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WorksheetsFinal Review Worksheet Questions
Total questions: 36
Worksheet time: 18mins
A patient with 64% BSA burn develops SIRS. What coagulopathic disease process is at risk for?
Disseminated Intravascular Coagulation
Thrombotic Thrombocytopenic Purpura
Hemophilia A
Vitamin K deficiency
A patient with CKD stage 1 is scheduled for Cardiac Catheterization for Angina. What intervention is renal protective with preserved renal function despite CKD?
Sodium bicarbonate infusion
High-dose loop diuretics
Protein restriction before the procedure
Stop all IV fluids 8 hours prior
A patient with an Ejection Fraction of 10% is suspected to have what type of heart failure?
Left-sided heart failure
Right-sided heart failure
High-output heart failure
Diastolic dysfunction without failure
You are caring for a patient who just survived a chemical burn, what is the priority nursing action?
Monitor airway
Apply cold compresses
Initiate IV antibiotics
Measure urine output
What is the term for chest pain that is resolved with rest?
Unstable angina
Stable angina
Variant (Prinzmetal) angina
Non-cardiac chest pain
The nurse is taking care of a patient with CVP monitoring and noticing the values increasing. What may this indicate?
Hypervolemia
Hypovolemia
Cardiac tamponade exclusively
Equipment malfunction only
What is the terminology for increased pulmonary congestion after a patient loses their atrial kick due to Atrial Fibrillation with RVR?
Pulmonary edema
Pleural effusion
Atelectasis
Pulmonary embolism
The nurse notes that a patient is scheduled for a Brain Natriuretic Peptide level to be drawn. What patient teaching should the nurse prepare?
It helps diagnose heart failure
It confirms myocardial infarction only
It measures kidney filtration rate
It is used to stage hypertension exclusively
A patient with CHF develops Atrial Fibrillation. What medication does the nurse anticipate giving to prevent complications?
Anticoagulant (Coumadin)
Calcium channel blocker only
High-dose aspirin alone
Nitrates as monotherapy
What is the purpose of ROM in a burn patient?
Prevention of contraction
Increase wound exudate
Reduce systemic inflammation
Decrease caloric needs
A patient in the emergency phase of burn—expect which electrolyte to shift?
Potassium (hyperkalemia)
Calcium (hypercalcemia)
Sodium (hyponatremia)
Magnesium (hypomagnesemia)
A burn survivor receives a skin graft. What non-pharmacological interventions promote the integrity of the surgical site?
Turning patient every 2 hours
Encourage frequent ambulation on the graft
Apply ice directly to the graft
Remove dressings every hour
A patient with a history of DM11 (Diabetes Metellus) is scheduled for a Cardiac Catheterization for Angina. What would contraindicate this study?
Metformin within 48 hours of the procedure
Use of insulin glargine nightly
Fasting for 8 hours
Presence of a peripheral IV
The patient with Mitral Stenosis exhibits new symptoms of Atrial Fibrillation. What interventions are anticipated prior to Electronic Cardioversion?
Echocardiogram
Immediate discharge
Start high-dose NSAIDs
Stop all cardiac monitoring
What diagnostic testing is used for ACS?
Troponin
12-lead EKG
Spirometry
Stool occult blood
A patient with an LAD partial occlusion will receive Tenecteplase; what is an absolute contraindication for this medication?
BP greater than 180/100
Intracranial bleeding
Recent trauma/surgery
Age under 40
What medications are considered the first line agents for Heart Failure?
ACE inhibitors
ARBs
Beta blockers
Loop diuretics only
A patient with Pulmonary hypertension is coughing up pink frothy sputum, what is the priority action?
Suction
Vital sign assessment
Auscultate
Encourage oral fluids
The on-call provider orders an MRI stat on a patient being admitted for a Myocardial Infarction (MI) after his ICD shocked Ventricular Tachycardia. What is the most appropriate nursing intervention?
