Critical Care Exam 1 Questions With All Correct Answers
You have just received change of shift report. Which patient should you
assess first?
a. 62 year-old man who is scheduled for a cardiac cath, and is ready to
be transported now
b. 58 year-old woman with COPD with an O2 saturation of 92% on 2
liters of O2, who is scheduled to be discharged home on O2
c. 36 year-old man admitted with an exacerbation of asthma with RR 36
at rest, and whose wheezing has diminished
d. 72 year-old woman with history of asthma with HR 90 and is due for
her beta-blocker correct answer -C
RR 36 and diminished wheezing indicative of respiratory distress and
needs prompt attention
You are about to handover patient care to your on-coming nurse
colleague. Which patient requires the most immediate attention?
1.) 62 year-old man with COPD who has just completed his scheduled
bronchodilator
2.) 68 year-old woman with type 2 diabetes who had CVA 2 days ago
3.) 72 year-old woman with history of asthma with HR 90 and is due for
her beta-blocker
4.) 48 year-old man admitted with cellulitis of his right hand after a
construction accident, currently on IV antibiotics, with a temperature of
101.8 correct answer -4
Cellulitis is serious infection, involving swelling of subcutaneous tissue,
fluid displacement due to 3rd spacing. What else would you assess?
You are assigned to care for a 58 year-old man who is scheduled for a
cardiac angiogram during your shift. What actions should you take?
Check all that apply.
,1-Explain that the patient will receive short-acting anesthesia
2-Review the patient's allergies, specifically checking to see if he has an
allergy to contrast dye
3-Inform the patient that his wife should stay at home until the
procedure is finished, as family members often distract the team in the
cath lab
4-Review and reconcile his medications. Confirm that he did not take
his warfarin
5-Check the patient's most recent labs paying particular attention to
the PT INR correct answer -2, 4, 5
Contrast dyes contain iodine and allergy could lead to anaphylactic
response; might receive light sedation but needs to be awake and able
to follow directions
A 62 year-old man, who is s/p coronary artery bypass surgery, is about
to be transferred from the ICU to the cardiac stepdown unit. What is
the most effective way for the ICU (reporting) nurse and cardiac
stepdown (receiving) nurse to ensure that essential patient information
is conveyed?
1- A face-to-face verbal report with both nurses present in a quiet room
2- The ICU nurse will provide an audio-recorded report for future
reference and documentation
3- The ICU nurse will document essential transfer information in the
patient's medical record
4- The ICU nurse will accompany the patient to the stepdown unit and
provide a face-to-face report, using a unit-approved, standardized
guide correct answer -4
What is the most common outcome associated with poorly managed
hospital discharge? correct answer -Adverse Drug events
The nurse is tracking data on a group of patients with heart failure, who
have been discharged from the unit where you work and are now being
, followed in clinic. What is the best indicator that the nursing
interventions of monitoring and teaching have been effective?
1- Eighty-five percent of patients have not gained weight
2- Seventy-five percent of family caregivers have reported watching an
educational DVD
3- Five percent of patients have been readmitted to the hospital in the
last 90 days
4- Eighty percent report that they are taking their medications
correct answer -3
All are important but lower resource utilization is best indicator and
one used by accrediting agencies, payors, etc.
You are the nurse preparing to discharge a 46 year-old man with
hypertension who was started on chlorothiazide. You ask the patient to
share with you his understanding of his new medication. Which of the
following statements indicates your teaching has been effective? Select
all that apply.
1- I will weigh myself every day at the same time.
2- I will notify Charles, the nurse practitioner in my primary care
doctor's office if I gain 3 pounds or more, have increased swelling in my
feet and ankles, or feel more tired than usual.
3- I will reduce my medication if I feel very thirsty or dizzy.
4- I will wear sunscreen if I will be out in the sun for a long period of
time.
