Prophecy Surgical ICU Exam A v3_Prophecy
general ICU A V3_ Well updated
Please interpret the acid-base abnormality: pH = 7.56, PaCO2 = 24 mm Hg, HCO3 = 23
mEq/L (Correct Answer)) - ✅✅ Respiratory Alkalosis
Manifestations of DKA are the results of severe dehydration and acidosis. One of those
manifestations is Kussmaul's respirations. This compensatory response does what?
(Correct Answer)) - ✅✅ Causes increased rate and depth of respirations, with longer
expiration
An adult woman is admitted with metabolic acidosis. Which set of ABG's would the nurse
find? (Correct Answer)) - ✅✅ pH = 7.30
PCO2 = 36
HCO3 = 18
Regarding a patient's blood transfusion, which information about patient observation is
CORRECT? (Correct Answer)) - ✅✅ Direct observation and vital signs during initiation
and at frequent intervals during the transfusion
The initial dose of atropine for a conscious adult experiencing symptomatic bradycardia
is: (Correct Answer)) - ✅✅ 0.5 mg IVP
Ventilation/perfusion V/Q scan of a client with pulmonary embolism who has no other
pulmonary disease (Correct Answer)) - ✅✅ Normal ventilation, decreased perfusion
, The Glasgow Coma Scale (GCS) measures what three areas: (Correct Answer)) - ✅✅
Eye opening, verbal response to pain, motor response to pain
In acute myocardial infarction (AMI), hemodynamic measurements reveal: (Correct
Answer)) - ✅✅ Low cardiac output/cardiac index
Antidote to Heparin (Correct Answer)) - ✅✅ Protamine Sulfate
The MOST appropriate method to initially verify appropriate endotracheal tube
placement includes: (Correct Answer)) - ✅✅ CO2 detector, three point auscultation
What is the preferred site to infuse vasopressors such as dopamine and levophed?
(Correct Answer)) - ✅✅ Central Line
What is the normal range for CVP? (Correct Answer)) - ✅✅ 2-8 mm Hg
Special care should be given when administering IV Dopamine because: (Correct
Answer)) - ✅✅ Infiltration leads to tissue necrosis
You are caring for an 80-year-old female status post small bowel resection. Cardiac
history of MI and CHF. Pt is 6hrs post op and VS as follows:
HR 110
NSR
BP 160/73
R 28
O2 92%
general ICU A V3_ Well updated
Please interpret the acid-base abnormality: pH = 7.56, PaCO2 = 24 mm Hg, HCO3 = 23
mEq/L (Correct Answer)) - ✅✅ Respiratory Alkalosis
Manifestations of DKA are the results of severe dehydration and acidosis. One of those
manifestations is Kussmaul's respirations. This compensatory response does what?
(Correct Answer)) - ✅✅ Causes increased rate and depth of respirations, with longer
expiration
An adult woman is admitted with metabolic acidosis. Which set of ABG's would the nurse
find? (Correct Answer)) - ✅✅ pH = 7.30
PCO2 = 36
HCO3 = 18
Regarding a patient's blood transfusion, which information about patient observation is
CORRECT? (Correct Answer)) - ✅✅ Direct observation and vital signs during initiation
and at frequent intervals during the transfusion
The initial dose of atropine for a conscious adult experiencing symptomatic bradycardia
is: (Correct Answer)) - ✅✅ 0.5 mg IVP
Ventilation/perfusion V/Q scan of a client with pulmonary embolism who has no other
pulmonary disease (Correct Answer)) - ✅✅ Normal ventilation, decreased perfusion
, The Glasgow Coma Scale (GCS) measures what three areas: (Correct Answer)) - ✅✅
Eye opening, verbal response to pain, motor response to pain
In acute myocardial infarction (AMI), hemodynamic measurements reveal: (Correct
Answer)) - ✅✅ Low cardiac output/cardiac index
Antidote to Heparin (Correct Answer)) - ✅✅ Protamine Sulfate
The MOST appropriate method to initially verify appropriate endotracheal tube
placement includes: (Correct Answer)) - ✅✅ CO2 detector, three point auscultation
What is the preferred site to infuse vasopressors such as dopamine and levophed?
(Correct Answer)) - ✅✅ Central Line
What is the normal range for CVP? (Correct Answer)) - ✅✅ 2-8 mm Hg
Special care should be given when administering IV Dopamine because: (Correct
Answer)) - ✅✅ Infiltration leads to tissue necrosis
You are caring for an 80-year-old female status post small bowel resection. Cardiac
history of MI and CHF. Pt is 6hrs post op and VS as follows:
HR 110
NSR
BP 160/73
R 28
O2 92%
