Question 1

A patient is intubated, is unable to follow simple commands, and has no history of alcohol abuse. The patient has become increasingly disoriented and confused over the past 24 hours. After assessment and treatment of pain, the best medication intervention for management is

Options :

A : lorazepam (Ativan).

B : cisatracurium (Nimbex).

C : midazolam (Versed).

D : dexmedetomidine (Precedex).

Answer: D

Question 2

A patient with a sodium level of 114 mEq/L is most likely to develop

Options :

A : tetany.

B : flaccid paralysis.

C : seizures.

D : cardiac arrhythmias.

Answer: C

Question 3

After consultation with the interdisciplinary team, a nurse implements progressive mobility by having the patient sit at the side of the bed. The patient's HR increases by 10, RR increases by 6, SpO2 remains at 94%, and BP remains stable. The patient states he is tired. Which of the following should be the nurse's next action?

Options :

A : Return the patient to a supine position and notify the physician.

B : Discontinue the attempts to mobilize the patient.

C : Progress to sitting in a chair during the next activity.

D : Wait for assistance from physical therapy to resume mobility.

Answer: A

Question 4

A common problem in patients with third-degree AV block is

Options :

A : hypoperfusion.

B : heart failure.

C : hypoxia.

D : chest pain.

Answer: A

Question 5

An older adult patient reports an inability to sleep due to staff waking the patient for frequent neurological assessments. In order to minimize sleep disruptions, the nurse should

Options :

A : encourage the patient to sleep between assessments.

B : discontinue neurologic assessments.

C : establish a schedule with the provider.

D : move the patient to the quieter part of the unit.

Answer: C

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