DOH Nursing Critical Care and Emergency Nursing

Question 1

A patient in the ICU is found unresponsive with no pulse. What is the nurse's FIRST priority action?

Accepted Answer

Begin high-quality chest compressions

Answer

High-quality chest compressions are the first intervention in cardiac arrest as they maintain circulation to vital organs until definitive treatment is available.

Question 2

A patient's SpO2 drops suddenly to 87% on room air. What is the nurse's immediate priority action?

Accepted Answer

Apply supplemental oxygen via non-rebreather mask

Answer

Applying supplemental oxygen immediately corrects hypoxemia and prevents further deterioration of tissue oxygenation.

Question 3

Which cardiac rhythm requires immediate unsynchronised defibrillation?

Accepted Answer

Ventricular fibrillation

Answer

Ventricular fibrillation produces no cardiac output and is a shockable rhythm requiring immediate unsynchronised defibrillation.

Question 4

A patient presents with crushing chest pain radiating to the left arm, diaphoresis, and nausea. What is the nurse's priority diagnostic action?

Accepted Answer

Obtain a 12-lead ECG

Answer

A 12-lead ECG is the priority to confirm or rule out STEMI and guide time-sensitive reperfusion decisions.

Question 5

In the ABCDE primary trauma survey, what does 'D' assess?

Accepted Answer

Disability — neurological status using GCS and pupils

Answer

'D' in the primary survey stands for Disability, assessed by the Glasgow Coma Scale, pupil size/reactivity, and limb movement.

DOH Nursing Practice Test

DOH Nursing Practice Test

DOH Nursing Critical Care and Emergency Nursing