D118: Unit 3 Study Guide OA
QUESTIONS &
ANSWERS(RATED A)
A patient presents with complaints of sudden onset hoarseness, wheezing, and an
itchy throat after being stung by a bee. The advanced practice registered nurse
(APRN) suspects the patient may be having an anaphylactic reaction.
What should be the first-line pharmacological treatment? - ANSWER Aquenous
epinephrine 1:1000 dilution (EpiPen) 0.2-0.5mg IM
An advanced practice registered nurse (APRN) is debriefing and doing a review of
a workplace violence incident. The APRN is gathering feedback from participants
at all levels who were involved.
Which phase of emergency management is the APRN addressing? - ANSWER
Recovery
An advanced practice registered nurse (APRN) explains to a new staff member
that during times of disaster no patients will be turned away from receiving care,
even during a surge capacity of patients.
Which guideline supports the instruction the APRN is sharing? - ANSWER
Emergency Medical Treatment and Active Labor Act (EMTALA)
A 28-year-old female presents to an advanced practice registered nurse (APRN)
with complaints of blurred vision and irritation to her right eye for the past three
, days. She does not report any headaches, dizziness, fever, or chills. The patient
does not complain of any pain, rhinorrhea, or sneezing.
Assessment yields the following:
vital signs are within normal limits
left eye: sclera white, conjunctivae pink
right eye: sclera red
Which treatment should the APRN recommend based on the patient's differential
diagnoses? - ANSWER Use artificial tears as-needed for irritation
A 62-year-old patient is seen by an advanced practice registered nurse (APRN) for
intermittent buzzing in the ears. The patient has no history of exposure to loud
noises at work but does have a history of attending many loud rock concerts.
Otoscopic inspection reveals no excess cerumen and normal tympanic
membranes. Audiology testing reveals mild hearing loss bilaterally. The patient
denies dizziness and has no known allergies. Review of medications includes low-
dose aspirin, multivitamin, calcium supplement, and over-the-counter Ibuprofen
prn for back and hip pain related to arthritis.
Which treatment should the APRN recommend for this patient? - ANSWER
Replace NSAID with a COX2 inhibitor
During a routine wellness exam, the primary care nurse practitioner notes an
irregular radial pulse and irregular heart sounds. The patient's vital signs are: BP
126/84, HR 105, RR 16, T 98.8°F (37.1°C).
What should the nurse practitioner do next? - ANSWER Order a STAT ECG
Physical signs indicate potential atrial fibrillation in a hemodynamically stable
patient. STAT ECG should be ordered to diagnosis a fib and rule out other cardiac
arrhythmias
QUESTIONS &
ANSWERS(RATED A)
A patient presents with complaints of sudden onset hoarseness, wheezing, and an
itchy throat after being stung by a bee. The advanced practice registered nurse
(APRN) suspects the patient may be having an anaphylactic reaction.
What should be the first-line pharmacological treatment? - ANSWER Aquenous
epinephrine 1:1000 dilution (EpiPen) 0.2-0.5mg IM
An advanced practice registered nurse (APRN) is debriefing and doing a review of
a workplace violence incident. The APRN is gathering feedback from participants
at all levels who were involved.
Which phase of emergency management is the APRN addressing? - ANSWER
Recovery
An advanced practice registered nurse (APRN) explains to a new staff member
that during times of disaster no patients will be turned away from receiving care,
even during a surge capacity of patients.
Which guideline supports the instruction the APRN is sharing? - ANSWER
Emergency Medical Treatment and Active Labor Act (EMTALA)
A 28-year-old female presents to an advanced practice registered nurse (APRN)
with complaints of blurred vision and irritation to her right eye for the past three
, days. She does not report any headaches, dizziness, fever, or chills. The patient
does not complain of any pain, rhinorrhea, or sneezing.
Assessment yields the following:
vital signs are within normal limits
left eye: sclera white, conjunctivae pink
right eye: sclera red
Which treatment should the APRN recommend based on the patient's differential
diagnoses? - ANSWER Use artificial tears as-needed for irritation
A 62-year-old patient is seen by an advanced practice registered nurse (APRN) for
intermittent buzzing in the ears. The patient has no history of exposure to loud
noises at work but does have a history of attending many loud rock concerts.
Otoscopic inspection reveals no excess cerumen and normal tympanic
membranes. Audiology testing reveals mild hearing loss bilaterally. The patient
denies dizziness and has no known allergies. Review of medications includes low-
dose aspirin, multivitamin, calcium supplement, and over-the-counter Ibuprofen
prn for back and hip pain related to arthritis.
Which treatment should the APRN recommend for this patient? - ANSWER
Replace NSAID with a COX2 inhibitor
During a routine wellness exam, the primary care nurse practitioner notes an
irregular radial pulse and irregular heart sounds. The patient's vital signs are: BP
126/84, HR 105, RR 16, T 98.8°F (37.1°C).
What should the nurse practitioner do next? - ANSWER Order a STAT ECG
Physical signs indicate potential atrial fibrillation in a hemodynamically stable
patient. STAT ECG should be ordered to diagnosis a fib and rule out other cardiac
arrhythmias
