Potluck Prognosis
Which condition requires airborne precautions?
A) MRSA infection
B) Tuberculosis
C) Clostridium difficile
D) Influenza
B) Tuberculosis
Which arterial blood gas (ABG) result is most consistent with respiratory alkalosis?
A) pH 7.25, PaCO₂ 50 mmHg, HCO₃ 24 mEq/L
B) pH 7.48, PaCO₂ 30 mmHg, HCO₃ 24 mEq/L
C) pH 7.30, PaCO₂ 45 mmHg, HCO₃ 18 mEq/L
D) pH 7.55, PaCO₂ 40 mmHg, HCO₃ 32 mEq/L
B) pH 7.48, PaCO₂ 30 mmHg, HCO₃ 24 mEq/L
Which ECG change is most indicative of myocardial infarction?
A) ST-segment elevation
B) PR interval prolongation
C) U waves
D) Inverted P waves
A) ST-segment elevation
Which symptom is most characteristic of Addison’s disease?
A) Hypertension
B) Hyperpigmentation of skin
C) Weight gain
D) Bradycardia
Hyperpigmentation of skin
Which finding is most concerning in a patient receiving heparin therapy?
A) INR 1.2
B) Platelets 50,000/mm³
C) aPTT 65 seconds
D) Hemoglobin 14 g/dL
B) Platelets 50,000/mm³
A nurse is caring for a patient that was recently administered a first dose of an antibiotic for an upper respiratory infection. The patient begins to report dyspnea and the nurses assesses angioedema.
Which medication should the nurse administer first?
A) Diphenhydramine
B) Epinephrine
C) Albuterol
D) Prednisone
B) Epinephrine
A client with COPD is receiving oxygen at 6 L/min via nasal cannula. The nurse’s priority action is:
A) Maintain oxygen at current level and monitor SpO2 assessment
B) Lower oxygen to 1–2 L/min according to SpO2 assessment
C) Encourage coughing and deep breathing
D) Increase oxygen to 8 L/min according to SpO2 assessment
B) Lower oxygen to 1–2 L/min according to SpO2 assessment
A patient on digoxin shows signs of toxicity. Which lab value should the nurse assess first?
A) Potassium
B) Calcium
C) Sodium
D) Magnesium
A) Potassium
A nurse is caring for a client diagnosed with SIADH. Which of the following lab abnormalities does the nurse expect?
A) Hyperkalemia
B) Hyponatremia
C) Hypernatremia
D) Hypercalcemia
B) Hyponatremia
A patient with hyperthyroidism presents with agitation, tachycardia, hyperthermia, and hypertension. The nurse recognizes this as:
A) Thyroid storm
B) Myxedema coma
C) Hypoparathyroidism
D) Addisonian crisis
A) Thyroid storm
A nurse is caring for a patient that is on loop diuretics and has a U wave detected on a recent EKG.
Which electrolyte anomaly would the nurse expect?
A) Hyperkalemia
B) Hypokalemia
C) Hypermagnesemia
D) Hypercalcemia
B) Hypokalemia
Which finding indicates a tension pneumothorax?
A) Bilateral crackles
B) Tracheal deviation to unaffected side
C) Hyperresonance on both sides
D) Normal breath sounds
B) Tracheal deviation to unaffected side
Which drug is first-line treatment for acute angina?
A) Furosemide
B) Nitroglycerin
C) Atenolol
D) Digoxin
B) Nitroglycerin
A nurse is caring for a patient in a myxedema coma. Which of the following medications should the nurse prepare to administer?
A) Propylthiouracil
B) Levothyroxine
C) Hydrocortisone
D) Methimazole
B) Levothyroxine
A patient post-CABG develops muffled heart sounds, hypotension, and jugular vein distension. The nurse suspects:
A) Pulmonary embolism
B) Cardiac tamponade
C) Left ventricular failure
D) Pericarditis
B) Cardiac tamponade
What is the priority intervention for conscious patient with a blood sugar of 47?
A) Administer IM glucagon
B) Provide 30 mL of grape juice
C) Administer IV insulin
D) Start IV fluids
B) Provide 30 mL of grape juice
Which intervention is priority after a patient undergoes a bronchoscopy?
A) Give fluids immediately
B) Assess gag reflex before oral intake
C) Encourage coughing to clear secretions
D) Place patient in Trendelenburg position
B) Assess gag reflex before oral intake
What is the priority nursing action for a patient with suspected pulmonary embolism?
A) Apply compression stockings
B) Start high-flow oxygen
C) Administer aspirin
D) Ambulate the patient
B) Start high-flow oxygen
A nurse is caring for a patient that is suffering from DKA. Which assessment finding is expected in diabetic ketoacidosis (DKA)? SELECT ALL THAT APPLY
A) Serum glucose 450 mg/dL
B) Kussmaul respirations
C) pH 7.35
D) Positive urine ketones
E) Polyuria
A) Serum glucose 450 mg/dL
B) Kussmaul respirations
D) Positive urine ketones
E) Polyuria
Which assessment finding suggests impending respiratory failure after a nebulizer treatment in a patient with status asthmaticus?
A) SpO2 93% with respiratory rate of 30
B) SpO2 88% with respiratory rate of 16
C) Use of accessory muscles
D) Productive cough with thick mucus
B) SpO2 88% with respiratory rate of 16
A nurse is caring for a patient with asthma. Fifteen minutes after administering an albuterol nebulizer the nurse evaluates the patient.
Which of the following would be the priority assessment?
A) Increased wheezing
B) Silent chest
C) Productive cough
D) Patient complains of dyspnea
B) Silent chest
A patient with ARDS is on a ventilator. Which ventilator setting helps improve oxygenation by preventing alveolar collapse?
A) Tidal volume
B) FiO₂
C) PEEP
D) Respiratory rate
C) PEEP
Which post-op finding is most concerning after cardiac catheterization via femoral artery?
A) Bruising at insertion site
B) Capillary refill 3 seconds
C) Cool, pulseless extremity
D) Heart rate 108 bpm
C. Cool, pulseless extremity
A nurse assesses female patient that has signs of acromegaly. The nurse suspects that the patent has abnormal production of which of the following hormones?
A) Oxytocin
B) Vasopressin
C) Growth hormone
D) Calcitonin
C) Growth hormone
Which lab value would indicate that a patient with diabetic ketoacidosis is improving?
A) pH 7.25
B) Serum bicarbonate 18 mEq/L
C) Ketones negative in urine
D) Serum glucose 400 mg/dL
C) Ketones negative in urine