Prophecy Surgical ICU Exam A v3 Latest Update 2024-2025 Exam 100 Questions and 100% Verified Correct Answers Guaranteed A+
58-year-old male patient is receiving a blood transfusion, 10 minutes after initiation, the nurse thinks the pt is having an acute hemolytic transfusion reaction because he exhibits the following symptoms: - CORRECT ANSWER: Chills, back pain, spiked temperature, nausea
A 32-year-old male sustained a crush injury to his left leg. Management includes: - CORRECT ANSWER: Administration of IV fluids & sodium bicarbonate for documented acidosis
A non-rebreather mask is meant to deliver what percentage of oxygen to the patient? -
CORRECT ANSWER: 90-100%
A patient with a spinal cord injury is given a large dose of Solu-Medrol and should be
monitored for what? - CORRECT ANSWER: Hyperglycemia
Adensoine (Adenocard) would be indicated for the treatment of which cardiac rhythm? -
CORRECT ANSWER: PSVT (AVNRT)
An adult woman is admitted with metabolic acidosis. Which set of ABG's would the
nurse find? - CORRECT ANSWER: pH = 7.30
PCO2 = 36
HCO3 = 18
Antidote to Heparin - CORRECT ANSWER: Protamine Sulfate
In acute myocardial infarction (AMI), hemodynamic measurements reveal: - CORRECT
ANSWER: Low cardiac output/cardiac index
In respiratory acidosis, which of the following statements is CORRECT? - CORRECT
ANSWER: The etiology stems from hypoventilation.
Manifestation of hypothyroidism or myxedema would include: - CORRECT ANSWER: Fluid retention/edema, weight gain, constipation, and bradycardia
Manifestations of DKA are the results of severe dehydration and acidosis. One of those manifestations is Kussmaul's respirations. This compensatory response does what? -
CORRECT ANSWER: Causes increased rate and depth of respirations, with longer
expiration
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PEEP may: - CORRECT ANSWER: Decrease venous return and decrease cardiac output
Please interpret the acid-base abnormality: pH = 7.56, PaCO2 = 24 mm Hg, HCO3 = 23
mEq/L - CORRECT ANSWER: Respiratory Alkalosis
Regarding a patient's blood transfusion, which information about patient observation is
CORRECT? - CORRECT ANSWER: Direct observation and vital signs during initiation
and at frequent intervals during the transfusion
Special care should be given when administering IV Dopamine because: - CORRECT
ANSWER: Infiltration leads to tissue necrosis
The dosage of which drug must be tapered off slowly to prevent an acute adrenal
insufficiency? - CORRECT ANSWER: Cortisone
The Glasgow Coma Scale (GCS) measures what three areas: - CORRECT ANSWER: Eye opening, verbal response to pain, motor response to pain
The initial dose of atropine for a conscious adult experiencing symptomatic bradycardia is: - CORRECT ANSWER: 0.5 mg IVP
The INITIAL medication given to a patient who is in ventricular tachycardia WITH a pulse: - CORRECT ANSWER: Amiodarone 150mg IV over 10 min
The MOST appropriate method to initially verify appropriate endotracheal tube placement includes: - CORRECT ANSWER: CO2 detector, three point auscultation
The treatment for IV infiltration would include: - CORRECT ANSWER: **WRONG**
Discontinue the IV, apply ice to the site for 2 hours.
Ventilation/perfusion V/Q scan of a client with pulmonary embolism who has no other
pulmonary disease - CORRECT ANSWER: Normal ventilation, decreased perfusion
Ventricular tachycardia is most often caused by: - CORRECT ANSWER: **WRONG**
Frequent PVC's
What is the general acceptable output of urine per hour in adults? - CORRECT
ANSWER: 30 mL/hr
What is the normal range for CVP? - CORRECT ANSWER: 2-8 mm Hg
What is the preferred site to infuse vasopressors such as dopamine and levophed? -
CORRECT ANSWER: Central Line
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