NR 341
Complex Care
MIDTERM EXAM REVIEW
© 2024/2025
,1. A patient with chronic obstructive pulmonary disease (COPD)
presents with increased shortness of breath and wheezing. What is
the most appropriate first intervention?
a) Administer a bronchodilator
b) Place the patient in a supine position
c) Prepare for intubation
d) Provide high-flow oxygen
Answer: a) Administer a bronchodilator
Rationale: Bronchodilators are the first line of defense for
acute exacerbations of COPD as they help open up the airways.
2. Which of the following lab values would be most concerning in
a patient on long-term warfarin therapy?
a) INR of 1.0
b) INR of 2.5
c) INR of 5.0
d) INR of 3.5
Answer: c) INR of 5.0
© 2024/2025
, Rationale: An INR of 5.0 indicates a significantly increased
risk of bleeding, necessitating immediate intervention.
3. In managing a patient with heart failure, which dietary
modification is most important?
a) Increased protein intake
b) High sodium diet
c) Fluid restriction
d) Low-fat diet
Answer: c) Fluid restriction
Rationale: Fluid restriction helps to prevent fluid overload,
which is crucial in heart failure management.
4. What assessment finding is most indicative of a patient
experiencing septic shock?
a) Bradycardia
b) Hypotension
c) Hypothermia
d) Increased urine output
Answer: b) Hypotension
© 2024/2025
Complex Care
MIDTERM EXAM REVIEW
© 2024/2025
,1. A patient with chronic obstructive pulmonary disease (COPD)
presents with increased shortness of breath and wheezing. What is
the most appropriate first intervention?
a) Administer a bronchodilator
b) Place the patient in a supine position
c) Prepare for intubation
d) Provide high-flow oxygen
Answer: a) Administer a bronchodilator
Rationale: Bronchodilators are the first line of defense for
acute exacerbations of COPD as they help open up the airways.
2. Which of the following lab values would be most concerning in
a patient on long-term warfarin therapy?
a) INR of 1.0
b) INR of 2.5
c) INR of 5.0
d) INR of 3.5
Answer: c) INR of 5.0
© 2024/2025
, Rationale: An INR of 5.0 indicates a significantly increased
risk of bleeding, necessitating immediate intervention.
3. In managing a patient with heart failure, which dietary
modification is most important?
a) Increased protein intake
b) High sodium diet
c) Fluid restriction
d) Low-fat diet
Answer: c) Fluid restriction
Rationale: Fluid restriction helps to prevent fluid overload,
which is crucial in heart failure management.
4. What assessment finding is most indicative of a patient
experiencing septic shock?
a) Bradycardia
b) Hypotension
c) Hypothermia
d) Increased urine output
Answer: b) Hypotension
© 2024/2025
