SAEM EXAM QUESTIONS 2024/2025 |GUARANTEED PASS, Exams of Nursing

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SAEM EXAM QUESTIONS

2024/2025 |GUARANTEED PASS

Preferred method of eval for renal calculi - ACCURATE ANSWERS✔✔ helical CT--95% sensitive and specific Management of diverticulitis vs diverticulosis - ACCURATE ANSWERS✔✔ -osis = no acute findings of inflammation (bloody stool, fevers). Don't need abx. Treat -itis with bowel rest, analgesics, and abx. Should admit older patients for care because they have a higher risk of rupture. Cecal volvulus risk factors - ACCURATE ANSWERS✔✔ 25-35 years old, prior surgery, marathon running (!), pregnancy Abx for liver abscess - ACCURATE ANSWERS✔✔ gent, metro, and amp Dangerous sequelae of esophageal foreign body - ACCURATE ANSWERS✔✔ erosion, perforation, mediastinitis, esophagus-trachea or esophagus-vasculature fistula formation, stricture formation, diverticula formation, tracheal compression. Treatment of acute dystonia - ACCURATE ANSWERS✔✔ 1-2mg IM or IV benztropine + 25-50mg benadryl

Bad sequelae of physical restraints - ACCURATE ANSWERS✔✔ bruises, abrasions, pressure sores, rhabdo, circulatory obstruction. Positional asphyxia can arise when patients are placed into the prone or hobbled position. Protracted struggle against restraints can promote significant metabolic acidosis that has been associated with CV collapse. These pts should be chemically restrained as well. Recommended med regimen for the combative pt - ACCURATE ANSWERS✔✔ 5mg haldol with 2mg lorazepam repeated every 30 minutes as needed. Half doses in elderly Metabolic abnormalities that can cause confusion - ACCURATE ANSWERS✔✔ hypo/hypernatremia, hypercalcemia, hypoglycemia When to do ER thoracotomy - ACCURATE ANSWERS✔✔ Best done for pts with penetrating trauma who are pulseless and unconscious with detectable BP NOT for blunt trauma or pts with nl-ish bp Old pt falls and has external hip rotation--what did they break? - ACCURATE ANSWERS✔✔ femoral neck fx

Old pt falls and has internal hip rotation--what did they injure? - ACCURATE ANSWERS✔✔ dislocated hip When not to use succinylcholine - ACCURATE ANSWERS✔✔ pt with neuromusc disorder or denervation injury older than 7 days, or severe burns older than 5 days because hyperkalemia can occur. User roc instead. Sinus arrhythmia - ACCURATE ANSWERS✔✔ Variation of over 0. seconds between shortest and longest P-P interval. No treatment needed. ECG boxes - ACCURATE ANSWERS✔✔ Treatment of pacs - ACCURATE ANSWERS✔✔ remove precipitating factors like tobacco, coffee, toxins, etoh. Can treat with metoprolol PO TID and have cards followup When to treat sinus brady - ACCURATE ANSWERS✔✔ if under 50 BMP and evidence of hypoperfusion Salter Classification - ACCURATE ANSWERS✔✔ Hip fracture types - ACCURATE ANSWERS✔✔

Hill-Sachs fx - ACCURATE ANSWERS✔✔ Hill-Sachs lesions are a posterolateral humeral head compression fracture, typically secondary to recurrent anterior shoulder dislocations Shoulder dislocations - ACCURATE ANSWERS✔✔ Anterior dislocations are usually caused by a direct blow to, or fall on, an outstretched arm. The patient typically holds his/her arm externally rotated and slightly abducted. Posterior dislocations are occasionally due to the muscle contraction from electric shock or seizure and may be caused by strength imbalance of the rotator cuff muscles. Patients typically present holding their arm internally rotated and adducted Newborn vital signs - ACCURATE ANSWERS✔✔ ET tube size formula - ACCURATE ANSWERS✔✔ Inside diameter (ID) in mm = (16 + age in years) / 4.