PROPHECY SURGICAL ICU EXAM A V3 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS

PROPHECY SURGICAL
ICU EXAM A V3 ACTUAL
EXAM QUESTIONS AND
CORRECT DETAILED
ANSWERS
You have had to suction the patient several times d/t large
amts of frothy sputum. Current intake is 2,000mL and
output is 300 mL. What should you do? - ANSWER-Call
MD for diuretic
58-year-old male patient is receiving a blood transfusion,
10 minutes after initiation, the nurse thinks the pt is having
an acute hemolytic transfusion reaction because he
exhibits the following symptoms: - ANSWER-Chills, back
pain, spiked temperature, nausea
Please interpret the acid-base abnormality: pH = 7.56,
PaCO2 = 24 mm Hg, HCO3 = 23 mEq/L - ANSWERRespiratory 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? - 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? - ANSWER-pH
= 7.30
PCO2 = 36
HCO3 = 18
Regarding a patient's blood transfusion, which information
about patient observation is CORRECT? - ANSWERDirect 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: - ANSWER-0.5
mg IVP
Ventilation/perfusion V/Q scan of a client with pulmonary
embolism who has no other pulmonary disease -
ANSWER-Normal ventilation, decreased perfusion
The Glasgow Coma Scale (GCS) measures what three
areas: - ANSWER-Eye opening, verbal response to pain,
motor response to pain
In acute myocardial infarction (AMI), hemodynamic
measurements reveal: - ANSWER-Low cardiac
output/cardiac index
Antidote to Heparin - ANSWER-Protamine Sulfate
The MOST appropriate method to initially verify
appropriate endotracheal tube placement includes: -
ANSWER-CO2 detector, three point auscultation
What is the general acceptable output of urine per hour in
adults? - ANSWER-30 mL/hr
Which of the following facts about identification of
Ventricular Fibrillation (VF) is true? - ANSWER-Artifact
signals displayed on the monitor can look like VF
PEEP may: - ANSWER-Decrease venous return and
decrease cardiac output
Which of the following rhythms is an appropriate indication
for transcutaneous cardiac pacing? - ANSWER-Complete
heart block with pulmonary edema
Which medication is administered for treatment of Acute
Ischemic Stroke? - ANSWER-Activase (alteplase TPA)
Manifestation of hypothyroidism or myxedema would
include: - ANSWER-Fluid retention/edema, weight gain,
constipation, and bradycardia
A 32-year-old male sustained a crush injury to his left leg.
Management includes: - ANSWER-Administration of IV
fluids & sodium bicarbonate for documented acidosis
The treatment for IV infiltration would include: - ANSWER-
**WRONG**
Discontinue the IV, apply ice to the site for 2 hours.
You will start an IV on a patient who has a history of right
radical mastectomy 3 years ago. The current IV site
infiltrated in her left hand. You should: - ANSWER-Choose
a more proximal site on the same arm
In respiratory acidosis, which of the following statements is
CORRECT? - ANSWER-The etiology stems from
hypoventilation.