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Progressive Care Nursing: Assessment and Management of Critical Conditions Quiz

#1

Which of the following is not a common assessment finding in a patient with congestive heart failure (CHF)?

Decreased heart rate
Explanation

In CHF, heart rate tends to be increased due to compensatory mechanisms.

#2

Which of the following is a characteristic of a hypertensive emergency?

Systolic blood pressure consistently above 160 mm Hg
Explanation

A hypertensive emergency is characterized by severely elevated blood pressure, typically with systolic readings above 160 mm Hg.

#3

What is the primary pharmacological intervention for a patient experiencing a hypertensive emergency with acute myocardial infarction (MI)?

Aspirin
Explanation

Aspirin is given to patients with MI to inhibit platelet aggregation and reduce the risk of clot formation.

#4

Which of the following is a common symptom of serotonin syndrome?

Hyperthermia
Explanation

Serotonin syndrome often presents with hyperthermia due to excessive serotonin activity.

#5

Which of the following is a priority intervention for a patient with acute respiratory distress syndrome (ARDS)?

Initiating mechanical ventilation
Explanation

ARDS often requires mechanical ventilation to support oxygenation and ventilation.

#6

What is the most common cause of septic shock?

Bacterial infection
Explanation

Septic shock commonly results from systemic bacterial infections.

#7

Which of the following is a common manifestation of neurogenic shock?

Bradycardia
Explanation

Neurogenic shock often presents with bradycardia due to disruption of sympathetic nervous system activity.

#8

What is the primary treatment goal for a patient with acute pancreatitis?

Providing aggressive IV fluid resuscitation
Explanation

Fluid resuscitation is crucial in managing acute pancreatitis to maintain hemodynamic stability and prevent complications.

#9

Which of the following is a primary manifestation of acute kidney injury (AKI)?

Oliguria
Explanation

Oliguria, or reduced urine output, is a common sign of acute kidney injury.

#10

Which of the following is a characteristic of disseminated intravascular coagulation (DIC)?

Prolonged clotting times
Explanation

DIC leads to widespread clotting in small vessels, resulting in consumption of clotting factors and prolonged clotting times.

#11

A patient with diabetic ketoacidosis (DKA) is likely to present with which of the following laboratory findings?

Hyperglycemia and metabolic acidosis
Explanation

DKA is characterized by high blood sugar levels (hyperglycemia) and increased acidity in the blood (metabolic acidosis).

#12

Which of the following is a typical clinical manifestation of a tension pneumothorax?

Tracheal deviation away from the affected side
Explanation

Tension pneumothorax can cause the trachea to deviate away from the affected side due to increased pressure.

#13

What is the primary pharmacological intervention for a patient with status epilepticus?

Benzodiazepines
Explanation

Benzodiazepines are commonly used as first-line treatment to rapidly terminate seizures in status epilepticus.

#14

What is the primary goal of treatment for a patient with hypertensive encephalopathy?

Preventing cerebral edema
Explanation

Treatment focuses on reducing blood pressure to prevent further cerebral edema and damage.

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