Summer Clinical Practice Test

These questions are part of the practice quiz. Start practicing

• Which air-to-oxygen ratio corresponds to an FiO2 of 0.28?
• Which BiPAP parameter is primarily adjusted to control ventilation (PaCO2)?
• Which pain scale is best for nonverbal patients?
• Cromolyn sodium acts as a mast cell stabilizer by preventing release of histamine from which cells?
• Preeclampsia is diagnosed by hypertension and proteinuria occurring after how many weeks gestation?
• Which PPE is required for contact precautions?
• Which drug requires checking the apical pulse for one full minute before administration?
• What feature does a valve holding chamber provide in a pMDI system?
• Racemic epinephrine used for croup has what onset and typical duration?
• Which statement describes the simple face mask usage?
• What are the typical starting BiPAP settings (IPAP/EPAP) and FiO2?
• Which statement best describes the nasal cannula?
• Which is a potential adverse effect of using hypertonic saline for sputum induction?
• What is one of the uses of 0.9% normal saline in nebulization therapy?
• Dornase alpha (Pulmozyme) dose is administered by aerosol at which daily amount?
• A hospitalized patient on furosemide develops confusion and weakness. Which electrolyte abnormality is most likely?
• Which intervention is central to preventing ventilator-associated pneumonia?
• What is the recommended chest compression rate for adult CPR?
• Nonrebreather masks are typically used for short-term oxygen delivery requiring high FiO2.
• What is the main goal of HFNC therapy?
• Racemic epinephrine neb strength commonly used is 11.25 mg in what volume?
• For a patient on warfarin who needs urgent surgery, which lab value is most important to check preoperatively?
• What is the approximate normal inspiratory demand in liters per minute for a healthy adult?
• SpO2 is most closely associated with which device/measurement?
• ABG stands for what?
• In diabetic ketoacidosis, what type of acid-base disturbance is most common?
• Which statement correctly describes IPAP function on BiPAP?
• NBRC vacuum pressure range for infants is:
• The EZPAP device uses which phenomenon to amplify an input flow?
• What is the equation for calculating IV drip rate (mL/hr)?
• Which statement best describes the key idea for BiPAP?
• Which clinical finding indicates the need for CPAP therapy?
• Intrapulmonary percussive ventilation (IPV) works by injecting short, rapid inspiratory pulses into the airway opening and relies on what for exhalation?
• For patients on warfarin, what dietary approach helps stabilize INR?
• In the pink albuterol packet, how much albuterol is present per dose?
• Which is a commonly used transfusion threshold for stable adults without active bleeding?
• Rhonchi are most commonly associated with which of the following conditions?
• In a metered-dose inhaler therapy setup, what does a spacer primarily provide?
• In which condition is a target SpO2 of 88-92% commonly recommended?
• What is the typical flow rate setting for nebulizers on the flowmeter as described in the material?
• Which statement about septic shock is true?
• What is the NBRC vacuum pressure range for adults?
• The blue packet contains albuterol with 2.5 mg in how much normal saline?
• Which statement correctly describes heat and moisture exchangers (HMEs)?
• What is considered a normal blood pressure reading?
• Which statement about the Bernoulli principle is correct?
• Which air-to-oxygen ratio corresponds to an FiO2 of 0.50?
• Which pain assessment tool is suitable for nonverbal adults or children?
• Which is the standard nebulized dose of albuterol for SABA therapy?
• Which statement best describes the initial evaluation step for a patient with chest pain suggestive of ACS?
• Which enzyme is commonly used as a biomarker for hepatocellular injury?
• What is the normal PaCO2 range?
• Which saline concentration is commonly used for sputum inductions to obtain samples for testing?
• Which bronchodilator is typically dosed twice daily (every 12 hours) and can be delivered by nebulization with 15 mcg per 2 mL?
• To remove secretions from the lower airway, which suctioning method is indicated?
• Hypoxemia is defined as what?
• Specific IgE testing in allergy assessment detects which antibody class?
• BiPAP indications include all the following except which?
• To remove secretions from the upper airway, which suctioning method is used?
• Which step of the nursing process directly follows Diagnosis?
• Which drug is added to empiric meningitis treatment in adults over 50 to cover Listeria monocytogenes?
• Which statement best describes Ballard/closed suction systems?
• Which liver enzyme is most specific for hepatocellular injury?
• What is the approximate FiO2 of room air at sea level?
