PROPHECY GENERAL ICU RN A V2 UPDATED V3
QUESTIONS WITH CORRECT ANSWERS /PRACTICE
EXAMS
1. The patient's ABG is : pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L . What type of acid
imbalance does he have. - ANSWER-Metabolic Acidosis
2. Common complications of massive transfusions are - ANSWER-Dilutional
Coagulopathy, DIC, hypothermia, and fibrinolysis
3. Long term use of TPN may lead to: - ANSWER-Liver Failure
4. Which of the following is a potential complication of high PEEP - ANSWER-
Pneumothorax
5. What is a common assessment finding for a patient returning from a small bowel
resection? - ANSWER-Hypoactive bowel sounds
6. Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy
skin. Which of the following would you suspect. - ANSWER-A)*WRONG* Hypoxemia
B) *Wrong * Acute MI
C) Panic Attack
D) Hypoglycemia
7. 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? - ANSWER-A) *WRONG*
Calling the physician
, B) *Wrong* 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
8. 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? -
ANSWER-C) Tracheostomy
9. The initial insulin therapy for a patient with acute DKA is usually administered by
which route - ANSWER-Intravenous bolus followed by a continuous infusion
10. Screening tests for DIC include: - ANSWER-D-Dimer and FDPs
11. Which of the following hormones is secreted by the hypothalamus in an effort to
regulate water balance? - ANSWER-ADH
12. Which of the following IV sedatives would most likely be ordered for a non-intubated
patient? - ANSWER-Precedex
13. 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? - ANSWER-Aspiration
14. Which of the following is a response of the cardiovascular system to early sepsis? -
ANSWER-Increased cardiac output and reduced systemic vascular resistance
15. Which patient would you expect to be extubated? - ANSWER-Patient is awake, follow
commands with RR of 14, FiO2 40%, and PEEP 5
QUESTIONS WITH CORRECT ANSWERS /PRACTICE
EXAMS
1. The patient's ABG is : pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L . What type of acid
imbalance does he have. - ANSWER-Metabolic Acidosis
2. Common complications of massive transfusions are - ANSWER-Dilutional
Coagulopathy, DIC, hypothermia, and fibrinolysis
3. Long term use of TPN may lead to: - ANSWER-Liver Failure
4. Which of the following is a potential complication of high PEEP - ANSWER-
Pneumothorax
5. What is a common assessment finding for a patient returning from a small bowel
resection? - ANSWER-Hypoactive bowel sounds
6. Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy
skin. Which of the following would you suspect. - ANSWER-A)*WRONG* Hypoxemia
B) *Wrong * Acute MI
C) Panic Attack
D) Hypoglycemia
7. 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? - ANSWER-A) *WRONG*
Calling the physician
, B) *Wrong* 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
8. 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? -
ANSWER-C) Tracheostomy
9. The initial insulin therapy for a patient with acute DKA is usually administered by
which route - ANSWER-Intravenous bolus followed by a continuous infusion
10. Screening tests for DIC include: - ANSWER-D-Dimer and FDPs
11. Which of the following hormones is secreted by the hypothalamus in an effort to
regulate water balance? - ANSWER-ADH
12. Which of the following IV sedatives would most likely be ordered for a non-intubated
patient? - ANSWER-Precedex
13. 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? - ANSWER-Aspiration
14. Which of the following is a response of the cardiovascular system to early sepsis? -
ANSWER-Increased cardiac output and reduced systemic vascular resistance
15. Which patient would you expect to be extubated? - ANSWER-Patient is awake, follow
commands with RR of 14, FiO2 40%, and PEEP 5
