Question 1

Immediately following a heart transplant, a patient has two P waves followed by one QRS segment each cardiac cycle. What is the nurse's next step?

Options :

A : Request isoproterenol

B : Continue to monitor

C : Start temporary pacing

D : Obtain an echocardiogram

Answer: B

Question 2

When evaluating the effectiveness of a new skin care protocol, a nurse should assess the:

Options :

A : Preventive measures implemented

B : Change in nursing care hours

C : Presence of lesions, ulcers, or erythema

D : Documentation of nursing interventions

Answer: C

Question 3

A 2-year-old child in septic shock is receiving nitroprusside (Nipride). Which of the following findings indicates the need to increase the nitroprusside dosage?

Options :

A : Systolic BP greater than or equal to 78 mm Hg

B : Urine output is 7 cc/hr

C : Systemic vascular resistance is 1820 dynes/sec/cm##

D : HR is 180

Answer: C

Question 4

A 14-year-old post-MVC receives massive transfusion. Later, the abdomen is rigid. Which finding suggests abdominal compartment syndrome?

Options :

A : Decreased PIP

B : Oliguria

C : Decreased RA pressure

D : Polyuria

Answer: B

Question 5

A patient is postoperative day 1 from a laparotomy for appendicitis. Which intervention best prevents surgical wound infection?

Options :

A : Apply a dressing with plastic tape over the wound, encourage handwashing, and offer a high-calorie diet

B : Shower twice daily, apply betadine to the skin around the wound, and maintain NPO status

C : Encourage nutritional support as early as possible, bathe daily with pH-balanced cleanser, and encourage mobility

D : Cleanse the wound with antibacterial soap and water, maintain NPO status, and encourage mobility

Answer: C