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Critical Care Nursing Review
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1
Question
A nurse is applying for a position at a facility where care is provided to clients with incomplete spinal cord injuries. Which condition can the nurse expect to care for?
Page 1
Answer
Brown-Sequard Syndrome
2
Question
Carbidopa-levodopa (Sinemet) is prescribed to a client with Parkinson’s disease. Which indicates an adverse reaction to the medication?
Page 1
Answer
Impaired voluntary movements
3
Question
What knowledge guides the nurse in providing care for a patient with acoustic neuroma?
Page 1
Answer
Early diagnosis and treatment of the tumor preserves hearing and vestibular function
4
Question
Level C protective equipment deemed necessary for unknown substance includes what?
Page 1
Answer
Air-purifying respirator
5
Question
A nurse is assisting a patient in an ambulance who suddenly develops chest pain. What is the priority intervention?
Page 1
Answer
Assist the client to sit or lie down
6
Question
Which recurring condition most commonly occurs in clients with cardiomyopathy?
Page 1
Answer
Heart failure
7
Question
Unhelmeted patient in motorcycle accident strikes head on curb, has lucid interval then becomes unconscious. Most likely cause?
Page 1
Answer
Epidural hematoma
8
Question
Post retinal detachment repair, postoperative order is prone position until otherwise ordered. What should the nurse do?
Page 1
Answer
Follow the order because the position will help keep the retinal repair intact
9
Question
Which describes decerebrate posturing?
Page 3
Answer
Rigid extension of all four extremities
10
Question
22-year-old with dark urine, fever, flank pain diagnosed with acute glomerulonephritis. Most likely health history?
Page 3
Answer
Recent strep throat
11
Question
Client with hydronephrosis secondary to calculi has had calculi removed with post-obstructive diuresis occurring. Which intervention?
Page 3
Answer
Monitor the client’s electrolyte levels
12
Question
Endotracheal intubation attempted for respiratory arrest victim, but O2 sat stays low with bag-valve. Likely explanation?
Page 3
Answer
Intubation of the hypopharyngeal area
13
Question
Client receiving amiodarone drip at 1 mg/min during CPR post-cardiac arrest. Purpose of drip?
Page 3
Answer
Treat life-threatening ventricular arrhythmias (VT, VF, AF)
14
Question
Client in neuro ICU with spinal cord injury shows sudden depression of reflex activity below injury level. Nurse suspects?
Page 3
Answer
Spinal shock
15
Question
Client with central venous catheter develops sudden dyspnea, tachycardia, dizziness. Suspected air embolism. Best position?
Page 4
Answer
On his left side in Trendelenburg
16
Question
Client receiving blood transfusion develops cough, shortness of breath, headache. First action?
Page 4
Answer
Slow the infusion rate (TACO)
17
Question
CSF analysis findings in 19-year-old male suspected of bacterial meningitis?
Page 4
Answer
Cloudy CSF, elevated protein, decreased glucose
18
Question
Nurse finds client unresponsive in room. After notifying rapid response team, first action?
Page 4
Answer
Check for a carotid pulse
19
Question
Patient with respiratory insufficiency cannot maintain spontaneous respirations. Expected physician intervention?
Page 4
Answer
Perform endotracheal intubation
20
Question
Serum lab finding to report for client on hydrochlorothiazide for hypertension?
Page 4
Answer
Potassium 2.3
21
Question
CKD patient scheduled for dialysis has tall T waves on ECG. Consistent BMP result?
Page 4
Answer
Potassium 7.1
22
Question
Severe trauma client with ABGs showing low arterial O2 unresponsive to high O2 administration indicates?
Page 4
Answer
ARDS
23
Question
Purpose of pursed lip breathing?
Page 5
Answer
Promotes carbon dioxide elimination
24
Question
Nursing action to decrease ventilator-associated pneumonia risk in orally intubated patient?
Page 5
Answer
Elevate HOB to 30-45 degrees
25
Question
Nursing action to decrease ventilator-associated pneumonia risk in orally intubated patient?
Page 5
Answer
Perform oral care with chlorhexidine
26
Question
Drug action of sodium polystyrene sulfonate for elevated serum potassium in acute renal failure?
Page 5
Answer
Exchange sodium for potassium in the colon
27
Question
Diaphoretic, dizzy client with BP 82/46 and dysrhythmia treated with?
Page 5
Answer
Atropine for symptomatic bradycardia
28
Question
Hypotensive ARDS patient after toxic fume exposure. Cause of hypotension?
Page 5
Answer
Hypovolemia secondary to leakage of fluid into the interstitial spaces
29
Question
Visual field change typical in macular degeneration?
Page 5
Answer
Center vision blocked out, only outer visual fields clear
30
Question
Post-cardiac catheterization nursing intervention?
Page 6
Answer
Check peripheral pulses in the affected extremity