RELIAS Prophecy General ICU RN A V3
Exam With Correct Solutions 2024
A ycode yis yinitiated yand ythe ysecond ynurse yis yobserved ynot yfollowing yACLS yprotocol.
yWhat yis ythe yBEST yaction yto ytake? y- ycorrect yanswer.Stop ythe ynurse yimmediately yand
yinstitute yACLS yprotocol
A ylethargic ybut yoriented ypatient yis ybeing yadmitted yfor ysepsis yand ytheir yfamily ymember yis
yin ythe ywaiting yarea. yTheir ybelonging yinclude ya yring, ycell yphone, yand ywallet. yThe ypatient
yasks yif ythey ycan ykeep ythe yring yon yand yphone yat ybedside. yWhat yis yyour yBEST
yresponse? y- ycorrect yanswer.It yis ybest yif yyour yfamily ytakes yyour ybelongings.
After yturning ya ypatient ywith yCVP ymonitoring ywhat yshould yyou ydo yto yensure yaccuracy yof
ythe yCVP yreading? y- ycorrect yanswer.Zero ythe yline yat yphlebostatic yaxis
An yintubated ypatient ywith ya yGCS yof y3 yis yadmitted yto ythe yICU yfrom ythe yER yafter ybeing
yfound ydown yfor yan yunknown yamount yof ytime yat yhome. yThe yCT yscan yreveals yprofuse
ycerebral yedema. yWhen yis ythe yBEST ytime yto ynotify yorgan ydonation yservices? y- ycorrect
yanswer.Within y24 yhours yof yadmission yto ythe yICU
Besides ythe ywhite yblood ycells, ywhat ylaboratory yvalue yis yused yin ythe ydiagnosis yof
ysepsis? y- ycorrect yanswer.Lactic yacid
During ycardiogenic yshock ywhat ytemporary yintervention ymight ybe yordered yto yimprove
yperfusion yuntil ydefinitive ytreatment yis yprovided? y- ycorrect yanswer.Inotropic yinfusion
During ythe yfirst yhour yof ytPA yinfusion, yhow yfrequently yshould yyou ymonitor yblood
ypressure? y- ycorrect yanswer.Every y15 yminutes
For ya ypatient ywith yseptic yshock, yWhat ywould yyou ymonitor yto yobjectively ydetermine ythe
yeffectiveness yand yneed yto ytitrate ya ydobutamine yinfusion. y- ycorrect yanswer.ScVo2
How yis ydopamine yusually yadministered yin ythe yICU ywhen ygiven yintravenously? y- ycorrect
yanswer.Titratable ycontinuous yinfusion
In ya ypatient ywith yseptic yshock, yafter yfluid yadministration ywhich yof ythe yfollowing yfindings
yis yMOST ysuggestive yof ythe yneed yto ystart ya yvasopressor? y- ycorrect yanswer.Mean
yarterial ypressure y40-50 ymmHg
, One yof yyour ypatients ycoded ybut yis ynow ystabilized yand yyou yare ycatching yup yon ycharting.
yThe ystep-down yunit ycalls yto yget yreport yon yyour yother ypatient ywho yis yto ybe ytransferred.
yThe ynurses ynear yyou ydo ynot yappear ybusy. yHow yshould yyou yprioritize yyour ytime? y-
ycorrect yanswer.Give yreport yand yask ythe ynurses yto yprepare ythe ypatient yfor ytransfer.
The yprovider yhas yordered y2 yunits yof yFFP yto ybe ytransfused. yYour ypatient's yreligious
ybeliefs yprevent ythem yfrom yaccepting yblood yproducts. yWhat yis yyour yBEST yresponse? y-
ycorrect yanswer.Inform ythe yprovider yand ydiscuss yadditional yoptions.
What yacid/base yimbalance yis yMOST ylikely yto ybe yfound yin ya ypatient ywith yCOPD y- ycorrect
yanswer.Respiratory yacidosis
What yassessment ytool yis yneeded yfor ya ypatient ywho yhas yuncomplicated yretrosternal
yhemorrhage? y- ycorrect yanswer.Follow yup yimaging ytest
What ycardiac ycondition yshows ycardiomegaly yon ychest yx-ray? y- ycorrect yanswer.Systolic
yheart yfailure
What ycondition ydoes ythe yConfusion yAssessment yMethod yfor yICU y(CAM-ICU) ydetect? y-
ycorrect yanswer.Delirium
What yECG yfinding yis yindicative yof yhyperkalemia? y- ycorrect yanswer.Peaked yT ywaves
What yinformation ydo yyou yneed yfrom ythe yprovider yto ysetup ya ycerebral yintraventricular
ydrainage ysystem? y- ycorrect yanswer.Maximum yICP
What yinformation yis yMOST yimportant yfor yyou yto yconfirm yin ysmart yIV ypump ysettings? y-
ycorrect yanswer.Weight
What yis ya ycomplication yof ylong yterm yTPN? y- ycorrect yanswer.Liver yinjury
What yis ya ysignificant ycomplication yof yimaging ystudies yperformed ywith yIV ycontrast? y-
ycorrect yanswer.Acute ykidney yinjury
What yis yan yeffective yway yto yevaluate yfor ycyanosis yin ya yperson yof ycolor? y- ycorrect
yanswer.Check yinner yeyelids
What yis ythe yBEST yway yto ydetermine ya ySTEMI? y- ycorrect yanswer.12 yLead yECG
What yis ythe ynormal ycardiovascular yresponse yto yearly ysepsis? y- ycorrect
yanswer.Increased ycardiac youtput
What yIV ysedative ywould yMOST ylikely ybe yordered yfor ya ynon-intubated ypatient? y- ycorrect
yanswer.Dexmedetomidine y(Precedex)
Exam With Correct Solutions 2024
A ycode yis yinitiated yand ythe ysecond ynurse yis yobserved ynot yfollowing yACLS yprotocol.
yWhat yis ythe yBEST yaction yto ytake? y- ycorrect yanswer.Stop ythe ynurse yimmediately yand
yinstitute yACLS yprotocol
A ylethargic ybut yoriented ypatient yis ybeing yadmitted yfor ysepsis yand ytheir yfamily ymember yis
yin ythe ywaiting yarea. yTheir ybelonging yinclude ya yring, ycell yphone, yand ywallet. yThe ypatient
yasks yif ythey ycan ykeep ythe yring yon yand yphone yat ybedside. yWhat yis yyour yBEST
yresponse? y- ycorrect yanswer.It yis ybest yif yyour yfamily ytakes yyour ybelongings.
