent invasive dental procedures
✔✔Your patient is post-op day 3 after triple bypass surgery. Chest tubes have been
removed. The patient suddenly complains of palpitations. His blood pressure is 130/76
QUESTIONS AND ANSWERS SURE A+
✔✔The trough for vancomycin is measured: - ✔✔Immediately before the next
scheduled dose
✔✔You are delegating wound care to a LPN. The LPN states that she has never
performed this type of wound care before. Which of the following components of
delegation have you neglected? - ✔✔Competency
✔✔You are caring for a patient in third degree heart block. Which of the following
treatment options will MOST likely be implemented? - ✔✔Pacemaker
✔✔You are assigned a patient who recently traveled outside of the United States. He
has a fever of 101.9 F and excessive diarrhea. You suspect he may have been exposed
to Ebola. What type of PPE would you expect to use? - ✔✔High level PPE
✔✔Which of the following patients would you see FIRST? - ✔✔A 57 year old male
complaining of worsening chest tightness
✔✔You enter a patient's room and notice the telemetry box on the bed and the IV on
the floor connected to running IV fluids. You last saw the patient 1 hour ago. Who
should be notified immediately? - ✔✔Charge nurse
✔✔A patient is admitted for a NSTEMI and ST depression is noted in leads II, III, and
AVF. Two hours after admission you notice the patient now has ST elevation in each of
those leads. What should you do NEXT? - ✔✔Initiate STEMI team
✔✔An 18 year old female is admitted to PCU from PACU after a cholecystectomy. She
has a 22 gauge peripheral IV in her left hand and is due to void. She had morphine 8mg
and Zofran 4mg in recovery, and is complaining of nausea. She has Phenergan 50mg
, ordered IV every 6 hours/PRN. What should you do FIRST? - ✔✔Start a new IV in the
antecubital region or obtain an order for Phenergan IM.
✔✔A patient is on strict I&Os with an indwelling urinary catheter. 4 hours into your shift
you notice that there is a total of 50 mL of urine in the bag. You notify the provider
because you recognize that adequate urine output should be: - ✔✔30 mL/hr
✔✔A co-worker administered a narcotic earlier in the shift, but failed to get a witness for
the portion of medication that was wasted. The co-worker asks that you sign off as the
witness. What is the BEST response? - ✔✔Refuse to witness the waste and ask the co-
worker to notify the charge nurse
✔✔You are caring for a patient taking warfarin for atrial fibrillation. The lab calls
reporting that the patient has an INR of 6.4. What medication do you anticipate being
ordered by the provider? - ✔✔Vitamin K
✔✔You are caring for a patient complaining of chest pain. Which of the following
troponin I levels requires provider notification? - ✔✔0.5 ng/mL
✔✔A patient with new onset seizures is most likely to have which of the following in
their room? - ✔✔Padded side rails and suction at the bedside
✔✔You are transfusing PRBCs into a patient with a hgb of 7.7 g/dL. Fifteen minutes into
the transfusion, the patient complains of lower back pain, shortness of breath, and
chills. Which of the following would you do FIRST? - ✔✔Stop the transfusion
✔✔You receive a patient from the emergency department with a fever, cough for 3
weeks, night chills, and fatigue. During the admission assessment the patient reports
recent travel out of the country. What should be your FIRST action? - ✔✔Notify the
provider, apply a mask to the patient, and transfer to a negative pressure room
✔✔Unstable angina is characterized by which of the following? - ✔✔Chest pain, usually
while at rest
✔✔The patient's lab test results indicate a BNP of 2,000 upon arrival to the ED. The
patient has been transferred to PCU. What treatment plan would you anticipate from the
attending provider? - ✔✔Furosemide 40 mg IV BID
✔✔Which of the following has been found to be linked to a diagnosis of endocarditis? -
✔✔Recent invasive dental procedures
✔✔Your patient is post-op day 3 after triple bypass surgery. Chest tubes have been
removed. The patient suddenly complains of palpitations. His blood pressure is 130/76
