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Nursing Care and Critical Decision-Making in Acute Patient Situations Quiz

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Which of the following vital signs is NOT typically measured in acute patient care?

Blood Glucose Level

Explanation

Not a vital sign; typically assessed separately in specific contexts.

What is the primary purpose of using the Glasgow Coma Scale (GCS) in acute patient assessment?

To measure level of consciousness

Explanation

Quantifies patient's neurological status for rapid assessment.

Which of the following is a priority intervention in managing a patient with severe sepsis or septic shock?

Initiating antibiotic therapy

Explanation

Targets underlying infection to halt progression of sepsis.

Which of the following is a priority nursing intervention for a patient experiencing anaphylaxis?

Administering epinephrine

Explanation

Counteracts systemic vasodilation and bronchoconstriction.

What is the priority action for a nurse when encountering a patient with a compromised airway?

Ensuring a patent airway

Explanation

Ensures oxygenation and prevents further deterioration.

During a cardiac arrest situation, what is the first step in the BLS (Basic Life Support) algorithm?

Check for responsiveness

Explanation

Ensures immediate action if patient is unresponsive.

In acute respiratory distress, which intervention takes precedence?

Administering oxygen

Explanation

Critical to address hypoxemia and support respiratory function.

Which medication is commonly administered to reverse opioid overdose in an acute care setting?

Naloxone

Explanation

Antagonizes opioid receptors, reversing respiratory depression.

In a patient with suspected internal bleeding, which assessment finding is most concerning?

Decreased blood pressure

Explanation

Indicates significant blood loss and potential hypovolemic shock.

#10

Which symptom is commonly associated with diabetic ketoacidosis (DKA)?

Polyuria

Explanation

Results from osmotic diuresis due to hyperglycemia and ketonuria.

#11

What is the most appropriate initial action if a patient exhibits signs of increased intracranial pressure (ICP)?

Elevating the head of the bed

Explanation

Reduces intracranial pressure by facilitating venous drainage.

#12

Which laboratory value is most indicative of acute renal failure?

Increased serum creatinine

Explanation

Reflects impaired kidney function and decreased glomerular filtration.

#13

What is the primary goal of using mechanical ventilation in acute respiratory failure?

To improve gas exchange

Explanation

Augments oxygenation and CO2 removal to maintain adequate levels.

#14

In acute myocardial infarction (heart attack), which cardiac enzyme is typically elevated within the first few hours?

Myoglobin

Explanation

Rises rapidly after myocardial injury, preceding other enzymes.

#15

Which electrolyte abnormality is commonly associated with rhabdomyolysis?

Hyperkalemia

Explanation

Released potassium from damaged muscle cells can lead to hyperkalemia.

Nursing Care and Critical Decision-Making in Acute Patient Situations Quiz

Which of the following vital signs is NOT typically measured in acute patient care?

What is the primary purpose of using the Glasgow Coma Scale (GCS) in acute patient assessment?

Which of the following is a priority intervention in managing a patient with severe sepsis or septic shock?

Which of the following is a priority nursing intervention for a patient experiencing anaphylaxis?

What is the priority action for a nurse when encountering a patient with a compromised airway?

During a cardiac arrest situation, what is the first step in the BLS (Basic Life Support) algorithm?

In acute respiratory distress, which intervention takes precedence?

Which medication is commonly administered to reverse opioid overdose in an acute care setting?

In a patient with suspected internal bleeding, which assessment finding is most concerning?

Which symptom is commonly associated with diabetic ketoacidosis (DKA)?

What is the most appropriate initial action if a patient exhibits signs of increased intracranial pressure (ICP)?

Which laboratory value is most indicative of acute renal failure?

What is the primary goal of using mechanical ventilation in acute respiratory failure?

In acute myocardial infarction (heart attack), which cardiac enzyme is typically elevated within the first few hours?

Which electrolyte abnormality is commonly associated with rhabdomyolysis?

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