A nurse is transferring a patient with chest tube the X-ray department for chest X-ray.
y. Which location should the
nurse place chest tube
A. Directly on the stretcher in an upright
B. On the side of stretcher next to patient
C. Hanged on IV pole that is attached to the
D. Attached to the stretcher and hanged
69 year-old man is admitted to the intensive care unit following cardiac surgery. Two hours after admission, the
nurse performs a routine assessment and notes the patient's chest tube drainage is 200 milliliters and a dark red
color. He has had 60 milliliters output from the indwelling urinary catheter
Blood pressure 138/68 mmhg
Heart rate 76/min
Respiratory rate 16/min
Body temperature 37.0C oral
Oxygen saturation 94% 6L/min nasal cannula
Which finding should be reported to the doctor?
A. Dark red chest tube drainage
B. Urinary output
C. Oxygen saturation
D. Chest tube output volume
40 year-old male patient has a chest tube and properly fixed following cardiac surgery. The chest tube is patent
and functioning. When the nurse removes the dressing the tube falls out of the chest. Which is the most
appropriate initial intervention the nurse should take?
A. Reinsert the chest tube and notify the surgeon
B. Apply an occlusive dressing to the insertion site
C. Place the open end of the tube in 20 cm of water
D. Administer O2 at 10L/min via non-rebreather mask
While attempting to get of the bed a patient accidentally disconnects the chest tube from the pleura evac
drainage system which of the following actions should the nurse take first
A. Insert the end of the chest tube in a container of sterile solution
B. Raise the end chest tube above the level of insertion of the chest tube
C. Clamp the chest tube near pleura evac drainage system
D. Apply pressure dressing to chest tube insertion site
The nurse is caring for a client who has just had a chest tube attached to a water seal drainage system. To ensure
that the system is functioning effectively the nurse should:
A. Observe for intermittent bubbling in the water seal chamber
B. Flush the chest tubes with 30-60 ml of NSS every 4-6 hours
C. Maintain the client in an extreme lateral position
D. Strip the chest tubes in the direction of the client
A client chest tube is connected to a chest tube drainage system with a water seal . The nurse noted that the
water seal cumn is fluctuating with each breath that client takes . The fluctuation mwans that
A. There is an obstruction in the chest tube
B. The client is developing emphysema
C. The chest tube system is functioning properly
D. There is leak in the chest tube system
20-Your patient has a chest tube. Your assessing the water seal chamber and you note ).11 that the water moves
up as the patient inhales and then moves down when the patient ?exhales. What may be causing this to happen
A. This is normal and expected
B. The chest tube has a leak
C. The left chest tube is occluded
D. The water seal suction should be increased 2-5 mmHg
21-You are assisting a MD with the removal of a chest tube. What activity may the MD have ?the patient perform
while the chest tube is being removed
A. Valsalva maneuver.
B. Leopold Maneuver
C. Chest Physiotherapy
D. Huff Cough Technique
A 67 year-old man is admitted to the Post-anesthesia Recovery unit following chest surgery. The patient has a
right chest tube that is attached to low suction. Three hours after admission to the unit, the nurse observes the
drainage output from the chest tube is 300 milliliters. What is the most appropriate initial intervention?
A. Notify the doctor
B. Reduce IV infusion rate
C. Strip tube with roller device
D. Re-position in left lateral decubitus
The nurse is caring for a client who has had a chest tube inserted and connected to water seal drainage. The
nurse determines the drainage system is functioning correctly when which of the following is observed:
A. Continuous bubbling in the water seal chamber
B. Fluctuation in the water seal chamber
C. Suction tubing attached to a wall unit
D. Vesicular breath sounds throughout the lung fields
A patient with a history of atrial fibrillation has an order for 25 milligrams of drug (X), the available
supply/dose is 0.25 milligrams.
Which of the following doses in correct?
A. Dispense two tablets to the patient
B. Administer one tablet twice daily
C. Dispense one half tablet to the patient
D. Return tablets to the pharmacy and re-order
13-year-old patient is admitted for diarrhea and vomiting. He looks pale and lethargic. A nurse is preparingto
give IV hypotonic solution.
Blood pressure 110/70 mmHg
Heart rate 76 /min
Respiratory rate 18 /min
Temperature 36.1°C
Which IV solution is most appropriate?
A. 0.9% saline
B. Lactated ringers
C. 10% dextrose in water
D. 0.45% sodium chloride
A nurse is assigned to care for a group of patient in the medion expected to review the medical records of
these patient. What patient is at risk for excess fluid volume?
