MICU Test Questions with Correct Answers 100% Verified| Guaranteed Success
In septic shock the primary goal of all vasoactive medication is to: Optimize oxygen
supply without excessive increase in oxygen demand
Which of the following indicators best represents a patient in hypovolemic shock? All of
the above
A patient with chronic renal failure presents to the ED with severe itching, abdominal cramps,
nausea, and diarrhea. The patient's serum calcium is 6.2 mg/dL. Which of the following needs
to be administered for management of this patient? Oral aluminum hydroxide
Alarm-related events are recognized as underreported and occur in all health care settings
including EHC hospitals. True
Alarm fatigue or desensitization may lead to: All of the above
Laboratory findings in hepatic failure include: Increased bilirubin, decreased albumin,
increased ammonia
Diabetes Insipidus (DI) is decreased ADH. What physiological responses would you expect to
see in a patient with DI? Hypernatremia, hyperosmolality
Grace was admitted to the MICU from a skilled nursing facility with urosepsis and was very
confused and trying to remove her IV and monitor leads. Alternatives failed and she was placed
in soft restraints and given Ativan 0.5mg IV, O2 at 2L/NC. She is currently slightly agitated, but
becomes more agitated when you interact with her. Restraint orders are renewed at the
following intervals: 24 hrs
Indications for the use of tPa (cath-flo) to declot a central venous catheter areas include: (Select
all that apply.) Presence of sluggish blood flow (less than 3 mL in three seconds)
, Inability to withdraw blood
Resistance to fluid instillation
No evidence of venous thrombosis
No evidence of mechanic or chemical occlusion (kinked catheter, malfunctioning end-cap, drug
precipitants)
Ventilation-Perfusion (V/Q) mismatch occurs:
Your Answer When blood passes by under-ventilated alveoli
Which patient is at greatest risk development of a venous thromboembolism upon admission to
the MICU with shortness of breath as the chief complaint? 45-year-old obese female
patient who has been immobilized for two weeks with acute lower back spasms
The Joint Commission has offered recommendations to health care organizations for reducing
patient harm related to alarm systems. Which of the following is NOT one of those
recommendations? Inform and educate patients about alarms and what each alarm
means.
Skin preparation is not important in reducing false alarms. False
A 67 year old with Type 2 diabetes is scheduled for an intravenous pyelogram (IVP). To reduce
the potentially toxic effects of contrast dye on the kidney, which of the following medical
orders should not be implemented until the nurse has conferred with the intensivist?
Administer metformin (Glucophage) in AM
When working with a patient on mechanical ventilation, which alarms must remain on at all
times? All of the above
In septic shock the primary goal of all vasoactive medication is to: Optimize oxygen
supply without excessive increase in oxygen demand
Which of the following indicators best represents a patient in hypovolemic shock? All of
the above
A patient with chronic renal failure presents to the ED with severe itching, abdominal cramps,
nausea, and diarrhea. The patient's serum calcium is 6.2 mg/dL. Which of the following needs
to be administered for management of this patient? Oral aluminum hydroxide
Alarm-related events are recognized as underreported and occur in all health care settings
including EHC hospitals. True
Alarm fatigue or desensitization may lead to: All of the above
Laboratory findings in hepatic failure include: Increased bilirubin, decreased albumin,
increased ammonia
Diabetes Insipidus (DI) is decreased ADH. What physiological responses would you expect to
see in a patient with DI? Hypernatremia, hyperosmolality
Grace was admitted to the MICU from a skilled nursing facility with urosepsis and was very
confused and trying to remove her IV and monitor leads. Alternatives failed and she was placed
in soft restraints and given Ativan 0.5mg IV, O2 at 2L/NC. She is currently slightly agitated, but
becomes more agitated when you interact with her. Restraint orders are renewed at the
following intervals: 24 hrs
Indications for the use of tPa (cath-flo) to declot a central venous catheter areas include: (Select
all that apply.) Presence of sluggish blood flow (less than 3 mL in three seconds)
, Inability to withdraw blood
Resistance to fluid instillation
No evidence of venous thrombosis
No evidence of mechanic or chemical occlusion (kinked catheter, malfunctioning end-cap, drug
precipitants)
Ventilation-Perfusion (V/Q) mismatch occurs:
Your Answer When blood passes by under-ventilated alveoli
Which patient is at greatest risk development of a venous thromboembolism upon admission to
the MICU with shortness of breath as the chief complaint? 45-year-old obese female
patient who has been immobilized for two weeks with acute lower back spasms
The Joint Commission has offered recommendations to health care organizations for reducing
patient harm related to alarm systems. Which of the following is NOT one of those
recommendations? Inform and educate patients about alarms and what each alarm
means.
Skin preparation is not important in reducing false alarms. False
A 67 year old with Type 2 diabetes is scheduled for an intravenous pyelogram (IVP). To reduce
the potentially toxic effects of contrast dye on the kidney, which of the following medical
orders should not be implemented until the nurse has conferred with the intensivist?
Administer metformin (Glucophage) in AM
When working with a patient on mechanical ventilation, which alarms must remain on at all
times? All of the above
