CHF
ABGs
EKGs
Cirrhosis/Blood thinners/ Pancreatitis
Others
100

Pt with left sided CHF asks why she is always SOB. What do you tell her?

What is Left side of the heart isn't working properly so fluid is getting backed up into the lung

100

ABG showing respiratory acidosis with no compensation. What is the pt expected to have

What is asthma

100

EKG shows vfib and pt is awake. What is your next step?

Check the patient (if actually in vfib, the pt wouldn't be awake.


100

Which patient would the nurse see first?

  1. Stool softener for a cirrhosis patient (don’t want them to strain and cause varices to bleed)
  2. A patient with a chest tube complaining of pain at incision site
  3. Lasix for a COPD patient
100

What lab values can the nurse anticipate for a patient with SIADH? 

  1. Sodium low
  2. USG high
  3. HCT low
200

Pt with left sided CHF asks why he's always tired. What would you tell him?

What is Heart isn't working properly and is unable to send oxygen to the rest of the body


200

What is ABGs will a COPD pt present with?

What is fully compensated respiratory acidosis

200

EKG shows AFib. What is happening?

Ventricles are contracting without atrial contraction

200

A patient presents with hepatic encephalopathy. What lab values are showing he is improving?

ammonia and albumin in normal range. (Hepatic encephalopathy will have high ammonia and low albumin if asked what are expected in a patient who is not improving) (gave a value on the exam)

200

Pt is hyopVOLEMIC. What do you expect their vitals to look like?

Low Hemoglobin and Hct but high sodium

300

A pt had a stroke. What caused it

What is a clot in left atrium traveled to the left ventricle

300

What will a patient with chronic emphysema ABGs present as 

What is fully compensated respiratory acidosis?

300

If pt is showing vtach, and the leads are correct, what is the next step?

cardiovert

300

Which would be a concern with a patient taking warfarin?

PT was 28 (should be 16-22)


300

Which lab is a concern for a patient on warfarin?

INR of 4.5 (she added a ptt lab out of range to trick people but the patient is on warfarin.)


400

SATA for left and right sided HF signs and symptoms

Left: SOB, crackles, pink frothy sputum, anxious, fatigue

Right: lower edema, weight gain, organ enlargement

400

Asthma attack ABG

What is a low pH and high CO2  (acute issue)

400


What could result from afib?

Cerebral vascular accident (stroke) if right atrium it would be a PE


400

TPN pt with anorexia. Which require immediate intervention

  1. Weight loss greater than 1kg
  2. Glucose high
  3. USG is high
400

Pt with hepatic encephalopathy, what labs show their treatment is NOT effective.

Ammonia 40 and Albumin 3 (cant remember if ammonia or albumin was the one out of range but one will be normal and the other will be out of range. In the past the answer has been the lab values in normal range but don't choose that one this time.)

500

What education for CHF pt?

What is 

Frequent rest, daily weight, importance of following up with doctor, knowing signs of complications

500


Pt has been pooping for 3 days. What will the ABG be?

What is Partially compensated metabolic acidosis

500

Pt is in sinus tach and EKG changes to vfib. Pt is awake

Check leads first

500

Nurse is caring for a patient who has pancreatitis and is on TPN, which of the following would indicate a need for further intervention?

  1. High temp
  2. high glucose
  3. high WBC
500

A patient suffered a seizure on your shift, their sodium lab value was 158, what will the body do to fix this issue?

Vascular will pull water from the cells or the cell will push water into the vascular system