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NCLEX QUESTIONS

1. Mrs. Bhavya Amin is on Coumadin for atrial fibrillation. She is admitted with ischemic bowel and requires
urgent surgery. Her INR is 10.4 and aPTT 52. Which one of the following interventions is the priority?
a. Protamine sulphate
b. Octaplex
c. Cryoprecipitate
d. Vitamin K infusion

2.. Mr. Amal Mathew is awaiting a bed on the ward and is no longer on the bedside monitor. The nurse
enters his room to assess him, and finds him cyanotic, apneic and pulseless. ECG leads are
connected and reveal ventricular fibrillation. Which one of the following is the priority?
a. Intubation and ventilation
b. Compressions X 2 minutes at 100/minute
c. Epinephrine 1 mg IV
d. Defibrillation with 3 quick shocks
NCLEX QUESTION ANSWERS

3. Mrs. Anu Jose becomes agitated and is at risk for self-exubation. Which one of the following
interventions is the priority?
a. Apply restraints
b. Assess cause of agitation
c. Increase dose of sedatives
d. Have family sit with Mrs. Anu Jose


4. Mr. Binu Mon Jose experiences full thickness circumferential burns to his chest, abdomen and back. Which
one of the following interventions is the priority?
a. Silver sulfadiazine
b. Wound debridement
c. Escarotomies
d. Topical analgesia
 
5. Mrs. Dakshayani is admitted with urosepsis. Her blood pressure increases to 110/70 following 4 L of
normal saline, however, she remains oliguric with a urine output of < 10 ml/hr. Her oxygenation
deteriorates despite BiPAP, and she requires intubation. Labs reveal: Hb 101 Platelets 62,000 INR
1.9 aPTT 57. Her lactate has increased to 6 from 4. Which one of the following interventions is
indicated?
a. Steroids
b. Vasopressin
c. Drotrecogin Alfa Activated (Xigris)
d. Dobutamine

6. Six hours following a motor vehicle collision, Mr. Anoop has a 10 fold increase in his CK and
myoglobin. Which one of the following interventions is the priority?
a. Fluid
b. Lasix
c. Tissue plasminogen activator (tPA)
d. Insulin and glucose

7. Following open repair of a ruptured aneurysm, Mr. Ahmad Anwar bladder pressure is 45 mmHg. Which
one of the following interventions is the priority?
a. Continuous bladder irrigation
b. Fluid administration
c. Decrease the amount of PEEP
d. Continuous renal replacement therapy

8. Interpret the following blood gas.
PaO2 78
PaCO2 29
pH 7.29
HCO3 14
BE - 10
a. Respiratory alkalosis
b. Respiratory acidosis
c. Metabolic acidosis
d. Metabolic alkalosis


9. Six hours following a traumatic brain injury due to a fall from a ladder, Mr. Anish P Varugese develops hypotension and a 4 gram drop in hemoglobin. Which one of the following problems would be consistent with these findings?
a. Diabetes insipidus
b. Intracranial hemorrhage
c. Intra-abdominal bleeding
d. Fat embolism

10. Ms. Deepa Jose is admitted with septic shock. She presents following a 12 hour history of sore throat,
decreasing level of consciousness and purpura. Which one of the following interventions should be
instituted?
a. Airborn precautions
b. Contact precautions
c. Droplet precautions
d. No precautions while on closed circuit ventilation


 
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