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NU424 Practice Questions and answers | Updated 2024/25
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NU424 Practice Questions and answers | Updated 2024/25
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NU424 Practice Questions and answers |Updated 2024/25
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a) 3.9 ll ll ll ll ll
Choose the normal potassium level below.
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a) 3.9
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b) 5.8
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c) 2.9
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d) 7.2
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a) BNP ll ll ll ll ll
An indicator of heart failure is:
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a) BNP
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b) CPK
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c) Myoblobin
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d) Glycolosated Hemoglobin
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c) a reduction of platelet count by 50% daily
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An indicator of an incidence of heparin induced thrombocytopenia is:
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a) an increase in platelet count
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b) an INR of 6.0 or greater
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c) a reduction of platelet count by 50% daily
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d) a rapid decline in hemoglobin
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a) low albumin level
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An indicator of poor nutritional status in a critical patient is:
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a) low albumin level
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b) low ammonia level
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c) high calcium level
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d) high creatinine level
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a) SPO2 ll ll ll ll ll ll ll
All of the following are invasive procedures except:
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a) SPO2
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b) PaCO2
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c) PO2
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d) HCO3
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e) BNP
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a) EGD ll ll ll ll ll ll ll ll ll ll ll
All of the following tests are used to diagnose pulmonary disorders except:
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a) EGD
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b) CT
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c) Angiography
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d) Ultrasound
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e) Bronchoscopy
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a) lactic acid
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Which of the following labs would most likely be elevated with sepsis?
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a) lactic acid
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b) HCO3 ll
c) platelets
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d) phosphorous
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e) CK-MB ll
a) Albuterol
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b) Atrovent
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c) Epinephrine
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d) Pulmocort ll ll ll ll ll ll ll ll ll ll ll
Which of the following medications can be aerosolized for pulmonary patients? SATA
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a) Albuterol
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b) Atrovent
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c) Epinephrine
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d) Pulmocort
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e) Magnesium
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f) Potassium
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g) Lasix ll ll
a) heart rate
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b) Respiratory rate ll ll ll ll ll ll ll ll ll ll ll ll ll ll
SATA In a patient with respiratory distress, the following values would be expected to be
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elevated: ll ll
a) heart rate
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b) Respiratory rate
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c) O2 saturation
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d) Potassium
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e) PaO2 ll
b) False
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A pneumothorax is always caused by a trauma-related event.
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a) True ll
b) False ll ll
a) alveolar fluid
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b) Increased respiratory rate
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c) increased heart rate
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d) Increased CO2 ll ll ll ll ll ll ll ll ll
SATA The following can affect gas exchange in the lung:
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a) alveolar fluid
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b) Increased respiratory rate
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c) increased heart rate
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d) Increased CO2
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e) decreased HCO3
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b) False ll ll ll ll ll ll ll
Sodium Bicarbonate is used to treat respiratory acidosis.
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a) True ll
b) False
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b) False ll ll ll ll ll ll
Oxygen is used to treat metabolic alkalosis.
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a) True
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b) False
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a) IV fluidsll ll ll ll ll ll ll ll ll
One of the most effective proven treatments for sepsis is:
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a) IV fluids
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b) Dopamine
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c) Albuterol
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d) Vitamin C
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a) Increased heart rate
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One of the first signs of impending respiratory failure is.
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a) Increased heart rate
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b) Heightened awareness
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c) anxiety
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d) decreased heart rate
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e) nausea & vomiting
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a) True ll ll ll ll ll ll ll ll
Patients with tachypnea will eventually develop low CO2 levels.
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a) True
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b) False
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a) Assess the underlying cause for the heart rate increase
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Your patient with respiratory distress suddenly develops a heart rate of 140. What is your
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next action?
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a) Assess the underlying cause for the heart rate increase
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b) Administer a beta blocker to slow the heart rate
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c) Administer epinephrine subcutaneously
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d) Call the doctor
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e) Prepare for a bronchoscopy
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a) elevate the head of bed
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Your patient suddenly goes into respiratory distress. What is your first action?
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a) elevate the head of bed
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b) administer oxygen
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c) administer a respiratory treatment
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d) call the doctor
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e) administer lasix
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a) Early administration of antibiotic therapy
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Your patient is in the emergency department and has been diagnosed with pneumonia.
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What is has proven to be most effective in the treatment of pneumonia?
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a) Early administration of antibiotic therapy
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b) administration and titration of oxygen as needed
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c) Q 4 hours: aerosolized respiratory treatments
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d) vibropercussion
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a) retain CO2 ll ll ll ll
Patients with chronic COPD typically
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a) retain CO2
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b) retain O2
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c) lose HCO3
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d) have an abnormal pH
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b) The benefits of early rescue
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d) Triage skills and advanced cardiac life support
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e) Expectations of RRT members when responding to a call
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An RRT has just been created at a hospital. An RN from the ICU has been appointed as the
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leader and is planning a training session for other members of the RRT. Which topics
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would be appropriate to include in the training? SATA
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a) EMTALA guidelines for requirements for evaluating a client's suitability for transfer
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b) The benefits of early rescue
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c) Equipment needed for air transport of a client between facilities
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d) Triage skills and advanced cardiac life support
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e) Expectations of RRT members when responding to a call
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f) Guided imagery to assist clients dealing with severe pain
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a) Severe peripheral vascular disease
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b) Congestive heart failure and an incompetent aortic valve
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c) Cardiogenic shock subsequent to acute myocardial infarction
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d) Unstable angina
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e) Low cardiac output following cardiac surgery
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A nurse is working with multiple heart clients in the critical care unit. The nurse recognizes
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which clients will benefit the most with intra-aortic balloon pump (IABP) counterpulsation?
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SATA ll ll ll ll
a) Severe peripheral vascular disease
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b) Congestive heart failure and an incompetent aortic valve
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c) Cardiogenic shock subsequent to acute myocardial infarction
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d) Unstable angina
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e) Low cardiac output following cardiac surgery
AD
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c) Heart transplantation
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A client admitted in cardiac failure is scheduled for a ventricular assist device (VAD). The
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nurse recognizes this client will possibly receive which additional therapy?
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a) Percutaneous transluminal coronary angioplasty
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b) Coronary artery bypass graft surgery
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c) Heart transplantation
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d) Intra-aortic balloon pump counterpulsation
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a) Atenolol
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A new client is admitted with ventricular dysrhythmia and severe chronic obstructive
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pulmonary disease. Assessment reveals heart rate 58 bpm, respirations 32 and shallow,
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and blood pressure 132/88. Which medication order should the nurse question for this
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client? ll
a) Atenololll
b) Adenosin
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c) Diltiazem
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d) Ibutilide
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d) Reduces the left ventricular workload
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