PROPHECY SURGICAL ICU EXAM A V3 LATEST ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)|AGRADE

PROPHECY SURGICAL ICU EXAM A V3 LATEST 2023 -2024 ACTUAL EXAM 1 00 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWE RS)|AGRADE You are caring for an 80 -year-old female status post small bowel resection. Cardiac history of MI and CHF. Pt is 6hrs post op and VS as follows: HR 110 NSR BP 160/73 R 28 O2 92% Ventilator FiO2 60% You have had to suction the patient several times d/t large amts of frothy sputum. Current intake is 2,000mL and output is 300 mL. What should you do? - ANSWER - Call MD for diuretic 58-year-old male patient is receiving a blood transfusion, 10 minutes after initiation, the nurse thinks the pt is having an acute hemolytic transfusion reaction because he exhibits the following symptoms: - ANSWER - Chills, back pain, spiked temperature, nausea Which of the following is INCORRECT regarding TPN administration? - ANSWER - It can be given through a peripheral IV. Which complication is most likely to occurr if excessive force or a small (3mL) syringe is used during a normal saline flush into a PICC line? - ANSWER - Catheter Rupture A patient with a spinal cord injury is given a large dose of Solu -Medrol and should be monitored for what? - ANSWER - Hyperglycemia The dosage of which drug must be tapered off slowly to prevent an acute adrenal insufficiency? - ANSWER - Cortisone What is the general acceptable output of urine per hour in adults? - ANSWER - 30 mL/hr Which of the following facts about identification of Ventricular Fibrillation (VF) is true? - ANSWER - Artifact signals displayed on the monitor can look like VF PEEP may: - ANSWER - Decrease venous return and decrease cardiac output Which of the following rhythms is an appropriate indication for transcutaneous cardiac pacing? - ANSWER - Complete heart block with pulmonary edema Which medication is administered for treatment of Acute Ischemic Stroke? - ANSWER - Activase (alteplase TPA) Manifestation of hypothyroidism or myxedema would include: - ANSWER - Fluid retention/edema, weight gain, constipation, and bradycardia A 32 -year-old male sustained a crush injury to his left leg. Management includes: - ANSWER - Administration of IV fluids & sodium bicarbonate for documented acidosis The treatment for IV infiltration would include: - ANSWER - **WRONG** Discontinue the IV, apply ice to the site for 2 hours. You will start an IV on a patient who has a history of right radical mastectomy 3 years ago. The current IV site infiltrated in her left hand. You should: - ANSWER - Choose a more proximal site on the same arm In respiratory acidosis, which of the following statements is CORRECT? - ANSWER - The etiology stems from hypoventilation . Ventricular tachycardia is most often caused by: - ANSWER - **WRONG**