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ICU Nursing Exam Questions and Answers: Critical Care Review, Exams of Nursing

The University of Texas Medical BranchNursing

Critical care nursing Q&A focusing on ICU procedures, patient safety, and emergency responses. Topics include ventilator management, medication administration, infection prevention, and post-operative care. Designed to test critical care best practices, it's valuable for nursing students and practicing nurses. Scenarios cover respiratory depression, ventilator-acquired pneumonia, diabetic ketoacidosis, and central line infections. It addresses vital sign monitoring, equipment troubleshooting, and responding to patient distress, providing an overview of ICU nursing skills. The Q&A format facilitates review and clinical application. Useful for certification exam preparation or enhancing critical care knowledge, it also covers wound care, pain management, and ethical considerations.

Typology: Exams

2024/2025

Available from 06/02/2025

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Prophecy RN B v3 Test | 100% Correct
Answers | Verified | Latest Version
When setting up a room for a new patient, what emergency equipment MUST be accessible and working
at the bedside? - ✔✔Bag Valve mask
You are on shift and overhear another nurse discussing confidential patient information on their cell
phone during their break. What would be the BEST action to take? - ✔✔Speak with the nurse in private
afterwards to remind her of HIPAA regulations
What should you monitor for a patient at risk for respiratory depression? - ✔✔PaO2
What is a complication of high PEEP? - ✔✔Pneumothorax
What hospital acquired condition do proton pump inhibitors help prevent? - ✔✔Ventilator acquired
pneumonia
What is the primary medication for glucose in a patient with acute diabetic ketoacidosis? -
✔✔Continuous IV regular insulin
What staff member would you ask to accompany you when transporting an intubated patient to imaging
for a CT? - ✔✔Respiratory Therapist
Which ventilator setting correlates with the amount of volume of air delivered to the lungs with each
breath? - ✔✔Tidal volume
What data supports the accuracy of an arterial line BP reading? - ✔✔Transducer 3mm above right atrium
WRONG
You are in the middle of receiving a bedside report at change of shift when you and the other nurse
notice a new order for NG tube insertion that the physician placed 30 minutes ago on the previous
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Download ICU Nursing Exam Questions and Answers: Critical Care Review and more Exams Nursing in PDF only on Docsity!

Prophecy RN B v3 Test | 100% Correct

Answers | Verified | Latest Version

When setting up a room for a new patient, what emergency equipment MUST be accessible and working at the bedside? - ✔✔Bag Valve mask You are on shift and overhear another nurse discussing confidential patient information on their cell phone during their break. What would be the BEST action to take? - ✔✔Speak with the nurse in private afterwards to remind her of HIPAA regulations What should you monitor for a patient at risk for respiratory depression? - ✔✔PaO What is a complication of high PEEP? - ✔✔Pneumothorax What hospital acquired condition do proton pump inhibitors help prevent? - ✔✔Ventilator acquired pneumonia What is the primary medication for glucose in a patient with acute diabetic ketoacidosis? - ✔✔Continuous IV regular insulin What staff member would you ask to accompany you when transporting an intubated patient to imaging for a CT? - ✔✔Respiratory Therapist Which ventilator setting correlates with the amount of volume of air delivered to the lungs with each breath? - ✔✔Tidal volume What data supports the accuracy of an arterial line BP reading? - ✔✔Transducer 3mm above right atrium WRONG You are in the middle of receiving a bedside report at change of shift when you and the other nurse notice a new order for NG tube insertion that the physician placed 30 minutes ago on the previous

