Reference no: EM133343471
Question 1.
A patient receiving propofol for an awake bronchoscopy in the ICU becomes unresponsive to verbal or tac-tile stimulation. His pulse oximeter reads 85%. What action should the NP take to improve the patient's oxygenation?
Give a dose of Naloxone 0.4mg IV
Give a dose of Flumazenil 0.2mg IV
Give Glucagon 1mg IV
Bag-valve-mask the patient
2. A 44 year old male was given fentanyl to achieve moderate sedation for a colonscopy. During the procedure, the patient's oxygen saturation begins to decline. While assessing the patient, the NP notes he has some chest wall rigidity. All of the following would be included in the immediate plan of care except?
Use of a non-rebreather
Give a dose of succinycholine
Give a dose of naloxone
Use a bag-valve-mask ventilation
3. Delirium should be regularly assessed in critically ill patients using which valid tool?
GSC score
VAS
CAM-ICU
CPOT
4. Which pain scale is reliable to use for critically-ill patients who are able to self-report their pain level?
Behavioral Pain Scale (BPS)
Numeric Rating Scale (NRS)
FACES scale
Behavior Pain Assessment Tool (BPAT)
5. It is suggested to use the _________ for procedural pain management?
Highest effective dose
Patient's body weight to dose
Moderate effective dose
Lowest effective dose
6. It is best to use propofol over a benzodiazepine for sedation after cardiac surgery? True or False
True
False
7. Which type of pain results from abnormal processing by the peripheral and central nervous systems?
Acute pain
Non-cancer or Chronic pain
Nociceptive pain
Neuropathic pain
8. A 77 year old man fell and suffered a laceration across his upper right lip. The APRN decides to utilize a block for pain control when suturing the laceration. What type of block and what medication would be appropriate for this patient?
Infra-orbital block with 2% lidocaine with epinephrine
Infra-orbital block with 2% lidocaine without epinephrine
Peri-orbital block with 1% lidocaine with epinephrine
Peri-orbital block with 2% lidocaine without epinephrine
9. All of the following are the best approaches to non-pharmacological intervention for pain control, except?
Music
Bathing the patient
Hypnosis
Music
10. All of the following would be the best option to manage nerve pain except?
Anticonvulsant's such as Gabapentin
Anti-inflammatory such as ibuprofen
Anti-depressant's such as amitriptyline
Steroids such as hydrocortisone