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Last Updated: Aug 18, 2026
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| Section | Weight | Objectives |
|---|---|---|
| Pulmonary | 21% | - Pneumonia
|
| Endocrine/Hematology/Neurology/Gastrointestinal/Renal | 24% | - Hematology
|
| Multisystem | 22% | - Multiorgan Dysfunction Syndrome
|
| Cardiovascular | 33% | - Heart Failure
|
1. Which of the following risk factors for the development of acute respiratory distress syndrome is considered to be a secondary rather than a primary cause?
A) Smoke inhalation
B) Sepsis
C) Pulmonary contusion
D) Aspiration
2. All of the following statements are true related to Muromonab-CD3 (Othroclone OKT3) except:
A) It is administered for a 10- to 14-day course of therapy as a daily bolus dose of 5 to 10 mg IV
B) This medication is a monoclonal antibody which interferes with T-cell antigen recognition
C) There is a danger of flash pulmonary edema with this medication; therefore, the patient is often pre- medicated with steroids, acetaminophen, and diphenhydramine
D) This monoclonal antibody is frequently used after cardiac transplantation to prevent acute rejection
3. Management of a basilar skull fracture may include all of the following except:
A) Antibiotic therapy
B) Lumbar puncture to drain cerebrospinal fluid that is compressing the healing dura
C) Maintaining the head of the bed at less than 15 degrees elevation
D) Surgical repair of cerebrospinal fluid leaks
4. Which of the following statements is true regarding artificial airways?
A) Following the insertion of a tracheostomy or endotracheal tube, the cuff of the tube is inflated so that the pressure is maintained at less than 25 mm Hg
B) A fenestration is necessary to be able to talk with a tracheostomy tube
C) More nutrition options are available to patients with endotracheal tubes than with tracheostomy tubes
D) More communication options are available to patients with endotracheal tubes than with tracheostomy tubes
5. The American Association of Critical-Care Nurses (AACN) Standards for Establishing and Sustaining Healthy Work Environments identifies six standards which are needed in the workplace to promote the effective resolution of ethical dilemmas. Which of the following is one of these standards?
A) Authentic leadership
B) Autocratic leadership
C) Adequate staffing
D) Open-ended communication
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: A |
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