What is the current recommended dose of intravenous or intraosseous epinephrine in adult patients with cardiac arrest?
10 mg every 10 minutes
1 mg every
... [Show More] 3-5 minutes
1 mg every 7 minutes
0.1 mg every 2 minutes
1 mg every 3-5 minutes
A patient with a traumatic brain injury (TBI) is MOST likely to suffer from what condition?
Diabetes mellitus
Cerebral palsy
Diabetes Insipidus
Myxedema coma
Diabetes Insipidus
A patient presents after sustaining a roll-over motor vehicle accident. They are complaining of pain around the mid-upper back. On your initial triage assessment, you find that patient has preserved motor function below L5 but is suffering from a loss of sensory function. The assessment findings are consistent with:
Posterior cord syndrome
Central cord syndrome
Anterior cord syndrome
Autonomic syndrome
Posterior cord syndrome
A patient arrives with acute onset of central chest pain. The patient is tachycardic and tachypneic and appears very anxious and restless. What would be the MOST important initial intervention for this patient?
Obtain electrocardiogram
Administer nitroglycerin
Administer oxygen
Obtain venous blood gas
IDK, but its not administer nitroglycerin or obtain electrocardiogram!!
A patient who is 27 weeks pregnant presents with painless bright red vaginal bleeding. What condition correlates with the presenting symptoms?
Abruptio placenta
Placenta Previa
Ectopic pregnancy
Premature rupture of membranes (PROM)
Placenta Previa
What is a common assessment finding in a patient with a tension pneumothorax?
Petechial chest rash
Distended neck veins
Equal chest wall expansion
Flattened neck veins
Distended Neck Veins
A patient presents with a two-day history of fever, cough, mild shortness of breath (SOB), sore throat, myalgia, and new onset of loss of taste and smell. What is the patient MOST likely suffering from?
Giardia
Microsporidia
COVID 19
Tuberculosis
COVID 19
The deficiency of anti-diuretic hormone (ADH) can lead to what endocrine disorders?
Diabetes Insipidus
Diabetes Mellitus
Adrenal Insufficiency
Syndrome of inappropriate secretion of ADH (SIADH)
Diabetes Insipidus
A patient presents after an intentional overdose of propranolol approximately 2 hours ago. The patient has severe hypotension and bradycardia. IV fluids and vasopressors are initiated. What nursing assessment findings indicate the treatment has been effective?
Decreasing pulse pressure
Decreasing central venous pressure
Increasing serum glucose
Increasing serum cortisol
Increasing serum glucose
A patient presents with acute onset of chest pain and goes into cardiac arrest immediately upon arrival. What is a possible reversible cause of cardiac arrest?
Hypervolemia
Alkalosis
Hyperthermia
Tension Pneumothorax
Tension Pneumothorax
Which of the following represent categories utilized to triage patients during a mass casualty incident (MCI)?
Green, orange, black, purple
Green, blue, red, black
Red, black, pink, yellow
Green, yellow, red, black
Green, yellow, red, black
A 22-year old female who is 8 weeks pregnant presents with a sudden onset of left lower abdominal pain and vaginal bleeding. The patient's family member stated that she had a syncopal episode shortly after that. What is the MOST likely diagnosis for her?
Ruptured appendix
Placenta previa
Abruptio placenta
Ruptured ectopic pregnancy
Ruptured ectopic pregnancy
A patient with a history of chronic alcohol use is brought in with possible esophageal varices. What medication is used to stop upper gastrointestinal (GI) bleeding in patients with this condition?
Octreotide (Sandostatin®)
Acetaminophen (Tylenol®)
Warfarin (Jantoven®)
Ibuprofen (Motrin®)
Octreotide (Sandostatin)
A patient has sustained multiple traumatic injuries after a fall from a height. What is considered an important component of the primary survey assessment?
Complete set of vital signs
Neurological assessment
Head to toe assessment
Patients allergy history
Neurological Assessment
What do you anticipate is the BEST indicator of adequate hydration in an adult patient with 30% body surface area burn during initial fluid resuscitation?
