NURS 420 Quiz 2 Practice Questions with verified
answers
}A patient who has been involved in a motor-vehicle crash is admitted
to the ED with cool, clammy skin, tachycardia, and hypotension. All of
these orders are written. Which one will the nurse act on first?
a. Insert two 14-gauge IV catheters.
b. Administer oxygen at 100% per non-rebreather mask.
c. Place the patient on continuous cardiac monitor.
d. Draw blood to type and crossmatch for transfusions. Ans✓✓✓ d.
Draw blood to type and crossmatch for transfusions.
•A patients on SIMV control with a vent set rate of 12. Which of the
following settings indicate the ventilator is malfunctioning?
A)O2 of 40%, vent rate 12, Pts RR is 20
B)O2 of 60%, vent rate of 12, Pt's RR is 24
C)O2 of 30%, vent rate of 10, Pts RR is 12
D)O2 of 40%, vent rate of 12, PTs RR is 10 Ans✓✓✓ C)O2 of 30%, vent
rate of 10, Pts RR is 12
A 57 y.o male patient with hx of CAD with new onset SOB and
orthopnea is ordered labs by the physician. Which result below is most
indicative of HF?
,A.Elevated creatinine
B.Hypokalemia
C.Elevated BNP
D.Low platelets Ans✓✓✓ C.Elevated BNP
A CVP of 10 could indicate... (Select all that apply)
a. Volume overload
b. Hypovolemia
c. Vasoconstriction
d. Vasodilation Ans✓✓✓ a. Volume overload
c. Vasoconstriction
CVP should be anywhere from 2-6. CVP 10 is too high.
A nurse is consulting with a multidisciplinary team regarding renal
impairment from sepsis. Which statement regarding kidney dysfunction
is true?
a. An increased creatinine level is the earliest sign of kidney
impairment.
b. Hypotensive episodes do not affect kidney function.
, c. Elevated peak levels of antibiotics can lead to kidney impairment.
d. Increased production of erythropoietin may result in kidney
impairment. Ans✓✓✓ c. Elevated peak levels of antibiotics can lead to
kidney impairment.
A nurse is working on a spinal cord injury unit and has just finished shift
report. Which patient should be seen first?
a. 18-year-old woman whose dose of low-molecular-weight heparin is
due
b. 28-year-old woman who is complaining of being cold
c. 24-year-old man who has not had a bowel movement since yesterday
d. 32-year-old man whose blood pressure is 84/40 mm Hg and heart
rate is 60 beats/min Ans✓✓✓ d. 32-year-old man whose blood pressure
is 84/40 mm Hg and heart rate is 60 beats/min
A patient becomes bradycardic with HR of 46 because they are in heart
failure. Which medication would you expect to give first?
A)Atropine
B)Epinephrine
C)Nitroglycerin
D)Dopamine Ans✓✓✓ A)Atropine
answers
}A patient who has been involved in a motor-vehicle crash is admitted
to the ED with cool, clammy skin, tachycardia, and hypotension. All of
these orders are written. Which one will the nurse act on first?
a. Insert two 14-gauge IV catheters.
b. Administer oxygen at 100% per non-rebreather mask.
c. Place the patient on continuous cardiac monitor.
d. Draw blood to type and crossmatch for transfusions. Ans✓✓✓ d.
Draw blood to type and crossmatch for transfusions.
•A patients on SIMV control with a vent set rate of 12. Which of the
following settings indicate the ventilator is malfunctioning?
A)O2 of 40%, vent rate 12, Pts RR is 20
B)O2 of 60%, vent rate of 12, Pt's RR is 24
C)O2 of 30%, vent rate of 10, Pts RR is 12
D)O2 of 40%, vent rate of 12, PTs RR is 10 Ans✓✓✓ C)O2 of 30%, vent
rate of 10, Pts RR is 12
A 57 y.o male patient with hx of CAD with new onset SOB and
orthopnea is ordered labs by the physician. Which result below is most
indicative of HF?
,A.Elevated creatinine
B.Hypokalemia
C.Elevated BNP
D.Low platelets Ans✓✓✓ C.Elevated BNP
A CVP of 10 could indicate... (Select all that apply)
a. Volume overload
b. Hypovolemia
c. Vasoconstriction
d. Vasodilation Ans✓✓✓ a. Volume overload
c. Vasoconstriction
CVP should be anywhere from 2-6. CVP 10 is too high.
A nurse is consulting with a multidisciplinary team regarding renal
impairment from sepsis. Which statement regarding kidney dysfunction
is true?
a. An increased creatinine level is the earliest sign of kidney
impairment.
b. Hypotensive episodes do not affect kidney function.
, c. Elevated peak levels of antibiotics can lead to kidney impairment.
d. Increased production of erythropoietin may result in kidney
impairment. Ans✓✓✓ c. Elevated peak levels of antibiotics can lead to
kidney impairment.
A nurse is working on a spinal cord injury unit and has just finished shift
report. Which patient should be seen first?
a. 18-year-old woman whose dose of low-molecular-weight heparin is
due
b. 28-year-old woman who is complaining of being cold
c. 24-year-old man who has not had a bowel movement since yesterday
d. 32-year-old man whose blood pressure is 84/40 mm Hg and heart
rate is 60 beats/min Ans✓✓✓ d. 32-year-old man whose blood pressure
is 84/40 mm Hg and heart rate is 60 beats/min
A patient becomes bradycardic with HR of 46 because they are in heart
failure. Which medication would you expect to give first?
A)Atropine
B)Epinephrine
C)Nitroglycerin
D)Dopamine Ans✓✓✓ A)Atropine
