NR572 Week 4: Midterm Exam (sept 2026)

NR572 Week 4: Midterm Exam [Sept 2026]

You are called by the nursing staff for a patient with a history of heavy, daily alcohol use. He was admitted 48 hours ago with cellulitis in the right foot. The patient has become acutely agitated, confused, and diaphoretic. VS are as follows: BP 198/88; HR 134; RR 28; T 38.4°C. What is the most appropriate intervention for this patient?

1. Haloperidol 5mg IV q 8 hour
2. Clonazepam 0.5mg po q 12 hours
3. Propofol IV 10mg/kg/hr
4. Lorazepam 4mg IV q 4 hours ✅

You are caring for a patient with a recent GI bleed secondary to esophageal varices. You are assessing the patient and find them minimally responsive with significant hematemesis surrounding the patient. VS are as follows: BP 72/42; HR 138; RR 28. What type of shock is this patient likely experiencing?

1. Cardiogenic
2. Distributive
3. Neurogenic
4. Hypovolemic ✅

A patient presents to the ED with findings strongly suggestive of community acquired pneumonia. Vitals are as follows: T 38.7°C; HR 122; R 26; BP 99/54. Serum lactate is 3.0. What are your priority interventions for this patient?

1. Albuterol nebulized treatment and LR infusion at 200ml/hr
2. Metoprolol 5mg and 1L Lactated Ringers
3. Ceftriaxone 1gm and 1L NS ✅
4. Acetaminophen 500mg and D5W 500ml bolus

You are assessing a patient who just arrived to the ED following a suspected overdose of an unknown substance. The patient is minimally responsive and was intubated in the field. She is accompanied by her husband and the medics. What is the best method for obtaining information regarding this patient?

1. Ask patient yes and no questions
2. Give patient paper and pen and allow patient to write
3. Contact the police for an investigation
4. Interview EMS & the patient’s husband ✅

You are caring for 55-year-old male following a laparoscopic cholecystectomy. The patient was slow to wake up and initially required bipap during the immediate post-operative period. He was transitioned to 2L nasal cannula 30 minutes ago and you are assessing him to determine if he is appropriate for transfer to a surgical floor. The patient is sitting up in bed. He is awake, alert, and oriented without any shortness of breath. Vital signs: BP 122/78, P 78, RR 18; SpO2 97%. An ABG drawn 5 minutes ago on 2L NC reveals pH 7.66; PCO2 30; PaO2 110; HCO3 21. As the NP what should be your next intervention for this patient?

1. Intubate patient for acute respiratory failure
2. Administer acetazolamide for metabolic alkalosis
3. Place patient back on bipap for respiratory distress
4. Redraw ABG as it does not correlate with the patient presentation ✅………………………….purchase all the 50 questions and answers at $60 only