NURSING WRITTEN TEST SAMPLE 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 infecte...

CASE 1 Mr. Jackle, 68 yrs old, is admitted with hypotension and respiratory distress requiring intubation following a large ST elevation anterior-lateral wall myocardial infarction. 1. Shortly after insertion of a rights subclavian catheter, he develops worsening shortness of breath and bibasilar crackles. Blood is noted to be backing up from the central venous catheter and his oxygen saturation decreases with supine positioning. Which one of the following problems is consistent with these findings? a. Pulmonary embolus b. Right heart failure c. Cardiac pulmonary edema d. Hemopneumothorax 2. Mr. Jackle’s will be monitored for signs of reinfarction. Which one of the following lab tests would best indicate reinfarction? a. Creatinine kinase b. Cardiac troponin c. Lactate dehydrogenase d. Venous oxygen saturation 3. Mr. Jackle develops cardiogenic shock, respiratory failure and acute kidney injury. He is receiving epinephrine at 2 ug/min and is fully ventilated on a...