ICU Practice Exam 1 Questions And
Answers
A nurse in the ICU is planning the care of a patient who is being
treated for shock. Which of the following statements best describes
the pathophysiology of this patients health problem? -
correct answer ✅- Cells lack an adequate blood supply and are
deprived of oxygen and nutrients.
In an acute care setting, the nurse is assessing an unstable patient.
When prioritizing the patients care, the nurse should recognize that
the patient is at risk for hypovolemic shock in which of the
following circumstances? -
correct answer ✅- Fluid volume circulating in the blood vessels
decreases.
The emergency nurse is admitting a patient experiencing a GI bleed
who is believed to be in the compensatory stage of shock. What
assessment finding would be most consistent with the early stage
of compensation? -
correct answer ✅- Cool, clammy skin
The nurse is caring for a patient who is exhibiting sings and
symptoms of hypovolemic shock following injuries suffered in a
motor vehicle accident. The nurse anticipates that the physician will
promptly order the administration of a crystalloid IV solution to
,ICU Practice Exam 1 Questions And
Answers
restore intravascular volume. In addition to normal saline, which
crystalloid fluid is commonly used to treat hypovolemic shock? -
correct answer ✅- Lactated Ringers
A patient who is in shock is receiving dopamine in addition to IV
fluids. What principle should inform the nurses care planning
durring the administration of a vasoactive drug? -
correct answer ✅- The drug dose should be tapered down once
vital signs improve.
A nurse in the ICU receives report from the nurse in the ED about a
new patient being admitted with a neck injury he received while
diving into a lake. The ED nurse reports that his blood pressure is
85/54, heart rate is 53 beats per minute, and his skin is warm and
dry. What does the ICU nurse recognize that patient is probably
experiencing? -
correct answer ✅- Neurogenic Shock
The intensive care nurse caring for a patient in shock is planning
assessments and interventions related to the patients nutritional
needs. What physiologic process contributes to these increased
nutritional needs? -
, ICU Practice Exam 1 Questions And
Answers
correct answer ✅- The release of catecholamines that creates an
increase in metabolic rate and caloric requirements.
The nurse is transferring a patient who is in the progressive stage of
shock into ICU from the medical unit. The medical nurse is aware
that shock affects many organ systems and that nursing
management of the patient will focus on what intervention? -
correct answer ✅- Assessing and understanding shock and the
significant changes in assessment data to guide the plan of care
When caring for a patient in shock, one of the major nursing goals
is to reduce the risk that the patient will develop complications of
shock. How can the nurse best achieve this goal? -
correct answer ✅- Understand the underlying mechanisms of
shock, recognize the subtle and more obvious signs and then
provide rapid assessment.
The nurse is caring for a patient in the ICU who has been diagnosed
with multiple organ dysfunction syndrome (MODS). The nurses plan
of care should include which of the following interventions? -
correct answer ✅- Promoting communication with the patient and
family along with addressing end-of-life issues.
Answers
A nurse in the ICU is planning the care of a patient who is being
treated for shock. Which of the following statements best describes
the pathophysiology of this patients health problem? -
correct answer ✅- Cells lack an adequate blood supply and are
deprived of oxygen and nutrients.
In an acute care setting, the nurse is assessing an unstable patient.
When prioritizing the patients care, the nurse should recognize that
the patient is at risk for hypovolemic shock in which of the
following circumstances? -
correct answer ✅- Fluid volume circulating in the blood vessels
decreases.
The emergency nurse is admitting a patient experiencing a GI bleed
who is believed to be in the compensatory stage of shock. What
assessment finding would be most consistent with the early stage
of compensation? -
correct answer ✅- Cool, clammy skin
The nurse is caring for a patient who is exhibiting sings and
symptoms of hypovolemic shock following injuries suffered in a
motor vehicle accident. The nurse anticipates that the physician will
promptly order the administration of a crystalloid IV solution to
,ICU Practice Exam 1 Questions And
Answers
restore intravascular volume. In addition to normal saline, which
crystalloid fluid is commonly used to treat hypovolemic shock? -
correct answer ✅- Lactated Ringers
A patient who is in shock is receiving dopamine in addition to IV
fluids. What principle should inform the nurses care planning
durring the administration of a vasoactive drug? -
correct answer ✅- The drug dose should be tapered down once
vital signs improve.
A nurse in the ICU receives report from the nurse in the ED about a
new patient being admitted with a neck injury he received while
diving into a lake. The ED nurse reports that his blood pressure is
85/54, heart rate is 53 beats per minute, and his skin is warm and
dry. What does the ICU nurse recognize that patient is probably
experiencing? -
correct answer ✅- Neurogenic Shock
The intensive care nurse caring for a patient in shock is planning
assessments and interventions related to the patients nutritional
needs. What physiologic process contributes to these increased
nutritional needs? -
, ICU Practice Exam 1 Questions And
Answers
correct answer ✅- The release of catecholamines that creates an
increase in metabolic rate and caloric requirements.
The nurse is transferring a patient who is in the progressive stage of
shock into ICU from the medical unit. The medical nurse is aware
that shock affects many organ systems and that nursing
management of the patient will focus on what intervention? -
correct answer ✅- Assessing and understanding shock and the
significant changes in assessment data to guide the plan of care
When caring for a patient in shock, one of the major nursing goals
is to reduce the risk that the patient will develop complications of
shock. How can the nurse best achieve this goal? -
correct answer ✅- Understand the underlying mechanisms of
shock, recognize the subtle and more obvious signs and then
provide rapid assessment.
The nurse is caring for a patient in the ICU who has been diagnosed
with multiple organ dysfunction syndrome (MODS). The nurses plan
of care should include which of the following interventions? -
correct answer ✅- Promoting communication with the patient and
family along with addressing end-of-life issues.
