Critical care meds

Candidate: ALYSSA DANIELLE NIXONScore: 71% (Fail) Discipline: RN Test Name: Critical Care Medication Time Started: 12/09/2013 01:05 PM Time Completed: 12/09/2013 01:41 PM Assessment/Recognition: 50% (5 of 10) Basic Knowledge: 80% (12 of 15) Critical Thinking: 82% (9 of 11) Meds/Interventions: 71% (25 of 35) Electronically Signed by ALYSSA NIXON ClearSign Technology™ on 12/09/13 Categorical Grading: Nationally Validated Content - Copyright © 2013 API Healthcare Page 1 of 3 Candidate: ALYSSA DANIELLE NIXON Score: 71% (Fail) Discipline: RN Test Name: Critical Care Medication Time Started: 12/09/2013 01:05 PM Time Completed: 12/09/2013 01:41 PM 7. Which of the following types of insulin, when given sub-q, will have a peak action within 4-12 hours? A. Lente (You Answered Incorrectly) B. NPH C. Ultralente D. Regular 20. A patient is receiving 20,000 units of Heparin in 1,000 ml of D5W IV at 30 ml/hour. What Heparin dose are they receiving? A. 300 units (You Answered Incorrectly) B. 60 units C. 600 units D. 10 units 24. Choose the drug below that best matches the description: Can be given IV for sedation for patients on a ventilator and for induction of general anesthesia. Has a short half-life and requires careful assessment of airway, neuro signs and vital signs while patient is receiving medication. A. Morphine Sulfate B. Midazolam Hydrochloride (Versed) (You Answered Incorrectly) C. Propofol (Diprivan) D. Naloxone (Narcan) (Unanswered) 29. Laboratory values have indicated an overdosage of Coumadin in a patient. Which drug is the antidote? A. Heparin B. Protamine sulfate C. Epogen D. Vitamin K (Unanswered) 30. Which of the following is (are) patient symptoms reflecting a potential drug allergy and require immediate treatment? A. Extreme muscular tremors B. Edema of face and hands C. Difficulty breathing and falling blood pressure D. Diaphoretic and shaking (Unanswered) 31. All of the following laboratory abnormalities may occur after administration of furosemide (Lasix). Which is the most potentially dangerous? A. Low K+ B. Low Mg+2 C. Low Cl- D. Low Na+ (Unanswered) 32. A patient with severe hypertension weighs 85 kg. The doctor’s order reads "Nipride 50 mg in 250 ml of D5W. Start at 0.5 mcg/kg/minute. Titrate to keep systolic BP <170 mm Hg. Maximum dose is 5 mcg/kg/minute." How many micrograms per minute should the patient receive when starting the drip? A. 40 mcg/min B. 42.5 mcg/min C. 30.4 mcg/min D. 20.4 mcg/min Nationally Validated Content - Copyright © 2013 API Healthcare Page 2 of 3 Candidate: ALYSSA DANIELLE NIXON Score: 71% (Fail) Discipline: RN Test Name: Critical Care Medication Time Started: 12/09/2013 01:05 PM Time Completed: 12/09/2013 01:41 PM (Unanswered) 33. You are caring for a patient receiving a continuous epidural infusion of Fentanyl. The patient has a respiratory rate of 8 and an altered level of consciousness. You anticipate administering which drug? A. Narcan B. Morphine sulfate C. Ativan D. Dextrose 50% (Unanswered) 34. What is the reversal agent for Rivaroxaban? A. Vitamin K B. Fresh Frozen Plasma C. Protamine D. None of the above (Unanswered) 35. With the new novel anticoagulants dabigatran, rivaroxaban, and apixaban, the risk of bleeding is greatly reduced. Nationally Validated Content - Copyright © 2013 API Healthcare Page 3 of 3