VERNON WATKINS PRE-SIMULATION QUIZ AND VSIM STEPS QUESTIONS
AND ANSWERS #7
1. Which of the following nursing assessment findings are excluded for a pulmonary embolism?
(Select all that apply.): Gradual onset chest pain , Hot dry skin , Bradycardia
2. What measure would the nurse take after interpreting the following arterial blood gas (ABG)
results for a postoperative client on a 40% oxygen face mask?
pH 7.34
PaCO2 46 mm Hg
HCO3 26 mEq/L
PaO2 86 mm Hg: Monitor the respiratory rate and depth closely
3. Which of the following diagnostic tools can the nurse expect to be used when a pulmonary
embolism is suspected? (Select all that apply.): Chest x-ray
,
Arterial blood gas , Electrocardiogram , Ventilation-perfusion scan
4. Morphine is administered by the nurse in the client experiencing pulmonary embolism in order to
accomplish which of the following? (Select all that apply.): Decrease anxiety ,
Decrease pain , Decrease preload
5. The nurse understands that heparin acts in which of the following ways?: It prevents conversion
of fibrinogen to fibrin.
6. Is the following statement true or false? A pulmonary embolism requires emergency treatment.:
TRUE
7. The nurse knows that death from an acute pulmonary embolism commonly occurs within how
many hours after the onset of symptoms?: 1
8. When caring for a client experiencing a pulmonary embolism, the nurse would expect to see
increased levels in which of the following lab test results due to the effects of heparin?: PTT or aPTT
9. VSIM steps: You washed your hands. To maintain patient safety, it is important to wash your
hands as soon as you enter the room.
You identified the patient. To maintain patient safety, it is important that you quickly identify the
patient.
You asked if the patient was allergic to anything. He replied: 'Yes, I'm allergic to penicillin.'
You assessed the respiration. He is breathing at 24 breaths per minute. The chest is moving
equally.
You attached the pulse oximeter. It is a good idea to monitor the saturation and pulse here. This
will allow you to reassess the patient continuously.
You checked the radial pulse. The pulse is strong, 105 per minute, and regular. You checked the
temperature at the ear. The temperature was 98.6 °F (37.0 °C).
1/
AND ANSWERS #7
1. Which of the following nursing assessment findings are excluded for a pulmonary embolism?
(Select all that apply.): Gradual onset chest pain , Hot dry skin , Bradycardia
2. What measure would the nurse take after interpreting the following arterial blood gas (ABG)
results for a postoperative client on a 40% oxygen face mask?
pH 7.34
PaCO2 46 mm Hg
HCO3 26 mEq/L
PaO2 86 mm Hg: Monitor the respiratory rate and depth closely
3. Which of the following diagnostic tools can the nurse expect to be used when a pulmonary
embolism is suspected? (Select all that apply.): Chest x-ray
,
Arterial blood gas , Electrocardiogram , Ventilation-perfusion scan
4. Morphine is administered by the nurse in the client experiencing pulmonary embolism in order to
accomplish which of the following? (Select all that apply.): Decrease anxiety ,
Decrease pain , Decrease preload
5. The nurse understands that heparin acts in which of the following ways?: It prevents conversion
of fibrinogen to fibrin.
6. Is the following statement true or false? A pulmonary embolism requires emergency treatment.:
TRUE
7. The nurse knows that death from an acute pulmonary embolism commonly occurs within how
many hours after the onset of symptoms?: 1
8. When caring for a client experiencing a pulmonary embolism, the nurse would expect to see
increased levels in which of the following lab test results due to the effects of heparin?: PTT or aPTT
9. VSIM steps: You washed your hands. To maintain patient safety, it is important to wash your
hands as soon as you enter the room.
You identified the patient. To maintain patient safety, it is important that you quickly identify the
patient.
You asked if the patient was allergic to anything. He replied: 'Yes, I'm allergic to penicillin.'
You assessed the respiration. He is breathing at 24 breaths per minute. The chest is moving
equally.
You attached the pulse oximeter. It is a good idea to monitor the saturation and pulse here. This
will allow you to reassess the patient continuously.
You checked the radial pulse. The pulse is strong, 105 per minute, and regular. You checked the
temperature at the ear. The temperature was 98.6 °F (37.0 °C).
1/