Blood pressure of 110/60 mm Hg
Urine output of 0.5 mL/kg/hr
Central venous pressure of 25 mm Hg
Urine output of 0.2 mL/kg/hr
Urine output 0.5mL/kg/hr
What staff member would you ask to accompany you when transporting an intubated patient to imaging for a CT?
Lift team
Respiratory therapist
Physician's assistant
Nursing assistant
RT
An elderly patient is brought in with new onset of confusion and gradual onset of headache in the last 48hours. The patient states that they had a fall 3 days ago. Based on the history and presenting complaints, what diagnostic test do you anticipate the provider to order?
MRI of the brain
Complete Blood Count
Finger stick blood sugar
CT scan of the brain
CT scan of the brain
A patient arrives with suspected appendicitis. What action, if observed, would require additional training for the unlicensed assistive personnel (UAP)?
The UAP offers the patient a ginger ale.
The UAP allows the patient to move to a position of comfort.
The UAP helps the patient with a bedpan.
The UAP reminds the patient to stay in bed.
The UAP offers the patient a ginger ale.
What laboratory value would you monitor closely if your patient is vomiting coffee-ground emesis?
White blood cells
Serum potasgium
Arterial Blood Gas
Hemoglobin
Hemoglobin
A patient who is 32 weeks pregnant presents with a three-day history of headache and significant swelling of the lower extremities and face. The patient's vital signs are BP: 160/90, HR: 105/min, RR:19/min, Spo2: 94% on RA, Temp: 97.3 F. What medication do you anticipate the provider to order FIRST?
Furosemide (Lasix)
Magnesium Sulfate
Labetalol (Trandate)
Acetaminophen (Tylenol)
Magnesium Sulfate
You are caring for a patient who has a history of alcohol use and seizures. You suddenly notice the patient becoming diaphoretic, anxious, tachycardic, and has clammy skin. What would you do NEXT?
Check their blood glucose
Turn them on their side
Auscultate their lungs
Administer propranolol
Check their blood glucose
A patient who is 24 weeks pregnant presents with fever and right upper quadrant pain. The patient states that the pain is radiating to the right shoulder blade, and started an hour after having a pizza for lunch. She is tachycardic, tachypneic, and diaphoretic on the initial triage assessment. What is the MOST likely diagnosis for this patient?
Pericarditis
Cholecystitis
Diverticulitis
Pancreatitis
Cholecystitis
A patient presents after falling from a height and fracturing their right tibia and fibula. What symptom would be reported to the provider IMMEDIATELY?
Bounding pulse
Warm extremity
Paresthesia of the foot
Capillary refill pf toes <2 sec
Paresthesia of the foot
You are assisting a novice nurse with a blood draw. You observe the nurse draw the blood, place the specimen tubes in a biohazard bag, and leave the room with the unlabeled specimen tubes. What would you do NEXT?
Don't confront the nurse, go redraw the labs and label at the bedside.
Do nothing because they can label them anywhere.
Report them to your supervisor.
Re-educate the nurse, then redraw thexabs, use patient identifiers and label at the bedside.
Re-educate
What is the critical goal time from arrival to the ED to CT brain scan based on the American Heart Association stroke recommendations?
10 minutes
25 minutes
45 minutes
60 minutes
25min
A patient presents with sudden onset of aphasia and left-sided weakness for the last 25 minutes. What action would be taken NEXT?
Triage them to the screening area
Complete a thorough triage evaluation, initiate the appropriate stroke resources
Register the patient prior to triage, and collect smoking and drug use history
Activate your department's code stroke protocol
Activate your deptartment's code stroke protocol
Your patient's chest tube dressing has accidentally come off and you are preparing to place a new one. You have a slit drain sponge, 4 x 4 gauzes, tape, scissors, and antiseptic swabs. What else do you need?
Kelly clamp
Petrolatum gauze
Tube connector
Chest drainage system
Petrolatum gauze
What type of medication is used in the emergency care setting to help manage the symptoms of alcohol withdrawal?
Benzodiazepines
Valproic acid
Electrolytes
Thiamine
Benzos
A patient presents to the lobby stating she thinks she is in active labor. Your facility doesn't have a labor and delivery unit. What is the NEXT action you would take?
