The Basics
The full name of CABG surgery
Coronary Artery Bypass Graft Surgery
How do you assess pupillary reaction on patient?
Moving a small, hand-held flashlight back and forth in front of the patient's eyes while the patient is look straight ahead.
What is the normal range of blood sodium level
135-145mEq/L
Three examples of anticoagulants medications
What is the gold standard for diagnosing of stroke?
A. Head CT
B. Brain MRI
C. Lumbar Puncture
D. Carotid Ultrasound
A. Head CT
What are some risk factors for cardiovascular disease? Please give me at least three risk factors.
How do you confirm NG tube placement?
1. Chest Xray
2. Syringe Test
3. pH test
What is the primary blood test for DM
Hemoglobin A1C
What are some indications of heparin drip?
1. Thrombus (i.e. PE, DVT)
2. Angina (i.e. NSTEMI, ACS)
3. Afib
The doctor ordered labetalol tablet 300 mg PO bid. The available dose is 200 mg tablets. The nurse will give:
A.1 and 1/2 tablts
B.1 tablet
C.1/2 tablet
D.2 tablets
A.1 and 1/2 tablts
A nurse is performing an initial assessment for a patient. Which of the following would be considered subjective information received during the assessment?
A. The patient's blood pressure increases when the provider enters the room
B. The patient has a pinpoint rash on the face and trunk
C. The patient weighs 186 pounds
D. The patient rates pain at a level of 6 on the numeric rating scale
D. The client rates pain at a level of 6 on the numeric rating scale
When a nurse performs skin assessment, what are some areas she/he needs to pay extra attention in prevention of pressure ulcers? Give me three examples.
Back of the head, shoulders, elbows, sacrum, heels.
What are some lab orders you will see if patient has kidney injuries?
1. BMP (Creatinine, BUN, GFR)
2. Urine test (protein level, Urinalysis, creatine clearance)
Which laboratory test result is a common adverse effect of furosemide (Lasix)?
A. Hypokalemia
B. Hypernatremia
C. Hyperchloremia
D. Hypophosphatemia
A. Hypokalemia
The older adult patient presents to the emergency department complaining of severe vomiting for 3 days. The nurse knows which is the major complication of continuous vomiting?
A. Weight loss
B. Cardiac dysrhythmias
C. Aspiration of vomitus
D. Dehydration
D. Dehydration
A nurse is assessing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 second, and QRS complexes measure 0.08 second. The overall heart rate is 64 beats per minute. The nurse assesses the cardiac rhythm as:
A. Normal sinus rhythm
B. Sinus bradycardia
C. Sick sinus syndrome
D. First-degree heart block
A. Normal sinus rhythm
Which patient below is at most risk for a hemorrhagic stroke?
A. A 65 year old male patient with carotid stenosis.
B. A 89 year old female with atherosclerosis.
C. A 88 year old male with uncontrolled hypertension and a history of brain aneurysm repair 2 years ago.
D. A 55 year old female with atrial flutter.
C. A 88 year old male with uncontrolled hypertension and a history of brain aneurysm repair 2 years ago.
A 37-year-old female has received 2 units of packed red blood cells. What is the desired hemoglobin level range for this patient?*
A. 42-52%
B. 37-47%
C. 12-16 g/dL
D. 14-18 g/dL
C. 12-16 g/dL
Your patient’s blood glucose level is 215 mg/dL. The patient is about to eat lunch. Per sliding scale, you administer 4 units of Insulin Lispro (Humalog) subcutaneously at 1130. As the nurse, you know the patient is most at risk for hypoglycemia at what time?
A. 1145
B. 1230
C. 1430
D. 1630
B. 1230
A male patient is having a tonic-clonic seizures. What should the nurse do first?
A. Elevate the head of the bed.
B. Restrain the patient's arms and legs.
C. Place a tongue blade in the patient's mouth.
D. Take measures to prevent injury.
D. Take measures to prevent injury.
A patient has been diagnosed with Right-Sided Congestive Heart Failure, and is confused about return of deoxygenated blood from the tissue. To clarify the confusion, which chamber of the heart receives blood from systemic circulation?
A. Left atrium
B. Right atrium
C. Right ventricle
D. Left ventricle
B. Right atrium
When teaching the patient about an echocardiogram scheduled for her, the nurse should explain that the primary reason for this procedure is to determine which of the following?
A. Cardiac muscle structure.
B. Pressure of the blood in the heart.
C. Amount of blood entering the heart.
D. Various sounds with each heartbeat.
A. Cardiac muscle structure.
An echocardiogram records the structure of the heart muscle and provides a graphic representation of the heart working. It allows the doctor to see the heart beating and pumping blood.
A patient with respiratory distress has the following blood gases: PCO2 59, pH 7.26, HCO3 42. Which of the following conditions is presenting?*
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Metabolic acidosis
B. Respiratory acidosis
Which family of drugs are the following medications considered: Amlodipine, Verapamil, Diltiazem?
A. Beta blockers (BB)
B. Angiotension Receptor Blockers (ARBs)
C. Calcium Channel Blockers (CCBs)
D. ACE Inhibitors (ACEI)
C. Calcium Channel Blockers (CCBs)
A patient is wearing a continuous cardiac monitor, which begins to sound its alarm. A nurse sees no electrocardiogram complexes on the screen. The first action of the nurse is to:
A. Check the patient status and lead placement
B. Press the recorder button on the electrocardiogram console.
C. Call the physician
D. Call a code blue
A. Check the patient status and lead placement