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Medications
Diagnosis
Labs
Assessments
Miscellaneous
100
Your patient is going into septic shock. The blood pressure has fallen rapidly to 70/30. What is happening in the body? What medication would you give? What dose would you start it at?
What is massive vasodilation; Levophed; 50 mcg/kg/min
100
Your patients EKG is showing gradual lengthening of the PR interval and then nonconduction of the QRS. Heart rate is 50. What is your diagnosis?
What is 2nd degree type 1 heart block (Wenkebach)
100
Your patient is presenting with severe abdominal pain, has a history of severe alcohol abuse, and has nausea and vomiting. What diagnosis would you suspect? What labs would you draw?
What is amylase and lipase?
100
Your patient is experiencing slurred speech and confusion. What do you think is going on? What are your priority assessment after ABC's? What lab would you want to know?
What is neuro assessment. Speech, face, strength, memory, pupils, coordination; glucose.
100
What medication would be given if a patient isn't relaxing enough to be intubated? What do you have to worry about with this medication?
What is paralytic; succynlcholine; malignant hypertension
200
You have a patient that just went into afib with RVR. What does that mean? How is that different from normal afib? What medication would you expect to be ordered? What is your dose?
What is afib with rapid ventricular rate; its too rapid and cardiac output falls; cardizem; 10-20 mg dose
200
Your patient reports dizziness, a tooth ache, and GERD. What is your diagnosis? Who would report these symptoms?
What is myocardial infarction
200
Your patient is in torsades de point and is coding. What lab would you want to know right away? Are you going to wait for the lab?
What is magnesium; heeeeeeeecks no. Give the magneisum, like yesterday.
200
What assessment/scale would you do if you your patient had an altered mental status. What does it measure? What are your ranges?
What is Glasgow Coma Scale; verbal, motor, eye opening; less than 8 = intubate/15 is normal
200
Your patient is has blood pressure of 85/40 and is slightly dizzy. What is the first order you think the physician will give?
What is 1L 0.9% NS bolus.
300
Your patient has a heart rate of 32, after you finish peeing your pants a little, what medication should you give? What is your dose?
What is atropine; 1 mg
300

Your patient is presenting with severe muscle pain, weakness, dark urine, Ck level is 6000, Troponins are 0.8; BUN: 30, Cr: 2.1. What is most likely your diagnosis? What would be your secondary diagnosis? What questions would you ask? What would the treatment be?

Rhabdo, or acute kidney injury, intake and output, exercise, hydration status, exposure to toxins? FLUIDS FLUIDS FLUIDS 

300
Your patient has been diagnosed with a massive GI bleed and has lost an estimated 1200 ml of blood. The patient is short of breath, confused, and is oliguric. What specific labs would you want to draw? What are you suspecting, why?
What is hgb, hct, BUN, creatnine. Acute renal failure (prerenal)
300
Your patient is unresponsive to all stimuli, is on a ventilator and blood pressure and heart rate is being support by pressors. What is your diagnosis? What are your assessments?
What is brain death. Dolls eyes, EEG, cold water test, pupillary response, gag reflex, cough reflex, noxious stimuli.
300
Your patient is very SOB; RR:36, SPO2: 70. What oxygen device would you select? How many liters would you apply?What is the FiO2?
What is non rebreather; 15L 100% FiO2
400
Your patient is in SVT with a heart rate of 196, vagal stimulation was unsuccessful. What medication would you give? What is your dose?
What is adenosine; 6 mg
400

You patient who experienced a spinal cord injury 4 days ago from a MVA all of a sudden is vomiting, BP is 290/130, heart rate is 42, there is sweating above the spinal cord injury. What is your diagnosis? What is usually the cause of this?

What is autonomic dysreflexia; remove the stimulus; treat the blood pressure

400
Your patient came into ER as a code. What specific labs would you want and why?
What is WBC - sepsis; hgb/hct - anemia; BUN/CR: acidosis; CO2: acidosis; glucose: hypo/hyperglycemia Na/K/Mg/Ca: obvious reasons; bleeding times
400
Your patient has been diagnosed with a STEMI and is going to cath lab. What are your key assessments? What specific lab related to the cath lab and why? What if that lab was high? What would the treatment be? What happens if we gave it anyway and didnt do the treatment?
What is SOB, cardiac, cardiac enzymes; creatnine related to clearing the dye from the cath. Give it anyway; treatment would be fluids and/or diaylsis. Acute tubular necrosis and intrarenal failure would result.
400
Your patient is a DNRCC, you note the heart rate is declining rapidly. There is no family present. What do you do as the patients nurse?
What is go in and hold their hand and provide comfort.
500
Your patient is on a vasopressor and all of a sudden goes into SVT at 176, what medication is this patient most likely on?
What is dopamine?
500
Your patient reports dizziness, a tooth ache, and GERD. What is your diagnosis? Who would report these symptoms?
What is myocardial infarction
500
Your patient has a blood pressure of 80/40, SOB and is only 85% on Bipap, crackles are auscultated in all lung fields; 3+ edema is noted. What is your diagnosis? What lab would you draw to confirm this? What level would you expect this lab to be?
What is CHF; BNP; > 100
500
Your patient is having severe SOB, SPO2: 56%, RR: 50; feelings of impending doom. What are you expecting is going on? What is your priority assessment to assess the degree of emergency?
What is pneumothorax; tracheal deviation
500
What type of posioning can you get from running Nitroprusside for over 48 hours?
What is cyanide poisioning.