1 :
Items to Match
  • 1. morphine overdose
  • 2. lorazepam overdose
  • 3. Malignant hyperthermia
  • 4. warfarin
Matching Options
  • D ~

    Vitamin K

  • A ~

    Narcan

  • B ~

    flumazenil

  • C ~

    dantrolene

Hint : 💉Match drug to its antidote

Correct Matches:

  • morphine overdose has no correct match !
  • lorazepam overdose has no correct match !
  • Malignant hyperthermia has no correct match !
  • warfarin has no correct match !

Rationale :

Rationale to be Available Soon


Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

2 :
  • The client is reporting shortness of breath.
  • The client has a history of COPD and was admitted yesterday.
  • Lungs have crackles bilaterally, cap refill is less than 2 seconds, client is AAOx4.
  • Recommendation of chest x-ray.

Hint : 🧾Follow SBAR format: Background → Situation → Assessment → Recommendation

Correct Order:

  • Order : 1 : No answer text available
  • Order : 2 : No answer text available
  • Order : 3 : No answer text available
  • Order : 4 : No answer text available

Rationale :

🔵 Start SBAR with background history (COPD).

🔵 Situation comes next (new symptom: SOB).

🔵 Assessment follows (lungs, cap refill, mentation).

🔵 End with a recommendation for intervention.


Distractor Analysis :

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3 :

Hint : 👃Bypass facial trauma with nasal route

Correct Answers:

  • Nasopharyngeal airway


Rationale :

🟣 Nasopharyngeal airways are ideal for facial trauma when oral airway access is blocked.

🟣 Endotracheal tubes require advanced training and may be unsafe in facial fractures.

🟣 BPAP/Nasal cannula don’t protect the airway structurally.

🟣 The device must be non-invasive and bypass oral deformities.


Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

4 :
  • Elevate head of bed 30-45 degrees
  • Oral care with chlorhexidine
  • Ambulate every 2 hours
  • Daily SAT and SBT
  • DVT and stress ulcer prophylaxis

Hint : 🛏️Focus on infection prevention + safety

Correct Order:

  • Order : 1 : No answer text available
  • Order : 2 : No answer text available
  • Order : 3 : No answer text available
  • Order : 4 : No answer text available
  • Order : 5 : No answer text available

Rationale :

🔴 VAP (Ventilator-Associated Pneumonia) prevention bundle reduces infection risk in intubated patients.

🔴 Elevation of HOB minimizes aspiration.

🔴 Chlorhexidine oral care reduces microbial colonization.

🔴 SAT (sedation) & SBT (breathing trials) assess readiness to extubate.

🔴 Prophylaxis for DVT & ulcers is required to prevent secondary complications.


Distractor Analysis :

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5 :

Hint : 💨Bubbling? Start with the site

Correct Answers:

  • Check the chest tube insertion site on the client


Rationale :

🟢 Continuous bubbling indicates an air leak in the system.

🟢 The first action is to inspect the insertion site for disconnection or dislodgment.

🟢 Do not clamp the tube—this can cause tension pneumothorax.

🟢 Provider is notified after initial troubleshooting.


Distractor Analysis :

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6 :

Hint : 🚨Life-threatening = activate team

Correct Answers:

  • Blood glucose level 35
  • Blood pressure 81/51
  • New onset tachycardia 165 BPM
  • Client is pulseless


Rationale :

🟠 Rapid response is triggered by signs of acute deterioration: hypoglycemia, hypotension, arrhythmias, or no pulse.

🟠 Blood glucose <40 mg/dL is a critical hypoglycemic event.

🟠 New-onset tachycardia can precede cardiac arrest.

🟠 Pulselessness = Code Blue, needs immediate CPR.

🟠 Stable vitals = no urgent action.


Distractor Analysis :

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7 :

Hint : ❤️Chest pain? Check cardiac enzymes

Correct Answers:

  • Troponin


Rationale :

🔷 Troponin is the most specific and sensitive marker for myocardial infarction.

🔷 It begins to rise within 3–6 hours of myocardial injury.

🔷 BNP is for heart failure, not MI.

🔷 PTT and magnesium are unrelated to cardiac ischemia diagnosis.


Distractor Analysis :

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8 :

Hint : 💎Avoid PCI with bleed/dissection

Correct Answers:

  • Active bleeding
  • Suspected aortic dissection


Rationale :

🔴 PCI (Percutaneous Coronary Intervention) is contraindicated in conditions with high bleeding risk.

🔴 Aortic dissection may worsen with catheter manipulation.

🔴 Menstruation is not a contraindication.

🔴 Controlled HTN and prior ischemic stroke (6+ yrs ago) are not absolute exclusive


Distractor Analysis :

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9 :

Hint : 💊Nitrates + Sildenafil = ⚠️ danger

Correct Answers:

  • Sildenafil


Rationale :

🟣 Sildenafil (Viagra) causes vasodilation and is contraindicated with nitrates.

🟣 Combining these drugs can result in severe hypotension.

🟣 Nitroglycerin, morphine, and beta blockers are standard in ACS protocols.

🟣 Always check medication lists for phosphodiesterase inhibitors before giving nitrates.


Distractor Analysis :

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10 :

Hint : 🧮Divide mg by mg/mL

Correct Answers:

  • 6


Rationale :

🔵 Formula: Dose ÷ Concentration = Volume

🔵 60 mg ÷ 10 mg/mL = 6 mL


Distractor Analysis :

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Total Questions: 10

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