A 5-year old presents to the ED three weeks following primary closure of an atrial septal defect. She is ill appearing with fever, tachycardia, dyspnea. HR 132, BP 75/48, RR 36, SpO2 91% RA. Which of the following is the BEST diagnostic and therapeutic management plan for this presentation? A 5-year old presents to the […]

80. A nurse caring for a client who has cervical and a sealed radiation implant. Which of the following actions should the nurse take? A. Attach a dosimeter badge to the client’s gown. B. Place long handled forceps at the client’s bedside C. Leave unused equipment in the client’s room until discharged D. Move the […]

An otherwise healthy 34-year-old man presents with a chief complaint of recurrent upper abdominal discomfort. His pain is described as “aching” and radiates to his back at times. Position does not change his symptoms. Pain usually lasts for 1 to 2 hours at a time and then subsides. He has associated nausea, but no vomiting. […]

She has a history of depression and substance use disorder but is otherwise healthy. Which of the following wake promoting agents would be most appropriate to prescribe this patient? A. Methylphenidate B. Caffeine C. Solriamfetol D. Armodafinil

How can research evidence best be used in clinical settings? Group of answer choices Using required policies and procedures Using recommendations for evidence-based decision making Using basic steps as a process of implementing evidence-based practice Using a process for asking clinical questions

A previously healthy 4-year-old presents with the beginning signs of septic shock. Which of the following measures would be most appropriate to initiate first? A previously healthy 4-year-old presents with the beginning signs of septic shock. Which of the following measures would be most appropriate to initiate first? Steroids Vasopressors Broad-spectrum antibiotics Isotonic fluid resuscitation

A 14 year-old male presents to the ED with symptoms consistent with pneumonia. He has no known exposure to MRSA in his history. Which of the following is the most acceptable outpatient treatment option for this teen? A 14 year-old male presents to the ED with symptoms consistent with pneumonia. He has no known exposure […]

  A patient with post-pericardiotomy syndrome may present with all of the following EXCEPT: A patient with post-pericardiotomy syndrome may present with all of the following EXCEPT: Possible exposure to sick contacts with viral illness Poor appetite Irritability Chest pain All of the above may be findings in the H&P of a patient who presents […]

You are approached by another nurse in the hallway outside of a client’s room. The nurse begins to give you a patient report so that she can go to break. Your best response would be: “This spot is rather noisy; for patient confidentiality, would you mind closing the door to the client’s room first.” “A […]

A cachectic 65-year-old woman is brought in by paramedics. She is believed to be homeless and was found unresponsive on the steps of the local public library. Her vital signs indicate a temperature of 100.0 °F, heart rate of 112 beats/min, and a blood pressure of 96/56 mmHg. On examination, scleral icterus and several spider […]