Prophecy Trauma ICU Exam A v2 Questions
with correct Answers
An adult male client was admitted to the trauma service after an MVC. During his stay, the
patient suffers an acute MI. He is attached to a cardiac monitor and has an IV catheter in
place. His cardiac rhythm has been NSR with occasional PVCs. The nurse notes a sudden
change on the cardiac monitor screen to a very irregular, chaotic-looking pattern. The client
appears to be sleeping. The primary action on the part of the nurse is to: - correct
answersCheck the client's ECG electrodes.
Your patient has a serum sodium of 162 and a serum osmolality of 330. What pathological
condition do you suspect? - correct answersSIADH
A client had a right-sided craniotomy due to an SDH. What neurological findings are
consistent with this injury? - correct answersLeft sided weakness with right visual
disturbance.
The #1 cause of traumatic death in the elderly is: - correct answersfalls
Which of the following IV push medications requires cardiac monitoring? - correct
answerscardizem (diltiazem)
For the following ABG values, please interpret the acid-base abnormality:
pH = 7.56
PaCO2 = 24 mmHg
HCO3 = 23 mEq/L - correct answersRespiratory alkalosis
, Which of the following assessment findings are indicative of spinal or neurogenic shock? -
correct answershypotension and bradycardia
Whenever there is an increase in carbon dioxide levels, the pH will: - correct answersdecrease
What is the normal value of PAWP? - correct answers4-12 mmHg
Which of the following is NOT a function of angiotensin II? - correct answerscauses
vasodilation
The abdominal organ MOST susceptible to injury in blunt trauma is the: - correct answersliver
Which of the following is an appropriate indication for transcutaneous cardiac pacing? -
correct answerscomplete heart block with pulmonary edema
What is a common finding in a patient recovering from a frontal lobe injury? - correct
answerschange in personality
A patient has an MRI ordered. The nurse would educate the patient that the procedure will
take approx. 30-45 minutes to complete, they need to lie as still as possible during the
procedure, and which of the following: - correct answersthe machine will make loud, banging
noises.
The INITIAL dose of atropine for a conscious adult experiencing symptomatic bradycardia is: -
correct answers0.5 mg IVP
On a chest x-ray, the tip of a correctly placed endotracheal tube appears: - correct answers3-5
cm above the carina
with correct Answers
An adult male client was admitted to the trauma service after an MVC. During his stay, the
patient suffers an acute MI. He is attached to a cardiac monitor and has an IV catheter in
place. His cardiac rhythm has been NSR with occasional PVCs. The nurse notes a sudden
change on the cardiac monitor screen to a very irregular, chaotic-looking pattern. The client
appears to be sleeping. The primary action on the part of the nurse is to: - correct
answersCheck the client's ECG electrodes.
Your patient has a serum sodium of 162 and a serum osmolality of 330. What pathological
condition do you suspect? - correct answersSIADH
A client had a right-sided craniotomy due to an SDH. What neurological findings are
consistent with this injury? - correct answersLeft sided weakness with right visual
disturbance.
The #1 cause of traumatic death in the elderly is: - correct answersfalls
Which of the following IV push medications requires cardiac monitoring? - correct
answerscardizem (diltiazem)
For the following ABG values, please interpret the acid-base abnormality:
pH = 7.56
PaCO2 = 24 mmHg
HCO3 = 23 mEq/L - correct answersRespiratory alkalosis
, Which of the following assessment findings are indicative of spinal or neurogenic shock? -
correct answershypotension and bradycardia
Whenever there is an increase in carbon dioxide levels, the pH will: - correct answersdecrease
What is the normal value of PAWP? - correct answers4-12 mmHg
Which of the following is NOT a function of angiotensin II? - correct answerscauses
vasodilation
The abdominal organ MOST susceptible to injury in blunt trauma is the: - correct answersliver
Which of the following is an appropriate indication for transcutaneous cardiac pacing? -
correct answerscomplete heart block with pulmonary edema
What is a common finding in a patient recovering from a frontal lobe injury? - correct
answerschange in personality
A patient has an MRI ordered. The nurse would educate the patient that the procedure will
take approx. 30-45 minutes to complete, they need to lie as still as possible during the
procedure, and which of the following: - correct answersthe machine will make loud, banging
noises.
The INITIAL dose of atropine for a conscious adult experiencing symptomatic bradycardia is: -
correct answers0.5 mg IVP
On a chest x-ray, the tip of a correctly placed endotracheal tube appears: - correct answers3-5
cm above the carina
