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Prophecy General ICU RN A v1 with complete top solutions Latest 2025 Exam |Graded A+
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Common complications of massive transfusions are Correct Answer: Dilutional Coagulopathy, DIC, hypothermia, and fibrinolysis ABG pH 7.25, pCO2 40, pO2 90, HCO3 20mEq/L Correct Answer: Metabolic Acidosis Long term use of TPN may lead to: Correct Answer: Liver Failure Which of the following is a potential complication of high PEEP Correct Answer: Pneumothorax What is a common assessment finding for a patient returning from a small bowel resection? Correct Answer: Hypoactive bowel sounds Your patient suddenly becomes diaphoretic, anxious, tachycardic, and has clammy skin. Which of the following would you suspect. Correct Answer: A)WRONG Hypoxemia B) Acute MI C) Panic Attack D) Hypoglycemia
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? Correct Answer: A) WRONG Calling the physician B) 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 Your patient returned from PACU after surgery and is very drowsy. She attempts to eat a candy bar and begins to choke. The physician is unable to clear the airway. You would expect to prepare for which of the following. emergency procedures? Correct Answer: A) WRONG Endotracheal Intubation B) Chest tube insertion C) Tracheostomy D) Bronchoscopy The initial insulin therapy for a patient with acute DKA is usually administered by which route Correct Answer: Intravenous bolus followed by a continuous infusion Screening tests for DIC include: Correct Answer: D-Dimer and FDPs
Which of the following conditions would you suspect? Correct Answer: Rhabdomyolysis Which class of drugs should be avoided in patients with asthma? Correct Answer: Beta Blockers CAM-ICU is a measure for which condition? Correct Answer: Delirium Which of the following drugs would you expect to administer in a patient diagnosed with myasthenia gravis? Correct Answer: Mestinon ABG pH 7.56, paCO2 24 mmHG, HCO3 23 mEq/L Correct Answer: Respiratory Alkalosis When assessing a chest tube, which of the following indicates a possible air leak Correct Answer: Excessive bubbling in the water chamber Which of the following medications improves contractility, increases stroke volume, and increases cardiac output? Correct Answer: Dobutamine Muffled heart sounds would indicate what condition? Correct Answer: Cardiac tamponade
Pain assessment in an unconscious patient Correct Answer: Requires astute assessment skills using multiple approaches Which of the following tests should be performed prior to administering tPA Correct Answer: CT Scan Which of the following classes of drugs are used in an effort to therapeutically decrease venous return and reduce peripheral vascular resistance? Correct Answer: Vasodilators Identify the type of renal failure that results from bilateral obstruction of urine outflow Correct Answer: Post-renal failure A patient exhibits hypotension without an increase in HR is indicative of Correct Answer: Neurogenic Shock Your patient is taking the following medications: Zoloft, Lanoxin, Protonix, lasix, and coumadin. Which medication would you hold for a blood pressure of 80/50? Correct Answer: Lasix
The most common cause for the patient to file a nursing negligence claim is Correct Answer: Ineffective communication Which medication is a paralytic Correct Answer: Vecuronium 90% of thrombi develop in which area of the body? Correct Answer: Legs Which of the following medications is usually the first to be administered during status epilepticus Correct Answer: Ativan Pt's BP on admission was 110/40, and Hgb was 10.5. The BP is now 80/50 and pt is vomiting coffee ground emesisi. You expect Hgb to be: Correct Answer: 8 You note the appearance of a U wave on the ECG tracing of your patient, This would indicate that the nurse check laboratory values for the presence of Correct Answer: Hypokalemia Must be performed prior to A-line insertion Correct Answer: Allen test
Diet best for patient with renal failure? Correct Answer: low sodium, low potassium, and moderate protein You're caring for a 49 yo head trauma pt with an ICP line. What is the formula for calculating the CPP? Correct Answer: MAP - ICP Pt presents with fever, chills, cough, SOB and chest pain. Which diagnosis would you anticipate? Correct Answer: Pneumonia CVP normal range Correct Answer: 2 - 8 mmHg Pt presents with stiff neck, headache and fever for the last 24 hr. What condition would you suspect? Correct Answer: Bacterial meningitis Hypotensive crisis, which med would you anticipate giving? Correct Answer: Levophed Hypotonic solution Correct Answer: 0.45% NS What pathological condition might you suspect in a patient with a serum sodium of 165 and serum osmolality of 330? Correct Answer: Diabetes Insipidus