STAFF NURSE EXAM OBJECTIVE TYPE QUESTIONS

1. Jomon is an 18 year old man admitted with pneumonia and exacerbation of his asthma. He complains of chest tightness and develops increased wheezes. Which one of the following interventions is the priority?
a. Ipratropium bromide (Atrovent)
b. Bethamethasone (QVAR)
c. Salmeterol/fluticasone (Advair)
d. Salbutamol (Ventolin)

2. During surgery, Mrs. Flossy develops malignant hyperthermia. Which one of the following is the
priority?
a. Aggressive cooling
b. Potassium boluses
c. Sodium citrate
d. Dantrolene

3. Mrs. Tejavani is recovering from septic shock. After failing several spontaneous breathing trials, she
received a percutaneous tracheostomy tube. Two days later, within 10 minutes of starting a
tracheostomy mask trial, she complains of shortness of breath and demands to return to the
ventilator. Her SpO2 remains > 95% during the trial. Which one of the following interventions pre
trachestomy mask trial is most likely to reduce her dyspnea and facilitate spontaneous breathing?
a. N-acetylsysteine (Mucomyst)
b. Lorazepam (Ativan)
c. Morphine
d. Aminophylline

4. Joshna is a 22 year old woman admitted with ARDS following H1N1. Her blood gases on .8 PEEP 10
PC 34 (tidal volumes ~500 cc) and AC 28 are as follows:
PaO2 52 PaCO2 46 pH 7.32 HCO3 17
Which one of the following interventions is the priority?
a. increase PEEP
b. increase FiO2
c. decrease PC
d. increase AC

5. Three days after insertion of a chest tube for pleural effusion/empyema, Mr. Bob Rol’s ventilator begins
to alarm for low exhaled tidal volume. Upon examination, increased bubbling is noted in the
underwater seal chamber of the chest drainage unit, and the set tidal volume is 200 cc > exhaled tidal
volume. Which one of the following problems do these findings suggest?
a. Chest tube obstruction
b. Bronchopleural fistula
c. Asynchrony with ventilator
d. Air trapping

6. Ms. Sanjana sustained a complete spinal cord injury at the level of C3 and underwent anterior
fixation 3 days ago. Which one of the following interventions should be included in her care plan?
a. Assisted cough during suctioning
b. Atropine pre suctioning
c. Mannitol x 24 hours post operatively
d. Early extubation

7. Which one of the goals for wound care should be included for a Stage II pressure ulcer?
a. Wet to dry dressings
b. Hydrocolloid dressings
c. Cleansing with chorhexidine
d. Tight packing of wound cavity

8. Mrs. Shamili is one day postoperative repair fractured hip. She develops a sudden onset of
hypoxemic respiratory failure and is diagnosed with an acute pulmonary embolus. Which one of the
following interventions is the priority?
a. Dalteparin (Fragmin) 5,000 units subcutaneous OD
b. Drotrecogin alfa activated (Xigris)
c. Coumadin (Warfarin) 10 mg loading dose
d. Heparin IV 80 units/kg bolus

9. Mrs. Rajini develops hypercarbia and hypoxemia following extubation. She is started on BiPAP in an
effort to avoid reintubation. Which one of the following interventions should be included in her plan of
care.
a. Integumentary inspection of nose and face
b. Nasal-tracheal suctioning to facilitate secretion clearance
c. Oral intake of high calorie milk shakes.
d. Administer regular dose benzodiazepines

10. Which pair of cranial nerves is being evaluated when a corneal reflex test is performed on the L eye.
a. L CN V and VII
b. R CN V and VII
c. L CN III and VII
d. R CN III and VII

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