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Critical care Nursing Prelims July 2021

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

The

nurse is monitoring a client following a lung resection. The hourly output

from the chest tube was 300mL. The nurse should give priority to:

a)

Turning

the client to the left side

b)

Milking

the tube to ensure patency

c)

Slowing

the intravenous infusion

d)

Notifying

the physician

2.

A

client with chronic renal failure is experiencing

central nervous system changes caused by uremic toxins. Which nursing

intervention would be most appropriate for addressing the changes?

a)

Allow

the client to grieve for body image changes

b)

Restrict

foods that are high in potassium

c)

Restrict

fluid intake to 1,000 mL/day

d)

Assess

the client’s mental status regularly

3.

The

nurse is auscultating the lungs in a postoperative client and hears something

that sounds like a cellophane bag being wrinkled when the client takes in a

breath. What nursing care is essential

because of the finding?

a)

Start

emergency oxygen and notify the physician

b)

Have the

client take several deep breaths and cough every two hours

c)

Notify

the physician and prepare the client for a tracheostomy

d)

Carefully

observe the client for cyanosis

4.

A

primary reason for infusing blood at a rate of 60ml / hour is to help prevent

which of the following complications?

a)

Emboli

formation

b)

Fluid

volume overload

c)

Red

blood cell hemolysis

d)

Allergic

reaction

5.

A

client in the intensive care unit is on a volume cycled mechanical

ventilator. The high pressure alarm begins to sound repeatedly. The client is

sleeping quietly. What is the most most appropriate initial response by the

nurse?

a)

Call

the respiratory therapist to check the ventilator

b)

Turn the

client to stimulate coughing

c)

Check

the ventilator tubing

d)

Obtain

arterial blood for blood gas analysis

6.

A client

receives a Thrombolytic agent. The expected outcome of this drug therapy

includes:

a)

Improved

cerebral perfusion

b)

Decreased

vascular permeability

c)

Dissolved

emboli

d)

Prevention

of hemorrhage

7.

What

features separate a hypertensive urgency from an emergency?

a)

Percentile

of blood pressure

b)

Duration

of elevation

c)

Signs of

end organ involvement

d)

All of

the above

8.

A

patient with negative troponins and stress test results reports recurring

chest pain that is similar to the patient's pain on admission. The

cardiovascular nurse next action is to:

a)

activate

the cardiac catheterization team

b)

administer

analgesics

c)

obtain a

12-lead electrocardiogram

d)

promote

relaxation and monitor the response

9.

Mr. T.

has a ventricular demand pacemaker that is set at 72 beats per minute. The

nurse knows that Mr. T. pacemaker is functioning correctly if which of the

following appears on the ECG?

a)

Pacemaker

spikes instead of QRS complexes

b)

Pacemaker

spikes followed by QRS complexes

c)

Pacemaker

spikes before each P wave

d)

Pacemaker

spikes appearing only if the heart rate is over 72

10.

Which

of the following classes of drugs is most widely used in the treatment of

cardiomyopathy?

a)

Antihypertensive

b)

Beta-adrenergic

blockers

c)

Calcium

channel blockers

d)

Nitrates

11.

An

important responsibility for a patient after an invasive cardiovascular

diagnostic study:

a)

Discourage

intake and place the client in prone position

b)

Apply

pressure to the puncture site and exercise the involved extremity

c)

Limit

motion of the affected extremity and assess the puncture site

d)

Restrict

fluid intake and encourage ambulation

12.

Which

structure is called as the 3 order pacemaker?

a)

AV node

b)

Junctional

c)

SA node

d)

Ventricular

myocytes

13.

All the

following are pathophysiological mechanisms for respiratory failure

except

a)

Hypoventilation

b)

V/Q

mismatch

c)

Shift of

O2-Hb dissociation curve to the left

d)

Diffusion

deficit

14.

You

assist your patient with using their inhaler. The inhaler contains the

medication Budesonide. Before administering the inhaler, you will want to

connect what device to the inhaler to help decrease the patient from

developing ________?

a)

Peak

flow meter; pneumonia

b)

Incentive

spirometer; thrush

c)

Spacer;

thrush

d)

Peak flow

meter; mouth sores

15.

Infants of mothers with diabetes (IDMs) are

at higher risk for developing:

a)

Anemia

b)

Hyponatremia

c)

Respiratory

distress syndrome

d)

Sepsis

16.

The nurse would assess that the client is

demonstrating a typical adverse reaction to lidocaine hydrochloride when the

client complains of:

a)

Palpitations

b)

Urinary

frequency

c)

Tinnitus

d)

Lethargy

17.

NTG

post MyocardiaI Infarction has what

benefit?

a)

Increases

preload, decreases after load, decreases BP, elevates MVE demand

b)

Decreases

preload, increases after load, elevates BP, elevates MVE consumption

c)

Decreases

preload, decreases after load, decreases BP, elevates MVE delivery

d)

Decreases

preload, decreases after load, elevates BP, decreases MVE delivery

18.

A nurse

is caring for a client with renal failure. Blood gas results indicate a pH of

7.30; a PCO2 of 32 mm Hg, and a bicarbonate concentration of 20 mEq/L. The

nurse has determined that the client is experiencing metabolic acidosis.

Which of the following laboratory values would the nurse expect to note?

a)

Sodium

level of 145 mEq/L

b)

Magnesium

level of 2.0 mg/dL

c)

Potassium

level of 5.2 mEq/L

d)

Phosphorus

level of 4.0 mg/dL

19.

You

suspect kidney transplant rejection when the patient shows which symptoms?

a)

Pain in

the incision, general malaise and hypotension

b)

Pain in

the incision, general malaise and depression

c)

Fever,

weight gain and diminished urine output

d)

Diminished

urine output and hypotension

20.

The

nurse is working on a surgical ICU. The nurse must logroll a male client

following a:

a)

Laminectomy

b)

Thoracotomy

c)

Hemorrhoidectomy

d)

Cystectomy

21.

The

nurse is assessing a person with long standing chronic obstructive pulmonary

disease(COPD) . Which findings would the nurse expect to find?

a)

Low

grade fever

b)

Weak

thready pulse

c)

Increased

chest diameter

d)

Crepitus

22.

The

nurse is caring for Baby M. age 2 year old who is showing clinical

manifestations of heart murmur, widened pulse presure, cardiomegaly, bounding

pulses, and tachycardia. The assessment findings indicate that which of the

following shunt systems from fetal circulation has failed to close?

a)

Ductus

venosus

b)

Ductus

arteriosus

c)

Ligamentum

arteriosum

d)

Foramen

ovale

23.

The

nurse is reading an ECG rhythm strip notes that there are 8 QRS complexes in

a 6 second strip. The heart rate is:

a)

48

b)

64

c)

80

d)

120

24.

A

client has the following ABG values. pH=7.52; PaO2= 50mm Hg; PaCo2= 28mmHg;

HCO3= 24meq/L. From the clients PaCO2 level the nurse determines that the

client is experiencing which of the following conditions?

a)

Hypoxemia

b)

Hypoventilation

c)

Hyperventilation

d)

Oxygen

toxicity

25.

An older

adult is diagnosed with Parkinson’s disease. The client asks the nurse what

causes Parkinson’s disease. In addition to telling the client that we are not

really sure what causes it, the nurse should include which information?

a)

There is

not enough dopamine in the brain.

b)

The

myelin sheath is being destroyed

c)

There is

not enough acetylcholine at the myoneural junction

d)

There is

an obstruction in the circulation of the brain