PROPHECY GENERAL ICU A V3 CORRECT
COMPREHENSIVE QUESTIONS AND ANSWERS
SURE A+
✔✔Serum osmolality above 320 mOsm/L - ✔✔Hold the mannitol to reduce the risk of
renal failure and alert the provider.
✔✔Large right hemisphere stroke assessment - ✔✔Left deviated gaze.
✔✔Acute ischemic stroke with tPA - ✔✔Endovascular Thrombectomy.
✔✔Signs of brain herniation - ✔✔BP of 220/116 mmHg, HR of 46, and no longer
opening their eyes.
✔✔Continuous cisatracurium besilate (Nimbex) drip - ✔✔Perform a central line
placement.
✔✔Bedside neurosurgical procedure preparation - ✔✔Apply a nasal cannula with end-
tidal carbon dioxide monitoring.
✔✔Pseudotumor cerebri symptoms - ✔✔Mimic large brain tumor.
✔✔Transporting patient to MRI with EVD - ✔✔Close/Clamp the EVD.
✔✔Monitoring adequate perfusion post-endovascular procedure - ✔✔Compare skin
color and temperature on the left and right hand every 15 minutes.
✔✔Neurological deficits after large right hemisphere stroke - ✔✔Hemispheric neglect
and impulsive behavior style.
✔✔Guillain-Barre syndrome - ✔✔Bilateral ascending paralysis.
, ✔✔Oral contraception effectiveness - ✔✔Anti Seizure medications.
✔✔Post-ischemic stroke BP management - ✔✔A continuous antihypertensive
medication drip for optimal blood pressure control.
✔✔Spina bifida - ✔✔A neural tube defect that occurs when the spine and the spinal
cord do not form properly.
✔✔Glioblastoma multiforme (GBM) treatment understanding - ✔✔I need to follow up
with my oncologist.
✔✔Leading cause of stroke - ✔✔High BP because over time high BP damages the
walls of your arteries and makes them weak or narrowed.
✔✔Brainstem stroke concern - ✔✔Airway patency.
✔✔NIHSS limb ataxia score - ✔✔0 No ataxia.
✔✔Sinking skin flap syndrome - ✔✔A concave area of their skull when they remove
their hat.
✔✔GCS score calculation - ✔✔Spont 4, Loc pain 5, confused 4 = 13.
✔✔Normal pressure hydrocephalus symptom - ✔✔Headache.
✔✔Central diabetes insipidus symptoms - ✔✔Excessive urine output.
✔✔Heparin induced thrombocytopenia - ✔✔The most probable cause of sudden chest
pain and feeling dizzy after starting a heparin drip.
✔✔Withholding carbidopa-levodopa (Sinemet) - ✔✔Rigidity, tremors, confusion,
agitation, inability to eat or speak.
✔✔D-dimer rationale in spinal cord injury - ✔✔To rule out blood clots.
✔✔PACU patient with PCA pump - ✔✔They report pain with O2 saturation of 98%,
respiratory rate of 9, and end-tidal carbon dioxide level of 47% on room air.
✔✔PCA - ✔✔Hold the PCA until respiration rate is > 12 and end-tidal carbon dioxide
level < 45 and apply non-pharmacological pain interventions.
✔✔Log roll - ✔✔Prepare for log roll, with one person securing the head and neck and
one person on each side of the patient.
COMPREHENSIVE QUESTIONS AND ANSWERS
SURE A+
✔✔Serum osmolality above 320 mOsm/L - ✔✔Hold the mannitol to reduce the risk of
renal failure and alert the provider.
✔✔Large right hemisphere stroke assessment - ✔✔Left deviated gaze.
✔✔Acute ischemic stroke with tPA - ✔✔Endovascular Thrombectomy.
✔✔Signs of brain herniation - ✔✔BP of 220/116 mmHg, HR of 46, and no longer
opening their eyes.
✔✔Continuous cisatracurium besilate (Nimbex) drip - ✔✔Perform a central line
placement.
✔✔Bedside neurosurgical procedure preparation - ✔✔Apply a nasal cannula with end-
tidal carbon dioxide monitoring.
✔✔Pseudotumor cerebri symptoms - ✔✔Mimic large brain tumor.
✔✔Transporting patient to MRI with EVD - ✔✔Close/Clamp the EVD.
✔✔Monitoring adequate perfusion post-endovascular procedure - ✔✔Compare skin
color and temperature on the left and right hand every 15 minutes.
✔✔Neurological deficits after large right hemisphere stroke - ✔✔Hemispheric neglect
and impulsive behavior style.
✔✔Guillain-Barre syndrome - ✔✔Bilateral ascending paralysis.
, ✔✔Oral contraception effectiveness - ✔✔Anti Seizure medications.
✔✔Post-ischemic stroke BP management - ✔✔A continuous antihypertensive
medication drip for optimal blood pressure control.
✔✔Spina bifida - ✔✔A neural tube defect that occurs when the spine and the spinal
cord do not form properly.
✔✔Glioblastoma multiforme (GBM) treatment understanding - ✔✔I need to follow up
with my oncologist.
✔✔Leading cause of stroke - ✔✔High BP because over time high BP damages the
walls of your arteries and makes them weak or narrowed.
✔✔Brainstem stroke concern - ✔✔Airway patency.
✔✔NIHSS limb ataxia score - ✔✔0 No ataxia.
✔✔Sinking skin flap syndrome - ✔✔A concave area of their skull when they remove
their hat.
✔✔GCS score calculation - ✔✔Spont 4, Loc pain 5, confused 4 = 13.
✔✔Normal pressure hydrocephalus symptom - ✔✔Headache.
✔✔Central diabetes insipidus symptoms - ✔✔Excessive urine output.
✔✔Heparin induced thrombocytopenia - ✔✔The most probable cause of sudden chest
pain and feeling dizzy after starting a heparin drip.
✔✔Withholding carbidopa-levodopa (Sinemet) - ✔✔Rigidity, tremors, confusion,
agitation, inability to eat or speak.
✔✔D-dimer rationale in spinal cord injury - ✔✔To rule out blood clots.
✔✔PACU patient with PCA pump - ✔✔They report pain with O2 saturation of 98%,
respiratory rate of 9, and end-tidal carbon dioxide level of 47% on room air.
✔✔PCA - ✔✔Hold the PCA until respiration rate is > 12 and end-tidal carbon dioxide
level < 45 and apply non-pharmacological pain interventions.
✔✔Log roll - ✔✔Prepare for log roll, with one person securing the head and neck and
one person on each side of the patient.
