Questions with Verified Answers Latest
Update Graded A+, Download to Get A
Perfect Score Key
A patient with heart failure is having a doppler echocardiogram. Which statement by the pt about this
procedure indicates teaching has been effective: - Correct Answers-I know that I may need to lie
supine or on my left and breathe quietly.
1. 70 year old pt with Hemorrhagic stroke: what will not be include in patient plan of care: - Correct
Answers-platelet inhibitor
1. A 55KG pt has TBSA of 75 %. How much total fluid should the pt receive in the fist 8hrs? 8250ml. How
many ml per hr should the nurse set the IV pump at for the remaining 16hrs: - Correct Answers-515.6
1. A 75 year old pt with extensive electrical burns is noted to have wine/brown colored urine. The hourly
urine output decreased from 100ml hr to 50ml. Which is the best action by the nurse based on this
information: - Correct Answers-Call the healthcare provider and discuss increasing IV fluid rate.
1. A 78-year-old pt has been admitted to the ICU with acute decompensated heart, cardiogenic shock.
Which of the following orders should the nurse question: - Correct Answers-IVF bolus of normal
saline500ml over 30 minutes.
1. A client suffers a stroke, in which speech is affected, pt. has expressive aphasia, family wants to know
what it means. What will be the most accurate?
a. Inability to comprehend speech
b. Normal speech except difficulty finding words
c. Impaired repetitions of speech
d. Chararactzied by inability to communication spontaneously - Correct Answers-D
1. A nurse has just received report on a 45 year old pt , who is admitted earlier with 40% thermal burn
and weights 80kg, is receiving IVF at hour 16hrs of their fluid resuscitation. When the nurse enters the
room she finds that the IV pump is set at 200ml/hr. Which of the following would be the best action by
the nurse: - Correct Answers-Asses urine output , VS, figure how much pt has received for total
intake and call the health care provider.
1. A nurse in the ICU receives report from the nurse in ED about a new pt being admitted with a neck
injury he received while diving into a lake. Bp 85/54 hr53 and skin is warm and dry. What does the ICU
nurse recognize that the pt is probably experiencing: - Correct Answers-Neurogenic Shock
, 1. A nurse is caring for a 100kg pt with 45% chemical burns. The most recent urine output was 40ml per
hr. The nurse will expect the health care provider to: - Correct Answers-Increase in IV fluids.
1. A nurse is monitoring a post-operative patient for signs and symptoms that would increase the pt risk
for progressing to sepsis. Which of the following would be included: - Correct Answers-Respiratory
rate greater than 22 per minute & change in mental status
1. A patient present to the emergency room after a motor vehicle accident. He has posterior auricular
bruising and rhinorrhea that test positive for halo sign, the nurse would anticipate - Correct Answers-
• The patient needs antibiotic started.
1. A pt comes into the emergency department with severe burns over the face, arms, legs and back after
spending the day boating with friends. The skin is dry and very red with brisk capillary refills. How would
the nurse classify this pt burn injuries: - Correct Answers-Superficial
1. A pt has been admitted for thermal burns. After ABCDE's issue have all been addressed, which of the
following would be a priority for the nurse caring for this pt: - Correct Answers-Administered of
tetanus toxiod.
1. A pt has been admitted with burns over 40% of his body. The nurse documents them as superficial
partial thickness burns because she assessed the following: - Correct Answers-Painful red blistered
skin.
1. A pt has sustained a moderated burn injury and requires pain management. Which medication
prescription should the ED nurse implement: - Correct Answers-Morphine Sulfate 4mg IV every 2hrs.
1. A pt in hypovolemic shock would exhibit which one of the following: - Correct Answers-
Tachycardia
1. A pt is being brought in the ER suspected with carbon dioxide poisoning. The first intervention that
nurse prioritizes is to - Correct Answers-apply or prepare for 100% humidified 02.
1. A pt is being treated with closed method of wound treatment. Which one of the following would be
correct for this type of wound treatment: - Correct Answers-Staff who are entering the room need to
follow universal precautions.
1. A pt with a full thickness burns on 30% if his body is being given Pepcid: - Correct Answers-The
best way to evaluate the effectiveness of this medication is by following the fecal occult blood.
1. A pt with septic shock has a bp of 70/46, pulse136, Respiratory 32 Temp 104F and blood glucose 246.
Which of these prescribed interventions will the nurse implement first: - Correct Answers-give
normal saline IV at 500ml/hr
1. An occupational nurse has been notified that a worker has a flash burn to the left upper arm. When
she arrives the pt is moaning in pain. Which one of the following would the nurse prioritize to do next: -
Correct Answers-Warp Cool tap water-soaked towels around the burn.
1. Come to ER with accident nearly amputation leg bleeding profusely what action take priority: -
Correct Answers-Patent airway