PROPHECY GENERAL ICU RN V2 LATEST VERSION WITH VERIFIED SOLUTIONS/A+ GRADE

The patient's ABG is : pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L . What type of
acid imbalance does he have.
- Metabolic Acidosis
Common complications of massive transfusions are
- Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis
Long term use of TPN may lead to:
- Liver Failure
Which of the following is a potential complication of high PEEP
- Pneumothorax
What is a common assessment finding for a patient returning from a small bowel
resection?
- Hypoactive bowel sounds
Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy
skin. Which of the following would you suspect.
- A)*WRONG* Hypoxemia
B) *Wrong * 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?
- A) *WRONG* Calling the physician
B) *Wrong* 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?
- C) Tracheostomy
The initial insulin therapy for a patient with acute DKA is usually administered by
which route
- Intravenous bolus followed by a continuous infusion
Screening tests for DIC include:
- D-Dimer and FDPs
Which of the following hormones is secreted by the hypothalamus in an effort to
regulate water balance?
- ADH
Which of the following IV sedatives would most likely be ordered for a nonintubated patient?
- Precedex
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?
- Aspiration
Which of the following is a response of the cardiovascular system to early sepsis? -
Increased cardiac output and reduced systemic vascular resistance
Which patient would you expect to be extubated?
- Patient is awake, follow commands with RR of 14, FiO2 40%, and PEEP 5
Your patient is in a Hypertensive crisis. What medication can you expect the
doctor to order.
- 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?
- Rhabdomyolysis
Which class of drugs should be avoided in patients with asthma?
- Beta Blockers
The CAM-ICU assessment is a measure for which condition?
- Delirium
Which of the following drugs would you expect to administer in a patient
diagnosed with myasthenia gravis?
- Mestinon
Interpret the following: ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L
- Respiratory Alkalosis
When assessing a chest tube, which of the following indicates a possible air leak -
Excessive bubbling in the water chamber
Which of the following medications improves contractility, increases stroke
volume, and increases cardiac output?
- Dobutamine
Muffled heart sounds would indicate what condition?
- Cardiac tamponade
Pain assessment in an unconscious patient
- Requires astute assessment skills using multiple approaches
Which of the following tests should be performed prior to administering tPA
- CT Scan
Which of the following classes of drugs are used in an effort to therapeutically
decrease venous return and reduce peripheral vascular resistance?
- Vasodilators
Identify the type of renal failure that results from bilateral obstruction of urine
outflow - Post-renal failure
A patient exhibits hypotension without an increase in HR is indicative of -
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? -
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? -
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? -
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? -
Hypotension
The Central Venus Pressure (CVP) measures the pressure in the - right atrium
Which lab value is used to determine the severity of sepsis - lactic acid
Which of the following hormones is secreted by the thyroid gland? - calcitonin
An adrenocorticotropic hormone (ACTH) stimulation test would be ordered for
which diagnosis? - Adrenal crisis
The most common cause for the patient to file a nursing negligence claim is -
Ineffective communication
Which of the following medications is a paralytic - Vecuronium
Ninety percent of thrombi develop in which area of the body? - Legs
Which of the following medications is usually the first to be administered during
status epilepticus - Ativan
Your patient's BP on admission was 110/40, and Hgb was 10.5. The BP is now
80/50 and pt is vomiting coffee ground emesisi. You expect Hgb to be: - 8
You note the appearance of a U wave on the ECG tracing of your patient, This
would indicate that the nurse check laboratory values for the presence of -
Hypokalemia
Which of the following should be performed prior to A-line insertion - Allen test
which of the following diets would be best for patient with renal failure? - low
sodium, low potassium, and moderate protein
You're caring for a 49 yo head trauma pt with an ICP line. What is the formula for
calculating the CPP? - MAP - ICP
Your patient presents with fever, chills, cough, SOB and chest pain. Which
diagnosis would you anticipate? - Pneumonia
Which of the following is considered a normal range for CVP - 2-8 mmHg
Your patient complains of a stiff neck, headache and fever for the last 24 hr. What
condition would you suspect? - Bacterial meningitis
Your patient is experiencing a Hypotensive crisis, which medication would you
anticipate giving? - Levophed
Which of the following is a Hypotonic solution - 0.45% NS
What pathological condition might you suspect in a patient with a serum sodium of
165 and serum osmolality of 330? - Diabetes Insipidus
Which of the following medications are commonly used to decrease ICP -
Mannitol