EXAM Flashcards

1
Q

A patient is brought to the emergency department unconscious following a barbiturate overdose. The nurse recognises that the patient is at risk of:

a) Hypercapnic respiratory failure related to ventilatory failure.
b) Hypoxemic respiratory failure related to diffusion limitations
c) Hypoxemic respiratory failure related to shunting of blood from under ventilated alveoli.
d) Hypercapnic respiratory failure related to ventilation-perfusion mismatch due to increased airway resistance.

A

a) Hypercapnic respiratory failure related to ventilatory failure.

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2
Q

What is the correct formula for adequate fluid resuscitation in burns patients?

a) 2mls x % of TBSA x weight in kgs
b) 52mls x % of TBSA x weight in kgs
c) 30mls x % of TBSA x weight in kgs
d) 5mls x % of TBSA x weight in kgs

A

a) 2mls x % of TBSA x weight in kgs

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3
Q

What are the priorities in caring for the family an emergency situation?

a) Remove from the vicinity
b) Establish what is appropriate and communicate with family re choices
c) Invite the family in
d) Have the Dr speak with the family immediately

A

c) Invite the family in

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4
Q

What are the causes of intra renal failure?

a) Low blood pressure
b) Nephrotoxic medications
c) High blood pressure
d) Alcohol

A

b) Nephrotoxic medications

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5
Q

A 15 year old patient arrives at the emergency department with mild diarrhoea,
What triage score would you give this patient?

a) 1
b) 2
c) 3
d) 4
e) 5

A

d) 4

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6
Q

Invasive monitoring includes:

a) Arterial, central venous and PICC monitoring
b) Arterial and central monitoring
c) Arterial, central and pulmonary artery monitoring
d) Central, PICC and pulmonary artery monitoring

A

c) Arterial, central and pulmonary artery monitoring

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7
Q

Shock is generally characterised by:

a) High blood pressure and high heart rate
b) Low blood pressure and high heart rate
c) Low blood pressure and low heart rate
d) Low blood pressure and high temperature

A

b) Low blood pressure and high heart rate

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8
Q

How long does it take for a superficial partial thickness burn to heal?

a) 5-10 days
b) 21-28 days
c) 30 days to months
d) Cannot regenerate skin

A

a) 5-10 days

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9
Q

As soon as the patient is admitted to the recovery room, a priority of the nurse is to:

a) Assess the pain level of the patient
b) Attach the oxygen therapy, ECG dots and oxygen saturation probe
c) Assess airway patency and respiratory status
d) Assess level of consciousness

A

c) Assess airway patency and respiratory status

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10
Q

Sleep deprivation in patients who are critically ill is often attributed to:

a) Bed baths during the evening shift
b) Untreated pain & anxiety
c) Family visiting
d) Altered melatonin levels

A

b) Untreated pain & anxiety

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11
Q

The incidence of burns in AUST/NZ 1999 - 2004 is?

a) 460 admissions
b) 4,600 admissions
c) 46,000 admissions

A

c) 46,000 admissions

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12
Q

The Classification of burns injuries is superficial, partial thickness and full thickness

True / False

A

True

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13
Q

A patient has recently been diagnosed with early stage breast cancer. Which of the following is most appropriate for the nurse to focus on?

a) Maintaining the patient’s hope
b) Preparing a will and advanced directive
c) Discussing replacement child care for the patient’s children
d) Discussing the patient’s past experiences with her grandmother’s cancer

A

d) Discussing the patient’s past experiences with her grandmother’s cancer

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14
Q

How long does it take for a superficial partial thickness burn to heal?

a) 5-10 days
b) 21-28 days
c) 30 days to months
d) Cannot regenerate skin

A

a) 5-10 days

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15
Q

As soon as the patient is admitted to the recovery room, a priority of the nurse is to:

a) Assess the pain level of the patient
b) Attach the oxygen therapy, ECG dots and oxygen saturation probe
c) Assess airway patency and respiratory status
d) Assess level of consciousness

A

c) Assess airway patency and respiratory status

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16
Q

A patient has recently been diagnosed with early stage breast cancer. Which of the following is most appropriate for the nurse to focus on?

a) Maintaining the patient’s hope
b) Preparing a will and advanced directive
c) Discussing replacement child care for the patient’s children
d) Discussing the patient’s past experiences with her grandmother’s cancer

A

d) Discussing the patient’s past experiences with her grandmother’s cancer

17
Q

Invasive monitoring includes:

a) Arterial, central venous and PICC monitoring
b) Arterial and central monitoring
c) Arterial, central and pulmonary artery monitoring
d) Central, PICC and pulmonary artery monitoring

A

c) Arterial, central and pulmonary artery monitoring

18
Q

The incidence of burns injuroes in Aust/ NZ 1999- 2004 is?

a) 460 admissions
b) 4600 admissions
c) 46000 admissions

A

c) 46000 admissions

19
Q

A 80kg pt has 25% TBSA burn. The patient is NBM so also includes the 2 L maintenance fluid requirements. Formula: 4ml/kg/TBSA% + 2000ml. What is the fluid requirement for the first 24 hours

a) 4000 ml
b) 7380 ml
c) 10 000 ml
d) 14 760 ml

A

a) 4000 ml