vSIM Medical Scenario Test | 1–7 Case Scenarios with Verified Questions & Correct Answers

VSIM - MEDICAL SCENARIO TESTS WITHALL s s s s s s




ANSWERS s




1. PRE
Thepatientexperiencingananaphylacticreactionmayexperiencewhichof the
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following signs and symptoms? (Select all that apply.)
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Pallor
Dyspnea
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Laryngealedema Pruritus s s




Bronchospasm:Dyspnea s




Laryngeal edema
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Pruritus
Bronchospasm
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Rationale:Mildsystemicreactionsconsistofperipheraltingling,warmth,asensation of s s s s s s s s s s




fullness in the mouth and throat, nasal congestion, periorbital swelling, pruritus,
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sneezing,andtearingoftheeyes.Moderatesystemicreactionsmayincludeflushing and
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anxietyinadditiontoanyofthemildersymptoms.Moreseriousreactionsinclude
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bronchospasm,laryngealedema,severedyspnea,cyanosis,andhypotension.Dys-
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phagia(difficultyswallowing),abdominalcramping,vomiting,diarrhea,andseizures can
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also occur.Cardiac arrest and coma may follow.
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2. PRE
When a patient presents to the emergency department with pneumonia, which
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signs and symptoms would the nurse expect the patient to exhibit? (Select all that
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apply.)
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Nightsweats s




Fever
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Dyspnea
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Fatigue
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Orthopnea:Fever s




Dyspnea
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Fatigue
Orthopnea
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, Rationale:Feveris present with the infection.Patients will exhibit dyspnea, preferring to be
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propped up or sitting up due to orthopnea (shortness of breath when reclining or supine).
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The patient is fatigued from the work of breathing.
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3. PRE
Whichofthefollowingrepresentinitialsignsandsymptomsofapatientin
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respiratory distress? (Select all that apply.)
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Tachypnea




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