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1. Which of the following statements is true?
A) Pruritis occurs in liver failure due to increased levels of serum ammonia
B) Ammonia is produced in the liver
C) The most frequent fatal complication of liver failure is hepatic encephalopathy
D) Serum ammonia is the cerebral toxin most often implicated in hepatic encephalopathy
2. Emergency measures for ventricular assist devices failure may include all of the following except:
A) Patients can be safely cardioverted and defibrillated with ventricular assist device in place
B) Backup ventricular assist device in place and ready for operation in case mechanical failure occurs
C) Cardiopulmonary resuscitation
D) Vascular clamps available for cannula disconnections
3. The nurse is assessing a patient using the Full Outline of Unresponsive (FOUR) score tool. The patient she is assessing is not intubated, and his respirations are even and easy at rest. He opens his eyes on command, and his pupils are equal and reactive to light. He gives the nurse a "thumbs up" when asked.
What is this patient's FOUR score?
A) 0
B) 12
C) 16
D) 20
4. To ensure consistency in QT-interval monitoring, a single method should be used by all practitioners who are responsible for cardiac monitoring. Each facility should have a protocol in place that defines this specific method of QT-interval monitoring and includes all of the following except:
A) The method for determining the end of the Q wave
B) The formula for heart rate correction
C) Defines the equipment to be used (manual or electronic)
D) Criteria for lead selection
5. Evidence-based practice guidelines for the prevention of ventilator-associated pneumonia include which of the following?
A) In patients at increased risk for aspiration (e.g., enteral tube in place) the head of the bed should remain elevated at 30 to 45 degrees at all times. For other mechanically ventilated patients, supine positioning is preferred.
B) Do not routinely change the patient's ventilator circuit
C) Large-volume room-air humidifiers which create aerosols (nebulizers) must be sanitized at least daily and filled only with distilled water
D) Unless contraindicated by the patient's condition, perform nasotracheal rather than orotracheal intubation
Solutions:
Question # 1 Answer: D | Question # 2 Answer: C | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: B |
1. Which of the following statements is true?
A) Pruritis occurs in liver failure due to increased levels of serum ammonia
B) Ammonia is produced in the liver
C) The most frequent fatal complication of liver failure is hepatic encephalopathy
D) Serum ammonia is the cerebral toxin most often implicated in hepatic encephalopathy
2. Emergency measures for ventricular assist devices failure may include all of the following except:
A) Patients can be safely cardioverted and defibrillated with ventricular assist device in place
B) Backup ventricular assist device in place and ready for operation in case mechanical failure occurs
C) Cardiopulmonary resuscitation
D) Vascular clamps available for cannula disconnections
3. The nurse is assessing a patient using the Full Outline of Unresponsive (FOUR) score tool. The patient she is assessing is not intubated, and his respirations are even and easy at rest. He opens his eyes on command, and his pupils are equal and reactive to light. He gives the nurse a "thumbs up" when asked.
What is this patient's FOUR score?
A) 0
B) 12
C) 16
D) 20
4. To ensure consistency in QT-interval monitoring, a single method should be used by all practitioners who are responsible for cardiac monitoring. Each facility should have a protocol in place that defines this specific method of QT-interval monitoring and includes all of the following except:
A) The method for determining the end of the Q wave
B) The formula for heart rate correction
C) Defines the equipment to be used (manual or electronic)
D) Criteria for lead selection
5. Evidence-based practice guidelines for the prevention of ventilator-associated pneumonia include which of the following?
A) In patients at increased risk for aspiration (e.g., enteral tube in place) the head of the bed should remain elevated at 30 to 45 degrees at all times. For other mechanically ventilated patients, supine positioning is preferred.
B) Do not routinely change the patient's ventilator circuit
C) Large-volume room-air humidifiers which create aerosols (nebulizers) must be sanitized at least daily and filled only with distilled water
D) Unless contraindicated by the patient's condition, perform nasotracheal rather than orotracheal intubation
Solutions:
Question # 1 Answer: D | Question # 2 Answer: C | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: B |
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