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WorksheetsCritical care Nursing Prelims July 2021
Total questions: 25
Worksheet time: 13mins
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:
Turning
the client to the left side
Milking
the tube to ensure patency
Slowing
the intravenous infusion
Notifying
the physician
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?
Allow
the client to grieve for body image changes
Restrict
foods that are high in potassium
Restrict
fluid intake to 1,000 mL/day
Assess
the client’s mental status regularly
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?
Start
emergency oxygen and notify the physician
Have the
client take several deep breaths and cough every two hours
Notify
the physician and prepare the client for a tracheostomy
Carefully
observe the client for cyanosis
A
primary reason for infusing blood at a rate of 60ml / hour is to help prevent
which of the following complications?
Emboli
formation
Fluid
volume overload
Red
blood cell hemolysis
Allergic
reaction
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?
Call
the respiratory therapist to check the ventilator
Turn the
client to stimulate coughing
Check
the ventilator tubing
Obtain
arterial blood for blood gas analysis
A client
receives a Thrombolytic agent. The expected outcome of this drug therapy
includes:
Improved
cerebral perfusion
Decreased
vascular permeability
Dissolved
emboli
Prevention
of hemorrhage
What
features separate a hypertensive urgency from an emergency?
Percentile
of blood pressure
Duration
of elevation
Signs of
end organ involvement
All of
the above
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:
activate
the cardiac catheterization team
administer
analgesics
obtain a
12-lead electrocardiogram
promote
relaxation and monitor the response
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?
Pacemaker
spikes instead of QRS complexes
Pacemaker
spikes followed by QRS complexes
Pacemaker
spikes before each P wave
Pacemaker
spikes appearing only if the heart rate is over 72
Which
of the following classes of drugs is most widely used in the treatment of
cardiomyopathy?
Antihypertensive
Beta-adrenergic
blockers
Calcium
channel blockers
Nitrates
An
important responsibility for a patient after an invasive cardiovascular
diagnostic study:
Discourage
intake and place the client in prone position
Apply
pressure to the puncture site and exercise the involved extremity
Limit
motion of the affected extremity and assess the puncture site
Restrict
fluid intake and encourage ambulation
Which
structure is called as the 3 order pacemaker?
AV node
Junctional
SA node
Ventricular
myocytes
All the
following are pathophysiological mechanisms for respiratory failure
except
Hypoventilation
V/Q
mismatch
Shift of
O2-Hb dissociation curve to the left
Diffusion
deficit
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 ________?
Peak
flow meter; pneumonia
Incentive
spirometer; thrush
Spacer;
thrush
Peak flow
meter; mouth sores
Infants of mothers with diabetes (IDMs) are
at higher risk for developing:
Anemia
Hyponatremia
Respiratory
distress syndrome
Sepsis
The nurse would assess that the client is
demonstrating a typical adverse reaction to lidocaine hydrochloride when the
client complains of:
Palpitations
Urinary
frequency
Tinnitus
Lethargy
NTG
post MyocardiaI Infarction has what
benefit?
Increases
preload, decreases after load, decreases BP, elevates MVE demand
Decreases
preload, increases after load, elevates BP, elevates MVE consumption
Decreases
preload, decreases after load, decreases BP, elevates MVE delivery
Decreases
preload, decreases after load, elevates BP, decreases MVE delivery
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?
Sodium
level of 145 mEq/L
Magnesium
level of 2.0 mg/dL
Potassium
level of 5.2 mEq/L
Phosphorus
level of 4.0 mg/dL
You
suspect kidney transplant rejection when the patient shows which symptoms?
Pain in
the incision, general malaise and hypotension
Pain in
the incision, general malaise and depression
Fever,
weight gain and diminished urine output
Diminished
urine output and hypotension
The
nurse is working on a surgical ICU. The nurse must logroll a male client
following a:
Laminectomy
Thoracotomy
Hemorrhoidectomy
Cystectomy
The
nurse is assessing a person with long standing chronic obstructive pulmonary
disease(COPD) . Which findings would the nurse expect to find?
Low
grade fever
Weak
thready pulse
Increased
chest diameter
Crepitus
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?
Ductus
venosus
Ductus
arteriosus
Ligamentum
arteriosum
Foramen
ovale
The
nurse is reading an ECG rhythm strip notes that there are 8 QRS complexes in
a 6 second strip. The heart rate is:
48
64
80
120
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?
Hypoxemia
Hypoventilation
Hyperventilation
Oxygen
toxicity
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?
There is
not enough dopamine in the brain.
The
myelin sheath is being destroyed
There is
not enough acetylcholine at the myoneural junction
There is
an obstruction in the circulation of the brain
