D118: Unit 3 Study Guide OA
1. A patient presents with complaints of sudden onset hoarseness,
wheezing, and an itchy throat after being stung by a bee. The advanced
practice registered nurse (APRN) suspects the patient may be having an
anaphylactic reaction.
What should be the first-line pharmacological treatment?: Aquenous
epinephrine 1:1000 dilution (EpiPen) 0.2-0.5mg IM
2. An advanced practice registered nurse (APRN) is debriefing and doing
a review of a workplace violence incident. The APRN is gathering feedback
from participants at all levels who were involved.
Which phase of emergency management is the APRN addressing?: Recovery
3. An advanced practice registered nurse (APRN) explains to a new staff
member that during times of disaster no patients will be turned away from
receiving care, even during a surge capacity of patients.
Which guideline supports the instruction the APRN is sharing?: Emergency
Medical Treatment and Active Labor Act (EMTALA)
4. A 28-year-old female presents to an advanced practice registered nurse
(APRN) with complaints of blurred vision and irritation to her right eye for
the past three days. She does not report any headaches, dizziness, fever, or
chills.
The patient does not complain of any pain, rhinorrhea, or
sneezing. Assessment yields the following: vital signs are within
normal limits left eye: sclera white, conjunctivae pink
right eye: sclera red
Which treatment should the APRN recommend based on the patient's
differential diagnoses?: Use artificial tears as-needed for irritation
5. A 62-year-old patient is seen by an advanced practice registered nurse
(APRN) for intermittent buzzing in the ears. The patient has no history of
exposure to loud noises at work but does have a history of attending many
loud rock concerts. Otoscopic inspection reveals no excess cerumen and
normal tympanic membranes. Audiology testing reveals mild hearing loss
bilaterally. The patient denies dizziness and has no known allergies. Review
of medications includes low-dose aspirin, multivitamin, calcium
supplement, and over-the-counter Ibuprofen prn for back and hip pain
related to arthritis.
Which treatment should the APRN recommend for this patient?: Replace
NSAID with a COX2 inhibitor
1/6
, D118: Unit 3 Study Guide OA
6. A patient is seen by an advanced practice registered nurse (APRN) with
an acute onset of epistaxis after being hit by a baseball. The APRN notes
that the bleeding is originating from the area of the Kiesselbach's plexus.
Which action should the APRN take to assist this patient?: Direct pressure to
the anterior pressure of the nose for 15 minutes
7. A 66-year-old patient comes to the clinic complaining of generalized
malaise, fever, productive cough, and intermittent chest pain with
respiration that began two days before. The symptoms have increased in
severity and have not improved with the use of over-the-counter (OTC) pain
and cold medication. The patient has no history of current or past smoking,
is not on any routine medications, and is alert and oriented.
Assessment data reveals temperature of 102 degrees Fahrenheit; a pulse of
86; respiration of 24; and pulse oximeter oxygen saturation of 96%. Decreased
breath sounds with wheezing noted bilaterally with dullness to lung
percussion are present. The advanced practice registered nurse (APRN)
suspects bacterial community-acquired pneumonia.
Which diagnostic test should the advanced practice registered nurse order
for this patient?: CBC
8. An advanced practice registered nurse (APRN) is seeing a college
student who has had a fever, cough, malaise, and myalgias for the last 24
hours.
Which illness should the APRN assess this patient for first?: Influenza
9. An adult patient presents to an advanced practice registered nurse
(APRN) with complaints of nausea and vomiting after receiving
chemotherapy. The problem has been going on for several days, and the
patient has become lethargic and has a decreased level of consciousness.
Which complication from these symptoms should be the APRN's priority
concern?: Aspiration pneumonitis
10. An adult patient presents to the clinic complaining of upper to mid-
abdominal pain that has been occurring off and on for two months. The pain
is the right upper abdominal area that comes and goes but is increased after
eating spicy food.
The advanced practice registered nurse (APRN) notes the vital signs are
within normal limits, and the abdomen is soft with active bowel sounds.
