Prophecy General ICU RN A v2 updated 2022.
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
Common complications of massive transfusions are
- Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis
Long term use of TPN may lead to:
- Liver Failure
Which of the following is a potential complication of high PEEP
- Pneumothorax
What is a common assessment finding for a patient returning from a small bowel
resection?
- Hypoactive bowel sounds
Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy
skin. Which of the following would you suspect.
- A)*WRONG* Hypoxemia
B) *Wrong * Acute MI
C) Panic Attack
D) Hypoglycemia
The staff nurse asks the nursing assistant to check on a patient. The nursing
assistant reports back that the patient is experiencing chest pain and is diaphorectic.
Which of the following can the staff nurse delegate to the assistant?
- A) *WRONG* Calling the physician
B) *Wrong* Gathering vitals and assessing the cause for the change in status
C) Informing the charge nurse that a patient needs attention
D) Obtaining a medication for the nurse to administer to the patient
, 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?
- C) Tracheostomy
The initial insulin therapy for a patient with acute DKA is usually administered by
which route
- Intravenous bolus followed by a continuous infusion
Screening tests for DIC include:
- D-Dimer and FDPs
Which of the following hormones is secreted by the hypothalamus in an effort to
regulate water balance?
- ADH
Which of the following IV sedatives would most likely be ordered for a non-
intubated patient?
- Precedex
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
Which of the following is a response of the cardiovascular system to early sepsis? -
Increased cardiac output and reduced systemic vascular resistance
Which patient would you expect to be extubated?
- Patient is awake, follow commands with RR of 14, FiO2 40%, and PEEP 5
Your patient is in a Hypertensive crisis. What medication can you expect the
doctor to order.
- Nicardipine
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
Common complications of massive transfusions are
- Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis
Long term use of TPN may lead to:
- Liver Failure
Which of the following is a potential complication of high PEEP
- Pneumothorax
What is a common assessment finding for a patient returning from a small bowel
resection?
- Hypoactive bowel sounds
Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy
skin. Which of the following would you suspect.
- A)*WRONG* Hypoxemia
B) *Wrong * Acute MI
C) Panic Attack
D) Hypoglycemia
The staff nurse asks the nursing assistant to check on a patient. The nursing
assistant reports back that the patient is experiencing chest pain and is diaphorectic.
Which of the following can the staff nurse delegate to the assistant?
- A) *WRONG* Calling the physician
B) *Wrong* Gathering vitals and assessing the cause for the change in status
C) Informing the charge nurse that a patient needs attention
D) Obtaining a medication for the nurse to administer to the patient
, 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?
- C) Tracheostomy
The initial insulin therapy for a patient with acute DKA is usually administered by
which route
- Intravenous bolus followed by a continuous infusion
Screening tests for DIC include:
- D-Dimer and FDPs
Which of the following hormones is secreted by the hypothalamus in an effort to
regulate water balance?
- ADH
Which of the following IV sedatives would most likely be ordered for a non-
intubated patient?
- Precedex
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
Which of the following is a response of the cardiovascular system to early sepsis? -
Increased cardiac output and reduced systemic vascular resistance
Which patient would you expect to be extubated?
- Patient is awake, follow commands with RR of 14, FiO2 40%, and PEEP 5
Your patient is in a Hypertensive crisis. What medication can you expect the
doctor to order.
- Nicardipine
