Prophecy General ICU RN A v2 updated
Q and A
A patient exhibits hypotension without an increase in HR is indicative of - Neurogenic Shock
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
An adrenocorticotropic hormone (ACTH) stimulation test would be ordered for which diagnosis? -
Adrenal crisis
Common complications of massive transfusions are - Dilutional Coagulopathy, DIC, hypothermia, and
fibrinolysis
Identify the type of renal failure that results from bilateral obstruction of urine outflow - Post-renal
failure
Interpret the following: ABG 7.35, paCO2 60mmHg, HCO3 38 mEq - Compensated respiratory acidosis
Interpret the following: ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L - Respiratory Alkalosis
Long term use of TPN may lead to: - Liver Failure
Muffled heart sounds would indicate what condition? - Cardiac tamponade
Ninety percent of thrombi develop in which area of the body? - Legs
Pain assessment in an unconscious patient - Requires astute assessment skills using multiple approaches
Screening tests for DIC include: - D-Dimer and FDPs
, The CAM-ICU assessment is a measure for which condition? - Delirium
The Central Venus Pressure (CVP) measures the pressure in the - right atrium
The initial insulin therapy for a patient with acute DKA is usually administered by which route -
Intravenous bolus followed by a continuous infusion
The most common cause for the patient to file a nursing negligence claim is - Ineffective communication
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
The patient's ABG is : pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L . What type of acid imbalance does he
have. - Metabolic Acidosis
The staff nurse asks the nursing assistant to check on a patient. The nursing assistant reports back that
the patient is experiencing chest pain and is diaphorectic. Which of the following can the staff nurse
delegate to the assistant? - A) *WRONG* Calling the physician
B) *Wrong* Gathering vitals and assessing the cause for the change in status
C) Informing the charge nurse that a patient needs attention
D) Obtaining a medication for the nurse to administer to the patient
What is a common assessment finding for a patient returning from a small bowel resection? -
Hypoactive bowel sounds
What pathological condition might you suspect in a patient with a serum sodium of 165 and serum
osmolality of 330? - Diabetes Insipidus
When assessing a chest tube, which of the following indicates a possible air leak - Excessive bubbling in
the water chamber
Q and A
A patient exhibits hypotension without an increase in HR is indicative of - Neurogenic Shock
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
An adrenocorticotropic hormone (ACTH) stimulation test would be ordered for which diagnosis? -
Adrenal crisis
Common complications of massive transfusions are - Dilutional Coagulopathy, DIC, hypothermia, and
fibrinolysis
Identify the type of renal failure that results from bilateral obstruction of urine outflow - Post-renal
failure
Interpret the following: ABG 7.35, paCO2 60mmHg, HCO3 38 mEq - Compensated respiratory acidosis
Interpret the following: ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L - Respiratory Alkalosis
Long term use of TPN may lead to: - Liver Failure
Muffled heart sounds would indicate what condition? - Cardiac tamponade
Ninety percent of thrombi develop in which area of the body? - Legs
Pain assessment in an unconscious patient - Requires astute assessment skills using multiple approaches
Screening tests for DIC include: - D-Dimer and FDPs
, The CAM-ICU assessment is a measure for which condition? - Delirium
The Central Venus Pressure (CVP) measures the pressure in the - right atrium
The initial insulin therapy for a patient with acute DKA is usually administered by which route -
Intravenous bolus followed by a continuous infusion
The most common cause for the patient to file a nursing negligence claim is - Ineffective communication
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
The patient's ABG is : pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L . What type of acid imbalance does he
have. - Metabolic Acidosis
The staff nurse asks the nursing assistant to check on a patient. The nursing assistant reports back that
the patient is experiencing chest pain and is diaphorectic. Which of the following can the staff nurse
delegate to the assistant? - A) *WRONG* Calling the physician
B) *Wrong* Gathering vitals and assessing the cause for the change in status
C) Informing the charge nurse that a patient needs attention
D) Obtaining a medication for the nurse to administer to the patient
What is a common assessment finding for a patient returning from a small bowel resection? -
Hypoactive bowel sounds
What pathological condition might you suspect in a patient with a serum sodium of 165 and serum
osmolality of 330? - Diabetes Insipidus
When assessing a chest tube, which of the following indicates a possible air leak - Excessive bubbling in
the water chamber