• Which option is NOT part of the MONA acronym for ACS management?
• What is the tank factor for an H cylinder?
• Cromolyn sodium (Intal) is best described as what type of medication?
• EPAP on BiPAP is primarily associated with which physiologic effect?
• Which oxygen delivery device uses a flow of 10-15 L/min and provides FiO2 of 60%-100%, with the bag kept from collapsing during inspiration?
• First-line antibiotic for outpatient treatment of community-acquired pneumonia in a previously healthy adult?
• On CPAP indications seen on radiographs include which findings?
• Which inhalation device is the most commonly prescribed method of aerosol delivery for bronchodilators, anticholinergics, anti-inflammatory agents, and steroids?
• If you decrease the air-to-oxygen ratio, what happens to the delivered FiO2?
• Huff coughing is described as:
• Rhonchi are defined as?
• What is the initial step in managing a contaminated wound in the emergency setting?
• In the five-step nursing process, which step directly follows Assessment?
• Which statement differentiates BiPAP from CPAP?
• In transfusion medicine, what hemoglobin level is commonly used as a threshold for transfusion in stable adults without active bleeding?
• Hypoxia is defined as?
• Incentive spirometry is designed to mimic natural sighing or yawning maneuvers and to help lung expansion. What is a key clinical purpose of incentive spirometry?
• What is the normal resting respiratory rate range for adults?
• Which finding is part of the diagnostic criteria for preeclampsia?
• Which oxygen delivery device is used when delivering heliox?
• In a dehydrated child, which finding indicates potential severe dehydration?
• What is the normal resting heart rate range for a healthy adult?
• Advair Diskus is a combination of which two components?
• What is the first-line treatment for anaphylaxis?
• Which items are listed under Additional Observations?
• Which statement best describes the Bernoulli principle in the context of nebulization and airway therapy?
• What is a common target range for oxygen saturation when using nasal cannula in a stable patient?
• List the five steps of the nursing process in order.
• Yankauer suction is commonly used to suction which area?
• Stridor is defined as:
• Wheezes are best described as:
• Which statement correctly describes EPAP function on BiPAP?
• Which statement best describes positive expiratory pressure (PEP) therapy?
• In triage, which color tag denotes immediate life-threatening conditions?
• HFNC is indicated to reduce risk of post-extubation hypoxemic respiratory failure. Which option is correct about this indication?
• What is the typical SaO2 in a healthy person?
• What is the primary advantage of dry powder inhalers (DPIs)?
• Quad coughing is a technique used to assist individuals with weakened or absent coughing abilities by which action?
• Which statement about large jet nebulizers is true regarding their operation?
• Which cuff size is required to accurately measure BP in an obese patient?
• Which IV fluid is isotonic with respect to osmolality?
• What happens to particle size in nebulizers as flow increases?
• What is the normal pH range?
• The FLACC pain scale is used to assess pain in which group?
• What is a loop diuretic commonly used to treat edema?
• Which statement is true about cuff sizing for BP measurement in obese patients?
• In large jet nebulizers, delivered humidity is considered 100% under what condition?
• Interpret the ABG: pH 7.28, PaCO2 50 mmHg, HCO3- 24 mEq/L.
• High-frequency chest wall oscillation (HFCC) therapy uses which mechanism?
• Which feature is characteristic of nebulizers?
• Which oxygen delivery device is typically used in the recovery room or ED for a short period when nasal cannula is insufficient?
• For patients taking warfarin, what dietary consideration helps stabilize INR?
• What should be used with higher flow nasal cannula to prevent nasal drying?
• Late inspiratory crackles are associated with:
• Which range accurately reflects the Glasgow Coma Scale?
• Which vaccines are typically administered at the 2-month well-child visit?
• Which are the available strengths for Advair Diskus (fluticasone/salmeterol)?
• Which statement best captures CPAP use?
• Which statement best describes the early presentation of septic (distributive) shock?
• LOC stands for what?
• Digoxin toxicity is more likely with which electrolyte abnormality?
• Which vaccines are contraindicated during pregnancy?
• In suspected cervical spine injury, which airway technique is preferred?
• Which medication is used to help control COPD symptoms and improve airflow?
• INR is used to assess anticoagulation status in patients on which medication?
• How long should elapse between each puff with an MDI?
• What is the normal body temperature value in Fahrenheit?
