Prophecy General ICU RN A v2

Prophecy General ICU RN A v2 Common complications of massive transfusions are Ans- Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L Ans- Metabolic Acidosis Long term use of TPN may lead to: Ans- Liver Failure Which of the following is a potential complication of high PEEP Ans- Pneumothorax What is a common assessment finding for a patient returning from a small bowel resection? AnsHypoactive bowel sounds Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy skin. Which of the following would you suspect. 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? 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? 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 AnsIntravenous bolus followed by a continuous infusion Screening tests for DIC include: Ans- D-Dimer and FDPs Which of the following hormones is secreted by the hypothalamus in an effort to regulate water balance? Ans- ADH Which of the following IV sedatives would most likely be ordered for a non-intubated patient? AnsPrecedex 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? Ans- Aspiration Which of the following is a response of the cardiovascular system to early sepsis? Ans- Increased cardiac output and reduced systemic vascular resistance Which patient would you expect to be extubated? Ans- Patient is awake, follow commands with RR of 14, FiO2 40%, and PEEP 5 Hypertensive crisis 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? AnsRhabdomyolysis Which class of drugs should be avoided in patients with asthma? Ans- Beta Blockers CAM-ICU is a measure for which condition? Ans- Delirium Which of the following drugs would you expect to administer in a patient diagnosed with myasthenia gravis? Ans- Mestinon ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L Ans- Respiratory Alkalosis When assessing a chest tube, which of the following indicates a possible air leak Ans- Excessive bubbling in the water chamber Which of the following medications improves contractility, increases stroke volume, and increases cardiac output? Ans- Dobutamine Muffled heart sounds would indicate what condition? Ans- Cardiac tamponade Pain assessment in an unconscious patient Ans- Requires astute assessment skills using multiple approaches Which of the following tests should be performed prior to administering tPA Ans- CT Scan Which of the following classes of drugs are used in an effort to therapeutically decrease venous return and reduce peripheral vascular resistance? Ans- Vasodilators Identify the type of renal failure that results from bilateral obstruction of urine outflow Ans- Post-renal failure A patient exhibits hypotension without an increase in HR is indicative of Ans- Neurogenic Shock Your patient is taking the following medications: Zoloft, Lanoxin, Protonix, lasix, and coumadin. Which medication would you hold for a blood pressure of 80/50? Ans- Lasix A patient was admitted with a hemoglobin of 6, hematocrit of 25, has clammy skin, confusion, and agitation, BP 80/40, HR 145. What type of shock is this? Ans- Hypovolemic The patient is admitted with suspected Guillain-Barre syndrome. The nurse would expect CSF analysis to reveal which of the following to confirm the diagnosis? Ans- CSF protein of 60 mg/dL and WBC 0 cells/mm3 Your patient is receiving IV medications of Nitroglycerin and Verapamil. Which of the following should the nurse observe for during the assessment? Ans- Hypotension CVP measures the pressure in the Ans- right atrium Which lab value is used to determine the severity of sepsis