A. Patient with ileostomy
B. Patient taking a loop diuretic
C. Patient with chronic renal failure
D. Patient hooked to gastrointestinal
physician orders an intravenous fluid of D5NS at 100cc/hr. This is an example of which of the solution?
A. hyper alimentation
B. hypertonic
C. hypotonic
D. isotonic
When a patient was first diagnosed with schizophrenia, one of his family members asked the nurse about the
possible causes. The nurse said that one reason is that he may have had an excess secretion of a
neurotransmitter. Which of the following neurotransmitters?
A. serotonin
B. dopamine
C. glutamate
The nurse administered a dose of morphine sulfate as prescribed to a patient who is in the post anesthesia care
unit (PACU). The patient appears to be resting comfortably, the respiratory rate is 8 and the O2saturation is 21
oxygen via cannula is 86%. The nurse should IMMEDIATELY administer:
A. Flumazenil(Romazicon)
B. Medazolum(versed)
C. Naloxone (Narcan)
D. Ondansetron (Zofran)
Digoxin not given to pàtient who has which of the following ?
A. tachycardià
B. hypertension
C. tachypnea
D. bradycardia
Atropine is indicated for increase
A. Heart rate
B. Respiratory rate
Morphine side effect ?
A. tachycardià
B. hypertension
C. tachypnea
D. bradypnea
patient with ongoing magnesium sulfate the nurse should be alert to ?
A. temperature
B. respiratory rate
C. heart rate
Soldier was brought to triage area after being exposed to chemical weapons. Signs and symptoms of nervegas
exposure were noticed. A nurse prepares for medical management. Which medication should the nurse
prepare for the patient?
A. Atropine
B. Adrenaline
C. Sodium nitrate
D. Sodium thiosulphate
Nitroglycine administration route :
A. Intramuscular
B. Sublingual
C. Subcutaneous
D. Oral
A nurse checks the medication chart of a part, which has the following order; Nitroglycerin tab Buccal at stat.
Which of the following medication administration routes should the nurse use?
A. In the ear
B. Intravenous
C. Under the skin
D. Between cheek and gum
A nurse is caring for a patient who had Coronary Artery bypass Graft Surgery (CABG) four hours ago. The nurse
notices that the patient has increased confusion and is restless. The patient reports nausea, weakness and
paresthesia in the extremities (see lab results)
Normal Values
Result Test
134-146 mmol/L
145 Sodium
3.5-5.2 mmol/L 6.8 Potassium
2.15-2.62 mmol/L 2.50 Calcium
Which of the following is the best medication?
A. Naloxone (Narcan)
B. Hydralazine (Apresoline)
C. Potassium chloride (KCI)
D. Sodium polystyrene sulfonate (Kayexalate
Which of the following statement by the nurse about the clomid as an ovulation inducing drug?
A. Given for the first 15 days in each cycle
B. Maximum dose is 50 mg daily for a month
C. It increases the risk of birth defects
D. It increase the risk of multiple pregnancies
Clomiphene citrate (Clomid) is prescribed for a 32-year-old infertility treatment. The nurse should
understand that this medication is used for following actions?
A. induce ovulation
B. Decrease prolactin level
C. Reduce endometriosis
D. Stimulate the release of Follicle-Stimulating Hormone
A nurse is caring for a client with bipolar disorder, who is receiving Lithium carbonate. Before Administration of
the next dose, the client complains of nausea and vomiting and the nurse finds that the client’s lithium blood
level 1.5mEq/lL. Which of the following actions is considered Apriority?
A. call the client’s physician immediately
B. withhold the next dose.
C. Administer IV fluids
D. Repeat the blood lithium level testing
A patient was on a regular dose of lithium carbonate. The nurse noticed he has hand tremor, polyuria,
diarrhea and vomiting. What immediate action should be taken by the nurse?
A. Diuretics
B. Withholding lithium
C. Calling the psychiatrist
D. Monitoring serum lithium level
A patient was on a course of lithium carbonate drug. During the nurse found that he complained from
nystagmus visual hallucination, and oliguria Which of the following drug related complications best symptoms?
A. Overdose
B. Mild toxicity
C. Severe toxicity
D. Moderate toxicity
49-year-old women presented to the Emergency Department complaint of severe chest pain. The ECG showed
that the patient myocardial infarction. The doctor ordered the nurse to give the 800 mg of aspirin. Whatis the
primary indication of aspirin in this case?
A. Breaks down the thrombus
B. Decreases the formation of platelet plugs
C. Inhibits the conversion of prothrombine to
D. Interferes with vitamin k to maintain
which of the following condition is a Contraindication for a woman oral Contraceptives?
A. Dysmenorrhea
B. Menorrhagia
C. Thrombophlebitis
