A patient present with sudden onset shortness of breath and difficult
breathing. Her tongue is swollen and she states she is feeling very
dizzy. What would the medication most likely given to her? ✔
1 A. Diphenhydramine
2 B. Dopamine
3 C. Aminophylline
4 D. Epinephrine - Given
A patient recovering from a myocardial infarction is preparing to
transfer to a telemetry floor. The acute care NP has begun teaching on
the Angiotensin converting enzyme inhibitors he will be taking
throughout the hospital stay and after discharge. What statement
reflects the patient understanding of the medication? ✔
1 A. “if I forget to take a dose, I will take the missed dose as soon
as I remember.” - Given
2 B. “If I forget to take a dose of medication I will make up for it by
taking a double dose the next time it is due.”
3 C. “It’s normal to feel light headed with this medication and I will
move around as I normally do.”
4 D. “I should increase the amount of potassium I eat in my diet.”
The NP is taking care of a patient with Ketoacidosis. She is concerned
that the patient is developing further acidosis. The latest ABG’s reflect
a pH of 7.0. What treatment of acidosis is most likely to correct this
imbalance? ✖
1 A. Fluids and insulin.
2 B. Oxygenation and insulin.
3 C. Fluids and potassium replacement. - Given
4 D. Fluids and arterial blood gases every 6 hours.
The NP has called the doctor about a patient suspected to be
experiencing a hypertensive crisis. What medications would the NP
anticipate the doctor ordering? ✔
1 A. Intravenous Nitroprusside - Given
2 B. Intravenous Metroprolol
3 C. Sublingual Nitroglycerin
4 D. Intravenous Furosemide
, The patient with a hemoglobin level of 4.4 is ordered to receive 5 units
packed red blood cells. To avoid circulatory overload, the NP would take
all of the following actions except: ✔
1 A. Administer Furosemide 20 mg intravenously in between each
unit.
2 B. Monitor the patient for signs and symptoms of hypoxia, edema
and fever.
3 C. Transfuse the blood quickly to avoid fatigue. - Given
4 D. Administer supplemental oxygen to aid the patient’s
breathing.
When preparing to remove an endotracheal tube, the NP should NOT
do which of the following: ✔
1 A. Get the help of another NP to hold the tube while you untape
the tube.
2 B. Deflate the cuff before moving the endotracheal tube.
3 C. Extubate the endotracheal tube if no air leak is detected
around the deflated cuff. - Given
4 D. Suction during extubation of the endotracheal tube to remove
secretions retained at the end of the tube.
An experienced intensive care unit NP is teaching a class of new nurses
about the neurological system. What is the best way to describe the
purpose of Cerebral Spinal Fluid (CSF) to the class? ✔
1 A. Cerebral spinal fluid cushions the brain and the spinal cord. -
Given
2 B. Cerebral spinal fluid maintains cerebral perfusion pressures.
3 C. Cerebral spinal fluid transports fluid to the ventricles.
4 D. Cerebral spinal fluid develops neurotransmitters.
What is the leading cause of acute Tubular Necrosis? ✖
1 A. Sepsis
2 B. Shock - Given
3 C. Myocardial infarction
4 D. Gastro intestinal bleeding
What is the most significant complication of intermittent Hemodialysis
that the NP needs to asses for? ✖
breathing. Her tongue is swollen and she states she is feeling very
dizzy. What would the medication most likely given to her? ✔
1 A. Diphenhydramine
2 B. Dopamine
3 C. Aminophylline
4 D. Epinephrine - Given
A patient recovering from a myocardial infarction is preparing to
transfer to a telemetry floor. The acute care NP has begun teaching on
the Angiotensin converting enzyme inhibitors he will be taking
throughout the hospital stay and after discharge. What statement
reflects the patient understanding of the medication? ✔
1 A. “if I forget to take a dose, I will take the missed dose as soon
as I remember.” - Given
2 B. “If I forget to take a dose of medication I will make up for it by
taking a double dose the next time it is due.”
3 C. “It’s normal to feel light headed with this medication and I will
move around as I normally do.”
4 D. “I should increase the amount of potassium I eat in my diet.”
The NP is taking care of a patient with Ketoacidosis. She is concerned
that the patient is developing further acidosis. The latest ABG’s reflect
a pH of 7.0. What treatment of acidosis is most likely to correct this
imbalance? ✖
1 A. Fluids and insulin.
2 B. Oxygenation and insulin.
3 C. Fluids and potassium replacement. - Given
4 D. Fluids and arterial blood gases every 6 hours.
The NP has called the doctor about a patient suspected to be
experiencing a hypertensive crisis. What medications would the NP
anticipate the doctor ordering? ✔
1 A. Intravenous Nitroprusside - Given
2 B. Intravenous Metroprolol
3 C. Sublingual Nitroglycerin
4 D. Intravenous Furosemide
, The patient with a hemoglobin level of 4.4 is ordered to receive 5 units
packed red blood cells. To avoid circulatory overload, the NP would take
all of the following actions except: ✔
1 A. Administer Furosemide 20 mg intravenously in between each
unit.
2 B. Monitor the patient for signs and symptoms of hypoxia, edema
and fever.
3 C. Transfuse the blood quickly to avoid fatigue. - Given
4 D. Administer supplemental oxygen to aid the patient’s
breathing.
When preparing to remove an endotracheal tube, the NP should NOT
do which of the following: ✔
1 A. Get the help of another NP to hold the tube while you untape
the tube.
2 B. Deflate the cuff before moving the endotracheal tube.
3 C. Extubate the endotracheal tube if no air leak is detected
around the deflated cuff. - Given
4 D. Suction during extubation of the endotracheal tube to remove
secretions retained at the end of the tube.
An experienced intensive care unit NP is teaching a class of new nurses
about the neurological system. What is the best way to describe the
purpose of Cerebral Spinal Fluid (CSF) to the class? ✔
1 A. Cerebral spinal fluid cushions the brain and the spinal cord. -
Given
2 B. Cerebral spinal fluid maintains cerebral perfusion pressures.
3 C. Cerebral spinal fluid transports fluid to the ventricles.
4 D. Cerebral spinal fluid develops neurotransmitters.
What is the leading cause of acute Tubular Necrosis? ✖
1 A. Sepsis
2 B. Shock - Given
3 C. Myocardial infarction
4 D. Gastro intestinal bleeding
What is the most significant complication of intermittent Hemodialysis
that the NP needs to asses for? ✖
