Relias/Prophecy general ICU RN A v3
A code is initiated and the second one nurse is located now not following ACLS protocol. What
is the BEST action to take? - ANS-Stop the nurse at once and institute ACLS protocol
A torpid but orientated patient is being admitted for sepsis and their family member is inside the
waiting location. Their belonging include a hoop, cellular telephone, and wallet. The patient asks
if they are able to keep the hoop on and get in touch with at bedside. What is your BEST
reaction? - ANS-It is excellent if your circle of relatives takes your belongings.
After turning a patient with CVP tracking what must you do to make sure accuracy of the CVP
reading? - ANS-Zero the road at phlebostatic axis
An intubated patient with a GCS of three is admitted to the ICU from the ER after being found
down for an unknown quantity of time at domestic. The CT experiment well-knownshows
profuse cerebral edema. When is the BEST time to notify organ donation services? -
ANS-Within 24 hours of admission to the ICU
Besides the white blood cells, what laboratory price is used within the prognosis of sepsis? -
ANS-Lactic acid
During cardiogenic surprise what transient intervention is probably ordered to enhance
perfusion until definitive treatment is provided? - ANS-Inotropic infusion
During the first hour of tPA infusion, how regularly should you display blood stress? - ANS-Every
15 mins
For a affected person with septic surprise, What might you reveal to objectively decide the
effectiveness and want to titrate a dobutamine infusion. - ANS-ScVo2
How is dopamine typically administered inside the ICU when given intravenously? -
ANS-Titratable non-stop infusion
In a patient with septic shock, after fluid management which of the following findings is MOST
suggestive of the need to start a vasopressor? - ANS-Mean arterial pressure 40-50 mmHg
One of your patients coded but is now stabilized and you are catching up on charting. The
step-down unit calls to get document to your other affected person who's to be transferred. The
nurses near you do now not seem busy. How must you prioritize a while? - ANS-Give report and
ask the nurses to put together the patient for switch.
, The company has ordered 2 units of FFP to be transfused. Your patient's non secular ideals
save you them from accepting blood merchandise. What is your BEST reaction? - ANS-Inform
the company and speak additional alternatives.
What acid/base imbalance is MOST likely to be determined in a affected person with COPD -
ANS-Respiratory acidosis
What evaluation device is needed for a affected person who has uncomplicated retrosternal
hemorrhage? - ANS-Follow up imaging check
What cardiac circumstance shows cardiomegaly on chest x-ray? - ANS-Systolic heart failure
What condition does the Confusion Assessment Method for ICU (CAM-ICU) hit upon? -
ANS-Delirium
What ECG locating is indicative of hyperkalemia? - ANS-Peaked T waves
What statistics do you need from the provider to setup a cerebral intraventricular drainage
device? - ANS-Maximum ICP
What facts is MOST vital a good way to verify in smart IV pump settings? - ANS-Weight
What is a hassle of long term TPN? - ANS-Liver injury
What is a big difficulty of imaging research finished with IV contrast? - ANS-Acute kidney
damage
What is an effective manner to evaluate for cyanosis in a person of coloration? - ANS-Check
inner eyelids
What is the BEST way to decide a STEMI? - ANS-12 Lead ECG
What is the normal cardiovascular reaction to early sepsis? - ANS-Increased cardiac output
What IV sedative might MOST probably be ordered for a non-intubated patient? -
ANS-Dexmedetomidine (Precedex)
What laboratory price need to you monitor carefully if your affected person is vomiting espresso
floor emesis? - ANS-Hemoglobin
What MUST you verify earlier than doing away with a cervical spine collar? - ANS-Presence of
active order to remove
A code is initiated and the second one nurse is located now not following ACLS protocol. What
is the BEST action to take? - ANS-Stop the nurse at once and institute ACLS protocol
A torpid but orientated patient is being admitted for sepsis and their family member is inside the
waiting location. Their belonging include a hoop, cellular telephone, and wallet. The patient asks
if they are able to keep the hoop on and get in touch with at bedside. What is your BEST
reaction? - ANS-It is excellent if your circle of relatives takes your belongings.
After turning a patient with CVP tracking what must you do to make sure accuracy of the CVP
reading? - ANS-Zero the road at phlebostatic axis
An intubated patient with a GCS of three is admitted to the ICU from the ER after being found
down for an unknown quantity of time at domestic. The CT experiment well-knownshows
profuse cerebral edema. When is the BEST time to notify organ donation services? -
ANS-Within 24 hours of admission to the ICU
Besides the white blood cells, what laboratory price is used within the prognosis of sepsis? -
ANS-Lactic acid
During cardiogenic surprise what transient intervention is probably ordered to enhance
perfusion until definitive treatment is provided? - ANS-Inotropic infusion
During the first hour of tPA infusion, how regularly should you display blood stress? - ANS-Every
15 mins
For a affected person with septic surprise, What might you reveal to objectively decide the
effectiveness and want to titrate a dobutamine infusion. - ANS-ScVo2
How is dopamine typically administered inside the ICU when given intravenously? -
ANS-Titratable non-stop infusion
In a patient with septic shock, after fluid management which of the following findings is MOST
suggestive of the need to start a vasopressor? - ANS-Mean arterial pressure 40-50 mmHg
One of your patients coded but is now stabilized and you are catching up on charting. The
step-down unit calls to get document to your other affected person who's to be transferred. The
nurses near you do now not seem busy. How must you prioritize a while? - ANS-Give report and
ask the nurses to put together the patient for switch.
, The company has ordered 2 units of FFP to be transfused. Your patient's non secular ideals
save you them from accepting blood merchandise. What is your BEST reaction? - ANS-Inform
the company and speak additional alternatives.
What acid/base imbalance is MOST likely to be determined in a affected person with COPD -
ANS-Respiratory acidosis
What evaluation device is needed for a affected person who has uncomplicated retrosternal
hemorrhage? - ANS-Follow up imaging check
What cardiac circumstance shows cardiomegaly on chest x-ray? - ANS-Systolic heart failure
What condition does the Confusion Assessment Method for ICU (CAM-ICU) hit upon? -
ANS-Delirium
What ECG locating is indicative of hyperkalemia? - ANS-Peaked T waves
What statistics do you need from the provider to setup a cerebral intraventricular drainage
device? - ANS-Maximum ICP
What facts is MOST vital a good way to verify in smart IV pump settings? - ANS-Weight
What is a hassle of long term TPN? - ANS-Liver injury
What is a big difficulty of imaging research finished with IV contrast? - ANS-Acute kidney
damage
What is an effective manner to evaluate for cyanosis in a person of coloration? - ANS-Check
inner eyelids
What is the BEST way to decide a STEMI? - ANS-12 Lead ECG
What is the normal cardiovascular reaction to early sepsis? - ANS-Increased cardiac output
What IV sedative might MOST probably be ordered for a non-intubated patient? -
ANS-Dexmedetomidine (Precedex)
What laboratory price need to you monitor carefully if your affected person is vomiting espresso
floor emesis? - ANS-Hemoglobin
What MUST you verify earlier than doing away with a cervical spine collar? - ANS-Presence of
active order to remove
