1. Which of the following hemodynamic parameters is most useful for assessing left
ventricular preload?
A) Central Venous Pressure (CVP)
B) Pulmonary Capillary Wedge Pressure (PCWP)
C) Mean Arterial Pressure (MAP)
D) Cardiac Output (CO)
Answer: B) Pulmonary Capillary Wedge Pressure (PCWP)
2. A patient with acute respiratory distress syndrome (ARDS) is on mechanical
ventilation. What is the recommended tidal volume per kilogram of predicted body
weight to prevent ventilator-induced lung injury?
A) 10 mL/kg
,B) 8 mL/kg
C) 6 mL/kg
D) 4 mL/kg
Answer: C) 6 mL/kg
3. When managing a patient with septic shock, which of the following interventions
should be prioritized?
A) Administering a high-dose corticosteroid
B) Starting broad-spectrum antibiotics within 1 hour
C) Performing a lumbar puncture
D) Administering a beta-blocker
Answer: B) Starting broad-spectrum antibiotics within 1 hour
4. Which electrolyte imbalance is most commonly associated with prolonged QT
intervals on an electrocardiogram (ECG)?
A) Hyperkalemia
B) Hypocalcemia
C) Hypernatremia
D) Hypermagnesemia
Answer: B) Hypocalcemia
5. A patient with a traumatic brain injury is showing signs of increased intracranial
pressure (ICP). What is the most appropriate initial nursing intervention?
A) Position the patient flat in bed
B) Increase fluid intake to promote cerebral perfusion
C) Elevate the head of the bed to 30 degrees
D) Encourage frequent coughing and deep breathing exercises
Answer: C) Elevate the head of the bed to 30 degrees
6. Which of the following medications is commonly used to treat bradycardia in the
ICU setting?
A) Amiodarone
B) Atropine
C) Lidocaine
D) Adenosine
Answer: B) Atropine
, 7. In a patient with diabetic ketoacidosis (DKA), which laboratory finding is expected?
A) Decreased blood urea nitrogen (BUN)
B) Low serum potassium
C) Elevated serum bicarbonate
D) Elevated blood glucose
Answer: D) Elevated blood glucose
8. Which nursing action is appropriate when caring for a patient receiving total
parenteral nutrition (TPN) through a central line?
A) Changing the TPN tubing every 72 hours
B) Monitoring blood glucose levels every 6 hours
C) Adding medications directly to the TPN bag
D) Checking gastric residuals every 4 hours
Answer: B) Monitoring blood glucose levels every 6 hours
9. Which of the following is a key sign of neurogenic shock?
A) Hypertension and bradycardia
B) Hypotension and bradycardia
C) Tachycardia and hypertension
D) Tachycardia and hypotension
Answer: B) Hypotension and bradycardia
10. When managing a patient with acute coronary syndrome (ACS), which drug is
typically administered to reduce myocardial oxygen demand?
A) Nitroglycerin
B) Furosemide
C) Dobutamine
D) Atropine
Answer: A) Nitroglycerin11. Which of the following is the most effective method to
prevent ventilator-associated pneumonia (VAP) in an ICU patient?
A) Performing regular chest physiotherapy
B) Administering prophylactic antibiotics
C) Elevating the head of the bed to 30-45 degrees
D) Using a humidifier with the ventilator circuit
Answer: C) Elevating the head of the bed to 30-45 degrees
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