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STAFF NURSE EXAM TOUGH QUESTIONS

1. Mr. Sing has a massive GI bleed from a gastric ulcer. Following 12 units of packed cells and 4 units of
fresh frozen plasma, he has the following labs: Hb 80 Platelets 82,000 INR 1.9 aPTT 58 and fibrinogen 0.4 g/L (normal 2-4 g/L). Which one of the following interventions is the priority?
a. Potassium bolus
b. Octoplex
c. Cryoprecipitate
d. Protamine sulphate
2. Ms. Tirani is on FiO2 0.5 PEEP 5 and PS 15. She has a total minute volume of 12 L and her RR has
increased to 36 from 22. She is restless and agitated. Blood gases are:
PaO2 69
PCO2 49
pH 7.36
HCO3 30

Which one of the following interventions is most appropriate?
a. Increase her FiO2
b. Convert to AC
c. Increase her Pressure Support
d. Increase her sedation

3.. Calculate Cerebral Perfusion Pressure (CPP) based on the following data:
HR 75
BP 120/80 (MAP 65)
CVP 12
ICP 15
RR 25
Minute Volume 10.5 L/min

 a. 60
 b. 50
c. 105
d. 52
4. Mrs. Butovsky develops sepsis due to an infected prosthetic hip joint. She is started on antibiotic
therapy. Which lab test can be used to evaluate her response to antibiotic therapy?
a. Eosinophil Sedemenation Rate (ESR)
b. Protein C levels

c. C-Reactive Protein
d. Ionized calcium levels

5. When administering mannitol for raised ICP, which one of the following lab tests is the priority?
a. Serum arginine vasopressin (AVP)
b. Urine specific gravity
c. Serum creatinine
d. Serum osmolality

6. Following cardiac surgery, Mr. Cassanza is noted to have new 2-3 mm ST segment elevation in
Leads I, II, III, aVF, aVL and V5-V6. Which one of the following problems is most likely associated
with these findings.
a. Left ventricular hypertrophy
b. ST segment myocardial infarction
c. Pericarditis
d. Pulmonary embolus

7. Mr. Topias was admitted two days ago following emergency surgery for an ischemic bowel. He is hemodynamically stable, but has failed a spontaneous breathing trial. On chest xray, his lungs are hyperinflated with interstitial disease and his chest appears barrel shaped. Which of the following data would be most helpful?
a. Total lung capacity
b. Minute volume
c. Preadmission FEV1/FVC
d. Peak Negative Inspiratory Pressures

8.. Mrs. Zena was admitted with 30% full thickness burns to the back and side of her head following a house fire. Her carboxyhemoglobin level is 0.35, SpO2 100% and PaO2 85 mmHg on 50% oxygen. Which one of the following is the priority?
a. BiPAP
b. Intubation with PEEP
c. 100% oxygen
d. Diuretics

9. Immediately following intubation, Mrs. Livert has an end tidal CO2 reading of 1 mmHg. Which one of
the following explanations is consistent with these findings?
a. Mrs. Livert has a pulmonary embolus
b. The endotracheal tube is in the right mainstem bronchus
c. The endotracheal tube is well positioned
d. The endotracheal tube is in the esophagus

10. Which one of the following options identifies the components of oxygen content.
a. Cardiac output, Sa02, Hb
b. Hb, Pa02, Sa02, cardiac output
c. Hb, Pa02, Sa02
d. Hb, Sa02, Sv02

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