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One of your paticnts coded but is now stabilized and you are catching up on charting. The step-down unit calls to get report on your other patient who is to be transfered. The nurses near you do not appear busy. How should you prioritize your time’? Your patient was intubated but still has oral medications on their list of medications. How should you ensure they receive their medications? MABKHhe What laboratory value should you monitor closely if your patient is vomiting coffee ground emesis? SA@moelobml What ECG finding is indicative of hyperkalema? - peaked T wave You witness a patient that is not assigned to you fall out of bed and begin crying for help but you do not sce the assigned nurse to assist the paticnt. What should you do first? + Check on the patient's status and call for assistance. When assessing for fever in your intubated patient, placement of the thermometer in which arca would be most accurate? MPUMMOnaneartenOnbladder Your patient has just completed IV potassium replacement. When should you collect their repeat potassium level? 30-60 min Your patient is receiving an antiarrhythmic agent. Which of the following assessment parameters is the MOST important for you to cvaluate? §BGG Your patient is undergoing a weaning trial [rom the ventilator. Fifteen minutes into the trial the patient's heart rate increases to 140 bpm and they start to grab at their oxygen and IV tubing. What should you do NEXT? S@§Stphveaninelandiesntie patient While assessing a patient just admitted to the hospital, he admits to drinking 12 cans of beer a day, with the last drink being right before admission. What is the expected onset of delirium tremens? SWithim@Se72ihours You have administered a pain medication that has a half-life of 120 minutes, onset of action 6 min, tmax of 15 minutes, and is mostly excreted in the uring. when can the patient expect the medication to start working S@lmnnutes A lethargic but oriented patient is being admitted for sepsis and their family member is in the waiting area. Their belonging include a ring, cell phone, and wallet. The patient asks if they can keep the ring on and phone at bedside. What is your BEST response? [iGiSISGS@liliyoti iain lakes iyOun Deloneines! What is a significant complication of imaging studies performed with iv contrast I What respiratory support would an alert paticnt with an acute COPD cxacerbatiobn likely receive FIRST? SBipap Your intubated and unresponsive patient is scheduled for surgery in the morning. Who is the most appropriate person to make decisions for your patient? - The When administering a titratable infusion what information must you check on the medication TV bag to confirm the correct dose is being administered? | Your patient has a known baseline heart rate of around 45. The ECG monitor keeps alarming when the heart rate decreases below 50. Their vital signs are stable. What would you do? (ASIGiSEine/alatinijparametes How is dopamine usually administered in the icu when given intravenously | B. Checking blood pressure and the heart rate* WRONG C. Administering an albuterol nebulizer D. Performing an ordered STAT ABG *WRONG Your are admitting a patient who is sedated and intubated directly from the operating room after a major surgery. The anesthesia provider connects the patient to the ventilator in the ICU room and Icaves before entering orders for the paticnt's ventilatory settings. How should you proceed? S@OntactihellG Wimtensivislior For a patient with septic shock, What would you monitor to objectively determine the effectiveness and need to titrate a dobutamine infusion. §SGVOR Which of the following actions complies with ventilator acquired pneumonia (VAP) prevention protocols? [IRGEpINEAa/on/Dedis OS (Esees What assessment tool is needed for a paticnt who has uncomplicated retrosternal hemorrhage? SUROIGWAiplimapineest Which condition may cause increased effects from a medication that is mostly metabolized by the liver? SE@pattiste An intubated patient with a GCS of 3 is admitted to the ICU from the ER after being found down for an unknown amount of time at home. The CT scan reveals profuse cerebral edema. When is the BEST time to notify organ donation services? What order is included in the pre-procedural checklist for patients at risk for acute kidney injury who are to receive [V contrast? - Pre-hydration with IV Fluids Your patient is intubated with an ETT and sedated without spontancous monements when the ventilator alarms with a high-pressure warning. The ventilator tubing is free and unkinked. What should you do NEXT? - Provide Your postoperative patient suddenly becomes dyspneic, clutches their chest and their Sp02 drops to 89% the paticnt has a swollen left calf. what condition do you suspect? SRGITORAR embolism What IV sedative would MOST likely be ordered for a non-intubated patient? | What is the normal cardiovasculat response to early sepsis? Simereasedleardiae You have just received report on Patient A and Patient B. Patient A is intubated, sedated, and on a vasoactive infusion to keep their BP greater than 110 mmHg systolic on an arterial line. Patient B was extubated an hour ago and has a scheduled glucose check due in 1 hour. What is your PRIORITY action? - Assess Which of the following dicts would be BEST for a patient with renal failure? { Your patient on a furosemide infusion has a positive daily fluid balance, new bilateral crackles on auscultation and has gained weight since admission. What action should you take? SDiS6USS/inersA sins the lilf0sennice infusion withthe What ventilator adjustment do you expect when your patient's ABG is pH 7.40, PaCO2 112, BICARB 22? SDeeieasemniOD What information do you need from the provider to setup a cerebral intraventricular drainage system? - Maximum ICP After turning a patient with CVP monitoring what should you do to ensure accuracy of the CVP reading? (UZGROEREIiMe)atphlebostaneanas You are caring for a confused patient with edema who has large swollen wrist. You find that someone has taped their ID bracelet to the side of the bed. How should you secure their ID bracelet? SIRIASS 06H [braCeleton|ihelpanientsnvnisenvnile You are caring for a patient with diabetic ketoacidosis with suspected sepsis. You have the following tasks to complete: Draw blood cultures, checkblood glucose, administer antibiotic, insert urinary catheter, and check urine for glucose. Which task should you complete FIRST? - Draw blood culture A code is initiated and the second nurse is observed not following ACLS protocol. What is the BEST actionsto take? SISHSpIUMCInUnSelinimncdiatelyand instiiiteyAGlS During the first hour of tPA infusion, how frequently should you monitor blood pressure? SEMIS imninutes Which of the following is a priority for the bedside nurse when a patient gets inpatient hemodialysis? SINIAiRT@ining acetals bISodpressure What MUST you confirm before removing a cervical spine collar? SPRSSeHeelon Which of the following signs or symptoms indicates a patient might not be tolerating the extubation? SiiG)patientis/eouiins andlhasiachyeardia Which age group is MORE likely to experence a "Blown" vein SOldenadults What acid/base imbalance is MOST likely to be found in a patient with COPD | Which of the following should you do if your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy skin? - Check their glucose What information is MOST important for you to confirm in smart TV pump settings? SWVGISht Besides the white blood cells, what laboratroy value is used in the diagnosis of sepsis? SURGHGREM Which medication is associated with increased delirium in critical care patients? § What is an effective way to evaluate for cyanosis in a person of color - Check inner What cardiac condition shows cardiomegaly on chest x-ray SS ystolieuheartrailure Your patient begins to choke and a code blue is called. The provider is unsuccessful at removing the object and is unable to place the ETT. You would expect to prepare for what type of procedure SSuneicallainway 
