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| Section | Weight | Objectives |
|---|---|---|
| Pulmonary | 21% | - Pneumonia
|
| Multisystem | 22% | - Palliative/End-of-Life Care
|
| Cardiovascular | 33% | - Acute Coronary Syndromes
|
| Endocrine/Hematology/Neurology/Gastrointestinal/Renal | 24% | - Gastrointestinal
|
1. Altered respiratory function is a major problem for patients with:
A) Cervical spinal cord injuries only
B) High thoracic or cervical spinal cord injuries
C) Low thoracic or lumbar spinal cord injuries
D) High thoracic spinal cord injuries only
2. The surgical procedure that is defined as the removal of a bronchovascular segment of the lung lobe is:
A) Pneumonectomy
B) Wedge resection
C) Lobectomy
D) Segmental resection
3. Bicarbonate levels are controlled primarily by the:
A) Pancreas
B) Liver
C) Heart
D) Kidneys
4. A 55-year-old type 2 diabetic with severe dementia was started on insulin during her stay in the progressive care unit. She will be discharged with orders for blood glucose monitoring and sliding scale insulin. The patient has a 24-hour a day live-in caregiver who has assisted with her oral medications in the past and who has visited the patient daily in the hospital. One daughter, who is the patient's power of attorney, lives out-of-state and has visited only one time during the patient's five-day stay in the hospital. She is leaving today. Home care nursing has been arranged to provide care for the patient at home following discharge.
Who is it essential for the nurse to include in instructions related to glucose testing and insulin administration?
A) The power of attorney
B) The patient
C) No instructions need to be given since the patient will be receiving home care nursing services
D) The in-home care giver
5. Regarding hospital-acquired infections, the nurse realizes that:
A) Pneumonias are the most common hospital-acquired infections in the progressive care setting
B) If a urinary catheter was placed in an emergency situation, it should be left in place and antibiotics initiated rather than increasing the risk of infection caused by replacing the catheter.
C) Urinary tract infections are the most common hospital-acquired infections in the progressive care setting
D) It is estimated that at least 65% of progressive care patients acquire some type of infection
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: C |
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