NCLEX CRUSADE ACADEMY TEST - 9 CRITICAL CARE

1. According to NCLEX prioritization principles, which patient should the nurse assess first?. A patient with chronic COPD reporting fatigue. A patient with new-onset shortness of breath and oxygen saturation of 88%. A patient awaiting discharge instructions. A patient requesting pain medication for chronic arthritis.

2. Which principle best reflects the NCLEX prioritization funnel?. Chronic conditions take priority over acute conditions. Stable patients should be assessed before unstable patients. Acute and unstable conditions override chronic and stable conditions. Documentation should occur before intervention.

3. Facial droop and unilateral weakness suggest which condition?. Hypoglycemia. Stroke. Pulmonary embolism. Anaphylaxis.

4. Cushing's triad includes which combination?. Tachycardia, hypotension, fever. Bradycardia, hypertension, irregular respirations. Tachypnea, bradycardia, hypothermia. Hypertension, tachycardia, hypoxia.

5. Immediate epinephrine is required for which emergency?. Septic shock. Hypovolemic shock. Anaphylactic shock. Cardiogenic shock.

6. A pulseless patient requires the nurse to: Call physician. Start CPR. Give oxygen nasal cannula. Document.

7. Recommended CPR compression rate is: 6080/min. 80100/min. 100120/min. 140160/min.

8. Which rhythm is shockable?. Asystole. PEA. Ventricular fibrillation. Sinus bradycardia.

9. Cardiac arrest medication every 35 minutes: Dopamine. Epinephrine. Nitroglycerin. Atropine.

10. SBAR 'Assessment' includes: Chief complaint. Medical history. Vital signs and findings. Physician request.

11. Shock caused by hemorrhage is: Cardiogenic. Septic. Hypovolemic. Neurogenic.

12. First treatment for hypovolemic shock: Vasopressors. IV fluids. Antibiotics. Diuretics.

13. Key sign of hypovolemic shock: Warm skin. Bradycardia. Low urine output. Hypertension.

14. Cardiogenic shock occurs when: Fluid loss occurs. Heart fails to pump. Allergy occurs. Spinal injury.

15. Drug that increases cardiac contractility: Inotropes. Antihistamines. Antibiotics. Diuretics.

16. Why avoid fluid bolus in cardiogenic shock?. Causes arrhythmia. Worsens pulmonary edema. Causes hypoxia. Damages kidneys.

17. Best position for hypovolemic shock: Semi Fowlers. Modified Trendelenburg. High Fowlers. Lateral.

18. Best position for cardiogenic shock: Supine. Trendelenburg. Semi Fowlers. Prone.

19. Hypothermia temperature threshold: 38C. 36C. 35C. 34C.

20. Rough handling of hypothermic patient may cause: Stroke. Ventricular fibrillation. Sepsis. Pulmonary embolism.

21. First step in hypothermia treatment: Warm IV fluids. Stop heat loss. Warm extremities. Oxygen therapy.

22. Why warm trunk before limbs?. Prevent infection. Prevent rewarming shock. Improve oxygenation. Lower BP.

23. Septic shock often begins with: Cold skin. Warm flushed skin. Bradycardia. Hypothermia.

24. Rapid Response Team goal: Document events. Prevent cardiac arrest. Transfer patients. Give antibiotics.

25. Which triggers RRT activation?. HR 60. RR 12. SpO2 98%. Acute confusion.

26. Shock definition: Low BP. Reduced cardiac output. Inadequate tissue perfusion. Low oxygen.

27. Untreated shock leads to: Hypertension. Multi organ failure. Bradycardia. Recovery.

28. SBAR purpose: Billing. Structured communication. Documentation. Prescriptions.

29. On NCLEX emergencies choose intervention when: Charting required. Life threatening condition present. Physician absent. Medication due.

30. Critical care priority principle: Chronic first. Wait for labs. ABCs and rapid intervention. Physician first.