Critical Care Exam 1 Questions And
Answers
You have just received change of shift report. Which patient should
you assess first?
a. 62 year-old man who is scheduled for a cardiac cath, and is ready
to be transported now
b. 58 year-old woman with COPD with an O2 saturation of 92% on 2
liters of O2, who is scheduled to be discharged home on O2
c. 36 year-old man admitted with an exacerbation of asthma with
RR 36 at rest, and whose wheezing has diminished
d. 72 year-old woman with history of asthma with HR 90 and is due
for her beta-blocker -
correct answer ✅C
RR 36 and diminished wheezing indicative of respiratory distress
and needs prompt attention
You are about to handover patient care to your on-coming nurse
colleague. Which patient requires the most immediate attention?
1.) 62 year-old man with COPD who has just completed his
scheduled bronchodilator
2.) 68 year-old woman with type 2 diabetes who had CVA 2 days
ago
,Critical Care Exam 1 Questions And
Answers
3.) 72 year-old woman with history of asthma with HR 90 and is due
for her beta-blocker
4.) 48 year-old man admitted with cellulitis of his right hand after a
construction accident, currently on IV antibiotics, with a
temperature of 101.8 -
correct answer ✅4
Cellulitis is serious infection, involving swelling of subcutaneous
tissue, fluid displacement due to 3rd spacing. What else would you
assess?
You are assigned to care for a 58 year-old man who is scheduled for
a cardiac angiogram during your shift. What actions should you
take? Check all that apply.
1-Explain that the patient will receive short-acting anesthesia
2-Review the patient's allergies, specifically checking to see if he
has an allergy to contrast dye
3-Inform the patient that his wife should stay at home until the
procedure is finished, as family members often distract the team in
the cath lab
4-Review and reconcile his medications. Confirm that he did not
take his warfarin
,Critical Care Exam 1 Questions And
Answers
5-Check the patient's most recent labs paying particular attention
to the PT INR -
correct answer ✅2, 4, 5
Contrast dyes contain iodine and allergy could lead to anaphylactic
response; might receive light sedation but needs to be awake and
able to follow directions
A 62 year-old man, who is s/p coronary artery bypass surgery, is
about to be transferred from the ICU to the cardiac stepdown unit.
What is the most effective way for the ICU (reporting) nurse and
cardiac stepdown (receiving) nurse to ensure that essential patient
information is conveyed?
1- A face-to-face verbal report with both nurses present in a quiet
room
2- The ICU nurse will provide an audio-recorded report for future
reference and documentation
3- The ICU nurse will document essential transfer information in the
patient's medical record
4- The ICU nurse will accompany the patient to the stepdown unit
and provide a face-to-face report, using a unit-approved,
standardized guide -
correct answer ✅4
, Critical Care Exam 1 Questions And
Answers
What is the most common outcome associated with poorly
managed hospital discharge? -
correct answer ✅Adverse Drug events
The nurse is tracking data on a group of patients with heart failure,
who have been discharged from the unit where you work and are
now being followed in clinic. What is the best indicator that the
nursing interventions of monitoring and teaching have been
effective?
1- Eighty-five percent of patients have not gained weight
2- Seventy-five percent of family caregivers have reported watching
an educational DVD
3- Five percent of patients have been readmitted to the hospital in
the last 90 days
4- Eighty percent report that they are taking their medications -
correct answer ✅3
All are important but lower resource utilization is best indicator and
one used by accrediting agencies, payors, etc.
You are the nurse preparing to discharge a 46 year-old man with
hypertension who was started on chlorothiazide. You ask the
patient to share with you his understanding of his new medication.
Answers
You have just received change of shift report. Which patient should
you assess first?
a. 62 year-old man who is scheduled for a cardiac cath, and is ready
to be transported now
b. 58 year-old woman with COPD with an O2 saturation of 92% on 2
liters of O2, who is scheduled to be discharged home on O2
c. 36 year-old man admitted with an exacerbation of asthma with
RR 36 at rest, and whose wheezing has diminished
d. 72 year-old woman with history of asthma with HR 90 and is due
for her beta-blocker -
correct answer ✅C
RR 36 and diminished wheezing indicative of respiratory distress
and needs prompt attention
You are about to handover patient care to your on-coming nurse
colleague. Which patient requires the most immediate attention?
1.) 62 year-old man with COPD who has just completed his
scheduled bronchodilator
2.) 68 year-old woman with type 2 diabetes who had CVA 2 days
ago
,Critical Care Exam 1 Questions And
Answers
3.) 72 year-old woman with history of asthma with HR 90 and is due
for her beta-blocker
4.) 48 year-old man admitted with cellulitis of his right hand after a
construction accident, currently on IV antibiotics, with a
temperature of 101.8 -
correct answer ✅4
Cellulitis is serious infection, involving swelling of subcutaneous
tissue, fluid displacement due to 3rd spacing. What else would you
assess?
You are assigned to care for a 58 year-old man who is scheduled for
a cardiac angiogram during your shift. What actions should you
take? Check all that apply.
1-Explain that the patient will receive short-acting anesthesia
2-Review the patient's allergies, specifically checking to see if he
has an allergy to contrast dye
3-Inform the patient that his wife should stay at home until the
procedure is finished, as family members often distract the team in
the cath lab
4-Review and reconcile his medications. Confirm that he did not
take his warfarin
,Critical Care Exam 1 Questions And
Answers
5-Check the patient's most recent labs paying particular attention
to the PT INR -
correct answer ✅2, 4, 5
Contrast dyes contain iodine and allergy could lead to anaphylactic
response; might receive light sedation but needs to be awake and
able to follow directions
A 62 year-old man, who is s/p coronary artery bypass surgery, is
about to be transferred from the ICU to the cardiac stepdown unit.
What is the most effective way for the ICU (reporting) nurse and
cardiac stepdown (receiving) nurse to ensure that essential patient
information is conveyed?
1- A face-to-face verbal report with both nurses present in a quiet
room
2- The ICU nurse will provide an audio-recorded report for future
reference and documentation
3- The ICU nurse will document essential transfer information in the
patient's medical record
4- The ICU nurse will accompany the patient to the stepdown unit
and provide a face-to-face report, using a unit-approved,
standardized guide -
correct answer ✅4
, Critical Care Exam 1 Questions And
Answers
What is the most common outcome associated with poorly
managed hospital discharge? -
correct answer ✅Adverse Drug events
The nurse is tracking data on a group of patients with heart failure,
who have been discharged from the unit where you work and are
now being followed in clinic. What is the best indicator that the
nursing interventions of monitoring and teaching have been
effective?
1- Eighty-five percent of patients have not gained weight
2- Seventy-five percent of family caregivers have reported watching
an educational DVD
3- Five percent of patients have been readmitted to the hospital in
the last 90 days
4- Eighty percent report that they are taking their medications -
correct answer ✅3
All are important but lower resource utilization is best indicator and
one used by accrediting agencies, payors, etc.
You are the nurse preparing to discharge a 46 year-old man with
hypertension who was started on chlorothiazide. You ask the
patient to share with you his understanding of his new medication.
