Author: Anonymous

17. A nurse is working the emergency department in a large metropolitan hospital. An emergency response team calls in that they are bringing  a 24-year-old female rescued from a housefire. She is one of four victims that were burned in the fire. Two of the victims were transferred to the nearest burn facility and the third victim expired. The patient is awake and alert with oxygen @ 2 liters/nasal canula. She is upset that no one has told her the status of the rest of her family. Vital signs: blood pressure-94/50 mm Hg, pulse-110 bpm, respirations- 34, oxygen saturation 94%. The patient’s weight is 57 kilograms and total body surface area (TBSA) of the burns is 65%. Number the following actions in the order they should be performed in the emergent phase of this burn patient. 1. Assess for other injuries. 2. Establish 2 large gauge intravenous lines. 3. Assess and maintain airway. 4. Calculate the Parkland formula for fluid resuscitation. 5. Calculate TBSA. 6. Medicate for pain. 7. Contact other family or support person. 8. Provide emotional support and reassurance.

48. A nurse is reviewing the lab results of a patient who is suspected of having Human Immunodeficiency Virus (HIV). The nurse should identify which of the following tests are used to confirm HIV infection?

59. The nurse is caring for a patient that is gravida 2 para 1 and 32 weeks pregnant. She suddenly develops the following rhythm with no pulse. Two of her co-workers arrive to see if she needs assistance. What is the priority intervention?  

58. While instructing a patient with ascites on dietary modification, the nurse will discuss the patient’s need to restrict which electrolyte?            

31. Following a tornado, a nurse is determining which of the patients assigned to her care can be discharged to free up beds for injured patients. Which of the following patients should the nurse recommend for discharge?

55. Jaundice is the first sign of which condition in a four-week old infant?   

50. An older adult has had a massive gastrointestinal bleed resulting in hypovolemic shock. Which of the following sign supports the nursing diagnosis of ineffective tissue perfusion?

Question from Group Presentations: 73. What are the requirements for invoking Safe Harbor?Select All That Apply.  

77. Which statement obtained from a patient during assessment alerts you to alcohol addiction?

43. An adult patient presents to the emergency department with shortness of breath. The patient’s latest tests show the following:   Hemoglobin  9.2 g/dL  (reference range  12.0-15.5 g/dL) Hematocrit    32%        (reference range  34.9%-44.5%) BNP              1100 ng/L (reference range 0-100 pg/mL) BUN              32 mg/dL  (reference range  5-20 mg/dL) Creatinine      2.3 mg/dL  (reference range  0.5-1.2 mg/dL) Ejection Fraction     38%   What interventions would be appropriate to implement based on these findings?