3
1. Consequence of too much O2 → dry & cracking oral mucosa
2. PE s/sx → petechiae, pleural rub, tachycardia (not bradycardia, hypertension)
3. 1 day post surgery (thoracotomy), what should the nurse do? → teach abou
...
3
1. Consequence of too much O2 → dry & cracking oral mucosa
2. PE s/sx → petechiae, pleural rub, tachycardia (not bradycardia, hypertension)
3. 1 day post surgery (thoracotomy), what should the nurse do? → teach about incentive
spirometer and high fowler’s position (not give O2 nasal cannula)
4. CVP increase → possible right ventricular failure
5. Digoxin toxicity s/sx → nauseous with loss of appetite [REPEAT]
6. Apical pulse location → (image) mitral location
7. PaO2 50 mm → severe hypoxia (anything > 60 mm)
WEEK 4
1. Hypokalemia → “U” wave formation on EKG
2. Client’s partner will suction, ready to be sent home? → they perform it independently
3. Best indicator for heart damage → troponin I
4. Patient is on coumadin, what is concerning → PT 45 seconds (normal: 11-12.5)
5. Suspected MI, what do you do first → oxygen
WEEK 5
1. Type I patient insulin therapy, barriers? → literacy, dexterity, culture, motivation
2. Give Lispro, when do you wanna give insulin → 15 minutes before breakfast
3. Give furosemide, what do you teach → give foods high in potassium
4. What does coumadin do → prevent stroke in patients with atrial fibrillation
5. SIADH → fluid restriction
6. DKA, blood sugar goes down to 240 → change to D5 NS IV fluid
7. Cushing’s SATA → buffalo hump, purple striation, moon face
8. tPA (tissue plasminogen), what is the most concerning → LOC (not oozing blood)
WEEK 6
1. Teaching of Hep B → increase appetite (anorexia)
2. Allergic reaction of blood transfusion → generalized urticaria
3. Asthma exacerbation, priority intervention → nebulizer (not high-fowler's position)
4. +4 edema intervention → pressure relieving mattress
5. Warfarin, contraindication → cabbage (green leafy)
6. Severe cirrhosis → nose bleeding & bruising *bleeding priority*
7. Acute pancreatitis teaching → no cheddar cheese
8. Intervention for ascites → high carbs, high calories (NOT 3in above umbilicus)
9. Cirrhosis, further teaching → “I can eat anything I want”
10. Acute pancreatitis, after pain med → keep them NPO
11. TPN at home teaching (SATA) → keep refrigerated, start D10 if feeding is finished, keep
infusion rate if behind on feeding (3)
12. Patient is falling asleep as nurse is talking to them → increased ammonia levels
13. Cholecystitis (SATA) → back rub, incisional splinting, identify pain level, change client
position (4)
WEEK 7
1. Spinal cord injury, what will occur? → flaccid paralysis
2. What contributes to ICP → sodium 110 (hyponatremia) *always think sodium!*
3. Hep A, early indication → anorexia
4. Acute pancreatitis, where is the pain → epigastric radiating to back
5. What should be reported → ICP of 19
6. Left HH, teaching → put tray & items on patient’s right side
7. Cane teaching with AP → move cane first before legs
8. Stroke teaching → put the patient semi fowlers to facilitate swallowing
9. Associated with embolic stroke → chronic a fib
10. L1, what should you do? → give anticoagulants (they are paralyized → not active ROM
exercises)
11. TIA where will you monitor, symptoms go away → go to neurotele & monitor
12. Embolic stroke → it travels
13. Most concern to nurse → unresponsive with arousal
14. ICP sata → headache, slurred speech, eye changes, disorientation
15. Trauma, s/sx hypovolemia → increased HR (tachycardia)
Quiz 1
1. SATA AP
a. Record Urinary Output
b. Assist ambulation pt. Who has a cane
c. Move pt to stretcher
d. NOT irrigate wound
e. NOT eye drops
2. Best position for getting IAP
a. Supine
3. PCA
a. Pain scale
b. IV bolus before lock out
c. 30 min lock
d. Let fam do it
4. Heparin
a. PLT 73,000
b. NOT PTT 65 sec
c. Hct 45%
d.
5. Holistic care SATA
a. Legal members
b. Non legal partners
c. Anyone the patient identifies as support system
d. Siblings
6. Ibuprofen
a. Take with food
7. Aspirin
a. Expect dark stools
b. Monitor tinnitus
c.
8. Football on a hot day
a. Dehydration Na 152
9. increased CVP what would be the level
a. 7
10.What reflects L SIDE afterload
a. SVR
11.What would you expect in L HF
a. JVD
b. Abdominal girth
c. Weak peripheral pulses
d. dependent edema
12.Suction SATA - Only 3
a. Spontaneous cough
b. Cyanosis
c. Secretions
d. Tachypnea
e. …...
