NR 341 CMS QUESTIONS AND ANSWERS
drugs for atrial flutter Correct Answer: amiodarone, beta blockers, digoxin
EKG during A flutter Correct Answer:
... [Show More] Paced atrial beats
Paced ventricular beats (no P-wave)
EKG during V tach Correct Answer: Rate: 100-220 beats/min
Rhythm: Regular
P wave: absent
QRS: Wide and bizarre, > 0.12
what kind of food should burn patients eat Correct Answer: fresh fruits and veggies
s/s of SIADH Correct Answer: weakness, muscle cramps, anorexia, nausea, HA, disoriented/irritable, weight gain, fluid intake will exceed output, dyspnea, HTN
electrolytes: Hyponatremia
s/s of SIRs Correct Answer: Tachypnea
Temperature dysregulation
↓ urine output - Oliguria
Altered LOC - Acute encephalopathy
Metabolic acidosis
Petechiae
Virchow's triad Correct Answer: Venous stasis
Altered coagulability
Damage to vessel wall
(3 biggest causes of PE)
s/s of pulmonary embolism Correct Answer: Symptoms of deep venous thrombosis
Chest pain (worse on inspiration)
Dyspnea, Tachycardia
Cough; hemoptysis
Crackles, wheezes
Hypoxemia
normal range for fasting blood glucose Correct Answer: 70-110 mg/dL
Normal HbA1c levels Correct Answer: 4-6%
Normal postprandial blood glucose levels Correct Answer: <160 mg/dl
normal causal blood glucose levels Correct Answer: <200 mg/dl
What to do when patient has upper GI bleeding Correct Answer: gastric lavage
s/s of SIRS Correct Answer: Temperature > 38°C (100.4°F) or < 36°C (96.8°F)•Heart rate > 90•Respiratory rate > 20 or PaCO2 < 32 mmHg•WBC > 12000/mm3 , < 4000/mm3 , or > 10% bands
Click on pic of abdomen where patient would have transverse colostomy Correct Answer: upper left abdomen
seizure precautions Correct Answer: safety (protect head, lower to ground), then airway
O2 given after seizure has stopped
S/S of SIADH Correct Answer: decreased uop, increase urine specific gravity, hyponatremia, weight gain without edema, weakness, n/v, seizure, decreased reflexes, HTN
Med for status epilepticus Correct Answer: FIRST LINE DRUGS. Lorazepam (Ativan) is the drug of choice
action if reaction to RBCs Correct Answer: stop the infusion
med to give after thyroidectomy Correct Answer: levothyroxine (synthroid)
cushing's triad Correct Answer: Signs of increased intracranial pressure:
1. hypertension
2. bradycardia
3. irregular respirations
s/s of pulmonary embolism Correct Answer: Symptoms of deep venous thrombosis
Chest pain (worse on inspiration)
Dyspnea, Tachycardia
Cough; hemoptysis
Crackles, wheezes
Hypoxemia
1st degree burn (superficial) Correct Answer: epidermis only or small depth of dermis
Sunburn
2nd degree burn (partial thickness) Correct Answer: epidermis and most of dermis
3rd degree burn (full thickness) Correct Answer: Same as partial thickness but may extend into subcutaneous tissue; nerve damage
Thick, dry leathery appearance
4th degree burn (deep full thickness) Correct Answer: Destruction of all layers plus muscles, tendons & bones
Black with no edema
esophageal varices treatment Correct Answer: octreotide to decrease splanchic (GI) blood flow
and banded ligation [Show Less]