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What ventilator adjustment do you expect when your patient's ABG is
pH 7.40, PaCO2 112, BICARB 22? - correct answer-Decrease in FiO2
What information do you need from the provider to setup a cerebral
intraventricular drainage system? - correct answer-Maximum ICP
After turning a patient with CVP monitoring what should you do to
ensure accuracy of the CVP reading? - correct answer-Zero the line at
phlebostatic axis
In a patient with septic shock, after fluid administration which of the
following findings is MOST suggestive of the need to start a
vasopressor? - correct answer-Mean arterial pressure 40-50 mmHg
Your patient's family does not want to tell the patient of their life-
threatening diagnosis and pleads with you not to let the patient know.
,What is the MOST appropriate response? - correct answer-Acknowledge
the family's concerns and recommend a meeting with the family and
interdisciplinary team.
What is the BEST way to determine a STEMI? - correct answer-12 Lead
ECG
What condition does the Confusion Assessment Method for ICU (CAM-
ICU) detect? - correct answer-Delirium
You are caring for an underweight, older adult who is intubated,
sedated, and septic. You have implemented turning every 2 hours.
While inspectingthe patient's back you notice bony prominences with
intact but reddened skin. What should youinclude in the plan of care? -
correct answer-Use of specialized air bed
You are to administer 1 mg of morphine IV but it only comes in a 2 mg
vial. How should you proceed? - correct answer-Waste 1 mg with a
second nurse and then give the drug to the patient
, The provider has ordered 2 units of FFP to be transfused. Your patient's
religious beliefs prevent them from accepting blood products. What is
your BEST response? - correct answer-Inform the provider and discuss
additional options.
During cardiogenic shock what temporary intervention might be
ordered to improve perfusion until definitive treatment is provided? -
correct answer-Inotropic infusion
While reviewing your patient's EHR prior to receiving report,
you notice that their documented urine output for the past 24 hours is
600ml. What would be the MOST important action to take for this
patient? - correct answer-confirm with the off-going nurse if this is a
known situation.
You are caring for a confused patient with edema who has large swollen
wrist. You find that someone has taped their ID bracelet to the side of
the bed. How should you secure their ID bracelet? - correct answer-
Place a new ID bracelet on the patient's wrist while confirming
perfusion to the hand