Proctored Exam Questions With Complete Solutions

Naloxone {Ans: (Narcan) Opioid antagonist -antidote to respiratory deprssion of heroin and narcotic overdose -given IV push (used for airway emergencies) until patient starts to breathe or wakes up -PO used for constipation r/t narcotic use}Normal platelets {Ans: 150,000-400,000}Normal RBC {Ans: Male: 4.7-6.1 Female: 4.2-5.4}IV infiltration {Ans: S/S to assess: burning sensations, site puffiness, painful, cool, hard, pale -STOP INFUSION -elevate extremity and encourage ROM -cold/warm compress -call Dr for possible d/c}low vitamin D levels {Ans: causes depression symptoms -renal: most SSRIs and TCAs -FSH, t3, t4 to rule out hypothyroidism}Antibiotics {Ans: recognize allergic reaction vs angioedema & anaphylaxis -allergic=hives, itching, redness, increased mucus production (GIVE: bendaryl, hydrochloride, hydroxyzine, prednisone, solumedrol, loratadine) -angioedema= swelling of face, lips, ears ( can progress to swelling or tightness in the throat) (GIVE= EPI via IV) -anaphylaxis= tachycardia, hypertension, difficulty;noisy breathing, cyanosis, SOB, pale/clammy skin, feelings of impending doom (GIVE= EPI via IV) -fever resolved in <3days -s/s resolve in 7 days or inform Dr -give probiotic (like yogurt)}