PROPHECY SURGICAL ICU EXAM A V3 LATEST 2025-2026
ACTUAL EXAM 73 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
Terms in this set (73)
What is the nurse to patient 1:2, with nursing care needed every hour on the hour
ratio in the ICU?
Who is the primary care provider the ICU staff
when the patient enters a closed
ICU?
What procedures can occur most all, bronch, central lines
bedside in the ICU?
Where can central lines be placed? subclavian, internal jugular, and femoral
Of the these sites, which is the femoral site bc the groin is dark moist and grows stuff so
more prone to infections and typically don't leave it more than 24 hours
why?
What are central lines made of polyurethane, 7 french, triple lumen
and what size and type are
mostly used?
What does PIC stand for and peripheral inserted catheter, made of silicone
what is it made of?
Why is heparin preferred for bc it is short acting and reversible
anticoagulation?
inhibition of platelets, binds to antithrombin II which then
What is the MOA of heparin??
inactivates thrombin and other proteases involved in blood
clotting, most notably factor Xa.
What reverses heparin? Protamine Sulfate
What is the route and dose subQ injections 5000 units every 8 hours for prophylaxis
typically administered of
heparin?
, What lab would you use to guide PTT- not the PT/INR!!
treatment with heparin?
What is not typically given as an Lovenox
anticoagulant to patients that have a
risk for bleeding or renal failure,
even though it is easier than
heparin?
Besides heparin and lovenox, aspirin, plavix, and warfarin
what are other common
anticoagulants?
What GI risk are patients in the stress ulcers, they are NPO and so the acid is more
ICU prone to? concentrated, give Pepcid or PPI by I V, risk decreases once
they start eating
bc they travel longer before reaching a central vessel, thick fluids
Why can a PIC stay in longer?
may be harder to push through for this reason and they are
more likely to clot
What does a PIC have for multiple multiple ports
meds?
What are some uses for PIC lines? for large volume infusions, to give caustic or irritating meds like TPN
What can lead o subclavian dialysis with large caliber tube
stenosis due to occlusion from
large caliber tube?
What is important to PAIN
control and is heightened
in the ICU?
What are 3 pain medications Morphine, Fentanyl and Diluadid
often used in the ICU?
Which pain medication has to Morphine
be renally dose adjusted?
Morphine decreases due to blood pressure
systemic
release of histamine.
What is the duration of 1 about 1 hourit is very short acting I V
injection of fentanyl?
Do we renally adjust fentanyl? nope
Which pain med is good for Fentanyl, bc it is short acting so if pt gets too much it will wear off quick
ACTUAL EXAM 73 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
Terms in this set (73)
What is the nurse to patient 1:2, with nursing care needed every hour on the hour
ratio in the ICU?
Who is the primary care provider the ICU staff
when the patient enters a closed
ICU?
What procedures can occur most all, bronch, central lines
bedside in the ICU?
Where can central lines be placed? subclavian, internal jugular, and femoral
Of the these sites, which is the femoral site bc the groin is dark moist and grows stuff so
more prone to infections and typically don't leave it more than 24 hours
why?
What are central lines made of polyurethane, 7 french, triple lumen
and what size and type are
mostly used?
What does PIC stand for and peripheral inserted catheter, made of silicone
what is it made of?
Why is heparin preferred for bc it is short acting and reversible
anticoagulation?
inhibition of platelets, binds to antithrombin II which then
What is the MOA of heparin??
inactivates thrombin and other proteases involved in blood
clotting, most notably factor Xa.
What reverses heparin? Protamine Sulfate
What is the route and dose subQ injections 5000 units every 8 hours for prophylaxis
typically administered of
heparin?
, What lab would you use to guide PTT- not the PT/INR!!
treatment with heparin?
What is not typically given as an Lovenox
anticoagulant to patients that have a
risk for bleeding or renal failure,
even though it is easier than
heparin?
Besides heparin and lovenox, aspirin, plavix, and warfarin
what are other common
anticoagulants?
What GI risk are patients in the stress ulcers, they are NPO and so the acid is more
ICU prone to? concentrated, give Pepcid or PPI by I V, risk decreases once
they start eating
bc they travel longer before reaching a central vessel, thick fluids
Why can a PIC stay in longer?
may be harder to push through for this reason and they are
more likely to clot
What does a PIC have for multiple multiple ports
meds?
What are some uses for PIC lines? for large volume infusions, to give caustic or irritating meds like TPN
What can lead o subclavian dialysis with large caliber tube
stenosis due to occlusion from
large caliber tube?
What is important to PAIN
control and is heightened
in the ICU?
What are 3 pain medications Morphine, Fentanyl and Diluadid
often used in the ICU?
Which pain medication has to Morphine
be renally dose adjusted?
Morphine decreases due to blood pressure
systemic
release of histamine.
What is the duration of 1 about 1 hourit is very short acting I V
injection of fentanyl?
Do we renally adjust fentanyl? nope
Which pain med is good for Fentanyl, bc it is short acting so if pt gets too much it will wear off quick
