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NRNP 6566 Week 8 Knowledge Check

1. Question: Pain that arises from altered nociception despite no clear evidence of actual or threatened tissue damage causing the activation of peripheral nociceptors or evidence for disease or lesion of the somatosensory system causing pain is defined as.
2. Question: What is described as rapid onset of altered level of consciousness, with an inability to focus, sustain shift attention, and change in cognition or development of a perceptual disturbance not explained by dementia.
3. Question: Agitation is a common problem for hospitalized patients. Prevention measures include which of the following:
4. Question: Non-modifiable risk factors for delirium in critical illness include:
5. Question: The drug of choice for treating agitation in the acute care setting is:
6. Question: Modifiable risk factors for delirium in critical illness include all of the following: Select all that apply
7. Question: Physical restraints are considered essential, first line methods for patients suffering from agitation.
8. Question: Which of the following is one of the 5 key characteristics described in the diagnostic and statistical manual of mental disorders for delirium.
9. Question: According to a systematic review completed by the agency for healthcare research and quality (2020) pain management therapy was reviewed for acute pain and provided the following results.
10. Question: The biological factors of pain include:
    

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NRNP 6566 Week 8 Knowledge Check

1. Question: What type of ICU sedation would be appropriate for a 32-year-old male patient who is intubated with bilateral chest tube following a motor vehicle crash.
2. Question: Describe the levels of sedation (minimal, moderate, deep, general anesthesia, and dissociation) and its affect on consciousness, airway, ventilation, and reflexes.
3. Question: The APRN has determined that a 21-year-old motor vehicle crash victim needs a rapid sequence intubation. The patient weighs 77 kg. What medications are indicated to successfully achieve the rapid sequence intubation?
4. Question: A 66 year old women in the ICU is diagnosed with delirium. What would be the best approach to treating her delirium?
5. Question: The NP is beginning to repair a laceration on a 22-year-old female. The patient mentions that she is allergic to lidocaine. What medication would be an appropriate alternative for this patient?
6. Question: A 54 year old 112 kg women is admitted for incision and drainage of a left renal abscess. She needs TID wet to dry dressing changes that are very painful. She rates the pain during the dressing change as a 10 and describes in as sharp, pulling, and burning. Prior to the last dressing change she received 2 mg of morphine IV which was totally ineffective in relieving any pain of the dressing change. How would you manage the medication dosing prior to the next dressing change?
7. Question: A 36-year-old man complains of sciatic type nerve pain in his left posterior leg. What medication would be best to manage his pain?
8. Question: A 44-year-old man was given fentanyl to achieve moderate sedation for a colonoscopy. During the procedure, the patients oxygen saturation begins to decline and while assessing the patient the NP notices chest wall rigidity. What is the cause of the rigidity and how would you treat it?
9. Question: A 66-year-old man is admired to the ICU with respiratory distress and bilateral pneumonia. He has a history of a CVA 2 years ago with right hemiplegia and aphasia. Current vitals signs are T 98.8 HR 115 BP 170/99. RR 32. Oxygen saturation is 90% on a nonrebreather mask. The patient weighs 70 kg. The NP decides to perform a rapid sequence intubation. What medications and doses would be appropriate for this patient?
10. Question: 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 which suturing the laceration. What type of block and what medication would be appropriate for this patient?
    

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NRNP 6566 Week 8 Knowledge Check

1. Question: 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 which suturing the laceration. What type of block and what medication would be appropriate for this patient?
2. Question: A 13-year-old girl is evaluated in urgent care for a large wound on her left forearm. She complains of severe pain, is crying, and is rocking on the bed due to pain. The APRN is planning on how to repair the laceration and is considering utilizing ketamine for procedural sedation. What are the benefits and risks of this drug? What monitoring would be indicated if utilized?
3. Question: A 66-year-old women in the ICU is diagnosed with delirium. What would be the best approach to treating her delirium?
4. Question: A 66 year old man is admired to the ICU with respiratory distress and bilateral pneumonia. He has a history of a CVA 2 years ago with right hemiplegia and aphasia. Current vitals signs are T 98.8 HR 115 BP 170/99. RR 32. Oxygen saturation is 90% ona nonrebreather mask. The patient weighs 70 kg. The NP decides to perform a rapid sequence intubation. What medications and doses would be appropriate for this patient?
5. Question: A patient receiving propofol for 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?
6. Question: A 32-year-old man presents with multiple deep lacerations to his bilateral upper extremes and lower extremities after falling into a glass table. The patient weights 80 kg. What is the maximum dose of 1% lidocaine solution with epinephrine that can be used for local anesthesia?
7. Question: A 44-year-old man was given fentanyl to achieve moderate sedation for a colonoscopy. During the procedure, the patients oxygen saturation begins to decline and while assessing the patient the NP notices chest wall rigidity. What is the cause of the rigidity and how would you treat it?
8. Question: What type of ICU sedation would be appropriate for a 32-year-old male patient who is intubated with bilateral chest tube following a motor vehicle crash.
9. Question: A 66 year old man in undergoing a bronchoscopy in the ICU. He is given midazolam pre-procedure. During the procedure, the patients respiratory rate and oxygen saturation starts de-creasing. What action should the NP take?
10. Question: The APRN has determined that a 21-year-old motor vehicle crash victim needs a rapid sequence intubation. The patient weighs 77 kg. What medications are indicated to successfully achieve the rapid sequence intubation?