Critical Care Exam 1
Page 1 of 25
, You have just received change of shift report. Which patient should you assess first?
a. 62 year-old man who is scheduled for a cardiac cath, and is ready to be transported
now
b. 58 year-old woman with COPD with an O2 saturation of 92% on 2 liters of O2, who is
scheduled to be discharged home on O2
c. 36 year-old man admitted with an exacerbation of asthma with RR 36 at rest, and
whose wheezing has diminished
d. 72 year-old woman with history of asthma with HR 90 and is due for her beta-blocker
C
RR 36 and diminished wheezing indicative of respiratory distress and needs prompt attention
You are about to handover patient care to your on-coming nurse colleague. Which
patient requires the most immediate attention?
1.) 62 year-old man with COPD who has just completed his scheduled bronchodilator
2.) 68 year-old woman with type 2 diabetes who had CVA 2 days ago
3.) 72 year-old woman with history of asthma with HR 90 and is due for her beta-
blocker
4.) 48 year-old man admitted with cellulitis of his right hand after a construction
accident, currently on IV antibiotics, with a temperature of 101.8
4
Cellulitis is serious infection, involving swelling of subcutaneous tissue, fluid displacement due
to 3rd spacing. What else would you assess?
Page 2 of 25
, You are assigned to care for a 58 year-old man who is scheduled for a cardiac
angiogram during your shift. What actions should you take? Check all that apply.
1-Explain that the patient will receive short-acting anesthesia
2-Review the patient's allergies, specifically checking to see if he has an allergy to
contrast dye
3-Inform the patient that his wife should stay at home until the procedure is finished, as
family members often distract the team in the cath lab
4-Review and reconcile his medications. Confirm that he did not take his warfarin
5-Check the patient's most recent labs paying particular attention to the PT INR
2, 4, 5
Contrast dyes contain iodine and allergy could lead to anaphylactic response; might receive
light sedation but needs to be awake and able to follow directions
A 62 year-old man, who is s/p coronary artery bypass surgery, is about to be transferred
from the ICU to the cardiac stepdown unit. What is the most effective way for the ICU
(reporting) nurse and cardiac stepdown (receiving) nurse to ensure that essential
patient information is conveyed?
1- A face-to-face verbal report with both nurses present in a quiet room
2- The ICU nurse will provide an audio-recorded report for future reference and
documentation
3- The ICU nurse will document essential transfer information in the patient's medical
record
4- The ICU nurse will accompany the patient to the stepdown unit and provide a face-
to-face report, using a unit-approved, standardized guide
4
Page 3 of 25
Page 1 of 25
, You have just received change of shift report. Which patient should you assess first?
a. 62 year-old man who is scheduled for a cardiac cath, and is ready to be transported
now
b. 58 year-old woman with COPD with an O2 saturation of 92% on 2 liters of O2, who is
scheduled to be discharged home on O2
c. 36 year-old man admitted with an exacerbation of asthma with RR 36 at rest, and
whose wheezing has diminished
d. 72 year-old woman with history of asthma with HR 90 and is due for her beta-blocker
C
RR 36 and diminished wheezing indicative of respiratory distress and needs prompt attention
You are about to handover patient care to your on-coming nurse colleague. Which
patient requires the most immediate attention?
1.) 62 year-old man with COPD who has just completed his scheduled bronchodilator
2.) 68 year-old woman with type 2 diabetes who had CVA 2 days ago
3.) 72 year-old woman with history of asthma with HR 90 and is due for her beta-
blocker
4.) 48 year-old man admitted with cellulitis of his right hand after a construction
accident, currently on IV antibiotics, with a temperature of 101.8
4
Cellulitis is serious infection, involving swelling of subcutaneous tissue, fluid displacement due
to 3rd spacing. What else would you assess?
Page 2 of 25
, You are assigned to care for a 58 year-old man who is scheduled for a cardiac
angiogram during your shift. What actions should you take? Check all that apply.
1-Explain that the patient will receive short-acting anesthesia
2-Review the patient's allergies, specifically checking to see if he has an allergy to
contrast dye
3-Inform the patient that his wife should stay at home until the procedure is finished, as
family members often distract the team in the cath lab
4-Review and reconcile his medications. Confirm that he did not take his warfarin
5-Check the patient's most recent labs paying particular attention to the PT INR
2, 4, 5
Contrast dyes contain iodine and allergy could lead to anaphylactic response; might receive
light sedation but needs to be awake and able to follow directions
A 62 year-old man, who is s/p coronary artery bypass surgery, is about to be transferred
from the ICU to the cardiac stepdown unit. What is the most effective way for the ICU
(reporting) nurse and cardiac stepdown (receiving) nurse to ensure that essential
patient information is conveyed?
1- A face-to-face verbal report with both nurses present in a quiet room
2- The ICU nurse will provide an audio-recorded report for future reference and
documentation
3- The ICU nurse will document essential transfer information in the patient's medical
record
4- The ICU nurse will accompany the patient to the stepdown unit and provide a face-
to-face report, using a unit-approved, standardized guide
4
Page 3 of 25
