Prophecy General ICU RN A V2 2022
Questions And Answers; Graded A
Common complications of massive transfusions are
Correct Ans:- Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis
ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L
Correct Ans:- Metabolic Acidosis
Long term use of TPN may lead to:
Correct Ans:- Liver Failure
Which of the following is a potential complication of high PEEP
Correct Ans:- Pneumothorax
What is a common assessment finding for a patient returning from a small bowel
resection?
Correct Ans:- Hypoactive bowel sounds
Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy
skin. Which of the following would you suspect.
Correct Ans:-
A)*WRONG* Hypoxemia
B) 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?
Correct Ans:- A) *WRONG* Calling the physician
B) 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?
Correct Ans:- A) *WRONG* Endotracheal Intubation
B) Chest tube insertion
C) Tracheostomy
D) Bronchoscopy
The initial insulin therapy for a patient with acute DKA is usually administered by
which route
Correct Ans:- Intravenous bolus followed by a continuous infusion
Screening tests for DIC include:
Correct Ans:- D-Dimer and FDPs
, Which of the following hormones is secreted by the hypothalamus in an effort to
regulate water balance?
Correct Ans:- ADH
Which of the following IV sedatives would most likely be ordered for a non-intubated
patient?
Correct Ans:- 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?
Correct Ans:- Aspiration
Which of the following is a response of the cardiovascular system to early sepsis?
Correct Ans:- Increased cardiac output and reduced systemic vascular resistance
Which patient would you expect to be extubated?
Correct Ans:- Patient is awake, follow commands with RR of 14, FiO2 40%, and
PEEP 5
Hypertensive crisis
Correct Ans:- Nicardipine
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?
Correct Ans:- Rhabdomyolysis
Which class of drugs should be avoided in patients with asthma?
Correct Ans:- Beta Blockers
CAM-ICU is a measure for which condition?
Correct Ans:- Delirium
Which of the following drugs would you expect to administer in a patient diagnosed
with myasthenia gravis?
Correct Ans:- Mestinon
ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L
Correct Ans:- Respiratory Alkalosis
When assessing a chest tube, which of the following indicates a possible air leak
Correct Ans:- Excessive bubbling in the water chamber
Which of the following medications improves contractility, increases stroke volume,
and increases cardiac output?
Correct Ans:- Dobutamine
Questions And Answers; Graded A
Common complications of massive transfusions are
Correct Ans:- Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis
ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L
Correct Ans:- Metabolic Acidosis
Long term use of TPN may lead to:
Correct Ans:- Liver Failure
Which of the following is a potential complication of high PEEP
Correct Ans:- Pneumothorax
What is a common assessment finding for a patient returning from a small bowel
resection?
Correct Ans:- Hypoactive bowel sounds
Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy
skin. Which of the following would you suspect.
Correct Ans:-
A)*WRONG* Hypoxemia
B) 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?
Correct Ans:- A) *WRONG* Calling the physician
B) 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?
Correct Ans:- A) *WRONG* Endotracheal Intubation
B) Chest tube insertion
C) Tracheostomy
D) Bronchoscopy
The initial insulin therapy for a patient with acute DKA is usually administered by
which route
Correct Ans:- Intravenous bolus followed by a continuous infusion
Screening tests for DIC include:
Correct Ans:- D-Dimer and FDPs
, Which of the following hormones is secreted by the hypothalamus in an effort to
regulate water balance?
Correct Ans:- ADH
Which of the following IV sedatives would most likely be ordered for a non-intubated
patient?
Correct Ans:- 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?
Correct Ans:- Aspiration
Which of the following is a response of the cardiovascular system to early sepsis?
Correct Ans:- Increased cardiac output and reduced systemic vascular resistance
Which patient would you expect to be extubated?
Correct Ans:- Patient is awake, follow commands with RR of 14, FiO2 40%, and
PEEP 5
Hypertensive crisis
Correct Ans:- Nicardipine
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?
Correct Ans:- Rhabdomyolysis
Which class of drugs should be avoided in patients with asthma?
Correct Ans:- Beta Blockers
CAM-ICU is a measure for which condition?
Correct Ans:- Delirium
Which of the following drugs would you expect to administer in a patient diagnosed
with myasthenia gravis?
Correct Ans:- Mestinon
ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L
Correct Ans:- Respiratory Alkalosis
When assessing a chest tube, which of the following indicates a possible air leak
Correct Ans:- Excessive bubbling in the water chamber
Which of the following medications improves contractility, increases stroke volume,
and increases cardiac output?
Correct Ans:- Dobutamine
