CRITICAL CARE EXAM 1 (ALL CORRECT & VERIFIED) WITH
FREQUENTLY TESTED QUESTIONS WITH DETAILED
ANSWERS|GRADED A+
, 1. Early sign of hypoxemia restlessness.
2. Patient in cardiogenic shock treated with dobutamine. If CI for the patient is 4.6 or higher Reduce
the rate of dobutamine.
3. Patient in septic shock. The physician orders antibiotics. Which should be ordered 1st Blood
cultures
4. Normal saline given for severe sepsis. To evaluate the effectiveness of fluid therapy Right atrial
pressure(CVP) and urine output
5. BP low, HR high, RR high, O2 low, CO low, CVP low, PAOP low. What orders would you
question Administer furosemide (Lasix) 20 mg intravenously.
6. ET suctioning is done as indicated by patient assessment.
7. Patient went to get a cardiac catheter, contrast dye given increase fluids to flush out, hard on
kidneys and don’t give metformin 48 hours before. Assess BUN (10-20) and Creatinine (0.6-
1.2) to determine if kidney damage occurs.
8. Metabolic alkalosis from vomiting pH high and Bicarb high
9. Afib and Aflutter
10. A flutter with RVR
11. What happens to body if you have an MI?
a. An MI is death to the muscle tissue in the heart, infarction = tissue death for zone of injury
which equals decrease in blood flow.
b. understanding of diagnosis CHD? The pain in my chest gets worse each time it happens,
there is more damage to the heart vessels over a long time
12. What causes post renal? obstruction of urinary tract below kidneys. (kidney stone, prostate)
i. Postvoid residual volume greater than 100 mL suggest postrenal obstruction.
FREQUENTLY TESTED QUESTIONS WITH DETAILED
ANSWERS|GRADED A+
, 1. Early sign of hypoxemia restlessness.
2. Patient in cardiogenic shock treated with dobutamine. If CI for the patient is 4.6 or higher Reduce
the rate of dobutamine.
3. Patient in septic shock. The physician orders antibiotics. Which should be ordered 1st Blood
cultures
4. Normal saline given for severe sepsis. To evaluate the effectiveness of fluid therapy Right atrial
pressure(CVP) and urine output
5. BP low, HR high, RR high, O2 low, CO low, CVP low, PAOP low. What orders would you
question Administer furosemide (Lasix) 20 mg intravenously.
6. ET suctioning is done as indicated by patient assessment.
7. Patient went to get a cardiac catheter, contrast dye given increase fluids to flush out, hard on
kidneys and don’t give metformin 48 hours before. Assess BUN (10-20) and Creatinine (0.6-
1.2) to determine if kidney damage occurs.
8. Metabolic alkalosis from vomiting pH high and Bicarb high
9. Afib and Aflutter
10. A flutter with RVR
11. What happens to body if you have an MI?
a. An MI is death to the muscle tissue in the heart, infarction = tissue death for zone of injury
which equals decrease in blood flow.
b. understanding of diagnosis CHD? The pain in my chest gets worse each time it happens,
there is more damage to the heart vessels over a long time
12. What causes post renal? obstruction of urinary tract below kidneys. (kidney stone, prostate)
i. Postvoid residual volume greater than 100 mL suggest postrenal obstruction.
