PROPHECY GENERAL ICU REVIEW EXAMS
QUESTIONS AND ANSWERS SURE A+
✔✔Which patient would you expect to be extubated? - ✔✔Patient is awake, follow
commands with RR of 14, FiO2 40%, and PEEP 5
✔✔Hypertensive crisis - ✔✔Nicardipine
✔✔Your patient sustained a crushed pelvis in a MVC. You notice a pinkish sediment in
the urinary catheter tubing and decreased urinary output. Which of the following
conditions would you suspect? - ✔✔Rhabdomyolysis
✔✔Which class of drugs should be avoided in patients with asthma? - ✔✔Beta Blockers
✔✔CAM-ICU is a measure for which condition? - ✔✔Delirium
✔✔Which of the following drugs would you expect to administer in a patient diagnosed
with myasthenia gravis? - ✔✔Mestinon
✔✔ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L - ✔✔Respiratory Alkalosis
✔✔When assessing a chest tube, which of the following indicates a possible air leak -
✔✔Excessive bubbling in the water chamber
✔✔Which of the following medications improves contractility, increases stroke volume,
and increases cardiac output? - ✔✔Dobutamine
✔✔Muffled heart sounds would indicate what condition? - ✔✔Cardiac tamponade
✔✔Pain assessment in an unconscious patient - ✔✔Requires astute assessment skills
using multiple approaches
, ✔✔Which of the following tests should be performed prior to administering tPA - ✔✔CT
Scan
✔✔Which of the following classes of drugs are used in an effort to therapeutically
decrease venous return and reduce peripheral vascular resistance? - ✔✔Vasodilators
✔✔Identify the type of renal failure that results from bilateral obstruction of urine outflow
- ✔✔Post-renal failure
✔✔A patient exhibits hypotension without an increase in HR is indicative of -
✔✔Neurogenic Shock
✔✔Your patient is taking the following medications: Zoloft, Lanoxin, Protonix, lasix, and
coumadin. Which medication would you hold for a blood pressure of 80/50? - ✔✔Lasix
✔✔A patient was admitted with a hemoglobin of 6, hematocrit of 25, has clammy skin,
confusion, and agitation, BP 80/40, HR 145. What type of shock is this? -
✔✔Hypovolemic
✔✔The patient is admitted with suspected Guillain-Barre syndrome. The nurse would
expect CSF analysis to reveal which of the following to confirm the diagnosis? - ✔✔CSF
protein of 60 mg/dL and WBC 0 cells/mm3
✔✔Your patient is receiving IV medications of Nitroglycerin and Verapamil. Which of the
following should the nurse observe for during the assessment? - ✔✔Hypotension
✔✔CVP measures the pressure in the - ✔✔right atrium
✔✔Which lab value is used to determine the severity of sepsis - ✔✔lactic acid
✔✔Which of the following hormones is secreted by the thyroid gland? - ✔✔calcitonin
✔✔An adrenocorticotropic hormone (ACTH) stimulation test would be ordered for which
diagnosis? - ✔✔Adrenal crisis
✔✔The most common cause for the patient to file a nursing negligence claim is -
✔✔Ineffective communication
✔✔Which medication is a paralytic - ✔✔Vecuronium
✔✔90% of thrombi develop in which area of the body? - ✔✔Legs
QUESTIONS AND ANSWERS SURE A+
✔✔Which patient would you expect to be extubated? - ✔✔Patient is awake, follow
commands with RR of 14, FiO2 40%, and PEEP 5
✔✔Hypertensive crisis - ✔✔Nicardipine
✔✔Your patient sustained a crushed pelvis in a MVC. You notice a pinkish sediment in
the urinary catheter tubing and decreased urinary output. Which of the following
conditions would you suspect? - ✔✔Rhabdomyolysis
✔✔Which class of drugs should be avoided in patients with asthma? - ✔✔Beta Blockers
✔✔CAM-ICU is a measure for which condition? - ✔✔Delirium
✔✔Which of the following drugs would you expect to administer in a patient diagnosed
with myasthenia gravis? - ✔✔Mestinon
✔✔ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L - ✔✔Respiratory Alkalosis
✔✔When assessing a chest tube, which of the following indicates a possible air leak -
✔✔Excessive bubbling in the water chamber
✔✔Which of the following medications improves contractility, increases stroke volume,
and increases cardiac output? - ✔✔Dobutamine
✔✔Muffled heart sounds would indicate what condition? - ✔✔Cardiac tamponade
✔✔Pain assessment in an unconscious patient - ✔✔Requires astute assessment skills
using multiple approaches
, ✔✔Which of the following tests should be performed prior to administering tPA - ✔✔CT
Scan
✔✔Which of the following classes of drugs are used in an effort to therapeutically
decrease venous return and reduce peripheral vascular resistance? - ✔✔Vasodilators
✔✔Identify the type of renal failure that results from bilateral obstruction of urine outflow
- ✔✔Post-renal failure
✔✔A patient exhibits hypotension without an increase in HR is indicative of -
✔✔Neurogenic Shock
✔✔Your patient is taking the following medications: Zoloft, Lanoxin, Protonix, lasix, and
coumadin. Which medication would you hold for a blood pressure of 80/50? - ✔✔Lasix
✔✔A patient was admitted with a hemoglobin of 6, hematocrit of 25, has clammy skin,
confusion, and agitation, BP 80/40, HR 145. What type of shock is this? -
✔✔Hypovolemic
✔✔The patient is admitted with suspected Guillain-Barre syndrome. The nurse would
expect CSF analysis to reveal which of the following to confirm the diagnosis? - ✔✔CSF
protein of 60 mg/dL and WBC 0 cells/mm3
✔✔Your patient is receiving IV medications of Nitroglycerin and Verapamil. Which of the
following should the nurse observe for during the assessment? - ✔✔Hypotension
✔✔CVP measures the pressure in the - ✔✔right atrium
✔✔Which lab value is used to determine the severity of sepsis - ✔✔lactic acid
✔✔Which of the following hormones is secreted by the thyroid gland? - ✔✔calcitonin
✔✔An adrenocorticotropic hormone (ACTH) stimulation test would be ordered for which
diagnosis? - ✔✔Adrenal crisis
✔✔The most common cause for the patient to file a nursing negligence claim is -
✔✔Ineffective communication
✔✔Which medication is a paralytic - ✔✔Vecuronium
✔✔90% of thrombi develop in which area of the body? - ✔✔Legs