Tell the patient she needs to go to the nearest hospital with a labor and delivery unit.
Have an ED provider perform a medical screening exam to determine if she is in active labor.
Call the nearest hospital with a labor and delivery unit to see if they will accept the patient.
Get a wheelchair for the patient and inform her that there will be a 3 hour wait time.
Have an ED provider preform a MSE
A patient is brought in with a history of a head-on motor vehicle accident. The patient was not wearing a seat belt and was traveling at 120 mph with the deployment of an airbag. They complain of severe lower abdominal and hip pain. A secondary trauma survey reveals an unstable hip on lateral compression. What would be a PRIORITY intervention in managing this patient?
Application of pelvic blinder
Initiation of massive transfusion protocol
Administration of IV fluids
Insertion of second IV line
Application of a pelvic binder
You exit your patient's room and as you walk away you hear a thud. Upon inspection, you find your patient on the floor. What would you do FIRST?
Assess the patient for injury.
Call the familv.
Get assistance.
Notify the charge nurse.
Assess the pt for injury
A patient is brought in for a potential overdose of heroin. What is the PRIORITY nursing intervention?
Administering normal saline fluids
Maintaining airway and breathing
Starting an IV line
Administering naloxone
Maintaining airway and breathing.
You see a fellow nurse placing an opioid medication in their pocket rather than administering it as ordered. What would you do NEXT?
Don't say anything.
Tell another coworker.
Confront your coworker.
Tell your immediate supervisor.
Tell your immediate supervisor
A patient is being treated in a hyperbaric oxygen chamber for carbon monoxide poisoning. What measurement is the BEST indicator of treatment success?
Pulse oximetry
Vital signs
Pulse pressure
O
Arterial blood gas
ABG
A patient presents with a facial burn with significant facial swelling and acute respiratory distress. Based on a 1-4 triage acuity scale with 1 being most critical, what is the appropriate category based on the
patient presentation?
1
2
3
4
1
A patient presents with an episode of hypertensive crisis, a blood pressure of 220/118, and the provider has put in the order for nitroprusside. What demonstrates that the treatment has been effective?
Systolic blood pressure reaches 160 mm Hg
Systolic blood pressure reaches 210 mm Hg
Patients states that he no longer has chest pain
Oxygen saturation increased from 94% to 99%
SBP reaches 160
You want to implement the new evidence-based practice guidelines in managing patients to prevent falling on your unit. What provides the STRONGEST evidence for interventions?
Systematic reviews
Retrospective study
Single randomized control trial
Observational study
Systematic reviews
A patient is brought in after being struck by lightning during a heavy thunderstorm. What would be the PRIORITY intervention for this patient upon arrival?
Measuring urine output
Monitoring cardiac rhythm
Cleaning of the burn wounds
Obtaining chest x-ray
Monitoring cardiac rhythm
A patient presents with a history of acute urinary retention. An indwelling catheter is placed and the patient is sent for an ultrasound scan. The imaging confirms benign prostatic hyperplasia as the cause of urinary retention. What medication do you anticipate the provider to order?
Tamsulosin (Flomax®)
Vasopressin
Phenylephrine (Omidria®)
Methoxamine (Vasoxy|®)
Flomax
The life-threatening and rare complication of hypothyroidism is known as:
Pheochromocytoma
Adrenal crisis
Thyroid storm
Myxedema coma
Myxedema
A new nurse observes their preceptor giving the incorrect dosage of a medication to a patient. Implementing the ethical principle veracity, what action would the new nurse take?
Keep the information confidential to avoid repercussions from the preceptor.
Inform the charge nurse about what happened and document it.
Since the patient was not harmed, do not report the incident.
Tell only the patient about the incident and have them decide what to do.
Inform the charge nurse about what happened and document it.
Your patient has just had a paracentesis during which 5 liters of fluid were removed. Which assessment is the PRIORITY?
Palpate for tenderness
Blood pressure
Observation of puncture site
Signs of infection
Blood pressure [Show Less]