PROPHECY SURGICAL ICU CERTIFICATION
EVALUATION EXAMS COMPLETE
QUESTIONS AND ANSWERS PRACTICE
SOLUTION
⩥ A code is initiated and the second nurse is observed not following
ACLS protocol. What is the BEST action to take?
Answer: Stop the nurse immediately and institute ACLS protocol
⩥ During the first hour of tPA infusion, how frequently should you
monitor blood pressure?
Answer: Every 15 minutes
⩥ Which of the following is a priority for the bedside nurse when a
patient gets inpatient hemodialysis?
Answer: Maintaining adequate blood pressure
⩥ What MUST you confirm before removing a cervical spine collar?
Answer: Presence of active order to remove
⩥ Which of the following signs or symptoms indicates a patient might
not be tolerating the extubation?
,Answer: The patient is coughing and has tachycardia
⩥ Which age group is MORE likely to experience a "Blown" vein
Answer: Older adults
⩥ What acid/base imbalance is MOST likely to be found in a patient
with COPD
Answer: Respiratory acidosis
⩥ Which of the following should you do if your patient suddenly
becomes diaphoretic, anxious, tachycardic, and has clammy skin?
Answer: Check their glucose
⩥ What information is MOST important for you to confirm in smart IV
pump settings?
Answer: Weight
⩥ Besides the white blood cells, what laboratory value is used in the
diagnosis of sepsis?
Answer: Lactic acid
⩥ Which medication is associated with increased delirium in critical
care patients?
, Answer: Lorazepam (Ativan)
⩥ What is an effective way to evaluate for cyanosis in a person of color?
Answer: Check inner eyelids
⩥ What cardiac condition shows cardiomegaly on chest x-ray?
Answer: Systolic heart failure
⩥ Your patient begins to choke and a code blue is called. The provider is
unsuccessful at removing the object and is unable to place the ETT. You
would expect to prepare for what type of procedure?
Answer: Surgical airway
⩥ One of your patients coded but is now stabilized and you are catching
up on charting. The step-down unit calls to get report on your other
patient who is to be transferred. The nurses near you do not appear busy.
How should you prioritize your time?
Answer: Give report and ask the nurses to prepare the patient for
transfer.
⩥ Your patient was intubated but still has oral medications on their list
of medications. How should you ensure they receive their medications?
Answer: Ask the provider to update the route of administration.
EVALUATION EXAMS COMPLETE
QUESTIONS AND ANSWERS PRACTICE
SOLUTION
⩥ A code is initiated and the second nurse is observed not following
ACLS protocol. What is the BEST action to take?
Answer: Stop the nurse immediately and institute ACLS protocol
⩥ During the first hour of tPA infusion, how frequently should you
monitor blood pressure?
Answer: Every 15 minutes
⩥ Which of the following is a priority for the bedside nurse when a
patient gets inpatient hemodialysis?
Answer: Maintaining adequate blood pressure
⩥ What MUST you confirm before removing a cervical spine collar?
Answer: Presence of active order to remove
⩥ Which of the following signs or symptoms indicates a patient might
not be tolerating the extubation?
,Answer: The patient is coughing and has tachycardia
⩥ Which age group is MORE likely to experience a "Blown" vein
Answer: Older adults
⩥ What acid/base imbalance is MOST likely to be found in a patient
with COPD
Answer: Respiratory acidosis
⩥ Which of the following should you do if your patient suddenly
becomes diaphoretic, anxious, tachycardic, and has clammy skin?
Answer: Check their glucose
⩥ What information is MOST important for you to confirm in smart IV
pump settings?
Answer: Weight
⩥ Besides the white blood cells, what laboratory value is used in the
diagnosis of sepsis?
Answer: Lactic acid
⩥ Which medication is associated with increased delirium in critical
care patients?
, Answer: Lorazepam (Ativan)
⩥ What is an effective way to evaluate for cyanosis in a person of color?
Answer: Check inner eyelids
⩥ What cardiac condition shows cardiomegaly on chest x-ray?
Answer: Systolic heart failure
⩥ Your patient begins to choke and a code blue is called. The provider is
unsuccessful at removing the object and is unable to place the ETT. You
would expect to prepare for what type of procedure?
Answer: Surgical airway
⩥ One of your patients coded but is now stabilized and you are catching
up on charting. The step-down unit calls to get report on your other
patient who is to be transferred. The nurses near you do not appear busy.
How should you prioritize your time?
Answer: Give report and ask the nurses to prepare the patient for
transfer.
⩥ Your patient was intubated but still has oral medications on their list
of medications. How should you ensure they receive their medications?
Answer: Ask the provider to update the route of administration.
