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Question 1

What solution is used for immediate fluid resuscitation in clients with hypovolemic or septic shock?

Answer 1

Isotonic

0.9% NaCl (sodium chloride)
Lactated Ringer
Normal Saline is the best choice due to it being inexpensive.

Question 2

What solution is used to treat dehydration, prior to an epidural/anesthesia, poor urine output, tachycardia due to hyperemesis gravidarum.

Also treats fluid loss due to vomiting, burns, and traumatic injury.

Answer 2

Isotonic

0.9% NaCl (sodium chloride)
Lactated Ringer
Normal Saline

Question 3

What solution is used to treat a patient at risk for cerebral swelling such as ICP?

Answer 3

Hypertonic

2. 5% dextrose and water
3. 45% NaCl (sodium chloride)

Question 4

Pull the pinna up and back >4 years of age
Pull the pinna down and back <3 years of age
for what

Answer 4

Ear drop administration

Question 5

What types of needles do you use to withdraw medication from ampules to prevent aspiration and injection of glass shards?

Answer 5

Filter needles

Question 6

A ____ order indicates that a medication is to be given immediately and only once

Answer 6

STAT

Question 7

Should you expel the air bubble from a profiled syringe of heparin? Y or N?

Answer 7

NO

This air bubble ensures all the medication is administered.

Question 8

What patches act locally and do not reach the bloodstream?

What patches penetrate the skin and enters the bloodstream, thereby allowing the effects of the medication throughout the whole body?

Answer 8

1. Topical

2. Transdermal

Question 9

Suppressed Immunity, long history of antibiotic use, invasive tubes or line, or in the ICU….
These clients are most at risk for hospital acquired _____?

Answer 9

MRSA

Question 10

What events are injuries cause by medical management rather than a client’s underlying condition?

Answer 10

Adverse

Question 11

What precautions should be used to prevent infection in clients who have a low WBC and Absolute neutrophil counts?

Answer 11

Neutropenic

Question 12

Tuberculosis
Varicella (Chickenpox)
Herpes Zoster (Shingles)
Rubeola (Measles)

Must be isolated first in negative pressure room
Wear N95
As needed if contact with body fluids is anticipated: clean gloves, disposable gown, goggles/face shield

Answer 12

Airborne Precautions

Question 13

What precautions should be considered with Pertussis?

Answer 13

Droplet

Question 14

This test assess for loss of balance, they are asked to close their eyes and maintain balance.

Answer 14

Romberg test

Question 15

What precautions should be considered with 
MRSA
CDiff
Scabies 
VRE

Answer 15

Contact Precautions

Question 16

Prioritization of Care 1st or 2nd?

Airway
Breathing
Circulation/Cardiac
Vitals Signs

Answer 16

1st

Question 17

Prioritization of Care 1st or 2nd?

Altered Mental Status
Acute Pain 
Untreated Medical Problems (hyperglycemia...)
Chronic Pain 
Acute Elimination 
Abnormal Lab results
Risk for infection, safety.

Answer 17

2nd