4100 Competency study guide Exam test questions
with approved Answers 2024/2025
Expected nursing interventions post op AAA repair? - correct answer lie flat for 6
hours, doppler assessment of peripheral pulses, assess access site for bleeding,
hematoma, infection
R/f for DIC - correct answer disorders that rapidly consume clotting factors, sepsis,
trauma, abruptio placentae, cancer
Complications from DIC - correct answer multiple organ failure from development from
micro clots, tissues die then you die
Nursing interventions for a nurse caring for a patient with DIC - correct answer monitor
organ function-labs and presence of micro emboli, maintain fluid balance- administer
FFP and platelets, maintain skin integrity and bleeding precautions- NO IM, invasive
procedures, look for petechiae, help with coping and grieving
What type of bleeding precautions would you teach a patient with ITP - correct answer
no teeth flossing, avoid constipation, use electric razors, no contact sports
Patho of ITP - correct answer destruction of normal platelets and antiplatelet
antibodies bind to platelets then destroyed by macrophages
What actions should the nurse take to help clear secretions in a patient with
bronchiectasis - correct answer O2, CPT, suctioning, administer bronchodilators,
TCDB, IS, increase fluids
What patient teaching would you provide to patient with bronchiolitis? - correct answer
prevent infection- pneumonia/flu vaccine, administer bronchodilators, administer
acetylcysteine to clear secretions, monitor O2, smoking cessations
, What nursing actions should be taken when presented with a patient with acute
epiglottitis - correct answer prepare for intubation
What assessment findings would prevent a pt with a PE from receiving thrombolytics? -
correct answer active bleeding, increased BP, bleeding disorders, recent surgery, hx of
intracranial hemorrhage
Nursing interventions you would expect when caring for a patient with ARDS - correct
answer intubation, vent management, suctioning, oral care
S/s expected with ARDS - correct answer dyspnea, intercostal retractions, crackles,
confusion, resp acidosis- 50/50 club, PCO2 usually in the 50's, pao2-arterial sat 50's,
50/50 club = intubation
Some potential complications post lung transplant - correct answer infection/ rejection
Medical interventions you would expect for a patient with flail chest - correct answer
intubation, secretion management, pain control
Assessment findings that could indicate complications in a patient with a chest tube -
correct answer bubbling on inspiration- with suction OFF!!- it'll continuously bubble if
the suction is on. Subq emphysema- rice krispies under skin- air trapped between skin
and fat tissue
R/f for developing lung cancer - correct answer smoking, secondhand smoke,
environmental exposure- asbestos, genetics
What is atropine used for - correct answer bradycardia- increases HR
What is amiodarone used for - correct answer heart soother
What is adenosine used for - correct answer SVT
