Critical Care Exam 1 Questions and
Answers (latest Update 2025) Verified
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
,Critical Care Exam 1 Questions and
Answers (latest Update 2025) Verified
Answers
2.) 68 year-old woman with type 2 diabetes who had CVA 2
days ago
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
,Critical Care Exam 1 Questions and
Answers (latest Update 2025) Verified
Answers
4-Review and reconcile his medications. Confirm that he did
not take his warfarin
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
, Critical Care Exam 1 Questions and
Answers (latest Update 2025) Verified
Answers
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
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
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