Clarify order, as the patient has a pacemaker which contradicts an MRI
Immediately send the patient to MRI
Remove the ICD at bedside
Silence the ICD and proceed
Which diagnostic test is used to determine integrity of a Coronary Artery?
Cardiac catheterization
Chest X-ray
Holter monitor
Transthoracic echo only
What is PH 7.50 | CO2 25 | HCO 23 | PaCO2 65?
Respiratory alkalosis
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
What is PH 6.9 | CO2 80 | HCO 18 | PaCO2 65?
Metabolic acidosis (uncompensated)
Respiratory alkalosis
Mixed alkalosis
Compensated metabolic alkalosis
What patient teaching is important for Sickle Cell patients
Hydration
Strict bed rest only
High-protein supplements exclusively
Limit all physical activity
What laboratory testing is used to determine the effectiveness of a PRBC infusion?
Hemoglobin
Hematocrit
Serum creatinine
C-reactive protein
What are the three nutrients required for Red Blood Cell production?
Iron
Vitamin B-12
Folic acid
Vitamin C
A patient with COVID-19 induced Pneumonia is at risk for what acid-based issue?
Respiratory acidosis
Respiratory alkalosis
Metabolic alkalosis
Metabolic acidosis
What is the maximum time that a blood product can dwell on an infusion?
4 hours (MAX)
1 hour
8 hours
24 hours
A patient with Polycythemia Vera is diagnosed with which two laboratory exams?
Complete Blood Count (CBC)
JAK 2 mutation
Serum amylase
Urine ketones
A diagnosis with Respiratory Acidosis is experiencing renal compensation. What function does the kidney perform to assist in restoring acid-base balance?
Returning bicarbonate to the body circulation
Excreting bicarbonate exclusively
Retaining hydrogen ions only
Increasing potassium loss
What Neurovascular assessment is a priority after diagnostic test for Leukemia?
Puncture site
Distal pulse
A patient with Paralytic Ileus is anticipated to develop which acid-based issue?
Metabolic alkalosis
Metabolic acidosis
Respiratory alkalosis
Respiratory acidosis
A client presents with fatigue, peripheral edema, and jugular vein distention. The provider suspects valvular disease and orders an echocardiogram. Which echocardiogram finding supports this diagnosis?
Narrowing of the tricuspid valve with restricted blood flow from the right atrium to the right ventricle, leading to right-sided pump failure
Mitral valve regurgitation causing left atrial volume overload
Aortic stenosis producing a systolic ejection murmur without right-sided findings
Pulmonic valve insufficiency with free backflow into the right ventricle
A patient receiving multiple blood products for disseminated intravascular coagulation develops ventricular tachycardia. The nurse is unsure whether a pulse is present. What is the priority intervention?
Defibrillate
Initiate CPR
Administer epinephrine IV push
Perform synchronized cardioversion
A post‑operative mitral valve replacement patient who is a Jehovah’s Witness has hemoglobin 5.8 and cannot receive donated blood; no autologous blood was arranged. The blood pressure is 70/50. What is the alternative to treat the hypotension?
Albumin infusion
Normal saline bolus only
Erythropoietin injection
Iron sucrose infusion
A 56‑year‑old patient with type 1 diabetes mellitus presents with Kussmaul respirations, fruity breath odor, and severe dehydration. Arterial blood gas results: pH 7.18, CO2 20, HCO3 10, K+ 5.8, glucose 540. What is the correct interpretation of this ABG?
Partially compensated metabolic acidosis
Uncompensated metabolic acidosis
Respiratory alkalosis
Mixed metabolic and respiratory acidosis
A 42‑year‑old female with septic shock secondary to a ruptured appendix develops disseminated intravascular coagulation and receives fresh frozen plasma, packed red blood cells, and platelets. After 8 units over 6 hours, new neurological and neuromuscular changes are noted. What dysfunction is occurring?
Hypocalcemia from citrate toxicity in large-volume transfusion
Hyperkalemia from stored blood
Hypomagnesemia from diuresis
Hypercalcemia from bone resorption