13.Increase preload, Fluids
a. Crackles
14.Family member in ICU
a. Tell fam injuries and plan of care
15.5.4 K
a. Call MD
b. Omit med
14. New nurse is showing doctor that they have knowledge about using arterial line
a. Same level as the phenobarbital axis
b. Lay patient supine with head flat
c. Recalibrate level after pt moves
15. Adverse effect of digoxin
a. Nausea and vomiting
16. What situation do you call RRT for
a. Right calf pain and SOB
17. First intervention when patient’s low pressure alarm is ringing?
a. Assess cardiac dysrhythmias
b. Assess hand for pallor
18. Picture of heart
a. The solo on are the right side
Quiz 2
1. HR increasing (80-110) and irregular HR
a. Hyperoxygenation
2. Requires immediate intervention
a. 92%
No response to verbal stimuli (i think this was the answer, -KL)
3. Apical pulse
a. 5th ICS
4. TB
a. Private room special ventilation
5. ET
a. Hand Gestures
b. Various tech
6. Digoxin
a. N/ no appetite
7. CVP
a. Right ventricular failure
8. PaO2 50
a. Severe hypoxic
9. SATA PE
a. Tachypnea
b. Priatial rub
c. Petechiae
10. Prevent PE quadraplegic, SATA
a. Passive ROM
b. SVC
c. Assess redness
12. Left arterial line
a. Left is cooler than right
11. Thrombus
a. Homan’s sign
b. (dull aching calf pain)
12. Slow bubbling in water seal chamber
a. Monitor resp
13. Oxygen toxicity
a. Cracks on mucous membranes
14. Chest tube water chamber norm finding
a. Fluctuation
15. Hyperventilation & hypoxic
a. CO2 30 pO2 50
16. ET Tube Complication uneven chest rise
a. Went to R heart
17. Dyspnea, Deviated...
a. Tension Pneumothorax
18. PE 1st RN action
a. Oxygenate
19. On Mechanical ventilator risk for infection prevention
Don't remember answer
a. Drain chamber
b. Suction
c. Clamp?
20. Tracheal shift
a. Tension pneumonia
21. Post op bronchoscopy
a. Withhold food and fluids until gag reflex
22. 1 day post op
a. High fowlers, Use IS, encourage coughing
23. Blood transfusion - febrile, chills, blood in urine
a. Hemolytic reaction
24.
Quiz 3
1. What should patient report to provider?
a. Crepitus
b. Tracheal shift to unaffected side
c. Bubbling...
2. SATA O2 therapy N/V
a. NOT petroleum, and NOT assessing flow rate every other day
b. Inspect ears
c. Hang no smoking sign in house
d. Check positioning regularly
3. rapid irregular pulse, Pulse deficit
a. A-Fib
4. Image on ECG, Hyperkalemia
a. T wave
5. Cholesterol diet
a. Beans
6. Needs further teaching
a. I ate two eggs
7. Come to ER, indigestion, calf pain
a. ECG
8. P wave
a. Atrial depolarization
9. Cardiac enzymes
a. Injury to heart muscle
10.Cardiac enzyme question
a. Troponin I
11.Hypokalemia
a. Prominent u wave
12.Ventricular depolarization, repolarization
a. QT interval
13.Pt on coumadin, enoxaprin, etc
a. PT of 45
14.Glipizide for DM 2
15.Hx of coronary artery disease
a. Increasing LDL
16.First intervention for MI
a. Oxygen (ABC)
17.DVT SATA
a. HTN
b. Immobility
c. Increased Ca+ intake
d. Oral contraceptives
18.Patient has a-fib, what vitals are most important
a. Apical and radial pulse
Quiz 4
1. Warfarin for afib
a. Prevents stroke in afib
2. First DKA intervention
a. 0.9% Sodium chloride w/ IV drip insulin
3. DKA pt, <260 mg/dL now what do you do
a. Add glucose to IV fluids
4. Contributors to noncompliance for diabetes regime
a. Dexterity
b. Literacy
c. Culture
d. Motivation
5. SATA of cushings
a. Striae
b. Moon face
c. Buffalo hump
6. tPa priority to look out for
a. Decreased loc
7. Dehydration clinical manifestation
a. tachycardia
8.Expected finding of addisons
a. hyperpigmentation
9. Rapid insulin
a. Give food 15min after
10. Thyroidectomy w. Tingling of hands
a. Check chvosteck sign
11.Levothyroxine overdose
a. insomnia
12. DI given vasopressin how do you know its working
a. Urine specific gravity 1.015
13.Prevent thyroid storm
a. Provide low stimuli environment
14.Why is nitroglycerin given
a. To dilate cardiac blood vessels to deliver more oxygen rich blood back to heart
15. SIADH
a. Hyponatremia
16.Stopping prednisone taper down pt teaching
a. Adrenal insufficiency
17.Mixing NPH first step
a. Inject 20 units of air into NPH vial
18.Statement needing clarification by diabetic woman & CAD about diet
a. “I will need to increase intake of trans-fats”
19.Digoxin don’t want to eat
a. Check vitals
20.Which insulin do you use for DKA
a. Humulin R (regular insulin)
21. Lasix pt teaching
a. Eating foods with K
22.What to do for hella hypoglycemic pt with 60mg/dL
a. glucagon
23. 3,000 IV in 24h started 1,000 at 0800 when would you start the next 1,000
a. 1600
24. DM 2 pt teaching priority
a. Evaluate pt understanding of DM 2
25.
Quiz 5
1. Cholecystitis SATA
a. Everything but ambulation
2. TPN SATA - refigerate when not used
a. keep TPN even after goal weight, dextrose 10
3. Asthma exacerbation, PRIORITY
a. b2 nebulizer
4. Cirrhosis, what not to give
a. ham sandwich
5. Acites diet
a. high carbs, low protein
6. Bile duct cholecystitis
a. fatty stool
7. Pancreatitis, pain is addressed what next
a. keep NPO status
8. Wafarin, contradiction
a. cabbage
9. African American
a. check hard palate
10.Cardiac cath
a. L radial pulse
11.Levothyroxine toxicity
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