OMSA 2024: Practice Final|29 QUESTIONS| WITH COMPLETE SOLUTIONS, Exams of Nursing

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OMSA 2024: Practice Final|29 QUESTIONS|

WITH COMPLETE SOLUTIONS

Drugs (PO , IM or IV) given to patients are usually metabolized (broken down) in the

body by what organ - Correct answer Liver

The doctor asks you to assess the patient's oxygenation, the things you look at include

looking at the color of the patient's skin and - Correct answer Pulse Oximeter

Classic symptoms of congestive heart failure include - Correct answer Shortness of

breath and swollen ankles Your patient presents for surgery at 10:00 am. He states he remembered not to eat or drink anything, but out of habit, took his morning dose of insulin (diabetic medication). He is pale, trembling and not feeling well. you perform a finger stick as you always do for your diabetic patients. His blood glucose (blood sugar) is 50. You have not started

your IV yet. The best treatment option for this patient is to - Correct answer Start an

IV and give D5W as your IV fluids

The safest time to extract a "bad tooth" on pregnant patient is - Correct

answer Second trimester

The following is the correct sequence of blood flow through the heart - Correct

answer Superior/inferior vena cava, right atrium, tricuspid valve, right ventricle,

pulmonic valve, pulmonary artery, pulmonary vein, left atrium, mitral valve, left ventricle, aortic valve, aorta Which of the following general drug categories are used to treat someone who is

experiencing an asthma "attack" - Correct answer Beta agonists

The classifications of drugs used to relax patients or reduce anxiety are called -

Correct answer Benzodiazepines

You have a patient that is a 17 year old female who is undergoing the removal of all 4 wisdom teeth. She has a history of asthma which was more prevalent as a child, not so much now. During the surgery, you hear a wheezing sound and her oxygen saturation

begins to fall. Your diagnosis and treatment are - Correct answer Bronchospasm;

Give inhaler & Epinephrine if needed A patient is displaying stridor intraoperatively. You have terminated surgery, packed off the site, suctioned the back of the throat, repositioned the airway, pushed on the chest to listen for a "huff," and the patient continues to be symptomatic. Which drug would you

consider administering? - Correct answer Succinylcholine

A pediatric airway is different than an adult airway in that - Correct answer Kids have

a larger tongue and a conical shaped airway

The normal pathway of the conducting system in the heart is the following - Correct

answer SA node, AV node, Bundle of His, Purkinje fibers

The pulse oximeter gives us information on - Correct answer Oxygenation

A patient says that she is "allergic to amoxicillin and codeine." Upon further questioning, she says that she had a rash when she took penicillin and gets really nauseated when

she takes tylenol with codeine. This patient has - Correct answer An allergy to

amoxicillin and has an adverse reaction to codeine You have a patient that is a 17 year old female who is undergoing the removal of all 4 wisdom teeth. During the surgery, you hear a high pitched crowing sound. You look down and her chest and abdomen are "not in sync" when she is breathing. Her oxygen

saturation begins to fall rapidly. Your diagnosis and treatment are - Correct

answer Laryngospasm; Positive pressure oxygen & Succinylcholine if needed

A patient has stopped breathing. What is the main primary physiological mechanism

that will restart this patients breathing (respirations)? - Correct answer Excess of

carbon dioxide (CO2) A patient with Type II (non-insulin dependent) diabetes would typically be taking pills to

control their blood glucose (blood sugars) and to control their diabetes - Correct

answer True

A patient comes in for the removal of a tooth. Which of these medical conditions would require this patient to take an antibiotic premedication one hour prior to removal of that

tooth - Correct answer Prosthetic Heart Valve (i.e. Aortic Valve replacement)

Constriction of or narrowing of all your arteries and blood vessels will cause your blood

pressure to increase - Correct answer True

You have a 68 year old male patient who has a history of hypertension. He had a "heart attack" awhile back. When he had the "heart attack" he states he had an angioplasty

with one stent placed. He's really anxious and definitely wants to "go to sleep" for his

extractions. Which anesthetic agent would you want to avoid - Correct

answer Ketamine

The most concerning signs and symptoms of an acute anaphylactic reaction are -

Correct answer Airway edema & Circulatory collapse

Insulin converts - Correct answer Glucose to Glycogen

• Correct answer IV
• Correct answer Stop the amoxicillin and take some over the counter benadryl
• Correct answer Stoke (CVA), Pulmonary Embolisms (PE), History of blood clots in the left (DVT or VTE)
• Correct answer NS or LR
• Correct answer Avoid air embolus
• Correct answer Decrease the number of cartridges needed to obtain profound local anesthesia
• Correct answer Pulsatile movement and bright red blood in the IV tubing