Critical CN & Emergency CN (BNNS 4114) Quiz for Revision

A patient nearing end of life expresses the desire for a DNR order. Which ethical principle supports respecting their choice?

• Justice

• Autonomy

• Beneficence

• Non-maleficence

In acute myocardial infarction, why is IV morphine administered as a first-line treatment?

• To reduce anxiety

• To relieve chest pain

• To increase oxygenation

• To increase cardiac workload

Applying physical restraints without a doctor's order leads to ethical conflict because:

• It's a value-based decision

• Patient’s legal rights coexist with a health professional’s obligation.

• It occurs under stress

• It ignores patient autonomy

A patient's heart rate drops during suctioning. What is the immediate nursing action?

• Reduce suction pressure

• Notify the physician

• Stop suction and provide oxygen

• Continue and observe

Distended neck veins are commonly observed in which cardiovascular disorder?

• Myocarditis

• Heart failure

• Myocardial infarction

• Abdominal aortic aneurysm

A stroke patient arrives with slurred speech and left arm weakness. What should be done first?

• Identify risk factors

• Request urgent brain CT

• Call speech therapist

• Prepare for thrombolytics

What physical assessment finding requires immediate action after a motor vehicle accident?

• Unequal pupils

• Irregular pulse

• Tracheal deviation

• Fever with vomiting

What is the nurse's top concern before administering t-PA to an ischemic stroke patient?

• Past medical history

• Physical assessment

• Planned surgeries

• Time of symptom onset

A patient with closed head injury should be monitored closely for what complication?

• Hypotension

• Hyperthermia

• Cerebral edema

• Pulmonary edema

After a motor vehicle crash, a patient has facial swelling and noisy breathing. What should the nurse do first?

• Administer oxygen and intubate

• Open airway and suction

• Start IV line

• Send for blood tests