PROMETRIC EXAM QUESTIONS FOR NURSES

1. Mrs. Hajeeja Sail is on Continuous Renal Replacement and is receiving hemodiafiltration. Which one of the following interventions would increase clearance?
a. Increased fluid removal
b. Use of citrate anticoagulation
c. Use of a larger filter
d. Reduction in the blood flow rate

2. Mrs. Fathima develops a leak of gastric contents around her new gastrostomy tube site. She is placed NPO and started on a medication to decrease gastroenteropancreatic secretions. Which medication has been ordered to produce this effect?
a. Pantoprozole (Pantoloc)
b. Octreotide (Sandostatin)
c. Metoclopramide (Maxeran)
d. Vasopressin

3. Ms. Febina  is in a positive fluid balance with urine output < 30 ml/hr and significant peripheral edmea.
Labs are as follows:
Na 148 K 4.9 Cl 105 HCO3 23 Urea 16 mmol/L Creatinine 85 umol/L. Urine sodium is low, and
serum and urine osmolality increased. Which one of the following interventions would you anticipate?
a. Furosemide (Lasix)
b. 0.45% normal saline
c. 0.9 % normal saline
d. Fluid restriction

4. Mr. Abdul Aziz is admitted with a diagnosis of hepatic encephalopathy secondary to cirrhosis. His ammonia level dropped to normal in the first 24 hours and he has had 2 spontaneous bowel movements. He remains in coma. Which one of the following interventions is a priority?
a. Lactulose
b. N-acetylcysteine (Mucomyst)
c. Sodium Polystyrene (Kayexalate)
d. Glutamine supplements

5. the following problems is suggested by these findings?
a. Hyperthyroidism
b. Hypothyroidism
c. Sick euthyroid of critical illness
d. Pituitary dysfunction

6. Mr. Abubakkar, 75 yrs old, has a history of Type II diabetes and chronic renal insufficiency. He is scheduled for a CT abdomen with contrast. Which one of the following interventions should be anticipated?
a. Furosemide (Lasix)
b. N-acetylcysteine (Mucomyst)
c. Mannitol
d. Low dose dopamine

7. Following a severe traumatic brain injury, Jamie’s urine output increases to 300 ml/hr, BP decreases
to 90/60 and HR increases to 144. His serum sodium is 155 mmol/L. Which one of the following interventions is the priority?
a. Obtain urine and serum osmolalities
b. Change IV fluid to 0.45 % NaCl
c. Administer desmopressin (DDAVP)
d. Initiate levophed infusion

8. Mr. Yathif is admitted with cardiogenic shock and oliguric acute kidney injury. Hemodynamics reveal
the following: BP 105/60 (~70) Sinus rhythm (108) CI 1.8 (CO 2.4) CVP 23 PWP 25 SVRI 2088 (SVR
1566). Which one of the following interventions would you anticipate?
a. Dopamine at 2 mcg/kg/min
b. Captopril 6.5 mg q6h
c. Metoprolol 25 mg BID
d. Dobutamine at 5 mcg/kg/min

9. Mr. Ismail is admitted with bleeding from esophageal varicies. He is intubated and ventilated for airway protection and to maintain sedation, and has a Minnesota Tube inserted to tamponade his varicies. Which of the following should be included in the care of a patient with a Minnesota tube?

a. The esophageal balloon must be inflated if the gastric balloon is deflated
b. The esophageal balloon should be inflated at all times
c. Traction is maintained through the use of weights on an overbed pully
d. Airway obstruction can occur if the gastric balloon is inflated

10. Mr. Mohammed Ul Sha undergoes an open repair of an abdominal aortic aneurysm. In the first 24 hours following surgery, his creatinine doubles and his urine output decreases to < 10 ml/hr. Which one of the
following is the most likely cause of his acute kidney injury
a. Postrenal
b. Intrarenal
c. Prerenal
d. Aneurysmal
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