Prophecy General ICU RN A v2 & V3 Complete solution

Prophecy General ICU RN A v2 & V3

Prophecy General ICU RN A v2

Common complications of massive transfusions are -- correct answer Dilutional Coagulopathy,
DIC, hypothermia, and fibrinolysis
ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L -- correct answer Metabolic Acidosis
Long term use of TPN may lead to: -- correct answer Liver Failure
Which of the following is a potential complication of high PEEP -- correct answer Pneumothorax
What is a common assessment finding for a patient returning from a small bowel resection? --
correct answer Hypoactive bowel sounds
Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy skin. Which
of the following would you suspect. -- correct answer A)*WRONG* Hypoxemia
B) 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? -- correct answer A) *WRONG* Calling the physician
B) 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? -- correct answer A) *WRONG*
Endotracheal Intubation
B) Chest tube insertion
C) Tracheostomy
D) Bronchoscopy

, Prophecy General ICU RN A v2 & V3
The initial insulin therapy for a patient with acute DKA is usually administered by which route --
correct answer Intravenous bolus followed by a continuous infusion
Screening tests for DIC include: -- correct answer D-Dimer and FDPs
Which of the following hormones is secreted by the hypothalamus in an effort to regulate
water balance? -- correct answer ADH
Which of the following IV sedatives would most likely be ordered for a non-intubated patient? -
- correct answer 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? --
correct answer Aspiration
Which of the following is a response of the cardiovascular system to early sepsis? -- correct
answer Increased cardiac output and reduced systemic vascular resistance
Which patient would you expect to be extubated? -- correct answer Patient is awake, follow
commands with RR of 14, FiO2 40%, and PEEP 5
Hypertensive crisis -- correct answer 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? -- correct answer Rhabdomyolysis
Which class of drugs should be avoided in patients with asthma? -- correct answer Beta
Blockers
CAM-ICU is a measure for which condition? -- correct answer Delirium
Which of the following drugs would you expect to administer in a patient diagnosed with
myasthenia gravis? -- correct answer Mestinon
ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L -- correct answer Respiratory Alkalosis
When assessing a chest tube, which of the following indicates a possible air leak -- correct
answer Excessive bubbling in the water chamber
Which of the following medications improves contractility, increases stroke volume, and
increases cardiac output? -- correct answer Dobutamine
Muffled heart sounds would indicate what condition? -- correct answer Cardiac tamponade
Pain assessment in an unconscious patient -- correct answer Requires astute assessment skills
using multiple approaches