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1. An adult male client was admitted to the trauma ser- Check the client's ECG
vice after an MVC. During his stay, the patient suffers electrodes.
an acute MI. He is attached to a cardiac monitor and
has an IV catheter in place. His cardiac rhythm has
been NSR with occasional PVCs. The nurse notes a
sudden change on the cardiac monitor screen to a very
irregular, chaotic-looking pattern. The client appears
to be sleeping. The primary action on the part of the
nurse is to:
2. Your patient has a serum sodium of 162 and a serum SIADH
osmolality of 330. What pathological condition do you
suspect?
3. A client had a right-sided craniotomy due to an SDH. Left sided weakness with
What neurological findings are consistent with this in- right visual disturbance.
jury?
4. The #1 cause of traumatic death in the elderly is: falls
5. Which of the following IV push medications requires cardizem (diltiazem)
cardiac monitoring?
6. For the following ABG values, please interpret the Respiratory alkalosis
acid-base abnormality:
pH = 7.56
PaCO2 = 24 mmHg
HCO3 = 23 mEq/L
7. Which of the following assessment findings are indica- hypotension and brady-
tive of spinal or neurogenic shock? cardia
8. decrease
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, Prophecy Trauma ICU Exam A v2
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Whenever there is an increase in carbon dioxide levels,
the pH will:
9. What is the normal value of PAWP? 4-12 mmHg
10. Which of the following is NOT a function of angiotensin causes vasodilation
II?
11. The abdominal organ MOST susceptible to injury in liver
blunt trauma is the:
12. Which of the following is an appropriate indication for complete heart block with
transcutaneous cardiac pacing? pulmonary edema
13. What is a common finding in a patient recovering from change in personality
a frontal lobe injury?
14. A patient has an MRI ordered. The nurse would edu- the machine will make
cate the patient that the procedure will take approx. loud, banging noises.
30-45 minutes to complete, they need to lie as still
as possible during the procedure, and which of the
following:
15. The INITIAL dose of atropine for a conscious adult 0.5 mg IVP
experiencing symptomatic bradycardia is:
16. On a chest x-ray, the tip of a correctly placed endotra- 3-5 cm above the carina
cheal tube appears:
17. A hypertensive patient is started on nitroprusside intrapulmonary shunt
(nipride), and his O2 sat decreases to 90%. ABGs are
drawn and show a PaO2 of 60 mmHg and an O2 sat of
90%. What is the mechanism for this change?
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