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ulISGE - ntprophecyhealthcom 0 Patient Care Question: You are caring for a patient who is ventilated, sedated, and on an anti-hypertensive infusion to keep their systolic blood pressure less than 130 mmHg. You have just repositioned them and suctioned their ETI'. Now you find that they are grimacing, have a systolic BP of 148 mmHg, 3 heart rate of 112, and 97% SPOZ. Which of the following actions should you take? I Titrate the sedation up until the patient settles. ® Safety Question: You find your patient with their hands on their E'l'l', coughing, with large amounts of secretions coming out of their mouth and around their ETI'. You can clearly see the ETI' has been pulled out at least 4 cm farther than it was before. After calling for help, what should you do NEXT? 0 Restrain the patient's hands. 0 Patient Care Question: Your patient's chest tube dressing has accidently come off and you are preparing to place a new one. You have a slit drain sponge, 4 x 4 gauzes, tape, scissors, and antiseptic swabs. What else do you need? U Chest drainage system 0 Manage Diseases and Conditions Question: Your patient had a chest tube inserted 3 hours ago. They are now experiencing unexplained respiratory distress. After notifying the provider, what STAT order would you expect to receive? I ABG 0 Patient Assessment Question: When collecting an ABG from an arterial line with a specimen tube, what should you do after attaching the needleless blood sampling device to the stopcock? 0 Observe blood filling the tube. 0 Safety Question: Your patient has a history of diabetes, polycystic ovary disease, and recent hip surgery. The patient calls you to the bedside and says, "I just don't feel right." What is your BEST NEXT action? I Call a rapid response 0 Manage Diseases and Conditions Question: What treatment should you anticipate in your patient with new onset atrial fibrillation? I Amiodarone (Nexterone®) o Pharmacology Question: Which of the following helps prevent errors when programming a smart IV pump to administer a medication infusion? - Manually enter the custom concentration each time. 0 Safety Question: Your patient's vital signs have been stable for 2 days and their vasoactive infusions, arterial line, and CVP monitoring was discontinued yesterday. What step is MOST important for you take to help prevent a central line associated blood stream infection? 0 Use aseptic technique every time you access the line. 0 Patient Care Question: What is the acid-base abnormality: pH 7.56, PaC02 24 mm Hg, HCO3 23 mEq/L? . Metabolic NH

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ulISGE - Not Secure — nt.prophecyhealth.com C), 0 Observe blood filling the tube. 0 Safety Question: Your patient has a history of diabetes, polycystic ovary disease, and recent hip surgery. The patient calls you to the bedside and says, "I just don't feel right." What is your BEST NEXT action? I Call a rapid response 0 Manage Diseases and Conditions Question: What treatment should you anticipate in your patient with new onset atrial fibrillation? 0 Amiodarone (Nexterone®) o Pharmacology Question: Which of the following helps prevent errors when programming a smart IV pump to administer a medication infusion? - Manually enter the custom concentration each time. 0 Safety Question: Your patient's vital signs have been stable for 2 days and their vasoactive infusions, arterial line, and CVP monitoring was discontinued yesterday. What step is MOST important for you take to help prevent a central line associated blood stream infection? 0 Use aseptic technique every time you access the line. 0 Patient Care Question: What is the acid-base abnormality: pH 7.56, PaC02 24 mm Hg, HCO3 23 mEq/L? - Metabolic alkalosis 0 Patient Assessment Question: What should you monitor for a patient at risk for respiratory depression? I SPOZ 9 Patient Assessment Question: What data supports the accuracy of an arterial line BP reading? 0 Height of arterial waveform 0 Manage Diseases and Conditions Question: Your patient's wound vac keeps alarming with an air leak and the wound care nurse cannot see the patient until tomorrow. What steps can you take to troubleshoot the alarm? I Press start/stop therapy and seal check 0 Professional Issues and Ethics Question: You are on shift and overhear another nurse discussing confidential patient information on their cell phone during their break. What would be the BEST action to take? 0 Immediately go to your supervisor and start the process for an incident report. a: Prophecy" A Rel ias Company

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9:00 .11 5GE Not Secure - nt.prophecyhealth.com Rhythm Interpretation - Atrial Question: What is the cardiac rhythm? HI Jones and Bartlett Publishers, 02012 Used with Permission . Atrial flutter Rhythm Interpretation - Atrial Question: What is the cardiac rhythm? Jones and Bartlett Publishers, @2012 Used with Permission . Atrial flutter Rhythm Interpretation - Atrial Question: What is the cardiac rhythm? HI as and Bartlett Publishers, 02012 Used with Permission . Sinus rhythm with PVCs Rhythm Interpretation - Heart Blocks Question: What is the cardiac rhythm? HI ones and Bartlett Publishers, 02012 Used with Permission . 2nd degree AV block - Type I (Mobitz I) Rhythm Interpretation - Heart Blocks Question: What is the cardiac rhythm? II Jones and Bartlett Publishers, @2012 Used with Permission 2nd degree AV block - Type II (Mobitz II) Rhythm Interpretation - Junctional Question: What is the cardiac rhythm? Jones and Bartlett Publishers, @2012 Used with Permission . Sinus tachycardia Rhythm Interpretation - Paced Question: What is the cardiac rhythm? Jones and Bartlett Publishers, 02012 Used with Permission

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9:01 1 5GE AA Not Secure - nt.prophecyhealth.com C Rhythm Interpretation - Sinus Question: What is the cardiac rhythm? Jones and Bartlett Publishers, 02012 Used with Permission . Junctional rhythm Rhythm Interpretation - Sinus Question: What is the cardiac rhythm? HI Jones and Bartlett Publishers, 02012 Used with Permission . Supraventricular tachycardia (SVT) Rhythm Interpretation - Sinus Question: What is the cardiac rhythm? WWWWWwwwwwwww Jones and Bartlett Publishers, 02012 Used with Permission . Junctional tachycardia Rhythm Interpretation - Ventricular Question: What is the cardiac rhythm? ers, 62012 Used with Permission . Accelerated junctional rhythm Rhythm Interpretation - Ventricular Question: What is the cardiac rhythm? HI Jones and Bartlett Publishers, @2012 Used with Permission . Sinus rhythm with PACs Rhythm Interpretation - Ventricular Question: What is the cardiac rhythm? Jones and Bartlett Publishers, 62012 Used with Permission . Sinus rhythm with ventricular bigeminy

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