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

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 3

The most appropriate therapy for carboxyhemoglobinemia is

Options :

A : 100% O2 administration.

B : inhaled corticosteroids.

C : hyperventilation.

D : aerosolized beta-agonists.

Answer: A

Question 4

A nurse admits a patient awaiting surgery for an unstable pelvic fracture following a fall in which no other injuries were sustained. The nurse should prioritize

Options :

A : transportation to radiology for an MRI.

B : type and crossmatch PRBC prior to surgery.

C : placement of a binder across the patient-s hips.

D : administration of a sedative to reduce movement.

Answer: C

Question 5

A nurse is caring for a patient who had a gastric bypass procedure 2 days ago. A physician has ordered a gastric tube to be placed due to increased abdominal distention. The nurse realizes that this procedure will most likely need to be done

Options :

A : under fluoroscopy.

B : by two nurses.

C : using ultrasound.

D : with a guide wire.

Answer: A

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