5- If I want to drink alcohol, I will wait and take my medication right
before I go to bed. correct answer -1, 2, 4
The following should NOT be used to reduce pressure, as it may
increase friction injuries:
A) rolled towels
B) convoluted foam mattress overlay
C) foam pads
D) viscoelastic overlay correct answer -A
You have just received change of shift report. Which patient should you
assess first?
a. 62 year-old man who is scheduled for a cardiac cath, and is ready to
be transported now
b. 58 year-old woman with COPD with an O2 saturation of 92% on 2
liters of O2, who is scheduled to be discharged home on O2
c. 36 year-old man admitted with an exacerbation of asthma with RR 36
at rest, and whose wheezing has diminished
d. 72 year-old woman with history of asthma with HR 90 and is due for
her beta-blocker correct answer -C
RR 36 and diminished wheezing indicative of respiratory distress and
needs prompt attention
You are about to handover patient care to your on-coming nurse
colleague. Which patient requires the most immediate attention?
1.) 62 year-old man with COPD who has just completed his scheduled
bronchodilator
2.) 68 year-old woman with type 2 diabetes who had CVA 2 days ago
3.) 72 year-old woman with history of asthma with HR 90 and is due for
her beta-blocker
4.) 48 year-old man admitted with cellulitis of his right hand after a
construction accident, currently on IV antibiotics, with a temperature of
101.8 correct answer -4
Cellulitis is serious infection, involving swelling of subcutaneous tissue,
fluid displacement due to 3rd spacing. What else would you assess?
You are assigned to care for a 58 year-old man who is scheduled for a
cardiac angiogram during your shift. What actions should you take?
Check all that apply.
,1-Explain that the patient will receive short-acting anesthesia
2-Review the patient's allergies, specifically checking to see if he has an
allergy to contrast dye
3-Inform the patient that his wife should stay at home until the
procedure is finished, as family members often distract the team in the
cath lab
4-Review and reconcile his medications. Confirm that he did not take
his warfarin
5-Check the patient's most recent labs paying particular attention to
the PT INR correct answer -2, 4, 5
Contrast dyes contain iodine and allergy could lead to anaphylactic
response; might receive light sedation but needs to be awake and able
to follow directions
A 62 year-old man, who is s/p coronary artery bypass surgery, is about
to be transferred from the ICU to the cardiac stepdown unit. What is
the most effective way for the ICU (reporting) nurse and cardiac
stepdown (receiving) nurse to ensure that essential patient information
is conveyed?
1- A face-to-face verbal report with both nurses present in a quiet room
2- The ICU nurse will provide an audio-recorded report for future
reference and documentation
3- The ICU nurse will document essential transfer information in the
patient's medical record
4- The ICU nurse will accompany the patient to the stepdown unit and
provide a face-to-face report, using a unit-approved, standardized
guide correct answer -4
What is the most common outcome associated with poorly managed
hospital discharge? correct answer -Adverse Drug events
The nurse is tracking data on a group of patients with heart failure, who
have been discharged from the unit where you work and are now being
, followed in clinic. What is the best indicator that the nursing
interventions of monitoring and teaching have been effective?
1- Eighty-five percent of patients have not gained weight
2- Seventy-five percent of family caregivers have reported watching an
educational DVD
3- Five percent of patients have been readmitted to the hospital in the
last 90 days
4- Eighty percent report that they are taking their medications
correct answer -3
All are important but lower resource utilization is best indicator and
one used by accrediting agencies, payors, etc.
You are the nurse preparing to discharge a 46 year-old man with
hypertension who was started on chlorothiazide. You ask the patient to
share with you his understanding of his new medication. Which of the
following statements indicates your teaching has been effective? Select
all that apply.
1- I will weigh myself every day at the same time.
2- I will notify Charles, the nurse practitioner in my primary care
doctor's office if I gain 3 pounds or more, have increased swelling in my
feet and ankles, or feel more tired than usual.
3- I will reduce my medication if I feel very thirsty or dizzy.
4- I will wear sunscreen if I will be out in the sun for a long period of
time.
5- If I want to drink alcohol, I will wait and take my medication right
before I go to bed. correct answer -1, 2, 4
The following should NOT be used to reduce pressure, as it may
increase friction injuries:
A) rolled towels
B) convoluted foam mattress overlay
C) foam pads
D) viscoelastic overlay correct answer -A