After yturning ya ypatient ywith yCVP ymonitoring ywhat yshould yyou ydo yto yensure yaccuracy yof
ythe yCVP yreading? y- ycorrect yanswer.Zero ythe yline yat yphlebostatic yaxis
An yintubated ypatient ywith ya yGCS yof y3 yis yadmitted yto ythe yICU yfrom ythe yER yafter ybeing
yfound ydown yfor yan yunknown yamount yof ytime yat yhome. yThe yCT yscan yreveals yprofuse
ycerebral yedema. yWhen yis ythe yBEST ytime yto ynotify yorgan ydonation yservices? y- ycorrect
yanswer.Within y24 yhours yof yadmission yto ythe yICU
Besides ythe ywhite yblood ycells, ywhat ylaboratory yvalue yis yused yin ythe ydiagnosis yof
ysepsis? y- ycorrect yanswer.Lactic yacid
During ycardiogenic yshock ywhat ytemporary yintervention ymight ybe yordered yto yimprove
yperfusion yuntil ydefinitive ytreatment yis yprovided? y- ycorrect yanswer.Inotropic yinfusion
During ythe yfirst yhour yof ytPA yinfusion, yhow yfrequently yshould yyou ymonitor yblood
ypressure? y- ycorrect yanswer.Every y15 yminutes
For ya ypatient ywith yseptic yshock, yWhat ywould yyou ymonitor yto yobjectively ydetermine ythe
yeffectiveness yand yneed yto ytitrate ya ydobutamine yinfusion. y- ycorrect yanswer.ScVo2
How yis ydopamine yusually yadministered yin ythe yICU ywhen ygiven yintravenously? y- ycorrect
yanswer.Titratable ycontinuous yinfusion
In ya ypatient ywith yseptic yshock, yafter yfluid yadministration ywhich yof ythe yfollowing yfindings
yis yMOST ysuggestive yof ythe yneed yto ystart ya yvasopressor? y- ycorrect yanswer.Mean
yarterial ypressure y40-50 ymmHg
, One yof yyour ypatients ycoded ybut yis ynow ystabilized yand yyou yare ycatching yup yon ycharting.
yThe ystep-down yunit ycalls yto yget yreport yon yyour yother ypatient ywho yis yto ybe ytransferred.
yThe ynurses ynear yyou ydo ynot yappear ybusy. yHow yshould yyou yprioritize yyour ytime? y-
ycorrect yanswer.Give yreport yand yask ythe ynurses yto yprepare ythe ypatient yfor ytransfer.
The yprovider yhas yordered y2 yunits yof yFFP yto ybe ytransfused. yYour ypatient's yreligious
ybeliefs yprevent ythem yfrom yaccepting yblood yproducts. yWhat yis yyour yBEST yresponse? y-
ycorrect yanswer.Inform ythe yprovider yand ydiscuss yadditional yoptions.
What yacid/base yimbalance yis yMOST ylikely yto ybe yfound yin ya ypatient ywith yCOPD y- ycorrect
yanswer.Respiratory yacidosis
What yassessment ytool yis yneeded yfor ya ypatient ywho yhas yuncomplicated yretrosternal
yhemorrhage? y- ycorrect yanswer.Follow yup yimaging ytest
What ycardiac ycondition yshows ycardiomegaly yon ychest yx-ray? y- ycorrect yanswer.Systolic
yheart yfailure
What ycondition ydoes ythe yConfusion yAssessment yMethod yfor yICU y(CAM-ICU) ydetect? y-
ycorrect yanswer.Delirium
What yECG yfinding yis yindicative yof yhyperkalemia? y- ycorrect yanswer.Peaked yT ywaves
What yinformation ydo yyou yneed yfrom ythe yprovider yto ysetup ya ycerebral yintraventricular
ydrainage ysystem? y- ycorrect yanswer.Maximum yICP
What yinformation yis yMOST yimportant yfor yyou yto yconfirm yin ysmart yIV ypump ysettings? y-
ycorrect yanswer.Weight
What yis ya ycomplication yof ylong yterm yTPN? y- ycorrect yanswer.Liver yinjury
What yis ya ysignificant ycomplication yof yimaging ystudies yperformed ywith yIV ycontrast? y-
ycorrect yanswer.Acute ykidney yinjury
What yis yan yeffective yway yto yevaluate yfor ycyanosis yin ya yperson yof ycolor? y- ycorrect
yanswer.Check yinner yeyelids
What yis ythe yBEST yway yto ydetermine ya ySTEMI? y- ycorrect yanswer.12 yLead yECG
What yis ythe ynormal ycardiovascular yresponse yto yearly ysepsis? y- ycorrect
yanswer.Increased ycardiac youtput
What yIV ysedative ywould yMOST ylikely ybe yordered yfor ya ynon-intubated ypatient? y- ycorrect
yanswer.Dexmedetomidine y(Precedex)
