NR 341: CRITICAL CARE NURSING EXAM |VERIFIED WITH
ACCURATE Q&A –CHAMBERLAIN
1. A nursing intervention indicated for the patient in the ICU who has a nursing diagnosis of anxiety
related to ICU environment and sensory overload is
b. eliminating unnecessary alarms and overhead paging.
2. Medcalc (3)
3. While suctioning the ET tube of a spontaneously breathing patient, the nurse notes that the patient
develops bradycardia with premature ventricular contractions. The nurse should
d. stop suctioning and ventilate the patient with a BVM device with 100% oxygen until the HR returns to
baseline
4. The patient has experienced an increased preload which supports an increase in CO. What nursing
actions contributes to an increased preload?
c. increased fluid administration
5. Before taking hemodynamic measurements, how must the nurse reference the monitoring
equipment?
a. position the stopcock nearest the transducer level with the phlebostatic axis
6. Upon admission of a patient to the PACU, the nurse's priority nursing assessment is
c. respiratory adequacy
7. What is included in the routine assessment of the patient's cardiovascular function on admission to
the PACU?
b. ECG monitoring
8. To prevent airway obstruction in the post-op patient who is unconscious or semiconscious, what
will the nurse do?
d. position the patient in a side-lying position
9. In addition to ambulation, which nursing intervention could be implemented to prevent or treat the
post-op complication of syncope?
c. slowly progress to ambulation with slow changes in position
10. What should be included in the instructions given to the post-op patient before discharge?
c. written information about self-care during recuperation
11. The husband and daughter of a Hispanic woman dying from pancreatic cancer refuse to consider
using hospice care. What is the first thing the nurse should do?
a. Assess their understanding of what hospice care services are.
, 12. A terminally ill patient is unresponsive and has cold, clammy skin with mottling on the extremities.
The patient's husband and two grown children are arguing at the bedside about where the patient's
funeral should be held. What should the nurse do first?
b. Take the family members aside and explain that the patient may be able to hear them.
13. A patient with end-stage liver failure tells the nurse, "If I can just live to see my first grandchild
who is expected in 5 months, then I can die happy." The nurse recognizes that the patient is
demonstrating which of the following stages of grieving?
b. Kübler-Ross's stage of bargaining
14. On the first post operative day following a bowel resection, the patient complains of abdominal
and incisional pain rated 9 on a scale of 0 to 10. Post operative orders include morphine (4mg IV q4hr)
for pain and may repeat morphine (4mg IV) for breakthrough pain. The nurse determines that it has
been only 1 3/4 hours since the last dose of morphine and wants to wait a little longer. What effect
does the nurse's action have on the patient?
c. Contributes to unnecessary suffering and physical and psychological dysfunction
15. Amitriptyline is prescribed for a patient with chronic pain from fibromyalgia. When the nurse
explains that this drug is an antidepressant, the patient states that she is in pain, not depressed. What
is the nurse's best response to the patient?
c. Some antidepressant drugs relieve pain by releasing neurotransmitters that prevent pain impulses
from reaching the brain
16. A patient with chronic cancer related pain has started using MS Contin for pain control and has
developed common side effects of the drug. The nurse reassures the patient that tolerance will
develop to most of these side effects but that continued treatment will most be likely required for
what?
c. Constipation
17. Which short-acting barbiturate is most often used for induction of general anesthesia?
D. Methohexital (brevital)
18. What is the primary advantage of the use of midazolam as an adjunct to general anesthesia?
A. Amnesties effect
19. It is most important to monitor the patient for malignant hyperthermia the patient receive which
anesthetic agent?
C. Succinylcholine
20. COULD FIND BUT IS RIGHT!!!! Which best represents autonomy?
Ask pt if they have any questions before signing consent.
ACCURATE Q&A –CHAMBERLAIN
1. A nursing intervention indicated for the patient in the ICU who has a nursing diagnosis of anxiety
related to ICU environment and sensory overload is
b. eliminating unnecessary alarms and overhead paging.
2. Medcalc (3)
3. While suctioning the ET tube of a spontaneously breathing patient, the nurse notes that the patient
develops bradycardia with premature ventricular contractions. The nurse should
d. stop suctioning and ventilate the patient with a BVM device with 100% oxygen until the HR returns to
baseline
4. The patient has experienced an increased preload which supports an increase in CO. What nursing
actions contributes to an increased preload?
c. increased fluid administration
5. Before taking hemodynamic measurements, how must the nurse reference the monitoring
equipment?
a. position the stopcock nearest the transducer level with the phlebostatic axis
6. Upon admission of a patient to the PACU, the nurse's priority nursing assessment is
c. respiratory adequacy
7. What is included in the routine assessment of the patient's cardiovascular function on admission to
the PACU?
b. ECG monitoring
8. To prevent airway obstruction in the post-op patient who is unconscious or semiconscious, what
will the nurse do?
d. position the patient in a side-lying position
9. In addition to ambulation, which nursing intervention could be implemented to prevent or treat the
post-op complication of syncope?
c. slowly progress to ambulation with slow changes in position
10. What should be included in the instructions given to the post-op patient before discharge?
c. written information about self-care during recuperation
11. The husband and daughter of a Hispanic woman dying from pancreatic cancer refuse to consider
using hospice care. What is the first thing the nurse should do?
a. Assess their understanding of what hospice care services are.
, 12. A terminally ill patient is unresponsive and has cold, clammy skin with mottling on the extremities.
The patient's husband and two grown children are arguing at the bedside about where the patient's
funeral should be held. What should the nurse do first?
b. Take the family members aside and explain that the patient may be able to hear them.
13. A patient with end-stage liver failure tells the nurse, "If I can just live to see my first grandchild
who is expected in 5 months, then I can die happy." The nurse recognizes that the patient is
demonstrating which of the following stages of grieving?
b. Kübler-Ross's stage of bargaining
14. On the first post operative day following a bowel resection, the patient complains of abdominal
and incisional pain rated 9 on a scale of 0 to 10. Post operative orders include morphine (4mg IV q4hr)
for pain and may repeat morphine (4mg IV) for breakthrough pain. The nurse determines that it has
been only 1 3/4 hours since the last dose of morphine and wants to wait a little longer. What effect
does the nurse's action have on the patient?
c. Contributes to unnecessary suffering and physical and psychological dysfunction
15. Amitriptyline is prescribed for a patient with chronic pain from fibromyalgia. When the nurse
explains that this drug is an antidepressant, the patient states that she is in pain, not depressed. What
is the nurse's best response to the patient?
c. Some antidepressant drugs relieve pain by releasing neurotransmitters that prevent pain impulses
from reaching the brain
16. A patient with chronic cancer related pain has started using MS Contin for pain control and has
developed common side effects of the drug. The nurse reassures the patient that tolerance will
develop to most of these side effects but that continued treatment will most be likely required for
what?
c. Constipation
17. Which short-acting barbiturate is most often used for induction of general anesthesia?
D. Methohexital (brevital)
18. What is the primary advantage of the use of midazolam as an adjunct to general anesthesia?
A. Amnesties effect
19. It is most important to monitor the patient for malignant hyperthermia the patient receive which
anesthetic agent?
C. Succinylcholine
20. COULD FIND BUT IS RIGHT!!!! Which best represents autonomy?
Ask pt if they have any questions before signing consent.