nurse's shift. How should you handle the order? - ✔✔Complete an incident report and give it to the supervisor WRONG Why should heparin IV infusion be administered in a dedicated IV line? - ✔✔To minimize the risk of accidental bolus to patient You have received an order to remove your patient's surgical staples. What assessment finding indicates the need for further discussion with the ordering provider? - ✔✔Gap between sides of incision A new nurse asks you if a patient who is intubated and receiving an IV paralytic can sense what is going on around them. Which of the following is the BEST response? - ✔✔"The paralytic decreases the patient's awareness of their surroundings." Your patient's with a wound vac keeps alarming with an air leak and the wound care nurse cannot see the patient until tomorrow. What steps can you take to troubleshoot the alarm? - ✔✔Gently pat around the edge of the transparent dressing What is a frequent complication of pancreatoduodectomy, also known as Whipple surgery? - ✔✔Delayed gastric empytying You are helping admit a new patient who is unconscious and does not have family at the bedside. While inspecting their belongings you find many $100 bills in their wallet. What should you do NEXT? - ✔✔Document in the patient's medical record WRONG Which of the following helps prevent errors when programming a smart IV pump to administer a medication infusion? - ✔✔Utilize the preset concentration whenever possible Which of the following infusions must be stopped before a patient on a ventilator can be extubated? - ✔✔Propofol (Diprivan) What type of treatments might be continued after life sustaining interventions are withdrawn? - ✔✔Applying balm to the lips

You are working in the ICU on night shift. For which reason MUST you contact the ICU provider? - ✔✔Patient reports new onset intense pressure in chest You are at the bedside in a sterile gown and gloves wearing a mask, and assisting a provider with the insertion of a central line. What should you do during a procedure if a second nurse tries to hand you a clean instrument? - ✔✔Explain to the second nurse that you cannot accept the item as you will no longer be sterile After evaluating a patient's circulation, airway, and breathing, what type of assessment would you preform on a patient who is newly admitted after surgery? - ✔✔Complete head to toe assessment Which provider should you contact for a patient who is postoperative day three with a decreased urine output? - ✔✔ICU intensivist Your patient has just had a paracentesis during which 5 liters of fluid were removed. Which assessment is the PRIORITY? - ✔✔Blood pressure What is a risk factor for upper GI bleeding? - ✔✔Alcohol use What metabolic panel abnormality should you monitor for after a large volume RBC transfusion? - ✔✔Hypocalcemia You find your patient with their hands on their ETT, coughing, with large amounts of secretions coming out of their mouth and around their ETT. You can clearly see the ETT has been pulled out at least 4cm farther than it was before. After calling for help, what should you do NEXT? - ✔✔Remove the ETT and suction their mouth Your patient is intubated and on a ventilator set to assist control ventilation. They are sedated with stable vital signs. The team has set a goal today to attempt to extubate the patient. You have preformed an ABG which shows pH of 7.37, PaCO@ 42, SAO2 of 92% on an FiO2 of 40%. The respiratory therapist is at the bedside. After decreasing the rate of sedation infusion, what do you anticipate will happen NEXT to progress towards the goal of extubation? - ✔✔Spontaneous breathing trial

You are assessing a patient with multiple trauma who is at risk for developing ARDS. What is an EARLY sign of ARDS? - ✔✔Increased respiratory rate Your patient is in bed and eating lunch when they begin to cough and gag. Suddenly they become dyspneic with excessive salvation. What do you suspect happened? - ✔✔Aspiration When collecting an ABG from an arterial line with a specimen tube, what should you do after attaching the needless blood sampling device to the stopcock? - ✔✔Turn the stopcock off to flush the solution You are preparing to administer a STAT IV antibiotic to a patient with a triple lumen central line. The first line has propofol (Diprivan). The second line has KCL. The third line has pantoprazole (Prontix) infusing. What should you do NEXT? - ✔✔Check the compatibility of the antibiotic with the current infusions Where should report be given when care is handed over to another nurse? - ✔✔At the bedside Your patient is intubated, has a NGT to suction, SCDs in place, an external epicardial pacemaker, and a wound vac. Which of their devices MUST be taken during transport? - ✔✔Pacemaker You are admitting a patient directly from surgery and have a second nurse assisting you. Which of the following tasks should you delegate to the nurse who is assisting you? - ✔✔Placing the patient on the monitors in the ICU room. How can you promote a healthy sleep wake cycle in a patient who is often awake at night? - ✔✔Keep room lighting on during the daytime hours What should you do to monitor tolerance of fluid administration in a patient with heart disease? - ✔✔Lung auscultation You are caring for a patient who is ventilated, sedated, and on an anti-hypertensive infusion to keep their systolic blood pressure less than 130 mmHg. You have just repositioned them and suctioned their ETT. Now you find they are grimacing, have systolic BP of 148 mmHg, a heart rate of 112 and 97% SPO2. Which of the following actions should you take? - ✔✔Administer PRN pain medication