ICU EXAM ACTUAL PAPER 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉ Which condition is associated with Grey-Turner sign?
A. Spleen injury
B. Cardiac Tamponade
C. Retroperitoneal bleeding
D. Blunt traumatic aortic injury. Answer: 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
B. Within 12 hours
C. Within 24 hours
D. Within 48 hours. Answer: 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. Answer: 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. Answer: 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. Answer: Reduces splanchnic blood flow, platelet clumping
and gastric acid secretions
◉ 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. Answer: 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. Answer: 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. Answer: Stress related mucosal disease
◉ 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. Answer: 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)
WITH SOLUTIONS GRADED A+
◉ Which condition is associated with Grey-Turner sign?
A. Spleen injury
B. Cardiac Tamponade
C. Retroperitoneal bleeding
D. Blunt traumatic aortic injury. Answer: 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
B. Within 12 hours
C. Within 24 hours
D. Within 48 hours. Answer: 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. Answer: 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. Answer: 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. Answer: Reduces splanchnic blood flow, platelet clumping
and gastric acid secretions
◉ 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. Answer: 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. Answer: 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. Answer: Stress related mucosal disease
◉ 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. Answer: 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)
