Prophecy General ICU RN A v2
Common complications of massive transfusions are - Dilutional Coagulopathy, DIC, hypothermia, and
fibrinolysis
ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L - Metabolic Acidosis
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) 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) 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? - 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 -
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
Hypertensive crisis - Nicardipine
Common complications of massive transfusions are - Dilutional Coagulopathy, DIC, hypothermia, and
fibrinolysis
ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L - Metabolic Acidosis
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) 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) 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? - 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 -
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
Hypertensive crisis - Nicardipine