• Which statement correctly identifies the reservoir bag in a partial rebreathing mask?
• What is the tank factor for an E cylinder?
• For a partial rebreathing mask, oxygen flow should keep the reservoir bag at least half full during inspiration.
• HFNC physiologic effect includes flushing of anatomic deadspace. Which option describes this mechanism?
• A Ballard/closed suction system comprises which components?
• What is the first action in the acute coronary syndrome protocol when a patient presents with chest pain in the ED?
• Small volume nebulizers (SVN) are primarily used for what purpose?
• NBRC CPAP starting pressure is 4 cmH2O; what is the typical range for CPAP pressures?
• Which enzyme is most specific for hepatocellular injury?
• Which educational technique is most effective for confirming a patient understood discharge instructions?
• Which monitoring should be started immediately in the ED for chest pain with suspected ACS?
• Which statement about Salmeterol and Levalbuterol dosing intervals is true?
• The most appropriate initial diagnostic test to evaluate suspected deep vein thrombosis (DVT)?
• Which Celsius value is listed as a normal body temperature?
• What is a key benefit of using heated humidity with HFNC?
• HFNC is indicated for which of the following conditions?
• Which practice is recommended in incentivesspirometry patient instruction?
• In hepatic encephalopathy, which lab finding is commonly elevated?
• What is the normal range for arterial oxygen tension (PaO2) in a healthy adult?
• The most common etiologic agent of community-acquired pneumonia in adults is?
• Which infection control measures are essential to prevent spread of Clostridioides difficile in hospitals?
• Which observation is commonly included in initial patient assessment?
• What is the Glasgow Coma Scale range?
• In adults over 50 with suspected bacterial meningitis, which empiric antibiotic regimen is recommended?
• Which statement best describes the relative tank factors of H and E cylinders?
• Which temperature range is listed as the normal temperature range?
• Which air-to-oxygen ratio corresponds to an FiO2 of 0.40?
• What does MONA stand for in traditional ACS management?
• When Mucomyst is administered, which medication should be given to prevent bronchospasm?
• Which inhaled medication is a short-acting beta-agonist?
• What is the normal range for an anion gap?
• In public health, which vaccine is recommended annually?
• In septic shock, what is the recommended time frame to initiate broad-spectrum antibiotics after recognition?
• Before an MRI in a patient with a seizure history, which precaution should be verified?
• In the MONA protocol for ACS, which component provides analgesia and can reduce preload?
• Which statement about Acetylcysteine (Mucomyst) is correct?
• What is the formula to estimate the duration of flow from cylinder pressure, tank factor, and liter flow?
• What is the recommended maximum duration for suctioning in seconds?
• Which best describes the physiologic mechanism of HFNC?
• What is the normal respiratory rate range?
• What symptom is classically associated with congestive heart failure?
• In hyperkalemia with ECG changes, what is an immediate membrane-stabilizing treatment?
• What is the serum test for allergen-specific IgE called?
• A pregnant patient with rapidly rising blood pressure and proteinuria after 20 weeks gestation is diagnosed with preeclampsia. What is a key initial treatment to prevent seizures?
• Salmeterol is which class and what is the Diskus strength?
• What precaution is essential for a patient with a history of seizures undergoing MRI?
• Which air-to-oxygen ratio yields an FiO2 of 0.60?
• What is the best method to ensure patient understanding of discharge instructions?
• What is the normal range for bicarbonate (HCO3-) in arterial blood?
• What is the common dosing interval for Levalbuterol (Xopenex)?
• Which insulin type is rapid-acting and typically used for glucose control around meals?
• Combivent is a combination product containing ipratropium bromide and which other agent?
• NBRC CPAP starting pressure and range: which range is commonly cited for CPAP pressures?
• Salmeterol is categorized as which type of bronchodilator?
• A patient with COPD on supplemental oxygen has SpO2 of 92%. What does this indicate about oxygenation goals?
• What is the maximum daily dose of Arformoterol (Brovana)?
• In mass casualty triage, which color tag denotes minimal injuries?
• Dornase alpha (Pulmozyme) is indicated for which condition?
• Which statement best describes air entrainment masks?
• In a patient with acute kidney injury presenting with rising creatinine and oliguria, what is the primary nursing diagnosis?
• Which vaccine combination is included in the standard 2-month immunization schedule?
• Which condition is an indication for High-Flow Nasal Cannula (HFNC) therapy?