Prophecy General ICU RN A v2
Common complications of massive transfusions are Correct Answer: Dilutional
Coagulopathy, DIC, hypothermia, and fibrinolysis
ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L Correct Answer: Metabolic
Acidosis
Long term use of TPN may lead to: Correct Answer: Liver Failure
Which of the following is a potential complication of high PEEP Correct Answer:
Pneumothorax
What is a common assessment finding for a patient returning from a small bowel
resection? Correct Answer: Hypoactive bowel sounds
Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy
skin. Which of the following would you suspect. Correct Answer: 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
Answer: 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 Answer: 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 Answer: Intravenous bolus followed by a continuous infusion
Screening tests for DIC include: Correct Answer: D-Dimer and FDPs
Which of the following hormones is secreted by the hypothalamus in an effort to
regulate water balance? Correct Answer: ADH
Which of the following IV sedatives would most likely be ordered for a non-
intubated patient? Correct Answer: 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 Answer: Aspiration
Which of the following is a response of the cardiovascular system to early sepsis?
Correct Answer: Increased cardiac output and reduced systemic vascular
resistance
Which patient would you expect to be extubated? Correct Answer: Patient is
awake, follow commands with RR of 14, FiO2 40%, and PEEP 5
Hypertensive crisis Correct Answer: 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 Answer: Rhabdomyolysis
Which class of drugs should be avoided in patients with asthma? Correct Answer:
Beta Blockers
CAM-ICU is a measure for which condition? Correct Answer: Delirium
Which of the following drugs would you expect to administer in a patient
diagnosed with myasthenia gravis? Correct Answer: Mestinon
ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L Correct Answer: Respiratory
Alkalosis
Common complications of massive transfusions are Correct Answer: Dilutional
Coagulopathy, DIC, hypothermia, and fibrinolysis
ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L Correct Answer: Metabolic
Acidosis
Long term use of TPN may lead to: Correct Answer: Liver Failure
Which of the following is a potential complication of high PEEP Correct Answer:
Pneumothorax
What is a common assessment finding for a patient returning from a small bowel
resection? Correct Answer: Hypoactive bowel sounds
Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy
skin. Which of the following would you suspect. Correct Answer: 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
Answer: 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 Answer: 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 Answer: Intravenous bolus followed by a continuous infusion
Screening tests for DIC include: Correct Answer: D-Dimer and FDPs
Which of the following hormones is secreted by the hypothalamus in an effort to
regulate water balance? Correct Answer: ADH
Which of the following IV sedatives would most likely be ordered for a non-
intubated patient? Correct Answer: 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 Answer: Aspiration
Which of the following is a response of the cardiovascular system to early sepsis?
Correct Answer: Increased cardiac output and reduced systemic vascular
resistance
Which patient would you expect to be extubated? Correct Answer: Patient is
awake, follow commands with RR of 14, FiO2 40%, and PEEP 5
Hypertensive crisis Correct Answer: 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 Answer: Rhabdomyolysis
Which class of drugs should be avoided in patients with asthma? Correct Answer:
Beta Blockers
CAM-ICU is a measure for which condition? Correct Answer: Delirium
Which of the following drugs would you expect to administer in a patient
diagnosed with myasthenia gravis? Correct Answer: Mestinon
ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L Correct Answer: Respiratory
Alkalosis
