Prophecy General ICU RN A v2 updated
1. The patient's ABG is : pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L . What type of acid
imbalance does he have.
Metabolic Acidosis
2. Common complications of massive transfusions are
Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis
3. Long term use of TPN may lead to:
Liver Failure
4. Which of the following is a potential complication of high PEEP
Pneumothorax
5. What is a common assessment finding for a patient returning from a small bowel
resection?
Hypoactive bowel sounds
6. Your patient returned from PACU after surgery and is very drowsy. She attempts to eat a
candy bar and begins to choke. The physician is unable to clear the airway. You would
expect to prepare for which of the following. emergency procedures?
Tracheostomy
7. The initial insulin therapy for a patient with acute DKA is usually administered by which
route
Intravenous bolus followed by a continuous infusion
8. Screening tests for DIC include:
Dimer and FDPs
9. Which of the following hormones is secreted by the hypothalamus in an effort to regulate
water balance?
ADH
10. Which of the following IV sedatives would most likely be ordered for a non-intubated
patient?
, Precedex
11. Your patient is in bed and eating lunch when they begin to cough and gag. Suddenly they
become dyspneic and bradycardic with excessive salivation. What do you suspect
happened?
Aspiration
12 . Which of the following is a response of the cardiovascular system to early sepsis?
Increased cardiac output and reduced systemic vascular resistance
12. Which patient would you expect to be extubated?
Patient is awake, follow commands with RR of 14, FiO2 40%, and PEEP 5
13. Your patient is in a Hypertensive crisis. What medication can you expect the doctor to
order.
Nicardipine
14. Your patient sustained a crushed pelvis in a MVC. You notice a pinkish sediment in the
urinary catheter tubing and decreased urinary output. Which of the following conditions
would you suspect?
Rhabdomyolysis
15. Which class of drugs should be avoided in patients with asthma?
Beta Blockers
16. The CAM-ICU assessment is a measure for which condition?
Delirium
17. Which of the following drugs would you expect to administer in a patient diagnosed with
myasthenia gravis?
Mestinon
18. Interpret the following: ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L
Respiratory Alkalosis
19. When assessing a chest tube, which of the following indicates a possible air leak
Excessive bubbling in the water chamber
1. The patient's ABG is : pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L . What type of acid
imbalance does he have.
Metabolic Acidosis
2. Common complications of massive transfusions are
Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis
3. Long term use of TPN may lead to:
Liver Failure
4. Which of the following is a potential complication of high PEEP
Pneumothorax
5. What is a common assessment finding for a patient returning from a small bowel
resection?
Hypoactive bowel sounds
6. Your patient returned from PACU after surgery and is very drowsy. She attempts to eat a
candy bar and begins to choke. The physician is unable to clear the airway. You would
expect to prepare for which of the following. emergency procedures?
Tracheostomy
7. The initial insulin therapy for a patient with acute DKA is usually administered by which
route
Intravenous bolus followed by a continuous infusion
8. Screening tests for DIC include:
Dimer and FDPs
9. Which of the following hormones is secreted by the hypothalamus in an effort to regulate
water balance?
ADH
10. Which of the following IV sedatives would most likely be ordered for a non-intubated
patient?
, Precedex
11. Your patient is in bed and eating lunch when they begin to cough and gag. Suddenly they
become dyspneic and bradycardic with excessive salivation. What do you suspect
happened?
Aspiration
12 . Which of the following is a response of the cardiovascular system to early sepsis?
Increased cardiac output and reduced systemic vascular resistance
12. Which patient would you expect to be extubated?
Patient is awake, follow commands with RR of 14, FiO2 40%, and PEEP 5
13. Your patient is in a Hypertensive crisis. What medication can you expect the doctor to
order.
Nicardipine
14. Your patient sustained a crushed pelvis in a MVC. You notice a pinkish sediment in the
urinary catheter tubing and decreased urinary output. Which of the following conditions
would you suspect?
Rhabdomyolysis
15. Which class of drugs should be avoided in patients with asthma?
Beta Blockers
16. The CAM-ICU assessment is a measure for which condition?
Delirium
17. Which of the following drugs would you expect to administer in a patient diagnosed with
myasthenia gravis?
Mestinon
18. Interpret the following: ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L
Respiratory Alkalosis
19. When assessing a chest tube, which of the following indicates a possible air leak
Excessive bubbling in the water chamber
