PROPHECY GENERAL ICU A V3 EVALUATION TEST
QUESTIONS AND ANSWERS SURE A+
✔✔Propofol complications - ✔✔Which medication can cause these complications?
Propofol.
✔✔RASS scoring - ✔✔How would you score this patient using RASS? +1.
✔✔Neurogenic shock priority intervention - ✔✔Infusion of IV fluids and vasopressors.
✔✔IV thiamine - ✔✔What disease process is typically treated with IV thiamine?
Wernicke-Korsakoff syndrome.
✔✔D-dimer lab order - ✔✔What lab order would you anticipate? D-dimer.
✔✔Cranial nerve 7 - ✔✔Which cranial nerve would you identify as being affected?
Cranial nerve 7.
✔✔Baclofen pump - ✔✔A baclofen pump will go into my abdomen to continuously
deliver medication in my spinal canal.
✔✔1. What signs and symptoms are associated with focal onset seizures? - ✔✔
✔✔Seizure activity with or without impaired awareness that may include twitching of
one arm or leg. - ✔✔
✔✔2. Your patient has a Richmond Agitation Scale (RASS) of +1. What behavior would
you anticipate? - ✔✔
✔✔Restless, anxious, or apprehensive with movements that are not aggressive. - ✔✔
, ✔✔3. Your patient has a subarachnoid hemorrhage. Nimodipine is ordered. What is the
indication of this medication? - ✔✔
✔✔To improve neurological outcome related to delayed cerebral ischemia. - ✔✔
✔✔4. Your patient with a severe traumatic brain injury is on a ventilator. Suddenly they
have a B/P of 220/116, a heart rate of 46, and are no longer opening their eyes. What
would you do next? - ✔✔
✔✔STAT CT of the head. - ✔✔
✔✔5. What is the area of brain tissue around the infarcted area of an ischemic stroke? -
✔✔
✔✔Penumbra. - ✔✔
✔✔6. Your patient underwent an endonasal pituitary tumor resection. They report
changes in nasal discharge. Which observation would concern you the most? - ✔✔
✔✔Increase in bloody discharge after activity. - ✔✔
✔✔7. Your patient has a lumbar drain due to a cerebral spinal fluid leak. Why is it
imperative to avoid draining over 20 mL/hr of CSF with a lumbar drain? - ✔✔
✔✔Risk of herniation and death. - ✔✔
✔✔8. You are gathering an admission history. Your patient states they drink a heavy
amount of alcohol daily. They also report that they have experienced seizures with
alcohol cessation. What is the most likely time period for this patient to have seizure
activity? - ✔✔
✔✔24 to 48 hours after the last drink. - ✔✔
✔✔9. Your are a member of the stroke team. You respond to a possible stroke on the
medical surgical floor. The patient is drowsy with a NIHSS of 3. Their BP is 144/86,
heart rate is 66, respiratory rate is 14, and their oxygen saturation is 98% on room air.
What intervention would you perform next? - ✔✔
✔✔Check blood glucose. - ✔✔
✔✔10. Your patient experienced a SAH 7 days ago. Their transcranial doppler exam
shows moderate vasospasm. What order would you anticipate next? - ✔✔
QUESTIONS AND ANSWERS SURE A+
✔✔Propofol complications - ✔✔Which medication can cause these complications?
Propofol.
✔✔RASS scoring - ✔✔How would you score this patient using RASS? +1.
✔✔Neurogenic shock priority intervention - ✔✔Infusion of IV fluids and vasopressors.
✔✔IV thiamine - ✔✔What disease process is typically treated with IV thiamine?
Wernicke-Korsakoff syndrome.
✔✔D-dimer lab order - ✔✔What lab order would you anticipate? D-dimer.
✔✔Cranial nerve 7 - ✔✔Which cranial nerve would you identify as being affected?
Cranial nerve 7.
✔✔Baclofen pump - ✔✔A baclofen pump will go into my abdomen to continuously
deliver medication in my spinal canal.
✔✔1. What signs and symptoms are associated with focal onset seizures? - ✔✔
✔✔Seizure activity with or without impaired awareness that may include twitching of
one arm or leg. - ✔✔
✔✔2. Your patient has a Richmond Agitation Scale (RASS) of +1. What behavior would
you anticipate? - ✔✔
✔✔Restless, anxious, or apprehensive with movements that are not aggressive. - ✔✔
, ✔✔3. Your patient has a subarachnoid hemorrhage. Nimodipine is ordered. What is the
indication of this medication? - ✔✔
✔✔To improve neurological outcome related to delayed cerebral ischemia. - ✔✔
✔✔4. Your patient with a severe traumatic brain injury is on a ventilator. Suddenly they
have a B/P of 220/116, a heart rate of 46, and are no longer opening their eyes. What
would you do next? - ✔✔
✔✔STAT CT of the head. - ✔✔
✔✔5. What is the area of brain tissue around the infarcted area of an ischemic stroke? -
✔✔
✔✔Penumbra. - ✔✔
✔✔6. Your patient underwent an endonasal pituitary tumor resection. They report
changes in nasal discharge. Which observation would concern you the most? - ✔✔
✔✔Increase in bloody discharge after activity. - ✔✔
✔✔7. Your patient has a lumbar drain due to a cerebral spinal fluid leak. Why is it
imperative to avoid draining over 20 mL/hr of CSF with a lumbar drain? - ✔✔
✔✔Risk of herniation and death. - ✔✔
✔✔8. You are gathering an admission history. Your patient states they drink a heavy
amount of alcohol daily. They also report that they have experienced seizures with
alcohol cessation. What is the most likely time period for this patient to have seizure
activity? - ✔✔
✔✔24 to 48 hours after the last drink. - ✔✔
✔✔9. Your are a member of the stroke team. You respond to a possible stroke on the
medical surgical floor. The patient is drowsy with a NIHSS of 3. Their BP is 144/86,
heart rate is 66, respiratory rate is 14, and their oxygen saturation is 98% on room air.
What intervention would you perform next? - ✔✔
✔✔Check blood glucose. - ✔✔
✔✔10. Your patient experienced a SAH 7 days ago. Their transcranial doppler exam
shows moderate vasospasm. What order would you anticipate next? - ✔✔