Palpation reveals tenderness in RUQ and a positive Murphy's sign. ECG and
CXR are negative. Alkaline phosphatase and total bilirubin are within normal
limits. Which diagnosis should the APRN suspect?: Acute cholecystitis
2/6
1. A patient presents with complaints of sudden onset hoarseness,
wheezing, and an itchy throat after being stung by a bee. The advanced
practice registered nurse (APRN) suspects the patient may be having an
anaphylactic reaction.
What should be the first-line pharmacological treatment?: Aquenous
epinephrine 1:1000 dilution (EpiPen) 0.2-0.5mg IM
2. An advanced practice registered nurse (APRN) is debriefing and doing
a review of a workplace violence incident. The APRN is gathering feedback
from participants at all levels who were involved.
Which phase of emergency management is the APRN addressing?: Recovery
3. An advanced practice registered nurse (APRN) explains to a new staff
member that during times of disaster no patients will be turned away from
receiving care, even during a surge capacity of patients.
Which guideline supports the instruction the APRN is sharing?: Emergency
Medical Treatment and Active Labor Act (EMTALA)
4. A 28-year-old female presents to an advanced practice registered nurse
(APRN) with complaints of blurred vision and irritation to her right eye for
the past three days. She does not report any headaches, dizziness, fever, or
chills.
The patient does not complain of any pain, rhinorrhea, or
sneezing. Assessment yields the following: vital signs are within
normal limits left eye: sclera white, conjunctivae pink
right eye: sclera red
Which treatment should the APRN recommend based on the patient's
differential diagnoses?: Use artificial tears as-needed for irritation
5. A 62-year-old patient is seen by an advanced practice registered nurse
(APRN) for intermittent buzzing in the ears. The patient has no history of
exposure to loud noises at work but does have a history of attending many
loud rock concerts. Otoscopic inspection reveals no excess cerumen and
normal tympanic membranes. Audiology testing reveals mild hearing loss
bilaterally. The patient denies dizziness and has no known allergies. Review
of medications includes low-dose aspirin, multivitamin, calcium
supplement, and over-the-counter Ibuprofen prn for back and hip pain
related to arthritis.
Which treatment should the APRN recommend for this patient?: Replace
NSAID with a COX2 inhibitor
1/6
, D118: Unit 3 Study Guide OA
6. A patient is seen by an advanced practice registered nurse (APRN) with
an acute onset of epistaxis after being hit by a baseball. The APRN notes
that the bleeding is originating from the area of the Kiesselbach's plexus.
Which action should the APRN take to assist this patient?: Direct pressure to
the anterior pressure of the nose for 15 minutes
7. A 66-year-old patient comes to the clinic complaining of generalized
malaise, fever, productive cough, and intermittent chest pain with
respiration that began two days before. The symptoms have increased in
severity and have not improved with the use of over-the-counter (OTC) pain
and cold medication. The patient has no history of current or past smoking,
is not on any routine medications, and is alert and oriented.
Assessment data reveals temperature of 102 degrees Fahrenheit; a pulse of
86; respiration of 24; and pulse oximeter oxygen saturation of 96%. Decreased
breath sounds with wheezing noted bilaterally with dullness to lung
percussion are present. The advanced practice registered nurse (APRN)
suspects bacterial community-acquired pneumonia.
Which diagnostic test should the advanced practice registered nurse order
for this patient?: CBC
8. An advanced practice registered nurse (APRN) is seeing a college
student who has had a fever, cough, malaise, and myalgias for the last 24
hours.
Which illness should the APRN assess this patient for first?: Influenza
9. An adult patient presents to an advanced practice registered nurse
(APRN) with complaints of nausea and vomiting after receiving
chemotherapy. The problem has been going on for several days, and the
patient has become lethargic and has a decreased level of consciousness.
Which complication from these symptoms should be the APRN's priority
concern?: Aspiration pneumonitis
10. An adult patient presents to the clinic complaining of upper to mid-
abdominal pain that has been occurring off and on for two months. The pain
is the right upper abdominal area that comes and goes but is increased after
eating spicy food.
The advanced practice registered nurse (APRN) notes the vital signs are
within normal limits, and the abdomen is soft with active bowel sounds.
Palpation reveals tenderness in RUQ and a positive Murphy's sign. ECG and
CXR are negative. Alkaline phosphatase and total bilirubin are within normal
limits. Which diagnosis should the APRN suspect?: Acute cholecystitis
2/6
