NRNP 6566 Week 8 Knowledge Check (Collection)

(NRNP 6566 Week 8 Knowledge Check, NRNP 6566 Week 8 Knowledge Check)

NRNP 6566 Week 8 Knowledge Check (Version 1)

1. Question: What type of ICU sedation would be appropriate for a 32 year old male patient who is … with bilateral chest tube following a motor vehicle crash.
2. Question: Describe the levels of sedation (minimal, moderate, deep, general anesthesia, and dissociation) and its affect on consciousness, airway, ventilation, and reflexes.
3. Question: The APRN has … that a 21 year old motor vehicle crash victim needs a rapid sequence intubation. The patient weighs 77 kg. What medications are … to successfully achieve the rapid sequence intubation?
4. Question: A 66 year old women in the ICU is … with delirium. What would be the best approach to treating her delirium?
5. Question: The NP is beginning to repair a laceration on a 22 year old female. The patient mentions that she is allergic to lidocaine. What medication would be an appropriate alternative for this patient?
6. Question: A 54 year old 112 kg women is … for incision and drainage of a left renal abscess. She needs TID wet to dry dressing changes that are very painful. She rates the pain during the dressing change as a 10 and describes in as sharp, pulling, and burning. Prior to the last dressing change she … 2 mg of morphine IV which was totally ineffective in relieving any pain of the dressing change. How would you manage the medication dosing prior to the next dressing change?
7. Question: A 36 year old man complains of sciatic type nerve pain in his left posterior leg. What medication would be best to manage his pain?
8. Question: A 44 year old man was given fentanyl to achieve moderate sedation for a colonoscopy. During the procedure, the patients oxygen saturation begins to decline and while assessing the patient the NP notices chest wall rigidity. What is the cause of the rigidity and how would you treat it?
9. Question: A 66 year old man is … to the ICU with respiratory distress and bilateral pneumonia. He has a history of a CVA 2 years ago with right hemiplegia and aphasia. Current vitals signs are T 98.8 HR 115 BP 170/99. RR 32. Oxygen saturation is 90% on a nonrebreather mask. The patient weighs 70 kg. The NP decides to perform a rapid sequence intubation. What medications and doses would be appropriate for this patient?
10. Question: A 77 year old man fell and … a laceration across his upper right lip. The APRN decides to utilize a block for pain control which suturing the laceration. What typeof block and what medication would be appropriate for this patient?

NRNP 6566 Week 8 Knowledge Check (Version 2)

1. Question: A 77 year old man fell and … a laceration across his upper right lip. The APRN decides to utilize a block for pain control which suturing the laceration. What type of block and what medication would … appropriate for this patient?
2. Question: A 13 year old girl is … in urgent care for a large wound on her left forearm. She complains of severe pain, is crying, and is rocking on the bed due to pain. The APRN is planning on how to repair the laceration and is considering utilizing ketamine for procedural sedation. What are the benefits and risks of this drug? What monitoring would be indicated if utilized?
3. Question: A 66 year old women in the ICU is … with delirium. What would be the best approach to treating her delirium?
4. Question: A 66 year old man is … to the ICU with respiratory distress and bilateral pneumonia. He has a history of a CVA 2 years ago with right hemiplegia and aphasia. Current vitals signs are T 98.8 HR 115 BP 170/99. RR 32. Oxygen saturation is 90% ona nonrebreather mask. The patient weighs 70 kg. The NP decides to perform a rapid sequence intubation. What medications and doses would be appropriate for this patient?
5. Question: A patient receiving propofol for bronchoscopy in the ICU becomes unresponsive to verbal or tac-tile stimulation. His pulse oximeter reads 85%. What action should the NP take to improve the patient’s oxygenation?
6. Question: A 32 year old man presents with multiple deep lacerations to his bilateral upper extremes and lower extremities after falling into a glass table. The patient weights 80 kg. What is the maximum dose of 1% lidocaine solution with epinephrine that can … for local anesthesia?
7. Question: A 44 year old man was given fentanyl to achieve moderate sedation for a colonoscopy. During the procedure, the patients oxygen saturation begins to decline and while assessing the patient the NP notices chest wall rigidity. What is the cause of the rigidity and how would you treat it?
8. Question: What type of ICU sedation would be appropriate for a 32 year old male patient who is … with bilateral chest tube following a motor vehicle crash.
9. Question: A 66 year old man in undergoing a bronchoscopy in the ICU. He is given midazolam pre-procedure. During the procedure, the patients respiratory rate and oxygen saturation starts de-creasing. What action should the NP take?
10. Question: The APRN has … that a 21 year old motor vehicle crash victim needs a rapid sequence intubation. The patient weighs 77 kg. What medications are … to successfully achieve the rapid sequence intubation?