ICU EXAM 3 QUESTIONS AND
ANSWERS. VERIFIED 2026.
Which injury is considered blunt trauma?
A. Gunshot wound
B. Stab caused by a knife
C. Impalement on a pitchfork
D. Neck injury from a car crash - ANS Neck injury from a car crash
Which condition is associated with Grey-Turner sign?
A. Spleen injury
B. Cardiac Tamponade
C. Retroperitoneal bleeding
D. Blunt traumatic aortic injury - ANS Retroperitoneal bleeding- purplish discoloration of the
flanks and is associated with Retroperitoneal bleeding or pancreatic injury
Within which time frame should enteral nutrition be initiated for all trauma patients?
A. Within 6 hours
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,B. Within 12 hours
C. Within 24 hours
D. Within 48 hours - ANS Within 48 hours
Which of the following medications should the nurse question for a patient with acute liver
failure experiencing hepatic encephalopathy?
A. Famotidine
B. Mannitol
C. Propofol
D. Metronidazole - ANS Propofol
Which of the following is the most common cause of GI hemorrhage?
A. Peptic ulcer disease
B. Esophageal varices
C. Perforation
D. Stress related mucosal disease - ANS Peptic ulcer disease
What is the mechanism of action of Octreotide (Sandostatin) when used for active GI bleeding?
A. Inhibit gastric secretion and stimulate mucus and bicarb production
B. Direct injection into the vessels causes potent vasoconstriction
C. Blocks histamine induced gastric acid secretion from the parietal cells
D. Reduces splanchnic blood flow, platelet clumping and gastric acid sections - ANS Reduces
splanchnic blood flow, platelet clumping and gastric acid secretions
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Which statement best described the mechanism of Famotidine?
A. It blocks histamine-2 receptors to decrease gastric acid secretions
B. It lines the stomach by adhering to ulcer sites and protects them from acids, enzymes, and
bile salts
C. It stimulates mucus and bicarbonate secretion
D. It reduced stomach acid production by inhibiting the proton pump - ANS It blocks
histamine-2 receptors to decrease gastric acid secretions
Which of the following may be done for cancer of the distal esophagus and gastroesophageal
junction?
A. Whipple Procedure
B. Roux-en-Y procedure
C. Esophagectomy
D. Sengstaken-Blakemore - ANS Esophagectomy
A patient in the ICU for septic shock and an AKI is on multiple pressors and mechanical
ventilation and suddenly develops a massive upper GI bleed. Which underlying condition is
most likely?
A. Peptic ulcer disease
B. Stress related mucosal disease
C. Esophageal varices
D. Acute liver failure - ANS Stress related mucosal disease
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Which medications are used in stress related mucosal disease (SRMD) management?
A. IV PPIs and H2 blockers
B. IV prostaglandin and anticholinergics
C. IV octreotide and acetaminophen
D. Antacids and laxatives - ANS IV PPIs and H2 blockers
Which relatively safe diagnostic procedure uses a radioactive tracer to evaluate cholecystitis,
biliary obstruction and bile leaks?
A. Abdominal ultrasound
B. M2A Enteroscopy
C. Endoscopic retrograde cholangiopancreatography (ERCP)
D. Hepatobiliary scintigraphy (HIDA) - ANS Hepatobiliary scintigraphy (HIDA)
Which lab findings are expected with acute liver failure? Select all that apply.
A. High AST/ALT
B. Low bilirubin
C. Low ammonia
D. High albumin
E. High alkaline phosphate
F. High serum lactate
G. Hyperglycemia
H. Prolonged PT/INR - ANS High AST/ALT, High alkaline phosphate, High serum lactate,
Prolonged PT/INR- high bilirubin, high ammonia, low albumin, hypoglycemia
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
ANSWERS. VERIFIED 2026.
Which injury is considered blunt trauma?
A. Gunshot wound
B. Stab caused by a knife
C. Impalement on a pitchfork
D. Neck injury from a car crash - ANS Neck injury from a car crash
Which condition is associated with Grey-Turner sign?
A. Spleen injury
B. Cardiac Tamponade
C. Retroperitoneal bleeding
D. Blunt traumatic aortic injury - ANS Retroperitoneal bleeding- purplish discoloration of the
flanks and is associated with Retroperitoneal bleeding or pancreatic injury
Within which time frame should enteral nutrition be initiated for all trauma patients?
A. Within 6 hours
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,B. Within 12 hours
C. Within 24 hours
D. Within 48 hours - ANS Within 48 hours
Which of the following medications should the nurse question for a patient with acute liver
failure experiencing hepatic encephalopathy?
A. Famotidine
B. Mannitol
C. Propofol
D. Metronidazole - ANS Propofol
Which of the following is the most common cause of GI hemorrhage?
A. Peptic ulcer disease
B. Esophageal varices
C. Perforation
D. Stress related mucosal disease - ANS Peptic ulcer disease
What is the mechanism of action of Octreotide (Sandostatin) when used for active GI bleeding?
A. Inhibit gastric secretion and stimulate mucus and bicarb production
B. Direct injection into the vessels causes potent vasoconstriction
C. Blocks histamine induced gastric acid secretion from the parietal cells
D. Reduces splanchnic blood flow, platelet clumping and gastric acid sections - ANS Reduces
splanchnic blood flow, platelet clumping and gastric acid secretions
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Which statement best described the mechanism of Famotidine?
A. It blocks histamine-2 receptors to decrease gastric acid secretions
B. It lines the stomach by adhering to ulcer sites and protects them from acids, enzymes, and
bile salts
C. It stimulates mucus and bicarbonate secretion
D. It reduced stomach acid production by inhibiting the proton pump - ANS It blocks
histamine-2 receptors to decrease gastric acid secretions
Which of the following may be done for cancer of the distal esophagus and gastroesophageal
junction?
A. Whipple Procedure
B. Roux-en-Y procedure
C. Esophagectomy
D. Sengstaken-Blakemore - ANS Esophagectomy
A patient in the ICU for septic shock and an AKI is on multiple pressors and mechanical
ventilation and suddenly develops a massive upper GI bleed. Which underlying condition is
most likely?
A. Peptic ulcer disease
B. Stress related mucosal disease
C. Esophageal varices
D. Acute liver failure - ANS Stress related mucosal disease
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Which medications are used in stress related mucosal disease (SRMD) management?
A. IV PPIs and H2 blockers
B. IV prostaglandin and anticholinergics
C. IV octreotide and acetaminophen
D. Antacids and laxatives - ANS IV PPIs and H2 blockers
Which relatively safe diagnostic procedure uses a radioactive tracer to evaluate cholecystitis,
biliary obstruction and bile leaks?
A. Abdominal ultrasound
B. M2A Enteroscopy
C. Endoscopic retrograde cholangiopancreatography (ERCP)
D. Hepatobiliary scintigraphy (HIDA) - ANS Hepatobiliary scintigraphy (HIDA)
Which lab findings are expected with acute liver failure? Select all that apply.
A. High AST/ALT
B. Low bilirubin
C. Low ammonia
D. High albumin
E. High alkaline phosphate
F. High serum lactate
G. Hyperglycemia
H. Prolonged PT/INR - ANS High AST/ALT, High alkaline phosphate, High serum lactate,
Prolonged PT/INR- high bilirubin, high ammonia, low albumin, hypoglycemia
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
